Demography Division

Confidential (when completed).
Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, chapter S19.
Completion of this questionnaire is a legal requirement under this Act.

For office use only
Ministry/Department or Agency –
Mailing Address –
Date

Co-ordinator (Address all inquiries) –
Mailing Address
Telephone Number –

Name of person completing this report:
Official Position
Telephone Number

Introduction

This survey covers cultural activities funded by the provincial/territorial government. For the purposes of this survey, the government universe consists of all departments, ministries, agencies, commissions, boards, special funds and government business enterprises responsible for the support of arts and culture.

Excluded from this survey are the following activities: physical recreation, religion, horticultural societies, agricultural exhibition centres and fairs, language training, development and promotion of languages (including translation bureaus of departments and agencies), and non-cultural Indian and Metis activities.

Survey purpose

The data from this survey are used by all levels of government, arts organizations, institutions and researchers for the assessment and development of cultural policies and programs as well as for resource justification purposes.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

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 must keep the data confidential and use them only for statistical purposes. Information on confidentiality, data-sharing agreements and record linkages can be found on the last page of this questionnaire.

Fax or other electronic transmission disclosure

Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Please refer to Instructions and Definitions on page 2. If the data you supply do not correspond to the definitions exactly, please explain how they differ on page 2, Section B – General Comments.

A. Authorization to release data

I hereby grant permission to Statistics Canada to release individualized data (i.e., from a department, ministry or agency) from this survey to federal, provincial and territorial ministries and agencies, as well as other data users.

Signature:
Date:

B. General Comments:

Thank you for your cooperation.

Instructions and Definitions

Please read the definitions carefully

Culture Functions:

The cultural activities or functions included in this questionnaire are by no means exhaustive. They are, however, intended to cover the major areas of current economic and political interest. Report expenditures under the function which is the sole beneficiary of that expenditure. Expenditures related to numerous cultural activities should be included in the function "Multidisciplinary Activities".

1. National Library

A National library is an institution designated as such by the government.

2. Public Libraries

Libraries used by the public, supported chiefly by taxation, and generally governed by a public library board. Public libraries consist of main and branch libraries as well as regional, rural, provincial and urban. Excluded are departmental and agency libraries.

3. School Libraries

Libraries administered as units, each located in one place at least as large as a classroom, and providing books and other library services and materials for the use of all pupils and teachers. Excluded are classroom collections, teachers' collections and book collections located in the school but administered by the public library authority.

4. University and College Libraries

All libraries in university and college institutions, including private colleges, technical institutes and teachers' colleges.

5. Museums

All institutions open to the public and administered in the public interest for the purpose of conserving, studying, interpreting, assembling and exhibiting objects and specimens of educational and cultural value, including artistic, scientific, historical and technological materials. Included in this definition are: general museums, history museums, natural-science museums, science and technology museums, art museums and galleries (excluded are galleries primarily concerned with temporary exhibits), etc.

6. Public Archives

Institutions designated as public archives by the government.

7. Historic Parks and Sites

All parks, sites, monuments and buildings designated as historical by official documentation and/or law, including pioneer villages and heritage areas.

8. Nature/Provincial Parks

All nature and provincial parks whose purpose is to acquire, preserve, study, interpret, and make accessible to the public, objects, specimens, documents, buildings and land areas of educational and cultural value. Exclude expenses associated with recreational activities, such as the cost of providing a camp ground in a park. If these expenses cannot be excluded, provide your best estimate for such expenses in a footnote.

9. Other Heritage

All expenses associated with the management of programs to preserve, protect, investigate and interpret archaeological sites, as well as expenses associated with restoring historical buildings or structures of archaeological significance. Also include all other heritage activities which are not defined in categories 7 and 8.

10. Arts Education

For the purpose of this survey, arts education refers to the fine, applied and performing arts rather than to strictly academic fields such as language, history, literature, etc. The term "arts" as used here includes theatre, music, dance, painting, drama, photography and any other area of art study reported by arts education institutions.

Report all expenditures associated with the teaching of the arts both at national schools (such as the National Ballet School in Toronto and the National Theatre School in Montreal) and at arts institutions (such as Holland College of Visual Arts, Nova Scotia College of Art and Design, Ontario College of Art, Kootenay School of Art, Emily Carr University of Art and Design, Mennonite Brethren Bible/Art College and conservatories of music and dramatic arts.

Do not report expenditures associated with the teaching of the arts at educational institutions (elementary and secondary schools, and college and university institutions).

11. Literary Arts

Report grants to authors and publishers for the publication of books, periodicals, magazines and newspapers. Also include financial support for literary seminars, workshops and prizes, as well as subsidies to bookstores and distributors. Costs associated with a publication put out by a cultural department or an agency should be included in expenditures for the cultural activity covered in the publication. Expenditures on these publications covering two or more cultural activities should be included in thefunction "Multidisciplinary Activities".

Do not report expenditures on non-cultural government publications. Also exclude financial support for organizations which distribute non-literary material, such as agricultural newsletters, etc.

12. Performing Arts

The performing arts include theatre, dance, music, and opera. Report expenditures related to creation, production and performance. Also include the financial support given to performing arts organizations, associations and groups.

13. Visual Arts and Crafts

Activities traditionally labelled "visual arts and crafts" include painting, sculpture, plastic arts, photography, fine and decorative arts, and craft works. Report expenditures on activities related to the actual creation and production of works of art and crafts. Also include the financial support given to organizations and institutions for activities related to visual arts and crafts, such as grants to art galleries which hold temporary exhibits or travelling shows of works of art.

14. Film and Video

Activities related to the creation, production, dissemination and exhibition of films and video. Report the financial support given to film organizations, associations and societies for these activities. Also include the funds spent by government on activities related to the production and distribution of films of a cultural nature.

Do not report expenditures related to government production of non-cultural films, such as educational and promotional films produced for government by private film-makers. Also exclude the expenditures on censor boards.

C. Expenditures on Cultural Activities
Function Type of Expenditure Total expenditures
15=3+4+9+14
Transfers from the federal government
16
Net expenditures
17=15-16
Intramural Extramural
Operating grants, contributions and transfers to: Capital grants, contributions and transfers to:
Wages and salaries
1
Purchases of goods and services
2
Operating expenditures
3=1+2
Capital expenditures
4
Individuals 5 Associations and organizations
6
Municipal governments
7
Other * (specify below)
8
Total
9=5+6+7+8
Individuals 10 Associations and organizations 11 Municipal governments 12 Other * (specify below)
13
Total 14=10+11+ 12+13
Libraries Round all entries to the nearest dollar - omit cents
1. National                                  
2. Public                                  
3. School                                  
4. University and College                                  
Libraries - Total                                  
Heritage Resources                                  
5. Museums                                  
6. Public Archives                                  
7. Historic Parks and Sites                                  
8. Nature/ Provincial Parks                                  
9. Other Heritage (specify)                                  
Heritage Resources - Total                                  
10. Arts Education                                  
11. Literary Arts                                  
12. Performing Arts                                  
13. Visual Arts and Crafts                                  
14. Film and Video                                  
15. Broadcasting                                  
16. Sound Recording                                  
17. Multiculturalism                                  
18. Multidisciplinary Activities                                  
19. Other (specify)                                  
Total Expenditures                                  
* For other category, indicate the box number, followed by the name of institution or sector in receipt of grants.
D. Sources of Revenues for Cultural Activities
(Report the revenues used to finance the expenditures reported on page 5, column 15) Dollars
1. Provincial/Territorial government (specify department)  
2. Federal government (specify department)  
3. Lottery (specify)  
4. Other (specify)  
5. Total  
E. Department/Agency Personnel Engaged in Cultural Activities
  End of August End of March
Number Number
1. Employees who worked full-time in culture related areas    
2. Employees who worked part-time in culture related areas    
3. Freelancers    
4. Total    

15. Broadcasting

Report expenditures related to radio and television including those associated with government broadcasting (e.g., CBC and TV Ontario). Also report financial assistance to private stations and to institutions (e.g., grants for school broadcasting).

