The Expenditure Estimates are available in PDF and HTML versions. The PDF version is a format reflecting the true printed version. The HTML version is an accessible format.
MINISTRY OF HEALTH AND LONG-TERM CARE
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 to 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 facilities and community services, laboratories, ambulances and other health facilities in Ontario.
In addition to promoting healthy lifestyles as the key to disease prevention, the Ministry fosters and supports the development and implementation of community-based programs to promote and protect the health of all Ontarians.
MINISTRY OF HEALTH AND LONG-TERM CARE - Summary
| Accrual 2003-04 Estimates | PROGRAMS | Cash 2002-03 Estimates | Cash 2001-02 Actual |
|---|---|---|---|
| $ | $ | $ | |
| OPERATING | |||
| 122,724,003 | Ministry Administration Program1 | 119,618,046 | 141,211,267 |
| 373,063,900 | Health Policy and Research Program2 | 351,782,100 | 327,127,873 |
| 77,707,500 | Smart Systems and Knowledge Management Program | 40,610,200 | 20,935,492 |
| 15,939,578,800 | Integrated Health Care Program3,4,5 | 15,259,554,600 | 13,936,238,094 |
| 9,401,000,300 | Ontario Health Insurance Program6,7,8,9 | 8,869,781,100 | 8,371,525,871 |
| 1,689,061,900 | Public Health, Health Promotion and Wellness Program10,11,12,13 | 1,620,610,900 | 1,487,336,645 |
| 27,603,136,403 | Ministry Total Operating | 26,261,956,946 | 24,284,375,242 |
| 16,613,757,500 | Less: Special Warrants | 8,235,310,000 | - |
| 1,129,103 | Less: Statutory Appropriations | 81,846 | 60,904 |
| 10,988,249,800 | < TOTAL OPERATING TO BE VOTED | 18,026,565,100 | 24,284,314,338 |
| 27,603,136,403 | Ministry Total Operating | ||
| 7,900,000 | Net Consolidation Adjustment - Cancer Care Ontario | ||
| 27,595,236,403 | TOTAL INCLUDING CONSOLIDATION AND OTHER ADJUSTMENTS |
NOTE: Commencing in 2003-04, Estimates are presented on the accrual basis of accounting. Information for 2002-03 and earlier years is presented on the modified cash basis, and therefore comparison between 2003-04 and earlier year figures may not be meaningful. Differences between cash and accrual relate to adjustments such as timing of transfer payments and provisions for bad debts, that would increase or decrease the 2002-03 amounts had they been presented on the accrual basis.
Adjustments for this Ministry, if any, are indicated by superscripted references above and are explained on the page following the Ministry Summary - Reconciliation of 2002-03 Estimates from Cash to Accrual.
MINISTRY OF HEALTH AND LONG-TERM CARE - Summary (Assets)
| Accrual 2003-04 Estimates | PROGRAMS | Cash 2002-03 Estimates | Cash 2001-02 Actual |
|---|---|---|---|
| $ | $ | $ | |
| OPERATING | |||
| Assets | |||
| 2,200,000 | Health Policy and Research Program | - | - |
| 73,907,100 | Integrated Health Care Program | - | - |
| 16,912,200 | Ontario Health Insurance Program | - | - |
| 12,725,000 | Public Health, Health Promotion and Wellness Program | - | - |
| 105,744,300 | Ministry Total Assets | - | - |
| 61,684,100 | Less: Special Warrants | - | - |
| 44,060,200 | < TOTAL ASSETS TO BE VOTED | - | - |
RECONCILIATION TO PREVIOUSLY PUBLISHED DATA
| DETAILS | Cash 2002-03 Estimates | Cash 2001-02 Actual |
|---|---|---|
| OPERATING | $ | $ |
| 1. Previously Published Data | ||
| 1.1 2002-03 Printed Estimates | 25,911,956,946 | |
| 1.2 2001-02 Public Accounts | 24,280,623,443 | |
| 2. Supplementary Estimates | ||
| 2.1 2002-03 Supplementary Estimates | 350,000,000 | |
| 3. Government Reorganization | ||
| 3.1 Transfer of functions from other Ministries | 8,751,799 | |
| 3.2 Transfer of functions to other Ministries | (5,000,000) | |
| 26,261,956,946 | 24,284,375,242 |
NOTE: Commencing in 2003-04, Estimates are presented on the accrual basis of accounting. Information for 2002-03 and earlier years is presented on the modified cash basis, and therefore comparison between 2003-04 and earlier year figures may not be meaningful. Differences between cash and accrual relate to adjustments such as timing of transfer payments and provisions for bad debts, that would increase or decrease the 2002-03 amounts had they been presented on the accrual basis.
