Expenditure Estimates for the Ministry of Health (2025–26)

The 2025–2026 Expenditure Estimates set out details of the operating and capital spending requirements of the Ministry of Health for the fiscal year commencing April 1, 2025.

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Summary

The Ministry of Health is connecting Ontarians to the health care they need, when and where they need it — in their community, closer to home.

Ministry Program Summary

Operating expense
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1401	Ministry Administration Program	98,573,700	99,495,400	(921,700)	84,695,191
1402	Health Policy and Research Program	1,557,266,800	1,279,028,300	278,238,500	1,219,980,815
1403	Digital, Data and Analytics Program	140,792,400	144,049,700	(3,257,300)	50,851,528
1405	Ontario Health Insurance Program	28,513,471,200	29,091,138,700	(577,667,500)	25,856,609,076
1406	Population and Public Health Program	1,694,654,600	1,533,815,200	160,839,400	1,780,023,052
1412	Provincial Programs and Stewardship	2,925,650,200	4,329,506,000	(1,403,855,800)	2,918,619,907
1416	Health Services and Programs	40,437,136,700	37,654,655,200	2,782,481,500	37,934,616,447
	Less: Special Warrants	-	4,200,000,000	(4,200,000,000)	-
	Total operating expense to be voted	75,367,545,600	69,931,688,500	5,435,857,100	69,845,396,016
	Special Warrants	-	4,200,000,000	(4,200,000,000)	-
	Statutory appropriations	105,565	105,565	-	1,257,230,531
	Ministry total operating expense	75,367,651,165	74,131,794,065	1,235,857,100	71,102,626,547
	Consolidation Adjustment — Hospitals	4,606,511,700	4,429,298,000	177,213,700	4,543,845,675
	Consolidation Adjustment — ORNGE	(50,138,900)	(27,438,100)	(22,700,800)	(65,301,088)
	Consolidation Adjustment — Funding to Colleges	(2,369,600)	(755,500)	(1,614,100)	(15,375,387)
	Consolidation Adjustment — Ontario Agency for Health Protection and Promotion	(13,847,600)	(13,086,700)	(760,900)	(30,268,368)
	Consolidation Adjustment — Ontario Health	5,255,039,000	4,741,846,500	513,192,500	4,850,450,418
	Consolidation Adjustment — School Boards	-	-	-	(27,818,200)
	Consolidation Adjustment — Ontario Health at Home (OHaH)	(5,074,500)	14,342,800	(19,417,300)	(69,589,126)
	Consolidation Adjustment — Other	-	-	-	(17,016,630)
	Consolidation Adjustment — Children’s Aid Societies	(22,998,000)	(21,903,000)	(1,095,000)	(23,766,527)
	Other Adjustments — Bill 124	-	-	-	1,178,649
	Consolidation Adjustment — General Real Estate Portfolio	(13,081,700)	(6,627,000)	(6,454,700)	(7,904,535)
	Consolidation Adjustment — Ontario Infrastructure and Lands Corporation	(5,300,000)	-	(5,300,000)	(4,003,609)
	Total including consolidation and other adjustments	85,116,391,565	83,247,471,065	1,868,920,500	80,237,057,819

Operating assets
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1401	Ministry Administration Program	1,000	1,000	-	-
1405	Ontario Health Insurance Program	13,000,000	13,000,000	-	14,981,489
1406	Population and Public Health Program	750,000	750,000	-	4,447,065
1412	Provincial Programs and Stewardship	4,614,700	5,729,400	(1,114,700)	4,068,400
1416	Health Services and Programs	38,107,600	38,107,600	-	38,106,600
	Total operating assets to be voted	56,473,300	57,588,000	(1,114,700)	61,603,554
	Ministry total operating assets	56,473,300	57,588,000	(1,114,700)	61,603,554

