Summary

The Ministry of Health is working to deliver connected and convenient care to Ontarians.

The ministry's mission is to help people stay healthy, deliver high-quality care when and where they need it, and protect the health care system for future generations.

Ministry program summary

Vote Program

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1401 Ministry Administration Program $98,898,500 $98,948,400 ($49,900) $87,430,276
1402 Health Policy and Research Program $1,085,777,100 $1,329,373,700 ($243,596,600) $804,018,136
1403 Digital Health and Information Management Program $189,182,200 $264,393,200 ($75,211,000) $184,399,469
1405 Ontario Health Insurance Program $25,073,958,200 $24,192,436,500 $881,521,700 $22,870,219,533
1406 Population and Public Health Program $1,731,548,500 $3,412,424,900 ($1,680,876,400) $4,155,731,854
1412 Provincial Programs and Stewardship $2,873,818,700 $3,031,030,000 ($157,211,300) $2,641,843,861
1413 Information Systems $222,374,200 $248,317,300 ($25,943,100) $245,037,837
1416 Health Services and Programs $34,670,886,100 $34,018,206,800 $652,679,300 $33,658,104,086
  Total operating expense to be voted $65,946,443,500 $66,595,130,800 ($648,687,300) $64,646,785,052
  Statutory appropriations $397,172,365 $89,392 $397,082,973 $95,194,040
  Ministry total operating expense $66,343,615,865 $66,595,220,192 ($251,604,327) $64,741,979,092
  Consolidation Adjustment - Hospitals $4,278,507,300 $4,089,709,100 $188,798,200 $2,383,249,476
  Consolidation Adjustment - Home and Community Care Support Services $17,816,700 $22,645,500 ($4,828,800) ($38,707,414)
  Consolidation Adjustment - ORNGE ($21,812,500) ($21,388,100) ($424,400) ($29,053,514)
  Consolidation Adjustment - Funding to Colleges ($7,339,600) ($6,430,900) ($908,700) ($5,278,819)
  Consolidation Adjustment - Ontario Agency for Health Protection and Promotion ($22,719,900) ($14,576,600) ($8,143,300) ($86,778,284)
  Consolidation Adjustment - Ontario Health $5,022,602,800 $4,656,556,200 $366,046,600 $4,307,335,873
  Consolidation Adjustment - School Boards - - - ($28,000,000)
  Consolidation Adjustment – Children Aid Societies ($22,572,300) - ($22,572,300) -
  Consolidation Adjustment - General Real Estate Portfolio ($6,553,500) ($6,326,200) ($227,300) ($7,973,914)
  Consolidation Adjustment - Ontario Infrastructure and Lands Corporation - - - ($1,330,954)
  Total including consolidation & other adjustments $75,581,544,865 $75,315,409,192 $266,135,673 $71,235,441,542

Operating assets
1401 Ministry Administration Program $1,000 $1,000 - -
1402 Health Policy and Research Program $4,500,000 $4,500,000 - -
1405 Ontario Health Insurance Program $13,000,000 $13,000,000 - $13,000,000
1406 Population and Public Health Program $207,751,000 $750,000 $207,001,000 $1,435,418,351
1412 Provincial Programs and Stewardship $5,729,400 $5,729,400 - $5,329,400
1416 Health Services and Programs $38,107,600 $38,107,600 - $38,106,600
  Total operating assets to be voted $269,089,000 $62,088,000 $207,001,000 $1,491,854,351
  Ministry total operating assets $269,089,000 $62,088,000 $207,001,000 $1,491,854,351

Capital expense
1413 Information Systems $1,000 $1,000 - -
1416 Health Services and Programs $5,216,100 $23,066,100 ($17,850,000) $5,000,000
1407 Health capital Program $2,340,819,600 $1,711,194,000 $629,625,600 $1,558,925,161
  Total capital expense to be voted $2,346,036,700 $1,734,261,100 $611,775,600 $1,563,925,161
  Statutory appropriations $16,692,200 $19,985,300 ($3,293,100) $15,593,201
  Ministry total capital expense $2,362,728,900 $1,754,246,400 $608,482,500 $1,579,518,362
  Consolidation Adjustment - Hospitals ($116,167,300) $414,886,600 ($531,053,900) $529,333,399
  Consolidation Adjustment - Home and Community Care Support Services $1,551,000 $2,396,200 ($845,200) $2,368,295
  Consolidation Adjustment - ORNGE $17,508,400 $15,472,400 $2,036,000 $12,056,650
  Consolidation Adjustment - Ontario Agency for Health Protection and Promotion $7,504,500 $9,872,100 ($2,367,600) $11,654,933
  Consolidation Adjustment - Ontario Health $6,235,100 ($4,845,200) $11,080,300 $16,241,000
  Consolidation Adjustment - Ontario Infrastructure and Lands Corporation - - - ($31,874)
  Consolidation Adjustment - General Real Estate Portfolio ($1,233,200) ($3,189,000) $1,955,800 ($30,209)
  Total including consolidation & other adjustments $2,278,127,400 $2,188,839,500 $89,287,900 $2,151,110,556