16. Sound Recording

Report records, tapes and compact discs of a musical and oral nature. Report expenditures related to the creation of records, tapes, compact discs and other digital recordings as well as funds for operation of studios and purchase of equipment. Also include expenditures related to distribution, including subsidies to distributing companies, manufacturers and stores.

17. Multiculturalism

Report expenditures and grants for multiculturalism.

18. Multidisciplinary Activities

Report expenditures related to numerous cultural activities or functions which cannot be broken down by function. This includes financial support given to cultural facilities, centres, festivals, municipalities, cultural exchange programs and arts organizations for various cultural activities.

19. Other

Report unallocatable general and administration expenditures related to numerous cultural activities. Allocatable general and administration expenditures should be included in the expenditures for the various cultural activities.

C. Expenditures on cultural activities

Departments/Ministries should report their gross budgetary expenditures (revenues credited to the vote are not subtracted).To avoid duplication, exclude from department or ministry expenditures any grants given to agencies which keep their own financial accounts because these agencies will file their spending reports separately.

Agencies should report their gross total expenditures. The expenditures of an agency may exceed government grants if its spending is supported by revenues generated by its operation.

Type of Expenditure

Intramural – the reporting department/unit. The cultural work is normally carried out by personnel assigned to the department and usually in facilities of the department. Also included are the administration of extramural programs, the costs of acquiring land, buildings and equipment to be used for cultural activities, and contracts to provide services required for cultural projects (e.g., computer services).

1. Wages and Salaries

Report expenditures for wages and salaries for all full-time, part-time, regular, term and casual employees. Also include the employee benefits paid by the government into social security, pension funds, etc. Exclude expenses not requiring a cash outlay, such as accrued employee termination benefits and vacation pay.

2. Purchases of Goods and Services

Report expenses associated with the purchase of materials and office supplies, rent, fuel and light, repairs and maintenance, printing, travel expenses, telephone and Internet charges, equipment with a normal life of under one year, and purchases of other goods and services (excluding employee services) required for the department or agency to operate. Also include the fees paid to freelancers during the reporting period. Exclude expenditures not requiring a cash outlay, such as depreciation and amortization expenses, and imputed costs of accommodation provided without charge by departments and agencies.

3. Operating Expenditures

Report the sum of the amounts listed in column 1 (wages and salaries) and column 2 (purchases of goods and services).

4. Capital Expenditures

Expenditures on goods with a normal life of more than one year. Report expenses associated with the construction and acquisition of land, buildings, machinery and equipment. Also include the expenses associated with extraordinary building repairs.

Extramural – grants, contributions and transfers to arts and culture.

(a) Operating Grants, Contributions and Transfers

Report financial assistance which is not for capital development or acquisition but is described as current (operating) in the financial statements.

5. Individuals

Report financial assistance to individuals, such as grants to artists, and prizes and awards to individuals.

6. Associations and organizations

Report financial assistance and transfers to institutions (such as museums, archives and libraries), companies, associations, groups and organizations.

7. Municipal Governments

Report transfers to municipalities, special-purpose boards (such as regional library boards and conservation authorities) and school boards for arts and culture related activities.

8. Other

Report financial assistance and transfers for arts and culture not included in the above categories, such as assistance to foreign governments for arts and culture related activities.

(b) Capital Grants, Contributions and Transfers

Report grants and transfers made to finance the acquisition of capital assets. Definitions of Columns 10 to 13 correspond to the definitions above for columns 5 to 8.

16. Transfers from the Federal Government

Report the transfers of money by the federal government to finance the expenditures reported by the provincial/territorial government (page 5, column 15).

D. Sources of revenues for cultural activities

1. From the Provincial/Territorial Government

Departments/Ministries should report the actual spending of revenues provided through legislative appropriations on culture, as described in this report. Do not subtract revenues credited to the vote. Exclude revenues provided through federal transfers.

Agencies should report the grants provided by the government for expenditures on culture, as described in this report.

2. From the Federal Government

Report revenues provided by the federal government for expenditures on culture, as described in this report. The funds are referred to as payments, contributions, transfers, etc. Also include federal portions of any federal-provincial cost sharing programs and identify the program. This amount should equal the total transfers from the federal government reported on page 5, column 16.

3. From Lotteries

Report revenues provided by lotteries for expenditures on culture, as described in this report.

4. From Other Sources

Report revenues used to finance cultural expenditures which are not included in categories 1 to 3, such as revenues from sales, advertisements, fees, municipal government and other transfers, investment income, private donations, etc.

5. Total Revenues

For departments and ministries total revenues should equal total expenditures reported on page 5, column 15.

For agencies total revenues may not always equal total expenditures.

E. Department/agency personnel engaged in culture activities

1. Employees Who Worked Full-time in Culture Related Areas

Report the number of paid employees who worked at least 30 hours in culture-related areas during the last week of August and/or March of the reporting year.

2. Employees Who Worked Part-time in Culture Related Areas

Report the number of paid employees who worked less than 30 hours in culture-related areas during the last week of August and/or March of the reporting year.

3. Freelancers

Freelancers include talent and technical workers (e.g., actors, writers, camera operators, etc.) who receive fees for rendering services. Report separately freelancers hired more than once during the reporting period. Include numbers at the end of August as well as those at the end of March of the reporting period.

General information

Confidentiality

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, government department or agency, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.

Information from this survey will be used for statistical purposes only and will be published in aggregate form only.

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 must 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 respondents to provide the same information, consent is not requested and respondents 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 government departments and agencies 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 and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

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 government departments and agencies located within the jurisdiction of the respective province or territory.

Record linkages

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

8-4200-0022

    Residential Care Facilities Survey – 2010 Short Form

    Guide
    Instructions and Definitions

    Survey Information

    Survey purpose:
    This survey collects social, financial and operating data required to produce statistics for your industry.

    Coverage:
    Please complete a questionnaire for the operation and location described on the label. You should only report for those facilities located in Canada.

    Confidentiality:
    Statistics Canada is prohibited by law from releasing any information from this survey which would identify any person, business, or organisation, unless consent has been given by the respondent or as permitted by the Statistics Act. The information from this survey will be treated in strict confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation.

    Data-sharing agreements
    To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government and non-government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada wll 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 or non-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 and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

    For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut, and with the Canadian Institute for Health Information, Health Canada, and the Public Health Agency of Canada.

    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.

    Record linkages
    To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

    Return of questionnaire:
    Please complete and return your questionnaire within 30 days of receipt. Please note that audited data is not required for this survey. Please send the completed questionnaire in the enclosed envelope or by facsimile toll-free to 1 888 883-7999.

    Do you have any questions? Do you need another questionnaire?

    For assistance and information please call: 1 800 565-1685

    When completing the survey

    1. Please keep a copy of the completed questionnaire for your own records.
    2. Statistics Canada survey staff would be pleased to discuss alternatives that would make completing this survey easier for you. Such alternatives could include:
      1. completing the survey electronically using our secure electronic version of the survey;
      2. providing Statistics Canada with an electronic version of your financial statements or listings of facilities using our electronic file transfer service rather than mailing this documentation;
      3. providing Statistics Canada with a spreadsheet on disk rather than completing the paper questionnaire;
      4. completing the survey by paper instead of electronically;
      5. completing the survey over the telephone with the assistance of Statistics Canada staff;
      6. providing financial statements rather than completing the RCF Survey financial questions.
    3. If you have prepared a report of statistical and financial data for regional boards or provincial government ministries, with equivalent information, you may send a copy of the report instead of completing the same items on the RCF Survey questionnaire. Please complete the cover page of the RCF Survey and return it with the report to Statistics Canada.
    4. You may provide financial statements instead of completing sections J, K, L and M of the questionnaire by sending the information by mail at the address below or facsimile toll-free to 1 888 883-7999. Please enclose the questionnaire with your financial statements.
      Statistics Canada
      Operations and Integration Division
      Distribution Centre - SC-0702
      150 Tunney’s Pasture Driveway
      Ottawa, ON K1A 0T6

      Statistics Canada advises that there could be a risk of disclosure during mailing or facsimile. However, under receipt, Statistics Canada will provide the guaranteed level of protection afforded to all information collected under the authority of the Statistics Act. If you wish to send us your financial statements, please ensure that you completed the cover page and sections A to I of the questionnaire and send us the following information attached to your financial statements: Legal Name of facility, Business Name, Mailing address, Province or Territory, Name of the facility contact, business number and questionnaire identification number (found on the label, starts with Q).
    5. If this facility is administered by a central agency or is a multiple facility set-up, please indicate the reporting arrangements and the name, address and number of beds of each facility involved in the administrative entity. This will enable Statistics Canada to modify the mail-out for the next year and thereby eliminate duplicate reporting and additional respondent burden.

