Summary

The Ministry provides for a health system that promotes wellness and improves health outcomes through accessible, integrated and quality services at every stage of life for all Ontarians. It is responsible for the development, co-ordination and maintenance of comprehensive health services and a balanced and integrated system of hospitals, long - term care homes and community services, laboratories, ambulances and other health facilities in Ontario.

The Ministry fosters and supports the development and implementation of community - based programs to promote and protect the health of all Ontarians.

Ministry program summary

Operating expense

VoteProgramEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1401Ministry Administration Program$118,141,700$118,208,500($66,800)$116,984,925
1402Health Policy and Research Program$809,930,200$851,564,500($41,634,300)$800,089,480
1403eHealth and Information Management Program$512,942,200$499,531,200$13,411,000$438,309,739
1405Ontario Health Insurance Program$18,506,538,100$18,067,651,700$438,886,400$18,093,316,978
1406Public Health Program$846,533,600$828,975,000$17,558,600$754,773,124
1411Local health integration networks and related health service providers$26,255,106,800$25,596,031,500$659,075,300$25,235,545,029
1412Provincial programs and stewardship$3,684,814,300$3,698,961,100($14,146,800)$3,525,560,739
1413Information systems$145,443,100$146,430,900($987,800)$129,262,375
1414Health Promotion$392,244,200$388,259,100$3,985,100$350,975,978
 Total operating expense to be voted$51,271,694,200$50,195,613,500$1,076,080,700$49,444,818,367
 Statutory appropriations$429,360$507,360($78,000)$1,173,816
 Ministry total operating expense$51,272,123,560$50,196,120,860$1,076,002,700$49,445,992,183
 Consolidation adjustment - Cancer Care Ontario$1,743,800$5,555,700($3,811,900)$164,401,764
 Consolidation adjustment - eHealth Ontario---$27,527,300
 Consolidation adjustment - hospitals($1,005,122,200)($759,609,500)($245,512,700)($788,032,325)
 Consolidation adjustment - local health integration networks---($1,902,829)
 Consolidation adjustment - Ornge($12,898,400)($14,899,300)$2,000,900($22,169,547)
 Consolidation adjustment - funding to colleges($1,795,000)($1,825,300)$30,300($2,108,291)
 Consolidation adjustment - Ontario Agency for Health Protection and Promotion($261,500)($616,200)$354,700($1,129,447)
 Consolidation adjustment - other-($59,377,300)$59,377,300($197,272,510)
 Total including consolidation and other adjustments$50,253,790,260$49,365,348,960$888,441,300$48,625,306,298

Operating assets

VoteProgramEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1402Health Policy and Research Program$4,500,000$4,500,000-$4,500,000
1405Ontario Health Insurance Program$7,500,000$8,450,000($950,000)$8,450,000
1406Public Health Program$500,000$500,000--
1411Local health integration networks and related health service providers$58,537,600$58,537,600-$58,537,560
1412Provincial programs and stewardship$11,229,400$11,229,400-$11,029,400
1414Health Promotion$250,000$250,000--
 Total operating assets to be voted$82,517,000$83,467,000($950,000)$82,516,960
 Ministry total operating assets$82,517,000$83,467,000($950,000)$82,516,960

