Why do we conduct this survey?

This survey collects financial data from the Canadian Level I air carriers needed to measure the growth, the performance and the long-term financial position of the airline industry. The information is also used by Statistics Canada as input to the Canadian System of National Accounts and by individual carriers for measuring company performance relative to groups of competitors.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements under Section 12 of the Statistics Act with Natural Resources Canada, Transport Canada and the Canadian Transportation Agency. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Under Section 12 of the Statistics Act, respondents can object to the sharing of information with other organizations. However, respondents do not have the right of refusal with respect to sharing the data with Transport Canada. Transport Canada has the legislative authority to collect and use this information pursuant to the Canada Transportation Act (CTA) and the Transportation Information Regulations.

Respondents may refuse to share their information with Natural Resources Canada and the Canadian Transportation Agency by writing a letter of objection to the Chief Statistician, and mailing it to the following address. These organizations have agreed to keep the data confidential and use them only for statistical purposes.

Chief Statistician of Canada
Statistics Canada
Attention of Director, Enterprise Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at infostats or by fax at 1-51F-496-4879.

Note that there is no right of refusal with respect to sharing of data with Transport Canada. Transport Canada has the legislative authority to collect this information on a mandatory basis pursuant to the Canada Transportation Act (CTA) and the Transportation Information Regulations. Transport Canada will use the information obtained in accordance with the provisions of its Act and Regulations.

Business or organization and contact information

1. Verify or provide the business or organization’s legal and operating name, and correct information if needed.

Note: Legal name should only be modified to correct a spelling error or typo.

Legal name

The legal name is one recognized by law, thus it is the name liable for pursuit or for debts incurred by the business or organization. In the case of a corporation, it is the legal name as fixed by its charter or the statute by which the corporation was created.

Modifications to the legal name should only be done to correct a spelling error or typo.

To indicate a legal name of another legal entity you should instead indicate it in question 3 by selecting 'Not currently operational' and then choosing the applicable reason and providing the legal name of this other entity along with any other requested information.

Operating name

The operating name, which is different from the legal name, is a name the business or organization is commonly known as for day-to-day activities, and which used to advertise and promote itself. The operating name is synonymous with trade name.

• Legal name:
• Operating name (if applicable):

2. Verify or provide the contact information for the designated contact person for the business or organization, and correct information if needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name:
• Last name:
• Title:
• Preferred language of communication:
  • English
  • French
• Mailing address (number and street):
• City:
• Province, territory or state:
• Postal code or ZIP code:
• Country:
  • Canada
  • United States
• Email address:
• Telephone number (including area code):
• Extension number (if applicable):
• Fax number (including area code):

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational - e.g., temporarily or permanently closed, change of ownership
  Why is this business or organization not currently operational?
  • Seasonal operations
    • When did this business or organization close for the season?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
  • Ceased operations
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?
      • Bankruptcy
      • Liquidation
      • Dissolution
      • Other - Specify the other reasons why operations ceased
  • Sold operations
    • When was this business or organization sold?
      • Date
    • What is the legal name of the buyer?
  • Amalgamated with other businesses or organizations
    • When did this business or organization amalgamate?
      • Date
    • What is the legal name of the resulting or continuing business or organization?
    • What are the legal names of the other amalgamated businesses or organizations?
  • Temporarily inactive but expected to reopen
    • When did this business or organization become temporarily inactive?
      • Date
    • When does this business or organization expect to resume operations?
      • Date
    • Why is this business or organization temporarily inactive?
  • No longer operating because of other reasons
    • When did this business or organization cease operations?
      • Date
    • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

This question verifies the business or organization's current main activity as classified by the North American Industry Classification System ( NAICS ). NAICS is an industry classification system developed by the statistical agencies of Canada, Mexico and the United States. Created against the background of the North American Free Trade Agreement, it is designed to provide common definitions of the industrial structure of the three countries and a common statistical framework to facilitate the analysis of the three economies. NAICS is based on supply-side or production-oriented principles, to ensure that industrial data, classified to NAICS , are suitable for the analysis of production-related issues such as industrial performance.

The target entity for which NAICS is designed are businesses and other organizations engaged in the production of goods and services. They include farms, incorporated and unincorporated businesses and government business enterprises. They also include government institutions and agencies engaged in the production of marketed and non-marketed services, as well as organizations such as professional associations and unions and charitable or non-profit organizations and the employees of households.

The associated NAICS should reflect those activities conducted by the business or organizational units targeted by this questionnaire only, as identified in the 'Answering this questionnaire' section and which can be identified by the specified legal and operating name. The main activity is the activity which most defines the targeted business or organization's main purpose or reason for existence. For a business or organization that is for-profit, it is normally the activity that generates the majority of the revenue for the entity.

The NAICS classification contains a limited number of activity classes; the associated classification might be applicable for this business or organization even if it is not exactly how you would describe this business or organization’s main activity.

Please note that any modifications to the main activity through your response to this question might not necessarily be reflected prior to the transmitting of subsequent questionnaires and as a result they may not contain this updated information.

Description and examples

• This is the current main activity
• This is not the current main activity

Main activity

5. You indicated that (activity) is not the current main activity.

Was this business or organization's main activity ever classified as: (activity)?

• Yes
  When did the main activity change?
  Date:
• No

Reporting period information

1. What are the start and end dates of this business's or organization's most recently completed fiscal year?

For this survey, the end date should fall between April 1, 2024 and March 31, 2025.

Here are twelve common fiscal periods that fall within the targeted dates:

• May 1, 2023 to April 30, 2024
• June 1, 2023 to May 31, 2024
• July 1, 2023 to June 30, 2024
• August 1, 2023 to July 31, 2024
• September 1, 2023 to August 31, 2024
• October 1, 2023 to September 30, 2024
• November 1, 2023 to October 31, 2024
• December 1, 2023 to November 30, 2024
• January 1, 2024 to December 31, 2024
• February 1, 2024 to January 31, 2025
• March 1, 2024 to February 28, 2025
• April 1, 2024 to March 31, 2025.

Here are other examples of fiscal periods that fall within the required dates:

• September 18, 2023 to September 15, 2024 ( e.g., floating year-end)
• June 1, 2024 to December 31, 2024 ( e.g., a newly opened business).

Fiscal year start date:

Fiscal year-end date:

2. What is the reason the reporting period does not cover a full year?

Select all that apply.

• Seasonal operations
• New business
• Change of ownership
• Temporarily inactive
• Change of fiscal year
• Ceased operations
• Other
  Specify reason the reporting period does not cover a full year

Balance Sheet, Annual - Statement 20 (I)

1. For the reporting period ending YYYY-MM-DD, what were this business's assets and liabilities?

Report all amounts in thousands of Canadian dollars.

Financial assets

Current assets

Include:

• cash, bank balances (including deposits in transit, special deposits for the payments of debts, and so on) and short-term investments due within one year from the date of the balance sheet;
• current accounts and notes receivable as well as other current assets such as inventories, charges to subscribers on transportation contracts, interests and dividends receivable, and so on.

All other financial assets - (Include investments and special funds.)

Include investments in associated companies, other investments such as investments in stocks, bonds, and so on, and special funds such as equipment purchase funds, funds set aside for such special purposes as contractual deposits, pension funds, self-insurance funds, and so on.

Property and equipment

Operating - flight equipment - (Include capital leases.)

Include:

• flight equipment owned and/or under capital leases;
• the cost of aircraft (airframes), aircraft engines, propellers, components (aircraft communication and navigational equipment) and spare parts that have been purchased outright. Flight equipment under capital leases includes the cost of flight equipment acquired under a capital or finance lease, in other words, a lease for a period considered to be the whole or nearly the whole life of the aircraft.

Accumulated depreciation and amortization - flight equipment

Include:

• accumulated depreciation and amortization of flight equipment owned and/or under capital leases;
• accrued charges representing losses, not replaced by current repairs, occurring in physical property and suffered through current lessening of service value due to wear and tear from use and the action of time and the elements; and losses occurring through obsolescence, supersession, new technological developments, changes in popular demand and the requirements of public authority.

Operating - ground property and equipment - (Include capital leases.)

Include:

• ground property and equipment owned and/or under capital leases;
• the cost of non-airborne communication and meteorological equipment, ramp equipment, maintenance and engineering equipment, surface transport vehicles and equipment, furniture, fixtures and office equipment, buildings and land as well as miscellaneous ground equipment such as medical equipment, airport and lighting equipment, passenger service equipment, hotel, restaurant and food service equipment, storage and distribution equipment. Ground property and equipment under capital leases includes the cost of ground property and equipment under a capital or finance lease, in other words, a lease for a period considered to be the whole or nearly the whole life of the property or equipment.

Accumulated depreciation and amortization - ground property and equipment

Include:

• accumulated depreciation and amortization of ground property and equipment owned and/or under capital leases;
• accrued charges representing losses, not replaced by current repairs, occurring in physical property and suffered through current lessening of service value due to wear and tear from use and the action of time and the elements; and losses occurring through obsolescence, supersession, new technological developments, changes in popular demand and the requirements of public authority.

Non-operating property and equipment - (Include capital leases.)

Include the cost of all non-operating property and equipment, in other words, all property and equipment not included in the "operating" categories above.

Accumulated depreciation and amortization - non-operating property and equipment

Include accumulated depreciation and amortization of the non-operating property and equipment.

All other assets

Include long-term prepayments, developmental and pre-operating costs such as the cost of extraordinary training, unamortized discounts and expenses on the issue of long-term debt securities, property acquisition adjustments, other intangibles such as payments made for patents, copyrights, and so on, and other deferred charges.

Total assets

The sum of the assets above less the accumulated depreciation and amortization.

Liabilities and capital

Current liabilities

Include:

• current accounts and traffic balances payable, including balances subject to current settlement and payable to associated companies and/or shareholders, and notes payable on demand or within one year from the date of the balance sheet;
• the current portion of long-term debt and the current obligations under capital leases;
• air traffic liabilities (unearned transportation revenue), which includes the value of passenger tickets sold but not used or refunded as of the date of the balance sheet, and pre-paid amounts for the transportation of baggage, freight and mail for which the transportation has not occurred as of the date of the balance sheet;
• salaries and wages accrued and unpaid, taxes accrued and unpaid, dividends payable, deposits by subscribers on transportation contracts (air travel plan liabilities, in other words, deposits received under air travel plan contracts) and other current and accrued liabilities.

Advances from associated companies and/or shareholders

Include the net amount from associated companies and/or shareholders for notes, loans or advances which are not currently settled.

