All hospitals in Ontario are required to submit an Hospital Annual Planning Submission (HAPS) and a Hospital Service Accountability Agreement (H-SAA). This process was developed by the Ontario Ministry of Health and Long-Term Care.  

The Local Health Integration Networks (LHINs) were involved in the 2008/09 planning process for the first time. The LHINs have now assumed primary responsibility for completing negotiations with hospitals and obtaining signed H-SAAs. The LHINs will continue to work with the MOHLTC and the Ontario Hospitals Association to ensure a well coordinated and effective process.  

Download a copy of the 2008-2010 Providence Care Hospital Service Accountability Agreement.