Summary

The Ministry provides for a health system that promotes wellness and improves health outcomes through accessible, integrated and quality services at every stage of life for all Ontarians. It is responsible for the development, co-ordination and maintenance of comprehensive health services and a balanced and integrated system of hospitals, long - term care homes and community services, laboratories, ambulances and other health facilities in Ontario.

The Ministry fosters and supports the development and implementation of community - based programs to promote and protect the health of all Ontarians.

Ministry program summary

Operating expense

Vote Program Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1401 Ministry Administration Program $118,141,700 $118,208,500 ($66,800) $116,984,925
1402 Health Policy and Research Program $809,930,200 $851,564,500 ($41,634,300) $800,089,480
1403 eHealth and Information Management Program $512,942,200 $499,531,200 $13,411,000 $438,309,739
1405 Ontario Health Insurance Program $18,506,538,100 $18,067,651,700 $438,886,400 $18,093,316,978
1406 Public Health Program $846,533,600 $828,975,000 $17,558,600 $754,773,124
1411 Local health integration networks and related health service providers $26,255,106,800 $25,596,031,500 $659,075,300 $25,235,545,029
1412 Provincial programs and stewardship $3,684,814,300 $3,698,961,100 ($14,146,800) $3,525,560,739
1413 Information systems $145,443,100 $146,430,900 ($987,800) $129,262,375
1414 Health Promotion $392,244,200 $388,259,100 $3,985,100 $350,975,978
  Total operating expense to be voted $51,271,694,200 $50,195,613,500 $1,076,080,700 $49,444,818,367
  Statutory appropriations $429,360 $507,360 ($78,000) $1,173,816
  Ministry total operating expense $51,272,123,560 $50,196,120,860 $1,076,002,700 $49,445,992,183
  Consolidation adjustment - Cancer Care Ontario $1,743,800 $5,555,700 ($3,811,900) $164,401,764
  Consolidation adjustment - eHealth Ontario - - - $27,527,300
  Consolidation adjustment - hospitals ($1,005,122,200) ($759,609,500) ($245,512,700) ($788,032,325)
  Consolidation adjustment - local health integration networks - - - ($1,902,829)
  Consolidation adjustment - Ornge ($12,898,400) ($14,899,300) $2,000,900 ($22,169,547)
  Consolidation adjustment - funding to colleges ($1,795,000) ($1,825,300) $30,300 ($2,108,291)
  Consolidation adjustment - Ontario Agency for Health Protection and Promotion ($261,500) ($616,200) $354,700 ($1,129,447)
  Consolidation adjustment - other - ($59,377,300) $59,377,300 ($197,272,510)
  Total including consolidation and other adjustments $50,253,790,260 $49,365,348,960 $888,441,300 $48,625,306,298

Operating assets

Vote Program Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1402 Health Policy and Research Program $4,500,000 $4,500,000 - $4,500,000
1405 Ontario Health Insurance Program $7,500,000 $8,450,000 ($950,000) $8,450,000
1406 Public Health Program $500,000 $500,000 - -
1411 Local health integration networks and related health service providers $58,537,600 $58,537,600 - $58,537,560
1412 Provincial programs and stewardship $11,229,400 $11,229,400 - $11,029,400
1414 Health Promotion $250,000 $250,000 - -
  Total operating assets to be voted $82,517,000 $83,467,000 ($950,000) $82,516,960
  Ministry total operating assets $82,517,000 $83,467,000 ($950,000) $82,516,960

Capital expense

Vote Program Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1403 eHealth and Information Management Program $30,172,100 $37,130,100 ($6,958,000) $59,496,700
1413 Information systems $1,000 $1,000 - -
1407 Health Capital Program $1,450,847,800 $1,465,807,000 ($14,959,200) $1,470,955,063
  Total capital expense to be voted $1,481,020,900 $1,502,938,100 ($21,917,200) $1,530,451,763
  Statutory appropriations $12,284,700 $11,054,400 $1,230,300 $1,412,892
  Ministry total capital expense $1,493,305,600 $1,513,992,500 ($20,686,900) $1,531,864,655
  Consolidation adjustment - Cancer Care Ontario $596,200 ($2,541,900) $3,138,100 $13,086,973
  Consolidation adjustment - eHealth Ontario $25,510,700 ($4,323,400) $29,834,100 ($7,594,000)
  Consolidation adjustment - hospitals $7,098,200 ($114,761,900) $121,860,100 ($70,025,828)
  Consolidation adjustment - local health integration networks $368,700 $1,892,700 ($1,524,000) $891,888
  Consolidation adjustment - Ornge $11,895,500 $11,895,500 - $10,182,667
  Consolidation adjustment - Ontario Agency for Health Protection and Promotion ($7,350,000) $1,399,500 ($8,749,500) ($64,866,438)
  Total including consolidation and other adjustments $1,531,424,900 $1,407,553,000 $123,871,900 $1,413,539,917