Capital expense
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1412	Provincial Programs and Stewardship	14,137,000	-	14,137,000	-
1416	Health Services and Programs	1,000	1,000	-	-
1407	Health Capital Program	5,004,354,400	2,281,037,400	2,723,317,000	1,866,956,492
	Total capital expense to be voted	5,018,492,400	2,281,038,400	2,737,454,000	1,866,956,492
	Ministry total capital expense	5,018,492,400	2,281,038,400	2,737,454,000	1,866,956,492
	Consolidation Adjustment — Hospitals	(2,557,572,000)	91,104,000	(2,648,676,000)	360,374,947
	Consolidation Adjustment — ORNGE	3,008,600	17,642,200	(14,633,600)	12,889,284
	Consolidation Adjustment — Ontario Agency for Health Protection and Promotion	11,997,500	12,571,200	(573,700)	12,999,417
	Consolidation Adjustment — Ontario Health	4,484,300	8,287,800	(3,803,500)	12,550,000
	Consolidation Adjustment — Ontario Health at Home (OHaH)	781,200	1,227,000	(445,800)	1,337,680
	Consolidation Adjustment — General Real Estate Portfolio	(1,000,000)	(1,000,000)	-	-
	Total including consolidation and other adjustments	2,480,192,000	2,410,870,600	69,321,400	2,267,107,820
	Ministry Total Operating and Capital Including Consolidation and Other Adjustments (not including Assets)	87,596,583,565	85,658,341,665	1,938,241,900	82,504,165,639

Reconciliation to previously published data

Operating expense	Estimates 2024–25 $	Actual 2023–24 $
Total Operating Expense previously published^{footnote 1[1]}	74,499,680,665	71,480,520,010
Government Reorganization
Transfer of functions from other Ministries	1,020,800	2,450,000
Transfer of functions to other Ministries	(368,907,400)	(380,343,463)
Restated total operating expense	74,131,794,065	71,102,626,547

Capital Expense	Estimates 2024–25 $	Actual 2023–24 $
Total Capital Expense previously published^{footnote 2[2]}	2,292,710,000	1,881,195,866
Government Reorganization
Transfer of functions to other Ministries	(11,671,600)	(14,239,374)
Restated Total Capital Expense	2,281,038,400	1,866,956,492

Capital Assets	Estimates 2024–25 $	Actual 2023–24 $
Total Capital Assets previously published ^{footnote 3[3]}	15,396,600	9,783,036
Government reorganization
Transfer of functions to other Ministries	(15,396,600)	(9,783,036)
Restated total capital assets	-	-

Ministry Administration Program - Vote 1401

Ministry Administration provides administrative and support services to enable the ministry to deliver its mandate and support government priorities. This includes a broad range of strategic and operational services including business and fiscal planning, financial management, procurement, strategic human resources, legal services, communications, records management, freedom of information and public appointments.

The program also provides 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

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Ministry Administration	98,573,700	99,495,400	(921,700)	84,695,191
	Total operating expense to be voted	98,573,700	99,495,400	(921,700)	84,695,191
S	Minister's Salary, the Executive Council Act	47,841	47,841	-	49,301
S	Minister without Portfolio's Salary, the Executive Council Act	22,378	22,378	-	22,378
S	Parliamentary Assistants' Salaries, the Executive Council Act	32,346	32,346	-	33,334
	Total Statutory Appropriations	102,565	102,565	-	105,013
	Total operating expense	98,676,265	99,597,965	(921,700)	84,800,204

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
6	Ministry Administration	1,000	1,000	-	-
	Total operating assets to be voted	1,000	1,000	-	-
	Total operating assets	1,000	1,000	-	-