Capital assets
1413 Information Systems $20,045,700 $18,121,400 $1,924,300 $10,831,035
  Total capital assets to be voted $20,045,700 $18,121,400 $1,924,300 $10,831,035
  Ministry total capital assets $20,045,700 $18,121,400 $1,924,300 $10,831,035
  Ministry total operating and capital including consolidation and other adjustments (not including assets) $77,859,672,265 $77,504,248,692 $355,423,573 $73,386,552,098

Reconciliation to previously published data

Operating expense

Estimates
2022-23

Actual
2021-22
Total operating expense previously publishedfootnote 1 $66,635,114,392 $64,734,966,205
Government reorganization    

Transfer of functions from other ministries

 - $7,649,908

Transfer of functions to other ministries

 ($39,894,200) ($637,021)
Restated total operating expense $66,595,220,192 $64,741,979,092

Ministry Administration Program - Vote 1401

Ministry Administration provides support to the Minister of Health and the Minister of Long-Term Care to meet the requirements of the ministries' portfolios, ministry management, accountability, controllership and risk 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; procurement; accommodations planning; government pharmacy; strategic human resources including: organizational change strategies and implementation; talent, performance and succession management; workforce planning and resource management; engagement and equity; diversity and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; agency liaison and oversight; legal; communications; financial management including: delivering and providing financial services, support and advice to other stakeholders to support the successful attainment of ministry goals and objectives using modern controllership practices through forecasting, reporting and in-year management expense control, and reporting corporately to central agencies for internal and published financial documents.

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, and the Ontario Hepatitis C Assistance Plan Review Committee.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Ministry Administration $98,898,500 $98,948,400 ($49,900) $87,430,276
  Total operating expense to be voted $98,898,500 $98,948,400 ($49,900) $87,430,276
S Minister's Salary, the Executive Council Act $47,841 $47,841 - $49,301
S Minister without Portfolio's Salary, the Executive Council Act $22,378 $22,378 - $22,378
S Parliamentary Assistants' Salaries, the Executive Council Act $32,346 $16,173 $16,173 $16,667
S Government Pharmacy, the Financial Administration Act - - - $57,539,848
  Total statutory appropriations $102,565 $86,392 $16,173 $57,628,194
  Total operating expense $99,001,065 $99,034,792 ($33,727) $145,058,470

Operating assets
6 Ontario Government Pharmaceutical and Medical Supply Service $1,000 $1,000 - -
  Total operating assets to be voted $1,000 $1,000 - -
  Total operating assets $1,000 $1,000 - -

Standard account by item and sub-items

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

Operating expense
1401-1 Ministry Administration    
 

Salaries and wages

   $43,864,100
 

Employee benefits

   $12,076,100
 

Transportation and communication

   $3,967,500
 

Services

   $38,379,300
 

Supplies and equipment

   $688,200
  Subtotal   $98,975,200
  Less: Recoveries   $76,700
  Total operating expense to be voted   $98,898,500
  Sub-Items:    
  Main Office    
 

Salaries and wages

 $5,007,600  
 

Employee benefits

 $622,200  
 

Transportation and communication

 $231,100  
 

Services

 $475,800  
 

Supplies and equipment

 $10,500 $6,347,200
  Financial and Administrative Services    
 

Salaries and wages

 $29,242,200  
 

Employee benefits

 $10,027,000  
 

Transportation and communication

 $3,147,600  
 

Services

 $30,438,400  
 

Supplies and equipment

 $533,000  
 

Subtotal

 $73,388,200  
 

Less: Recoveries

 $76,700 $73,311,500
  Human Resources    
 

Salaries and wages

 $2,815,600  
 

Employee benefits

 $408,300  
 

Transportation and communication

 $57,300  
 

Services

 $411,000  
 

Supplies and equipment

 $10,700 $3,702,900
  Communications Services    
 

Salaries and wages

 $6,798,700  
 

Employee benefits

 $1,018,600  
 

Transportation and communication

 $476,000  
 

Services

 $4,314,600  
 

Supplies and equipment

 $89,200 $12,697,100
  Legal Services    
 

Transportation and communication

 $55,500  
 

Services

 $2,739,500  
 

Supplies and equipment

 $44,800 $2,839,800
  Total operating expense to be voted   $98,898,500
  Statutory appropriations    
Statutory