    Cover Page

    Label

    Please correct the legal name, business name, contact information shown on the pre–printed label, using the corresponding boxes below the label.

    Facility information

    Please provide the name and contact information for the primary contact person for this facility.

    Name of person completing the questionnaire

    Please provide the name and contact information for the primary contact person for this survey. It can be the same person as the facility contact.

    Instructions for page 2

    Reporting Instructions

    Read carefully all instructions and definitions in this booklet and on the questionnaire.

    • When precise figures are not available, please provide your best estimates. Please DO NOT wait for your financial statements before completing the survey.
    • Please DO NOT include commas, decimals or special symbols ($, #, % etc) in your report.
    • All dollar amounts should be reported in CANADIAN DOLLARS ($ CDN) and should be rounded to the nearest dollar (e.g. $5,400.40 should be rounded to $5,400).

    To report items not specified on the questionnaire, use lines designated as "Other" and provide supplementary information.

    A. Administrative characteristics

    1. Type of organization
    Place a check mark in the circle beside the option that best describes the legal organization of this business.

    Sole proprietorship – An unincorporated business wholly owned by one person. In most cases, this person manages the business and consequently is the owner manager.

    Partnership – A form of business organization in which two or more persons are co–owners without becoming incorporated. They agree to contribute assets or other resources to the business, and to share its profits, losses and debts.

    Incorporated company – A business legally constituted with share capital that, after registering with the proper authorities, constitutes a body corporate legally distinct from the partners or stockholders.

    Co–operative – A group of persons who share certain assets and operations to enable access, at a lower cost,, to the means of production, distribution, credit or other activity for the mutual benefit and risk of its members. Each member has equal rights and accountability according to the principal of "one member, one vote".

    Joint venture – A business organization where two or more persons or entities form an association to jointly carry out an industrial or commercial activity, or decide to share resources and control these jointly, for the purposes of a specific project rather than as an ongoing business. The expectation is that the persons or entities involved share in the costs and benefits.

    Government business entity – A business corporation in which the state holds controlling interest, and is operating in the commercial market. This does not include Crown corporations.

    Government – A not–for–profit entity financed and controlled by a ministry, department, agency, autonomous organization, board, commission or fund of the federal, provincial, territorial or local government and not operated in the commercial market.

    Non–profit organization – Organization usually formed for social, economic, educational, religious, philanthropic or health purposes in which there is normally no transferable ownership interest and which does not carry on business with a view to distribution or use of any profits for the pecuniary gain of its members or grantors.

    2. GST number
    Please provide the first nine (9) digits of this facility’s GST Registered Account Number (also known as the Business Number).

    The GST Registered Account Number will be used to verify the information about this facility currently held on Statistics Canada’s Business Register.

    3. Reporting Arrangements
    Please provide the count of facilities that this you are including on this report. If you are reporting for more than one facility, please return a list of facilities, addresses and number of beds for each facility that you have included data for with this report. You can also return the printout list of facilities with any updates clearly indicated.

    4. Fiscal period
    For the purpose of this survey, please report information for your 12–month fiscal period for which the final day occurred on or between April 1, 2010 and March 31, 2011. For example, if your fiscal period ended December 31, 2010 , please report for the period January 1, 2010 to December 31, 2010 .

    5. Type of Ownership
    Refers to the person, group of persons, agency or corporate body who is the registered owner according to the deed or statute.

    Proprietary – applies to a facility owned by an individual or group. These are private organizations and/or corporations operating for a profit.

    Religious – applies to a facility owned and operated by a religious organization on a non–profit basis.

    Lay – applies to a facility owned and operated by a voluntary lay body on a non–profit basis. This category excludes facilities maintained by industrial or commercial corporations (see proprietary).

    Municipal – applies to a facility owned and operated by a city, county, municipality or other municipal government, or by another body which is empowered to levy taxes or to otherwise operate after the fashion of a municipality.

    Provincial or territorial – applies to a facility owned by a branch, division, agency or department of a provincial or territorial government.

    Federal – applies to a facility operated by a department or agency of the Government of Canada, e.g. Veterans’ Affairs, Health Canada or National Defence.

    Regional Health Authority, Board, District, Corporation – applies to those facilities owned and operated by a regional governance structure responsible for the continuum of health services for defined geographic regions.

    B. Number of beds as of the last day of the fiscal period

    6. Number of beds (including respite beds)

    Licensed or approved – the number of beds licensed or approved by provincial or municipal authorities. Report all beds, even if some are not in use at the present time. This includes licensed respite beds.

    Staffed and in operation – report only the number of beds available for use. Include those occupied and any vacant beds to which you could have admitted residents at the end of the fiscal year reported. This amount does not have to agree with the approved complement. This includes licensed respite beds.

    Instructions for page 3

    Characteristics of residents

    This includes all residents temporarily absent on this date but who were registered in your facility and for whom a bed was assigned.

    C. Total days of care during reporting period (by responsibility for payment)

    A day of care is the period of service to a resident between the census taking hours on two successive days. The total days of care are the number of days of care in the reporting period or year. A facility of four beds and 100 percent occupancy would report total days of care as (4 x 365) 1,460. A facility of four beds in which one bed was not occupied for 31 days during the year would report total days of care as 1,429. This could be calculated as [(4 x 365) – 31] or counting each day that each bed was occupied [(1 x 365) + (1 x 365) + (1 x 365) + (1 x 334)]. If unable to provide a breakdown, please estimate, or if unable to estimate then report days under major funding agency.

    Line a. Days charged to a Provincial or Territorial Government Health Program or Department.

    Line b. Days charged to a Provincial or Territorial Government Social Service Program or Department.

    Line c. Days charged to another Provincial or Territorial Department other than Health or Social Services, e.g. crown agencies such as Alcohol and Drug Commissions.

    Line d. Days charged to a municipality, regional or district administration.

    Line e. All days not reported above, including residents who pay for their own care directly or through private insurance and those paid for by Workers’ Compensation Board, Department of Veterans’ Affairs, etc.

    D. Movement of residents

    Line a. In facility on the first day of the fiscal period – the count of all the residents who were assigned a bed at 00:01 hours, the first day of the fiscal period. Include any resident who was temporarily absent from the facility on this date, e.g., visiting relatives or residents transferred to other institutions such as hospitals, but who had not been formally discharged.

    Line b. Admissions – the total number of new residents accepted into the facility during the fiscal year reported. This involves the allocation of a bed to a resident. An admission is registered each time a person is formally admitted.

    Line c. Total under care – the total of those in the facility (on the books) at the beginning of the fiscal period, plus all admissions during the year.

    Line d. Discharge – the total of all residents who were discharged from the facility during the fiscal year.

    Line e. Death – the cessation of life of a resident during the fiscal year.

    Line f. Total separations – the total of discharges and deaths.

    Line g. In facility on the last day of the fiscal period – the count of all residents registered in the facility at 24:00 hours, the last day of the fiscal period. Includes residents temporarily out of the facility who had not been formally discharged.

    E. Age and sex of residentss in facility on the last day of the fiscal period

    Count each resident once only, and assign them to the appropriate columns according to their age and sex grouping.

    Instructions for page 4

    F. Types of care

    Counting each resident once only, please assign all residents in your facility to one of the types of care. This should be based on the type of care the resident was receiving on the last day of the fiscal period.

    For temporarily absent residents, indicate the type of care these residents usually receive in this facility.

    Line a. Room and board – for those residents paying only for the use of a room. No services or type of care are received.

