North East LHIN’s health system planning and funding functions are now part of Ontario Health, a government agency responsible for ensuring Ontarians continue to receive high-quality health care services where and when they need them.


We are required under the Local Health Services Integration Act, 2006, to negotiate service accountability agreements with the health service providers they fund.

The Hospital Annual Planning Submission (HAPS) Guidelines state that they and the hospitals within their region must work together to achieve balanced budgets.

Hospitals who were not able to submit a balanced HAPS to us have the choice to either revise their submission and submit a plan that is balanced or submit a Hospital Improvement Plan (HIP). The HIP must outline the strategy for the hospital to return to a balanced budget.

We fund 25 hospitals. The first Hospital Service Accountability Agreements (HSAA) were signed in 2008 and covered fiscal years 2008-2010.

2008/2010 Signed Agreements

HAPS / H-SAA Resource Documents

Hospital Improvement Plan (HIP) Template