Expenditure Estimates for the Ministry of Health (2021-22)
The 2021-2022 Expenditure Estimates set out details of the operating and capital spending requirements of the Ministry of Health for the fiscal year commencing April 1, 2021.
Summary
The Ministry of Health is working to stop the spread of COVID-19 by being nimble and responsive as the crisis unfolds.
At the same time, the Ministry is working to end hallway health care, help people stay healthy, deliver high-quality care when and where they need it, and reinforce the long-term sustainability of our health care system for the future.
Ministry Program Summary
| Vote | Program | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| Operating expense | |||||
| 1401 | Ministry Administration Program | $99,055,100 | $101,547,000 | ($2,491,900) | $91,321,719 |
| 1402 | Health Policy and Research Program | $796,879,700 | $794,309,000 | $2,570,700 | $744,770,497 |
| 1403 | Digital Health and Information Management Program | $323,507,300 | $194,208,100 | $129,299,200 | $198,267,478 |
| 1405 | Ontario Health Insurance Program | $23,464,624,300 | $22,157,038,400 | $1,307,585,900 | $21,529,519,894 |
| 1406 | Population and Public Health Program | $4,547,542,700 | $7,685,464,000 | ($3,137,921,300) | $1,314,843,081 |
| 1412 | Provincial Programs and Stewardship | $2,579,143,800 | $2,239,202,600 | $339,941,200 | $2,219,112,169 |
| 1413 | Information Systems | $174,144,500 | $144,822,800 | $29,321,700 | $136,786,471 |
| 1416 | Health Services and Programs | $30,624,537,600 | $30,611,246,700 | $13,290,900 | $27,657,268,361 |
| Total operating expense to be voted | $62,609,435,000 | $63,927,838,600 | ($1,318,403,600) | $53,891,889,670 | |
| Statutory appropriations | $89,392 | $89,392 | - | $836,935 | |
| Ministry total operating expense | $62,609,524,392 | $63,927,927,992 | ($1,318,403,600) | $53,892,726,605 | |
| Consolidation adjustment - Hospitals | $4,235,519,500 | $3,226,959,500 | $1,008,560,000 | $3,872,698,536 | |
| Consolidation adjustment - Home and Community Care Support Services | $25,729,800 | $28,419,100 | ($2,689,300) | $42,229,119 | |
| Consolidation adjustment - ORNGE | ($23,149,500) | ($37,957,700) | $14,808,200 | ($20,969,905) | |
| Consolidation adjustment - Funding to Colleges | ($2,894,800) | ($3,988,000) | $1,093,200 | ($32,409,244) | |
| Consolidation adjustment - Ontario Agency for Health Protection and Promotion | ($13,406,200) | ($14,735,600) | $1,329,400 | ($25,133,877) | |
| Consolidation adjustment - Ontario Health | $5,303,630,500 | $4,027,159,100 | $1,276,471,400 | $3,771,852,242 | |
| Consolidation adjustment - General Real Estate Portfolio | ($7,336,400) | ($7,489,600) | $153,200 | ($30,685,110) | |
| Consolidation adjustment - Ontario Infrastructure and Lands Corporation | - | - | - | ($1,930,031) | |
| Total including consolidation & other adjustments | $72,127,617,292 | $71,146,294,792 | $981,322,500 | $61,468,378,335 | |
| Operating assets | |||||
| 1401 | Ministry Administration Program | $2,000 | $2,000 | - | - |
| 1402 | Health Policy and Research Program | $4,500,000 | $4,500,000 | - | $1,000,000 |
| 1405 | Ontario Health Insurance Program | $13,000,000 | $781,900,000 | ($768,900,000) | $13,000,000 |
| 1406 | Population and Public Health Program | $750,000 | $750,000 | - | - |
| 1412 | Provincial Programs and Stewardship | $5,729,400 | $5,729,400 | - | $5,729,400 |
| 1416 | Health Services and Programs | $38,107,600 | $38,107,600 | - | $38,106,600 |
| Total operating assets to be voted | $62,089,000 | $830,989,000 | ($768,900,000) | $57,836,000 | |
