Overview Finance Status of the Health Insurance System (FY2009 Settled Account)

(Unit: ¥100 million)

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	59,555	59,671	27,955	348	8,565
State subsidy	9,678	39	29,246	30	35,842
Late-stage elderly subsidy	-	-	-	-	47,235
Early-stage elderly subsidy	-	-	26,690	-	-
Others	501	2,007	30,024	-	19,837
Total	69,735	61,718	113,914	378	111,480
Operating expenditure	Insurance benefit expenses	44,513	34,385	85,550	251	110,403
Late-stage elderly support coverage	15,069	12,685	15,776	64	-
Levies for early-stage elderly	10,961	11,094	45	47	-
Contributions for retirees	2,742	2,851	-	12	-
Others	1,343	5,938	18,633	0	571
Total	74,628	66,952	120,005	374	110,974
Balance of ordinary revenue and expenditure	▲4,893	▲5,234	▲6,090	3	505

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.	-	198
Adjustment premium revenue	-	1,015
Subsidies to financial adjustment programs	-	1,365
Transfer from reserves, etc. and surplus carried forward	-	6,754
Others	-	54
Total	-	9,386
Non-operating expenditure	Contribution to financial adjustment programs	-	1,007
Others	-	161
Total	-	1,168
Balance of non-operating revenue and expenditure	-	8,218 (1,464)
Balance of total revenue and expenditure	▲4,893	2,984 (▲3,770)
Reserve fund, etc.	▲3,179	44,532

(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

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 ( $ ¥3,880.9 $ billion), and assets such as land and buildings, etc. of the Society-managed Health Insurance scheme.

6. The balance of total revenue and expenditure for the JHIA-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.

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	FY1985	FY1990	FY1991	FY1992	FY1993	FY1994	FY1995	FY1996	FY1997	FY1998	FY1999
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	FY2001	FY2002	FY2003	FY2004	FY2005	FY2006	FY2007	FY2008	FY2009	FY2010	FY2011
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
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

Source: Health Insurance Bureau, MHLW