Healthcare capital investments in Ontario are funded primarily by the provincial government, though local communities and municipal governments also share a mandatory portion of the costs.

Provincial Government (Primary Funder)

• The Government of Ontario provides the vast majority of major healthcare capital funding—typically covering roughly 70% to 90% of construction and infrastructure costs for public hospitals and health facilities through multi-year capital grant programs managed via the Ministry of Health.

Municipal Government and Local Share (Co-Contributor)

• Under provincial policy, local communities must finance a "local share" of new hospital and healthcare facility builds.
• This local share typically totals 25% to 30% of an overall project's cost. It includes 10% of construction costs (with the province paying the remaining 90%) plus 100% of equipment, furniture, and other ineligible expenses.
• This local portion is raised through local hospital foundation donor campaigns, commercial revenues (like parking), and local/regional municipal governments contributing taxpayer funds.