Summary

The Ministry of Health and Long-Term Care is working to establish a patient-focused, results-driven, integrated and sustainable publicly funded health system. Its plan for building a sustainable public health care system in Ontario is based on helping people stay healthy, delivering good care when people need it, and protecting the health system for future generations.

This work is focused on implementation of the Patients First Action Plan through delivery of integrated and comprehensive health services across primary and specialist care, home and community care, hospitals, and other health care settings.

Ministry Program Summary

Vote Program Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        

1401

Ministry Administration Program

$121,101,900

$121,101,900

-

$111,420,651

1402

Health Policy and Research Program

$820,924,600

$806,244,600

$14,680,000

$803,506,069

1403

eHealth and Information Management Program

$483,459,500

$496,269,500

($12,810,000)

$421,249,590

1405

Ontario Health Insurance Program

$19,437,080,300

$18,487,795,000

$949,285,300

$18,342,675,219

1406

Population and Public Health Program

$1,230,440,300

$1,235,617,600

($5,177,300)

$1,136,787,254

1411

Local Health Integration Networks and related health service providers

$27,130,722,000

$26,313,116,200

$817,605,800

$25,526,164,666

1412

Provincial programs and stewardship

$3,961,286,200

$3,745,218,200

$216,068,000

$3,747,090,490

1413

Information systems

$139,521,200

$144,377,900

($4,856,700)

$142,349,482
 

Total operating expense to be voted

$53,324,536,000

$51,349,740,900

$1,974,795,100

$50,231,243,421
 

Statutory appropriations

$509,360

$429,360

$80,000

$672,635
 

Ministry total operating expense

$53,325,045,360

$51,350,170,260

$1,974,875,100

$50,231,916,056
 

Consolidation adjustment - Cancer Care Ontario

$7,721,600

$1,743,800

$5,977,800

$1,076,215
 

Consolidation adjustment - eHealth Ontario

-

-

-

($16,743,500)
 

Consolidation adjustment - Hospitals

($1,160,436,800)

($1,005,122,200)

($155,314,600)

($510,266,928)
 

Consolidation adjustment - Local Health Integration Networks

-

-

-

($740,928)
 

Consolidation adjustment - Ornge

($15,018,100)

($12,898,400)

($2,119,700)

($24,007,832)
 

Consolidation adjustment - Funding to colleges

($1,827,000)

($1,795,000)

($32,000)

($2,197,467)
 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

($319,300)

($261,500)

($57,800)

$4,862,580
 

Consolidation adjustment - Other

-

-

-

($110,567,242)
 

Total including consolidation & other adjustments

$52,155,165,760

$50,331,836,960

$1,823,328,800

$49,573,330,954
 

Operating assets

        

1402

Health Policy and Research Program

$4,500,000

$4,500,000

-

$4,500,000

1405

Ontario Health Insurance Program

$7,500,000

$7,500,000

-

$8,450,000

1406

Population and Public Health Program

$750,000

$750,000

-

-

1411

Local Health Integration Networks and related health service providers

$58,537,600

$58,537,600

-

$58,537,559

1412

Provincial programs and stewardship

$11,229,400

$11,229,400

-

$11,029,400
 

Total operating assets to be voted

$82,517,000

$82,517,000

-

$82,516,959
 

Ministry total operating assets

$82,517,000

$82,517,000

-

$82,516,959
 

Capital expense

        

1403

eHealth and Information Management Program

$36,745,100

$30,172,100

$6,573,000

$55,800,000

1413

Information systems

$1,000

$1,000

-

-

1407

Health Capital Program

$1,638,630,200

$1,450,847,800

$187,782,400

$1,108,432,136
 

Total capital expense to be voted

$1,675,376,300

$1,481,020,900

$194,355,400

$1,164,232,136
 

Statutory appropriations

$14,563,800

$12,284,700

$2,279,100

$16,809,899
 

Ministry total capital expense

$1,689,940,100

$1,493,305,600

$196,634,500

$1,181,042,035
 

Consolidation adjustment - Cancer Care Ontario

$857,100

$596,200

$260,900

$1,095,000
 

Consolidation adjustment - eHealth Ontario

$18,188,000

$25,510,700

($7,322,700)

