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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1401 Ministry Administration Program 99,495,400 98,629,400 866,000 84,247,437
1402 Health Policy and Research Program 1,194,523,000 1,087,790,200 106,732,800 973,343,922
1403 Digital, Data and Analytics Program 144,049,700 177,985,400 (33,935,700) 142,857,170
1405 Ontario Health Insurance Program 24,996,948,600 25,061,058,800 (64,110,200) 24,175,671,438
1406 Population and Public Health Program 1,538,834,000 1,732,857,200 (194,023,200) 1,954,352,293
1412 Provincial Programs and Stewardship 3,349,676,500 2,877,260,300 472,416,200 2,749,482,350
1413 Information systems 186,968,100 222,374,200 (35,406,100) 246,149,121
1416 Health Services and Programs 37,789,079,800 34,688,218,900 3,100,860,900 33,991,024,944
  Total operating expense to be voted 69,299,575,100 65,946,174,400 3,353,400,700 64,317,128,675
  Statutory appropriations 105,565 397,172,365 (397,066,800) 1,324,428,023
  Ministry total operating expense 69,299,680,665 66,343,346,765 2,956,333,900 65,641,556,698
  Consolidation adjustment - Hospitals 4,429,298,000 4,278,507,300 150,790,700 4,627,972,995
  Consolidation adjustment - Home and Community Care Support Services 14,342,800 17,816,700 (3,473,900) (111,611,208)
  Consolidation adjustment - ORNGE (27,438,100) (21,812,500) (5,625,600) (31,605,883)
  Consolidation adjustment - Funding to Colleges (755,500) (7,339,600) 6,584,100 (22,377,946)
  Consolidation adjustment - Ontario Agency for Health Protection and Promotion (13,086,700) (22,719,900) 9,633,200 (27,071,438)
  Consolidation adjustment - Ontario Health 4,741,846,500 5,022,602,800 (280,756,300) 3,817,832,688
  Consolidation adjustment - School Boards - - - (45,105,661)
  Consolidation adjustment - Children’s Aid Societies (21,903,000) (22,572,300) 669,300 (22,951,841)
  Consolidation adjustment - General Real Estate Portfolio (6,627,000) (6,553,500) (73,500) (8,131,809)
  Consolidation adjustment - Ontario Infrastructure and Lands Corporation - - - (962,218)
  Total including consolidation & other adjustments 78,415,357,665 75,581,275,765 2,834,081,900 73,817,544,377

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 750,000 207,751,000 (207,001,000) 1,348,460,996
1412 Provincial Programs and Stewardship 5,729,400 5,729,400 - 4,368,400
1416 Health Services and Programs 38,107,600 38,107,600 - 38,106,600
  Total operating assets to be voted 57,588,000 269,089,000 (211,501,000) 1,403,935,996
  Ministry total operating assets 57,588,000 269,089,000 (211,501,000) 1,403,935,996

Capital expense
1413 Information systems 1,000 1,000 - -
1416 Health Services and Programs 1,000 5,216,100 (5,215,100) 28,478,217
1407 Health Capital Program 2,281,037,400 2,340,819,600 (59,782,200) 1,314,580,824
  Total capital expense to be voted 2,281,039,400 2,346,036,700 (64,997,300) 1,343,059,041
  Statutory appropriations 11,670,600 16,692,200 (5,021,600) 16,059,547
  Ministry total capital expense 2,292,710,000 2,362,728,900 (70,018,900) 1,359,118,588
  Consolidation adjustment - Hospitals 91,104,000 (116,167,300) 207,271,300 817,015,895
  Consolidation adjustment - Home and Community Care Support Services 1,227,000 1,551,000 (324,000) 1,634,089
  Consolidation adjustment - ORNGE 17,642,200 17,508,400 133,800 12,393,655
  Consolidation adjustment - Ontario Agency for Health Protection and Promotion 12,571,200 7,504,500 5,066,700 12,538,602
  Consolidation adjustment - Ontario Health 8,287,800 6,235,100 2,052,700 10,219,900
  Consolidation adjustment - General Real Estate Portfolio (1,000,000) (1,233,200) 233,200 -
  Total including consolidation & other adjustments 2,422,542,200 2,278,127,400 144,414,800 2,212,920,729

