MEDICAL SERVICES COMMISSION Financial Statement for the fiscal year ended March 31, 2020 Medical Services Commission Administering the Medical Services Plan of British Columbia FINANCIAL STATEMENT For the Fiscal Year Ended March 31, 2020 Published in accordance with the Financial Information Act, Chapter 140, Revised Statutes of British Columbia, 1996 British Columbia Cataloguing in Publication Data British Columbia. Medical Services Commission. Financial statements for the fiscal year ended March 31 . –1978– Annual. Includes financial statements for Medical Services Plan of British Columbia. Continues: Medical Services Commission of British Columbia. Financial statements. ISSN 0383-3534 ISSN 0383-3534 = Financial statements – Medical Services Commission of British Columbia 1. Medical Services Plan of British Columbia – Periodicals. 2. Medical care, Cost of – British Columbia – Periodicals. I. Medical Services Plan of British Columbia. II.Title. RA410.55.C3B74 354.7110084’1 Index of Financial Information Financial Statement of the Medical Services Plan: Statement of Operations for the Year Ended March 31, 2020 .....................................................5 Notes to Financial Statement for the Year Ended March 31, 2020 ..............................................6 Supplementary Information: Unaudited Schedule of Payments by the Medical Services Plan ..................................................7 Medical Services Plan 5 Statement of Operations for the Year Ended March 31, 2020 Unaudited (Thousands of Dollars) 2020 2019 EXPENDITURE (Note 4) $ $ Service Costs ................................................................................................................... 4,914,820 4,749,549 CONTRIBUTIONS (Note 5) Premium Revenue ............................................................................................................. 997,739 1,299,296 Premium Assistance .......................................................................................................... 362,855 487,929 General Contributions ....................................................................................................... 3,554,226 2,962,324 4,914,820 4,749,549 The accompanying notes are an integral part of this financial statement. Approvals: Dr. Robert Halpenny Stephen Brown Chair Deputy Minister Medical Services Commission Ministry of Health 6 Medical Services Plan Notes to the Financial Statement for the Year Ended March 31, 2020 Unaudited 1. Statement of Operations This Financial Statement reflects the total expenditures of the Medical Services Plan (Plan) as reported in the 2019/20 Public Accounts of the Province. 2. The Commission The Medical Services Commission was established July 1, 1968, by the Province of British Columbia under the Medical Service Act and Regulations. The legal authority for the Medical Services Commission to administer and operate the Plan is the Medicare Protection Act and related Regulations. Under Section 5(4) of the Medicare Protection Act, the Financial Administration Act applies to the Medical Services Commission as though it is a division of the Ministry of Health. The Plan premiums and expenditures are included within the Province's Consolidated Revenue Fund, Statement of Operations, which is audited annually by the Auditor General of British Columbia. Effective October 1, 2015, the Laboratory Services Act (LSA) was brought into force. As a result, the LSA replaces the Medicare Protection Act and the Hospital Insurance Act as the authority for insuring laboratory services and consolidates the responsibilities for the governance, funding and service delivery oversight of all publicly-funded laboratory services in the province. The responsibility of the LSA rests with the Minister of Health. 3. Significant Accounting Policies The Statement of Operations is prepared for the purpose of presenting the expenditures of the Plan and contributions by subscribers and the Province. The expenditures and contributions are recorded on an accrual basis. 4. Expenditure Service costs include payments for eligible services provided by physicians, health care practitioners and diagnostic facilities on a fee for service or alternative contractual basis, and other recruitment, retention, training and planning initiatives with respect to physicians. Payments for these services and initiatives are in accordance with the Medicare Protection Act, the Laboratory Services Act, and agreements with professional associations and health authorities. The expenditures also include estimates of unprocessed claims for services performed in 2019/20. Service costs do not include bad debt expense arising from the Plan premiums that could not be collected, commissions paid for collection of overdue accounts or administrative expenses. Bad debt expense and commissions paid are charged to the Province’s Consolidated Revenue Fund, Vote 48 – Allowances for Doubtful Revenue Accounts and Vote 47 – Commissions on Collection of Public Funds. Administrative expenses incurred by the Plan are funded by the Ministry of Health. 