About North Simcoe Muskoka LHIN

The North Simcoe Muskoka Local Health Integration Network (LHIN) is a crown agency that reports to the Ministry of Health and Long-Term Care. It is one of 14 local entities designed to plan, integrate and fund local health services, including hospitals, community health centres, long-term care homes, mental health and addiction programs and a variety of community support services agencies, and provide home and community care services within specific geographic areas.

The North Simcoe Muskoka (NSM) LHIN has a population of 479,471 (2015), representing 3.5% of Ontario’s population.  It encompasses the District of Muskoka, most of the County of Simcoe and a portion of Grey County. 

North Simcoe Muskoka is home to four First Nations. Given its location in and around cottage country, NSM experiences significant seasonal variation in population and demands for related health services.   North Simcoe Muskoka is also an increasingly popular retirement destination.

In June 2009, the LHIN adopted an organizational structure that sees its employees align more to a geographic health system approach:

  • Barrie and Area 
  • Couchiching (Orillia and Area)
  • Muskoka and Area
  • North Simcoe (Midland, Penetanguishene and Area)
  • South Georgian Bay (Collingwood, Wasaga Beach and Area)
Sub-Region   Population (2015)
Barrie and Area  221,585
Couchiching (Orillia and area)  80,413
Muskoka and Area  62,737
North Simcoe (Penetanguishene, Midland and area)  52,743
South Georgian Bay (Collingwood, Wasaga Beach and area)  61,993

NSM LHIN Municipalities Within Sub-Regions

NSM Sub-Regions


Barrie and Area Part of Adjala-Tosorontio, Barrie, Part of Essa, Innisfil, Oro-Medonte, Springwater
Couchiching  Mnjikaning First Nation, Orillia, Ramara, Severn
Muskoka and Area Bracebridge, Georgian Bay, Gravenhurst, Huntsville, Lake of Bays, Moose Point 79, Wahta Mohawk Territory
North Simcoe  Christian Island 30, Christian Island 30A, Midland, Penetanguishene, Tay, Tiny
South Georgian Bay Part of Blue Mountains, Clearview, Collingwood, Part of Grey Highlands, Wasaga Beach


To access a list of NSM communities, please click here.

North Simcoe Muskoka residents have benefited from numerous programs funded by the LHIN.  Improved wait times in emergency rooms, expanded care for seniors in a variety of settings and the implementation of residential hospice beds are just a few of the initiatives that have seen our residents receive quality and timely care close to home.

The North Simcoe Muskoka LHIN is responsible for $880 million in funding which is allocated to our 61 unique health service provider organizations. Each of the organizations operates within a Service Accountability Agreement that details their funding, along with the performance targets and other requirements they are expected to meet. Some organizations provide more than one service. 


Health Service Providers



Long-Term Care Homes


Community Health Centres


Community Support Services


Community Mental Health