Long-term debt and other non-current liabilities - (Include capital leases.)

Include:

• the face value or principal amount of debt securities (for example, bonds, trust certificates, debentures, notes) issued and assumed by the air carrier and in the hands of others, which is not payable within twelve months of the balance sheet date;
• long-term obligations under capital leases, which refers to the present value of unexpired contracts for the acquisition of aircraft under such lease arrangements.

Deferred income taxes

Include taxes that will be owed on income, but that have not yet been assessed.

All other liabilities

Include:

• deferred credits which correspond to unamortized premiums on all classes of long-term debt, and other deferred credits such as securities issued or assumed by the air carrier, and other unadjusted accounts that cannot be cleared as of the date of the balance sheet;
• provisions for major overhauls such as for flight equipment (in other words, liabilities of uncertain value or timing associated with the complete disassembly and inspection or repair of an aircraft, engine or other component of an aircraft) and other provisions such as liabilities of uncertain value or timing.

Shareholders' equity

Capital stock

Include the equity capital invested in a business through the purchase of various classes of common and preferred shares.

Retained earnings

Include the portion of after-tax profits left over, after dividends have been paid to shareholders, for reinvestment into the company. If this account is negative, then the amount indicated for this item should be shown with a negative (-) sign.

All other items

Include other paid-in capital and reserves. Other paid-in capital or contributed surplus includes the premiums or discounts that have resulted from selling stock, and stock received from donations. Reserves include any reserve fund such as reserve for self-insurance, reserve for pension, reserves against potential future losses, and so on. Also, include proprietorship or partnership accounts (balance year-end).

Total liabilities and capital

The sum of liabilities and capital plus the sum of shareholders' equity which should equal total assets.

For the reporting period ending YYYY-MM-DD, what were this business's assets and liabilities?

For the reporting period ending YYYY-MM-DD, what were this business's assets and liabilities?
	CAN$ '000
Financial assets
a. Current assets
b. All other financial assets Include investments and special funds.
Property and equipment
a. Operating - flight equipment Include capital leases.
b. Less accumulated depreciation and amortization
c. Operating - ground property and equipment Include capital leases.
d. Less accumulated depreciation and amortization
e. Non-operating property and equipment Include capital leases.
f. Less accumulated depreciation and amortization
g. All other assets
Total assets
Liabilities and capital
a. Current liabilities
b. Advances from associated companies and/or shareholders
c. Long-term debt and other non-current liabilities Include capital leases.
d. Deferred incomes taxes
e. All other liabilities
Shareholders' equity
a. Capital stock
b. Retained earnings
c. All other items
Total liabilities and capital

Statement of Revenues and Expenses, Annual - Statement 21 (I, II)

1. For the reporting period ending YYYY-MM-DD , what were the details of this business's operating revenue?

Report all amounts in thousands of Canadian dollars.

Scheduled services

Transportation of passengers or goods, or both, by an aircraft provided by an air carrier that operates the air service and that, directly or indirectly, sells some or all of its seats or part or all of its cargo space to the public on a price per seat, price per unit of mass or price per volume of cargo basis.

Charter services

Transportation of passengers or goods, or both, by aircraft pursuant to a contract under which a person, other than the air carrier that operates the air service, or its agent, reserves a block of seats or part of the cargo space of an aircraft for the person's use or for resale to the public.

Include air ambulance service and the movement of people and goods to logging or heli-logging sites.

Exclude firefighting and heli-logging activities and the movement of people and goods to a firefighting site. (The former Transport Canada TP 8880 document "Starting a Commercial Air Service" outlining a list of activities which are specialty has been replaced with a new document TP 4711 "Air Operator Certification Manual" as of December 2020. PDF version of volumes of this manual can be requested at: Air Operator Certification Manual – TP 4711.)

Passenger revenue

Refers to the revenue earned from the transportation of passengers on scheduled and charter services. Include revenue from all surcharges (baggage, fuel, seat selection, changing or cancelling flights, and so on) that are retained by the air carrier. Exclude amounts such as taxes, navigation fees, security fees, and so on that are collected but passed on to other entities.

Goods revenue

Refers to the revenue earned from the transportation of goods on scheduled and charter services. Exclude taxes such as the Goods and Services Tax (GST), Harmonized Sales Tax (HST) or Provincial Sales Tax (PST).

All other flight-related revenue

Refers to the revenue earned from air transport activities not included in passenger revenue or goods revenue. Include revenue from other flying services such as flying training, recreational flying and other specialty flying.

All other revenue

Include subsidies and revenue earned from all other sources (including contra revenue, revenue of a corporate nature (leasing revenue, third party ground-handling, and so on), ancillary passenger revenue not easily allocated by operating flight (customs brokerage, and so on), revenue from in-flight sales (beverages, food, entertainment and wireless Internet access, and so on)).

Total operating revenue

The sum of passenger revenue, goods revenue, other flight-related revenue and revenue from all other sources.

For the reporting period ending YYYY-MM-DD , what were the details of this business's operating revenue?

For the reporting period ending YYYY-MM-DD , what were the details of this business's operating revenue?
	CAN$ '000
Operating revenue
a. Scheduled services - passenger revenue Include revenue from fees such as baggage, fuel, seat selection, etc.
b. Scheduled services - goods revenue
c. Charter services - passenger revenue
d. Charter services - goods revenue
e. All other flight - related revenue Include revenue from flying services such as flying training, recreational flying, etc.
f. All other revenue Include subsidies and revenue earned from all other sources.
Total operating revenue

Statement of Revenues and Expenses, Annual - Statement 21 (I, II)

2. For the reporting period ending YYYY-MM-DD, what were the details of this business's operating expenses?

Report all amounts in thousands of Canadian dollars.

Operating expenses - Ground property and equipment maintenance

Employee wages, salaries and benefits

Direct labour costs (wages and salaries) expended on the maintenance of ground property and equipment.

Include benefits such as employer contributions to pensions, medical benefits, insurance, and so on.

All other maintenance - ground property and equipment expenses

Expenses, both direct and indirect, incurred in the repair and upkeep of ground property and equipment.

Include materials and supplies, purchased repair services and all other related expenses.

Total maintenance - ground property and equipment expenses

The sum of the previous two expense items.

Operating expenses - Aircraft operations

Flight crew wages, salaries and benefits

Include the wages, salaries and benefits for flight crews (pilot, co-pilot, navigator, and so on).

Include benefits such as employer contributions to pensions, medical benefits, insurance, and so on and layover expenses such as hotels and meals.

Aircraft fuel and oil

Expenses for turbo fuel, gasoline and all other fuel and oil consumed such as turbine oil and piston oil.

Include throughput charges, non-refundable duties and taxes.

Landing fees

Include airport landing fees paid both in Canada and outside of Canada.

Navigation fees

Charges remitted to NAV CANADA or other international suppliers for the provision of air navigation services. Air navigation services include aeronautical communication services, aeronautical information services, aeronautical radio navigation services, air traffic control services, aviation weather services, emergency assistance services and flight information services.

Aircraft insurance

Expenses for insurance against accidental damage to flight equipment while in flight or on the ground and for insurance against liability occurring from the operation of aircraft or, in the case of non-insurance, the resulting expenses for which the carrier is liable.

Aircraft rental

Expenses incurred for the rental of aircraft (and crew) from other carriers, such as in chartering, interchange and operating or lease agreements.

All other aircraft operation expenses

Expenses incurred directly for the in-flight operation and related standby time of aircraft which are not elsewhere classified.

Total aircraft operations expenses

The sum of the previous seven expense items.

Operating expenses - Flight equipment maintenance

Employee wages, salaries and benefits

Direct labour costs (wages and salaries) expended on the maintenance of flight equipment.

Include benefits such as employer contributions to pensions, medical benefits, insurance, and so on.

Materials and supplies

Expenses on materials and supplies for the maintenance of flight equipment.

Purchased repair services

Expenses for repair services for the maintenance of flight equipment purchased from outside suppliers.

All other maintenance - flight equipment expenses

Expenses, both direct and indirect, incurred in the repair and upkeep of flight equipment.

Total maintenance - flight equipment expenses

The sum of the previous four expense items.

Operating expenses - In-flight services

Employee wages, salaries and benefits

Include:

• the wages, salaries and benefits paid to cabin crews (flight attendants, and so on);
• benefits such as employer contributions to pensions, medical benefits, insurance, and so on and layover expenses such as hotels and meals.

Passenger food and supplies

Include expenses for in-flight meals, complimentary drinks, and so on, and the cost of supplies and personal services furnished to passengers.

Passenger liability insurance

Include the premiums for passenger liability and accident insurance paid by the carrier.

All other in-flight service expenses

Include passenger-related expenses incurred due to interrupted flights, including hotels, meals, taxi fares and other expense items, the cost of other services provided to passengers, such as pay, allowances and the cost of passenger service personnel, and all other services provided for the comfort of passengers in transit.

Total in-flight service expenses

The sum of the previous four expense items.

Operating expenses - Aircraft and traffic servicing

Employee wages, salaries and benefits

Include:

• the wages, salaries and benefits paid to ground personnel;
• benefits such as employer contributions to pensions, medical benefits, insurance, and so on.

Purchased services

Expenses for aircraft and traffic servicing purchased from outside suppliers.

All other aircraft and traffic servicing expenses

Include expenses incurred on the ground for scheduling or preparing aircraft for arrival and takeoff, expenses incurred in enplaning and deplaning passenger and cargo traffic, and expenses involved in servicing and handling individual aircraft and traffic on the ground, in preparing aircraft crews for flight assignment, in controlling the in-flight movements of aircraft and the in-flight expenses of handling all traffic including baggage.

Total aircraft and traffic servicing expenses

The sum of the previous three expense items.

Operating expenses - Promotion and sales

Employee wages, salaries and benefits

Include:

• the wages, salaries and benefits paid to all staff engaged in reservations, ticketing, sales and promotional activities;
• benefits such as employer contributions to pensions, medical benefits, insurance, and so on.

All other promotion and sales expenses

Include:

• passenger and cargo commission expenses;
• the net commission payable to others for the sale of transportation on the reporting carrier's service less the commission receivable from the reporting carrier's sale of transportation on other carriers' services, advertising and publicity expenses and any related expenses, accommodation costs, agency fees for outside services, expenses associated with reservations, city ticket offices and other sales expenses.

Total promotion and sales expenses

The sum of the previous two expense items.

Operating expenses - Depreciation

Depreciation - flight equipment

Include:

• provisions for the depreciation of flight equipment only;
• all charges incurred in normal wear and tear on flight equipment which have not been replaced by current year repair, as well as losses in service ability.