Capital assets
1413 Information systems 15,396,600 20,045,700 (4,649,100) 7,993,796
  Total capital assets to be voted 15,396,600 20,045,700 (4,649,100) 7,993,796
  Ministry total capital assets 15,396,600 20,045,700 (4,649,100) 7,993,796
  Ministry total operating and capital including consolidation and other adjustments (not including assets) 80,837,899,865 77,859,403,165 2,978,496,700 76,030,465,106

Reconciliation to previously published data

Operating expense

Estimates
2023-24 $

Actual
2022-23 $
Total operating expense previously published footnote 1 66,343,615,865 65,655,566,538
Government reorganization    

Transfer of functions to other Ministries

 (269,100) (14,009,840)
Restated total operating expense 66,343,346,765 65,641,556,698

Ministry Administration Program - vote 1401

Ministry Administration provides administrative and support services to enable the ministry to deliver its mandate and support government priorities. This includes a broad range of strategic and operational services including: business and fiscal planning, financial management, published financial reporting, procurement, government pharmacy, strategic human resources, legal services, communications, risk management, records management, freedom of information and public appointments.

The program also provides 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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Ministry administration 99,495,400 98,629,400 866,000 84,247,437
  Total operating expense to be voted 99,495,400 98,629,400 866,000 84,247,437
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 32,346 - 29,260
  Total statutory appropriations 102,565 102,565 - 100,939
  Total operating expense 99,597,965 98,731,965 866,000 84,348,376

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

   44,588,800
 

Employee benefits

   12,008,300
 

Transportation and communication

   3,967,500
 

Services

   38,319,300
 

Supplies and equipment

   688,200
  Subtotal   99,572,100
  Less: recoveries   76,700
  Total operating expense to be voted   99,495,400
  Sub-items:    
  Main office    
 

Salaries and wages

 5,105,200  
 

Employee benefits

 622,200  
 

Transportation and communication

 231,100  
 

Services

 475,800  
 

Supplies and equipment

 10,500 6,444,800
  Financial and Administrative Services    
 

Salaries and wages

 29,697,300  
 

Employee benefits

 9,959,200  
 

Transportation and communication

 3,147,600  
 

Services

 30,378,400  
 

Supplies and equipment

 533,000  
 

Subtotal

 73,715,500  
 

Less: recoveries

 76,700 73,638,800
  Human resources    
 

Salaries and wages

 2,873,600  
 

Employee benefits

 408,300  
 

Transportation and communication

 57,300  
 

Services

 411,000  
 

Supplies and equipment

 10,700 3,760,900
  Communications services    
 

Salaries and wages

 6,912,700  
 

Employee benefits

 1,018,600  
 

Transportation and communication

 476,000  
 

Services

 4,314,600  
 

Supplies and equipment

 89,200 12,811,100
  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   99,495,400
  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   99,597,965

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, 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 and other ministry partners.

Essential Population-Based Services support health equity, improve access to culturally responsive care, improve health outcomes for underserved populations in Ontario, and reduce health system costs. This includes Indigenous Health Transformation, health planning/capacity supports, ministry engagement with Indigenous partners, and improving health outcomes for First Nations, Inuit, Métis, and urban Indigenous people in Ontario, as well as Black Health, Women’s Health, French Language and Translation Services and other essential population-based services.

Applied Health System Research and evidence capacity support policy and program development including targeted investment, administration of funding programs, applied health evidence supports, integrated knowledge translation, oversight and synthesis of health services/population health research.

Ontario's Health Workforce Planning and Regulatory Oversight includes the regulatory framework that governs Ontario's workforce (regulated health professions and other providers within the system). This work also includes strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training, entry to practice and oversight of health providers.