Capital expense

VoteProgramEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1403eHealth and Information Management Program$30,172,100$37,130,100($6,958,000)$59,496,700
1413Information systems$1,000$1,000--
1407Health Capital Program$1,450,847,800$1,465,807,000($14,959,200)$1,470,955,063
 Total capital expense to be voted$1,481,020,900$1,502,938,100($21,917,200)$1,530,451,763
 Statutory appropriations$12,284,700$11,054,400$1,230,300$1,412,892
 Ministry total capital expense$1,493,305,600$1,513,992,500($20,686,900)$1,531,864,655
 Consolidation adjustment - Cancer Care Ontario$596,200($2,541,900)$3,138,100$13,086,973
 Consolidation adjustment - eHealth Ontario$25,510,700($4,323,400)$29,834,100($7,594,000)
 Consolidation adjustment - hospitals$7,098,200($114,761,900)$121,860,100($70,025,828)
 Consolidation adjustment - local health integration networks$368,700$1,892,700($1,524,000)$891,888
 Consolidation adjustment - Ornge$11,895,500$11,895,500-$10,182,667
 Consolidation adjustment - Ontario Agency for Health Protection and Promotion($7,350,000)$1,399,500($8,749,500)($64,866,438)
 Total including consolidation and other adjustments$1,531,424,900$1,407,553,000$123,871,900$1,413,539,917

Capital assets

VoteProgramEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1413Information systems$25,302,800$19,674,100$5,628,700$21,420,249
 Total capital assets to be voted$25,302,800$19,674,100$5,628,700$21,420,249
 Ministry total capital assets$25,302,800$19,674,100$5,628,700$21,420,249
 Ministry total operating and capital including consolidation and other adjustments (not including assets)$51,785,215,160$50,772,901,960$1,012,313,200$50,038,846,215

Reconciliation to previously published data - operating expense

Operating expense2015‑16 Estimates2014‑15 Actual
Total operating expense previously published footnote 1$50,194,120,860$49,420,066,986
Government Reorganization  
Transfer of functions from other Ministries$2,000,000$25,925,197
Restated total operating expense$50,196,120,860$49,445,992,183

Ministry Administration Program - vote 1401

Ministry administration provides support to the Minister of Health and Long - Term Care to meet the requirements of the Ministry’s portfolio, ministry management, accountability, controllership, risk and fraud 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, fiscal and health capital planning; health system investment and funding policies and decisions; audit; supply chain and facilities, and contract management; government pharmacy; subrogation; strategic human resources including: talent, performance and succession management; workforce planning and resource management; employee engagement and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; and organizational capacity and engagement; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; French Language Services compliance and agency liaison and oversight; legal; communications and marketing; business innovation and program redesign to achieve improved quality, efficiency and effectiveness; financial management including payments, financial analysis, forecasting, reporting, settlements and including the necessary controllership requirements.

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, Physician Payment Review Board, Medical Eligibility Committee (MEC), and the Ontario Hepatitis C Assistance Plan Review Committee.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Ministry administration$110,766,300$110,833,100($66,800)$110,119,996
2Ontario review board$7,375,400$7,375,400-$6,864,929
 Total operating expense to be voted$118,141,700$118,208,500($66,800)$116,984,925
SBad debt expense, the Financial Administration Act---$85,000
SMinister’s salary, the Executive Council Act$47,841$47,841-$49,301
SParliamentary Assistants' salaries, the Executive Council Act$48,519$48,519-$29,491
 Total statutory appropriations$96,360$96,360-$163,792
 Total operating expense$118,238,060$118,304,860($66,800)$117,148,717

