Summary

The Ministry of Health's mission is to help people stay healthy, deliver high-quality care when they need it, and to protect the health care system for future generations.

The ministry is working to support the health system in responding and recovering from COVID-19, and to establish a patient-focused, results-driven, integrated, equitable and sustainable publicly funded health care system.

Ministry program summary

VoteProgram

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1401Ministry Administration Program$98,967,100$99,069,200($102,100)$92,671,398
1402Health Policy and Research Program$1,347,400,800$1,176,950,800$170,450,000$751,764,397
1403Digital Health and Information Management Program$302,341,300$269,967,400$32,373,900$231,810,243
1405Ontario Health Insurance Program$24,196,593,600$23,429,815,800$766,777,800$20,930,781,290
1406Population and Public Health Program$3,415,310,700$5,186,495,500($1,771,184,800)$1,739,141,398
1412Provincial Programs and Stewardship$2,976,103,900$2,632,761,000$343,342,900$2,472,007,389
1413Information Systems$243,894,000$168,746,900$75,147,100$161,891,429
1416Health Services and Programs$34,054,413,600$31,791,044,400$2,263,369,200$34,862,973,539
 Total operating expense to be voted$66,635,025,000$64,754,851,000$1,880,174,000$61,243,041,083
 Statutory appropriations$89,392$89,392-$178,346
 Ministry total operating expense$66,635,114,392$64,754,940,392$1,880,174,000$61,243,219,429
 Consolidation adjustment - Hospitals$4,089,709,100$4,235,519,500($145,810,400)$326,630,267
 Consolidation adjustment - Home and Community Care Support Services$22,645,500$25,729,800($3,084,300)$78,764,828
 Consolidation adjustment - ORNGE($21,388,100)($23,149,500)$1,761,400($52,776,573)
 Consolidation adjustment - Funding to Colleges($6,430,900)($2,894,800)($3,536,100)($5,724,335)
 Consolidation adjustment - Ontario Agency for Health Protection and Promotion($14,576,600)($13,406,200)($1,170,400)($75,030,473)
 Consolidation adjustment - Ontario Health$4,656,556,200$5,303,630,500($647,074,300)$3,860,583,987
 Consolidation adjustment - School Boards---($28,000,000)
 Consolidation adjustment - Other---$441,507,438
 Consolidation adjustment - General Real Estate Portfolio($6,326,200)($7,336,400)$1,010,200($6,991,097)
 Consolidation adjustment - Ontario Infrastructure and Lands Corporation---($538,360)
 Total including consolidation & other adjustments$75,355,303,392$74,273,033,292$1,082,270,100$65,781,645,111
 Operating assets    
1401Ministry Administration Program$1,000$2,000($1,000)-
1402Health Policy and Research Program$4,500,000$4,500,000--
1405Ontario Health Insurance Program$13,000,000$13,000,000-$779,710,854
1406Population and Public Health Program$750,000$750,000-$10,750,000
1412Provincial Programs and Stewardship$5,729,400$5,729,400-$5,729,400
1416Health Services and Programs$38,107,600$38,107,600-$38,106,600
 Total operating assets to be voted$62,088,000$62,089,000($1,000)$834,296,854
 Ministry total operating assets$62,088,000$62,089,000($1,000)$834,296,854
 Capital expense    
1413Information Systems$1,000$1,000--
1416Health Services and Programs$23,066,100$19,216,100$3,850,000$9,548,498
1407Health Capital Program$1,711,194,000$1,604,151,400$107,042,600$1,695,770,630
 Total capital expense to be voted$1,734,261,100$1,623,368,500$110,892,600$1,705,319,128
 Statutory appropriations$19,985,300$16,249,100$3,736,200$15,399,892
 Ministry total capital expense$1,754,246,400$1,639,617,600$114,628,800$1,720,719,020
 Consolidation adjustment - Hospitals$414,886,600$356,855,600$58,031,000$221,605,883
 Consolidation adjustment - Home and Community Care Support Services$2,396,200$2,881,700($485,500)$3,024,818
 Consolidation adjustment - ORNGE$15,472,400$16,347,000($874,600)$11,697,207
 Consolidation adjustment - Ontario Agency for Health Protection and Promotion$9,872,100($6,101,500)$15,973,600($562,574)
 Consolidation adjustment - Ontario Health($4,845,200)$2,285,300($7,130,500)$24,295,235
 Consolidation adjustment - Ontario Infrastructure and Lands Corporation---($372,859)
 Consolidation adjustment - General Real Estate Portfolio($3,189,000)($3,189,000)-$7,177
 Total including consolidation & other adjustments$2,188,839,500$2,008,696,700$180,142,800$1,980,413,907
 Capital assets    
1413Information Systems$18,121,400$28,034,300($9,912,900)$9,484,170
 Total capital assets to be voted$18,121,400$28,034,300($9,912,900)$9,484,170
 Ministry total capital assets$18,121,400$28,034,300($9,912,900)$9,484,170
 Ministry total operating and capital including consolidation and other adjustments (not including assets)$77,544,142,892$76,281,729,992$1,262,412,900$67,762,059,018