($10,947,000)
 

Consolidation adjustment - Hospitals

($96,959,100)

$7,098,200

($104,057,300)

$253,812,098
 

Consolidation adjustment - Local Health Integration Networks

$722,800

$368,700

$354,100

$1,323,510
 

Consolidation adjustment - Ornge

$12,210,600

$11,895,500

$315,100

$10,508,983
 

Consolidation adjustment - Ontario Agency for Health Protection and Promotion

($17,297,400)

($7,350,000)

($9,947,400)

$410,696
 

Total including consolidation & other adjustments

$1,607,662,100

$1,531,424,900

$76,237,200

$1,437,245,322
 

Capital assets

        

1413

Information systems

$30,583,000

$25,302,800

$5,280,200

$10,619,598
 

Total capital assets to be voted

$30,583,000

$25,302,800

$5,280,200

$10,619,598
 

Ministry total capital assets

$30,583,000

$25,302,800

$5,280,200

$10,619,598
 

Ministry total operating and capital including consolidation and other adjustments (not including assets)

$53,762,827,860

$51,863,261,860

$1,899,566,000

$51,010,576,276

Reconciliation to previously published data

Operating expense 2016-17
estimates		 2015-16
actual
Total operating expense previously publishedfootnote 1

$51,272,123,560

$50,288,663,268
Government reorganization    

Transfer of functions to other Ministries

($62,232,900)

($56,747,212)
Supplementary estimates    

2016-17 Supplementary estimates

$140,279,600

-
Restated total operating expense $51,350,170,260 $50,231,916,056

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 and fiscal planning; health system investment and funding policies and decisions; audit; supply chain and contract management; facilities; government pharmacy; subrogation; strategic human resources including: talent, performance and succession management; workforce planning and resource management; employee engagement and inclusion; employee health, safety and wellness strategies; strategic labour relations and contingency planning; organizational change strategies 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.

The Office of the Chief Medical Officer of Health (CMOH) provides strategic direction and leadership to the public health sector, informs and influences ministry strategic priorities and policy decisions, and provides advice to three levels of government. The CMOH has specific legislative responsibilities set out in the Health Protection and Promotion Act.

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, and the Ontario Hepatitis C Assistance Plan Review Committee.

Vote summary

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Ministry administration

$113,726,500

$113,726,500

-

$105,087,009
2 Ontario Review Board

$7,375,400

$7,375,400

-

$6,333,642
 

Total operating expense to be voted

$121,101,900

$121,101,900

-

$111,420,651
S Minister’s salary, the Executive Council Act

$47,841

$47,841

-

$49,301
S Parliamentary assistants' salaries, the Executive Council Act

$48,519

$48,519

-

$33,334
 

Total statutory appropriations

$96,360

$96,360

-

$82,635
 

Total operating expense

$121,198,260

$121,198,260

-

$111,503,286

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount
 

Operating expense

    

1401-1

Ministry administration

    
 

Salaries and wages

  

$53,167,500
 

Employee benefits

  

$13,441,600
 

Transportation and communication

  

$3,379,100
 

Services

  

$43,173,800
 

Supplies and equipment

  

$641,200
 

Subtotal

  

$113,803,200
 

Less: recoveries

  

$76,700
 

Total operating expense to be voted

  

$113,726,500
 

Sub-items:

    
 

Main office

    
 

Salaries and wages

$7,254,200

  
 

Employee benefits

$948,000

  
 

Transportation and communication

$250,500

  
 

Services

$1,136,800

  
 

Supplies and equipment

$20,100

$9,609,600
 

Financial and administrative services

    
 

Salaries and wages

$35,434,600

  
 

Employee benefits

$10,967,500

  
 

Transportation and communication

$2,539,800

  
 

Services

$30,137,900

  
 

Supplies and equipment

$476,400

  
 

Subtotal

$79,556,200

  
 

Less: recoveries

$76,700

$79,479,500
 

Human resources

    
 

Salaries and wages

$2,815,600

  
 

Employee benefits

$408,300

  
 

Transportation and communication

$57,300

  
 

Services

$787,100

  
 

Supplies and equipment

$10,700

$4,079,000
 

Communications services

    
 