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1401-1Ministry administration  
 Salaries and wages $56,103,100
 Employee benefits $13,648,000
 Transportation and communication $2,932,900
 Services $34,017,600
 Supplies and equipment $4,141,400
 Subtotal $110,843,000
 Less: recoveries $76,700
 Total operating expense to be voted $110,766,300
 sub-items:  
 Main office  
 Salaries and wages$2,342,900 
 Employee benefits$242,200 
 Transportation and communication$94,000 
 Services$235,900 
 Supplies and equipment$50,500$2,965,500
 Financial and administrative services  
 Salaries and wages$43,108,100 
 Employee benefits$11,789,300 
 Transportation and communication$2,390,400 
 Services$22,883,600 
 Supplies and equipment$3,824,900 
 Subtotal$83,996,300 
 Less: recoveries$76,700$83,919,600
 Human resources  
 Salaries and wages$3,878,000 
 Employee benefits$435,700 
 Transportation and communication$216,000 
 Services$233,000 
 Supplies and equipment$238,800$5,001,500
 Communications services  
 Salaries and wages$6,653,400 
 Employee benefits$1,178,300 
 Transportation and communication$232,500 
 Services$5,753,100 
 Supplies and equipment$27,200$13,844,500
 Legal services  
 Salaries and wages$120,700 
 Employee benefits$2,500 
 Services$3,073,800$3,197,000
 Audit services  
 Services$1,838,200$1,838,200
 Total operating expense to be voted $110,766,300
 Statutory appropriations  
StatutoryMinister’s salary, the Executive Council Act $47,841
StatutoryParliamentary assistants' salaries, the Executive Council Act $48,519
1401-2Ontario review board  
 Salaries and wages $855,100
 Employee benefits $99,100
 Transportation and communication $527,800
 Services $5,836,800
 Supplies and equipment $56,600
 Total operating expense to be voted $7,375,400
 Total operating expense for Ministry Administration Program $118,238,060

Health Policy and Research Program - vote 1402

The Health Policy and Research Program integrates health system research evidence, strategy and program policy to provide strategic directions with respect to health workforce planning and health system innovation 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 health objectives and priorities in relation to Ontario’s health workforce and health system innovation. The work includes targeted investment, administration of funding programs, oversight and synthesis of health services/population health research, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. Related activities are the regulation of health professionals.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Health policy and research$809,930,200$851,564,500($41,634,300)$800,089,480
 Total operating expense to be voted$809,930,200$851,564,500($41,634,300)$800,089,480
 Total operating expense$809,930,200$851,564,500($41,634,300)$800,089,480

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
2Health policy and research$4,500,000$4,500,000-$4,500,000
 Total operating assets to be voted$4,500,000$4,500,000-$4,500,000
 Total operating assets$4,500,000$4,500,000-$4,500,000

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1402-1Health policy and research  
 Salaries and wages $15,974,300
 Employee benefits $2,252,500
 Transportation and communication $3,545,300
 Services $10,928,200
 Supplies and equipment $2,220,900
 Transfer payments  
 Clinical education$743,967,000 
 Health system research fund$31,041,000 
 Ontario Temporary Health Program for Refugee Claimants$1,000$775,009,000
 Total operating expense to be voted $809,930,200
 Total operating expense for Health Policy and Research Program $809,930,200

Operating assets

Vote - item numberStandard account by item and sub-itemsAmount
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

eHealth and Information Management Program - vote 1403

eHealth is a critical enabler of health system transformation, allowing patients and providers across the province to access the information they need for high - quality care. Through the eHealth program, Ministry partners deliver the infrastructure and services that connect providers and patients, helping to create a more integrated health system.

Information Management provides health information and analytics which enable evidence - based decision making to ensure a sustainable health care system for Ontario.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1eHealth and Information Management$512,942,200$499,531,200$13,411,000$438,309,739
 Total operating expense to be voted$512,942,200$499,531,200$13,411,000$438,309,739
 Total operating expense$512,942,200$499,531,200$13,411,000$438,309,739

Capital expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
2eHealth and information management$30,172,100$37,130,100($6,958,000)$59,496,700
 Total capital expense to be voted$30,172,100$37,130,100($6,958,000)$59,496,700
SAmortization, the Financial Administration Act$413,000$413,000-$358,316
 Total statutory appropriations$413,000$413,000-$358,316
 Total capital expense$30,585,100$37,543,100($6,958,000)$59,855,016

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1403-1eHealth and information management  
 Salaries and wages $12,258,100
 Employee benefits $1,919,900
 Transportation and communication $665,200
 Services $29,287,100
 Supplies and equipment $721,100
 Transfer payments  
 eHealth Ontario$368,912,000 
 Information technology programs$82,225,400 
 Health system information management$16,953,400$468,090,800
 Total operating expense to be voted $512,942,200
 Total operating expense for eHealth and Information Management Program $512,942,200