Minister's Salary, the Executive Council Act

   $47,841
Statutory

Minister without Portfolio's Salary, the Executive Council Act

   $22,378
Statutory

Parliamentary Assistants' Salaries, the Executive Council Act

   $32,346
  Total operating expense for Ministry Administration Program   $99,001,065

Operating assets
1401-6 Ontario Government Pharmaceutical and Medical Supply Service    
 

Deposits and prepaid expenses

   $1,000
  Total operating assets to be voted   $1,000
  Total operating assets for Ministry Administration Program   $1,000

Health Policy and Research Program - Vote 1402

The Health Policy and Research Program integrates health system research evidence, innovation, strategy, and program policy in support of policy and planning priorities across the ministry including health workforce planning and regulatory oversight in Ontario. System-wide planning allows the ministry to: support legislation and policy development; monitor alignment with the strategic directions; select and manage portfolios, strategy and other initiatives within the ministry to further objectives and priorities across the ministry including those 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). The work includes targeted investment, administration of funding programs, applied health evidence supports, integrated knowledge translation, oversight and synthesis of health services/population health research, health system innovation, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. The work also includes the Indigenous Health Engagement Fund which is dedicated to improving health outcomes for First Nations, Inuit, Métis, and urban Indigenous people in Ontario, and includes ongoing support for ministry engagement with Indigenous partners, as well as enhanced life promotion and crisis support services.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Health Policy and Research $1,085,777,100 $1,329,373,700 ($243,596,600) $804,018,136
  Total operating expense to be voted $1,085,777,100 $1,329,373,700 ($243,596,600) $804,018,136
  Total operating expense $1,085,777,100 $1,329,373,700 ($243,596,600) $804,018,136

Operating assets
2 Health Policy and Research $4,500,000 $4,500,000 - -
  Total operating assets to be voted $4,500,000 $4,500,000 - -
  Total operating assets $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

   $17,485,100
 

Employee benefits

   $2,735,500
 

Transportation and communication

   $525,400
 

Services

   $9,612,300
 

Supplies and equipment

   $127,800
 

Transfer payments

    
 

Clinical Education

 $1,022,875,500  
 

Applied Health Evidence Program

 $32,415,500 $1,055,291,000
  Total operating expense to be voted   $1,085,777,100
  Total operating expense for Health Policy and Research Program   $1,085,777,100

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

Digital Health and Information Management Program - Vote 1403

Digital Health and Information Management leverages Ontario's digital health technology to deliver a more modern, integrated and digitally enabled health system experience for patients.

Digital Health enables innovative, integrated health care delivery through standards-based supports for improving health system interoperability and reducing fragmentation and redundancy. The Ontario's Digital First for Health (DFfH) strategy will bring the patient health experience into the 21st century by offering more choices and making access to health care simpler, easier and more convenient for patients. The DFfH strategy builds on Ontario's digital health foundations and leverages health technology to provide patients with more choice and providers with more tools to deliver the best possible care. DFfH is central to the Ministry of Health's efforts to deliver on its priorities, in particular, the ministry's commitments to end hallway health care and deliver a more integrated health system. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.

Information Management Strategy and Policy develops vision and strategy for a more frictionless health data ecosystem. This workstream supports strategic system planning, policy development, legislation and regulation related to Ontario's health data, including ensuring privacy protection to enable a person-centred learning health system. It enables greater consistency in data management to improve care delivery across the province in continued support of the ministry's health system transformation initiatives. It also ensures effective access and privacy measures are in place for data and digital initiatives. Work includes the design, development, and operations of big data analytics programs to meet the Data Integration and Predictive Analytics goals of the DFfH strategy, including supports for the province as it recovers from the COVID-19 pandemic.