| Ministry total operating assets | $62,089,000 | $830,989,000 | ($768,900,000) | $57,836,000 | |
| Capital expense | |||||
| 1413 | Information Systems | $1,000 | $1,000 | - | - |
| 1416 | Health Services and Programs | $19,216,100 | $26,716,100 | ($7,500,000) | $15,934,600 |
| 1407 | Health Capital Program | $1,604,151,400 | $1,335,270,100 | $268,881,300 | $1,489,685,201 |
| Total capital expense to be voted | $1,623,368,500 | $1,361,987,200 | $261,381,300 | $1,505,619,801 | |
| Statutory appropriations | $16,249,100 | $17,400,700 | ($1,151,600) | $15,046,176 | |
| Ministry total capital expense | $1,639,617,600 | $1,379,387,900 | $260,229,700 | $1,520,665,977 | |
| Consolidation adjustment - Hospitals | $356,855,600 | $614,799,700 | ($257,944,100) | $327,013,807 | |
| Consolidation adjustment - Home and Community Care Support Services | $2,881,700 | $4,157,300 | ($1,275,600) | $4,497,080 | |
| Consolidation adjustment - ORNGE | $16,347,000 | $12,734,900 | $3,612,100 | $11,163,800 | |
| Consolidation adjustment - Ontario Agency for Health Protection and Promotion | ($6,101,500) | ($13,359,200) | $7,257,700 | ($6,449,006) | |
| Consolidation adjustment - Ontario Health | $2,285,300 | ($38,082,000) | $40,367,300 | $2,486,470 | |
| Consolidation adjustment - General Real Estate Portfolio | ($3,189,000) | ($21,694,300) | $18,505,300 | - | |
| Total including consolidation & other adjustments | $2,008,696,700 | $1,937,944,300 | $70,752,400 | $1,859,378,128 | |
| Capital assets | |||||
| 1413 | Information Systems | $28,034,300 | $29,283,900 | ($1,249,600) | $7,919,090 |
| 1416 | Health Services and Programs | - | $1,000 | ($1,000) | - |
| Total capital assets to be voted | $28,034,300 | $29,284,900 | ($1,250,600) | $7,919,090 | |
| Ministry total capital assets | $28,034,300 | $29,284,900 | ($1,250,600) | $7,919,090 | |
| Ministry total operating and capital including consolidation and other adjustments (not including assets) | $74,136,313,992 | $73,084,239,092 | $1,052,074,900 | $63,327,756,463 |
Reconciliation to previously published data
| Operating expense | 2020-21 | 2019-20 |
|---|---|---|
| Total operating expense previously published | $57,598,320,192 | $58,321,003,098 |
| Government reorganization | ||
Transfer of functions from other Ministries | $266,300 | $3,119,600 |
Transfer of functions to other Ministries | ($8,063,600) | ($4,431,396,093) |
| Supplementary Estimates | ||
2020-21 Supplementary Estimates | $6,337,405,100 | - |
| Restated total operating expense | $63,927,927,992 | $53,892,726,605 |
| Operating assets | 2020-21 | 2019-20 |
|---|---|---|
| Total operating assets previously published | $62,089,000 | $78,266,959 |
| Government reorganization | ||
Transfer of functions to other Ministries | - | ($20,430,959) |
| Supplementary Estimates | ||
2020-21 Supplementary Estimates | $768,900,000 | - |
| Restated total operating assets | $830,989,000 | $57,836,000 |
| Capital expense | 2020-21 | 2019-20 |
|---|---|---|
| Total capital expense previously published | $1,350,187,900 | $1,521,833,177 |
| Government reorganization | ||
Transfer of functions to other Ministries | - | ($1,167,200) |
| Supplementary Estimates | ||
2020-21 Supplementary Estimates | $29,200,000 | - |
| Restated total capital expense | $1,379,387,900 | $1,520,665,977 |
Ministry Administration Program - vote 1401
Ministry Administration provides support to the Minister of Health and the Minister of Long-Term Care to meet the requirements of the ministries' portfolios, ministry management, accountability, controllership and risk management frameworks to ensure the cost-effective/efficient use of resources to achieve business results.