Capital expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1403-2eHealth and information management  
 Transfer payments  
 eHealth ontario capital $30,171,100
 Other transactions $1,000
 Total capital expense to be voted $30,172,100
 Statutory appropriations  
 Other transactions  
StatutoryAmortization, the Financial Administration Act $413,000
 Total capital expense for eHealth and Information Management Program $30,585,100

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 theHealth Insurance Act, other practitioners' payments, out - of - province/out-of - country services, Independent Health Facilities Act, Family Health Teams, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, teletriage services, disease prevention, health quality, drugs, community laboratories, psychiatric patient advocacy and rights advice, protection from health - related fraudulent activity and assistive devices including home oxygen.

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 and Telephone Health Advisory Service 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.

The focus for disease prevention is improving the health and health care for Ontarians living with or at high risk of developing diabetes, congestive heart failure, chronic obstructive pulmonary disease and hypertension. Ontario Diabetes Programs improve access to and quality of diabetes services to improve the health and health outcomes of individuals at risk of developing or living with diabetes.

Health Quality Ontario is the provincial agency that supports evidence - based, high quality health care to contribute to a sustainable health system.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Ontario Health Insurance$14,134,661,800$13,819,970,300$314,691,500$13,824,105,466
2Drug programs$3,907,748,100$3,795,364,600$112,383,500$3,806,319,310
4Assistive Devices Program$464,128,200$452,316,800$11,811,400$462,892,202
 Total operating expense to be voted$18,506,538,100$18,067,651,700$438,886,400$18,093,316,978
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$18,506,540,100$18,067,651,700$438,888,400$18,093,316,978

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
5Ontario Health Insurance Program$7,500,000$8,450,000($950,000)$8,450,000
 Total operating assets to be voted$7,500,000$8,450,000($950,000)$8,450,000
 Total operating assets$7,500,000$8,450,000($950,000)$8,450,000

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1405-1Ontario health insurance  
 Salaries and wages $50,457,400
 Employee benefits $7,031,900
 Transportation and communication $4,859,900
 Services $25,880,900
 Supplies and equipment $2,343,900
 Transfer payments  
 Payments made for services and for care provided by physicians and practitioners$13,669,615,100 
 Independent health facilities$56,256,000 
 Underserviced Area Plan$25,213,500 
 Northern Travel Program$46,181,600 
 Teletriage services$24,222,200 
 Quality Management Program - laboratory services$4,598,900 
 Midwifery services$147,488,200 
 Disease prevention strategy$21,562,700 
 Health Quality Ontario$36,480,200 
 Quality health initiatives$12,469,400$14,044,087,800
 Total operating expense to be voted $14,134,661,800
 Statutory appropriations  
 Other transactions  
StatutoryBad debt expense, the Financial Administration Act $1,000
1405-2Drug Programs  
 Salaries and wages $7,541,600
 Employee benefits $1,317,400
 Transportation and communication $5,686,300
 Services $16,899,300
 Supplies and equipment $1,695,500
 Transfer payments  
 Ontario drug programs $3,874,608,000
 Total operating expense to be voted $3,907,748,100
 Statutory appropriations  
 Other transactions  
StatutoryBad debt expense, the Financial Administration Act $1,000
1405-4Assistive Devices Program  
 Salaries and wages $2,378,600
 Employee benefits $437,600
 Transportation and communication $154,700
 Services $206,200
 Supplies and equipment $97,300
 Transfer payments  
 Assistive Devices and Supplies Program $460,853,800
 Total operating expense to be voted $464,128,200
 Total operating expense for Ontario Health Insurance Program $18,506,540,100

Operating assets

Vote - item numberStandard account by item and sub-itemsAmountAmount
1405-5Ontario Health Insurance Program  
 Advances and recoverable amounts  
 Payments made for services and for care provided by physicians and practitioners$4,500,000 
 Midwifery services$3,000,000$7,500,000
 Total operating assets to be voted $7,500,000
 Total operating assets for Ontario Health Insurance Program $7,500,000