Capital assets

Vote Program Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1413 Information systems $25,302,800 $19,674,100 $5,628,700 $21,420,249
  Total capital assets to be voted $25,302,800 $19,674,100 $5,628,700 $21,420,249
  Ministry total capital assets $25,302,800 $19,674,100 $5,628,700 $21,420,249
  Ministry total operating and capital including consolidation and other adjustments (not including assets) $51,785,215,160 $50,772,901,960 $1,012,313,200 $50,038,846,215

Reconciliation to previously published data - operating expense

Operating expense 2015‑16 Estimates 2014‑15 Actual
Total operating expense previously published footnote 1 $50,194,120,860 $49,420,066,986
Government Reorganization    
Transfer of functions from other Ministries $2,000,000 $25,925,197
Restated total operating expense $50,196,120,860 $49,445,992,183

Ministry Administration Program - vote 1401

Ministry administration provides support to the Minister of Health and Long - Term Care to meet the requirements of the Ministry’s portfolio, ministry management, accountability, controllership, risk and fraud management frameworks to ensure the cost - effective/efficient use of resources to achieve business results.

A broad range of strategic and operational services are provided to support the effective delivery of all Ministry programs and services, including: business, fiscal and health capital planning; health system investment and funding policies and decisions; audit; supply chain and facilities, and contract management; government pharmacy; subrogation; strategic human resources including: talent, performance and succession management; workforce planning and resource management; employee engagement and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; and organizational capacity and engagement; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; French Language Services compliance and agency liaison and oversight; legal; communications and marketing; business innovation and program redesign to achieve improved quality, efficiency and effectiveness; financial management including payments, financial analysis, forecasting, reporting, settlements and including the necessary controllership requirements.

Also, funding is provided for administrative support to the Ontario review board, Consent and Capacity Board, Health Services Appeal and Review Board, Health Professions Appeal and Review Board, Physician Payment Review Board, Medical Eligibility Committee (MEC), and the Ontario Hepatitis C Assistance Plan Review Committee.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Ministry administration $110,766,300 $110,833,100 ($66,800) $110,119,996
2 Ontario review board $7,375,400 $7,375,400 - $6,864,929
  Total operating expense to be voted $118,141,700 $118,208,500 ($66,800) $116,984,925
S Bad debt expense, the Financial Administration Act - - - $85,000
S Minister’s salary, the Executive Council Act $47,841 $47,841 - $49,301
S Parliamentary Assistants' salaries, the Executive Council Act $48,519 $48,519 - $29,491
  Total statutory appropriations $96,360 $96,360 - $163,792
  Total operating expense $118,238,060 $118,304,860 ($66,800) $117,148,717