Reconciliation to previously published data

Operating expense

2021-22
Estimates

2020-21
Actual

Total operating expense previously publishedfootnote 1$62,609,524,392$61,246,687,701
Government reorganization  

   Transfer of functions from other Ministries

$5,000,000$3,641,925

   Transfer of functions to other Ministries

($61,543,500)($7,110,197)
Supplementary estimates  

   2021-22 Supplementary Estimates

$2,201,959,500-
Restated total operating expense$64,754,940,392$61,243,219,429

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; accommodations planning; 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; 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

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Ministry Administration$91,854,400$91,956,500($102,100)$86,709,869
2Ontario Review Board$7,112,700$7,112,700-$5,961,529
 Total operating expense to be voted$98,967,100$99,069,200($102,100)$92,671,398
SMinister's Salary, the Executive Council Act$47,841$47,841-$49,301
SMinister without Portfolio's Salary, the Executive Council Act$22,378$22,378-$22,378
SParliamentary Assistant's Salary, the Executive Council Act$16,173$16,173-$16,667
 Total statutory appropriations$86,392$86,392-$88,346
 Total operating expense$99,053,492$99,155,592($102,100)$92,759,744
 Operating assets    
6Ontario Government Pharmaceutical and Medical Supply Service$1,000$1,000--
-Accounts receivable-$1,000($1,000)-
 Total operating assets to be voted$1,000$2,000($1,000)-
 Total operating assets$1,000$2,000($1,000)-

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1401-1Ministry Administration  
 

Salaries and wages

 $44,554,000
 

Employee benefits

 $12,186,700
 

Transportation and communication

 $3,359,700
 

Services

 $31,199,100
 

Supplies and equipment

 $631,600
 Subtotal $91,931,100
 Less: recoveries $76,700
 Total operating expense to be voted $91,854,400
 Sub-items:  
 Main office  
 

Salaries and wages

$5,007,600 
 

Employee benefits

$622,200 
 

Transportation and communication

$231,100 
 

Services

$475,800 
 

Supplies and equipment

$10,500$6,347,200
 Financial and Administrative Services  
 

Salaries and wages

$29,811,400 
 

Employee benefits

$10,135,100 
 

Transportation and communication

$2,539,800 
 

Services

$23,381,400 
 

Supplies and equipment

$476,400 
 

Subtotal

$66,344,100 
 

Less: recoveries

$76,700$66,267,400
 Human Resources  
 

Salaries and wages

$2,815,600 
 

Employee benefits

$408,300 
 

Transportation and communication

$57,300 
 

Services

$411,000 
 

Supplies and equipment

$10,700$3,702,900
 Communications Services  
 

Salaries and wages

$6,798,700 
 

Employee benefits

$1,018,600 
 

Transportation and communication

$476,000 
 

Services

$4,314,600 
 

Supplies and equipment

$89,200$12,697,100
 Legal Services  
 

Salaries and wages

$120,700 
 

Employee benefits

$2,500 
 

Transportation and communication

$55,500 
 

Services

$2,616,300 
 

Supplies and equipment

$44,800$2,839,800
 Total operating expense to be voted $91,854,400
 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
1401-2Ontario Review Board  
 