5. Contributions Premium Revenue represents the Plan premiums paid by subscribers. Premium Assistance represents the value of subsidy provided by the Province on behalf of eligible persons. General contributions represent the residual amount required by the Province to fully meet the expenditures of the Plan. MSP premiums were eliminated completely effective January 1, 2020. MEDICAL SERVICES COMMISSION – 2019/2020 7 UNAUDITED SCHEDULE OF PAYMENTS BY THE MEDICAL SERVICES PLAN The Medical Services Commission is reporting the Unaudited Schedule of Payments made by the Medical Services Plan for the Medical Services Commission and the Ministry of Health. The Unaudited Schedule of Payments is published in compliance with the Financial Information Act and B.C. Regulation 371/93, and lists the gross payments made for the cost of insured services paid to each individual account of at least $25,000 during the fiscal year ending March 31, 2020. All other accounts are shown as a consolidated total. The information is presented in three categories: 1. Practitioners Payments to Practitioners are reported alphabetically under the practitioner who performed the services and/or who allowed others to perform the services, but payment is to the practitioner. Exception – when the practitioner is associated with a hospital, laboratory or health authority and the service provided is laboratory, medical microbiology, radiology or nuclear medicine, or payment received is for the GPSC unassigned inpatient network, the payments for services performed by the practitioner will not be included as Payments to Practitioners, but instead will be recorded as Payments to Organizations. Payments include fee-for-service for residents of British Columbia and other jurisdictions, locums, Medical On-Call Availability Program, rural retention, recruitment and education programs, isolation allowance, and interest. The practitioner payments exclude benefit payments, which are reported under the British Columbia Medical Association (BCMA). Payments made on behalf of the Insurance Corporation of British Columbia and WorkSafeBC are not included in the payment amount. 2. Organizations Payments to Organizations are reported alphabetically by organization (health authority, hospital, group, clinic or Division of Family Practice). The payments reflect the total amounts paid to a particular account. 3. Other Accounts Other Accounts report payments to other agencies, out-of-province payments, account payments under $25,000, adjustments (such as accruals), and reciprocal agreement recoveries. Readers of this Unaudited Schedule of Payments should understand that it provides only a record of gross payments. In some instances, the recorded figure is a payment for the services of a number of practitioners. Practitioners must pay the expenses of their practice out of this gross amount. No calculation of a practitioner’s net income can be made from such figures. Conclusions cannot be drawn from these figures about the relative net income of any practitioner since overhead varies greatly from practitioner to practitioner. The Chair and staff of the Medical Services Commission and the applicable staff of the Ministry of Health are public servants. Details of employee salaries, wages, travel expenses and payments to suppliers for administrative services are included in the Public Accounts of the Province of British Columbia. 8 BRITISH COLUMBIA PAYMENTS TO PRACTITIONERS $ $ $ Aartsma, Durk Pieter .......................... 203,727.16 Aganaba, Tari Labo ............................ 365,403.72 Alageel, Mohammed Khalid............... 223,610.92 Abayomi, Michael Ayotunde.............. 476,849.22 Agbahovbe, Onome Tonyeri .............. 477,852.54 Alam, Shireen .................................... 189,376.54 Abbas, Wea'am................................... 58,276.97 Agboji, Hezekiah Olusanya ................ 510,923.67 Albersheim, Susan Gail ...................... 89,066.67 Abbey, Mark Douglas ........................ 142,664.07 Aggarwal, Rohit ................................. 89,250.48 Albiani, David Andrew ...................... 3,519,813.97 Abbott, Breanne ................................. 341,627.03 Agha Khani, Yahya ............................ 324,075.91 Albrecht, Lorne Eric ........................... 702,563.81 Abdalkhani, Arman ............................ 498,995.45 Agnew, Shane Richard ....................... 545,945.92 Aldred, Terri-Leigh Rose ..................