Salaries and wages

$7,542,400

  
 

Employee benefits

$1,115,300

  
 

Transportation and communication

$476,000

  
 

Services

$4,872,700

  
 

Supplies and equipment

$89,200

$14,095,600
 

Legal services

    
 

Salaries and wages

$120,700

  
 

Employee benefits

$2,500

  
 

Transportation and communication

$55,500

  
 

Services

$2,973,500

  
 

Supplies and equipment

$44,800

$3,197,000
 

Audit services

    
 

Services

$3,265,800

$3,265,800
 

Total operating expense to be voted

  

$113,726,500
 

Statutory appropriations

    

Statutory

Minister’s salary, the Executive Council Act

  

$47,841

Statutory

Parliamentary assistants' salaries, the Executive Council Act

  

$48,519

1401-2

Ontario Review Board

    
 

Salaries and wages

  

$1,280,100
 

Employee benefits

  

$204,100
 

Transportation and communication

  

$607,800
 

Services

  

$5,226,800
 

Supplies and equipment

  

$56,600
 

Total operating expense to be voted

  

$7,375,400
 

Total operating expense for ministry administration program

  

$121,198,260

Health Policy and Research Program - vote 1402

The Health Policy and Research Program integrates health system research evidence as well as strategy and program policy to provide strategic directions with respect to health workforce planning, health workforce regulatory oversight 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 the regulatory framework that governs Ontario’s workforce (regulated health professions and other providers within the system); 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.

Vote summary

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Health policy and research

$820,924,600

$806,244,600

$14,680,000

$803,506,069
 

Total operating expense to be voted

$820,924,600

$806,244,600

$14,680,000

$803,506,069
 

Total operating expense

$820,924,600

$806,244,600

$14,680,000

$803,506,069
 

Operating assets

        
2 Health 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

Vote-item number Standard account by item and sub-items Amount Amount
 

Operating expense

    

1402-1

Health policy and research

    
 

Salaries and wages

  

$20,268,500
 

Employee benefits

  

$3,139,100
 

Transportation and communication

  

$525,400
 

Services

  

$10,861,400
 

Supplies and equipment

  

$127,800
 

Transfer payments

    
 

Clinical education

$742,281,400

  
 

Health System Research Fund

$43,721,000

$786,002,400
 

Total operating expense to be voted

  

$820,924,600
 

Total operating expense for Health Policy and Research Program

  

$820,924,600
 

Operating assets

    

1402-2

Health policy and research

    
 

Advances and recoverable amounts

    
 

Clinical education

  

$4,500,000
 

Total operating assets to be voted

  

$4,500,000
 

Total operating assets for Health Policy and Research Program

  

$4,500,000

eHealth and Information Management Program - vote 1403

eHealth and Information Management is a key enabler of the Patients First: Action Plan for Health Care and is incrementally transforming Ontario’s health care system into one that is more modern, integrated and truly patient-centred. The digital health strategy builds on the digital health assets that the province already has and opens up access to information and healthcare services in new and innovative ways, while strengthening the quality, effectiveness and accountability of our health care system. The strategy recognises the multiplicity of delivery partners and is focused on working together in concert to support a more integrated patient focused health system.

Information Management, Data and Analytics supports policy development, program design, quality improvement, and accountability by governing, capturing, and transforming data into insights, and insights into strategic guidance to keep our healthcare system and 13+ million Ontarians healthy.

Vote summary

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 eHealth and Information Management

$483,459,500

$496,269,500

($12,810,000)

$421,249,590
 

Total operating expense to be voted

$483,459,500

$496,269,500

($12,810,000)

$421,249,590
 

Total operating expense

$483,459,500

$496,269,500

($12,810,000)

$421,249,590
 

Capital expense

        
2 eHealth and Information Management

$36,745,100

$30,172,100

$6,573,000

$55,800,000
 

Total capital expense to be voted

$36,745,100

$30,172,100

$6,573,000

$55,800,000
S Amortization, the Financial Administration Act

$413,000

$413,000

-

$358,316
 

Total statutory appropriations

$413,000

$413,000

-

$358,316
 

Total capital expense

$37,158,100

$30,585,100

$6,573,000

$56,158,316

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount
 

Operating expense

    