Salaries and wages

 $1,280,100
 

Employee benefits

 $204,100
 

Transportation and communication

 $607,800
 

Services

 $4,964,100
 

Supplies and equipment

 $56,600
 Total operating expense to be voted $7,112,700
 Total operating expense for Ministry Administration Program $99,053,492
 Operating assets  
1401-6Ontario Government Pharmaceutical and Medical Supply Service  
 

Deposits and prepaid expenses

 $1,000
 Total operating assets to be voted $1,000
 Total operating assets for Ministry Administration Program $1,000

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

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Health Policy and Research$1,347,400,800$1,176,950,800$170,450,000$751,764,397
 Total operating expense to be voted$1,347,400,800$1,176,950,800$170,450,000$751,764,397
 Total operating expense$1,347,400,800$1,176,950,800$170,450,000$751,764,397
 Operating assets    
2Health Policy and Research$4,500,000$4,500,000--
 Total operating assets to be voted$4,500,000$4,500,000--
 Total operating assets$4,500,000$4,500,000--

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1402-1Health Policy and Research  
 

Salaries and wages

 $15,633,000
 

Employee benefits

 $2,467,000
 

Transportation and communication

 $525,400
 

Services

 $9,334,500
 

Supplies and equipment

 $127,800
 

Transfer payments

  
 

Clinical Education

$1,291,370,500 
 

Applied Health Evidence Program

$27,942,600$1,319,313,100
 Total operating expense to be voted $1,347,400,800
 Total operating expense for Health Policy and Research Program $1,347,400,800
 Operating assets  
1402-2Health 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 enables innovative, integrated health care delivery through standards-based supports for improving health system interoperability and reducing fragmentation and redundancy. The Ontario’s Digital First for Health (DFfH) strategy will bring the patient health experience into the 21st century by offering more choices and making access to health care simpler, easier and more convenient for patients. The DFfH strategy 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. DFfH is central to the Ministry of Health’s efforts to deliver on its priorities, in particular, the ministry’s commitments to end hallway health care and deliver a more integrated health system. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.

Information Management Strategy and Policy develops vision and strategy for a more frictionless health data ecosystem. This workstream supports strategic system planning, policy development, legislation and regulation related to Ontario’s health data, including ensuring privacy protection to enable a person-centred learning health system. It enables greater consistency in data management to improve care delivery across the province in continued support of the ministry's health system transformation initiatives. It also ensures effective access and privacy measures are in place for data and digital initiatives. Work includes the design, development, and operations of big data analytics programs to meet the Data Integration and Predictive Analytics goals of the DFfH strategy, including supports for the province as it recovers from the COVID-19 pandemic.

Capacity Planning and Analytics is the authoritative source of data and analytics for the ministry and provides tools, products and methodological expertise for supporting evidence-based planning and decision-making for the Ministry of Health, Ministry of Long-Term Care, and system partners. It also supports ministry decision making by providing innovative, state of the art analytics and predictive analytics based on the cutting age research from epidemiology, statistics, data science and machine learning.

Vote summary

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Digital Health and Information Management$302,341,300$269,967,400$32,373,900$231,810,243
 Total operating expense to be voted$302,341,300$269,967,400$32,373,900$231,810,243
 Total operating expense$302,341,300$269,967,400$32,373,900$231,810,243

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1403-1Digital Health and Information Management  
 

Salaries and wages

 $17,611,500
 

Employee benefits

 $2,555,300
 

Transportation and communication

 $246,600
 

Services

 $13,900,900
 

Supplies and equipment

 $261,200
 

Transfer payments

  
 

Digital Health Strategy and Programs

$215,411,200 
 

Health System Information Management

$52,354,600$267,765,800
 Total operating expense to be voted $302,341,300
 Total operating expense for Digital Health and Information Management Program $302,341,300

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 Centres, Nurse Practitioner Led Clinics, Midwifery Services, Underserviced Area Programs, Northern Health Travel Grant, Disease prevention, Health quality, Drugs, Community Laboratories, Laboratory and Diagnostic testing (including Genetic testing), Psychiatric Patient Advocacy and rights advice, Assistive devices including home oxygen, Protection/Risk management of both provider and subscriber fraudulent activity, as well as integrated models of service delivery through Ontario Health Teams (OHTs).