Digital Health and Information Management Program is also the authoritative source of data and analytics for the ministry and provides tools, products and methodological expertise for supporting evidence-based planning and decision-making for the Ministry of Health, Ministry of Long-Term Care, and system partners. It also supports ministry decision making by providing innovative, state of the art analytics and predictive analytics based on the cutting age research from epidemiology, statistics, data science and machine learning.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Digital Health and Information Management $189,182,200 $264,393,200 ($75,211,000) $184,399,469
  Total operating expense to be voted $189,182,200 $264,393,200 ($75,211,000) $184,399,469
  Total operating expense $189,182,200 $264,393,200 ($75,211,000) $184,399,469

Standard account by item and sub-items

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

Operating expense
1403-1 Digital Health and Information Management    
 

Salaries and wages

   $17,611,500
 

Employee benefits

   $2,555,300
 

Transportation and communication

   $246,600
 

Services

   $10,580,900
 

Supplies and equipment

   $261,200
 

Transfer payments

    
 

Digital Health Strategy and Programs

 $149,444,400  
 

Health System Information Management

 $8,482,300 $157,926,700
  Total operating expense to be voted   $189,182,200
  Total operating expense for Digital Health and Information Management Program   $189,182,200

Ontario Health Insurance Program - Vote 1405

The Ontario Health Insurance Program includes key elements of Ontario's health care system: client eligibility and health card policies, physicians' payments for services that are insured under the Health Insurance Act, other practitioners' payments, out-of-province/out-of-country services, Family Health Teams, Indigenous Primary Health Care Organizations, Nurse Practitioner Led Clinics, Midwifery Services, Underserviced Area Programs, Northern Health Travel Grant, Disease prevention, Health quality, Drugs, Community Laboratories, Laboratory and Diagnostic testing services (including Genetic testing services and COVID-19 testing), X-ray services, Psychiatric Patient Advocacy and rights advice, Assistive devices including home oxygen, Protection/Risk management of both provider and subscriber fraudulent activity, as well as integrated models of service delivery through Ontario Health Teams (OHTs).

The Ontario Public Drug Programs is committed to maintaining a sustainable and efficient public drug system that will support re-investment and economic recovery to provide Ontarians with access to new and innovative drug therapies.

Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres and hospitals. Government-funded services are available to Ontarians who have registered, and who are eligible for the Ontario Health Insurance Plan. The Underserviced Area Program helps rural, remote and northern communities recruit and retain health care professionals, as well as ensure access to health care services in these communities. The Northern Health Travel Grant Program helps defray medical related travel costs northern Ontario residents incur to access medical specialists, or health care facility services unavailable in their local communities.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Ontario Health Insurance $18,751,840,900 $17,836,528,200 $915,312,700 $17,021,069,215
2 Drug Programs $5,747,085,400 $5,800,876,400 ($53,791,000) $5,337,088,963
4 Assistive Devices Program $575,031,900 $555,031,900 $20,000,000 $512,061,355
  Total operating expense to be voted $25,073,958,200 $24,192,436,500 $881,521,700 $22,870,219,533
S Bad Debt expense, the Financial Administration Act $1,000 $1,000 - $42,686
S Bad Debt expense, the Financial Administration Act $1,000 $1,000 - $24,306
  Total statutory appropriations $2,000 $2,000 - $66,992
  Total operating expense $25,073,960,200 $24,192,438,500 $881,521,700 $22,870,286,525

Operating assets
5 Ontario Health Insurance Program $13,000,000 $13,000,000 - $13,000,000
  Total operating assets to be voted $13,000,000 $13,000,000 - $13,000,000
  Total operating assets $13,000,000 $13,000,000 - $13,000,000

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

   $45,392,400
 

Employee benefits

   $7,982,200
 

Transportation and communication

   $3,152,200
 

Services

   $22,750,000
 

Supplies and equipment

   $502,700
 

Transfer payments

    
 

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

 $18,201,210,700  
 

Independent Health Facilities

 $120,693,100  
 

Underserviced Area Plan

 $30,706,100  
 

Northern Travel Program

 $48,181,600  
 

Quality Management Program - Laboratory Services

 $4,748,900  
 

Midwifery Services

 $204,404,400  
 

Disease Prevention Strategy

 $2,708,000  
 

Quality Health Initiatives

 $59,408,600 $18,672,061,400
  Total operating expense to be voted   $18,751,840,900
  Statutory appropriations    
 

Other transactions

    
Statutory

Bad Debt expense, the Financial Administration Act

   $1,000
1405-2 Drug Programs    
 

Salaries and wages

   $11,125,900
 

Employee benefits

   $1,613,300
 

Transportation and communication

   $806,800
 

Services

   $13,363,700
 

Supplies and equipment

   $105,100
 

Transfer payments

    
 