Public Health Program - vote 1406

The goal of the Public Health Program is to protect and enhance health, and prevent the onset of disease and premature death of Ontarians at all stages of life. The mandate of Public Health includes the entire spectrum of infectious diseases, chronic diseases and injury prevention, healthy child development, family and community health, environmental health, and emergency management - all with a focus on the underlying determinants of health. This Program focuses health resources on prevention, detection, early interventions and treatment where appropriate.

The program sets standards, protocols and performance targets, provides funding to Ontario’s public health system, including boards of health, related associations and Public Health Ontario, and provides policy and program oversight to ensure accountability of the system. It includes the Chief Medical Officer of Health who has independent powers and the responsibility to report annually on the state of public health to the Legislative Assembly of Ontario. The program also partners with Public Health Ontario which supports public health at the provincial and local levels through the provision of scientific advice, education and training and field support as required.

The Program is responsible for operational policy development, program implementation, transfer payment accountability, and ongoing monitoring and evaluation for the integrated Healthy Smiles Ontario program (Children and Youth Low Income Dental program).

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
4Public health$846,533,600$828,975,000$17,558,600$754,773,124
 Total operating expense to be voted$846,533,600$828,975,000$17,558,600$754,773,124
 Total operating expense$846,533,600$828,975,000$17,558,600$754,773,124

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
6Public health$500,000$500,000--
 Total operating assets to be voted$500,000$500,000--
 Total operating assets$500,000$500,000--

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1406-4Public health  
 Salaries and wages $14,715,400
 Employee benefits $2,336,100
 Transportation and communication $2,580,400
 Services $20,136,200
 Supplies and equipment $2,353,800
 Transfer payments  
 Official local health agencies$462,321,000 
 Outbreaks of diseases$161,601,000 
 Tuberculosis prevention$9,113,900 
 Sexually transmitted diseases control$3,425,200 
 Public health associations$332,300 
 Infection control$19,900,400 
 Ontario Agency for Health Protection and Promotion$147,717,900$804,411,700
 Total operating expense to be voted $846,533,600
 Total operating expense for Public Health Program $846,533,600

Operating assets

Vote - item numberStandard account by item and sub-itemsAmountAmount
1406-6Public health  
 Advances and recoverable amounts  
 Official local health agencies $500,000
 Total operating assets to be voted $500,000
 Total operating assets for Public Health Program $500,000

Local health integration networks and related health service providers - vote 1411

As steward for the long - term sustainability of Ontario’s health care system, the Ministry collaborates with 14 Local Health Integration Networks (LHINs) to promote a patient - focused, value driven, integrated and co-ordinated health care system. While the Ministry provides strategic direction and guidance, the LHINs are responsible for planning, integrating and funding health service providers in their local health systems. The LHINs exercise their authority under the Local Health System Integration Act, 2006. Additional responsibilities and performance expectations are set out in the Memorandum of Understanding and Accountability Agreement between each LHIN and the Ministry of Health and Long - Term Care. The LHINs have the flexibility to address unique local health needs and priorities through the management of services in public, private and specialty psychiatric hospitals, community care access centres, 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. The Ministry, in partnership with LHINs, ensures the delivery of accessible, community - responsive and high - quality health care for all Ontarians.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Local health integration networks and related health service providers$26,255,106,800$25,596,031,500$659,075,300$25,235,545,029
 Total operating expense to be voted$26,255,106,800$25,596,031,500$659,075,300$25,235,545,029
SBad debt expense, the Financial Administration Act$250,000$250,000-$850,024
 Total statutory appropriations$250,000$250,000-$850,024
 Total operating expense$26,255,356,800$25,596,281,500$659,075,300$25,236,395,053

