Expenditure Estimates for the Ministry of Long-Term Care (2025–26)

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

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Summary

Ontario is continuing to implement its strategic priorities to fix the long-term care system so every resident experiences the best possible quality of life, supported by safe and high-quality care. To support this, the Government is making investments in four priority areas — Creating Conditions to Build Homes; Funding System Services and Operations in Long-Term Care and Community; Increasing Staffing Supply to Support Direct Resident Care; and Improving Accountability, Enforcement, and Transparency.

The Ministry of Long-Term Care (the “ministry”) also works alongside the Ministry of Health, Ontario Health, and Ontario Health atHome to put people at the centre of their care by making sure patients receive care, support, dignity, and respect as they transition out of hospital and into a long-term care home of their choice.

Ministry program summary

Operating expense
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
4501	Ministry Administration Program	13,109,400	11,218,100	1,891,300	9,664,473
4502	Long-Term Care Homes Program	9,279,277,500	9,423,998,400	(144,720,900)	7,971,260,807
	Total operating expense to be voted	9,292,386,900	9,435,216,500	(142,829,600)	7,980,925,280
	Special appropriations	314,014	314,014	-	45,015
	Ministry total operating expense	9,292,700,914	9,435,530,514	(142,829,600)	7,980,970,295
	Consolidation adjustment — Ontario Health	(5,495,626,900)	(5,013,477,600)	(482,149,300)	(5,070,327,501)
	Consolidation adjustment — Hospitals	(249,403,600)	(188,017,300)	(61,386,300)	(214,200,336)
	Consolidation adjustment — School boards	(5,500,000)	-	(5,500,000)	(4,997,871)
	Consolidation adjustment — Colleges	(4,942,300)	(12,220,300)	7,278,000	(6,552,772)
	Other adjustments — Bill 124	-	-	-	(1,389,470)
	Consolidation adjustment — General real estate portfolio	-	-	-	(1,474,205)
	Consolidation adjustment — Ontario Infrastructure and Lands Corporation	(3,000,000)	(3,000,000)	-	(2,229,077)
	Total including consolidation and other adjustments	3,534,228,114	4,218,815,314	(684,587,200)	2,679,799,063

Operating assets
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
4502	Long-Term Care Homes Program	20,430,000	20,430,000	-	20,429,959
	Total operating assets to be voted	20,430,000	20,430,000	-	20,429,959
	Ministry total operating assets	20,430,000	20,430,000	-	20,429,959

Capital expense
Vote	Program	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
4502	Long-Term Care Homes Program	1,000	1,000	-	28,997,700
	Total capital expense to be voted	1,000	1,000	-	28,997,700
	Ministry total capital expense	1,000	1,000	-	28,997,700
	Consolidation adjustment — Hospitals	-	-	-	(28,997,700)
	Total including consolidation and other adjustments	1,000	1,000	-	-
	Ministry total operating and capital including consolidation and other adjustments (not including assets)	3,534,229,114	4,218,816,314	(684,587,200)	2,679,799,063

Reconciliation to previously published data

Operating expense	Estimates 2024–25 $	Actual 2023–24 $
Total operating expense previously published ^{footnote 1[1]}	9,339,789,314	7,863,945,101
Government reorganization
Transfer of functions from other Ministries	96,762,000	119,475,194
Transfer of functions to other Ministries	(1,020,800)	(2,450,000)
Restated total operating expense	9,435,530,514	7,980,970,295

Ministry administration program — vote 4501

The Ministry Administration Program, which includes the Offices of the Minister, Deputy Minister, the Parliamentary Assistant, Corporate Services and the Communications Branch, delivers planning, advisory, strategic human resources, integrated business services and controllership activities, and guides the overall direction of the Ministry to support Government priorities.

Vote summary

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
	Operating expense
1	Ministry administration	13,109,400	11,218,100	1,891,300	9,664,473
	Total operating expense to be voted	13,109,400	11,218,100	1,891,300	9,664,473
S	Minister's salary, the Executive Council Act	47,841	47,841	-	28,348
S	Parliamentary assistant's salary, the Executive Council Act	16,173	16,173	-	16,667
	Total statutory appropriations	64,014	64,014	-	45,015
	Total operating expense	13,173,414	11,282,114	1,891,300	9,709,488

