On April 1, 2007, LHINs assumed full responsibility for planning, funding and integrating health services.  Using a phased approach, the board of the Central East LHIN signs multi year planning and funding Accountability Agreements with each of its providers, defining the obligations and responsibilities of both the providers and the LHIN and forming the basis on which funding is provided. 

The charts and links below detail the amount of funding provided by the LHIN to each sector and each health service provider included in that sector.

Funding Allocations by sector: - updated August 26, 2014 


as of June 30, 2012

as of June 30, 2013
as of June 30, 2014
Hospitals $1,344,443,012


Community Care Access Centre $226,119,610
Supportive Housing $13,925,255
Long Term Care Homes  $411,162,864
Acquired Brain Injury (ABI) $1,450,060
Community Support Services $32,489,615
Community Mental Health $48,194,214
Addictions Programs $10,903,429
Community Health Centres $24,388,422
Total Allocated Funds $2,113,076,481

Health Infrastructure Renewal Fund Guidelines - updated December 18, 2013 

Hospitals are responsible for planning infrastructure renewal activities to ensure that their facilities are in a good state of repair. Recognizing the need for the renewal of health care infrastructure, the ministry created the Health Infrastructure Renewal Fund (“HIRF) program. This program supplements a hospital’s existing renewal program and helps to address renewal needs on a priority basis.

The Ministry of Health and Long-Term Care (“the ministry”) is now fully aligning HIRF with the results of the Facility Condition Assessment Program (“FCAP”). This means that there will no longer be a minimum HIRF amount for each Local Health Integration Network (“LHIN”). There will be an exceptional circumstances process which is described later in this document.

Only projects for tangible assets that are capitalizable, and the cost of which is at least $5,000 are eligible.

Prior to 2012-13 it was recognized that while program surpluses were not expected to occur, certain projects may have been completed under budget and that the hospital would have had an unexpended balance to use for subsequent HIRF projects. As of 2012-13, hospitals were no longer permitted to carry unexpended balances forward. Any unexpended balance up to and including 2012-13 will be recovered by the ministry, as per the terms of the HIRF Agreement for 2012-13.

For more information, hospitals and interested stakeholders are encouraged to click on the links below to download current documents associated with this process.

Questions can be directed to Sherry Harvey, CMA, Senior Finance Consultant, System Finance & Performance Management at