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
2Local health integration networks and related health service providers$58,537,600$58,537,600-$58,537,560
 Total operating assets to be voted$58,537,600$58,537,600-$58,537,560
 Total operating assets$58,537,600$58,537,600-$58,537,560

Standard account by item and sub-items

Operating expense

Vote-item numberStandard account by item and sub-itemsAmountAmountAmount
1411-1Local health integration networks and related health service providers   
 Transfer payments   
 Erie St. Clair $1,104,577,100 
 South West $2,220,260,500 
 Waterloo Wellington $1,023,264,200 
 Hamilton Niagara Haldimand Brant $2,874,112,900 
 Central West $878,655,100 
 Mississauga Halton $1,434,868,200 
 Toronto Central $4,707,219,300 
 Central $2,007,302,400 
 Central East $2,208,957,200 
 South East $1,076,988,100 
 Champlain $2,512,834,700 
 North Simcoe Muskoka $847,531,000 
 North East $1,430,817,500 
 North West $635,806,700 
 Local health integration networks - supplementary investments $1,291,911,900$26,255,106,800
 Total operating expense to be voted  $26,255,106,800
 Sub-items:   
 Local Health Integration Networks   
 Transfer payments   
 Erie St. Clair$1,104,577,100  
 South West$2,220,260,500  
 Waterloo Wellington$1,023,264,200  
 Hamilton Niagara Haldimand Brant$2,874,112,900  
 Central West$878,655,100  
 Mississauga Halton$1,434,868,200  
 Toronto Central$4,707,219,300  
 Central$2,007,302,400  
 Central East$2,208,957,200  
 South East$1,076,988,100  
 Champlain$2,512,834,700  
 North Simcoe Muskoka$847,531,000  
 North East$1,430,817,500  
 North West$635,806,700$24,963,194,900$24,963,194,900
 Local health integration networks - supplementary investments   
 Transfer payments   
 Local health integration networks - supplementary investments $1,291,911,900$1,291,911,900
 Total operating expense to be voted  $26,255,106,800
 Statutory appropriations   
 Other transactions   
StatutoryBad debt expense, the Financial Administration Act  $250,000
 Total operating expense for Local health integration networks and related health service providers  $26,255,356,800

Operating assets

Vote-item numberStandard account by item and sub-itemsAmountAmount
1411-2Local health integration networks and related health service providers  
 Advances and recoverable amounts  
 Erie St. Clair$2,422,200 
 South West$5,061,500 
 Waterloo Wellington$2,658,600 
 Hamilton Niagara Haldimand Brant$6,067,400 
 Central West$2,609,200 
 Mississauga Halton$2,273,500 
 Toronto Central$12,517,600 
 Central$3,721,200 
 Central East$5,685,200 
 South East$3,016,500 
 Champlain$5,683,300 
 North Simcoe Muskoka$1,525,700 
 North East$3,987,100 
 North West$1,308,600$58,537,600
 Total operating assets to be voted $58,537,600
 Total operating assets for Local health integration networks and related health service providers $58,537,600

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: Cancer Care Ontario, Cancer Screening Programs, Community and Priority Services, Operation of Related Facilities, Healthy Homes Renovation Tax Credits, HIV/AIDS and Hepatitis C Programs. The program provides Ontario’s share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario.

In addition to transfer payment activities, Provincial programs and stewardship also includes Direct Operating Expenditures for the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Local Health Integration Networks.