    Line b. Room and board with guidance/counselling – this is the minimum amount of care possible in a facility. Usually includes basic counselling and assistance with social problems. Most residents of facilities for emotionally–disturbed children and for alcohol and drug will be in this category.

    Line c. Room and board with custodial care – minor supervision required.

    Line d. Type I Care – that required by a person who is ambulatory and/or independently mobile, who has decreased physical and/or mental faculties, and who requires primarily supervision and/or some assistance with activities of daily living and provision for meeting psycho–social needs through social and recreational services. The period of time during which care is required is indeterminate and related to the individual condition but is less than 90 minutes in a 24 hour day. Many facilities for the developmentally delayed will have most of their residents in this category.

    Line e. Type II Care – that required by a person with a relatively stabilised (physical or mental) chronic disease or functional disability. They have reached the apparent limit of recovery, and are not likely to change in the near future. They have relatively little need for the diagnostic and therapeutic services of a hospital, but require personal care for a total of 1 ½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision and provision for meeting psychosocial needs.

    Line f. Type III Care – that required by a person who is chronically ill and/or has a functional disability (physical or mental), whose acute phase of illness is over, whose vital processes may or may not be stable, whose potential for rehabilitation may be limited. These residents require a range of therapeutic services, medical management and skilled nursing care plus provision for meeting psychosocial needs. A minimum of 2½ hours of individual therapeutic and/or medical care is required in a 24–hour day.

    Line g. Higher type care – report here those persons who need substantially more nursing and/or medical care than described above. It is assumed that there would be very few residents who would be receiving care of this type. Care above TYPE III is usually provided in a hospital setting.

    Refer to Appendix 1 for the list of provincial equivalencies of type of care.

    G. Principal characteristics of residents in facility on the last day of the fiscal period

    Counting each resident once only, please group them according to the most appropriate principal characteristic.

    Line a. Aged – Residents are in the facility mainly because of old age (65+). They may have some other related disabilities associated with ageing, but for the purpose of this survey, consider the principal characteristic as aged.

    Line b. Physically challenged/disabled – Residents are in a facility primarily because of bodily dysfunctions (e.g. blind, deaf, loss of limbs, etc.)

    Line c. Developmentally delayed – Residents are slow or limited in intellectual or emotional development or academic progress.

    Line d. Psychiatrically–disabled adults – Includes ex–psychiatric patients, individuals with a chronic mental illness or those convalescing from a mental illness.

    Line e. Emotionally–disturbed children – Children with behaviour disorders that require specialised treatment.

    Line f. Addictions – Residents require treatment for problems with alcohol or drug addiction.

    Line g. Transients – Persons requiring short–term respite who are without a home due to an emergency or a continuing situation.

    Line h. Other – Includes residents who do not fit in any of the other categories, e.g. unmarried mothers, children requiring shelter who do not fit in any of the other categories, etc.

    Note – Only hostels providing at least a counselling level of care fall into scope for the RCF survey. Hostels providing only hotel or room and board should not be included. If your facility falls into the latter category, please state this on the cover page and return this survey.

    Instructions for page 5

    H. Personnel

    Personnel employed – Persons on the payroll of the facility on the last day of the fiscal period.

    Exclude voluntary and contract workers for whom no salaries are recorded. Also exclude persons paid on a fee for services basis (doctors or dentists on call, etc.). Report this as an expense in Section I.

    Personnel employed on the last day of the fiscal period. – Columns 1 & 2

    Report only the number of "full–time" and "part–time" staff employed. Do not use full–time equivalencies unless actual figures are unavailable. Exclude casual employees from the first two columns. Casual employees refers to those employed on a non–continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.

    Full–time – refers to persons employed on a full–time basis, i.e. regularly employed throughout the facility’s full work week.

    Part–time – refers to persons employed on a part–time basis, i.e. regularly employed on selected days or partial days in the facility’s work week.

    The owner/operator of a small facility may be the only person working full–time. If this is the case, write ‘1’ full–time employee on line 40. Hours should then be split to reflect the approximate time spent in Direct care for residents, line 38 and General services, line 39. Report remuneration in Section I.

    When an employee fills more than one position, that individual is to be recorded once only under the category of employment in which the major portion of time is spent.

    Total accumulated hours paid during the reporting period – Column 3

    Include total hours paid for all full–time, part–time and casual employees who have had salaries or wages paid to them by the facility. Hours covering paid holiday time and other paid leave are to be included for all categories of personnel. Do not include hours for contractual employees.

    ROUND OFF FRACTIONS AND REPORT WHOLE NUMBERS ONLY.

    Line a. Direct Care Services – Show here all the personnel whose time is spent mainly with the residents, giving assistance, nursing care, guidance or any other forms of personal help directly to the residents. This would include registered nurses, nursing assistants, dieticians, therapists, recreation staff, nursing aides, health care aides, counsellors, child care workers, orderlies, social workers, graduate nurses, etc.

    Line b.General Services – Report here information on all other personnel of the facility who provide indirect services and who are not shown on line 1 above.

    This includes persons involved in the administration of the facility (including unit/ward clerks), kitchen/food services, housekeeping, laundry, plant operation, maintenance and security. Only report data relating to the personnel who carry out these functions in residential care facilities.

    Include outreach workers employed by the facility but providing services outside of the facility in the community.

    I. Expenses

    Report on this page the total revenue of the facility for the most recent fiscal year that ended at any time between April 1, 2010 and March 31, 2011. Capital costs are to be excluded.
    REPORT IN DOLLARS ONLY, OMITTING CENTS.
    You may provide financial statements instead of completing sections I and J of the questionnaire. If you wish to send us your financial statements, please follow the instructions in point 4 of the section “When completing the survey” found on page 6 of this guide.

    Line a. Direct Care Service

    Column 1 Salaries and Wages
    Amount should correspond with details in Section H, line a., concerning personnel and paid hours; if hours have been reported on a line in Section H, there should be a corresponding dollar value reported in Section II and vice versa.

    Column 2 All Other Expenses
    Report any expenses, other than salaries and wages, related to a specific area or department. Include any amounts paid to persons as a fee for service (doctors not on staff, etc.). Also include drugs, medical and surgical supplies and the cost of all other supplies and services involved in the direct care of residents.

    Line b. General Services

    Column 1
    Amount should correspond with details in section H, line b., concerning personnel and paid hours.

    Column 2
    This would include expenses related to administration (including employee benefits), kitchen/food services, housekeeping, laundry, utilities, maintenance and security and all other costs of general services which cannot be allocated to direct care of residents.
    Where the facility has arranged for any service, e.g., dietary, housekeeping, maintenance, to be provided by an independent outside company as a "purchased service" – the total costs of such service should be shown in column 2 and no costs shown in the salaries and wages column. Please note such "purchased services" on the Supplementary Information page.

    Line c. Other expenses
    Please report here:

    • Any interest on loans, notes, mortgages, etc.
    • Business taxes, land and realty taxes, etc. (EXCLUDE income tax).
    • Overhead charged to the facility for Head Office management.
    • Depreciation for the 12 month period for buildings, furniture and equipment, land improvements, automobiles, etc.
    • Rent or leased costs of building and/or equipment.
    • Insurance premiums, licences and fees paid to government or other regulatory bodies, etc.

    Instructions for page 6

    Report on this page the total revenue of the facility for the most recent fiscal year that ended at any time between April 1, 2010 and March 31, 2011.

    Revenues from accommodation should represent the majority of the income.

    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    J. Source of Revenue

    Line a. Provincial Health Department or Ministry (Provincial Health Insurance Plan) – where Provincial Health Insurance provides coverage for standard ward accommodation for an eligible resident, record the income earned from such a Plan, e.g. Ministry or Department of Health or Long Term Care.

    Line b. Provincial Social Services Department or Ministry (Provincial Social Services Plan) – report all amounts earned from Provincial Government Social Service Programs or Departments, e.g. Dept. of Social Services, Dept. of Social Services and Community Health (AB.), Community and Social Services (ON.), Community Services and Corrections (MB.), etc.

