MEDICAL SERVICES

1 COMMISSIONF inancial Statementfor the fiscal year endedMarch 31, 2020 MEDICAL SERVICES MEDICAL SERVICES Commission Administering the MEDICAL SERVICES Plan of British Columbia Published in accordance with the Financial Information Act, Chapter 140, Revised Statutes of British Columbia, 1996 FINANCIAL STATEMENT For the fiscal Year Ended March 31, 2020 British Columbia Cataloguing in Publication DataBritish Columbia. MEDICAL SERVICES Commission. Financial statements for the fiscal year ended March 31 .. 1978 Annual. Includes financial statements for MEDICAL ServicesPlan of British Columbia.

2 Continues: MEDICAL SERVICES Commission of British Columbia. Financial statements. ISSN 0383-3534 ISSN 0383-3534 = Financial statements MedicalServices Commission of British Columbia 1. MEDICAL SERVICES Plan of British Columbia Periodicals. 2. MEDICAL care, Cost of BritishColumbia Periodicals. I. MEDICAL SERVICES Planof British Columbia. 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.

3 6 Supplementary Information: Unaudited Schedule of Payments by the MEDICAL SERVICES Plan ..7 MEDICAL SERVICES Plan 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 5 MEDICAL SERVICES Plan Notes to the Financial Statement for the Year Ended March 31, 2020 Unaudited of OperationsThis Financial Statement reflects the total expenditures of the MEDICAL SERVICES Plan (Plan)

4 As reported in the2019/20 Public Accounts of the CommissionThe MEDICAL SERVICES Commission was established July 1, 1968, by the Province of British Columbia under theMedical Service Act and legal authority for the MEDICAL SERVICES Commission to administer and operate the Plan is the MedicareProtection Act and related Section 5(4) of the Medicare Protection Act, the Financial Administration Act applies to the MedicalServices Commission as though it is a division of the Ministry of Health. The Plan premiums and expendituresare included within the Province's Consolidated Revenue Fund, Statement of Operations, which is auditedannually by the Auditor General of British October 1, 2015, the Laboratory SERVICES Act (LSA) was brought into force.

5 As a result, the LSAreplaces the Medicare Protection Act and the Hospital Insurance Act as the authority for insuring laboratoryservices and consolidates the responsibilities for the governance, funding and service delivery oversight of allpublicly-funded laboratory SERVICES in the province. The responsibility of the LSA rests with the Minister Accounting PoliciesThe Statement of Operations is prepared for the purpose of presenting the expenditures of the Plan andcontributions by subscribers and the expenditures and contributions are recorded on an accrual costs include payments for eligible SERVICES provided by physicians, health care practitioners anddiagnostic facilities on a fee for service or alternative contractual basis, and other recruitment , retention ,training and planning initiatives with respect to physicians.

6 Payments for these SERVICES and initiatives are inaccordance with the Medicare Protection Act, the Laboratory SERVICES Act, and agreements with professionalassociations and health authorities. The expenditures also include estimates of unprocessed claims for servicesperformed in 2019 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 andcommissions paid are charged to the Province s Consolidated Revenue Fund, Vote 48 Allowances forDoubtful Revenue Accounts and Vote 47 Commissions on Collection of Public Funds.

7 Administrativeexpenses incurred by the Plan are funded by the Ministry of Revenue represents the Plan premiums paid by subscribers. Premium Assistance represents the valueof subsidy provided by the Province on behalf of eligible persons. General contributions represent the residualamount required by the Province to fully meet the expenditures of the premiums were eliminated completely effective January 1, 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.

8 The Unaudited Schedule of Payments is published in compliance with the Financial Information Act and 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.

9 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.

10 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.