Hospice Palliative Helpline: 905-667-1865

Pre-Budget Consultation Submission

Hospice Mississauga appreciates the opportunity to contribute to the Government of Ontario’s pre-budget consultations and to highlight the critical role hospices play in delivering compassionate, cost-effective, and patient-centred end-of-life care.

Hospice Mississauga serves one of Ontario’s fastest-growing and most diverse communities. Demand for hospice services in Mississauga continues to rise, driven by population growth, aging demographics, and increasing pressure on hospitals and acute care settings.

Project Status: Construction Underway

On January 12, 2026, Hospice Mississauga began construction on a new 12-bed Hospice Centre. This project represents a significant milestone for our community and the health system.

The City of Mississauga has demonstrated strong leadership by providing the construction financing required to allow this project to move forward. However, this financing is a loan, not a donation, and Hospice Mississauga must still raise the remaining funds required to complete the project.

Construction is underway. The critical question now is whether the current funding and staffing model will allow the hospice to open and sustain care once construction is complete.

Hospice Care: Value to Patients, Families, and the Health System

Hospices are an essential component of Ontario’s health system and the continuum of care. Hospice Mississauga provides compassionate, specialized, person-centred care that enhances choice for patients and families at end of life.

Hospice care delivers strong value for the health system:

  • End-of-life care delivered in hospice costs approximately one-third of comparable care provided in hospital.
  • Hospice beds help relieve pressure on acute care beds, emergency departments, and alternate level-of-care capacity, allowing hospitals to focus on complex and urgent medical needs.
  • Care is delivered by specialized interdisciplinary professionals who provide high-quality clinical, psychosocial, and spiritual support.

Hospice Mississauga also provides bereavement support for families, including children and youth, helping them process grief and loss in healthy ways and reducing longer-term impacts on well-being.

A Funding Model Misaligned with System Value

Despite the demonstrated value of hospice care, the current funding model remains fundamentally misaligned and inequitable.

Unlike hospitals and other publicly funded health institutions, hospices must fundraise:

  • 50% of operating costs annually — for Hospice Mississauga, this translates to nearly $2 million every year raised through charitable fundraising to sustain core operations.
  • 90% of capital costs — for the new Hospice Centre, this translates to approximately $25 million that must be raised by the community to build essential health system infrastructure.

This level of reliance on donations is increasingly unsustainable in today’s economic environment and contributes to uneven access to hospice care across communities, based not on need, but on local fundraising capacity.

Workforce Sustainability and Compensation Pressures

Workforce sustainability represents a significant and growing risk to hospice operations.

Hospices deliver complex clinical care, yet compensation funding has not kept pace with hospitals and other system partners. Without funding that supports competitive wages and benefits:

  • hospices struggle to recruit and retain qualified clinical and support staff,
  • beds may remain closed or services reduced even when physical capacity exists, and
  • system value is undermined, as hospice capacity cannot be fully utilized to relieve hospital pressures.

Capital investments alone are insufficient if staffing models do not allow services to operate safely and fully.

Budget Recommendations

As the province prepares its next budget, Hospice Mississauga respectfully recommends a more equitable and sustainable hospice funding framework that includes:

  1. Increased base operating funding to reduce reliance on charitable fundraising for core operations and keeps pace with the system and inflationary impacts
  2. Improved capital funding support for hospice construction and redevelopment projects
  3. Wage funding that keeps pace with hospitals and system partners to support recruitment and retention and ensure beds can open and remain open

These changes would allow hospices to staff beds, stabilize operations, and fully realize the return on both community and provincial investment.

Conclusion

Hospice Mississauga is ready to do its part—delivering high-quality, compassionate care, enhancing choice for patients and families, and supporting the long-term sustainability of Ontario’s health system.

A modernized hospice funding model will ensure that investments made today translate into accessible, reliable care for Ontarians tomorrow.

Thank you for the opportunity to provide this submission.

Kitrina Fex
Chief Executive Officer
Hospice Mississauga