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1401-1	Ministry Administration
	Salaries and wages		45,289,500
	Employee benefits		11,706,400
	Transportation and communication		3,704,300
	Services		37,456,100
	Supplies and equipment		494,100
	Subtotal		98,650,400
	Less: Recoveries		76,700
	Total Operating Expense to be Voted		98,573,700
	Sub-Items:
	Main Office
	Salaries and wages	5,352,100
	Employee benefits	634,100
	Transportation and communication	231,100
	Services	485,800
	Supplies and equipment	10,500	6,713,600
	Financial and Administrative Services
	Salaries and wages	29,537,900
	Employee benefits	9,645,400
	Transportation and communication	2,884,400
	Services	29,505,200
	Supplies and equipment	338,900
	Subtotal	71,911,800
	Less: Recoveries	76,700	71,835,100
	Human Resources
	Salaries and wages	3,070,400
	Employee benefits	408,300
	Transportation and communication	57,300
	Services	411,000
	Supplies and equipment	10,700	3,957,700
	Communications Services
	Salaries and wages	7,329,100
	Employee benefits	1,018,600
	Transportation and communication	476,000
	Services	4,314,600
	Supplies and equipment	89,200	13,227,500
	Legal Services
	Transportation and communication	55,500
	Services	2,739,500
	Supplies and equipment	44,800	2,839,800
	Total Operating Expense to be Voted		98,573,700
	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 Assistants' Salaries, the Executive Council Act		32,346
	Total Operating Expense for Ministry Administration Program		98,676,265

Operating assets
Vote — item number	Standard account by item and sub-items	Amount $
1401-6	Ministry Administration
	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, 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 and other ministry partners.

Essential Population-Based Services support health equity, improve access to culturally responsive care, improve health outcomes for underserved populations in Ontario, and reduce health system costs. This includes Indigenous Health Transformation, health planning/capacity supports, ministry engagement with Indigenous partners, and improving health outcomes for First Nations, Inuit, Métis, and urban Indigenous people in Ontario, as well as Black Health, Women’s Health, French Language, Health Services, Translation Services and other essential population-based services.

Applied Health System Research and evidence capacity support policy and program development including targeted investment, administration of funding programs, applied health evidence supports, integrated knowledge translation, oversight and synthesis of health services/population health research.

Ontario's Health Workforce Planning and Regulatory Oversight includes the regulatory framework that governs Ontario's workforce (regulated health professions and other providers within the system). This work also includes strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training, entry to practice and oversight of health providers.

Vote summary

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Health Policy and Research	1,557,266,800	1,279,028,300	278,238,500	1,219,980,815
	Total Operating Expense to be Voted	1,557,266,800	1,279,028,300	278,238,500	1,219,980,815
	Total operating expense	1,557,266,800	1,279,028,300	278,238,500	1,219,980,815

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1402-1	Health Policy and Research
	Salaries and wages		19,130,400
	Employee benefits		2,735,500
	Transportation and communication		525,400
	Services		9,612,300
	Supplies and equipment		127,800
	Transfer payments
	Clinical Education	1,327,015,500
	Essential Population-Based Services and Applied Health System Research	198,119,900	1,525,135,400
	Total Operating Expense to be Voted		1,557,266,800
	Total Operating Expense for Health Policy and Research Program		1,557,266,800

Digital, Data and Analytics Program - Vote 1403

Digital, Data and Analytics Program leverages Ontario's digital health technology to deliver a more modern, integrated and digitally enabled health system experience for patients and providers.

Digital Health enables innovative, integrated health care delivery through standards-based supports for improving health system interoperability and reducing fragmentation and redundancy. The data and digital strategy for the health sector 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. The data and digital strategy for the sector also builds on Ontario's digital health foundations and leverages health technology to offer providers more tools to deliver the best possible care. The data and digital strategy is central to the Ministry of Health’s efforts to deliver on its priorities, in particular, to meet the ministry’s commitments 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, macro system-level data governance planning, 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 of the data and digital strategy.