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 and 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 specialists, or health care facility services unavailable in their local communities.

Vote summary

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Ontario Health Insurance$17,835,777,300$17,432,998,800$402,778,500$15,413,457,138
2Drug Programs$5,805,784,400$5,465,385,100$340,399,300$5,101,967,604
4Assistive Devices Program$555,031,900$531,431,900$23,600,000$415,356,548
 Total operating expense to be voted$24,196,593,600$23,429,815,800$766,777,800$20,930,781,290
SBad Debt Expense, the Financial Administration Act$1,000$1,000--
SBad Debt Expense, the Financial Administration Act$1,000$1,000--
 Total statutory appropriations$2,000$2,000--
 Total operating expense$24,196,595,600$23,429,817,800$766,777,800$20,930,781,290
 Operating assets    
5Ontario Health Insurance Program$13,000,000$13,000,000-$779,710,854
 Total operating assets to be voted$13,000,000$13,000,000-$779,710,854
 Total operating assets$13,000,000$13,000,000-$779,710,854

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1405-1Ontario Health Insurance  
 

Salaries and wages

 $45,392,400
 

Employee benefits

 $7,982,200
 

Transportation and communication

 $3,402,200
 

Services

 $22,663,700
 

Supplies and equipment

 $502,700
 

Transfer payments

  
 

Payments made for services and for care provided by physicians and practitioners

$17,367,105,300 
 

Independent Health Facilities

$38,693,100 
 

Underserviced Area Plan

$30,213,600 
 

Northern Travel Program

$48,181,600 
 

Quality Management Program - Laboratory Services

$4,748,900 
 

Midwifery Services

$204,105,000 
 

Disease Prevention Strategy

$2,708,000 
 

Quality Health Initiatives

$60,078,600$17,755,834,100
 Total operating expense to be voted $17,835,777,300
 Statutory appropriations  
 

Other transactions

  
Statutory

Bad Debt Expense, the Financial Administration Act

 $1,000
1405-2Drug Programs  
 

Salaries and wages

 $9,155,900
 

Employee benefits

 $1,298,600
 

Transportation and communication

 $806,800
 

Services

 $20,547,400
 

Supplies and equipment

 $105,100
 

Transfer payments

  
 

Ontario Drug Programs

 $5,774,270,600
 Subtotal $5,806,184,400
 Less: recoveries $400,000
 Total operating expense to be voted $5,805,784,400
 Statutory appropriations  
 

Other transactions

  
Statutory

Bad Debt Expense, the Financial Administration Act

 $1,000
1405-4Assistive Devices Program  
 

Salaries and wages

 $3,180,500
 

Employee benefits

 $461,200
 

Transportation and communication

 $579,000
 

Services

 $945,800
 

Supplies and equipment

 $29,000
 

Transfer payments

  
 

Assistive Devices and Supplies Program

 $549,836,400
 Total operating expense to be voted $555,031,900
 Total operating expense for Ontario Health Insurance Program $24,196,595,600
 Operating assets  
1405-5Ontario 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 COVID-19 response efforts 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

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
4Population and Public Health$3,415,310,700$5,186,495,500($1,771,184,800)$1,739,141,398
 Total operating expense to be voted$3,415,310,700$5,186,495,500($1,771,184,800)$1,739,141,398
 Total operating expense$3,415,310,700$5,186,495,500($1,771,184,800)$1,739,141,398
 Operating assets    
6Population and Public Health$750,000$750,000-$10,750,000
 Total operating assets to be voted$750,000$750,000-$10,750,000
 Total operating assets$750,000$750,000-$10,750,000