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1401-1 Ministry administration    
  Salaries and wages   $56,103,100
  Employee benefits   $13,648,000
  Transportation and communication   $2,932,900
  Services   $34,017,600
  Supplies and equipment   $4,141,400
  Subtotal   $110,843,000
  Less: recoveries   $76,700
  Total operating expense to be voted   $110,766,300
  sub-items:    
  Main office    
  Salaries and wages $2,342,900  
  Employee benefits $242,200  
  Transportation and communication $94,000  
  Services $235,900  
  Supplies and equipment $50,500 $2,965,500
  Financial and administrative services    
  Salaries and wages $43,108,100  
  Employee benefits $11,789,300  
  Transportation and communication $2,390,400  
  Services $22,883,600  
  Supplies and equipment $3,824,900  
  Subtotal $83,996,300  
  Less: recoveries $76,700 $83,919,600
  Human resources    
  Salaries and wages $3,878,000  
  Employee benefits $435,700  
  Transportation and communication $216,000  
  Services $233,000  
  Supplies and equipment $238,800 $5,001,500
  Communications services    
  Salaries and wages $6,653,400  
  Employee benefits $1,178,300  
  Transportation and communication $232,500  
  Services $5,753,100  
  Supplies and equipment $27,200 $13,844,500
  Legal services    
  Salaries and wages $120,700  
  Employee benefits $2,500  
  Services $3,073,800 $3,197,000
  Audit services    
  Services $1,838,200 $1,838,200
  Total operating expense to be voted   $110,766,300
  Statutory appropriations    
Statutory Minister’s salary, the Executive Council Act   $47,841
Statutory Parliamentary assistants' salaries, the Executive Council Act   $48,519
1401-2 Ontario review board    
  Salaries and wages   $855,100
  Employee benefits   $99,100
  Transportation and communication   $527,800
  Services   $5,836,800
  Supplies and equipment   $56,600
  Total operating expense to be voted   $7,375,400
  Total operating expense for Ministry Administration Program   $118,238,060

Health Policy and Research Program - vote 1402

The Health Policy and Research Program integrates health system research evidence, strategy and program policy to provide strategic directions with respect to health workforce planning and health system innovation in Ontario. System-wide planning allows the Ministry to: support legislation and policy development; monitor alignment with the strategic directions; select and manage portfolios, strategy and other initiatives within the Ministry to further health objectives and priorities in relation to Ontario’s health workforce and health system innovation. The work includes targeted investment, administration of funding programs, oversight and synthesis of health services/population health research, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. Related activities are the regulation of health professionals.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Health policy and research $809,930,200 $851,564,500 ($41,634,300) $800,089,480
  Total operating expense to be voted $809,930,200 $851,564,500 ($41,634,300) $800,089,480
  Total operating expense $809,930,200 $851,564,500 ($41,634,300) $800,089,480

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
2 Health policy and research $4,500,000 $4,500,000 - $4,500,000
  Total operating assets to be voted $4,500,000 $4,500,000 - $4,500,000
  Total operating assets $4,500,000 $4,500,000 - $4,500,000

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1402-1 Health policy and research    
  Salaries and wages   $15,974,300
  Employee benefits   $2,252,500
  Transportation and communication   $3,545,300
  Services   $10,928,200
  Supplies and equipment   $2,220,900
  Transfer payments    
  Clinical education $743,967,000  
  Health system research fund $31,041,000  
  Ontario Temporary Health Program for Refugee Claimants $1,000 $775,009,000
  Total operating expense to be voted   $809,930,200
  Total operating expense for Health Policy and Research Program   $809,930,200

Operating assets

Vote - item number Standard account by item and sub-items Amount
1402-2 Health policy and research  
  Advances and recoverable amounts  
  Clinical education $4,500,000
  Total operating assets to be voted $4,500,000
  Total operating assets for Health Policy and Research Program $4,500,000

eHealth and Information Management Program - vote 1403

eHealth is a critical enabler of health system transformation, allowing patients and providers across the province to access the information they need for high - quality care. Through the eHealth program, Ministry partners deliver the infrastructure and services that connect providers and patients, helping to create a more integrated health system.

Information Management provides health information and analytics which enable evidence - based decision making to ensure a sustainable health care system for Ontario.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 eHealth and Information Management $512,942,200 $499,531,200 $13,411,000 $438,309,739
  Total operating expense to be voted $512,942,200 $499,531,200 $13,411,000 $438,309,739
  Total operating expense $512,942,200 $499,531,200 $13,411,000 $438,309,739

Capital expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
2 eHealth and information management $30,172,100 $37,130,100 ($6,958,000) $59,496,700
  Total capital expense to be voted $30,172,100 $37,130,100 ($6,958,000) $59,496,700
S Amortization, the Financial Administration Act $413,000 $413,000 - $358,316
  Total statutory appropriations $413,000 $413,000 - $358,316
  Total capital expense $30,585,100 $37,543,100 ($6,958,000) $59,855,016