Digital, Data and Analytics Program oversees the management, integration and release of authoritative health 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 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

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Digital, Data and Analytics	140,792,400	144,049,700	(3,257,300)	50,851,528
	Total Operating Expense to be Voted	140,792,400	144,049,700	(3,257,300)	50,851,528
	Total Operating Expense	140,792,400	144,049,700	(3,257,300)	50,851,528

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1403-1	Digital, Data and Analytics
	Salaries and wages		19,141,000
	Employee benefits		2,555,300
	Transportation and communication		246,600
	Services		9,130,900
	Supplies and equipment		261,200
	Transfer payments
	Digital Health Strategy and Programs	99,375,100
	Health System Information Management	10,082,300	109,457,400
	Total Operating Expense to be Voted		140,792,400
	Total Operating Expense for Digital, Data and Analytics Program		140,792,400

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, Indigenous Primary Health Care Organizations, Nurse Practitioner Led Clinics, Midwifery Services, Underserviced Area Programs, Northern Health Travel Grant, Disease prevention, Health quality, Drugs, Community Laboratories, Laboratory and Diagnostic testing services (including Genetic testing services, out-of-country/out-of-province laboratory testing and respiratory virus testing), Quality Management Program (Laboratory Services and Echocardiography), X-ray services, Psychiatric Patient Advocacy and rights advice, Assistive devices , 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 provide access to eligible Ontarians to prescription medications and pharmacy services through five public drug programs, including community-based drug benefits through the Ontario Drug Benefit program. The drug programs are 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 and hospitals. 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

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Ontario Health Insurance	21,928,483,900	22,404,806,300	(476,322,400)	19,338,872,937
2	Drug Programs	5,966,149,500	6,092,400,500	(126,251,000)	5,922,294,806
4	Assistive Devices Program	618,837,800	593,931,900	24,905,900	595,441,333
	Total Including Special Warrants	28,513,471,200	29,091,138,700	(577,667,500)	25,856,609,076
	Less: Special Warrants	-	4,200,000,000	(4,200,000,000)	-
	Total Operating Expense to be Voted	28,513,471,200	24,891,138,700	3,622,332,500	25,856,609,076
	Special Warrants	-	4,200,000,000	(4,200,000,000)	-
S	Bad Debt Expense, the Financial Administration Act	1,000	1,000	-	22,000
S	Bad Debt Expense, the Financial Administration Act	1,000	1,000	-	-
	Total Statutory Appropriations	2,000	2,000	-	22,000
	Total Operating Expense	28,513,473,200	29,091,140,700	(577,667,500)	25,856,631,076

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
5	Ontario Health Insurance Program	13,000,000	13,000,000	-	14,981,489
	Total Operating Assets to be Voted	13,000,000	13,000,000	-	14,981,489
	Total Operating Assets	13,000,000	13,000,000	-	14,981,489

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1405-1	Ontario Health Insurance
	Salaries and wages		49,457,800
	Employee benefits		7,982,200
	Transportation and communication		3,152,200
	Services		24,521,400
	Supplies and equipment		502,700
	Transfer payments
	Ontario Fertility Treatment Tax Credit	60,000,000
	Payments made for services and for care provided by physicians and practitioners	21,188,155,300
	Integrated Community Health Services Centres	173,503,100
	Underserviced Area Plan	31,201,800
	Northern Travel Program	63,281,600
	Quality Management Program	5,185,900
	Midwifery Services	208,969,300
	Disease Prevention Strategy	3,994,000
	Quality Health Initiatives	108,576,600	21,842,867,600
	Total Operating Expense to be Voted		21,928,483,900
1405-2	Drug Programs
	Salaries and wages		12,271,000
	Employee benefits		1,613,300
	Transportation and communication		806,800
	Services		15,147,500
	Supplies and equipment		105,100
	Transfer payments
	Ontario Drug Programs		5,936,205,800
	Total Operating Expense to be Voted		5,966,149,500
1405-4	Assistive Devices Program
	Salaries and wages		3,386,400
	Employee benefits		461,200
	Transportation and communication		579,000
	Services		945,800
	Supplies and equipment		29,000
	Transfer payments
	Assistive Devices and Supplies Program		613,436,400
	Total Operating Expense to be Voted		618,837,800
	Statutory Appropriations
	Other transactions
Statutory	Bad Debt Expense, the Financial Administration Act		1,000
	Statutory Appropriations
	Other transactions
Statutory	Bad Debt Expense, the Financial Administration Act		1,000
	Total Operating Expense for Ontario Health Insurance Program		28,513,473,200

