Hospital Service Accountability Agreement (HSAA)

The 2008-10 Agreement was the first public Hospital Service Accountability Agreement (H-SAA) and succeeded the 2007/08 HAA that was assigned by the MOHLTC to the LHIN in April 2007.   Under the Local Health System Integration Act (the Act), the LHIN is required to enter into a Service Accountability Agreement with each of the health service providers that it funds.

The purpose of the Act is to provide for an integrated health system to improve the health of Ontarian’s through: (i) better access to high quality health services; (ii) coordinated health care in local health systems and across the province; and (ii) effective and efficient management of the health system at the local level by LHINs.

1. Toronto Grace Health Centre’s 2008-10 Hospital Service Accountability Agreement
2. Toronto Grace Health Centre’s 2010-11 Hospital-Service Accountability – Amending Agreement
3. Toronto Grace Health Centre’s 2010-11 Hospital-Service Accountability – Final Amending Agreement
4. Toronto Grace Health Centre’s 2011-12 Hospital-Service Accountability – Amending Agreement
5. Toronto Grace Health Centre’s 2011-12 Hospital-Service Accountability – Amending Agreement #2 
6. Toronto Grace Health Centre 2011-12 Hospital-Service Accountability – Amending Agreement #3
7. Toronto Grace Health Centre 2011-12 Hospital-Service Accountability – Amending Agreement #4
8. Toronto Grace Health Centre 2012-13 H-SAA Amending Agreement
9. Toronto Grace Health Centre 2013-14 H-SAA Amending Agreement
10. Toronto Grace Health Centre October 1, 2013 H-SAA Amending Agreement
11. Toronto Grace Health Centre 2014-15 H-SAA Amending Agreement
12. Toronto Grace Health Centre 2008-16 H-SAA Amending Agreement
13. Toronto Grace Health Centre 2008-17 H-SAA Amending Agreement
14. Toronto Grace Health Centre 2008-18 H-SAA Amending Agreement
15. Toronto Grace Health Centre 2018-19 Amendment to the H-SAA, HSFR and Other Hospital Funding Allocations
16. Toronto Grace Health Centre 2018-2020 Hospital-Service Accountability Agreement 
17. The Salvation Army Toronto Grace Health Centre 2019-20 Amending Agreement
18. The Salvation Army Toronto Grace Health Centre M-SAA 2019-22
19. The Salvation Army Toronto Grace Health Centre 2020-21 H-SAA Extension
20. The Salvation Army Toronto Grace Health Centre H-SAA Extending Letter_2021-22
21. The Salvation Army Toronto Grace Health Centre M-SAA Extending Letter_2021-22
22. Toronto Grace Health Centre 2023-24 H-SAA Amending Agreement
23. The Salvation Army Toronto Grace Health Centre M-SAA 2023-24
24. The Salvation Army Toronto Grace Health Centre H-SAA Extending Letter 2024-25
25. The Salvation Army Toronto Grace Health Centre M-SAA Extending Letter 2024-25