MEDICAL SERVICES COMMISSION Financial Statement for the fiscal year ended March 31, 2014 Medical Services Commission Administering the Medical Services Plan of British Columbia FINANCIAL STATEMENT For the Fiscal Year Ended March 31, 2014 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, 2014 .....................................................5 Notes to Financial Statement for the Year Ended March 31, 2014 ..............................................6 Supplementary Information: Unaudited Schedule of Payments by the Medical Services Plan ..................................................7 5 Medical Services Commission Statement of Operations for the Year Ended March 31, 2014 Unaudited (Thousands of Dollars) 2014 2013 EXPENDITURE (Note 3) $ $ Service Costs ....................................................................................................... 3,967,897 3,776,388 CONTRIBUTIONS (Note 4) Premium Revenue ................................................................................................. 2,075,541 1,973,963 Premium Assistance .............................................................................................. 882,900 847,013 General Contributions ........................................................................................... 1,009,456 955,412 3,967,897 3,776,388 The accompanying notes are an integral part of this financial statement. Approved on behalf of the Commission: Tom Vincent Chair Medical Services Commission 6 Medical Services Commission Notes to Financial Statement for the Year Ended March 31, 2014 Unaudited 1. 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 Medical Services Plan (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. 2. 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. The total expenditures shown in this financial statement are the same as the expenditures shown in the Public Accounts of the Province for the Medical Services Plan. 3. 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 and agreements with professional associations and health authorities. The expenditures also include estimates of unprocessed claims for services performed in 2013/14. 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 50 – Allowances for Doubtful Revenue Accounts and Vote 49 – Commissions on Collection of Public Funds. Administrative expenses incurred by the Plan are funded by the Ministry of Health. 4. 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. MEDICAL SERVICES COMMISSION – 2013/2014 7 UNAUDITED SCHEDULE OF PAYMENTS BY THE MEDICAL SERVICES PLAN The 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, 2014. 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, except when the practitioner is associated with a hospital, laboratory, or health authority. Payments include fee-for- service to 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 provincial agencies, out-of-province payments, miscellaneous payments, account payments under $25,000, adjustments (such as accruals), and reciprocal agreement recoveries. Readers of this 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. Payments to Practitioners $ $ $ Abao, Marissa Bernadette ................ 26,804.34 Abu Aish, Mohammed Abdullah ...... 73,973.64 Addington, Julia Claire ..................... 47,326.33 Abbey, Mark Douglas ..................... 185,616.23 Abu-Remaileh, Haneen ................... 149,021.10 Addison, Cynthia Ann ...................... 141,239.46 Abbott, Breanne ............................. 83,379.46 Acheson, Todd Munro ...................... 130,300.59 Adey, Frances M .............................. 155,846.40 Abbott, David Frederick .................. 112,879.88 Achong, Eamon Harvard .................. 197,071.76 Adeyemo, Toyin Abiodun ................ 152,446.45 Abbott, William E ........................... 213,997.07 Achtem, Benjamin Larry .................. 440,494.64 Adilman, M Stephen ........................ 82,536.54 Abdalla, Abdallah Hassan ............... 666,910.32 Achtem, Larry Allan ........................ 188,245.71 Adilman, Philip H ............................ 29,583.36 Abdel-Fattah, Mohamed ................. 187,348.55 Ackermann, Carel Welhem .............. 422,588.14 Adkins, Barbara Donn ...................... 127,806.72 Abdelkader, Mahmoud A ................ 282,489.58 Ackermann, Frank Peter ................... 34,168.67 Adlam, Anita ................................... 122,093.67 Abdessamad, Hasan ........................ 265,840.67 Ackland, Susan Carol ....................... 129,265.21 Adnams, Michael Bruce ................... 477,891.84 Abdoulraman, Hamed ..................... 530,251.67 Acton, Gillian Ruth .......................... 98,235.26 Adrian, Mark Dwight ....................... 213,232.44 Abed, Abeer ................................... 142,330.47 Acton, Saskia .................................. 224,403.58 Afshar, Kourosh .............................. 204,042.64 Abel, James Gordon ........................ 553,220.74 Adair, John David ............................ 323,222.76 Afzal, Ayesha Natasha ..................... 115,726.07 Abelson, William Henry .................. 386,752.51 Adam, Derek Leslie .......................... 356,369.70 Aganaba, Tari Labo .......................... 568,958.28 Ableman, Darryl Jerome.................. 644,285.52 Adam, L J ........................................