Operating assets
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
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 the Office of CMOH, Public Health is to provide direction and leadership to support the ministry’s public health agenda 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

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
4	Population and Public Health	1,694,654,600	1,533,815,200	160,839,400	1,780,023,052
	Total Operating Expense to be Voted	1,694,654,600	1,533,815,200	160,839,400	1,780,023,052
S	Inventory Write-off, the Financial Administration Act	-	-	-	993,926,858
S	Personal Protective Equipment and Supplies, the Financial Administration Act	-	-	-	263,176,660
	Total Statutory Appropriations	-	-	-	1,257,103,518
	Total Operating Expense	1,694,654,600	1,533,815,200	160,839,400	3,037,126,570

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
6	Population and Public Health	750,000	750,000	-	4,447,065
	Total Operating Assets to be Voted	750,000	750,000	-	4,447,065
	Total Operating Assets	750,000	750,000	-	4,447,065

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1406-4	Population and Public Health
	Salaries and wages		23,027,300
	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	916,650,700
	Outbreaks of Diseases	489,073,600
	Tuberculosis Prevention	14,073,900
	Sexually Transmitted Diseases Control	2,062,400
	Ontario Agency for Health Protection and Promotion	146,391,400
	Prevent Disease, Injury and Addiction	54,290,100
	Smoke-Free Ontario	18,795,400	1,641,337,500
	Total Operating Expense to be Voted		1,694,654,600
	Total Operating Expense for Population and Public Health Program		1,694,654,600

Operating assets
Vote — item number	Standard account by item and sub-items	Amount $
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. Examples of these transfer payment programs include: Community and Priority Services, Operation of Related Facilities and HIV 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 such as supportive housing and sector supports through the Mental Health and Addictions Centre of Excellence at Ontario Health including implementation support, knowledge exchange and training, quality improvement, and information management in support of direct service mental health and addictions providers.

Provincial Programs and Stewardship also supports health capital planning and oversight administration of Ontario Health 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, First Nations 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.

The ministry funds First Nations communities and urban Indigenous and Inuit organizations to provide home and community care services to Indigenous clients in on reserve communities and in urban areas.

Vote summary

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Provincial Programs	1,361,699,700	2,824,710,200	(1,463,010,500)	1,444,620,392
2	Emergency Health Services	1,509,911,700	1,453,263,000	56,648,700	1,424,347,909
4	Stewardship	54,038,800	51,532,800	2,506,000	49,651,606
	Total Operating Expense to be Voted	2,925,650,200	4,329,506,000	(1,403,855,800)	2,918,619,907
S	Bad Debt Expense, the Financial Administration Act	1,000	1,000	-	-
	Total Statutory Appropriations	1,000	1,000	-	-
	Total Operating Expense	2,925,651,200	4,329,507,000	(1,403,855,800)	2,918,619,907

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
5	Provincial Programs and Stewardship	4,614,700	5,729,400	(1,114,700)	4,068,400
	Total Operating Assets to be Voted	4,614,700	5,729,400	(1,114,700)	4,068,400
	Total Operating Assets	4,614,700	5,729,400	(1,114,700)	4,068,400

Capital expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
8	Emergency Health Services Capital	14,137,000	-	14,137,000	-
	Total Capital Expense to be Voted	14,137,000	-	14,137,000	-
	Total Capital Expense	14,137,000	-	14,137,000	-

