MEDICAL SERVICES COM MIS SION Financial Statement for the fi scal year ended March 31, 2005 Ministry of Health Medical Services Commission Administering the Medical Services Plan of British Columbia FINANCIAL STATEMENT For the Fiscal Year Ended March 31, 2005 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, 2005 ..........................................................5 Notes to Financial Statement for the Year Ended March 31, 2005 ....................................................6 Supplementary Information: Schedule of Payments by the Medical Services Plan to Societies, Hospitals, Health Departments, Health Organizations, Practitioners, and Clinics for Insured Services...............................................7 5 Medical Services Commission Statement of Operations for the Year ended March 31, 2005 Unaudited (Thousands of Dollars) EXPENDITURE 2005 2004 Service Costs $ $ Medical Care........................................................................ 2,490,390 2,492,567 Supplementary Care............................................................. 55,425 47,158 ............................................................................................. 2,545,815 2,539,725 CONTRIBUTIONS (Note 3) Premium Revenue...................................................................... 1,471,623 1,453,870 Premium Assistance................................................................... 620,523 599,638 General Contributions................................................................ 453,669 486,217 .......................................................................................... 2,545,815 2,539,725 The accompanying notes are an integral part of this financial statement. Approved on behalf of the Commission: Joy Illington Chair Medical Services Commission 6 Medical Services Commission Notes to Financial Statement for the Year Ended March 31, 2005 Medical Services Commission Unaudited Statement of Operations for the Year ended March 31, 2005 Unaudited (Thousands of Dollars) 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 is the Medicare Protection Act and related regulations. Under Section 5(4) of the Medicare Protection Act, the Financial Administration Act applies to the Commission as though it were a division of the Ministry of Health. The Medical Services Plan premiums and expenditures are included within the Province's Consolidated Revenue Fund Statement of Revenue and Expenditure, 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. In previous years, certain administrative expenditures were charged to the Plan. In 2003, due to a change in the vote structure of the Ministry of Health, these expenditures are no longer charged to the Plan. Service costs include payments for eligible services provided by medical practitioners, 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 2004/05. 3. Contributions Premium revenue represents Medical Services Plan premiums paid by subscribers. This amount does not include bad debt expense arising from premiums that could not be collected or commissions paid for collection of overdue accounts. Premium assistance represents the value of subsidy provided by the Province on behalf of eligible persons. General contributions represent the residual amount required from the Province to fully meet the expenditures of the Plan. 4. Restatement of Prior Year's Results Premium revenue and general contribution amounts for 2003/04 were restated to be consistent with the accounting treatment used in 2004/05; this change has no impact on the total contributions. MEDICAL SERVICES COMMISSION, 2004/2005 7 UNAUDITED SCHEDULE OF PAYMENTS BY THE MEDICAL SERVICES PLAN TO SOCIETIES, HOSPITALS, HEALTH DEPARTMENTS, HEALTH ORGANIZATIONS, PRACTITIONERS, AND CLINICS FOR INSURED SERVICES. This 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, 2005. All other accounts are shown as a consolidated total. Payments are reported under the practitioner who performed the services, except when the practitioner is associated with a hospital, laboratory, or health centre. Payments made on behalf of the Insurance Corporation of British Columbia and the Workers’ Compensation Board are not included in the payment amount. Persons reading these data should understand that they provide only a record of gross payments. Since 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. The information provided is listed alphabetically by person, group, clinic, or hospital, and reflects the total amounts paid to a particular account. No conclusions can be drawn from these figures about the relative net income of any practitioner since overhead varies greatly from practitioner to practitioner, and since in some instances the recorded figure is a payment for the services of a number of practitioners. The Chair and all staff of the Commission and the Medical Services Plan are public servants. Therefore, 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. $ $ $ Abbasi, Suhail Ali ........................... 153,429.44 Adnams, Michael Bruce .................. 357,320.00 Allaye-Chan, Louise T. ................... 146,998.29 Abbey, Mark Douglas ..................... 99,112.08 Adrian, Mark Dwight ...................... 213,717.05 Allen, Brent Andrew........................ 68,607.81 Abbotsford General Hospital .......... 2,671,833.44 Afshar, Kourosh .............................. 152,854.45 Allen, John T. .................................. 71,675.96 Abbott, William E. .......................... 321,629.34 Aganaba, Tari Labo......................... 577,342.63 Allen, Judith Margaret..................... 147,959.29 Abboud, Raja T. .............................. 53,151.89 Agassiz Primary Care Centre .......... 884,064.39 Allen, Murray Elroy ........................ 88,078.43 Abdel-Barr, Samir I. M. .................. 183,412.69 Agbayewa, Meshak Oluwafemi ...... 114,628.45 Allen, S. J. Clifford.......................... 272,595.56 Abdel-Barr, Sara Jane ..................... 26,076.74 Agnew, Shane Richard .................... 313,180.79 Allerston, Judith............................... 168,348.08 Abdel-Fattah, Mohamed.................. 245,937.69 Ahmad, Rubeena M......................... 54,471.46 Allison, James Moore...................... 269,724.82 Abdelkader, Mahmoud A................ 247,917.86 Ahmadi, Hazhir ............................... 350,677.58 Allison, John C. ............................... 387,664.43 Abdoulraman, Hamed ..................... 408,328.45 Ahman, Frank Walter ...................... 355,234.25 Almas, Gary..................................... 196,191.03 Abel, James Gordon ........................ 761,911.43 Ahmed, Iqbal H. .............................. 301,225.70 Almas, Leilani T.............................. 609,563.99 Abell, Nicholas Andrew.................. 317,983.54 Ahmed, Nurudin.............................. 66,912.95 Alscher, Kurt Thomas...................... 446,028.02 Abelson, William Henry ................. 440,873.40 Aidelbaum, Martin R....................... 91,486.07 Altenkirk, Brian............................... 100,438.95 Aberdeen Lab & X-Ray .................. 512,772.96 Aiken, Paula Angela........................ 111,324.12 Altman, Siemion.............................. 190,465.20