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Our letter to Ontario’s Auditor General

On November 14, 2023, we sent a letter to the Acting Auditor General requesting a public audit of Haliburton Highlands Health Services (HHHS) financial management and decision-making processes and funding delays prior to Minden ER’s closure. The Auditor General responded on March 19th, 2024. We replied on April 2nd, 2024.

View our letter to Ontario’s Auditor General

Ontario Hospital Analysis

View total funding, deficit/surplus, year-over-year changes, political riding, nearest MPP and more for each hospital in Ontario

Our 2024 pre-budget submission

View our 2024 Pre-budget submission as a web page

Our letter to Ontario’s Integrity Commissioner

View our letter to Ontario’s Integrity Commissioner as a web page

Who is Minden Paper?


  • We’re a diverse team with lived experience in healthcare, board governance, digital strategy, operations management, financial analysis, nonprofit management and community advocacy.
  • We’re deeply concerned about Haliburton Highlands Health Services (HHHS) decision to close the Minden Emergency Department (ED) permanently — with six weeks’ notice.
  • We’re committed to seeking and ensuring accountability and transparency from the CEO, Board Chair and Ministry of Health.
  • We hope to raise our collective understanding of healthcare planning and provision so that more people can help ensure key decision-makers understand the socioeconomic repercussions of these decisions — and the need for effective stakeholder consultation and governance.
  • We’ve researched the decision-making process behind the Minden ED’s closure and its impact on Minden and surrounding areas.
  • Our work reflects growing concerns about ED and Urgent Care Clinic closures nationwide.
  • We feel it’s incredibly important to ensure key decision-makers and stakeholders understand the criticality of access to safe, reliable, accessible public healthcare.
  • We believe the closure of the Minden ED serves as a microcosm for what’s happening across Ontario, if not the entire country.