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1412-1	Provincial Programs
	Transfer payments
	Operation of Related Facilities	22,961,800
	Canadian Blood Services	822,164,600
	HIV and Hepatitis C Programs	151,985,900
	Community and Priority Services	364,587,400	1,361,699,700
	Total Operating Expense to be Voted		1,361,699,700
1412-2	Emergency Health Services
	Salaries and wages		71,913,400
	Employee benefits		10,569,800
	Transportation and communication		2,746,800
	Services		12,107,500
	Supplies and equipment		578,800
	Transfer payments
	Payments for Ambulance and related Emergency Services: Municipal Ambulance	1,024,101,800
	Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services	107,199,200
	Air Ambulance	280,694,400	1,411,995,400
	Total Operating Expense to be Voted		1,509,911,700
1412-4	Stewardship
	Salaries and wages		39,809,300
	Employee benefits		4,644,600
	Transportation and communication		2,582,100
	Services		6,869,000
	Supplies and equipment		133,800
	Total Operating Expense to be Voted		54,038,800
	Statutory Appropriations
	Other transactions
Statutory	Bad Debt Expense, the Financial Administration Act		1,000
	Total Operating Expense for Provincial Programs and Stewardship		2,925,651,200

Operating assets
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1412-5	Provincial Programs and Stewardship
	Advances and recoverable amounts
	HIV and Hepatitis C Programs	375,000
	Community and Priority Services	4,239,700	4,614,700
	Total Operating Assets to be Voted		4,614,700
	Total Operating Assets for Provincial Programs and Stewardship		4,614,700

Capital expense
Vote — item number	Standard account by item and sub-items	Amount $
1412-8	Emergency Health Services Capital
	Transfer payments
	Emergency Health Services Capital	14,137,000
	Total Capital Expense to be Voted	14,137,000
	Total Capital Expense for Provincial Programs and Stewardship	14,137,000

Health Services and Programs - Vote 1416

The Ministry of Health collaborates with Ontario Health (OH) and Ontario Health atHome (a subsidiary of Ontario Health) to implement the ministry’s health system strategies for improving and connecting health care services, including home and community care.

Under the Connecting Care Act, 2019, OH is responsible for health system planning and integration, as well as for funding of health service providers (HSPs), including Ontario Health atHome (OH atHome), and Ontario Health Teams (OHTs) to deliver health services. Under 1416, OH funds OH atHome, hospitals, community health centres, community mental health and addictions service providers, and not-for-profit providers of home and community care services, maternal care, and both acute and outpatient eating disorder services. OH also delivers programs related to cancer care, cancer screening, renal services, digital health, health quality, organ and tissue donation and transplantation services, health workforce, telemedicine, OHTs, regional coordination operations support and provide clinical advice and recommendations on programs and services relating to cardiovascular and stroke care. OH provides administrative support to the Office of the Patient Ombudsman, which works with patients and families to help resolve complaints about health care experience with health service organizations.

OH atHome provides home care (nursing, rehabilitation therapies and other professional services, and personal support services), manages placements to long-term care homes, and provides information to the public about – and referrals to – other providers of health and social services. OH atHome also manages placements into adult day programs and assisted living programs, and provides operational supports to HSPs (including HSPs in approved OHTs) funded to provide home and community care services.

This Vote also includes the ministry-managed Child and Youth Mental Health (CYMH) program which aims to achieve the vision of an Ontario in which CYMH is recognized as a key determinant of overall health and well-being, and where children and youth grow to reach their full potential. Ontario-funded mental health services are provided to children and youth under 18 years of age under the authority of the Child, Youth and Family Services Act, 2017.

Vote summary

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Health Services	36,806,841,500	34,197,084,900	2,609,756,600	34,481,251,830
2	Programs and Administration	3,630,295,200	3,457,570,300	172,724,900	3,453,364,617
	Total Operating Expense to be Voted	40,437,136,700	37,654,655,200	2,782,481,500	37,934,616,447
	Total Operating Expense	40,437,136,700	37,654,655,200	2,782,481,500	37,934,616,447

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
10	Health 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 assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
3	Digital Health Capital	1,000	1,000	-	-
	Total Capital Expense to be Voted	1,000	1,000	-	-
	Total Capital Expense	1,000	1,000	-	-