Ontario Drug Programs

   $5,720,070,600
  Total operating expense to be voted   $5,747,085,400
  Statutory appropriations    
 

Other transactions

    
Statutory

Bad Debt expense, the Financial Administration Act

   $1,000
1405-4 Assistive Devices Program    
 

Salaries and wages

   $3,180,500
 

Employee benefits

   $461,200
 

Transportation and communication

   $579,000
 

Services

   $945,800
 

Supplies and equipment

   $29,000
 

Transfer payments

    
 

Assistive Devices and Supplies Program

   $569,836,400
  Total operating expense to be voted   $575,031,900
  Total operating expense for Ontario Health Insurance Program   $25,073,960,200

Operating assets
1405-5 Ontario Health Insurance Program    
 

Advances and recoverable amounts

    
 

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

 $10,000,000  
 

Midwifery Services

 $3,000,000 $13,000,000
  Total operating assets to be voted   $13,000,000
  Total operating assets for Ontario Health Insurance Program   $13,000,000

Population and Public Health Program - Vote 1406

The Chief Medical Officer of Health (CMOH) has a unique and distinct role in protecting the health of Ontarians. The CMOH plays a critical role in leading the public health system as a whole through a statutory role and powers under the Health Protection and Promotion Act, providing public health advice within and beyond government and raising public health issues that have significant impacts on the health of Ontarians.

The mandate of Population and Public Health is to provide direction and leadership to support the ministry's public health agenda including COVID-19 response and recovery efforts and commitment to improving population health outcomes and ensuring the delivery of quality services through efficient and effective coordination across Ontario's public health and associated sectors.

The programs and services are aimed at improving health outcomes at all life stages by planning and developing legislation, regulation, standards and performance measures; developing, implementing and evaluating policies and programs that support disease prevention, health protection and healthy living; and leading, engaging and collaborating with our partners at all levels, ensuring effective program delivery, fiscal management, accountability, transparency and fostering a health system that is ready and prepared to respond to incidents and emergencies.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
4 Population and Public Health $1,731,548,500 $3,412,424,900 ($1,680,876,400) $4,155,731,854
  Total operating expense to be voted $1,731,548,500 $3,412,424,900 ($1,680,876,400) $4,155,731,854
S Inventory Write-off, the Financial Administration Act $105,241,400 - $105,241,400 $36,182,077
S Personal Protective Equipment and Supplies, the Financial Administration Act $291,825,400 - $291,825,400 -
  Total statutory appropriations $397,066,800 - $397,066,800 $36,182,077
  Total operating expense $2,128,615,300 $3,412,424,900 ($1,283,809,600) $4,191,913,931

Operating assets
6 Population and Public Health $207,751,000 $750,000 $207,001,000 $1,435,418,351
  Total operating assets to be voted $207,751,000 $750,000 $207,001,000 $1,435,418,351
  Total operating assets $207,751,000 $750,000 $207,001,000 $1,435,418,351

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

   $16,221,500
 

Employee benefits

   $2,312,900
 

Transportation and communication

   $912,400
 

Services

   $26,063,200
 

Supplies and equipment

   $1,001,300
 

Transfer payments

    
 

Official Local Health Agencies

 $939,443,900  
 

Outbreaks of Diseases

 $444,793,500  
 

Tuberculosis Prevention

 $9,113,900  
 

Sexually Transmitted Diseases Control

 $2,062,400  
 

Ontario Agency for Health Protection and Promotion

 $206,892,900  
 

Prevent Disease, Injury and Addiction

 $63,935,200  
 

Smoke-Free Ontario

 $18,795,400 $1,685,037,200
  Total operating expense to be voted   $1,731,548,500
  Statutory appropriations    
 

Other transactions

    
Statutory

Inventory Write-off, the Financial Administration Act

   $105,241,400
  Statutory appropriations    
 

Other transactions

    
Statutory

Personal Protective Equipment and Supplies, the Financial Administration Act

   $291,825,400
  Total operating expense for Population and Public Health Program   $2,128,615,300

Operating assets
1406-6 Population and Public Health    
 

Inventory

    
 

Personal Protective Equipment and Supplies

   $207,001,000
 

Advances and recoverable amounts

    
 

Official Local Health Agencies

   $750,000
  Total operating assets to be voted   $207,751,000
  Total operating assets for Population and Public Health Program   $207,751,000

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: Community and Priority Services, Operation of Related Facilities and HIV/AIDS and Hepatitis C Programs. The program provides Ontario's share of funding to Canadian Blood Services and also supports a blood utilization management strategy for Ontario. This Vote also includes ministry-managed Mental Health and Addictions programs such as supportive housing and provides implementation support, knowledge exchange and training, quality improvement, and information management in support of direct service mental health and addictions providers.

