The London Health Sciences Centre`s Hospital Service Contract (H-SAA) with South West LHIN is available online. The agreement maintains the current level of service and allows LHSC to continue to provide its wide range of clinical programs and quality services to populations in southwestern Ontario and beyond. Under The Commitment to the Future of Medicare Act, 2004, all hospitals in the province of Ontario are required to sign an annual H-SAA. This H-ASA requires the hospital to achieve balanced budgets, as well as other financial and performance commitments that the hospital has committed to meet. Below, you`ll find links to the Stevenson Memoriale Accords. Under the Local Health Services Integration Act of 2006, Local Health Integration Networks (NHSAs) are required to negotiate accountability agreements with the health care providers they fund. Service accounting agreements are signed with the Central Local Health Integration Network (LHIN) and establish the agreement for service levels and allow Stevenson State Hospital to continue to provide its wide range of safe and high quality programs and services. The latest Hospital Accounting Agreement (H-SAA) is available below. 2008-10 Hospital Service Accountability Agreement (H-SAA) Our Hospital Service Accountability Agreement with the Central LHIN is available online and on paper from our financial department. London Health Sciences Centre`s 2008-2013 Hospital Service Accountability Agreement – Extension until June 30, 2017 – 18 SMH H-SAA MODIFICATION CONVENTION – Extension until September 30, 2018 Below are some changes to the original 2008 hospital accounting agreement.