A broad range of strategic and operational services are provided to support the effective delivery of all ministry programs and services, including: business and fiscal planning; health system investment and funding policies and decisions; procurement; facilities; government pharmacy; strategic human resources including: organizational change strategies and implementation; talent, performance and succession management; workforce planning and resource management; engagement and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; agency liaison and oversight; legal; communications, project management and program redesign to achieve improved quality, efficiency and effectiveness; financial management including: delivering and providing financial services, support and advice to other stakeholders to support the successful attainment of ministry goals and objectives using modern controllership practices through forecasting, reporting and in-year management expense control , and reporting corporately to central agencies for internal and published financial documents.
Also, funding is provided for administrative support to the Ontario Review Board, Consent and Capacity Board, Health Services Appeal and Review Board, Health Professions Appeal and Review Board, and the Ontario Hepatitis C Assistance Plan Review Committee.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1401-1 | Ministry Administration | ||
Salaries and wages | $44,554,000 | ||
Employee benefits | $12,186,700 | ||
Transportation and communication | $3,359,700 | ||
Services | $31,297,700 | ||
Supplies and equipment | $631,600 | ||
| Subtotal | $92,029,700 | ||
| Less: recoveries | $76,700 | ||
| Total operating expense to be voted | $91,953,000 | ||
| Sub-items: | |||
| Main Office | |||
Salaries and wages | $5,007,600 | ||
Employee benefits | $622,200 | ||
Transportation and communication | $231,100 | ||
Services | $539,500 | ||
Supplies and equipment | $10,500 | $6,410,900 | |
| Financial and Administrative Services | |||
Salaries and wages | $29,811,400 | ||
Employee benefits | $10,135,100 | ||
Transportation and communication | $2,539,800 | ||
Services | $23,454,000 | ||
Supplies and equipment | $476,400 | ||
Subtotal | $66,416,700 | ||
Less: recoveries | $76,700 | $66,340,000 | |
| Human Resources | |||
Salaries and wages | $2,815,600 | ||
Employee benefits | $408,300 | ||
Transportation and communication | $57,300 | ||
Services | $412,200 | ||
Supplies and equipment | $10,700 | $3,704,100 | |
| Communications Services | |||
Salaries and wages | $6,798,700 | ||
Employee benefits | $1,018,600 | ||
Transportation and communication | $476,000 | ||
Services | $4,281,600 | ||
Supplies and equipment | $89,200 | $12,664,100 | |
| Legal Services | |||
Salaries and wages | $120,700 | ||
Employee benefits | $2,500 | ||
Transportation and communication | $55,500 | ||
Services | $2,610,400 | ||
Supplies and equipment | $44,800 | $2,833,900 | |
| Total operating expense to be voted | $91,953,000 | ||
| Statutory appropriations | |||
| Statutory | Minister's Salary, the Executive Council Act | $47,841 | |
| Statutory | Minister without Portfolio's Salary, the Executive Council Act | $22,378 | |
| Statutory | Parliamentary Assistant's Salary, the Executive Council Act | $16,173 | |
| 1401-2 | Ontario Review Board | ||
Salaries and wages | $1,280,100 | ||
Employee benefits | $204,100 | ||
Transportation and communication | $607,800 | ||
Services | $4,953,500 | ||
Supplies and equipment | $56,600 | ||
| Total operating expense to be voted | $7,102,100 | ||
| Total operating expense for Ministry Administration Program | $99,141,492 | ||
| Operating assets | |||
| 1401-6 | Ontario Government Pharmaceutical and Medical Supply Service | ||
Deposits and prepaid expenses | $1,000 | ||
| Total operating assets to be voted | $1,000 | ||
| 1401-10 | Accounts receivable | ||
Advances and recoverable amounts | |||
Advances and recoverable - in-year recoveries | $1,000 | ||
| Total operating assets to be voted | $1,000 | ||
| Total operating assets for Ministry Administration Program | $2,000 |
Health Policy and Research Program - vote 1402