1403-1

eHealth and Information Management

    
 

Salaries and wages

  

$17,045,800
 

Employee benefits

  

$2,471,700
 

Transportation and communication

  

$246,600
 

Services

  

$27,326,100
 

Supplies and equipment

  

$261,200
 

Transfer payments

    
 

eHealth Ontario

$319,739,300

  
 

Information technology programs

$102,225,400

  
 

Health system information management

$14,143,400

$436,108,100
 

Total operating expense to be voted

  

$483,459,500
 

Total operating expense for eHealth and Information Management Program

  

$483,459,500
 

Capital expense

    

1403-2

eHealth and information management

    
 

Transfer payments

    
 

eHealth Ontario capital

  

$36,744,100
 

Other transactions

  

$1,000
 

Total capital expense to be voted

  

$36,745,100
 

Statutory appropriations

    
 

Other transactions

    

Statutory

Amortization, the Financial Administration Act

  

$413,000
 

Total capital expense for eHealth and Information Management Program

  

$37,158,100

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 the Health 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

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Ontario Health Insurance

$14,755,929,000

$14,114,056,000

$641,873,000

$13,908,963,487
2 Drug Programs

$4,202,458,100

$3,907,728,100

$294,730,000

$3,955,128,283
4 Assistive Devices Program

$478,693,200

$466,010,900

$12,682,300

$478,583,449
 

Total operating expense to be voted

$19,437,080,300

$18,487,795,000

$949,285,300

$18,342,675,219
S Bad debt expense, the Financial Administration Act

$1,000

$1,000

-

-
S Bad debt expense, the Financial Administration Act

$1,000

$1,000

-

-
 

Total statutory appropriations

$2,000

$2,000

-

-
 

Total operating expense

$19,437,082,300

$18,487,797,000

$949,285,300

$18,342,675,219
 

Operating assets

        
5 Ontario Health Insurance Program

$7,500,000

$7,500,000

-

$8,450,000
 

Total operating assets to be voted

$7,500,000

$7,500,000

-

$8,450,000
 

Total operating assets

$7,500,000

$7,500,000

-

$8,450,000

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount
 

Operating expense

    

1405-1

Ontario Health Insurance

    
 

Salaries and wages

  

$51,403,800
 

Employee benefits

  

$8,853,700
 

Transportation and communication

  

$3,429,000
 

Services

  

$23,934,800
 

Supplies and equipment

  

$502,700
 

Transfer payments

    
 

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

$14,278,648,500

  
 

Independent health facilities

$59,546,400

  
 

Underserviced area plan

$25,315,300

  
 

Northern Travel Program

$54,081,600

  
 

Teletriage services

$24,222,200

  
 

Quality Management Program - laboratory services

$4,598,900

  
 

Midwifery services

$159,188,200

  
 

Disease prevention strategy

$11,454,300

  
 

Health Quality Ontario

$38,280,200

  
 

Quality health initiatives

$12,469,400

$14,667,805,000
 

Total operating expense to be voted

  

$14,755,929,000
 

Statutory appropriations

    
 

Other transactions

    

Statutory

Bad debt expense, the Financial Administration Act

  

$1,000

1405-2

Drug Programs

    
 

Salaries and wages

  

$9,155,900
 

Employee benefits

  

$1,298,600
 

Transportation and communication

  

$806,800
 

Services

  

$21,773,700
 

Supplies and equipment

  

$105,100
 

Transfer payments

    
 

Children and youth pharmacare

$115,000,000

  
 

Ontario drug programs

$4,054,318,000

$4,169,318,000
 

Total operating expense to be voted

  

$4,202,458,100
 

Statutory appropriations

    
 

Other transactions

    

Statutory

Bad debt expense, the Financial Administration Act

  

$1,000

1405-4

Assistive Devices Program

    
 

Salaries and wages

  

$2,797,800
 

Employee benefits

  

$405,700
 

Transportation and communication

  

$552,200
 

Services

  

$1,372,400
 

Supplies and equipment

  

$29,000
 

Transfer payments

    
 

Assistive Devices and Supplies Program

  

$473,536,100
 

Total operating expense to be voted

  

$478,693,200
 

Total operating expense for Ontario Health Insurance Program

  

$19,437,082,300
 

Operating assets

    

1405-5

Ontario Health Insurance Program

    
 

Advances and recoverable amounts

    
 

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

$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

Population and Public Health Program - vote 1406

The mandate of the Population and public health program is to provide direction and leadership to support the ministry’s population and public health agenda and commitment to improving population health outcomes and ensuring the delivery of quality health services through better coordination across Ontario’s health system and associated sectors.