    Line c. Other Provincial Department or Ministry – report amounts earned from a provincial department or agency other than Health or Social Services, e.g. crown agencies such as alcohol/drug commissions.

    Line d. Municipalities, Regional or District Administrations – include all amounts earned from municipalities, regional or district administrations on behalf of residents.

    Line e. All Other – include all amounts for accommodation earned from sources other than described (lines a.–d.) including earnings from Federal Government departments or agencies, Workers’ Compensation Boards, Department of Veterans’ Affairs, etc. Also include any grants or donations received by the facility.

    Line f. Residents – Co–insurance or Self–pay – record all amounts to be paid by residents personally or by private insurance companies as their share of the standard ward rate.

    Line g. Differential – Preferred Accommodation – record all amounts earned from persons occupying semi–private and private rooms for which an additional charge over and above standard ward rate is charged.

    Line h. Total earnings for accommodation – sum lines a. to g.

    Line i. Sundry Earnings – record here all other earnings not attributable to basic accommodation. This would include such items as:

    • Physical therapy
    • Special duty nursing
    • Hairdressing or barber services
    • Laundry, dry cleaning
    • Employee or guest meals
    • Vending machines, telephone
    • Day care
    • Sale of crafts
    • Etc.

    APPENDIX 1

    TYPE OF CARE EQUIVALENCIES
    Province Provincial Level / Type of care Type of care equivalencies for the survey
    For more detailed information, please refer to section F of the Guide
    All Most children's and alcohol and drug facilities Room and board with guidance / counselling with respect to social, employment, addiction problems, or parental guidance with skilled counselling
    Newfoundland and Labrador
    Personal functions
    Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 3 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 4 Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Mental/Sensory/Perceptual Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 3 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 4 Higher Type
    Prince Edward Island Level I Room and board with custodial care
    Level II Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level IV Type II (i.e., medical and professional nursing supervision, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Nova Scotia Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Care in Residential Care Facilities Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Adult Residential Centres Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Group Homes and Developmental Residences Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Regional Rehabilitation Centres Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II (i.e., medical and professional nursing supervision, etc.)
    New Brunswick Level I Room and board with custodial care
    Level Type II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Care in a Nursing home Type III (i.e., medical management, skilled nursing care, etc.)
    Care in a Hospital extended care Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Ontario Care in a Retirement home Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in a Long–term care home Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Manitoba Personal Care Level 1 Room and board with custodial care
    Personal Care Level 2 Room and board with custodial care
    Personal Care Level 3 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Personal Care Level 4 Type II (i.e., medical and professional nursing supervision, etc.)
    Hospital Acute Care Level Equivalent Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Hospital/Extended Care Facility Equivalent Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Saskatchewan Supervisory care Room and board with custodial care
    Limited personal care Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Intensive personal or nursing care Type II (i.e., medical and professional nursing supervision, etc.)
    Long–term restorative or palliative care Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Alberta Assisted Living – Level 3 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II (i.e., medical and professional nursing supervision, etc.)
    Assisted Living – Level 4 Type II (i.e., medical and professional nursing supervision, etc.)
    Facility Living Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    British Columbia Registered Assisted Living Facilities Type I care (care less than 90 minutes per day)
    Licensed facilities under the Community Care and Assisted Living Act, including hospice and convalescent care facilities Type II care (personal care for a total of 1½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision)
    Residential Care and Private Hospitals under the Hospital Act (not included in this survey) Type III care (minimum of 2½ hours of
    individual therapeutic and/or medical care per day)
    Stand–alone residential care facilities under the Hospital Act Higher Type care (substantially more nursing and/or medical care than described above, generally in acute care)
    Yukon Territory Level 1 Room and board with custodial care
    Level 2 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 3 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 4 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 5 Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Northwest Territory Level I Room and board with custodial care
    Level II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Nunavut Level I Room and board with custodial care
    Level II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type

    Guide
    Instructions and Definitions

    Reporting Instructions

    Read carefully all instructions and definitions in this booklet and on the questionnaire.

    1. All dollar amounts should be reported in CANADIAN DOLLARS ($CDN) and should be rounded to the nearest dollar ( e.g. $5,400.40 should be rounded to $5,400).
    2. Unaudited financial data are acceptable.
    3. Your best estimates are acceptable when precise figures are not available.
    4. To report items not specified on the questionnaire, use lines designated as "Other" and provide supplementary information.

    Reporting Arrangements

    1. Please keep a copy of the completed questionnaire for your own records.
    2. Statistics Canada survey staff would be pleased to discuss alternatives that would make completing this survey easier for you. Such alternatives could include:
      1. responding to Statistics Canada using the electronic questionnaire rather than completing the paper questionnaire;
      2. providing Statistics Canada with a spreadsheet on disk rather than completing the paper questionnaire;
      3. completing the survey over the telephone with the assistance of Statistics Canada staff;
      4. providing financial statements rather than completing the RCF Survey financial questions.
    3. If you have prepared a report of statistical and financial data for regional boards or provincial government ministries, with equivalent information, you may send a copy of the report instead of completing the same items on the RCF Survey questionnaire. Please complete the cover page of the RCF Survey and return it with the report to Statistics Canada.
    4. If this facility is administered by a central agency or is a multiple facility set-up, please indicate the reporting arrangements and the name, address and number of beds of each facility involved in the administrative entity. This will enable Statistics Canada to modify the mail-out for the next year and thereby eliminate duplicate reporting and additional respondent burden.

    Cover Page

    Label

    Please correct the legal name, business name, contact information shown on the pre–printed label, using the corresponding boxes below the label.

    031. Type of organization

    Place a check mark in the circle beside the option that best describes the legal organization of this business.

    1. Sole proprietorship – An unincorporated business wholly owned by one person. In most cases, this person manages the business and consequently is the owner manager.

    2. Partnership – A form of business organization in which two or more persons are co-owners without becoming incorporated. They agree to contribute assets or other resources to the business, and to share its profits, losses and debts.

    3. Incorporated company – A business legally constituted with share capital that, after registering with the proper authorities, constitutes a body corporate legally distinct from the partners or stockholders.

    4. Co-operative – A group of persons who share certain assets and operations to enable access, at a lower cost, to the means of production, distribution, credit or other activity for the mutual benefit and risk of its members. Each member has equal rights and accountability according to the principle of "one member, one vote".

    5. Joint venture – A business organization where two or more persons or entities form an association to jointly carry out an industrial or commercial activity, or decide to share resources and control these jointly, for the purposes of a specific project rather than as an ongoing business. The expectation is that the persons or entities involved share in the costs and benefits.

    6. Government business entity – A business corporation in which the state holds controlling interest, and is operating in the commercial market. This does not include Crown corporations.

    7. Government – A not-for-profit entity financed and controlled by a ministry, department, agency, autonomous organization, board, commission or fund of the federal, provincial, territorial or local government and not operated in the commercial market.

    8. Non-profit organization – Organization usually formed for social, economic, educational, religious, philanthropic or health purposes in which there is normally no transferable ownership interest and which does not carry on business with a view to distribution or use of any profits for the pecuniary gain of its members or grantors.

    040. GST number

    Please provide the first nine (9) digits of this facility’s GST Registered Account Number (also known as the Business Number).

    The GST Registered Account Number will be used to verify the information about this facility currently held on Statistics Canada’s Business Register.

    050. Reporting Arrangements

    Please provide the count of facilities that you are including in this report. If you are reporting for more than one facility, please return a list of facilities, addresses and number of beds for each facility that you have included data for with this report. You can also return the printout list of facilities with any updates clearly indicated.

    Instructions for page 2

    Fiscal period

    For the purpose of this survey, please report information for your 12-month fiscal period for which the final day occurred on or between April 1, 2009 and March 31, 2010.

    For example, if your fiscal period ended December 31, 2009, please report for the period January 1, 2009 to December 31, 2009.

    A. Ownership

    Refers to the person, group of persons, agency or corporate body who is the registered owner according to the deed or statute.

    11. Proprietary – applies to a facility owned by an individual or group. These are private organizations and/or corporations operating for a profit.

    02. Religious – applies to a facility owned and operated by a religious organization on a non–profit basis.

    01. Lay – applies to a facility owned and operated by a voluntary lay body on a non–profit basis. This category excludes facilities maintained by industrial or commercial corporations (see proprietary).