The Health Policy and Research Program integrates health system research evidence, innovation, strategy, and program policy in support of policy and planning priorities across the ministry including health workforce planning and regulatory oversight in Ontario. System-wide planning allows the ministry to: support legislation and policy development; monitor alignment with the strategic directions; select and manage portfolios, strategy and other initiatives within the ministry to further objectives and priorities across the ministry including those in relation to Ontario's health workforce and the regulatory framework that governs Ontario's workforce (regulated health professions and other providers within the system). The work includes targeted investment, administration of funding programs, applied health evidence supports, integrated knowledge translation, oversight and synthesis of health services/population health research, health system innovation, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. The work also includes the Indigenous Health Engagement Fund which is dedicated to improving health outcomes for First Nations, Inuit, Métis, and urban Indigenous people in Ontario, and includes ongoing support for ministry engagement with Indigenous partners, as well as enhanced life promotion and crisis support services.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1402-1 | Health Policy and Research | ||
Salaries and wages | $15,633,000 | ||
Employee benefits | $2,467,000 | ||
Transportation and communication | $525,400 | ||
Services | $9,315,600 | ||
Supplies and equipment | $127,800 | ||
Transfer payments | |||
Clinical Education | $740,868,300 | ||
Applied Health Evidence Program | $27,942,600 | $768,810,900 | |
| Total operating expense to be voted | $796,879,700 | ||
| Total operating expense for Health Policy and Research Program | $796,879,700 | ||
| Operating assets | |||
| 1402-2 | Health Policy and Research | ||
Advances and recoverable amounts | |||
Clinical Education | $4,500,000 | ||
| Total operating assets to be voted | $4,500,000 | ||
| Total operating assets for Health Policy and Research Program | $4,500,000 |
Digital Health and Information Management Program - vote 1403
Digital Health and Information Management leverages Ontario's digital health technology to deliver a more modern, integrated and digitally enabled health system experience for patients.
Digital Health will streamline Ontario’s approach to digital health delivery by moving towards standards-based supports for improving system interoperability and reducing fragmentation and redundancy. Digital Health builds on Ontario's digital health foundations and leverages health technology to provide patients with more choice and providers with more tools to deliver the best possible care. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.
Information Management and Privacy supports strategic system planning, policy development, legislation and regulation to guide proper use of Ontarians' health data, and ensure privacy-protected management and sharing of that data.
In addition, delivery of the design, development and operations of big data analytics is part of the Data Integration and Predictive Analytics program goals of the Digital First for Health Strategy.
Capacity Planning and Analytics supports system planning, policy development, program design, performance, quality improvement, and accountability by governing, capturing, and transforming data into insights, and insights into strategic guidance to keep our healthcare system and 14+ million Ontarians healthy.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1403-1 | Digital Health and Information Management | ||
Salaries and wages | $17,611,500 | ||
Employee benefits | $2,555,300 | ||
Transportation and communication | $246,600 | ||
Services | $12,107,600 | ||
Supplies and equipment | $261,200 | ||
Transfer payments | |||
Digital Health Strategy and Programs | $263,544,700 | ||
Health System Information Management | $27,180,400 | $290,725,100 | |
| Total operating expense to be voted | $323,507,300 | ||
| Total operating expense for Digital Health and Information Management Program | $323,507,300 |
Ontario Health Insurance Program - vote 1405
The Ontario Health Insurance Program includes key elements of Ontario's health care system: client eligibility and health card policies, physicians' payments for services that are insured under the Health Insurance Act, other practitioners' payments, out-of-province/out-of-country services, Family Health Teams, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, tele triage services, disease prevention, health quality, drugs, community laboratories including genetic testing, psychiatric patient advocacy and rights advice, assistive devices including home oxygen, and protection/risk management of both provider and subscriber fraudulent activity.
The Ontario Public Drug Programs is committed to maintaining a sustainable and efficient public drug system that will support re-investment and economic recovery to provide Ontarians with access to new, innovative drug therapies.
Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres, to hospitals, to Telehealth Ontario where triage advice and health information are provided. Government-funded services are available to Ontarians who have registered, and who are eligible for the Ontario Health Insurance Plan. The Underserviced Area Program helps rural, remote and northern communities recruit and retain health care professionals, as well as ensure access to health care services in these communities. The Northern Health Travel Grant Program helps defray medical related travel costs northern Ontario residents incur to access medical specialist, or health care facility services unavailable in their local communities.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1405-1 | Ontario Health Insurance | ||
Salaries and wages | $45,392,400 | ||
Employee benefits | $7,982,200 | ||
Transportation and communication | $3,402,200 | ||
Services | $17,480,800 | ||
Supplies and equipment | $502,700 | ||
Transfer payments | |||
Payments made for services and for care provided by physicians and practitioners | $16,962,204,800 | ||
Independent Health Facilities | $52,177,900 | ||
Underserviced Area Plan | $30,864,000 | ||
Northern Travel Program | $48,181,600 | ||
Teletriage Services | $24,822,200 | ||
Quality Management Program - Laboratory Services | $4,748,900 | ||
Midwifery Services | $203,521,900 | ||
Disease Prevention Strategy | $2,524,600 | ||
Quality Health Initiatives | $60,078,600 | $17,389,124,500 | |
| Total operating expense to be voted | $17,463,884,800 | ||
| Statutory appropriations | |||
Other transactions | |||
| Statutory | Bad Debt Expense, the Financial Administration Act | $1,000 | |
| 1405-2 | Drug Programs | ||
Salaries and wages | $9,155,900 | ||
Employee benefits | $1,298,600 | ||
Transportation and communication | $806,800 | ||
Services | $15,996,500 | ||
Supplies and equipment | $105,100 | ||
Transfer payments | |||
Ontario Drug Programs | $5,442,389,500 | ||
| Subtotal | $5,469,752,400 | ||
| Less: recoveries | $400,000 | ||
| Total operating expense to be voted | $5,469,352,400 | ||
| Statutory appropriations | |||
Other transactions | |||
| Statutory | Bad Debt Expense, the Financial Administration Act | $1,000 | |
| 1405-4 | Assistive Devices Program | ||
Salaries and wages | $3,180,500 | ||
Employee benefits | $461,200 | ||
Transportation and communication | $579,000 | ||
Services | $901,000 | ||
Supplies and equipment | $29,000 | ||
Transfer payments | |||
Assistive Devices and Supplies Program | $526,236,400 | ||
| Total operating expense to be voted | $531,387,100 | ||
| Total operating expense for Ontario Health Insurance Program | $23,464,626,300 | ||
| Operating assets | |||
| 1405-5 | Ontario Health Insurance Program | ||
Advances and recoverable amounts | |||
Payments made for services and for care provided by physicians and practitioners | $10,000,000 | ||
Midwifery Services | $3,000,000 | $13,000,000 | |
| Total operating assets to be voted | $13,000,000 | ||
| Total operating assets for Ontario Health Insurance Program | $13,000,000 |
Population and Public Health Program - vote 1406
The Chief Medical Officer of Health (CMOH) has a unique and distinct role in protecting the health of Ontarians. The CMOH plays a critical role in leading the public health system as a whole through a statutory role and powers under the Health Protection and Promotion Act, providing public health advice within and beyond government and raising public health issues that have significant impacts on the health of Ontarians.
The mandate of Population and Public Health is to provide direction and leadership to support the ministry’s public health agenda including Public Health Modernization (in partnership with the Pandemic Response and Public Health Modernization Division) and commitment to improving population health outcomes and ensuring the delivery of quality services through efficient and effective coordination across Ontario’s public health and associated sectors.
