Expenditure Estimates for the Ministry of Health and Long Term Care (2017-18)

The 2017-2018 Expenditure Estimates set out details of the operating and capital spending requirements of the Ministry of Health and Long Term Care for the fiscal year commencing April 1, 2017.

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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
Restated total operating expense	$51,350,170,260	$50,231,916,056
Total operating expense previously published^{footnote 1[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	-

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
	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

Updated: January 15, 2026

Published: May 18, 2017

Footnotes

footnote[1] Back to paragraph Total operating expense includes statutory appropriations, special warrants and total operating expense to be voted.