UNAUDITED SCHEDULE OF PAYMENTS BY THE MEDICAL …

MEDICAL SERVICES

COMMISSION

Financial Statement for the

fiscal year ended March 31, 2017

Medical Services Commission

Administering the Medical Services Plan of British Columbia

FINANCIAL STATEMENT

For the Fiscal Year Ended March 31, 2017

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, 2017 .....................................................5 Notes to Financial Statement for the Year Ended March 31, 2017 ..............................................6

Supplementary Information: Unaudited Schedule of Payments by the Medical Services Plan ..................................................7

5

Medical Services Plan

Statement of Operations for the Year Ended March 31, 2017 Unaudited

(Thousands of Dollars)

EXPENDITURE (Note 4) Service Costs...................................................................................................................

CONTRIBUTIONS (Note 5) Premium Revenue............................................................................................................. Premium Assistance.......................................................................................................... General Contributions.......................................................................................................

2017 $

4,375,907

2,492,182 980,818 902,907

4,375,907

The accompanying notes are an integral part of this financial statement. Approvals:

2016 $

4,194,371

2,353,678 938,840 901,853

4,194,371

Dr. Robert Halpenny Chair Medical Services Commission

Deputy Minister Ministry of Health

6

Medical Services Plan

Notes to Financial Statement for the Year Ended March 31, 2017 Unaudited

1. Statement of Operations This Financial Statement reflects the total expenditures of the Medical Services Plan (Plan) as reported in the 2016/17 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 2016/17.

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 49 ? Allowances for Doubtful Revenue Accounts and Vote 48 ? 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.

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