The programs and services are aimed at improving health outcomes at all life stages by planning and developing legislation, regulation, standards and performance measures; developing, implementing and evaluating policies and programs that support disease prevention, health protection and healthy living; and leading, engaging and collaborating with our partners at all levels, ensuring effective program delivery, fiscal management, accountability, transparency and fostering a health system that is ready and prepared to respond to incidents and emergencies.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1406-4 | Population and Public Health | ||
Salaries and wages | $16,221,500 | ||
Employee benefits | $2,312,900 | ||
Transportation and communication | $912,400 | ||
Services | $26,209,500 | ||
Supplies and equipment | $1,001,300 | ||
Transfer payments | |||
Official Local Health Agencies | $1,083,640,300 | ||
Outbreaks of Diseases | $273,187,100 | ||
Tuberculosis Prevention | $9,113,900 | ||
Sexually Transmitted Diseases Control | $2,062,400 | ||
Ontario Agency for Health Protection and Promotion | $393,217,900 | ||
Prevent Disease, Injury and Addiction | $68,121,900 | ||
Smoke-Free Ontario | $18,795,400 | ||
COVID-19 Response | $2,652,746,200 | $4,500,885,100 | |
| Total operating expense to be voted | $4,547,542,700 | ||
| Total operating expense for Population and Public Health Program | $4,547,542,700 | ||
| Operating assets | |||
| 1406-6 | Population and Public Health | ||
Advances and recoverable amounts | |||
Official Local Health Agencies | $750,000 | ||
| Total operating assets to be voted | $750,000 | ||
| Total operating assets for Population and Public Health Program | $750,000 |
Provincial Programs and Stewardship - vote 1412
This vote includes Provincial Programs, Emergency Health Services and Stewardship. This program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs. Examples of these transfer payment programs include: Community and Priority Services, Operation of Related Facilities, HIV/AIDS and Hepatitis C Programs, and community Mental Health and Addictions programs. The program provides Ontario's share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario. This vote also includes ministry-managed Mental Health and Addictions programs which provide implementation support, knowledge exchange and training, quality improvement, and information management in support of direct service mental health and addictions providers.
In addition to transfer payment activities, Provincial Programs and Stewardship also includes Direct Operating Expenditures for health capital planning, the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Ontario Health Agency and related programs.
Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The ministry is modernizing EHS by building a more updated, integrated and efficient dispatch and communication system that will more effectively meet the needs of communities. The system consists of a series of inter-related programs and services including municipally operated/contracted land ambulance services, the not-for-profit air ambulance organization called Ornge, eight base hospitals that provide medical oversight, and ambulance communications services. Through EHS, the ministry oversees, certifies, and regulates Ontario’s paramedics, and land and air-ambulance services through the Ambulance Act. EHS manages province-wide operations in 11 directly-operated Ambulance Communications Centres (ACCs), provides oversight and transfer payment functions for 11 transfer payment ACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Operating expense | |||
| 1412-1 | Provincial Programs | ||
Transfer payments | |||
Operation of Related Facilities | $27,475,000 | ||
Canadian Blood Services | $706,780,100 | ||
HIV/AIDS and Hepatitis C Programs | $102,874,200 | ||
Community and Priority Services | $476,290,800 | $1,313,420,100 | |
| Total operating expense to be voted | $1,313,420,100 | ||
| Statutory appropriations | |||
Other transactions | |||
| Statutory | Bad Debt Expense, the Financial Administration Act | $1,000 | |
| 1412-2 | Emergency Health Services | ||
Salaries and wages | $46,537,500 | ||
Employee benefits | $8,432,900 | ||
Transportation and communication | $2,746,800 | ||
Services | $10,488,400 | ||
Supplies and equipment | $578,800 | ||
Transfer payments | |||
Payments for Ambulance and related Emergency Services: Municipal Ambulance | $874,064,400 | ||
Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services | $74,445,800 | ||
Air Ambulance | $200,353,400 | $1,148,863,600 | |
| Total operating expense to be voted | $1,217,648,000 | ||
| 1412-4 | Stewardship | ||
Salaries and wages | $33,944,100 | ||
Employee benefits | $4,472,600 | ||
Transportation and communication | $2,582,100 | ||
Services | $6,943,100 | ||
Supplies and equipment | $133,800 | ||
| Total operating expense to be voted | $48,075,700 | ||
| Total operating expense for Provincial Programs and Stewardship | $2,579,144,800 | ||
| Operating assets | |||
| 1412-5 | Provincial Programs and Stewardship | ||
Advances and recoverable amounts | |||
Payments for Ambulance and Related Emergency Services: Municipal Ambulance | $500,000 | ||
HIV/AIDS and Hepatitis C Programs | $375,000 | ||
Community and Priority Services | $4,393,400 | ||
Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services | $461,000 | $5,729,400 | |
| Total operating assets to be voted | $5,729,400 | ||
| Total operating assets for Provincial Programs and Stewardship | $5,729,400 |
Information Systems - vote 1413
Information Systems enables the business outcomes of the Ministry of Health and Ministry of Long-Term Care by providing cost-effective and efficient I&IT and digital solutions and services.