Emergency Health Services ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. 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, and ambulance communications services.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Provincial programs$2,649,159,400$2,685,717,600($36,558,200)$2,600,498,990
2Emergency health services$944,684,600$922,323,400$22,361,200$876,542,532
4Stewardship$90,970,300$90,920,100$50,200$48,519,217
 Total operating expense to be voted$3,684,814,300$3,698,961,100($14,146,800)$3,525,560,739
SBad debt expense, the Financial Administration Act$81,000$161,000($80,000)$160,000
 Total statutory appropriations$81,000$161,000($80,000)$160,000
 Total operating expense$3,684,895,300$3,699,122,100($14,226,800)$3,525,720,739

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
5Provincial programs and stewardship$11,229,400$11,229,400-$11,029,400
 Total operating assets to be voted$11,229,400$11,229,400-$11,029,400
 Total operating assets$11,229,400$11,229,400-$11,029,400

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1412-1Provincial programs  
 Transfer payments  
 Cancer Screening programs$92,363,500 
 Operation of related facilities$68,875,600 
 Cancer Care Ontario$1,433,718,200 
 Canadian blood services$523,058,700 
 HIV/AIDS and Hepatitis C programs$61,244,200 
 Community and priority services$458,650,900 
 Healthy homes renovation tax credit$11,248,300$2,649,159,400
 Total operating expense to be voted $2,649,159,400
 Statutory appropriations  
 Other transactions  
StatutoryBad debt expense, the Financial Administration Act $81,000
1412-2Emergency health services  
 Salaries and wages $45,406,800
 Employee benefits $7,199,300
 Transportation and communication $3,178,100
 Services $7,977,200
 Supplies and equipment $4,902,100
 Transfer payments  
 Payments for ambulance and related emergency services: municipal ambulance$639,751,400 
 Payments for ambulance and related emergency services: other ambulance operations and related emergency services$68,685,800 
 air ambulance$167,583,900$876,021,100
 Total operating expense to be voted $944,684,600
1412-4Stewardship  
 Salaries and wages $51,140,500
 Employee benefits $6,889,500
 Transportation and communication $2,702,700
 Services $27,030,900
 Supplies and equipment $3,206,700
 Total operating expense to be voted $90,970,300
 Total operating expense for provincial programs and stewardship $3,684,895,300

Operating assets

Vote - item numberStandard account by item and sub-itemsAmountAmount
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 
 Cancer Care Ontario$5,500,000 
 Payments for ambulance and related emergency services: other ambulance operations and related emergency services$461,000$11,229,400
 Total operating assets to be voted $11,229,400
 Total operating assets for provincial programs and stewardship $11,229,400

Information systems - vote 1413

Information systems provide support to the Ministry of Health and Long - Term Care to ensure the cost - effective and efficient use of Information and Information Technology resources to achieve business results.

The program offers a broad range of strategic and operational services essential to the effective delivery and support of the Ministry.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Information technology services – health cluster$145,443,100$146,430,900($987,800)$129,262,375
 Total operating expense to be voted$145,443,100$146,430,900($987,800)$129,262,375
 Total operating expense$145,443,100$146,430,900($987,800)$129,262,375

Capital expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
3Information systems$1,000$1,000--
 Total capital expense to be voted$1,000$1,000--
SAmortization, the Financial Administration Act$11,871,700$10,641,400$1,230,300$1,054,576
 Total statutory appropriations$11,871,700$10,641,400$1,230,300$1,054,576
 Total capital expense$11,872,700$10,642,400$1,230,300$1,054,576

Capital assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
4Information systems$25,302,800$19,674,100$5,628,700$21,420,249
 Total capital assets to be voted$25,302,800$19,674,100$5,628,700$21,420,249
 Total capital assets$25,302,800$19,674,100$5,628,700$21,420,249

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmount
1413-1Information technology tervices – health cluster 
 Salaries and wages$42,060,900
 Employee benefits$6,537,400
 Transportation and communication$2,455,700
 Services$91,394,300
 Supplies and equipment$2,994,800
 Total operating expense to be voted$145,443,100
 Total operating expense for Information systems$145,443,100

Capital expense

Vote - item numberStandard account by item and sub-itemsAmount
1413-3Information systems 
 Other transactions$1,000
 Total capital expense to be voted$1,000
 Statutory appropriations 
 Other transactions 
StatutoryAmortization, the Financial Administration Act$11,871,700
 Total capital expense for information systems$11,872,700