Vote summary

Item number Item

Estimates
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Health policy and research 1,194,523,000 1,087,790,200 106,732,800 973,343,922
  Total operating expense to be voted 1,194,523,000 1,087,790,200 106,732,800 973,343,922
  Total operating expense 1,194,523,000 1,087,790,200 106,732,800 973,343,922

Operating assets
- 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

   17,787,900
 

Employee benefits

   2,735,500
 

Transportation and communication

   525,400
 

Services

   9,612,300
 

Supplies and equipment

   127,800
 

Transfer payments

    
 

Clinical Education

 1,098,305,500  
 

Essential Population-Based Services and Applied Health System Research

 65,428,600 1,163,734,100
  Total operating expense to be voted   1,194,523,000
  Total operating expense for Health Policy and Research Program   1,194,523,000

Digital, Data and Analytics Program - vote 1403

Digital, Data and Analytics Program 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 data and digital strategy for the health sector 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 data and digital strategy for the sector 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. The data and digital strategy is central to the Ministry of Health’s efforts to deliver on its priorities, in particular, to meet the ministry’s commitments 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, macro system-level data governance planning, 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 of the data and digital strategy.

Digital, Data and Analytics 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 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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Digital, Data and Analytics 144,049,700 177,985,400 (33,935,700) 142,857,170
  Total operating expense to be voted 144,049,700 177,985,400 (33,935,700) 142,857,170
  Total operating expense 144,049,700 177,985,400 (33,935,700) 142,857,170

Standard account by item and sub-items

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

Operating expense
1403-1 Digital, Data and Analytics    
 

Salaries and wages

   17,938,900
 

Employee benefits

   2,555,300
 

Transportation and communication

   246,600
 

Services

   9,130,900
 

Supplies and equipment

   261,200
 

Transfer payments

    
 

Digital Health Strategy and Programs

 105,434,500  
 

Health System Information Management

 8,482,300 113,916,800
  Total operating expense to be voted   144,049,700
  Total operating expense for Digital, Data and Analytics Program   144,049,700

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, out-of-country/out-of-province laboratory testing and respiratory virus testing), Quality Management Program (Laboratory Services and Echocardiography), 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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Ontario Health Insurance 18,719,145,700 18,738,941,500 (19,795,800) 18,077,939,164
2 Drug Programs 5,683,871,000 5,747,085,400 (63,214,400) 5,566,331,898
4 Assistive Devices Program 593,931,900 575,031,900 18,900,000 531,400,376
  Total operating expense to be voted 24,996,948,600 25,061,058,800 (64,110,200) 24,175,671,438
S Bad debt expense, the Financial Administration Act 1,000 1,000 - -
S Bad debt expense, the Financial Administration Act 1,000 1,000 - 56
  Total statutory appropriations 2,000 2,000 - 56
  Total operating expense 24,996,950,600 25,061,060,800 (64,110,200) 24,175,671,494

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

   46,279,800
 

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

 18,150,627,600  
 

Integrated Community Health Services Centres

 86,193,100  
 

Underserviced Area Plan

 31,093,800  
 

Northern Travel Program

 62,511,600  
 

Quality Management Program

 5,185,900  
 

Midwifery Services

 201,618,200  
 

Disease Prevention Strategy

 3,450,000  
 

Quality Health Initiatives

 97,798,600 18,638,478,800
  Total operating expense to be voted   18,719,145,700
  Statutory appropriations    
 

Other transactions

    
Statutory

Bad debt expense, the Financial Administration Act

   1,000
1405-2 Drug Programs    
 

Salaries and wages

   11,411,500
 

Employee benefits

   1,613,300
 

Transportation and communication

   806,800
 

Services

   13,363,700
 

Supplies and equipment

   105,100
 

Transfer payments

    
 

Ontario Drug Programs

   5,656,570,600
  Total operating expense to be voted   5,683,871,000
  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

   588,736,400
  Total operating expense to be voted   593,931,900
  Total operating expense for Ontario Health Insurance Program   24,996,950,600

