## Financial Status of Health Insurance System

## Overview Finance Status of the Health Insurance System (FY2011 Settled Account)

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	68,855	65,150	27,755	279	9,073
State subsidy	11,539	36	30,944	35	39,806
Prefectural contribution	-	-	8,292	-	11,809
Municipal contribution	-	-	8,093	-	10,458
Grants for late-stage elderly	-	-	-	-	51,917
Grants for early-stage elderly	-	2	29,569	-	-
Retirement grants	-	-	7,058	-	-
Others	176	1,297	15,184	1	169
Total	80,571	66,484	126,894	316	123,233
Operating expenditure	Insurance benefit expenses	46,997	36,181	90,820	203	122,948
Late-stage elderly support coverage	14,652	14,079	15,915	56	-
Levies for early-stage elderly	12,425	11,779	47	40	-
Contributions for retirees	2,675	2,855	-	12	-
Others	1,243	5,088	19,132	6	692
Total	77,992	69,981	125,915	317	123,640
Balance of ordinary revenue and expenditure	2,579	▲3,497	979	▲1	▲407

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.	-	385
Adjustment premium revenue	-	1,096
Subsidies to financial adjustment programs	-	1,021
Transfer from reserves, etc. and surplus carried forward	-	5,798
Others	10	139
Total	10	8,439
Non-operating expenditure	Contribution to financial adjustment programs	-	1,088
Others	-	151
Total	-	1,239
Balance of non-operating revenue and expenditure	10	7,200 (1,401)
Balance of total revenue and expenditure	2,589	3,606 (▲2,096)
Reserve fund, etc.	1,951	38,867

(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 ¥250.9 billion for use in covering the settlement of accounts. The amounts of the national subsidy, etc. for National Health Insurance (operated by municipalities) and the late-stage medical care system for the elderly were adjusted in the following fiscal year.

3. The figures in parentheses for the Society-managed Health Insurance indicate the net balance between non-operating revenue and expenditure and the balance between total revenue and expenditure, but exclude transfers from reserves, etc. and surpluses carried forward).

4. Contribution to health care services for the elderly is included in “others” of operating expenditure for each system.

6. In the non-operating revenue of the Japan Health Insurance Association-managed Health Insurance, operation account surplus at the end of FY2010 was added to FY2011 settlement of accounts.

7. The balance of total revenue and expenditure for the Japan Health Insurance Association-managed Health Insurance and Society-managed Health Insurance indicates the sum of the balance of operating revenue and expenditure and the balance of non-operating revenue and expenditure.

8. The figures may not equal the total, or balance of accounts may vary due to rounding.