Ministry of Health and Long Term Care - Summary

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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