All other depreciation

Include:

• provisions for the depreciation of all non-flight ground and property equipment;
• all charges incurred in normal wear and tear which have not been replaced by current year repair, as well as losses in service ability;
• charges for the amortization of capitalized development and other intangible assets.

Total depreciation

The sum of the previous two expense items.

Operating expenses - All other expenses

Include general administration.

Employee wages, salaries and benefits

Include:

• the wages, salaries and benefits paid to all employees performing the general and administrative functions of the air carrier;
• benefits such as employer contributions to pensions, medical benefits, insurance, and so on.

Exclude all amounts reported in the previous six wages, salaries and benefits categories.

All other expenses

Include:

• all operating expenses and general administration expenses not reported elsewhere;
• expenses for general financial accounting activities, supplementary labour income, property taxes, building rentals, communications purchased, purchasing activities, representation at law, and all other operational administration expenses not directly applicable to a particular function that are not included in the previous operating expenses categories;
• expenses such as incidental air transport-related expenses associated with revenue reported as "all other revenue";
• all miscellaneous operating expenses not covered elsewhere;
• staff reduction expenses.

Total other expenses

The sum of the previous two expense items.

Total operating expenses

The sum of the eight expenses sub-totals, in other words, Total maintenance - ground property and equipment expenses, Total aircraft operations expenses, and so on.

For the reporting period ending YYYY-MM-DD, what were the details of this business's operating expenses?

For the reporting period ending YYYY-MM-DD, what were the details of this business's operating expenses?	CAN$ '000
Operating expenses - Ground property and equipment maintenance
a. Employee wages, salaries and benefits
b. All other maintenance - ground property and equipment expenses
Total maintenance - ground property and equipment expenses
Operating expenses - Aircraft operations
a. Flight crew wages, salaries and benefits
b. Aircraft fuel and oil
c. Landing fees
d. Navigation fees
e. Aircraft insurance
f. Aircraft rental
g. All other aircraft operations expenses
Total aircraft operations expenses
Operating expenses - Flight equipment maintenance
a. Employee wages, salaries and benefits
b. Materials and supplies
c. Purchased repair services
d. All other maintenance - flight equipment expenses
Total maintenance - flight equipment expenses
Operating expenses - In-flight service
a. Employee wages, salaries and benefits
b. Passenger food and supplies
c. Passenger liability insurance
d. All other in-flight service expenses Include expenses incurred due to interrupted flights such as hotels, meals, etc.
Total in-flight service expenses
Operating expenses - Aircraft and traffic servicing
a. Employee wages, salaries and benefits
b. Purchased services
c. All other aircraft and traffic servicing expenses
Total aircraft and traffic servicing expenses
Operating expenses - Promotion and sales
a. Employee wages, salaries and benefits
b. All other promotion and sales expenses
Total promotion and sales expenses
Operating expenses - Depreciation
a. Depreciation - flight equipment
b. All other depreciation Include provisions for the depreciation of all non-flight ground and property equipment, etc.
Total depreciation
Operating expenses - All other expenses Include general administration.
a. Employee wages, salaries and benefits
b. All other expenses Include all operating expenses and general administration expenses not reported elsewhere, expenses such as incidental air transport-related expenses, expenses for general financial accounting activities, supplementary labour income, property taxes, etc.
Total other expenses
Total operating expenses

Statement of Revenues and Expenses, Annual - Statement 21 (I, II)

3. For the reporting period ending YYYY-MM-DD, what were the details of this business's operating and non-operating income?

Report all amounts in thousands of Canadian dollars.

Operating income

Net operating income (a loss should be a negative number)

Total operating revenue less total operating expenses - calculated from the previous questions.

Non-operating income/expenses

Interest and discount income

Include interest income from all sources and cash discounts on the purchase of materials and supplies.

Interest expenses

Include interest on unpaid taxes and all classes of debt including premiums, discounts and expenses on short-term obligations, amortization of premiums, discounts and expenses on short-term and long-term obligations.

All other net non-operating income (enter a negative number for a loss)

Include:

• capital gains (or losses) from retiring operating property and equipment, aircraft equipment, expendable parts, miscellaneous materials and supplies and other assets, when they are sold or otherwise retired from service as part of a general program and not as incidental sales performed as a service to others;
• gains or losses made on investments in securities;
• net miscellaneous non-operating income or loss, which refers to revenue and expenses attributable to financing or other activities that are not an integral part of the air transportation activities undertaken by the carrier, or its incidental services. These could include dividend income, the balance of all income or losses from affiliated companies reimbursed to the carrier, foreign exchange adjustments and special items, such as restructuring expenses, which do not occur on a regular basis.

Exclude staff reduction expenses which should be included under all other expenses.

Net non-operating income (a loss should be a negative number)

The sum of the previous three income or expense items.

Provision for income taxes

Include the provision for taxes payable on net income for the accounting period and adjustments of income taxes relating to previous years, including provisions for deferred income taxes resulting from differences between accounting income and taxable income that arise when the time of including items of revenue and expense in the computation of accounting income and taxable income do not coincide. If the net amount is negative, then the amount indicated for this item should be shown with a negative (-) sign.

Net income (a loss should be a negative number)

Net operating income plus net non-operating income less the provision for income taxes.

For the reporting period ending YYYY-MM-DD, what were the details of this business's operating and non-operating income?

For the reporting period ending YYYY-MM-DD, what were the details of this business's operating and non-operating income?
	CAN$ '000
Operating income
a. Net operating income (a loss should be a negative number) Calculated from the previous questions as total operating revenue [$ amount] less total operating expenses [$ amount].
Non-operating income/expenses
a. Interest and discount income
b. Interest expenses
c. All other net non-operating income (enter a negative number for a loss)
Net non-operating income (a loss should be a negative number)
d. Provision for income taxes
Net income (a loss should be a negative number)

Statement of Revenues and Expenses, Annual - Statement 21 (I, II)

4. For the reporting period ending YYYY-MM-DD, please provide the details of this business's fuel consumption.

Fuel and oil consumed

Turbo fuel consumed

Include fuel used in both turboprop and jet aircraft.

Provide the quantity and expenses for turbo fuel consumed. Turbo fuel includes the turbine fuel uplifted for all aircraft in the carrier's fleet. Fuel uplift can be determined based on delivery notes or invoices, aircraft onboard measurement systems or, if the fuel was supplied by a customer, estimated based on hours flown. Report the quantity of turbo fuel consumed in litres.

Include turbo fuel consumed for all scheduled and/or charter operations, regardless of where purchased. The expenses for turbo fuel consumed should be reported in Canadian dollars, regardless of where purchased. Include throughput charges, non-refundable duties and taxes. If the fuel was supplied by a customer, an approximate value may be provided based on prevailing market rates.

Conversion factor

To convert gallons (imperial) into litres (l), multiply by 4.546092.

All other fuel and oil consumed

Provide the quantity and expenses for all non-turbo fuel and oil consumed. Report the quantity of all other fuel and oil consumed in litres.

The quantity should include gasoline, turbine oil, piston oil and all other types of fuel and oil consumed for all scheduled and/or charter operations, regardless of where purchased. The expenses for all other fuel and oil consumed should be reported in Canadian dollars, regardless of where purchased. Include throughput charges, non-refundable duties and taxes.

Conversion factor

To convert gallons (imperial) into litres (l), multiply by 4.546092.

Total fuel and oil consumed

The sum of the quantities and expenses reported in the previous two items.

For the reporting period ending YYYY-MM-DD, please provide the details of this business's fuel consumption.

For the reporting period ending YYYY-MM-DD, please provide the details of this business's fuel consumption.
	Quantity - Litres (L)	Expenses CAN$ '000
Fuel and oil consumed
a. Turbo fuel consumed (litres) Include fuel used in both turbopop and jet aircraft.
b. All other fuel and oil consumed (litres)
Total fuel and oil consumed (litres)

5. For the reporting period ending YYYY-MM-DD, please provide the details of this business's employment.

Employment

Average number of employees

Refer to the average number of people employed for each of the six categories of personnel. Include all employees, temporary or permanent, on the payroll of the air carrier during the reporting period. Include part-time employees, prorated to the amount of time worked when compared to full-time employees (for example, two part-time employees working half-time are equivalent to one full-time employee).

Wages and salaries expenses

Include a breakdown of the wages and salaries paid for each of the six categories of personnel.
Exclude all benefits, in other words, employer contributions to pensions, medical benefits, insurance, and so on or layover expenses, such as hotels and meals, for flight and cabin crews.

Employment category

Include:

• Pilots and co-pilots. Self-explanatory;
• Other flight personnel. Flight crew (including flight engineers, navigators, and so on) and cabin crew (including flight attendants, and so on);
• General management and administration employees (including the personnel performing the general and administrative functions such as administrative personnel at headquarters, comptrollers and assistants, directors and assistants (operations, passenger service, public relations, sales, and so on);
• Maintenance personnel (including the personnel performing the ground property and equipment maintenance such as the carpenters, cleaners, and so on and including the personnel performing the flight equipment maintenance such as the aircraft maintenance engineers and the inspectors of flight equipment);
• Aircraft and traffic servicing personnel (including supervisory personnel, assigned to ground activities, engaged directly in protecting and controlling aircraft in flight (flight dispatch personnel, flight planning staff), in scheduling and preparing flight crews for flight assignment, in parking and servicing aircraft incidental to line operations and including baggage handlers, aircraft fuelers, and so on);
• All other employees (including air ambulance attendants, accountants, economists, statisticians, lawyers, purchasing personnel, publicity representatives, and so on).

Total employees

The sum of the number and the wages and salaries expenses for the six categories of personnel.

For the reporting period ending YYYY-MM-DD, please provide the details of this business's employment.

For the reporting period ending YYYY-MM-DD, please provide the details of this business's employment.
	Average number of employees	Wages and salaries expenses CAN$ '000
Employment
a. Pilots and co-pilots
b. Other flight personnel Include flight engineers, navigators, flight attendants, etc.
c. General management and administration employees
d. Maintenance personnel
e. Aircraft and traffic servicing personnel Include flight dispatch personnel, flight planning staff, aircraft fuelers, etc.
f. All other employees Include air ambulance attendants, accountants, purchasing personnel, etc.
Total employees

6. For the reporting period ending YYYY-MM-DD, please provide the distribution of this business's revenue and expenses by area of operation.