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1406-4Population and Public Health  
 

Salaries and wages

 $16,221,500
 

Employee benefits

 $2,312,900
 

Transportation and communication

 $912,400
 

Services

 $26,063,200
 

Supplies and equipment

 $1,001,300
 

Transfer payments

  
 

Official Local Health Agencies

$1,044,522,900 
 

Outbreaks of Diseases

$271,980,500 
 

Tuberculosis Prevention

$9,113,900 
 

Sexually Transmitted Diseases Control

$2,062,400 
 

Ontario Agency for Health Protection and Promotion

$300,517,900 
 

Prevent Disease, Injury and Addiction

$67,721,000 
 

Smoke-Free Ontario

$18,795,400 
 

COVID-19 Response

$1,654,085,400$3,368,799,400
 Total operating expense to be voted $3,415,310,700
 Total operating expense for Population and Public Health Program $3,415,310,700
 Operating assets  
1406-6Population and Public Health  
 

Inventory

  
 

Personal Protective Equipment and Supplies

 $1,000
 

Advances and recoverable amounts

  
 

Official Local Health Agencies

 $749,000
 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 and HIV/AIDS and Hepatitis C Programs. The program provides Ontario's share of funding to 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 Central Ambulance Communications Centres (CACCs), provides oversight and transfer payment functions for 11 transfer payment CACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.

Vote summary

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Provincial Programs$1,764,685,300$1,340,091,900$424,593,400$1,149,945,676
2Emergency Health Services$1,163,702,900$1,244,857,900($81,155,000)$1,281,183,017
4Stewardship$47,715,700$47,811,200($95,500)$40,878,696
 Total operating expense to be voted$2,976,103,900$2,632,761,000$343,342,900$2,472,007,389
SBad Debt Expense, the Financial Administration Act$1,000$1,000-$90,000
 Total statutory appropriations$1,000$1,000-$90,000
 Total operating expense$2,976,104,900$2,632,762,000$343,342,900$2,472,097,389
 Operating assets    
5Provincial Programs and Stewardship$5,729,400$5,729,400-$5,729,400
 Total operating assets to be voted$5,729,400$5,729,400-$5,729,400
 Total operating assets$5,729,400$5,729,400-$5,729,400

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Operating expense  
1412-1Provincial Programs  
 

Transfer payments

  
 

Operation of Related Facilities

$18,938,900 
 

Canadian Blood Services

$718,639,300 
 

HIV/AIDS and Hepatitis C Programs

$104,674,200 
 

Community and Priority Services

$922,432,900$1,764,685,300
 Total operating expense to be voted $1,764,685,300
 Statutory appropriations  
 

Other transactions

  
Statutory

Bad Debt Expense, the Financial Administration Act

 $1,000
1412-2Emergency Health Services  
 

Salaries and wages

 $46,537,500
 

Employee benefits

 $8,432,900
 

Transportation and communication

 $2,746,800
 

Services

 $10,434,100
 

Supplies and equipment

 $578,800
 

Transfer payments

  
 

Payments for Ambulance and related Emergency Services: Municipal Ambulance

$804,375,800 
 

Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services

$78,143,600 
 

Air Ambulance

$212,453,400$1,094,972,800
 Total operating expense to be voted $1,163,702,900
1412-4Stewardship  
 

Salaries and wages

 $33,944,100
 

Employee benefits

 $4,472,600
 

Transportation and communication

 $2,582,100
 

Services

 $6,583,100
 

Supplies and equipment

 $133,800
 Total operating expense to be voted $47,715,700
 Total operating expense for Provincial Programs and Stewardship $2,976,104,900
 Operating assets  
1412-5Provincial 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