The program supports the government’s priority of keeping Ontarians healthy 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 and transparency and fostering a health system that is ready, willing and able to respond to issues and emergencies.

Vote summary

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
4 Population and public health

$1,230,440,300

$1,235,617,600

($5,177,300)

$1,136,787,254
 

Total operating expense to be voted

$1,230,440,300

$1,235,617,600

($5,177,300)

$1,136,787,254
 

Total operating expense

$1,230,440,300

$1,235,617,600

($5,177,300)

$1,136,787,254
 

Operating assets

        
6 Population and public health

$750,000

$750,000

-

-
 

Total operating assets to be voted

$750,000

$750,000

-

-
 

Total operating assets

$750,000

$750,000

-

-

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount Amount
 

Operating expense

      

1406-4

Population and public health

      
 

Salaries and wages

    

$16,038,500
 

Employee benefits

    

$2,325,500
 

Transportation and communication

    

$893,000
 

Services

    

$27,777,400
 

Supplies and equipment

    

$991,700
 

Transfer payments

      
 

Official local health agencies

  

$737,579,400

  
 

Outbreaks of diseases

  

$170,201,000

  
 

Tuberculosis prevention

  

$9,113,900

  
 

Sexually transmitted diseases control

  

$6,825,200

  
 

Public health associations

  

$332,300

  
 

Infection control

  

$19,900,400

  
 

Ontario Agency for Health Protection and Promotion

  

$147,717,900

  
 

Nutrition/healthy eating

  

$28,080,400

  
 

Prevent disease, injury and addiction

  

$13,024,600

  
 

Healthy communities fund

  

$3,350,000

  
 

Local capacity and coordination

  

$576,800

  
 

Smoke-Free Ontario

  

$45,712,300

$1,182,414,200
 

Total operating expense to be voted

    

$1,230,440,300
 

Total operating expense for Population and Public Health Program

    

$1,230,440,300
 

Operating assets

      

1406-6

Population and public health

      
 

Advances and recoverable amounts

      
 

Official local health agencies

    

$750,000
 

Total operating assets to be voted

    

$750,000
 

Total operating assets for Population and Public Health Program

    

$750,000

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.

Under the Patients First Act, 2016, in 2017 the LHINs will assume direct responsibility for home care (previously the function of Ontario’s 14 Community Care Access Centres) and primary care planning to ensure that patients receive better coordinated care and that the health system is more integrated and responsive to local needs.

The ministry, in partnership with LHINs, ensures the delivery of accessible, community-responsive and high-quality health care for all Ontarians.

Vote summary

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Local Health Integration Networks and related health service providers

$27,130,722,000

$26,313,116,200

$817,605,800

$25,526,164,666
 

Total operating expense to be voted

$27,130,722,000

$26,313,116,200

$817,605,800

$25,526,164,666
S Bad debt expense, the Financial Administration Act

$250,000

$250,000

-

$308,000
 

Total statutory appropriations

$250,000

$250,000

-

$308,000
 

Total operating expense

$27,130,972,000

$26,313,366,200

$817,605,800

$25,526,472,666
 

Operating assets

        
2 Local Health Integration Networks and related health service providers

$58,537,600

$58,537,600

-

$58,537,559
 

Total operating assets to be voted

$58,537,600

$58,537,600

-

$58,537,559
 

Total operating assets

$58,537,600

$58,537,600

-

$58,537,559

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount Amount
 

Operating expense

      

1411-1

Local Health Integration Networks and related health service providers

      
 

Transfer payments

      
 

Erie St. Clair

  

$1,131,053,400

  
 

South West

  

$2,264,936,200

  
 

Waterloo Wellington

  

$1,050,875,900

  
 

Hamilton Niagara Haldimand Brant

  