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1403-1 eHealth and information management    
  Salaries and wages   $12,258,100
  Employee benefits   $1,919,900
  Transportation and communication   $665,200
  Services   $29,287,100
  Supplies and equipment   $721,100
  Transfer payments    
  eHealth Ontario $368,912,000  
  Information technology programs $82,225,400  
  Health system information management $16,953,400 $468,090,800
  Total operating expense to be voted   $512,942,200
  Total operating expense for eHealth and Information Management Program   $512,942,200

Capital expense

Vote - item number Standard account by item and sub-items Amount Amount
1403-2 eHealth and information management    
  Transfer payments    
  eHealth ontario capital   $30,171,100
  Other transactions   $1,000
  Total capital expense to be voted   $30,172,100
  Statutory appropriations    
  Other transactions    
Statutory Amortization, the Financial Administration Act   $413,000
  Total capital expense for eHealth and Information Management Program   $30,585,100

Ontario Health Insurance Program - vote 1405

The Ontario Health Insurance Program includes key elements of Ontario’s health care system: client eligibility and health card policies, physicians' payments for services that are insured under theHealth Insurance Act, other practitioners' payments, out - of - province/out-of - country services, Independent Health Facilities Act, Family Health Teams, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, teletriage services, disease prevention, health quality, drugs, community laboratories, psychiatric patient advocacy and rights advice, protection from health - related fraudulent activity and assistive devices including home oxygen.

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

The focus for disease prevention is improving the health and health care for Ontarians living with or at high risk of developing diabetes, congestive heart failure, chronic obstructive pulmonary disease and hypertension. Ontario Diabetes Programs improve access to and quality of diabetes services to improve the health and health outcomes of individuals at risk of developing or living with diabetes.

Health Quality Ontario is the provincial agency that supports evidence - based, high quality health care to contribute to a sustainable health system.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Ontario Health Insurance $14,134,661,800 $13,819,970,300 $314,691,500 $13,824,105,466
2 Drug programs $3,907,748,100 $3,795,364,600 $112,383,500 $3,806,319,310
4 Assistive Devices Program $464,128,200 $452,316,800 $11,811,400 $462,892,202
  Total operating expense to be voted $18,506,538,100 $18,067,651,700 $438,886,400 $18,093,316,978
S Bad debt expense, the Financial Administration Act $1,000 - $1,000 -
S Bad debt expense, the Financial Administration Act $1,000 - $1,000 -
  Total statutory appropriations $2,000 - $2,000 -
  Total operating expense $18,506,540,100 $18,067,651,700 $438,888,400 $18,093,316,978

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
5 Ontario Health Insurance Program $7,500,000 $8,450,000 ($950,000) $8,450,000
  Total operating assets to be voted $7,500,000 $8,450,000 ($950,000) $8,450,000
  Total operating assets $7,500,000 $8,450,000 ($950,000) $8,450,000

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1405-1 Ontario health insurance    
  Salaries and wages   $50,457,400
  Employee benefits   $7,031,900
  Transportation and communication   $4,859,900
  Services   $25,880,900
  Supplies and equipment   $2,343,900
  Transfer payments    
  Payments made for services and for care provided by physicians and practitioners $13,669,615,100  
  Independent health facilities $56,256,000  
  Underserviced Area Plan $25,213,500  
  Northern Travel Program $46,181,600  
  Teletriage services $24,222,200  
  Quality Management Program - laboratory services $4,598,900  
  Midwifery services $147,488,200  
  Disease prevention strategy $21,562,700  
  Health Quality Ontario $36,480,200  
  Quality health initiatives $12,469,400 $14,044,087,800
  Total operating expense to be voted   $14,134,661,800
  Statutory appropriations    
  Other transactions    
Statutory Bad debt expense, the Financial Administration Act   $1,000
1405-2 Drug Programs    
  Salaries and wages   $7,541,600
  Employee benefits   $1,317,400
  Transportation and communication   $5,686,300
  Services   $16,899,300
  Supplies and equipment   $1,695,500
  Transfer payments    
  Ontario drug programs   $3,874,608,000
  Total operating expense to be voted   $3,907,748,100
  Statutory appropriations    
  Other transactions    
Statutory Bad debt expense, the Financial Administration Act   $1,000
1405-4 Assistive Devices Program    
  Salaries and wages   $2,378,600
  Employee benefits   $437,600
  Transportation and communication   $154,700
  Services   $206,200
  Supplies and equipment   $97,300
  Transfer payments    
  Assistive Devices and Supplies Program   $460,853,800
  Total operating expense to be voted   $464,128,200
  Total operating expense for Ontario Health Insurance Program   $18,506,540,100