Provincial Programs and Stewardship also supports health capital planning and oversight administration of Ontario Health and related programs.

Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The ministry is modernizing EHS by building a more updated, integrated and efficient dispatch and communication system that will more effectively meet the needs of communities. The system consists of a series of inter-related programs and services including municipally operated/contracted land ambulance services, the not-for-profit air ambulance organization called Ornge, eight base hospitals that provide medical oversight, and ambulance communications services. Through EHS, the ministry oversees, certifies, and regulates Ontario's paramedics, and land and air-ambulance services through the Ambulance Act. EHS manages province-wide operations in 11 directly-operated Central Ambulance Communications Centres (CACCs), provides oversight and transfer payment functions for 11 transfer payment CACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Provincial Programs $1,503,286,800 $1,812,506,200 ($309,219,400) $1,316,163,686
2 Emergency Health Services $1,322,850,400 $1,170,808,100 $152,042,300 $1,276,568,906
4 Stewardship $47,681,500 $47,715,700 ($34,200) $49,111,269
  Total operating expense to be voted $2,873,818,700 $3,031,030,000 ($157,211,300) $2,641,843,861
S Bad Debt expense, the Financial Administration Act $1,000 $1,000 - $302,000
  Total statutory appropriations $1,000 $1,000 - $302,000
  Total operating expense $2,873,819,700 $3,031,031,000 ($157,211,300) $2,642,145,861

Operating assets
5 Provincial Programs and Stewardship $5,729,400 $5,729,400 - $5,329,400
  Total operating assets to be voted $5,729,400 $5,729,400 - $5,329,400
  Total operating assets $5,729,400 $5,729,400 - $5,329,400

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

    
 

Operation of Related Facilities

 $19,608,900  
 

Canadian Blood Services

 $720,808,200  
 

HIV/AIDS and Hepatitis C Programs

 $104,674,200  
 

Community and Priority Services

 $658,195,500 $1,503,286,800
  Total operating expense to be voted   $1,503,286,800
  Statutory appropriations    
 

Other transactions

    
Statutory

Bad Debt expense, the Financial Administration Act

   $1,000
1412-2 Emergency Health Services    
 

Salaries and wages

   $48,501,400
 

Employee benefits

   $8,786,400
 

Transportation and communication

   $2,746,800
 

Services

   $10,497,800
 

Supplies and equipment

   $578,800
 

Transfer payments

    
 

Payments for Ambulance and related Emergency Services: Municipal Ambulance

 $911,706,900  
 

Payments for Ambulance and related Emergency Services: other Ambulance Operations and Related Emergency Services

 $78,258,900  
 

Air Ambulance

 $261,773,400 $1,251,739,200
  Total operating expense to be voted   $1,322,850,400
1412-4 Stewardship    
 

Salaries and wages

   $33,944,100
 

Employee benefits

   $4,472,600
 

Transportation and communication

   $2,582,100
 

Services

   $6,548,900
 

Supplies and equipment

   $133,800
  Total operating expense to be voted   $47,681,500
  Total operating expense for Provincial Programs and Stewardship   $2,873,819,700

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  
 

Payments for Ambulance and related Emergency Services: other Ambulance Operations and Related Emergency Services

 $461,000 $5,729,400
  Total operating assets to be voted   $5,729,400
  Total operating assets for Provincial Programs and Stewardship   $5,729,400

Information Systems - Vote 1413

Information Systems enables the business outcomes of the Ministry of Health and Ministry of Long-Term Care by providing cost-effective and efficient I&IT and digital solutions and services.