    04. Municipal – applies to a facility owned and operated by a city, county, municipality or other municipal government, or by another body which is empowered to levy taxes or to otherwise operate after the fashion of a municipality.

    05. Provincial or territorial – applies to a facility owned by a branch, division, agency or department of a provincial or territorial government.

    12. Federal – applies to a facility operated by a department or agency of the Government of Canada, e.g. Veterans’ Affairs, Health Canada or National Defence.

    14. Regional Health Authority, Board, District, Corporation – applies to those facilities owned and operated by a regional governance structure responsible for the continuum of health services for defined geographic regions.

    B. Beds

    121. Licensed or approved – the number of beds licensed or approved by provincial or municipal authorities. Report all beds, even if some are not in use at the present time. This includes licensed respite beds.

    122. Staffed and in operation – report only the number of beds available for use. Include those occupied and any vacant beds to which you could have admitted residents at the end of the fiscal year reported. This amount does not have to agree with the approved complement. This includes licensed respite beds.

    Instructions for page 3

    C. Total days of care during reporting period by responsibility for payment

    A day of care is the period of service to a resident between the census taking hours on two successive days. The total days of care are the number of days of care in the reporting period or year. A facility of four beds and 100 percent occupancy would report total days of care as (4 x 365) 1,460. A facility of four beds in which one bed was not occupied for 31 days during the year would report total days of care as 1,429. This could be calculated as [(4 x 365) – 31] or counting each day that each bed was occupied [(1 x 365) + (1 x 365) + (1 x 365) + (1 x 334)]. If unable to provide a breakdown, please estimate, or if unable to estimate then report days under major funding agency.

    1. Days charged to a Provincial or Territorial Government Health Program or Department.
    2. Days charged to a Provincial or Territorial Government Social Service Program or Department.
    3. Days charged to another Provincial or Territorial Department other than Health or Social Services, e.g. crown agencies such as Alcohol and Drug Commissions.
    4. Days charged to a municipality, regional or district administration.
    5. All days not reported above, including residents who pay for their own care directly or through private insurance and those paid for by Workers’ Compensation Board, Department of Veterans’ Affairs, etc.

    D. Movement of residents

    1. 1. In facility on the first day of the fiscal period – the count of all the residents who were assigned a bed at 00:01 hours, the first day of the fiscal period. Include any resident who was temporarily absent from the facility on this date, e.g. , visiting relatives or residents transferred to other institutions such as hospitals, but who had not been formally discharged.
    2. 2. Admissions – the total number of new residents accepted into the facility during the fiscal year reported. This involves the allocation of a bed to a resident. An admission is registered each time a person is formally admitted.
    3. 3. Total under care – the total of those in the facility (on the books) at the beginning of the fiscal period, plus all admissions during the year.
    4. 4. Discharge – the total of all residents who were discharged from the facility during the fiscal year.
    5. 5. Death – the cessation of life of a resident during the fiscal year.
    6. 6. Total separations – the total of discharges and deaths.
    7. 7. In facility on the last day of the fiscal period – the count of all residents registered in the facility at 24:00 hours, the last day of the fiscal period. Includes residents temporarily out of the facility who had not been formally discharged.

    Characteristics of residents
    This includes all residents temporarily absent on this date but who were registered in your facility and for whom a bed was assigned.

    E. Age and sex of residents

    Count each resident once only, and assign them to the appropriate columns according to their age and sex grouping.

    Instructions for page 4

    F. Types of care

    Counting each resident once only, please assign all residents in your facility to one of the types of care. This should be based on the type of care the resident was receiving on the last day of the fiscal period.

    For temporarily absent residents, indicate the type of care these residents usually receive in this facility.

    1. Room and board – for those residents paying only for the use of a room. No services or type of care are received.

    2. Room and board with guidance/counselling – this is the minimum amount of care possible in a facility. Usually includes basic counselling and assistance with social problems. Most residents of facilities for emotionally–disturbed children and for alcohol and drug will be in this category.

    3. Room and board with custodial care – minor supervision required.

    4. Type I Care – that required by a person who is ambulatory and/or independently mobile, who has decreased physical and/or mental faculties, and who requires primarily supervision and/or some assistance with activities of daily living and provision for meeting psycho–social needs through social and recreational services. The period of time during which care is required is indeterminate and related to the individual condition but is less than 90 minutes in a 24 hour day. Many facilities for the developmentally delayed will have most of their residents in this category.

    5. Type II Care – that required by a person with a relatively stabilised (physical or mental) chronic disease or functional disability. They have reached the apparent limit of recovery, and are not likely to change in the near future. They have relatively little need for the diagnostic and therapeutic services of a hospital, but require personal care for a total of 1 ½– 2 ½ hours in a 24 hour day, with medical and professional nursing supervision and provision for meeting psychosocial needs.

    6. Type III Care – that required by a person who is chronically ill and/or has a functional disability (physical or mental), whose acute phase of illness is over, whose vital processes may or may not be stable, whose potential for rehabilitation may be limited. These residents require a range of therapeutic services, medical management and skilled nursing care plus provision for meeting psychosocial needs. A minimum of 2½ hours of individual therapeutic and/or medical care is required in a 24–hour day.

    7. Higher type care – report here those persons who need substantially more nursing and/or medical care than described above. It is assumed that there would be very few residents who would be receiving care of this type. Care above TYPE III is usually provided in a hospital setting.

    Refer to Appendix 1 for the list of provincial equivalencies of type of care.

    G. Principal characteristics

    Counting each resident once only, please group them according to the most appropriate principal characteristic.

    1. Aged – Residents are in the facility mainly because of old age (65+). They may have some other related disabilities associated with ageing, but for the purpose of this survey, consider the principal characteristic as aged.

    2. Physically challenged/disabled – Residents are in a facility primarily because of bodily dysfunctions ( e.g. blind, deaf, loss of limbs, etc. )

    3. Developmentally delayed – Residents are slow or limited in intellectual or emotional development or academic progress.

    4. Psychiatrically–disabled adults – Includes ex–psychiatric patients, individuals with a chronic mental illness or those convalescing from a mental illness.

    5. Emotionally–disturbed children – Children with behaviour disorders that require specialised treatment.

    6. Addictions – Residents require treatment for problems with alcohol or drug addiction.

    7. Transients – Persons requiring short–term respite who are without a home due to an emergency or a continuing situation.

    8. Other – Includes residents who do not fit in any of the other categories, e.g. unmarried mothers, children requiring shelter who do not fit in any of the other categories, etc.

    Note – Only hostels providing at least a counselling level of care fall into scope for the RCF survey. Hostels providing only hotel or room and board should not be included. If your facility falls into the latter category, please state this on the cover page and return this survey.

    Instructions for page 5

    H. Personnel

    Personnel employed – on the payroll of the facility on the last day of the fiscal period.

    Exclude voluntary and contract workers for whom no salaries are recorded. Also exclude persons paid on a fee for services basis (doctors or dentists on call, etc. ). Report this as an expense in Section J.

    Personnel employed on the last day of the fiscal period – Columns 1 & 2

    Report only the number of "full–time" and "part–time" staff employed. Do not use full–time equivalencies unless actual figures are unavailable. Exclude casual employees from the first two columns. Casual employees refers to those employed on a non–continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.

    Full–time – refers to persons employed on a full–time basis, i.e. regularly employed throughout the facility’s full work week.

    Part–time – refers to persons employed on a part–time basis, i.e. regularly employed on selected days or partial days in the facility’s work week.

    The owner/operator of a small facility may be the only person working full–time. If this is the case, write ‘1’ full–time employee on line I.7. Hours should then be split to reflect the approximate time spent in Direct care for residents, line H.7 and General services, line I.6. Report remuneration in Section J and K.

    When an employee fills more than one position, that individual is to be recorded once only under the category of employment in which the major portion of time is spent.

    Total accumulated hours paid during the reporting period – Column 3

    Include total hours paid for all full–time, part–time and casual employees who have had salaries or wages paid to them by the facility. Hours covering paid holiday time and other paid leave are to be included for all categories of personnel. Do not include hours for contractual employees.