Operating assets

Vote - item number Standard account by item and sub-items Amount Amount
1405-5 Ontario Health Insurance Program    
  Advances and recoverable amounts    
  Payments made for services and for care provided by physicians and practitioners $4,500,000  
  Midwifery services $3,000,000 $7,500,000
  Total operating assets to be voted   $7,500,000
  Total operating assets for Ontario Health Insurance Program   $7,500,000

Public Health Program - vote 1406

The goal of the Public Health Program is to protect and enhance health, and prevent the onset of disease and premature death of Ontarians at all stages of life. The mandate of Public Health includes the entire spectrum of infectious diseases, chronic diseases and injury prevention, healthy child development, family and community health, environmental health, and emergency management - all with a focus on the underlying determinants of health. This Program focuses health resources on prevention, detection, early interventions and treatment where appropriate.

The program sets standards, protocols and performance targets, provides funding to Ontario’s public health system, including boards of health, related associations and Public Health Ontario, and provides policy and program oversight to ensure accountability of the system. It includes the Chief Medical Officer of Health who has independent powers and the responsibility to report annually on the state of public health to the Legislative Assembly of Ontario. The program also partners with Public Health Ontario which supports public health at the provincial and local levels through the provision of scientific advice, education and training and field support as required.

The Program is responsible for operational policy development, program implementation, transfer payment accountability, and ongoing monitoring and evaluation for the integrated Healthy Smiles Ontario program (Children and Youth Low Income Dental program).

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
4 Public health $846,533,600 $828,975,000 $17,558,600 $754,773,124
  Total operating expense to be voted $846,533,600 $828,975,000 $17,558,600 $754,773,124
  Total operating expense $846,533,600 $828,975,000 $17,558,600 $754,773,124

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
6 Public health $500,000 $500,000 - -
  Total operating assets to be voted $500,000 $500,000 - -
  Total operating assets $500,000 $500,000 - -

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1406-4 Public health    
  Salaries and wages   $14,715,400
  Employee benefits   $2,336,100
  Transportation and communication   $2,580,400
  Services   $20,136,200
  Supplies and equipment   $2,353,800
  Transfer payments    
  Official local health agencies $462,321,000  
  Outbreaks of diseases $161,601,000  
  Tuberculosis prevention $9,113,900  
  Sexually transmitted diseases control $3,425,200  
  Public health associations $332,300  
  Infection control $19,900,400  
  Ontario Agency for Health Protection and Promotion $147,717,900 $804,411,700
  Total operating expense to be voted   $846,533,600
  Total operating expense for Public Health Program   $846,533,600

Operating assets

Vote - item number Standard account by item and sub-items Amount Amount
1406-6 Public health    
  Advances and recoverable amounts    
  Official local health agencies   $500,000
  Total operating assets to be voted   $500,000
  Total operating assets for Public Health Program   $500,000

Local health integration networks and related health service providers - vote 1411

As steward for the long - term sustainability of Ontario’s health care system, the Ministry collaborates with 14 Local Health Integration Networks (LHINs) to promote a patient - focused, value driven, integrated and co-ordinated health care system. While the Ministry provides strategic direction and guidance, the LHINs are responsible for planning, integrating and funding health service providers in their local health systems. The LHINs exercise their authority under the Local Health System Integration Act, 2006. Additional responsibilities and performance expectations are set out in the Memorandum of Understanding and Accountability Agreement between each LHIN and the Ministry of Health and Long - Term Care. The LHINs have the flexibility to address unique local health needs and priorities through the management of services in public, private and specialty psychiatric hospitals, community care access centres, long - term care homes, community health centres, community support services, community services for persons with acquired brain injury, assisted living services in supportive housing, mental health and addiction agencies. The Ministry, in partnership with LHINs, ensures the delivery of accessible, community - responsive and high - quality health care for all Ontarians.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Local health integration networks and related health service providers $26,255,106,800 $25,596,031,500 $659,075,300 $25,235,545,029
  Total operating expense to be voted $26,255,106,800 $25,596,031,500 $659,075,300 $25,235,545,029
S Bad debt expense, the Financial Administration Act $250,000 $250,000 - $850,024
  Total statutory appropriations $250,000 $250,000 - $850,024
  Total operating expense $26,255,356,800 $25,596,281,500 $659,075,300 $25,236,395,053

