Between Royal Victoria Regional Health Centre and North Simcoe Muskoka Local Health Integration Network (LHIN). RVH and the NSM LHIN entered into an initial H-SAA effective April 1, 2008, which has been updated annually through an amending agreement.

RVH H-SAA Agreement 2023-24

RVH H-SAA Amending Agreement Extension – March 31, 2024 – March 31, 2025

Archived H-SAA Agreements

Multi-Service Accountability Agreement (M-SAA)
Between Royal Victoria Regional Health Centre and North Simcoe Muskoka Local Health Integration Network (LHIN). The Local Health System Integration Act, 2006 requires that the LHIN and the health service provider (HSP) enter into a service accountability agreement. The service accountability agreement supports a collaborative relationship between the LHIN and the HSP to improve the health of Ontarians through better access to high quality health services, to co-ordinate health care in local health systems and to manage the health system at the local level effectively and efficiently.

RVH MSAA  Agreement – April 1, 2023- March 31, 2024

RVH MSAA  Agreement Extension – March 31, 2024- March 31, 2025

Every hospital is required to post its board attestations on its public website by August 31st of each year. Attestations should remain on main public websites for a period of one year, after which time they may be moved to the archived​ section of the website.

2024 RVH HSAA Compliance Attestation

2024 RVH MSAA Compliance Attestation

2024 RVH BPS Attestation

Archived Attestations


The Public Sector Salary Disclosure Act, 1996 is just one measure ensuring Ontario’s public sector is transparent and accountable to taxpayers. The act requires organizations that receive public funding from the Province of Ontario to disclose annually the names, positions, salaries and total taxable benefits of employees paid $100,000 or more in a calendar year.

The act applies to organizations such as the Government of Ontario, Crown Agencies, Municipalities, Hospitals, Boards of Public Health, School Boards, Universities, Colleges, Hydro One, Ontario Power Generation, and other public sector employers who receive a significant level of funding from the provincial government.

Ontario’s hospitals operate in one of the most demanding, complex, accountable healthcare systems in all of Canada. Virtually every aspect of a hospital’s performance is regularly subject to external, independent scrutiny, including compensation of its employees. When salaries are set at RVH, they are based on many factors, including, competitive market rates, province-wide union settlements, and comprehensive evaluation conducted by an external agency. Benchmarking has show that the salaries at RVH are on par with our peer hospitals of similar size and complexity across the province.

RVH Salary Disclosure

The Broader Public Sector Accountability Act 2010 (BPSAA), which received Royal Assent on December 8, 2010, includes a number of new transparency and accountability mechanisms for hospitals and the broader public sector around the use of lobbyist, consultants and expenses.

RVH is committed to being open and transparent with its stakeholders and the public it serves. You will find in the links below expense claims for the following members: Board of Directors, Senior Leadership Team, past employees.

Current employee expenses

Past employee expenses

RVH has a well-developed RVH Travel and Hospitality Expense Policy in accordance with the requirements of the BPSAA.

Hospitals are responsible for all costs related to parking facilities, including construction and maintenance. The Ministry of Health and Long-Term Care does not provide any financial support for parking lots and structures. Parking revenues are used to support hospital operations and equipment replacement.

21/22 Parking Revenues

Year in Review

Financial Statements

Strategic Energy Management Plan

As per Ontario Regulation 397/11 all public agencies shall prepare, publish, implement and make available to the public energy conservation and demand management plans.

RVH’s plan, in order to meet Ontario Regulation 397/11 will include:

  • Annual energy consumption information (during the last year) is available for a full year
  • Energy conservation, consumption reduction, and managing demand goals and objectives
  • RVH’s senior leadership team has the approval of the Strategic Energy Management Plan

Download RVH’s Energy Conservation and Demand Management Plan 2024-2029