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Information Technology Services – Health Cluster$243,894,000$168,746,900$75,147,100$161,891,429
 Total operating expense to be voted$243,894,000$168,746,900$75,147,100$161,891,429
 Total operating expense$243,894,000$168,746,900$75,147,100$161,891,429
 Capital expense    
3Information Systems$1,000$1,000--
 Total capital expense to be voted$1,000$1,000--
SAmortization, the Financial Administration Act$19,572,300$15,836,100$3,736,200$15,370,032
 Total statutory appropriations$19,572,300$15,836,100$3,736,200$15,370,032
 Total capital expense$19,573,300$15,837,100$3,736,200$15,370,032
 Capital assets    
4Information Systems$18,121,400$28,034,300($9,912,900)$9,484,170
 Total capital assets to be voted$18,121,400$28,034,300($9,912,900)$9,484,170
 Total capital assets$18,121,400$28,034,300($9,912,900)$9,484,170

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmount
 Operating expense 
1413-1Information Technology Services – Health Cluster 
 

Salaries and wages

$49,516,200
 

Employee benefits

$7,519,100
 

Transportation and communication

$2,455,700
 

Services

$181,408,200
 

Supplies and equipment

$2,994,800
 Total operating expense to be voted$243,894,000
 Total operating expense for Information Systems$243,894,000
 Capital expense 
1413-3Information Systems 
 

Other transactions

$1,000
 Total capital expense to be voted$1,000
 Statutory appropriations 
 

Other transactions

 
Statutory

Amortization, the Financial Administration Act

$19,572,300
 Total Capital Expense for Information Systems$19,573,300
 Capital assets 
1413-4Information Systems 
 

Information technology hardware

$2,707,800
 

Business application software - asset costs

$15,413,600
 Total capital assets to be voted$18,121,400
 Total Capital Assets for Information Systems$18,121,400

Health Services and Programs - vote 1416

The Ministry of Health collaborates with Ontario Health and Home and Community Care Support Services to implement the ministry’s health system strategies.

Ontario Health is responsible for planning, integrating and funding health service providers and other delivery organizations as defined by the Connecting Care Act, 2019. Ontario Health funds services in public, private, and specialty psychiatric hospitals, and community health centres, as well as community services and community mental health and addictions services, among others. Ontario Health is also responsible for the delivery of programs related to cancer care, cancer screening, renal, digital health, health quality (including the Office of the Patient Ombudsman), organ and tissue donation and transplantation services, health workforce programs, cardiovascular and stroke, and regional coordination operations support. Ontario Health, alongside government and Supply Ontario, is responsible for the development and implementation of a province-wide clinical supply chain management model for health service providers and organizations.

Home and Community Care Support Services (HCCSS) (14 organizations under a cross-appointed leadership) exercises its authority under the Local Health System Integration Act, 2006 to provide province-wide access to home care for Ontario residents, coordinate admission to long-term care homes, as well as make referrals to health, social and community services. HCCSS provides nursing, personal support, therapies, and other professional services in people’s homes, in schools, and in group or congregate settings, including hospices. HCCSS is also responsible for managing the placement of persons into programs in hospitals and places where community services are provided under the Home Care and Community Services Act, 1994.

Vote summary

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Operating expense    
1Health Services$31,325,053,600$29,083,111,100$2,241,942,500$31,648,725,074
2Programs and Administration$2,729,360,000$2,707,933,300$21,426,700$3,214,248,465
 Total operating expense to be voted$34,054,413,600$31,791,044,400$2,263,369,200$34,862,973,539
 Total operating expense$34,054,413,600$31,791,044,400$2,263,369,200$34,862,973,539
 Operating assets    
10Health Services and Programs$38,107,600$38,107,600-$38,106,600
 Total operating assets to be voted$38,107,600$38,107,600-$38,106,600
 Total operating assets$38,107,600$38,107,600-$38,106,600
 Capital expense    
3Digital Health Capital$23,066,100$19,216,100$3,850,000$9,548,498
 Total capital expense to be voted$23,066,100$19,216,100$3,850,000$9,548,498
SAmortization, the Financial Administration Act$413,000$413,000-$29,860
 Total statutory appropriations$413,000$413,000-$29,860
 Total capital expense$23,479,100$19,629,100$3,850,000$9,578,358

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmountAmount
 Operating expense   
1416-1Health Services   
 

Transfer payments

   
 