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
2 Local health integration networks and related health service providers $58,537,600 $58,537,600 - $58,537,560
  Total operating assets to be voted $58,537,600 $58,537,600 - $58,537,560
  Total operating assets $58,537,600 $58,537,600 - $58,537,560

Standard account by item and sub-items

Operating expense

Vote-item number Standard account by item and sub-items Amount Amount Amount
1411-1 Local health integration networks and related health service providers      
  Transfer payments      
  Erie St. Clair   $1,104,577,100  
  South West   $2,220,260,500  
  Waterloo Wellington   $1,023,264,200  
  Hamilton Niagara Haldimand Brant   $2,874,112,900  
  Central West   $878,655,100  
  Mississauga Halton   $1,434,868,200  
  Toronto Central   $4,707,219,300  
  Central   $2,007,302,400  
  Central East   $2,208,957,200  
  South East   $1,076,988,100  
  Champlain   $2,512,834,700  
  North Simcoe Muskoka   $847,531,000  
  North East   $1,430,817,500  
  North West   $635,806,700  
  Local health integration networks - supplementary investments   $1,291,911,900 $26,255,106,800
  Total operating expense to be voted     $26,255,106,800
  Sub-items:      
  Local Health Integration Networks      
  Transfer payments      
  Erie St. Clair $1,104,577,100    
  South West $2,220,260,500    
  Waterloo Wellington $1,023,264,200    
  Hamilton Niagara Haldimand Brant $2,874,112,900    
  Central West $878,655,100    
  Mississauga Halton $1,434,868,200    
  Toronto Central $4,707,219,300    
  Central $2,007,302,400    
  Central East $2,208,957,200    
  South East $1,076,988,100    
  Champlain $2,512,834,700    
  North Simcoe Muskoka $847,531,000    
  North East $1,430,817,500    
  North West $635,806,700 $24,963,194,900 $24,963,194,900
  Local health integration networks - supplementary investments      
  Transfer payments      
  Local health integration networks - supplementary investments   $1,291,911,900 $1,291,911,900
  Total operating expense to be voted     $26,255,106,800
  Statutory appropriations      
  Other transactions      
Statutory Bad debt expense, the Financial Administration Act     $250,000
  Total operating expense for Local health integration networks and related health service providers     $26,255,356,800

Operating assets

Vote-item number Standard account by item and sub-items Amount Amount
1411-2 Local health integration networks and related health service providers    
  Advances and recoverable amounts    
  Erie St. Clair $2,422,200  
  South West $5,061,500  
  Waterloo Wellington $2,658,600  
  Hamilton Niagara Haldimand Brant $6,067,400  
  Central West $2,609,200  
  Mississauga Halton $2,273,500  
  Toronto Central $12,517,600  
  Central $3,721,200  
  Central East $5,685,200  
  South East $3,016,500  
  Champlain $5,683,300  
  North Simcoe Muskoka $1,525,700  
  North East $3,987,100  
  North West $1,308,600 $58,537,600
  Total operating assets to be voted   $58,537,600
  Total operating assets for Local health integration networks and related health service providers   $58,537,600

Provincial programs and stewardship - vote 1412

This vote includes Provincial Programs, Emergency Health Services and Stewardship. This program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs. Examples of these transfer payment programs include: Cancer Care Ontario, Cancer Screening Programs, Community and Priority Services, Operation of Related Facilities, Healthy Homes Renovation Tax Credits, HIV/AIDS and Hepatitis C Programs. The program provides Ontario’s share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario.

In addition to transfer payment activities, Provincial programs and stewardship also includes Direct Operating Expenditures for the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Local Health Integration Networks.