Adjustments for this Ministry, if any, are indicated by superscripted references above and are explained on the page following the Ministry Summary - Reconciliation of 2002-03 Estimates from Cash to Accrual.
RECONCILIATION OF 2002-03 ESTIMATES FROM CASH TO ACCRUAL
| VOTE and item | Cash 2002-03 Estimates | Adjustments from Cash to Accrual | 2002-03 Estimates Presented as Accrual | 2003-04 Estimates on Accrual Basis | Change from 2002-03 Estimates on Accrual Basis | |
|---|---|---|---|---|---|---|
| $ millions | $ millions | $ millions | $ millions | $ millions | ||
| OPERATING | ||||||
| 1401 | Ministry Administration Program | |||||
| 1 | Ministry Administration1 | 115.7 | (3.0) | 112.7 | 118.8 | 6.1 |
| 2 | Ontario Review Board | 3.8 | - | 3.8 | 3.9 | |
| S | Ministers’ Salaries, the Executive Council Act | 0.1 | - | 0.1 | 0.1 | - |
| S | Parliamentary Assistant’s Salary, the Executive Council Act | - | - | - | - | - |
| 119.6 | (3.0) | 116.6 | 122.7 | 6.2 | ||
| 1402 | Health Policy and Research Program | |||||
| 1 | Health Policy and Research2 | 351.8 | 3.2 | 348.6 | 373.1 | 24.5 |
| 351.8 | 3.2 | 348.6 | 373.1 | 24.5 | ||
| 1403 | Smart Systems and Knowledge Management Program | |||||
| 1 | Smart Systems and Knowledge Management | 40.6 | - | 40.6 | 77.7 | 37.1 |
| 40.6 | - | 40.6 | 77.7 | 37.1 | ||
| 1404 | Integrated Health Care Program | |||||
| 1 | Integrated Health Care Program3 | 14,222.6 | (53.4) | 14,169.2 | 15,156.6 | 987.4 |
| 2 | Mental Health Facilities4 | 710.8 | (11) | 699.8 | 783 | 83.2 |
| 3 | Hospital Restructuring5 | 326.1 | (326.1) | - | - | - |
| S | Bad Debt Expense, the Financial Administration Act | - | - | - | - | - |
| 15,259.6 | (390.6) | 14,869.0 | 15,939.6 | 1,070.6 | ||
| 1405 | Ontario Health Insurance Program | |||||
| 1 | Ontario Health Insurance6 | 6,590.4 | 3.7 | 6,594.0 | 6,829.2 | 235.2 |
| 2 | Drug Programs7 | 2,017.0 | 2.1 | 2,019.1 | 2,296.0 | 276.8 |
| 3 | Laboratory Services8 | 66.2 | (1.4) | 64.8 | 68.0 | 3.2 |
| 4 | Assistive Devices Program9 | 196.2 | (3.1) | 193.1 | 206.8 | 13.8 |
| S | Bad Debt Expense, the Financial Administration Act | - | - | - | 1.0 | 1.0 |
| 8,869.8 | 1.3 | 8,871.0 | 9,401.0 | 530 | ||
| 1406 | Public Health, Health Promotion and Wellness Program | |||||
| 1 | Health Promotion and Illness Prevention10 | 29.6 | (0.1) | 29.5 | 37.3 | 7.8 |
| 2 | Integrated Services for Children | 74.5 | - | 74.5 | 72.8 | (1.6) |
| 3 | Community Health Services11 | 275.6 | (4.5) | 271.1 | 295.2 | 24.1 |
| 4 | Public Health12 | 819.0 | (70.6) | 748.4 | 809.8 | 61.4 |
| 5 | Emergency Health Services13 | 422.0 | (4.7) | 417.2 | 473.9 | 56.7 |
| 1,620.6 | (79.9) | 1,540.7 | 1,689.1 | 148.4 | ||
| Ministry Total Operating | 26,262.0 | (475.5) | 25,786.5 | 27,603.1 | 1,816.7 |
Note: Amounts are rounded to the nearest one hundred thousand dollars and amounts less than fifty thousand dollars are shown as zero. Totals may not add due to this rounding.