Revenue or expenses by area of operation

Passenger revenue

Include a breakdown of the revenue earned from the transportation of passengers for each province, territory and outside of Canada based on where the transportation service was provided. Total passenger revenue should equal the sum of passenger revenue from scheduled services and charter services previously reported.

Goods revenue

Include a breakdown of the revenue earned from the transportation of goods for each province, territory and outside of Canada based on where the transportation service was provided. Total goods revenue should equal the sum of goods revenue from scheduled services and charter services previously reported.

Employee wages and salaries

Include a breakdown of employee wages and salaries for each province, territory and outside of Canada based on where the employees are located. Total employee wages and salaries should equal the total wages and salaries expenses reported in the "Employment" section above.

For the reporting period ending YYYY-MM-DD, please provide the distribution of this business's revenue and expenses by area of operation.

For the reporting period ending YYYY-MM-DD, please provide the distribution of this business's revenue and expenses by area of operation.
	Passenger revenue CAN$ '000	Goods revenue CAN$ '000	Employee wages and salaries CAN$ '000
Area of operation
a. Newfoundland and Labrador
b. Prince Edward Island
c. Nova Scotia
d. New Brunswick
e. Quebec
f. Ontario
g. Manitoba
h. Saskatchewan
i. Alberta
j. British Columbia
k. Yukon
l. Northwest Territories
m. Nunavut
n. Outside Canada
Total

Attach files

1. Any revisions to previous submissions can be added to this questionnaire. Please attach the files that provide the information required for this survey.

To attach files

• Press the Attach files button.
• Choose the file to attach. Multiple files can be attached.

Note:

• Each file must not exceed 5 MB.
• All attachments combined must not exceed 50 MB.
• The name and size of each file attached will be displayed on the page.

Changes or events

7. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Exchange rate impact
• Price changes in goods or services sold
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Recession
• Change in product line
• Sold business or business units
• Expansion
• New or lost contract
• Plant closures
• Acquisition of business or business units
• Other
  Specify the other change or event:
• No changes or events

Contact person

8. Statistics Canada may need to contact the person who completed this questionnaire for further information.

Is ([Provided Given Names]) , ([Provided Family Name]) the best person to contact?

• Yes
• No

Who is the best person to contact about this questionnaire?

• First name:
• Last name:
• Title:
• Email address:
• Telephone number (including area code):
• Extension number (if applicable):
• Fax number (including area code):

Feedback

9. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

• Hours:
• Minutes:

10. Do you have any comments about this questionnaire?

Enter your comments

Why are we conducting this survey?

This survey is conducted by Statistics Canada in order to collect the necessary information to support the Integrated Business Statistics Program (IBSP). This program combines various survey and administrative data to develop comprehensive measures of the Canadian economy.

The statistical information from the IBSP serves many purposes, including:

• Obtaining information on the supply of and demand for energy in Canada.
• Enabling governmental agencies to fulfill their regulatory responsibilities in regards to public utilities.
• Enabling all levels of government to establish informed policies in the energy area.
• Assisting the business community in the corporate decision-making process.
• Your information may also be used by Statistics Canada for other statistical and research purposes:
• Supporting the government in making informed decisions about fiscal, monetary and foreign exchange policies.
• Enabling academics and economists to analyze the economic performance of Canadian industries and to better understand rapidly evolving business environments.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data sharing agreements

To reduce the response burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Enterprise Statistics Division
150 Tunney's Pasture Driveway
Ottawa, Ontario K1A 0T6

You may also contact us by email at Statistics Canada Help Desk- this link will open in a new window or by fax at 613-951-6583.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, Northwest Territories and Nunavut, as well as with the provincial and territorial government ministries responsible for the energy sector, the Canada Energy Regulator, Natural Resources Canada and Environment and Climate Change Canada.

For a complete list of the provincial and territorial government ministries responsible for the energy sector, you can visit the following link: Information for survey participants

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name, and correct information if needed.

Note: Legal name should only be modified to correct a spelling error or typo.
Note: Press the help button (?) for additional information.

Legal name

Operating name (if applicable)

2. Verify or provide the contact information for the designated contact person for the business or organization, and correct information if needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code Example: A9A 9A9 or 12345-1234
• Country
• Email address Example: user@example.gov.ca
• Telephone number Example: 123-123-1234
• Extension number (if applicable)
• Fax number Example: 123-123-1234

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

1. Operational
2. Not currently operational e.g., temporarily or permanently closed, change of ownership

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

Note: Press the help button (?) for additional information, including a detailed description of the activity with example activities and any applicable exclusions.

Description and examples

• This is the current main activity
• This is not the current main activity

Main activity

5. You indicated that is not the current main activity.
Was this business or organization's main activity ever classified as ?

1. Yes
2. No

6. Search and select the industry activity classification that best corresponds to this business or organization's main activity.

How to search:

• If desired, you can filter the search results by first selecting the business or organization's activity sector.
• Enter keywords or a brief description that best describe the business or organization's main activity.
• Press the Search button to search the database for an industry activity classification that best matches the keywords or description you provided.
• Select an industry activity classification from the list.

Select this business or organization's activity sector ()

Enter keywords or a brief description, then press the Search button

Reporting period information

1. What are the start and end dates of this operation's most recently completed fiscal year?

• Fiscal year start date Example: YYYY-MM-DD
• Fiscal year end date Example: YYYY-MM-DD

Balance sheet assets

1. What are the assets, by following categories, of this business, in the fiscal year?

Fixed assets — electric utility at cost

1. Generating plant
2. Transmitting plant
   • Include sub-stations.
3. Distribution plant (urban and rural)
4. Other property and equipment
5. Construction in progress
6. Total (at cost) (Sum of a. to e.)
7. Accumulated depreciation
8. Total (less accumulated depreciation) (Sum of total (at cost) - Accumulated depreciation)
9. Heavy water plants less accumulated depreciation
10. Other fixed assets less accumulated depreciation

Total fixed assets

(Sum of Total (less accumulated depreciation) + Heavy water plants less accumulated depreciation + Other fixed assets less accumulated depreciation)

Current assets — cash on hand and in banks

1. Canadian currency
2. Foreign currency
3. Temporary investments e.g., short term notes
4. Accounts receivable (net) e.g., amounts due for electrical services
5. Inventories e.g., goods to be used in the production process
6. Advances
7. Securities
8. Other (including prepaid expenses)

Total current assets (Sum of a. to h.)

Investment assets

1. In associated companies e.g., stocks, bonds, or other investments held in other companies
2. Reserve fund investments
3. Other investment assets e.g., bonds, debentures, or other investment assets with a maturity date longer than one year

Total investments (Sum of a. to c.)

Deferred charges

1. Unamortized bond discount
2. Other deferred charges
3. Other assets

Total assets

(Sum of Total fixed assets + Total current assets + Total investments + Unamortized bond discount + Other deferred charges + Other assets)

Liabilities and equity

2. What are the liabilities and equity, by the following categories, of this business, in the fiscal year?

Long-term debt

1. Long-term debt (any debt not liquidated within one year)

Current liabilities

1. Accounts payable and accrued liabilities e.g., purchases of goods and services
2. Loans and notes payable e.g., monies expected to be repaid within one year
3. Accrued interest on long-term debt
4. Other current liabilities e.g., interest and dividends payable, accrued taxes

Total current liabilities

Total current liabilities (sum of a. to d.)

Deferred credits and other liabilities

1. Deferred credits and other liabilities e.g., accumulated deferred income tax

Equity — share capital

1. Share capital e.g., shares of capital stock

Surplus

1. Capital
2. Earned i.e., synonymous with retained earnings
3. Contributed e.g., government subsidies
4. Reserves e.g., rate stabilization

Total capital, surplus and reserves (Sum of Share capital + Capital + Earned + Contributed + Reserves)

Total liabilities and equity (Sum of Long-term debt + Total current liabilities + Deferred credits and other liabilities + Total capital, surplus and reserves)

Taxes paid or accrued and grants in lieu

3. What were the taxes paid or accrued and grants in lieu for the fiscal year?

Include only direct taxes such as property, excise, export, school etc.
Exclude taxes paid on non-electric utility properties, workers' compensation, employment insurance, income tax, sales tax on electricity or sales taxes which are not paid directly to a federal, provincial or municipal government.

1. Municipal and school
2. Provincial
3. Federal

Total taxes (Sum of a. to c.)

Operating revenues and expenses account

4. What are the operating revenues and expenses, by the following categories, of this business, in the fiscal year?

Sale of electricity

Exclude sales tax.

1. Generating plant
2. Transmitting plant
3. Distribution plant
4. Total sale of electricity (Sum of a. to c.)
5. Sale of steam
6. Subsidies
   • Operating grants by government to maintain prices at a level below cost of production.
7. Rental revenue
8. Dividend revenue
9. Interest revenue
10. Other

Total operating revenue

(Sum of a. to i.)

Operating expenses for operations, maintenance and administration

1. Salaries and wages
2. Supplementary employee benefits e.g., employer contributions
3. Cost of fuel used
4. Cost of material used Estimate if necessary.
5. Cost of purchased services Estimate if necessary.
6. Cost of contracted repair and maintenance
7. Royalty expense e.g., right-of-ways, land
8. Indirect taxes
   • Include "operating" taxes such as property tax, export tax, school tax, business tax.
9. Other Specify other

Total operation, maintenance and administration (Sum of a. to i.)

Electricity and depreciation

1. Electricity purchased
2. Depreciation

Total operating expense (Sum of Total operation, maintenance and administration + Electricity purchased + Depreciation)

Income

1. Operating income
2. Other income

Total income

Total income (Sum of a. to b.)

Income deductions

1. Interest on long term debt
2. Exclude taxes reported under operating expenses.
3. Other deductions

Total income deductions

(Sum of a. to c.)

Net income

(Sum of Total income - Total income deductions)

Changes or events

5. Indicate any changes or events that affected the reported values for this business or organization compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Exchange rate impact
• Price changes in goods or services sold
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Recession
• Change in product line
• Sold business or business units
• Expansion
• New or lost contract
• Acquisition of business or business units
• Vacation or maintenance periods
• Equipment failure
• Seasonal operations
• Increased or decreased market demand
• Other
• OR
• No changes or events

Contact person

6. Statistics Canada may need to contact the person who completed this questionnaire for further information.

Is the best person to contact?

1. Yes
2. No

Feedback

7. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

1. Hours
2. Minutes

8. Do you have any comments about this questionnaire?

Why are we conducting this survey?