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 the Office of CMOH, Public Health is to provide direction and leadership to support the ministry’s public health agenda 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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
4 Population and Public Health 1,538,834,000 1,732,857,200 (194,023,200) 1,954,352,293
  Total operating expense to be voted 1,538,834,000 1,732,857,200 (194,023,200) 1,954,352,293
S Inventory Write-off, the Financial Administration Act - 105,241,400 (105,241,400) 306,845,563
S Personal Protective Equipment and Supplies, the Financial Administration Act - 291,825,400 (291,825,400) 1,017,373,536
  Total statutory appropriations - 397,066,800 (397,066,800) 1,324,219,099
  Total operating expense 1,538,834,000 2,129,924,000 (591,090,000) 3,278,571,392

Operating assets
6 Population and Public Health 750,000 207,751,000 (207,001,000) 1,348,460,996
  Total operating assets to be voted 750,000 207,751,000 (207,001,000) 1,348,460,996
  Total operating assets 750,000 207,751,000 (207,001,000) 1,348,460,996

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

   17,197,500
 

Employee benefits

   2,312,900
 

Transportation and communication

   912,400
 

Services

   41,038,800
 

Supplies and equipment

   1,001,300
 

Transfer payments

    
 

Official Local Health Agencies

 909,439,000  
 

Outbreaks of Diseases

 306,633,600  
 

Tuberculosis Prevention

 9,113,900  
 

Sexually Transmitted Diseases Control

 2,062,400  
 

Ontario Agency for Health Protection and Promotion

 150,517,900  
 

Prevent Disease, Injury and Addiction

 79,808,900  
 

Smoke-Free Ontario

 18,795,400 1,476,371,100
  Total operating expense to be voted   1,538,834,000
  Total operating expense for Population and Public Health Program   1,538,834,000

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

Provincial Programs and Stewardship - vote 1412

This Vote includes Provincial Programs, Emergency Health Services and Stewardship. 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.

The ministry funds First Nations communities and urban Indigenous and Inuit organizations to provide home and community care services to Indigenous clients in on reserve communities and in urban areas.

Vote summary

Item number Item

Estimates
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Provincial Programs 1,851,171,500 1,506,728,400 344,443,100 1,374,669,460
2 Emergency Health Services 1,446,972,200 1,322,850,400 124,121,800 1,328,055,482
4 Stewardship 51,532,800 47,681,500 3,851,300 46,757,408
  Total operating expense to be voted 3,349,676,500 2,877,260,300 472,416,200 2,749,482,350
S Bad debt expense, the Financial Administration Act 1,000 1,000 - 107,929
  Total statutory appropriations 1,000 1,000 - 107,929
  Total operating expense 3,349,677,500 2,877,261,300 472,416,200 2,749,590,279

Operating assets
5 Provincial Programs and Stewardship 5,729,400 5,729,400 - 4,368,400
  Total operating assets to be voted 5,729,400 5,729,400 - 4,368,400
  Total operating assets 5,729,400 5,729,400 - 4,368,400

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

 19,131,800  
 

Canadian Blood Services

 772,164,600  
 

HIV/AIDS and Hepatitis C Programs

 114,249,500  
 

Community and Priority Services

 945,625,600 1,851,171,500
  Total operating expense to be voted   1,851,171,500
  Statutory appropriations    
 

Other transactions

    
Statutory

Bad debt expense, the Financial Administration Act

   1,000
1412-2 Emergency Health Services    
 

Salaries and wages

   58,552,200
 

Employee benefits

   9,996,700
 

Transportation and communication

   2,746,800
 

Services

   11,427,300
 

Supplies and equipment

   578,800
 

Transfer payments

    
 

Payments for Ambulance and related Emergency Services: Municipal Ambulance

 988,152,700  
 

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

 106,243,300  
 

Air Ambulance

 269,274,400 1,363,670,400
  Total operating expense to be voted   1,446,972,200
1412-4 Stewardship    
 