Emergency Health Services ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The system consists of a series of inter - related programs and services including municipally operated/contracted land ambulance services, the not - for - profit air ambulance organization called Ornge, and ambulance communications services.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Provincial programs $2,649,159,400 $2,685,717,600 ($36,558,200) $2,600,498,990
2 Emergency health services $944,684,600 $922,323,400 $22,361,200 $876,542,532
4 Stewardship $90,970,300 $90,920,100 $50,200 $48,519,217
  Total operating expense to be voted $3,684,814,300 $3,698,961,100 ($14,146,800) $3,525,560,739
S Bad debt expense, the Financial Administration Act $81,000 $161,000 ($80,000) $160,000
  Total statutory appropriations $81,000 $161,000 ($80,000) $160,000
  Total operating expense $3,684,895,300 $3,699,122,100 ($14,226,800) $3,525,720,739

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
5 Provincial programs and stewardship $11,229,400 $11,229,400 - $11,029,400
  Total operating assets to be voted $11,229,400 $11,229,400 - $11,029,400
  Total operating assets $11,229,400 $11,229,400 - $11,029,400

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1412-1 Provincial programs    
  Transfer payments    
  Cancer Screening programs $92,363,500  
  Operation of related facilities $68,875,600  
  Cancer Care Ontario $1,433,718,200  
  Canadian blood services $523,058,700  
  HIV/AIDS and Hepatitis C programs $61,244,200  
  Community and priority services $458,650,900  
  Healthy homes renovation tax credit $11,248,300 $2,649,159,400
  Total operating expense to be voted   $2,649,159,400
  Statutory appropriations    
  Other transactions    
Statutory Bad debt expense, the Financial Administration Act   $81,000
1412-2 Emergency health services    
  Salaries and wages   $45,406,800
  Employee benefits   $7,199,300
  Transportation and communication   $3,178,100
  Services   $7,977,200
  Supplies and equipment   $4,902,100
  Transfer payments    
  Payments for ambulance and related emergency services: municipal ambulance $639,751,400  
  Payments for ambulance and related emergency services: other ambulance operations and related emergency services $68,685,800  
  air ambulance $167,583,900 $876,021,100
  Total operating expense to be voted   $944,684,600
1412-4 Stewardship    
  Salaries and wages   $51,140,500
  Employee benefits   $6,889,500
  Transportation and communication   $2,702,700
  Services   $27,030,900
  Supplies and equipment   $3,206,700
  Total operating expense to be voted   $90,970,300
  Total operating expense for provincial programs and stewardship   $3,684,895,300

Operating assets

Vote - item number Standard account by item and sub-items Amount Amount
1412-5 Provincial programs and stewardship    
  Advances and recoverable amounts    
  Payments for Ambulance and Related Emergency Services: Municipal Ambulance $500,000  
  HIV/AIDS and Hepatitis C programs $375,000  
  Community and priority services $4,393,400  
  Cancer Care Ontario $5,500,000  
  Payments for ambulance and related emergency services: other ambulance operations and related emergency services $461,000 $11,229,400
  Total operating assets to be voted   $11,229,400
  Total operating assets for provincial programs and stewardship   $11,229,400

Information systems - vote 1413

Information systems provide support to the Ministry of Health and Long - Term Care to ensure the cost - effective and efficient use of Information and Information Technology resources to achieve business results.

The program offers a broad range of strategic and operational services essential to the effective delivery and support of the Ministry.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Information technology services – health cluster $145,443,100 $146,430,900 ($987,800) $129,262,375
  Total operating expense to be voted $145,443,100 $146,430,900 ($987,800) $129,262,375
  Total operating expense $145,443,100 $146,430,900 ($987,800) $129,262,375

Capital expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
3 Information systems $1,000 $1,000 - -
  Total capital expense to be voted $1,000 $1,000 - -
S Amortization, the Financial Administration Act $11,871,700 $10,641,400 $1,230,300 $1,054,576
  Total statutory appropriations $11,871,700 $10,641,400 $1,230,300 $1,054,576
  Total capital expense $11,872,700 $10,642,400 $1,230,300 $1,054,576

Capital assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
4 Information systems $25,302,800 $19,674,100 $5,628,700 $21,420,249
  Total capital assets to be voted $25,302,800 $19,674,100 $5,628,700 $21,420,249
  Total capital assets $25,302,800 $19,674,100 $5,628,700 $21,420,249

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount
1413-1 Information technology tervices – health cluster  
  Salaries and wages $42,060,900
  Employee benefits $6,537,400
  Transportation and communication $2,455,700
  Services $91,394,300
  Supplies and equipment $2,994,800
  Total operating expense to be voted $145,443,100
  Total operating expense for Information systems $145,443,100