The Survey on Health Care Clinics in Canada aims to better understand patient access to care in Canada. Cycle 2 of the survey focuses on private health clinics that offer medical and diagnostic tests, virtual health care services, surgical services and procedures, as well as medically necessary services offered by nurse practitioners. The survey also includes clinics that operate on a subscription, membership, or enrollment fee basis. The survey is being conducted in partnership with Health Canada, who is the survey sponsor.

The questions focus on the number of medically necessary services provided in the previous fiscal year and whether these services were charged directly to patients insured under a provincial or territorial health care insurance plan. The survey also collects information on the total amount charged directly to patients for these services.

Data on operating revenue and expenses will be used to maintain the Canadian Business Register which lists all active businesses in Canada.

Responses to the Survey on Health Care Clinics in Canada will remain confidential.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business, or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon. The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory. Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data, and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Centre for Population Health Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at infostats@statcan.gc.ca or by fax at 1-514-496-4879.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to entities located within the jurisdiction of the respective province or territory.

For this questionnaire

Please report for your Canadian operation(s)

Reporting instructions

• Report dollar amounts in thousands of Canadian dollars.
• When precise figures are not available, provide your best estimates.
• Percentages should be rounded to whole numbers.
• Enter "0" if there is no value to report.

Who should complete this questionnaire?

This questionnaire should be completed by the person most knowledgeable of the day-to-day activities of this business.

How do we protect your information?

Statistics Canada is committed to respecting the privacy of consultation survey participants. All personal information created, held or collected by the agency is protected in accordance with the Privacy Act.

Deadline for completing this questionnaire

Please complete this questionnaire and submit it within 21 days of receipt.

Printing your completed questionnaire

You can print this questionnaire once you have completed and submitted it.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name, and correct information if needed.

Note: Legal name should only be modified to correct a spelling error or typo.

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information for the designated contact person for the business or organization's, and correct information if needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code (Format: Letter digit letter space digit letter digit or 5 digits dash 4 digits) Example: A9A 9A9 or 12345-1234
• Country
• Email address Example: user@example.gov.ca
• Telephone number (including area code) Example: 123-123-1234
• Extension number (if applicable)
• Fax number (including area code) Example: 123-123-1234

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational e.g., temporarily or permanently closed, change of ownership
  • Why is this business or organization not currently operational?
• Seasonal operations
  • When did this business or organization close for the season?
    Date Example: YYYY-MM-DD
  • When does this business or organization expect to resume operations?
    Date Example: YYYY-MM-DD
• Ceased operations
  • When did this business or organization cease operations?
    Date Example: YYYY-MM-DD
  • Why did this business or organization cease operations?
    • Bankruptcy
    • Liquidation
    • Dissolution
    • Other
      • Specify the other reasons why operations ceased
• Sold operations
  • When was this business or organization sold?
    Date Example: YYYY-MM-DD
  • What is the legal name of the buyer?
• Amalgamated with other businesses or organizations
  • When did this business or organization amalgamate?
    Date Example: YYYY-MM-DD
  • What is the legal name of the resulting or continuing business or organization?
  • What are the legal names of the other amalgamated businesses or organizations?
• Temporarily inactive but expected to reopen
  • When did this business or organization become temporarily inactive?
    Date Example: YYYY-MM-DD
  • When does this business or organization expect to resume operations?
    Date Example: YYYY-MM-DD
  • Why is this business or organization temporarily inactive?
• No longer operating because of other reasons
  • When did this business or organization cease operations?
    Date Example: YYYY-MM-DD
  • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

NAICS description text

Description and examples

NAICS description text

Examples and inclusions/exclusion text

• This is the current main activity
• This is not the current main activity

Provide a brief but precise description of this business or organization's main activity e.g., breakfast cereal manufacturing, shoe store, software development

Main activity

5. You indicated that NAICS description text is not the current main activity.

Was this business or organization's main activity ever classified as NAICS description text.

• Yes
  • When did the main activity change?
    • Date Example: YYYY-MM-DD
• No

6. Search and select the industry classification code that best corresponds to this business or organization's main activity.

How to search:

• if desired, you can filter the search results by first selecting the business or organization's activity sector
• enter keywords or a brief description that best describe the business or organization's main activity
• press the Search button to search the database for an activity that best matches the keywords or description you provided
• select an activity from the list.

Select this business or organization's activity sector (optional)

• Farming or logging operation
• Construction company or general contractor
• Manufacturer
• Wholesaler
• Retailer
• Provider of passenger or freight transportation
• Provider of investment, savings or insurance products
• Real estate agency, real estate brokerage or leasing company
• Provider of professional, scientific or technical services
• Provider of health care or social services
• Restaurant, bar, hotel, motel or other lodging establishment
• Other sector

Reporting period information

1. What are the start and end dates of this business's or organization's most recently completed fiscal year?

For this survey, the end date should fall between April 1st, 2024 and March 31st, 2025.

Fiscal Year Start date
Example: YYYY-MM-DD

Fiscal Year End date
Example: YYYY-MM-DD

2. What is the reason the reporting period does not cover a full year?

Select all that apply.

• Seasonal operations
• New business
• Change of ownership
• Temporarily inactive
• Change of fiscal year
• Ceased operations
• Other
  • Specify the other reason the reporting period does not cover a full year

Operating Revenue and Expenses

3. For the reporting period ending between April 1st, 2024 to March 31st, 2025, what was this business's total operating revenue?

Include :

• Revenue from business activities, such as revenue from the sale of products and services (including those paid directly by patients and through insurance), and rental revenue
• Revenue from any level of government, including from contracts, grants and other contributions (e.g., from a provincial or territorial ministry of health or from other government department)
• Non-government grants, donations, and subsidies
• Other revenue including dividends, revenue from interest, revenue from intracompany transfers, revenue from fundraising, and any other revenue relevant to this business.

When precise figure is not available, please provide your best estimate.

Report dollar amounts in thousands of Canadian dollars.

Total operating revenue (CAN$'000)

4. For the reporting period ending between April 1st, 2024 to March 31st, 2025, what was this business's total operating expenses?

Report dollar amounts in thousands of Canadian dollars.

When precises figure is not available, please provide your best estimate.

Total operating expenses (CAN$'000)

Health clinics and services offered

The next section of this survey is to better understand Canadians' access to certain categories of health services provided by physicians or nurse practitioners.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

5. For the reporting ending between April 1st, 2024 to March 31st, 2025, how many physicians worked at this business?

• Number of physicians
  OR
• No physicians worked at this business

6. For the reporting ending between April 1st, 2024 to March 31st, 2025, how many nurse practitioners worked at this business?

• Number of nurse practitioners
  OR
• No nurse practitioners worked at this business

7. Which of the following services does this business offer?

Select all that apply

• Medical and diagnostic tests
  • Which of the following services does this business offer?
    Select all that apply
    • MRI
    • CT Scan
    • Ultrasounds
      OR
    • None of the above
• Subscription, membership or enrollment fee
  A subscription-based model where patients pay a regular fee to access certain medical services
  • Does this business provide access to a physician (directly or through referral)?
    • Yes
    • No
  • Does this business provide access to a nurse practitioner (directly or through referral)?
    • Yes
    • No
• Virtual health care services
  Services provided virtually by a physician or nurse practitioner such as consultation, referral, etc.
• Surgical services and procedures
  OR
• None of the above

Medical and diagnostic laboratories

8. For the reporting period ending between April 1st, 2024 to March 31st, 2025, how many diagnostic tests, referred by a physician or nurse practitioner, were received by patients insured by a provincial or territorial health care insurance plan?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only patients with a referral from a physician or nurse practitioner.

Exclude: Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
   Total number of diagnostic tests
   • Sum of a + b.
   • MRI
   • CT scans
   • Ultrasounds

The next section of this survey is to better understand Canadians' access to MRIs, CT scans, and ultrasounds at medical and diagnostic laboratories, and whether the patient had to pay to access the service.

Please note medical and diagnostic laboratories may be charging insured residents for these services, as there are a variety of circumstances when provincial and territorial health care insurance plans may not cover the costs of these scans when they are performed outside of a hospital.

As a reminder, your responses to this survey will remain confidential. Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

9. Of the diagnostic tests reported in question 8, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance ?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients, or organizations other than the provincial or territorial health care plan, paid for diagnostic tests.
• No, patients, or organizations other than the provincial or territorial health care plan, did not pay for diagnostic tests.

10. Of the total number of diagnostic tests reported in question 8, how many tests were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only patients with a referral from a physician or nurse practitioner.

Exclude:

• any diagnostic tests that are not considered medically necessary by the province or territory in which your business operates, and would not be covered by the provincial or territorial health care insurance plan even when provided in a hospital or other publicly-funded setting
• Workers Compensation Board claimants (WCB), federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province, a territory or a provincial or territorial health authority.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
   Total number of diagnostic tests billed
   Sum of a + b.
   • MRI
   • CT scans
   • Ultrasounds

11. For the number of diagnostic tests reported in question 10, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only amount charged:

• for patients with a referral from a physician or nurse practitioner
• associated with diagnostics tests such as MRI, CT scans and ultrasounds.

Exclude:

• any amount billed to patients for diagnostic tests that are not considered medically necessary by the province or territory in which your business operates, and would not be covered by the provincial or territorial health care insurance plan even when provided in a hospital or other publicly-funded setting
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed to the patient in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed to the patient in CAN$ '000
   Total amount billed to patients for diagnostic tests
   Sum of a + b.

12. For the total amount billed for diagnostic tests reported in question 11, what is the percentage distribution of diagnostic tests referred by physicians or nurse practitioners?

Percentage distribution of diagnostic tests

1. Referred by physicians in percentage
2. Referred by nurse practitioners in percentage

   Total percentage of billed diagnostic tests in percentage
   Sum of a + b.

Subscription, membership or enrollment fees

The next section of this survey is to better understand Canadians' access to physicians or nurse practitioners at locations where a patient may have to pay, or have someone else pay on their behalf, a subscription fee, membership fee or enrollment fee.

Please note membership clinics often charge patients a subscription, membership, or enrollment fees while providing access to a physician, and may charge additional fees for uninsured services, such as dietary advice or massage therapy.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

13. For the reporting period ending between April 1st, 2024 to March 31st, 2025, how many patients, insured under provincial or territorial health care insurance plan, paid for, or had another organization pay on their behalf, a subscription, membership or enrollment fee to this business?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• patients whose care is paid for by an organization other than a provincial or territorial health care insurance plan (e.g., employee benefits plan, private insurance)
• each patient registered under a family plan (e.g., if the fees cover three family members, please report as three patients).