Adjustments from Cash to Accrual - Commencing in 2003-04, Estimates are prepared on the accrual basis of accounting. Information for 2002-03 and earlier years was prepared in the Estimates on the modified-cash basis. Information is provided in the following notes on the adjustments that increase or decrease the 2002-03 amounts to present them on the accrual basis in this reconciliation. The accrual presentation of the 2002-03 Estimates is not an official restatement; it is an approximation reflecting only the significant accrual adjustments as required to allow for a comparison between the 2003-04 and the 2002-03 Estimates on a consistent basis of accounting. (Note: adjustments of less than $0.05 million are not shown)
| $ millions | ||
|---|---|---|
| 1. | (2.1) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (0.9) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 2. | (0.6) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (2.5) | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| (0.1) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 3. | (1.5) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (51.7) | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| (0.2) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 4. | (11.0) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| 5. | (326.1) |
adjustment to remove payments for restructuring costs (cash basis), which on the accrual basis would have been reflected in the expenses of a previous fiscal year |
| 6. | (3.3) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| 7.3 | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| (0.4) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 7. | (0.3) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| 5.5 | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| (3.1) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 8. | (1.4) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| 9. | (0.1) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (2.9) | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| (0.1) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
| 10. | (0.1) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| 11. | (0.1) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (4.3) | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| 12. | (0.3) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (70.3) | transfer payment adjustments for differences between when funds are flowed to transfer payment recipients (cash basis) and when the recipients fulfill their obligations under the transfer payment program (accrual basis) | |
| 13. | (2.2) |
adjustment to remove the pension costs related to ministry employees because, commencing in 2003-04, the cost to the Province of all pension benefits earned by employees is reflected in the Estimates for Management Board Secretariat |
| (2.4) | adjustment to remove payments for restructuring costs (cash basis), which on the accrual basis would have been reflected in the expenses of a previous fiscal year | |
| (0.1) | adjustment to remove lease payments (cash basis) and reflect the full cost of new leases in the first year (accrual basis) for those leases that, on an accrual basis, are considered to finance a purchase | |
(475.5) |
<< Total Adjustments |
MINISTRY OF HEALTH AND LONG-TERM CARE - Capital Summary
| Accrual 2003-04 Estimates | PROGRAMS | Cash 2002-03 Estimates | Cash 2001-02 Actual |
|---|---|---|---|
| $ | $ | $ | |
| CAPITAL | |||
| 511,192,400 | Health Capital Program | 342,272,400 | 187,848,274 |
| 511,192,400 | Ministry Total Capital | 342,272,400 | 187,848,274 |
| 209,641,900 | Less: Special Warrants | 18,419,000 | - |
| 301,550,500 | < TOTAL CAPITAL TO BE VOTED | 323,853,400 | 187,848,274 |
| 511,192,400 | Ministry Total Capital | ||
| (6,900,000) | Net Consolidation Adjustment - Cancer Care Ontario | ||
| 504,292,400 | TOTAL INCLUDING CONSOLIDATION AND OTHER ADJUSTMENTS |
NOTE: Commencing in 2003-04, Estimates are presented on the accrual basis of accounting. Information for 2002-03 and earlier years is presented on the modified cash basis, and therefore comparison between 2003-04 and earlier year figures may not be meaningful. Differences between cash and accrual relate to adjustments such as timing of transfer payments and provisions for bad debts, that would increase or decrease the 2002-03 amounts had they been presented on the accrual basis.
Adjustments for this Ministry, if any, are indicated by superscripted references above and are explained on the page following the Ministry Summary - Reconciliation of 2002-03 Estimates from Cash to Accrual.
RECONCILIATION OF 2002-03 ESTIMATES FROM CASH TO ACCRUAL - Capital
| VOTE and item | Cash 2002-03 Estimates | Adjustments from Cash to Accrual | Estimates Presented as Accrual | Estimates on Accrual Basis | Change from 2002-03 Estimates on Accrual Basis | |
|---|---|---|---|---|---|---|
| $ millions | $ millions | $ millions | $ millions | $ millions | ||
| CAPITAL | ||||||
| 1407 | Health Capital Program | |||||
| 1 | Health Capital | 342.3 | - | 342.3 | 511.2 | 168.9 |
| 342.3 | - | 342.3 | 511.2 | 168.9 | ||
| Ministry Total Capital | 342.3 | - | 342.3 | 511.2 | 168.9 |
Note: Amounts are rounded to the nearest one hundred thousand dollars and amounts less than fifty thousand dollars are shown as zero. Totals may not add due to this rounding.
Adjustments from Cash to Accrual - Commencing in 2003-04, Estimates are prepared on the accrual basis of accounting. Information for 2002-03 and earlier years was prepared in the Estimates on the modified-cash basis. Information is provided in the following notes on the adjustments that increase or decrease the 2002-03 amounts to present them on the accrual basis in this reconciliation. The accrual presentation of the 2002-03 Estimates is not an official restatement; it is an approximation reflecting only the significant accrual adjustments as required to allow for a comparison between the 2003-04 and the 2002-03 Estimates on a consistent basis of accounting. (Note: adjustments of less than $0.05 million are not shown)
no adjustments from cash to accrual