    ROUND OFF FRACTIONS AND REPORT WHOLE NUMBERS ONLY.

    1. Direct Care Services – Show here all the personnel whose time is spent mainly with the residents, giving assistance, nursing care, guidance or any other forms of personal help directly to the residents. This would include registered nurses, nursing assistants, dieticians, therapists, recreation staff, nursing aides, health care aides, counsellors, child care workers, orderlies, social workers, graduate nurses, etc.

    2. General Services – Report here information on all other personnel of the facility who provide indirect services and who are not shown on line 1 above.

    This includes persons involved in the administration of the facility (including unit/ward clerks), kitchen/food services, housekeeping, laundry, plant operation, maintenance and security. Only report data relating to the personnel who carry out these functions in residential care facilities.

    Include outreach workers employed by the facility but providing services outside of the facility in the community.

    I. Expenses

    On this page report details of the cost of operating and maintaining the facility for the most recent fiscal year that ended at any time between April 1, 2009 and March 31, 2010. Capital costs are to be excluded.

    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    Direct Care Service

    Column 1 – Salaries and Wages
    Amount should correspond with details in Section H concerning personnel and paid hours; if hours have been reported on a line in Section H, there should be a corresponding dollar value reported in Section II and vice versa.

    Column 2 – All Other Expenses
    Report any expenses, other than salaries and wages, related to a specific area or department. Include any amounts paid to persons as a fee for service (doctors not on staff, etc. ). Also include drugs, medical and surgical supplies and the cost of all other supplies and services involved in the direct care of residents.

    General Services

    Column 1 – Salaries and Wages
    Amount should correspond with details in section H, line 2, concerning personnel and paid hours.

    Column 2 – All Other Expenses
    This would include expenses related to administration (including employee benefits), kitchen/food services, housekeeping, laundry, utilities, maintenance and security and all other costs of general services which cannot be allocated to direct care of residents.

    Where the facility has arranged for any service, e.g. , dietary, housekeeping, maintenance, to be provided by an independent outside company as a "purchased service" – the total costs of such service should be shown in column 2 and no costs shown in the salaries and wages column. Please note such "purchased services" on the Supplementary Information page.

    Other expenses
    Please report here:

    • Any interest on loans, notes, mortgages, etc.
    • Business taxes, land and realty taxes, etc. (EXCLUDE income tax).
    • Overhead charged to the facility for Head Office management.
    • Depreciation for the 12 month period for buildings, furniture and equipment, land improvements, automobiles, etc.
    • Rent or leased costs of building and/or equipment.
    • Insurance premiums, licences and fees paid to government or other regulatory bodies, etc.

    Instructions for page 6

    J. Source of Revenue

    Report on this page the total revenue of the facility for the most recent fiscal year that ended at any time between April 1, 2009 and March 31, 2010.

    Revenues from accommodation should represent the majority of the income.

    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    1. Provincial Health Department or Ministry (Provincial Health Insurance Plan) – where Provincial Health Insurance provides coverage for standard ward accommodation for an eligible resident, record the income earned from such a Plan, e.g. Ministry or Department of Health or Long Term Care.

    2. Provincial Social Services Department or Ministry (Provincial Social Services Plan) – report all amounts earned from Provincial Government Social Service Programs or Departments, e.g. Dept. of Social Services, Dept. of Social Services and Community Health (AB.), Community and Social Services (ON.), Community Services and Corrections (MB.), etc.

    3. Other Provincial Department or Ministry – report amounts earned from a provincial department or agency other than Health or Social Services, e.g. crown agencies such as alcohol/drug commissions.

    4. Municipalities, Regional or District Administrations – include all amounts earned from municipalities, regional or district administrations on behalf of residents.

    5. All Other – include all amounts for accommodation earned from sources other than described (lines 1–4) including earnings from Federal Government departments or agencies, Workers’ Compensation Boards, Department of Veterans’ Affairs, etc. Also include any grants or donations received by the facility.

    6. Residents – Co–insurance or Self–pay – record all amounts to be paid by residents personally or by private insurance companies as their share of the standard ward rate.

    7. Differential – Preferred Accommodation – record all amounts earned from persons occupying semi–private and private rooms for which an additional charge over and above standard ward rate is charged.

    8. Total earnings for accommodation – sum lines 1 to 7.

    9. Sundry Earnings – record here all other earnings not attributable to basic accommodation. This would include such items as:

    • Physical therapy
    • Special duty nursing
    • Hairdressing or barber services
    • Laundry, dry cleaning
    • Employee or guest meals
    • Vending machines, telephone
    • Day care
    • Sale of crafts
    • Etc .

    Appendix 1

    Type of Care Equivalences
    Province Provincial Level / Type of care Type of care equivalencies for the survey
    For more detailed information, please refer to section F of the Guide
    All Most children's and alcohol and drug facilities Room and board with guidance / counselling with respect to social, employment, addiction problems, or parental guidance with skilled counselling
    Newfoundland and Labrador
    Personal functions
    Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 3 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 4 Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Mental/Sensory/Perceptual Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 3 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 4 Higher Type
    Prince Edward Island Level I Room and board with custodial care
    Level II Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level IV Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level V Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Nova Scotia Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Care in Residential Care Facilities Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Adult Residential Centres Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Group Homes and Developmental Residences Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Regional Rehabilitation Centres Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II ( i.e. , medical and professional nursing supervision, etc. )
    New Brunswick Level I Room and board with custodial care
    Level Type II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Care in a Nursing home Type III ( i.e. , medical management, skilled nursing care, etc. )
    Care in a Hospital extended care Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Ontario Care in a Retirement home Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in a Long–term care home Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Manitoba Personal Care Level 1 Room and board with custodial care
    Personal Care Level 2 Room and board with custodial care
    Personal Care Level 3 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Personal Care Level 4 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Hospital Acute Care Level Equivalent Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Hospital/Extended Care Facility Equivalent Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Saskatchewan Supervisory care Room and board with custodial care
    Limited personal care Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Intensive personal or nursing care Type II ( i.e. , medical and professional nursing supervision, etc. )
    Long–term restorative or palliative care Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Alberta Assisted Living – Level 3 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II ( i.e. , medical and professional nursing supervision, etc. )
    Assisted Living – Level 4 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Facility Living Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    British Columbia Registered Assisted Living Facilities Type I care (care less than 90 minutes per day)
    Licensed facilities under the Community Care and Assisted Living Act, including hospice and convalescent care facilities Type II care (personal care for a total of 1½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision)
    Residential Care and Private Hospitals under the Hospital Act (not included in this survey) Type III care (minimum of 2½ hours of
    individual therapeutic and/or medical care per day)
    Stand–alone residential care facilities under the Hospital Act Higher Type care (substantially more nursing and/or medical care than described above, generally in acute care)
    Yukon Territory Level 1 Room and board with custodial care
    Level 2 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 3 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 4 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 5 Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Northwest Territory Level I Room and board with custodial care
    Level II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level V Type III (i.e., medical management, skilled nursing care, etc. )
    or Higher Type
    Nunavut Level I Room and board with custodial care
    Level II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level V Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type

    Residential Care Facilities Survey – 2010

    Guide
    Instructions and Definitions

    Survey Information

    Survey purpose:
    This survey collects social, financial and operating data required to produce statistics for your industry.

    Coverage:
    Please complete a questionnaire for the operation and location described on the label. You should only report for those facilities located in Canada.

    Confidentiality:
    Statistics Canada is prohibited by law from releasing any information from this survey which would identify any person, business, or organisation, unless consent has been given by the respondent or as permitted by the Statistics Act. The information from this survey will be treated in strict confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation.

    Data-sharing agreements
    To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government and non-government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada wll 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 or non-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 and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

    For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut, and with the Canadian Institute for Health Information, Health Canada, and the Public Health Agency of Canada.

    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.

    Record linkages
    To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

    Return of questionnaire:
    Please complete and return your questionnaire within 30 days of receipt. Please note that audited data is not required for this survey. Please send the completed questionnaire in the enclosed envelope or by facsimile toll-free to 1 888 883-7999.