Capital assets

Vote - item numberStandard account by item and sub-itemsAmount
1413-4Information systems 
 Information technology hardware$3,807,300
 Business application software - asset costs$21,495,500
 Total capital assets to be voted$25,302,800
 Total capital assets for information systems$25,302,800

Health Promotion - vote 1414

The mandate of Health Promotion is to support the government’s priority of keeping Ontarians healthy at all stages of life. The Program provides a leadership role in keeping Ontarians healthy by developing health promotion policies, strategies and funding initiatives to promote healthier living, and providing Ontarians with the tools to make healthier choices. The Program provides oversight and ongoing management of transfer payment funding to support Ontario Public Health Standards aimed at child and reproductive health, chronic disease, prevention of injury and substance misuse. In addition, the Program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs that support key government priorities such as the Smoke-Free Ontario Strategy, Healthy Kids Strategy, Diabetes Strategy, Problem Gambling Strategy and Aboriginal/Indigenous Health and Wellness.

The Program sets standards, protocols and performance targets for boards of health and provides policy and program oversight to ensure accountability of the public health system and other funded service providers.

Vote summary

Operating expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Health promotion$392,244,200$388,259,100$3,985,100$350,975,978
 Total operating expense to be voted$392,244,200$388,259,100$3,985,100$350,975,978
 Total operating expense$392,244,200$388,259,100$3,985,100$350,975,978

Operating assets

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
2Health promotion$250,000$250,000--
 Total operating assets to be voted$250,000$250,000--
 Total operating assets$250,000$250,000--

Standard account by item and sub-items

Operating expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1414-1Health promotion  
 Salaries and wages $6,366,900
 Employee benefits $713,800
 Transportation and communication $465,900
 Services $12,683,800
 Supplies and equipment $222,500
 Transfer payments  
 Official local health agencies - health promotion$265,312,200 
 Nutrition/healthy eating$25,710,400 
 Prevent disease, injury and addiction$14,394,600 
 Healthy communities fund$4,075,000 
 Local capacity and coordination$1,096,800 
 Smoke - free Ontario$61,202,300$371,791,300
 Total operating expense to be voted $392,244,200
 Total operating expense for health promotion $392,244,200

Operating assets

Vote - item numberStandard account by item and sub-itemsAmount
1414-2Health promotion 
 Advances and recoverable amounts 
 Official local health agencies - health promotion$250,000
 Total operating assets to be voted$250,000
 Total operating assets for health promotion$250,000

Health Capital Program - vote 1407

Health Capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated cancer programs and community health agencies.

Vote summary

Capital expense

Item numberItemEstimates 2016‑17Estimates 2015‑16Difference between 2016‑17 and 2015‑16Actual 2014‑15
1Health Capital$1,450,847,800$1,465,807,000($14,959,200)$1,470,955,063
 Total capital expense to be voted$1,450,847,800$1,465,807,000($14,959,200)$1,470,955,063
 Total capital expense$1,450,847,800$1,465,807,000($14,959,200)$1,470,955,063

Standard account by item and sub-items

Capital expense

Vote - item numberStandard account by item and sub-itemsAmountAmount
1407-1Health Capital  
 Transfer payments  
 Major hospital projects$1,084,805,000 
 Health infrastructure renewal fund$175,000,000 
 Small hospital projects$40,000,000 
 Medical and diagnostic equipment fund$34,500,000 
 Long - term care programs$4,812,000 
 Community health programs$80,865,500 
 Public health laboratories$17,260,800 
 Integrated health facility programs$1,317,400$1,438,560,700
 Other transactions  
 Provincial psychiatric hospitals divestment$10,000,000 
 Facilities Condition Assessment Program$2,287,100$12,287,100
 Total capital expense to be voted $1,450,847,800
 Total capital expense for Health Capital Program $1,450,847,800