Capital expense

Vote - item number Standard account by item and sub-items Amount
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 $11,871,700
  Total capital expense for information systems $11,872,700

Capital assets

Vote - item number Standard account by item and sub-items Amount
1413-4 Information systems  
  Information technology hardware $3,807,300
  Business application software - asset costs $21,495,500
  Total capital assets to be voted $25,302,800
  Total capital assets for information systems $25,302,800

Health Promotion - vote 1414

The mandate of Health Promotion is to support the government’s priority of keeping Ontarians healthy at all stages of life. The Program provides a leadership role in keeping Ontarians healthy by developing health promotion policies, strategies and funding initiatives to promote healthier living, and providing Ontarians with the tools to make healthier choices. The Program provides oversight and ongoing management of transfer payment funding to support Ontario Public Health Standards aimed at child and reproductive health, chronic disease, prevention of injury and substance misuse. In addition, the Program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs that support key government priorities such as the Smoke-Free Ontario Strategy, Healthy Kids Strategy, Diabetes Strategy, Problem Gambling Strategy and Aboriginal/Indigenous Health and Wellness.

The Program sets standards, protocols and performance targets for boards of health and provides policy and program oversight to ensure accountability of the public health system and other funded service providers.

Vote summary

Operating expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Health promotion $392,244,200 $388,259,100 $3,985,100 $350,975,978
  Total operating expense to be voted $392,244,200 $388,259,100 $3,985,100 $350,975,978
  Total operating expense $392,244,200 $388,259,100 $3,985,100 $350,975,978

Operating assets

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
2 Health promotion $250,000 $250,000 - -
  Total operating assets to be voted $250,000 $250,000 - -
  Total operating assets $250,000 $250,000 - -

Standard account by item and sub-items

Operating expense

Vote - item number Standard account by item and sub-items Amount Amount
1414-1 Health promotion    
  Salaries and wages   $6,366,900
  Employee benefits   $713,800
  Transportation and communication   $465,900
  Services   $12,683,800
  Supplies and equipment   $222,500
  Transfer payments    
  Official local health agencies - health promotion $265,312,200  
  Nutrition/healthy eating $25,710,400  
  Prevent disease, injury and addiction $14,394,600  
  Healthy communities fund $4,075,000  
  Local capacity and coordination $1,096,800  
  Smoke - free Ontario $61,202,300 $371,791,300
  Total operating expense to be voted   $392,244,200
  Total operating expense for health promotion   $392,244,200

Operating assets

Vote - item number Standard account by item and sub-items Amount
1414-2 Health promotion  
  Advances and recoverable amounts  
  Official local health agencies - health promotion $250,000
  Total operating assets to be voted $250,000
  Total operating assets for health promotion $250,000

Health Capital Program - vote 1407

Health Capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated cancer programs and community health agencies.

Vote summary

Capital expense

Item number Item Estimates 2016‑17 Estimates 2015‑16 Difference between 2016‑17 and 2015‑16 Actual 2014‑15
1 Health Capital $1,450,847,800 $1,465,807,000 ($14,959,200) $1,470,955,063
  Total capital expense to be voted $1,450,847,800 $1,465,807,000 ($14,959,200) $1,470,955,063
  Total capital expense $1,450,847,800 $1,465,807,000 ($14,959,200) $1,470,955,063

Standard account by item and sub-items

Capital expense

Vote - item number Standard account by item and sub-items Amount Amount
1407-1 Health Capital    
  Transfer payments    
  Major hospital projects $1,084,805,000  
  Health infrastructure renewal fund $175,000,000  
  Small hospital projects $40,000,000  
  Medical and diagnostic equipment fund $34,500,000  
  Long - term care programs $4,812,000  
  Community health programs $80,865,500  
  Public health laboratories $17,260,800  
  Integrated health facility programs $1,317,400 $1,438,560,700
  Other transactions    
  Provincial psychiatric hospitals divestment $10,000,000  
  Facilities Condition Assessment Program $2,287,100 $12,287,100
  Total capital expense to be voted   $1,450,847,800
  Total capital expense for Health Capital Program   $1,450,847,800