Salaries and wages

   37,303,300
 

Employee benefits

   4,644,600
 

Transportation and communication

   2,582,100
 

Services

   6,869,000
 

Supplies and equipment

   133,800
  Total operating expense to be voted   51,532,800
  Total operating expense for Provincial Programs and Stewardship   3,349,677,500

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, Ministry of Long-Term Care and Ministry of Seniors and Accessibility 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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Information Technology Services – Health Cluster 186,968,100 222,374,200 (35,406,100) 246,149,121
  Total operating expense to be voted 186,968,100 222,374,200 (35,406,100) 246,149,121
  Total operating expense 186,968,100 222,374,200 (35,406,100) 246,149,121

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 11,670,600 16,279,200 (4,608,600) 16,059,547
  Total statutory appropriations 11,670,600 16,279,200 (4,608,600) 16,059,547
  Total capital expense 11,671,600 16,280,200 (4,608,600) 16,059,547

Capital assets
4 Information systems 15,396,600 20,045,700 (4,649,100) 7,993,796
  Total capital assets to be voted 15,396,600 20,045,700 (4,649,100) 7,993,796
  Total capital assets 15,396,600 20,045,700 (4,649,100) 7,993,796

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

 53,243,800
 

Employee benefits

 7,925,600
 

Transportation and communication

 2,455,700
 

Services

 120,348,200
 

Supplies and equipment

 2,994,800
  Total operating expense to be voted 186,968,100
  Total operating expense for Information Systems 186,968,100

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

 11,670,600
  Total capital expense for Information Systems 11,671,600

Capital assets
1413-4 Information systems  
 

Information technology hardware

 5,642,300
 

Business application software - asset costs

 9,754,300
  Total capital assets to be voted 15,396,600
  Total capital assets for Information Systems 15,396,600

Health Services and Programs - vote 1416

The Ministry of Health collaborates with Ontario Health (OH) and Home and Community Care Support Services (HCCSS) 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, OH is responsible for health system planning and integration, as well as for funding of health service providers (HSPs) and Ontario Health Teams (OHTs) to deliver health services. Under 1416, OH funds hospitals, community health centres, community mental health and addictions service providers, and not-for-profit providers of home and community care services, primary care nurses, maternal care, and both acute and outpatient eating disorder services. OH also delivers programs related to cancer care, cancer screening, renal, digital health, health quality, organ and tissue donation and transplantation services, health workforce, telemedicine, OHTs, regional coordination operations support and provide clinical advice and recommendations on programs and services relating to cardiovascular and stroke care. OH provides administrative support to the Office of the Patient Ombudsman, which works with patients and families to help resolve complaints about health care experience with health service organizations.

The 14 HCCSS organizations provide home care (nursing, rehabilitation therapies and other professional services, and personal support services), coordinate admission to long-term care homes, and make referrals to health and social services. HCCSSs manage placements into adult day programs and assisted living programs. The Ministry of Health anticipates that in June 2024, provisions of Bill 135 (the Convenient Care at Home Act) will be proclaimed into force, consolidating all 14 HCCSSs into a single organization. Ontario Health atHome will provide the same services now provided by HCCSSs, as well as operational supports to HSPs and OHTs funded to provide home care, beginning in 2025.

This Vote also includes the ministry-managed Child and Youth Mental Health (CYMH) program which aims to achieve the vision of an Ontario in which CYMH is recognized as a key determinant of overall health and well-being, and where children and youth grow to reach their full potential. Ontario-funded mental health services are provided to children and youth under 18 years of age under the authority of the Child, Youth and Family Services Act.