The program offers a broad range of strategic and operational services essential to the delivery of ministry programs.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Information Technology Services – Health Cluster $222,374,200 $248,317,300 ($25,943,100) $245,037,837
  Total operating expense to be voted $222,374,200 $248,317,300 ($25,943,100) $245,037,837
S Bad Debt expense, the Financial Administration Act - - - $1,014,777
  Total statutory appropriations - - - $1,014,777
  Total operating expense $222,374,200 $248,317,300 ($25,943,100) $246,052,614

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 $16,279,200 $19,572,300 ($3,293,100) $15,593,201
  Total statutory appropriations $16,279,200 $19,572,300 ($3,293,100) $15,593,201
  Total capital expense $16,280,200 $19,573,300 ($3,293,100) $15,593,201

Capital assets
4 Information Systems $20,045,700 $18,121,400 $1,924,300 $10,831,035
  Total capital assets to be voted $20,045,700 $18,121,400 $1,924,300 $10,831,035
  Total capital assets $20,045,700 $18,121,400 $1,924,300 $10,831,035

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

 $52,319,400
 

Employee benefits

 $7,925,600
 

Transportation and communication

 $2,455,700
 

Services

 $156,678,700
 

Supplies and equipment

 $2,994,800
  Total operating expense to be voted $222,374,200
  Total operating expense for Information Systems $222,374,200

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

 $16,279,200
  Total capital expense for Information Systems $16,280,200

Capital assets
1413-4 Information Systems  
 

Information technology hardware

 $3,687,800
 

Business application software - asset costs

 $16,357,900
  Total capital assets to be voted $20,045,700
  Total capital assets for Information Systems $20,045,700

Health Services and Programs - Vote 1416

The Ministry of Health collaborates with Ontario Health and Home and Community Care Support Services to implement the ministry's health system strategies for improving and connecting home and community care and other health care services.

Under the Connecting Care Act, 2019, Ontario Health's responsibilities include health care system planning and integration, as well as the funding of health service providers and Ontario Health Teams to deliver health care services, including home and community care services. Ontario Health funds hospitals, long-term care homes, community health centres, community mental health and addictions services providers, family health teams, nurse practitioner-led clinics, Aboriginal Health Access Centres, hospices, and providers of primary care nursing services, maternal care or inter-professional primary care programs and services, acute and outpatient eating disorders services, among others. Ontario Health is also responsible for the delivery of programs related to cancer care, cancer screening, renal, digital health, health quality (including the Office of the Patient Ombudsman), organ and tissue donation and transplantation services, health workforce programs, Ontario telemedicine, Ontario Health Teams, regional coordination operations support and provide clinical advice and recommendations on programs and services relating to cardiovascular and stroke care.

Home and Community Care Support Services (HCCSS) (14 organizations under a cross-appointed leadership) exercises its authority under the Local Health System Integration Act, 2006 to provide province-wide access to home care for Ontario residents, coordinate admission to long-term care homes, as well as make referrals to health, social and community services. HCCSS provides nursing, rehabilitation therapies, and other professional services, and personal support services, in people's homes, in schools, and in group or congregate settings, including hospices. HCCSS is also responsible for referring patients and families to providers of other home and community care services, and for managing placements in adult day programs and assisted living programs.

This Vote also includes the ministry-managed Child and Youth Mental Health (CYMH) program. The CYMH program consists of a variety of community-based services that address the mental health needs of children and youth up to their 18th birthday who are at risk of, or have developed social, emotional and behavioural difficulties.

Vote summary

Item number Item

Estimates
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Operating expense
1 Health Services $31,649,159,700 $31,103,598,800 $545,560,900 $30,681,565,181
2 Programs and Administration $3,021,726,400 $2,914,608,000 $107,118,400 $2,976,538,905
  Total operating expense to be voted $34,670,886,100 $34,018,206,800 $652,679,300 $33,658,104,086
  Total operating expense $34,670,886,100 $34,018,206,800 $652,679,300 $33,658,104,086

Operating assets
10 Health Services and Programs $38,107,600 $38,107,600 - $38,106,600
  Total operating assets to be voted $38,107,600 $38,107,600 - $38,106,600
  Total operating assets $38,107,600 $38,107,600 - $38,106,600

Capital expense
3 Digital Health capital $5,216,100 $23,066,100 ($17,850,000) $5,000,000
  Total capital expense to be voted $5,216,100 $23,066,100 ($17,850,000) $5,000,000
S Amortization, the Financial Administration Act $413,000 $413,000 - -
  Total statutory appropriations $413,000 $413,000 - -
  Total capital expense $5,629,100 $23,479,100 ($17,850,000) $5,000,000

Standard account by item and sub-items

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

Operating expense
1416-1 Health Services      
 

Transfer payments

      
 