Exclude:

• patients with a subscription, membership or enrollment fees where access to a physician or a nurse practitioner is not available
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• patients who paid subscription, membership or enrollment fees whom only had access to a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of patients
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of patients
   Total number of patients
   Sum of a + b.

14. What was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to another organization, such as their employee benefits plan or private insurance, for subscription, membership or enrollment fees?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include all subscription, membership or enrollment fees:

• where a physician or nurse practitioner  are available (directly or through referral from the business)
• paid for by the patient or an organization other than a provincial or territorial health care insurance plan (e.g., employee benefits plan, private insurance).

Exclude:

• patients with a subscription, membership or enrollment fees where access to a physician or a nurse practitioner is not available
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided by a physician who is not enrolled with a provincial or territorial health care insurance plan (i.e., the physician does not and cannot bill the public plan).

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed to the patient in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed to the patient in CAN$ '000
   Total amount billed for subscription, membership or enrollment fees
   Sum of a + b.

Virtual health care services

15. Of the virtual health care services this business offers, are any medically necessary services ?

Medically necessary virtual health care services are defined as any services provided virtually by a physician that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician.

• Yes, this business offers medically necessary virtual health care services
• No, this business does not offer medically necessary virtual health care services

16. For the reporting period ending between April 1st, 2024 to March 31st, 2025, in which province or territory were this business's patients located?

Select all that apply

1. Newfoundland and Labrador
2. Prince Edward Island
3. Nova Scotia
4. New Brunswick
5. Quebec
6. Ontario
7. Manitoba
8. Saskatchewan
9. Alberta
10. British Columbia
11. Yukon
12. Northwest Territories
13. Nunavut

17. For the reporting period ending between April 1st, 2024 to March 31st, 2025, how many medically necessary virtual health care services did this business provide to patients insured under a provincial or territorial health care insurance plan?

Medically necessary virtual health care services are defined as any services provided virtually by a physician that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Number of medically necessary virtual health care services
2. Prince Edward Island
   • Number of medically necessary virtual health care services
3. Nova Scotia
   • Number of medically necessary virtual health care services
4. New Brunswick
   • Number of medically necessary virtual health care services
5. Quebec
   • Number of medically necessary virtual health care services
6. Ontario
   • Number of medically necessary virtual health care services
7. Manitoba
   • Number of medically necessary virtual health care services
8. Saskatchewan
   • Number of medically necessary virtual health care services
9. Alberta
   • Number of medically necessary virtual health care services
10. British Columbia
    • Number of medically necessary virtual health care services
11. Yukon
    • Number of medically necessary virtual health care services
12. Northwest Territories
    • Number of medically necessary virtual health care services
13. Nunavut
    • Number of medically necessary virtual health care services
    Total number of medically necessary virtual health care services
    Sum of a to m

The next section of this survey is to better understand Canadians' access to physicians or nurse practitioner through virtual care and whether the patient had to pay to access these services, or have an organization other than the provincial or territorial health care plan pay on their behalf.

Please note virtual clinics may be charging insured residents for access to a physician or nurse practitioner, as some provincial and territorial health care insurance plans may only cover certain ways of connecting with a physician (e.g., telephone, video messaging) or access under certain circumstances. The virtual care provider may also be located outside of the province or territory where the patient is located.

As a reminder, your responses to this survey will remain confidential. Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

18. Of the number of medically necessary virtual health care services reported in question 17, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

• Yes, some patients, or organizations other than the provincial or territorial health care plan, paid for medically necessary virtual health care services.
• No, patients, or organizations other than the provincial or territorial health care plan, did not pay for medically necessary virtual health care services.

19. Of the total number of virtual health care services reported at question 17, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary virtual health care services are defined as any services provided virtually by a physician that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Number of medically necessary virtual health care services
2. Prince Edward Island
   • Number of medically necessary virtual health care services
3. Nova Scotia
   • Number of medically necessary virtual health care services
4. New Brunswick
   • Number of medically necessary virtual health care services
5. Quebec
   • Number of medically necessary virtual health care services
6. Ontario
   • Number of medically necessary virtual health care services
7. Manitoba
   • Number of medically necessary virtual health care services
8. Saskatchewan
   • Number of medically necessary virtual health care services
9. Alberta
   • Number of medically necessary virtual health care services
10. British Columbia
    • Number of medically necessary virtual health care services
11. Yukon
    • Number of medically necessary virtual health care services
12. Northwest Territories
    • Number of medically necessary virtual health care services
13. Nunavut
    • Number of medically necessary virtual health care services
    Total number of medically necessary virtual health care services
    Sum of a to m

20. For the number of virtual care services reported in question 19, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary virtual health care services are defined as any services provided virtually by a physician that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Amount billed in CAN$ '000
2. Prince Edward Island
   • Amount billed in CAN$ '000
3. Nova Scotia
   • Amount billed in CAN$ '000
4. New Brunswick
   • Amount billed in CAN$ '000
5. Quebec
   • Amount billed in CAN$ '000
6. Ontario
   • Amount billed in CAN$ '000
7. Manitoba
   • Amount billed in CAN$ '000
8. Saskatchewan
   • Amount billed in CAN$ '000
9. Alberta
   • Amount billed in CAN$ '000
10. British Columbia
    • Amount billed in CAN$ '000
11. Yukon
    • Amount billed in CAN$ '000
12. Northwest Territories
    • Amount billed in CAN$ '000
13. Nunavut
    • Amount billed in CAN$ '000
    Total amount billed for virtual health care services in CAN$ '000
    Sum of a to m

21. For the total amount billed for virtual services reported in question 20, what is the percentage distribution of virtual services provided by physicians or nurse practitioners?

Percentage distribution of virtual services

1. Provided by physicians in percentage
2. Provided by nurse practitioners in percentage

   Total percentage of billed virtual services
   Sum of a + b.

Surgical services and procedures

22. Are any of the surgical services and procedures this business offers medically necessary services ?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Exclude all surgeries that are solely for cosmetic purposes.

• Yes, this business offers medically necessary surgical services and procedures.
• No, this business does not offer medically necessary surgical services and procedures.

23. For the reporting period ending between April 1st, 2024 to March 31st, 2025, how many medically necessary surgical services and procedures did this business provide to patients insured under a provincial or territorial health care insurance plan?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed
• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of surgical services and procedures
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of surgical services and procedures
   Total number of surgical services and procedures
   Sum of a + b.

The next section of this survey is to better understand Canadians' access to medically necessary surgical services and procedures, and whether the patient had to pay to access these services, or have an organization other than the provincial or territorial health care plan pay on their behalf.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

24. Of the number of surgical services reported at question 23, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes,  some patients, or organizations other than the provincial or territorial health care plan, paid for medically necessary surgical services and procedures.
• No, patients, or organizations other than the provincial or territorial health care plan, did not pay for medically necessary surgical services and procedures.

   

25. Of the total number of surgical services and procedures reported at question 23, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed
• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of surgical services and procedures billed
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of surgical services and procedures billed
   Total number of surgical services and procedures billed
   Sum of a + b.

26. For the number of surgical services reported in question 25, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed

• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed in CAN$ '000
   Total amount billed for surgical services and procedures
   Sum of a + b.

27. For the total amount billed for surgical services reported in question 26, what is the percentage distribution of surgical services provided by physicians or nurse practitioners?

Percentage distribution of surgical services and procedures

1. Provided by physicians in percentage
2. Provided by nurse practitioners in percentage

   Total percentage of billed surgical services in percentage
   Sum of a + b.

Services provided by nurse practitioners

28. Are any of the services offered by the nurse practitioners medically necessary ?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Note: Please do not report medically necessary services provided by nurse practitioners already captured in previous sections of this survey

• Yes, this business offers medically necessary services.
• No, this business does not offer medically necessary services.

29. For the reporting period ending between April 1st, 2024 to March 31st, 2025, how many medically necessary services did this business provide to patients insured under a provincial or territorial health care insurance plan?

Note: Please do not report medically necessary services provided by nurse practitioners already captured in previous sections of this survey

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada).

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of medically necessary services
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of medically necessary services
   Total number of medically necessary services
   Sum of a + b.

The next section of this survey is to better understand Canadians' access to medically necessary services, and whether the patient had to pay to access these services.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.

30.Of the number of medically necessary services reported in question 29, were any billed directly to a patient insured under provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients, or organizations other than the provincial or territorial health care plan, paid for medically necessary services
• No, patients, or organizations other than the provincial or territorial health care plan, did not pay for medically necessary services.

31. Of the total number of medically necessary services reported in question 29, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of medically necessary services billed
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of medically necessary services billed
   Total number of medically necessary services billed
   Sum of a + b.

32. For the number of medically necessary services reported in question 31, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed to the patient in CAN$ '000
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed to the patient in CAN$ '000
   Total amount billed for medically necessary services
   Sum of a + b.

Changes or events

33. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Sold business or business units
• Expansion
• Acquisition of business or business units
• Merger of business or business units
• Vacation or maintenance periods
• Equipment failure
• Increased or decreased market demand
• Dissolution
• Change in accounting or basis of reporting
• Liquidation
• End of business activities
• Change in business activities
• Other
  • Specify the other change or event

  OR

• No changes or events

Contact person

34. Statistics Canada may need to contact the person who completed this questionnaire for further information.

Is the designated contact person for the business or organization the best person to contact?

• Yes
• No
  • Who is the best person to contact about this questionnaire?
    • First Name
    • Last Name
    • Title
    • Email address
      Example: user@example.gov.ca
    • Telephone number (including are code)
      Example: 123-123-1234
    • Extension number (if applicable)
    • Fax number (including area code)
      Example: 123-123-1234

Feedback

35. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

Hours

Minutes

36. Do you have any comments about this questionnaire?

Enter your comments.

