Survey of Health Care Clinics in Canada

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.

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
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 ?

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)?

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.

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
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)?

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.

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
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

Referred by physicians in percentage
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?

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.

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
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?

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.

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
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

Newfoundland and Labrador
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon
Northwest Territories
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?

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

Newfoundland and Labrador
- Number of medically necessary virtual health care services
Prince Edward Island
- Number of medically necessary virtual health care services
Nova Scotia
- Number of medically necessary virtual health care services
New Brunswick
- Number of medically necessary virtual health care services
Quebec
- Number of medically necessary virtual health care services
Ontario
- Number of medically necessary virtual health care services
Manitoba
- Number of medically necessary virtual health care services
Saskatchewan
- Number of medically necessary virtual health care services
Alberta
- Number of medically necessary virtual health care services
British Columbia
- Number of medically necessary virtual health care services
Yukon
- Number of medically necessary virtual health care services
Northwest Territories
- Number of medically necessary virtual health care services
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)?

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

Newfoundland and Labrador
- Number of medically necessary virtual health care services
Prince Edward Island
- Number of medically necessary virtual health care services
Nova Scotia
- Number of medically necessary virtual health care services
New Brunswick
- Number of medically necessary virtual health care services
Quebec
- Number of medically necessary virtual health care services
Ontario
- Number of medically necessary virtual health care services
Manitoba
- Number of medically necessary virtual health care services
Saskatchewan
- Number of medically necessary virtual health care services
Alberta
- Number of medically necessary virtual health care services
British Columbia
- Number of medically necessary virtual health care services
Yukon
- Number of medically necessary virtual health care services
Northwest Territories
- Number of medically necessary virtual health care services
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)?

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

Newfoundland and Labrador
- Amount billed in CAN$ '000
Prince Edward Island
- Amount billed in CAN$ '000
Nova Scotia
- Amount billed in CAN$ '000
New Brunswick
- Amount billed in CAN$ '000
Quebec
- Amount billed in CAN$ '000
Ontario
- Amount billed in CAN$ '000
Manitoba
- Amount billed in CAN$ '000
Saskatchewan
- Amount billed in CAN$ '000
Alberta
- Amount billed in CAN$ '000
British Columbia
- Amount billed in CAN$ '000
Yukon
- Amount billed in CAN$ '000
Northwest Territories
- Amount billed in CAN$ '000
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

Provided by physicians in percentage
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?

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.

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
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)?

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)?

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.

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
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)?

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.

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
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

Provided by physicians in percentage
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

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.

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
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)?

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)?

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.

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
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)?

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.

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
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.

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Survey of Health Care Clinics in Canada - 2024

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Surgical services and procedures

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