Vote summary

Item number Item

Estimates
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Operating expense
1 Health services 34,326,695,300 31,502,434,700 2,824,260,600 30,762,544,458
2 Programs and Administration 3,462,384,500 3,185,784,200 276,600,300 3,228,480,486
  Total operating expense to be voted 37,789,079,800 34,688,218,900 3,100,860,900 33,991,024,944
  Total operating expense 37,789,079,800 34,688,218,900 3,100,860,900 33,991,024,944

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 1,000 5,216,100 (5,215,100) 28,478,217
  Total capital expense to be voted 1,000 5,216,100 (5,215,100) 28,478,217
S Amortization, the Financial Administration Act - 413,000 (413,000) -
  Total statutory appropriations - 413,000 (413,000) -
  Total capital expense 1,000 5,629,100 (5,628,100) 28,478,217

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

   25,402,395,700  
 

Grants to Compensate for Municipal Taxation - Hospitals

   3,783,000  
 

Specialty Psychiatric Hospitals

   786,560,500  
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

   174,100  
 

Home Care

   4,310,558,000  
 

Community Support Services

   808,611,000  
 

Assisted Living Services

   409,122,000  
 

Community Health Centres

   493,582,000  
 

Acquired Brain Injury

   98,396,200  
 

Community Mental Health

   1,137,690,100  
 

Addiction Program

   368,296,600  
 

Child and Youth Mental Health

   507,526,100 34,326,695,300
  Total operating expense to be voted     34,326,695,300
  Sub-items:      
  Hospitals      
 

Transfer payments

      
 

Operation of Hospitals

 25,402,395,700    
 

Grants to Compensate for Municipal Taxation - Hospitals

 3,783,000    
 

Specialty Psychiatric Hospitals

 786,560,500    
 

Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals

 174,100 26,192,913,300 26,192,913,300
  Community      
 

Transfer payments

      
 

Home Care

 4,310,558,000    
 

Community Support Services

 808,611,000    
 

Assisted Living Services

 409,122,000    
 

Community Health Centres

 493,582,000    
 

Acquired Brain Injury

 98,396,200 6,120,269,200 6,120,269,200
  Mental Health and Addictions      
 

Transfer payments

      
 

Community Mental Health

 1,137,690,100    
 

Addiction Program

 368,296,600    
 

Child and Youth Mental Health

 507,526,100 2,013,512,800 2,013,512,800
  Total operating expense to be voted     34,326,695,300
1416-2 Programs and Administration      
 

Transfer payments

      
 

Health Workforce Programs

   5,666,900  
 

Regional Coordination Operations Support

   226,432,500  
 

Organ and Tissue Donation, Transplantation, and Cardiovascular Services

   73,790,200  
 

Health Quality Programs

   31,909,500  
 

Cancer Screening Programs

   108,294,700  
 

Cancer Treatment Services

   1,690,522,700  
 

Renal Services

   749,122,500  
 

Digital Health

   576,645,500 3,462,384,500
  Total operating expense to be voted     3,462,384,500
  Total operating expense for Health Services and Programs     37,789,079,800

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      
 

Other transactions

     1,000
  Total capital expense to be voted     1,000
  Total capital expense for Health Services and Programs     1,000

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
2024-25 $

Estimates
2023-24 $

Difference
Between
2024-25
and
2023-24 $

Actual
2022-23 $

Capital expense
1 Health Capital 2,281,037,400 2,340,819,600 (59,782,200) 1,314,580,824
  Total capital expense to be voted 2,281,037,400 2,340,819,600 (59,782,200) 1,314,580,824
  Total capital expense 2,281,037,400 2,340,819,600 (59,782,200) 1,314,580,824

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

 1,786,011,000  
 

Health Infrastructure Renewal Fund

 220,000,000  
 

Small Hospital Projects

 80,000,000  
 

Medical and Diagnostic Equipment Fund

 49,800,000  
 

Community Health Programs

 82,000,000  
 

Integrated Health Facility Programs

 20,000,000 2,237,811,000
 

Other transactions

    
 

Capital Projects Delivery

 35,976,400  
 

Provincial Psychiatric Hospitals Divestment

 1,000,000  
 

Health Infrastructure Information Systems

 6,250,000 43,226,400
  Total capital expense to be voted   2,281,037,400
  Total capital expense for Health Capital Program   2,281,037,400