2025 May - Work Location / Commuting / Work Location Flexibility

2025 April - Flexible Work Schedules / Job Security

2025 March - Paid Leave / Benefits of self-employed workers

2025 February - Work Location / Remote work location / Willingness to move

2025 January - Intentions to leave job

2024 December – Digital Platform Employment

2024 November – Work location / Upskilling

2024 October - Financial difficulty / Access to care leave / Job satisfaction

2024 September - Skills match

2024 August - Work Location / Pay Satisfaction

2024 July - Childcare and career progression

2024 June - Work Location / Remote work location

2024 May - Work Location / Commuting / Work location flexibility

2024 April - Scheduling and work-life spillover / Occupation or industry change

2024 March - Career prospects / Reservation wage

2024 February - Work Location / Work Location Flexibility / Reservation Wage

2024 January - Intentions to leave job

2023 December - Digital Platform Employment

2023 November - Work location / Employability and job security / Immigrants' education and labour market experience

2023 October - Financial difficulty / Job satisfaction / Types of payment and unpaid wages

2023 August - Work location / Reasons for multiple jobholding

2023 July - Student work experience

2023 June - Retirement

2023 May - Work Location / Commuting

2023 April - Work stress and mental health absences

2022 December - Work location / Digital platform employment

2022 November - Work location / Upskilling

2022 October - Work location / Financial difficulty / Inflation responses

2022 September - Work location / Childcare and career progression

2022 August - Work location / Work values / Work ethic / Intentions to leave job

2022 July - Work location

2022 June - Work Location / Remote work location / COVID-19 Benefits

2022 May - Work Location / Commuting / Work location flexibility / COVID-19 Benefits

2022 April - Work location / Telework / Work schedules / COVID-19 Benefits

2022 March - Work location / Reservation wage / Career prospects / COVID-19 Benefits

2022 February - Work location / Reservation wage / Willingness to move / COVID-19 Benefits

2022 January - Work location / Intentions to leave job / COVID-19 Benefits

Questionnaires for the Monthly Supplement to the Labour Force Survey can be found at the following link: Other versions of the questionnaire - Labour Market Indicators

In May 2025, questions measuring the Labour Market Indicators were added to the Labour Force Survey as a supplement.

Questionnaire flow within the collection application is controlled dynamically based on responses provided throughout the survey. Therefore, some respondents will not receive all questions, and there is a small chance that some households will not receive any questions at all. This is based on their answers to certain LFS questions.

Labour Market Indicators

ENTRY_Q01 / EQ 1 - From the following list, please select the household member that will be completing this questionnaire on behalf of the entire household.

WFH_Q01 / EQ 2 - At the present time, in which of the following locations do you usually work as part of your main job or business?

1. At a fixed location outside the home
2. Outside a home with no fixed location
3. At home

WFH_Q03 / EQ 3 - Among those locations, where do you usually work the most hours?

1. At a fixed location outside the home
2. Outside a home with no fixed location
3. At home

CCOMM_Q01 / EQ 4 - What modes of commuting do you usually use to get to work [when working outside the home]?

1. Car, truck or van — as a driver
2. Car, truck or van — as a passenger
3. Bus
4. Subway or elevated rail
5. Light rail, streetcar or commuter train
6. Passenger ferry
7. Walked to work
8. Bicycle
9. Motorcycle, scooter or moped
10. Other method

CCOMM_Q02 / EQ 5 - What main mode of commuting do you usually use to get to work [when working outside the home]?

1. Car, truck or van — as a driver
2. Car, truck or van — as a passenger
3. Bus
4. Subway or elevated rail
5. Light rail, streetcar or commuter train
6. Passenger ferry
7. Walked to work
8. Bicycle
9. Motorcycle, scooter or moped
10. Other method

CCOMM_Q03 / EQ 6 - How many workers, including yourself, usually ride in this car, truck or van to work?

Would you say:

• 1 worker
• 2 workers
• 3 or more workers

CCOMM_Q04 / EQ 7 - How many minutes does your trip to work usually last?

Number of minutes _____

WRK_Q01 / EQ8 - On which of the following days do you usually go to your worksite in your main job or business?

1. Monday
2. Tuesday
3. Wednesday
4. Thursday
5. Friday
6. Saturday
7. Sunday

OR

  8. It varies from week to week

WFH_Q02 / EQ 9 - Last week, what proportion of your work hours did you work at home as part of your main job or business?

Would you say:

1. All hours at home
2. More than half, but not all at home
3. One quarter to half at home
4. Less than a quarter at home
5. No hours at home

Why are we conducting this survey?

This survey is conducted by Statistics Canada in order to collect the necessary information to support the Integrated Business Statistics Program (IBSP). This program combines various survey and administrative data to develop comprehensive measures of the Canadian economy.

The statistical information from the IBSP serves many purposes, including:

• Obtaining information on the supply of and demand for energy in Canada.
• Enabling governmental agencies to fulfill their regulatory responsibilities in regards to public utilities.
• Enabling all levels of government to establish informed policies in the energy area.
• Assisting the business community in the corporate decision-making process.
• Your information may also be used by Statistics Canada for other statistical and research purposes:
• Supporting the government in making informed decisions about fiscal, monetary and foreign exchange policies.
• Enabling academics and economists to analyze the economic performance of Canadian industries and to better understand rapidly evolving business environments.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Your participation in this survey is required under the authority of the Statistics Act.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.

Record linkages

To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data sharing agreements

To reduce the response burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data. Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon.

The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory. Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada Statistics Canada Attention of Director, Enterprise Statistics Division 150 Tunney’s Pasture Driveway Ottawa, Ontario K1A 0T6

You may also contact us by email at Statistics Canada Help Desk or by fax at 613-951-6583.

For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, Northwest Territories and Nunavut, as well as with the provincial government ministries responsible for the energy sector, Natural Resources Canada and Environment and Climate Change Canada.

For a complete list of the provincial government ministries responsible for the energy sector, you can visit the following link: Information for survey participants.

Note that there is no right of refusal with respect to sharing the data with the Saskatchewan Ministry of the Energy and Resources for businesses also required to report under The Oil and Gas Conservation Act and Regulations (Saskatchewan) and The Mineral Resources Act (Saskatchewan).

The Saskatchewan Ministry of the Energy and Resources will use the information obtained from these businesses in accordance with the provisions of its Acts and Regulations.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Business or organization and contact information

1. Verify or provide the business or organization’s legal and operating name, and correct information if needed.

Note: Legal name should only be modified to correct a spelling error or typo.

Note: Press the help button (?) for additional information.

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information for the designated contact person for the business or organization, and correct information if needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code Example: A9A 9A9 or 12345-1234
• Country
• Email address Example: user@example.gov.ca
• Telephone number Example: 123-123-1234
• Extension number (if applicable)
• Fax number (including area code)

3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.

• Operational
• Not currently operational e.g., temporarily or permanently closed, change of ownership

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

Note: Press the help button (?) for additional information, including a detailed description of the activity with example activities and any applicable exclusions.

Description and examples

• This is the current main activity
• This is not the current main activity

Main activity

5. You indicated that is not the current main activity.

Was this business or organization’s main activity ever classified as?

• Yes
• No

Main activity

6. Search and select the industry activity classification that best corresponds to this business or organization’s main activity.

How to search:

• If desired, you can filter the search results by first selecting the business or organization’s activity sector.
• Enter keywords or a brief description that best describe the business or organization’s main activity.
• Press the Search button to search the database for an industry activity classification that best matches the keywords or description you provided.
• Select an industry activity classification from the list.

Select this business or organization’s activity sector

Enter keywords or a brief description, then press the Search button

Reporting period information

1. What are the start and end dates of this operation’s most recently completed fiscal year?

• Fiscal year start date Example: YYYY-MM-DD
• Fiscal year end date Example: YYYY-MM-DD

Operating revenue and expense accounts

1. What were this business’ operating revenues and expenses for the fiscal year?

Operating revenue — gross sales

1. Coal of own production
2. Purchased coal
3. All other products

Total gross sales (Sum of a. to c.)

Operating revenue — marketing expenses

1. Outward transportation — road
2. Outward transportation — rail
3. Outward transportation — water

Total outward transportation (Sum of a. to c.)

4. Port handling charges
5. All other marketing expenses

Total marketing expenses (Sum of Total outward transportation + Port handling charges + All other marketing expenses)

Total net sales (Sum of Total gross sales - Total marketing expenses)

Other operating revenue

1. Contract mining
2. Subsidies (operating only)
3. All other operating revenue

Total operating revenue (Sum of Total net sales + Contract mining + Subsidies (operating only) + All other operating revenue)

2. What were this business’ operation, maintenance and administration costs for the fiscal year?

Direct mining costs

1. Salaries and wages
2. Supplementary labour benefits e.g., employer contributions
3. Materials and supplies
4. Contracted services

Repair and maintenance costs

1. Salaries and wages
2. Supplementary labour benefits e.g., employer contributions
3. Materials and supplies
4. Contracted services

Other costs

1. Labour
2. Supplementary labour benefits e.g., employer contributions
3. Purchased fuel and electricity
4. Coal purchased for resale
5. Taxes — non income e.g., royalties, acreage, business, municipal school
6. All other costs

Total operation, maintenance and administration (Sum of Direct mining costs + Repair and maintenance costs + Other costs)

Other expenses

1. Depreciation
2. Income tax
3. All other deductions

Total operating expenses (Sum of Total operation, maintenance and administration + Depreciation + Income tax + All other deductions)

Net income

(Sum of Total operating revenue - Total operating expenses)

Net income (Sum of Total operating revenue - Total operating expenses)

3. What was the quantity of coal produced and purchased in the fiscal year?

1. Coal of own production
   Metric tonnes
2. Foreign purchased coal
   Metric tonnes
3. Domestic purchased coal
   Metric tonnes

Operations payroll

4. What were the salary and wages and total number of employees by category in the fiscal year?

Salaries and wages for the year
Total number of full time employees during the year

1. Executive, administrative, office and sales

   Salaries and wages for the year
   Total number of full time employees during the year

2. Mine and related

   Salaries and wages for the year
   Total number of full time employees during the year

3. Preparation plant and related

   Salaries and wages for the year
   Total number of full time employees during the year

All other payroll

1. All other payroll

   Salaries and wages for the year
   Total number of full time employees during the year

   Total employees at this location (Sum of Operations payroll + All other payroll)
   Salaries and wages for the year

2. Employees at other locations within province

   Salaries and wages for the year
   Total number of full time employees during the year

   Total employees (Sum of Total employees at this location + Employees at other locations within province)
   Salaries and wages for the year

   Total number of full time employees during the year

Changes or events

5. Indicate any changes or events that affected the reported values for this business or organization compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Exchange rate impact
• Price changes in goods or services sold
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Recession
• Change in product line
• Sold business or business units
• Expansion
• New or lost contract
• Acquisition of business or business units
• Vacation or maintenance periods
• Equipment failure
• Seasonal operations
• Increased or decreased market demand
• Other
• Specify the other change or event
• OR
• No changes or events

Contact person

6. Statistics Canada may need to contact the person who completed this questionnaire for further information. Is the best person to contact?

• Yes
• No

Feedback

7. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

• Hours
• Minutes

8. Do you have any comments about this questionnaire?

Survey purpose

Statistics Canada is conducting this survey to prepare for the 2026 Census.