The program offers a broad range of strategic and operational services essential to the delivery of ministry programs.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount |
|---|---|---|
| Operating expense | ||
| 1413-1 | Information Technology Services – Health Cluster | |
Salaries and wages | $48,058,200 | |
Employee benefits | $7,308,900 | |
Transportation and communication | $2,455,700 | |
Services | $113,326,900 | |
Supplies and equipment | $2,994,800 | |
| Total operating expense to be voted | $174,144,500 | |
| Total operating expense for Information Systems | $174,144,500 | |
| Capital expense | ||
| 1413-3 | Information Systems | |
Other transactions | $1,000 | |
| Total capital expense to be voted | $1,000 | |
| Statutory appropriations | ||
Other transactions | ||
| Statutory | Amortization, the Financial Administration Act | $15,836,100 |
| Total capital expense for Information Systems | $15,837,100 | |
| Capital assets | ||
| 1413-4 | Information Systems | |
Information technology hardware | $2,587,800 | |
Business application software - asset costs | $25,446,500 | |
| Total capital assets to be voted | $28,034,300 | |
| Total capital assets for Information Systems | $28,034,300 |
Health Services and Programs - vote 1416
The Ministry of Health (the ministry) collaborates with Ontario Health (OH) to implement the health system strategies developed by the ministry. While the ministry provides strategic direction and guidance, Ontario Health is assuming responsibility for planning, integrating and funding Health Service Providers.
OH exercises its authority under the Connecting Care Act, 2019. Additional administrative responsibilities are set out in the Memorandum of Understanding, while operational funding and performance expectations are set out in the Minister's Mandate Letter to OH and the Accountability Agreement between OH and the ministry.
OH manages services in public, private and specialty psychiatric hospitals, long-term care homes, community health centres, community support services, community services for persons with acquired brain injury, assisted living services in supportive housing, mental health and addiction agencies.
In addition, through its programs (Cancer and Cancer Screening, Renal, Digital Health, Health Quality, Organ and Tissue Donation and Transplantation Services, Health Workforce Programs, and Regional Coordination Operations Support), Ontario Health is responsible for:
- Providing back office support to the agencies that manage and deliver home care, including IT, finance, human resources, procurement, and the home care database.
- Overseeing highly specialized care (for example, cancer, renal, organ donation)
- Managing provincial population health programs (for example, cancer screening)
- Clinical and quality standards development for patient care and safety,
- Patient engagement and patient relations,
- Championing and supporting the implementation of the ministry’s Digital First for Health strategy to deliver a more modern, integrated and digitally-enabled health system experience for patients ,
- Supporting health care practitioner recruitment and retention;
- Planning, coordinating, undertaking and supporting activities related to organ and tissue donation and transplantation
- Supporting the office of the patient ombudsman in carrying out its functions in accordance with the Excellent Care for All Act, 2010;
- Supporting or providing supply chain management services to health service providers and related organizations; and
- Promoting health service integration and Ontario Health Teams to enable appropriate, coordinated and effective health service delivery.
