Accountability and Transparency

Read our Report on Performance 

Strive for transparent decision-making and better performance by reporting on measures of success and holding individuals and organizations accountable for results.

MOU etc

LHINs have built a strong foundation of transparency, performance and accountability as these are fundamental expectations of what Ontarians want from their health care system.

All LHINs are accountable to the Ministry of Health and Long-Term Care through their Ministry-LHIN Accountability Agreement. LHINs in turn have Service Accountability Agreements (SAA) in place with each health service provider that receives funding from the LHIN.

The SAA is a public document that covers a specified term and lays out accountability and performance obligations for planning, integration and delivery of programs and services.

The LHIN models transparency in its reporting and decision-making processes, ensuring accessibility of data and information to inform decisions and to assess performance at the provider, initiative and system level. The LHIN strives to ensure that health care dollars are spent efficiently and effectively, yielding the best results possible and overall value for money.

The LHINs operate within an accountability framework that is comprised of the Local Health System Integration Act, 2006 or LHSIA, the Memorandum of Understanding or MOU, and the Ministry-LHIN Performance Agreement or MLPA.   

Transfer Order

March 17, 2021 – Additional Transfers to Ontario Health

 On March 17, 2021, the Honourable Christine Elliott, Deputy Premier and Minister of Health, issued an order under the Connecting Care Act, 2019 transferring the health system planning and funding functions of the Local Health Integration Networks (LHINs) to Ontario Health, effective April 1, 2021:

Patient care functions, including the delivery of home care and long-term care home placement services, will remain in place under a new name to reflect a focused mandate – Home and Community Care Support Services.

Our name will change but services and contact information will remain the same, including home and community care and long-term care home placement.

This is part of Ontario’s plan to build a better, more connected health care system centered around the needs of patients through Ontario Health Teams.

Patients and families will continue to have access to the care they need and the health care providers with whom they have built relationships.

Ontario Health and the Ministry of Health are committed to ensuring Ontarians continue receiving high-quality health care services where and when they need them. For more information, visit

Mandate Letter

Memorandum of Understanding

Ministry-LHIN Accountability Agreement 

formerly Ministry-LHIN Performance Agreement

Annual Business Plan

Patients First Resources

Broader Public Sector Accountability Act, 2010

As of April 1, 2011, under the Broader Public Sector Accountability Act, 2010, every LHIN, in compliance with the Directive issued by the Minister of Health and Long-Term Care, is required to post the following:

Expense Claim Information – Section 8

Following direction from the Minister of Health and Long-Term Care, expenses will be posted expenses here for all members of the South West LHIN Board of Directors and senior LHIN staff beginning with the first quarter (Q1) of the 2010/11 fiscal year (April 1, 2010 to March 31, 2011) .

BPSAA Compliance Attestations – Section 14

Transfer Payment Accountability Directive Update