$2,913,293,700

  
 

Central West

  

$897,466,300

  
 

Mississauga Halton

  

$1,458,400,600

  
 

Toronto Central

  

$4,804,497,600

  
 

Central

  

$2,036,034,900

  
 

Central East

  

$2,248,950,000

  
 

South East

  

$1,118,949,200

  
 

Champlain

  

$2,566,303,300

  
 

North Simcoe Muskoka

  

$871,217,400

  
 

North East

  

$1,459,225,200

  
 

North West

  

$645,976,400

  
 

Health Shared Services Ontario

  

$48,530,200

  
 

Local Health Integration Networks - Supplementary investments

  

$1,615,011,700

$27,130,722,000
 

Total operating expense to be voted

    

$27,130,722,000
 

Sub-items:

      
 

Local Health Integration Networks

      
 

Transfer payments

      
 

Erie St. Clair

$1,131,053,400

    
 

South West

$2,264,936,200

    
 

Waterloo Wellington

$1,050,875,900

    
 

Hamilton Niagara Haldimand Brant

$2,913,293,700

    
 

Central West

$897,466,300

    
 

Mississauga Halton

$1,458,400,600

    
 

Toronto Central

$4,804,497,600

    
 

Central

$2,036,034,900

    
 

Central East

$2,248,950,000

    
 

South East

$1,118,949,200

    
 

Champlain

$2,566,303,300

    
 

North Simcoe Muskoka

$871,217,400

    
 

North East

$1,459,225,200

    
 

North West

$645,976,400

    
 

Health Shared Services Ontario

$48,530,200

$25,515,710,300

$25,515,710,300
 

Local Health Integration Networks - Supplementary investments

      
 

Transfer payments

      
 

Local Health Integration Networks - Supplementary investments

  

$1,615,011,700

$1,615,011,700
 

Total operating expense to be voted

    

$27,130,722,000
 

Statutory appropriations

      
 

Other transactions

      

Statutory

Bad debt expense, the Financial Administration Act

    

$250,000
 

Total operating expense for Local Health Integration Networks and related health service providers

    

$27,130,972,000
 

Operating assets

      

1411-2

Local 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, 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 health capital planning and 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

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Provincial programs

$2,895,735,300

$2,711,146,000

$184,589,300

$2,784,012,497
2 Emergency Health Services

$984,344,600

$944,684,600

$39,660,000

$901,017,358
4 Stewardship

$81,206,300

$89,387,600

($8,181,300)

$62,060,635
 

Total operating expense to be voted

$3,961,286,200

$3,745,218,200

$216,068,000

$3,747,090,490
S Bad debt expense, the Financial Administration Act

$161,000

$81,000

$80,000

$282,000
 

Total statutory appropriations

$161,000

$81,000

$80,000

$282,000
 

Total operating expense

$3,961,447,200

$3,745,299,200

$216,148,000

$3,747,372,490
 

Operating assets

        
5 Provincial 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

Vote-item number Standard account by item and sub-items Amount Amount
 

Operating expense

    

1412-1

Provincial programs

    
 

Transfer payments

    
 

Cancer screening programs

$101,344,800

  
 

Operation of related facilities

$70,732,500

  
 

Cancer Care Ontario

$1,596,832,400

  
 

Canadian Blood Services

$571,858,700

  
 

HIV/AIDS and hepatitis C programs

$65,144,200

  
 

Community and priority services

$489,822,700

$2,895,735,300
 

Total operating expense to be voted

  

$2,895,735,300
 

Statutory appropriations

    
 

Other transactions

    

Statutory

Bad debt expense, the Financial Administration Act

  

$161,000

1412-2

Emergency Health Services

    
 

Salaries and wages

  

$43,655,700
 

Employee benefits

  

$7,669,000
 

Transportation and communication

  

$2,746,800
 

Services

  

$14,013,200
 

Supplies and equipment

  

$578,800
 

Transfer payments

    
 

Payments for ambulance and related emergency services: municipal ambulance

$671,711,400

  
 

Payments for ambulance and related emergency services: other ambulance operations and related emergency services

$69,185,800

  
 

Air ambulance

$174,783,900

$915,681,100
 

Total operating expense to be voted

  