Operation of Hospitals

 $22,883,475,900 
 

Grants to Compensate for Municipal Taxation - Hospitals

 $3,783,000 
 

Specialty Psychiatric Hospitals

 $770,202,000 
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

 $174,100 
 

Home Care

 $3,760,870,600 
 

Community Support Services

 $799,075,500 
 

Assisted Living Services in Supportive Housing

 $344,156,300 
 

Community Health Centres

 $484,368,600 
 

Acquired Brain Injury

 $65,757,600 
 

Community Mental Health

 $1,302,327,800 
 

Addiction Program

 $400,715,800 
 

Child and Youth Mental Health

 $510,146,400$31,325,053,600
 Total operating expense to be voted  $31,325,053,600
 Sub-items:   
 Hospitals   
 

Transfer payments

   
 

Operation of Hospitals

$22,883,475,900  
 

Grants to Compensate for Municipal Taxation - Hospitals

$3,783,000  
 

Specialty Psychiatric Hospitals

$770,202,000  
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

$174,100$23,657,635,000$23,657,635,000
 Community   
 

Transfer payments

   
 

Home Care

$3,760,870,600  
 

Community Support Services

$799,075,500  
 

Assisted Living Services in Supportive Housing

$344,156,300  
 

Community Health Centres

$484,368,600  
 

Acquired Brain Injury

$65,757,600$5,454,228,600$5,454,228,600
 Mental Health and Addictions   
 

Transfer payments

   
 

Community Mental Health

$1,302,327,800  
 

Addiction Program

$400,715,800  
 

Child and Youth Mental Health

$510,146,400$2,213,190,000$2,213,190,000
 Total operating expense to be voted  $31,325,053,600
1416-2Programs and Administration   
 

Transfer payments

   
 

Health Workforce Programs

 $5,666,900 
 

Digital Health

 $294,672,000 
 

Health Quality Programs

 $31,909,500 
 

Regional Coordination Operations Support

 $225,567,500 
 

Cancer Treatment and Renal Services

 $2,005,579,300 
 

Cancer Screening Programs

 $91,294,700 
 

Organ and Tissue Donation, Transplantation, and Cardiovascular Services

 $74,670,100$2,729,360,000
 Total operating expense to be voted  $2,729,360,000
 Total operating expense for Health Services and Programs  $34,054,413,600
 Operating assets   
1416-10Health Services and Programs   
 

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 and Renal 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   
1416-3Digital Health Capital   
 

Transfer payments

   
 

Digital Health Capital

  $23,065,100
 

Other transactions

  $1,000
 Total capital expense to be voted  $23,066,100
 Statutory appropriations   
 

Other transactions

   
Statutory

Amortization, the Financial Administration Act

  $413,000
 Total Capital Expense for Health Services and Programs  $23,479,100

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

Item numberItem

Estimates
2022-23

Estimates
2021-22

Difference
between
2022-23
and
2021-22

Actual
2020-21

 Capital expense    
1Health Capital$1,711,194,000$1,604,151,400$107,042,600$1,695,770,630
 Total capital expense to be voted$1,711,194,000$1,604,151,400$107,042,600$1,695,770,630
 Total capital expense$1,711,194,000$1,604,151,400$107,042,600$1,695,770,630

Standard account by item and sub-items

Vote-
item
number
Standard account by item and sub-itemsAmountAmount
 Capital expense  
1407-1Health Capital  
 

Transfer payments

  
 

Major Hospital Projects

$1,366,114,600 
 

Health Infrastructure Renewal Fund

$175,000,000 
 

Small Hospital Projects

$40,000,000 
 

Medical and Diagnostic Equipment Fund

$34,500,000 
 

Community Health Programs

$69,000,000 
 

Public Health Laboratories

$2,497,600 
 

Integrated Health Facility Programs

$20,000,000$1,707,112,200
 

Other transactions

  
 

Provincial Psychiatric Hospitals Divestment

$3,189,000 
 

Health Infrastructure Information Systems

$892,800$4,081,800
 Total capital expense to be voted $1,711,194,000
 Total Capital Expense for Health Capital Program $1,711,194,000