Standard account by item and sub-items

Operating expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $	Amount $
1416-1	Health Services
	Transfer payments
	Operation of Hospitals		27,090,414,800
	Grants to Compensate for Municipal Taxation - Hospitals		3,783,000
	Specialty Psychiatric Hospitals		802,511,700
	Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals		174,100
	Home Care		4,779,255,400
	Community Support Services		878,268,300
	Assisted Living Services		409,372,500
	Community Health Centres		504,464,900
	Acquired Brain Injury		98,696,200
	Community Mental Health		1,354,893,200
	Addiction Program		358,196,500
	Child and Youth Mental Health		526,810,900	36,806,841,500
	Total Operating Expense to be Voted			36,806,841,500
	Sub-Items:
	Hospitals
	Transfer payments
	Operation of Hospitals	27,090,414,800
	Grants to Compensate for Municipal Taxation - Hospitals	3,783,000
	Specialty Psychiatric Hospitals	802,511,700
	Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals	174,100	27,896,883,600	27,896,883,600
	Community
	Transfer payments
	Home Care	4,779,255,400
	Community Support Services	878,268,300
	Assisted Living Services	409,372,500
	Community Health Centres	504,464,900
	Acquired Brain Injury	98,696,200	6,670,057,300	6,670,057,300
	Mental Health and Addictions
	Transfer payments
	Community Mental Health	1,354,893,200
	Addiction Program	358,196,500
	Child and Youth Mental Health	526,810,900	2,239,900,600	2,239,900,600
	Total Operating Expense to be Voted			36,806,841,500
1416-2	Programs and Administration
	Transfer payments
	Health Workforce Programs		5,666,900
	Regional Coordination Operations Support		230,858,400
	Organ and Tissue Donation, Transplantation, and Cardiovascular Services		76,069,300
	Health Quality Programs		31,909,500
	Cancer Screening Programs		147,689,400
	Cancer Treatment Services		1,739,320,000
	Renal Services		750,184,800
	Digital Health		648,596,900	3,630,295,200
	Total Operating Expense to be Voted			3,630,295,200
	Total Operating Expense for Health Services and Programs			40,437,136,700

Operating assets
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1416-10	Health 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	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
Vote — item number	Standard account by item and sub-items	Amount $
1416-3	Digital Health Capital
	Other transactions	1,000
	Total Capital Expense to be Voted	1,000
	Total Capital Expense for Health Services and Programs	1,000

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

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Health Capital	5,004,354,400	2,281,037,400	2,723,317,000	1,866,956,492
	Total Capital Expense to be Voted	5,004,354,400	2,281,037,400	2,723,317,000	1,866,956,492
	Total Capital Expense	5,004,354,400	2,281,037,400	2,723,317,000	1,866,956,492

Standard account by item and sub-items

Capital expense
Vote — item number	Standard account by item and sub-items	Amount $	Amount $
1407-1	Health Capital
	Transfer payments
	Public Health Laboratories	100,800
	Major Hospital Projects	4,461,898,100
	Health Infrastructure Renewal Fund	242,000,000
	Small Hospital Projects	80,000,000
	Medical and Diagnostic Equipment Fund	49,500,000
	Community Health Programs	129,114,000
	Integrated Health Facility Programs	20,000,000	4,982,612,900
	Other transactions
	Capital Projects Delivery	14,491,500
	Provincial Psychiatric Hospitals Divestment	1,000,000
	Health Infrastructure Information Systems	6,250,000	21,741,500
	Total Capital Expense to be Voted		5,004,354,400
	Total Capital Expense for Health Capital Program		5,004,354,400

Updated: June 04, 2025

Published: June 04, 2025

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 Capital Expense includes Statutory Appropriations, Special Warrants and total capital expense to be voted.
footnote[3] Back to paragraph Total Capital Assets includes Statutory Appropriations, Special Warrants and total capital assets to be voted.