$984,344,600

1412-4

Stewardship

    
 

Salaries and wages

  

$48,384,200
 

Employee benefits

  

$6,433,900
 

Transportation and communication

  

$5,239,200
 

Services

  

$20,877,400
 

Supplies and equipment

  

$271,600
 

Total operating expense to be voted

  

$81,206,300
 

Total operating expense for provincial programs and stewardship

  

$3,961,447,200
 

Operating assets

    

1412-5

Provincial programs and stewardship

    
 

Advances and recoverable amounts

    
 

Payments for ambulance and related emergency services: municipal ambulance

$500,000

  
 

HIV/AIDS and hepatitis C programs

$375,000

  
 

Community and priority services

$4,393,400

  
 

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

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Operating expense

        
1 Information Technology Services – Health Cluster

$139,521,200

$144,377,900

($4,856,700)

$142,349,482
 

Total operating expense to be voted

$139,521,200

$144,377,900

($4,856,700)

$142,349,482
 

Total operating expense

$139,521,200

$144,377,900

($4,856,700)

$142,349,482
 

Capital expense

        
3 Information systems

$1,000

$1,000

-

-
 

Total capital expense to be voted

$1,000

$1,000

-

-
S Amortization, the Financial Administration Act

$14,150,800

$11,871,700

$2,279,100

$16,451,583
 

Total statutory appropriations

$14,150,800

$11,871,700

$2,279,100

$16,451,583
 

Total capital expense

$14,151,800

$11,872,700

$2,279,100

$16,451,583
 

Capital assets

        
4 Information systems

$30,583,000

$25,302,800

$5,280,200

$10,619,598
 

Total capital assets to be voted

$30,583,000

$25,302,800

$5,280,200

$10,619,598
 

Total Capital assets

$30,583,000

$25,302,800

$5,280,200

$10,619,598

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount
 

Operating expense

  

1413-1

Information Technology Services – Health Cluster

  
 

Salaries and wages

$46,025,200
 

Employee benefits

$7,130,000
 

Transportation and communication

$2,455,700
 

Services

$80,915,500
 

Supplies and equipment

$2,994,800
 

Total operating expense to be voted

$139,521,200
 

Total operating expense for Information systems

$139,521,200
 

Capital expense

  

1413-3

Information systems

  
 

Other transactions

$1,000
 

Total capital expense to be voted

$1,000
 

Statutory appropriations

  
 

Other transactions

  

Statutory

Amortization, the Financial Administration Act

$14,150,800
 

Total capital expense for information systems

$14,151,800
 

Capital assets

  

1413-4

Information systems

  
 

Information technology hardware

$13,864,900
 

Business application software - asset costs

$16,718,100
 

Total capital assets to be voted

$30,583,000
 

Total capital assets for information systems

$30,583,000

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

Item number Item Estimates
2017-18		 Estimates
2016-17		 Difference between
2017-18 and
2016-17		 Actual
2015-16
 

Capital expense

        
1 Health Capital

$1,638,630,200

$1,450,847,800

$187,782,400

$1,108,432,136
 

Total capital expense to be voted

$1,638,630,200

$1,450,847,800

$187,782,400

$1,108,432,136
 

Total capital expense

$1,638,630,200

$1,450,847,800

$187,782,400

$1,108,432,136

Standard account by item and sub-items

Vote-item number Standard account by item and sub-items Amount Amount
 

Capital expense

    

1407-1

Health Capital

    
 

Transfer payments

    
 

Major hospital projects

$1,237,109,800

  
 

Health Infrastructure Renewal Fund

$175,000,000

  
 

Small hospital projects

$50,000,000

  
 

Medical and Diagnostic Equipment Fund

$34,500,000

  
 

Long-term care programs

$4,812,000

  
 

Community health programs

$85,133,900

  
 

Public health laboratories

$24,590,000

  
 

Integrated health facility programs

$2,648,700

$1,613,794,400
 

Other transactions

    
 

Provincial psychiatric hospitals divestment

$23,078,000

  
 

Health infrastructure information systems

$1,757,800

$24,835,800
 

Total capital expense to be voted

  

$1,638,630,200
 

Total capital expense for Health Capital Program

  

$1,638,630,200