Operation of Hospitals

   $23,010,456,400  
 

Grants to Compensate for Municipal Taxation - Hospitals

   $3,783,000  
 

Specialty Psychiatric Hospitals

   $758,680,300  
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

   $174,100  
 

Home Care

   $4,112,236,600  
 

Community Support Services

   $805,230,300  
 

Assisted Living Services

   $355,126,000  
 

Community Health Centres

   $488,187,800  
 

Acquired Brain Injury

   $65,836,900  
 

Community Mental Health

   $1,218,989,200  
 

Addiction Program

   $345,804,700  
 

Child and Youth Mental Health

   $484,654,400 $31,649,159,700
  Total operating expense to be voted     $31,649,159,700
  Sub-Items:      
  Hospitals      
 

Transfer payments

      
 

Operation of Hospitals

 $23,010,456,400    
 

Grants to Compensate for Municipal Taxation - Hospitals

 $3,783,000    
 

Specialty Psychiatric Hospitals

 $758,680,300    
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

 $174,100 $23,773,093,800 $23,773,093,800
  Community      
 

Transfer payments

      
 

Home Care

 $4,112,236,600    
 

Community Support Services

 $805,230,300    
 

Assisted Living Services

 $355,126,000    
 

Community Health Centres

 $488,187,800    
 

Acquired Brain Injury

 $65,836,900 $5,826,617,600 $5,826,617,600
  Mental Health and Addictions      
 

Transfer payments

      
 

Community Mental Health

 $1,218,989,200    
 

Addiction Program

 $345,804,700    
 

Child and Youth Mental Health

 $484,654,400 $2,049,448,300 $2,049,448,300
  Total operating expense to be voted     $31,649,159,700
1416-2 Programs and Administration      
 

Transfer payments

      
 

Health Workforce Programs

   $5,666,900  
 

Regional Coordination Operations Support

   $225,567,500  
 

Digital Health

   $366,020,100  
 

Health Quality Programs

   $31,909,500  
 

Cancer Screening Programs

   $91,294,700  
 

Cancer Treatment Services

   $1,498,892,600  
 

Renal Services

   $727,477,100  
 

Organ and Tissue Donation, Transplantation, and Cardiovascular Services

   $74,898,000 $3,021,726,400
  Total operating expense to be voted     $3,021,726,400
  Total operating expense for Health Services and Programs     $34,670,886,100

Operating assets
1416-10 Health Services and Programs      
 

Advances and recoverable amounts

      
 

Operation of Hospitals

   $24,000,000  
 

Home Care

   $700,000  
 

Community Support Services

   $2,966,800  
 

Assisted Living Services

   $793,500  
 

Community Health Centres

   $3,000,000  
 

Acquired Brain Injury

   $246,300  
 

Community Mental Health

   $5,500,000  
 

Addiction Program

   $900,000  
 

Cancer Treatment Services

   $1,000 $38,107,600
  Total operating assets to be voted     $38,107,600
  Total operating assets for Health Services and Programs     $38,107,600

Capital expense
1416-3 Digital Health capital      
 

Transfer payments

      
 

Digital Health capital

     $5,215,100
 

Other transactions

     $1,000
  Total capital expense to be voted     $5,216,100
  Statutory appropriations      
 

Other transactions

      
Statutory

Amortization, the Financial Administration Act

     $413,000
  Total capital expense for Health Services and Programs     $5,629,100

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
2023-24

Estimates
2022-23

Difference
between
2023-24
and
2022-23

Actual
2021-22

Capital expense
1 Health capital $2,340,819,600 $1,711,194,000 $629,625,600 $1,558,925,161
  Total capital expense to be voted $2,340,819,600 $1,711,194,000 $629,625,600 $1,558,925,161
  Total capital expense $2,340,819,600 $1,711,194,000 $629,625,600 $1,558,925,161

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

 $1,965,080,700  
 

Health Infrastructure Renewal Fund

 $200,000,000  
 

Small Hospital Projects

 $40,000,000  
 

Medical and Diagnostic Equipment Fund

 $40,600,000  
 

Community Health Programs

 $68,000,000  
 

Public Health Laboratories

 $4,715,700  
 

Integrated Health Facility Programs

 $20,000,000 $2,338,396,400
 

Other transactions

    
 

Provincial Psychiatric Hospitals Divestment

 $1,223,200  
 

Health Infrastructure Information Systems

 $1,200,000 $2,423,200
  Total capital expense to be voted   $2,340,819,600
  Total capital expense for Health capital Program   $2,340,819,600