## Financial Status of Health Insurance System

Overview

Government-managed Health Insurance/JHIA-managed Health Insurance	Society-managed Health Insurance	National Health Insurance (municipalities)	Seamen's Insurance	Late-stage medical care system for the elderly
Operating revenue	Premium (tax) revenue	67,343	61,405	27,362	284	8,907
State subsidy	10,543	40	29,910	32	37,857
Prefectural contribution	-	-	8,109	-	11,270
Municipal contribution	-	-	8,224	-	10,003
Grants for late-stage elderly	-	-	-	-	49,730
Grants for early-stage elderly	-	2	27,142	-	-
Retirement grants	-	-	5,977	-	-
Others	230	1,409	14,761	5	137
Total	78,116	62,856	121,485	321	117,903
Operating expenditure	Insurance benefit expenses	46,099	35,372	88,291	197	117,340
Late-stage elderly support coverage	14,214	13,014	14,518	56	-
Levies for early-stage elderly	12,100	11,190	25	47	-
Contributions for retirees	1,968	2,093	-	9	-
Others	1,250	5,342	18,560	6	661
Total	75,632	67,011	121,395	316	118,001
Balance of ordinary revenue and expenditure	2,484	▲4,156	90	5	▲97

Government-managed Health Insurance/JHIA-managed Health Insurance	Society-managed Health Insurance
Non-operating revenue	Deferred repayment of state subsidy	-	-
Non-operating subsidy for benefits, etc.	-	360
Adjustment premium revenue	-	1,004
Subsidies to financial adjustment programs	-	1,254
Transfer from reserves, etc. and surplus carried forward	-	6,230
Others	-	79
Total	-	8,927
Non-operating expenditure	Contribution to financial adjustment programs	-	996
Others	-	170
Total	-	1,166
Balance of non-operating revenue and expenditure	-	7,761 (1,531)
Balance of total revenue and expenditure	2,540	3,606 (▲2,624)
Reserve fund, etc.	▲638	41,255

(Note) 1. The above figures indicate medical service revenue and expenditure.

2. The operating revenue of the National Health Insurance operated by municipalities includes an extra-legal transfer from the Municipal General Account of ¥315.3 billion for use in covering the deficit. The amounts of the national subsidy, etc. for National Health Insurance and the late-stage medical care system for the elderly were adjusted in the following FY.

3. The figures in parentheses for the Society-managed Health Insurance indicate the net balance of non-operating revenue and

expenditure and the balance of total revenue and expenditure, but exclude transfers from reserves, etc. and surpluses carried forward).

4. Bed conversion support coverage is included in “support coverage for the late-stage elderly” of operating expenditure and contribution for health care services for the elderly is included in “others” of operating expenditure for each system.

5. Reserve fund, etc. indicates the operating stabilization fund for Government-managed Health Insurance. It includes reserves, a reserve fund ( $ ¥3,575.1 $ billion), and assets such as land and buildings, etc. of the Society-managed Health Insurance scheme.

7. The figures may not equal the total due to rounding.

Detailed Data Percentage of State Subsidy for Medical Care Expenditure in Genmenment Expenditure

(Unit: ¥100 million, %)

Category	FY1980	85	90	91	92	93	94	95	96	97	98	99
Amount	35,871	39,699	51,872	53,301	55,040	55,362	58,573	62,017	64,242	65,785	68,632	72,353
Percentage	11.7	12.2	14.7	14.4	14.2	13.9	14.3	14.7	14.9	15.0	15.4	15.4
Category	FY2000	01	02	03	04	05	06	07	08	09	10	11	12
Amount	67,956	72,083	74,782	77,772	81,445	80,862	81,586	84,285	85,644	90,252	94,594	99,250	102,442
Percentage	14.1	14.8	15.7	16.3	17.1	17.1	17.6	17.9	18.1	17.4	17.7	18.4	19.8

Source: Health Insurance Bureau, MHLW