This vote also includes funding for home care programs such as nursing, personal support, therapies and other professional services provided at home, at school or in the community. Home care programs also include palliative services provided at home and in hospice.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount | Amount |
|---|---|---|---|---|
| Operating expense | ||||
| 1416-1 | Health Services | |||
Transfer payments | ||||
Operation of Hospitals | $20,452,263,100 | |||
Grants to Compensate for Municipal Taxation - Hospitals | $3,783,000 | |||
Specialty Psychiatric Hospitals | $733,255,400 | |||
Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals | $174,100 | |||
Home Care | $3,295,505,400 | |||
Community Support Services | $652,881,900 | |||
Assisted Living Services in Supportive Housing | $340,942,300 | |||
Community Health Centres | $482,991,300 | |||
Acquired Brain Injury | $65,081,200 | |||
Community Mental Health | $1,301,608,100 | |||
Addiction Program | $254,495,200 | |||
Child and Youth Mental Health | $434,748,800 | $28,017,729,800 | ||
| Total operating expense to be voted | $28,017,729,800 | |||
| Sub-items: | ||||
| Hospitals | ||||
Transfer payments | ||||
Operation of Hospitals | $20,452,263,100 | |||
Grants to Compensate for Municipal Taxation - Hospitals | $3,783,000 | |||
Specialty Psychiatric Hospitals | $733,255,400 | |||
Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals | $174,100 | $21,189,475,600 | $21,189,475,600 | |
| Community | ||||
Transfer payments | ||||
Home Care | $3,295,505,400 | |||
Community Support Services | $652,881,900 | |||
Assisted Living Services in Supportive Housing | $340,942,300 | |||
Community Health Centres | $482,991,300 | |||
Acquired Brain Injury | $65,081,200 | $4,837,402,100 | $4,837,402,100 | |
| Mental Health and Addictions | ||||
Transfer payments | ||||
Community Mental Health | $1,301,608,100 | |||
Addiction Program | $254,495,200 | |||
Child and Youth Mental Health | $434,748,800 | $1,990,852,100 | $1,990,852,100 | |
| Total operating expense to be voted | $28,017,729,800 | |||
| 1416-2 | Programs and Administration | |||
Transfer payments | ||||
Digital Health | $203,456,100 | |||
Health Quality Programs | $31,909,500 | |||
Regional Coordination Operations Support | $298,291,000 | |||
Cancer Treatment Services | $1,915,896,900 | |||
Organ and Tissue Donation and Transplantation Services | $58,741,100 | |||
Cancer Screening Programs | $92,846,300 | |||
Health Workforce Programs | $5,666,900 | $2,606,807,800 | ||
| Total operating expense to be voted | $2,606,807,800 | |||
| Total operating expense for Health Services and Programs | $30,624,537,600 | |||
| Operating assets | ||||
| 1416-10 | Advances and recoverable | |||
Advances and recoverable amounts | ||||
Operation of Hospitals | $24,000,000 | |||
Home Care | $700,000 | |||
Community Support Services | $2,966,800 | |||
Assisted Living Services in Supportive Housing | $793,500 | |||
Community Health Centres | $3,000,000 | |||
Acquired Brain Injury | $246,300 | |||
Community Mental Health | $5,500,000 | |||
Addiction Program | $900,000 | |||
Cancer Treatment Services | $1,000 | $38,107,600 | ||
| Total operating assets to be voted | $38,107,600 | |||
| Total operating assets for Health Services and Programs | $38,107,600 | |||
| Capital expense | ||||
| 1416-3 | Digital Health Capital | |||
Transfer payments | ||||
Digital Health Capital | $19,215,100 | |||
Other transactions | $1,000 | |||
| Total capital expense to be voted | $19,216,100 | |||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Amortization, the Financial Administration Act | $413,000 | ||
| Total capital expense for Health Services and Programs | $19,629,100 |
Health Capital Program - vote 1407
Health Capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated health facilities and community sector health service providers.
Vote summary
Standard account by item and sub-items
| Vote- item number | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
| Capital expense | |||
| 1407-1 | Health Capital | ||
Transfer payments | |||
Major Hospital Projects | $1,269,620,700 | ||
Health Infrastructure Renewal Fund | $175,000,000 | ||
Small Hospital Projects | $40,000,000 | ||
Medical and Diagnostic Equipment Fund | $34,500,000 | ||
Community Health Programs | $44,511,100 | ||
Public Health Laboratories | $16,437,800 | ||
Integrated Health Facility Programs | $20,000,000 | $1,600,069,600 | |
Other transactions | |||
Provincial Psychiatric Hospitals Divestment | $3,189,000 | ||
Health Infrastructure Information Systems | $892,800 | $4,081,800 | |
| Total capital expense to be voted | $1,604,151,400 | ||
| Total capital expense for Health Capital Program | $1,604,151,400 |
Footnotes
- footnote[1] Back to paragraph Total operating expense includes statutory appropriations, special warrants and total operating expense to be voted.
- footnote[2] Back to paragraph Total operating assets includes statutory appropriations, special warrants and total operating assets to be voted.
- footnote[3] Back to paragraph Total capital expense includes statutory appropriations, special warrants and total capital expense to be voted.