Standard account by item and sub-items

Operating expense
Vote- item number	Standard account by item and sub-items	Amount $	Amount $
4501-1	Ministry administration
	Salaries and wages		11,305,800
	Employee benefits		664,800
	Transportation and communication		134,200
	Services		990,600
	Supplies and equipment		14,000
	Total operating expense to be voted		13,109,400
	Sub-items:
	Main office
	Salaries and wages	8,660,500
	Employee benefits	346,200
	Transportation and communication	97,900
	Services	170,200
	Supplies and equipment	7,100	9,281,900
	Communications
	Salaries and wages	2,645,300
	Employee benefits	318,600
	Transportation and communication	36,300
	Services	820,400
	Supplies and equipment	6,900	3,827,500
	Total operating expense to be voted		13,109,400
	Statutory appropriations
Statutory	Minister's salary, the Executive Council Act		47,841
Statutory	Parliamentary assistant's salary, the Executive Council Act		16,173
	Total operating expense for ministry administration program		13,173,414

Long-Term Care Homes Program — vote 4502

Ontario is continuing to implement its strategic priorities to fix the long-term care system so every resident can experience the best possible quality of life, supported by safe and high-quality care, while fostering innovative policies and programs to improve the care provided to individuals aging in the community. To support this, the Government is making investments in four priority areas: Creating Conditions to Build Homes; Funding System Services and Operations in Long-Term Care and Community; Increasing Staffing Supply to Support Direct Resident Care; and Improving Accountability, Enforcement, and Transparency.

The ministry will continue to make progress on growing long-term care home capacity by developing 58,000 new and upgraded long-term care beds by 2028 and enhancing health human resource capacity in those homes to support the legislated direct hours of care targets. Additionally, the ministry aims to promote a culture of continuous quality improvement by collaborating with partners to provide appropriate care for long-term care residents and seniors in the community, addressing their complex and diverse needs. This includes better dementia care, enhanced clinical and diagnostic services, and Community Paramedicine for LTC. Furthermore, the ministry will drive performance and accountability through enhanced inspections and enforcement tools, performance management, and quality improvement initiatives.

Vote summary

Operating expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
1	Long-Term Care Homes Program	9,279,277,500	9,423,998,400	(144,720,900)	7,971,260,807
	Total operating expense to be voted	9,279,277,500	9,423,998,400	(144,720,900)	7,971,260,807
S	Bad debt expense, the Financial Administration Act	250,000	250,000	-	-
	Total statutory appropriations	250,000	250,000	-	-
	Total operating expense	9,279,527,500	9,424,248,400	(144,720,900)	7,971,260,807

Operating assets
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
10	Long-Term Care Program	20,430,000	20,430,000	-	20,429,959
	Total operating assets to be voted	20,430,000	20,430,000	-	20,429,959
	Total operating expense	20,430,000	20,430,000	-	20,429,959

Capital expense
Item number	Item	Estimates 2025–26 $	Estimates 2024–25 $	Difference Between 2025–26 and 2024–25 $	Actual 2023–24 $
2	Long-Term Care Program	1,000	1,000	-	28,997,700
	Total operating assets to be voted	1,000	1,000	-	28,997,700
	Total capital expense	1,000	1,000	-	28,997,700

Standard account by item and sub-items

Operating expense
Vote- item number	Standard account by item and sub-items	Amount $	Amount $
4502-1	Long-Term Care Homes Program
	Salaries and wages		70,470,300
	Employee benefits		8,830,300
	Transportation and communication		3,107,600
	Services		22,385,500
	Supplies and equipment		222,100
	Transfer payments
	Long-Term Care Homes – Development	914,264,900
	Long-Term Care Homes — System capacity and modernization	2,926,526,200
	Long-Term Care Homes – Operations	5,333,470,600	9,174,261,700
	Total operating expense to be voted		9,279,277,500
	Statutory appropriations
	Other transactions
Statutory	Bad debt expense, the Financial Administration Act		250,000
	Total operating expense for Long-Term Care Homes Program		9,279,527,500

Operating assets
Vote- item number	Standard account by item and sub-items	Amount $
4502-10	Long-Term Care Program
	Advances and recoverable amounts
	Long-Term Care Homes — Operations	20,430,000
	Total operating expense to be voted	20,430,000
	Total capital expense for Long-Term Care Homes Program	20,430,000

Capital assets
Vote- item number	Standard account by item and sub-items	Amount $
4502-2	Long-Term Care Program
	Other transactions	1,000
	Total operating expense to be voted	1,000
	Total capital expense for Long-Term Care Homes Program	1,000

Updated: June 04, 2025

Published: June 04, 2025

Footnotes

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