The purpose of the survey is to confirm the facility's address and contact information, and to collect information on the type of facility in order to improve the efficiency of collecting census data.

The information you provide now may make completing the census questionnaire easier for you next year.

Authority and confidentiality

Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential. Statistics Canada can share your information with your consent or, in limited cases, where permitted by the Statistics Act. The information you provide may also be used by Statistics Canada for other statistical and research purposes.

Record linkages

Statistics Canada may combine your responses from this survey with information from other surveys or from administrative sources.

Voluntary participation

Participation in this survey is voluntary, but your participation is important so that the information collected is as accurate and complete as possible.

Facility and contact information

1. Verify or provide the facility name and correct where needed.

Facility name

2. Is this the civic address of this facility?

Note: If the address below is missing or incomplete, please answer "No" and provide the complete address.

• Yes
• No
  • Please enter the civic address of this facility.
    Note: For a non-civic address, please provide a rural route or land description in the "Street name" field.
    Example: 63532 Range Rd 444 or NW-34-42-4-W3
    • Civic number
    • Suffix
    • Unit number
    • Street name
    • Street type
    • Direction
    • City, municipality, town or village
    • Province or territory
    • Postal code
      Example: A9A 9A9

3. Verify or provide the following information of the designated contact person for this facility and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire but may not always be the one who actually completes the questionnaire.

• First name
• Last name
• Title
• Preferred language of communication
• Email address
  Example: user@example.gov.ca
• Telephone number (including area code)
  Example: 123-123-1234
• Extension number (if applicable)

Dwelling type definitions

In preparation for the 2026 Census, the Collective Dwelling Status and Classification Survey asks about the services provided at this facility, as well as any additional collective dwellings or private dwellings that may be located at this address.

A collective dwelling is a dwelling of a commercial, institutional or communal nature in which a person or group of persons resides or could reside. The collective dwelling must provide care, services or common facilities shared by the occupants, such as a kitchen, dining room or bathroom. Examples include long-term care homes, residences for older adults, lodging or rooming houses, correctional facilities, group homes, hotels, motels, tourist establishments, hospitals, staff residences, military bases, and work camps.

A private dwelling is a separate set of living quarters that shares the same civic address as the collective dwelling but has a different apartment or unit number. The private dwelling must have a private entrance either from outside the building or from a common hall, lobby, vestibule or stairway inside the building and cannot be accessed through another person's living quarters. Residents of the private dwelling do not receive any care or services provided by the facility.

Collective dwelling types

1. Which of the following best describes this facility?

• Hospital
  • If selected, go to Question 4.
    • Is this facility licensed as a hospital?
      • Yes
      • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility that offers personal support and assisted living care. Services are provided as part of the rent or available for an additional fee paid to the facility, e.g., retirement homes or assisted living homes. These facilities do not provide 24-hour nursing or personal care.

    • Both long-term care home and residence for older adults
    • No care or services are provided to residents
      • If selected, go to Question 6.
• Residential care facility related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility, including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre or custodial facility
    • Federal correctional facility
• Religious establishment
• Establishment with temporary accommodation services
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services, such as a YMCA-YWCA, Ronald McDonald House, or hostel
• Lodging or rooming house
  • If selected, exit survey.
• Hutterite colony
  • If selected, exit survey.
• Other establishment
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
• None of the above
  • If selected, go to Question 2.

If no answer is selected, go to Question 2.

Go to Question 5, unless otherwise specified.

The following question will help determine whether this establishment should be included in this questionnaire or not.

2. Does this establishment allow for a person or group of persons to stay overnight?

• Yes
  • Does this establishment provide care, service or shared amenities?
    Include:
    • any medical service, health care or personal care that is provided by the facility
    • shared amenities, which include access to a common kitchen, dining room or bathroom.
    Exclude:
    • short-term vacation rentals, such as bed and breakfasts (e.g., Airbnb, Vrbo, etc.)
    • services not provided by the establishment (e.g., Uber, SkipTheDishes, HelloFresh, etc.).
      • Yes
      • No
        • If no, go to Question 6.
• No
  • If no, go to Question 6.

Go to Question 3, unless otherwise specified.

3. Based on the answers provided, this facility should be included. Which of the following options best describes the primary purpose of this facility?

• Hospital
  • If selected, go to Question 4.
    • Is this facility licensed as a hospital?
      • Yes
      • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility that offers personal support and assisted living care. Services are provided as part of the rent or available for an additional fee paid to the facility, e.g., retirement homes or assisted living homes. These facilities do not provide 24-hour nursing or personal care.

    • Both long-term care home and residence for older adults
• Residential care facility related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility, including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre or custodial facility
    • Federal correctional facility
• Religious establishment
• Establishment with temporary accommodation services
  e.g., hotel, campground
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services, such as a YMCA-YWCA, Ronald McDonald House, or hostel
• Lodging or rooming house
  • If selected, exit survey.
• Hutterite colony
  • If selected, exit survey.
• Other establishment
  e.g., residence for school, work camp
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
      • Specify

Go to Question 5, unless otherwise specified.

4. What services are provided at this hospital?

• Short-term care
• Long-term acute care
  • Is there also a care home for older adults at this facility?
    • Yes
    • No
• Both short-term care and long-term acute care
  • Is there also a care home for older adults at this facility?
    • Yes
    • No

Go to Question 5.

Maximum capacity

5a. What is the maximum number of persons who could stay overnight?

5b. What is the maximum number of persons who could stay overnight, including the long-term care home?

Note 1: If the number of persons is unknown, enter your best estimate.

Note 2: Do not report for the Canadian Forces Housing Agency (CFHS) or Personnel Support Program (PSP) military housing. If the number of persons is unknown, enter your best estimate.

Maximum number
If the number is zero, go to Question 6.

Go to Question 7, unless otherwise specified.

Operation status

6. Based on the answers provided, this establishment either does not allow for persons to stay overnight or does not provide care, services or shared amenities and as a result does not meet the requirements for this questionnaire.

Select the option that best describes the operational status.

• Seasonal operations
  • When did this establishment close for the season?
    Example: YYYY-MM-DD
  • When does this establishment expect to resume operations?
    Example: YYYY-MM-DD
• Temporarily inactive
  • When did this establishment become temporarily inactive?
    Example: YYYY-MM-DD
  • When does this establishment expect to resume operations?
    Example: YYYY-MM-DD
  • Why is this establishment temporarily inactive?
• Ceased operations
  • When did this establishment cease operations?
    Example: YYYY-MM-DD
  • Why did this establishment cease operations?
    • Bankruptcy
    • Liquidation
    • Dissolution
    • Other
      • Specify the other reasons why operations ceased
• Private dwelling
  • When did this establishment become a private dwelling?
    Example: YYYY-MM-DD
  • Other
    • Specify

Go to Question 18.

Additional collective dwellings

7. Are there any other facilities that share the same address with this facility?

• Yes
  • Number of facilities
    • If the number is zero, go to Question 12.
    • If the number is greater than 0 and less than 100, go to Question 8.
• No

Go to Question 12, unless otherwise specified.

8. What is the name of this facility?

Facility name

Go to Question 9.

9. Which of the following best describes this facility?

• Hospital
  • Is this facility licensed as a hospital?
    • Yes
    • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility that offers personal support and assisted living care. Services are provided as part of the rent or available for an additional fee paid to the facility, e.g., retirement homes or assisted living homes. These facilities do not provide 24‑hour nursing or personal care.

    • Both long-term care home and residence for older adults
    • No care or services are provided to residents
• Residential care facility related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility, including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre or custodial facility
    • Federal correctional facility
• Religious establishment
• Establishment with temporary accommodation services
  e.g., hotel, campground
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services, such as a YMCA-YWCA, Ronald McDonald House, or hostel
• Lodging or rooming house
• Hutterite colony
• Other establishment
  e.g., residence for school, work camp
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
      • Specify

Go to Question 10.

10. What is the suite or unit number of this facility?

Suite or unit number

Go to Question 11.

11. Are you the contact person for this facility?

• Yes, I am the contact person
• No, someone else is the contact person
  • Please provide the contact information for this person.
    • First name
    • Last name
    • Title
    • Preferred language of communication
    • Email address
      Example: user@example.gov.ca
    • Telephone number (including area code)
      Example: 123-123-1234
    • Extension number (if applicable)

Go to Question 12.

Private dwellings at this facility

12. Are there any private dwellings that share this address with this facility?

• Yes
  • Number of dwellings
    • If the number is zero, go to Question 14.
    • If the number is greater than 0 and less than 100, go to Question 13.
    • If the number is greater than 99, go to Question 14.
• No

Go to Question 14, unless otherwise specified.

13. Provide the information for each private dwelling.

• Unit or apartment number
• Is this dwelling occupied or unoccupied?
  • Occupied
  • Unoccupied

Go to Question 14.

Additional collective dwellings at a different address

14. Are you the contact person for any other facilities that have not been mentioned?

• Yes
  • Number of facilities
    • If the number is zero, go to Question 18.
    • If the number is greater than 0 and less than 100, go to Question 15.
• No

Go to Question 18, unless otherwise specified.

15. What is the name of this facility?

Facility name

Go to Question 16.

16. Which of the following best describes this facility?

• Hospital
  • Is this facility licensed as a hospital?
    • Yes
    • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility that offers personal support and assisted living care. Services are provided as part of the rent or available for an additional fee paid to the facility, e.g., retirement homes or assisted living homes. These facilities do not provide 24-hour nursing or personal care.

    • Both long-term care home and residence for older adults
    • No care or services are provided to residents
• Residential care facility related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility, including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre or custodial facility
    • Federal correctional facility
• Religious establishment
• Establishment with temporary accommodation services
  e.g., hotel, campground
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services, such as a YMCA-YWCA, Ronald McDonald House, or hostel
• Lodging or rooming house
• Hutterite colony
• Other establishment
  e.g., residence for school, work camp
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
      • Specify

Go to Question 17.

17. What is the civic address of this facility?

• Civic number
• Suffix
• Unit number
• Street Name
• Street type
• Direction
• City, municipality, town or village
• Province or territory
• Postal code
  Example: A9A 9A9

Go to Question 18.

Comments

18. Please use this section if you have concerns, suggestions or comments.

For example, you may have concerns, suggestions or comments about:

• the steps to follow or the content of this questionnaire (a question that was difficult to understand or to answer, etc.)
• the characteristics of the online questionnaire (the navigation, the online help, the design, the format, the size of the text, etc.)
• any technical issues encountered.