    Do you have any questions? Do you need another questionnaire?

    For assistance and information please call: 1 800 565-1685

    When completing the survey

    1. Please keep a copy of the completed questionnaire for your own records.
    2. Statistics Canada survey staff would be pleased to discuss alternatives that would make completing this survey easier for you. Such alternatives could include:
      1. completing the survey electronically using our secure electronic version of the survey;
      2. providing Statistics Canada with an electronic version of your financial statements or listings of facilities using our electronic file transfer service rather than mailing this documentation;
      3. providing Statistics Canada with a spreadsheet on disk rather than completing the paper questionnaire;
      4. completing the survey by paper instead of electronically;
      5. completing the survey over the telephone with the assistance of Statistics Canada staff;
      6. providing financial statements rather than completing the RCF Survey financial questions.
    3. If you have prepared a report of statistical and financial data for regional boards or provincial government ministries, with equivalent information, you may send a copy of the report instead of completing the same items on the RCF Survey questionnaire. Please complete the cover page of the RCF Survey and return it with the report to Statistics Canada.
    4. You may provide financial statements instead of completing sections J, K, L and M of the questionnaire by sending the information by mail at the address below or facsimile toll-free to 1 888 883-7999. Please enclose the questionnaire with your financial statements.
      Statistics Canada
      Operations and Integration Division
      Distribution Centre - SC-0702
      150 Tunney’s Pasture Driveway
      Ottawa, ON K1A 0T6

      Statistics Canada advises that there could be a risk of disclosure during mailing or facsimile. However, under receipt, Statistics Canada will provide the guaranteed level of protection afforded to all information collected under the authority of the Statistics Act. If you wish to send us your financial statements, please ensure that you completed the cover page and sections A to I of the questionnaire and send us the following information attached to your financial statements: Legal Name of facility, Business Name, Mailing address, Province or Territory, Name of the facility contact, business number and questionnaire identification number (found on the label, starts with Q).
    5. If this facility is administered by a central agency or is a multiple facility set-up, please indicate the reporting arrangements and the name, address and number of beds of each facility involved in the administrative entity. This will enable Statistics Canada to modify the mail-out for the next year and thereby eliminate duplicate reporting and additional respondent burden.

    Cover Page

    Label

    Please correct the legal name, business name, contact information shown on the pre–printed label, using the corresponding boxes below the label.

    Facility information

    Please provide the name and contact information for the primary contact person for this facility.

    Name of person completing the questionnaire

    Please provide the name and contact information for the primary contact person for this survey. It can be the same person as the facility contact.

    Instructions for page 2

    Reporting Instructions

    Read carefully all instructions and definitions in this booklet and on the questionnaire.

    • When precise figures are not available, please provide your best estimates. Please DO NOT wait for your financial statements before completing the survey.
    • Please DO NOT include commas, decimals or special symbols ($, #, % etc) in your report.
    • All dollar amounts should be reported in CANADIAN DOLLARS ($ CDN) and should be rounded to the nearest dollar (e.g. $5,400.40 should be rounded to $5,400).

    To report items not specified on the questionnaire, use lines designated as "Other" and provide supplementary information.

    A. Administrative characteristics

    1. Type of organization
    Place a check mark in the circle beside the option that best describes the legal organization of this business.

    Sole proprietorship – An unincorporated business wholly owned by one person. In most cases, this person manages the business and consequently is the owner manager.

    Partnership – A form of business organization in which two or more persons are co–owners without becoming incorporated. They agree to contribute assets or other resources to the business, and to share its profits, losses and debts.

    Incorporated company – A business legally constituted with share capital that, after registering with the proper authorities, constitutes a body corporate legally distinct from the partners or stockholders.

    Co–operative – A group of persons who share certain assets and operations to enable access, at a lower cost,, to the means of production, distribution, credit or other activity for the mutual benefit and risk of its members. Each member has equal rights and accountability according to the principal of "one member, one vote".

    Joint venture – A business organization where two or more persons or entities form an association to jointly carry out an industrial or commercial activity, or decide to share resources and control these jointly, for the purposes of a specific project rather than as an ongoing business. The expectation is that the persons or entities involved share in the costs and benefits.

    Government business entity – A business corporation in which the state holds controlling interest, and is operating in the commercial market. This does not include Crown corporations.

    Government – A not–for–profit entity financed and controlled by a ministry, department, agency, autonomous organization, board, commission or fund of the federal, provincial, territorial or local government and not operated in the commercial market.

    Non–profit organization – Organization usually formed for social, economic, educational, religious, philanthropic or health purposes in which there is normally no transferable ownership interest and which does not carry on business with a view to distribution or use of any profits for the pecuniary gain of its members or grantors.

    2. GST number
    Please provide the first nine (9) digits of this facility’s GST Registered Account Number (also known as the Business Number).

    The GST Registered Account Number will be used to verify the information about this facility currently held on Statistics Canada’s Business Register.

    3. Reporting Arrangements
    Please provide the count of facilities that this you are including on this report. If you are reporting for more than one facility, please return a list of facilities, addresses and number of beds for each facility that you have included data for with this report. You can also return the printout list of facilities with any updates clearly indicated.

    4. Fiscal period
    For the purpose of this survey, please report information for your 12–month fiscal period for which the final day occurred on or between April 1, 2010 and March 31, 2011. For example, if your fiscal period ended December 31, 2010 , please report for the period January 1, 2010 to December 31, 2010 .

    5. Type of Ownership
    Refers to the person, group of persons, agency or corporate body who is the registered owner according to the deed or statute.

    Proprietary – applies to a facility owned by an individual or group. These are private organizations and/or corporations operating for a profit.

    Religious – applies to a facility owned and operated by a religious organization on a non–profit basis.

    Lay – applies to a facility owned and operated by a voluntary lay body on a non–profit basis. This category excludes facilities maintained by industrial or commercial corporations (see proprietary).

    Municipal – applies to a facility owned and operated by a city, county, municipality or other municipal government, or by another body which is empowered to levy taxes or to otherwise operate after the fashion of a municipality.

    Provincial or territorial – applies to a facility owned by a branch, division, agency or department of a provincial or territorial government.

    Federal – applies to a facility operated by a department or agency of the Government of Canada, e.g. Veterans’ Affairs, Health Canada or National Defence.

    Regional Health Authority, Board, District, Corporation – applies to those facilities owned and operated by a regional governance structure responsible for the continuum of health services for defined geographic regions.

    B. Number of beds as of the last day of the fiscal period

    6. Number of beds (including respite beds)

    Licensed or approved – the number of beds licensed or approved by provincial or municipal authorities. Report all beds, even if some are not in use at the present time. This includes licensed respite beds.

    Staffed and in operation – report only the number of beds available for use. Include those occupied and any vacant beds to which you could have admitted residents at the end of the fiscal year reported. This amount does not have to agree with the approved complement. This includes licensed respite beds.

    Instructions for page 3

    Characteristics of residents

    This includes all residents temporarily absent on this date but who were registered in your facility and for whom a bed was assigned.

    C. Total days of care during reporting period (by responsibility for payment)

    A day of care is the period of service to a resident between the census taking hours on two successive days. The total days of care are the number of days of care in the reporting period or year. A facility of four beds and 100 percent occupancy would report total days of care as (4 x 365) 1,460. A facility of four beds in which one bed was not occupied for 31 days during the year would report total days of care as 1,429. This could be calculated as [(4 x 365) – 31] or counting each day that each bed was occupied [(1 x 365) + (1 x 365) + (1 x 365) + (1 x 334)]. If unable to provide a breakdown, please estimate, or if unable to estimate then report days under major funding agency.

    Line a. Days charged to a Provincial or Territorial Government Health Program or Department.

    Line b. Days charged to a Provincial or Territorial Government Social Service Program or Department.

    Line c. Days charged to another Provincial or Territorial Department other than Health or Social Services, e.g. crown agencies such as Alcohol and Drug Commissions.

    Line d. Days charged to a municipality, regional or district administration.

    Line e. All days not reported above, including residents who pay for their own care directly or through private insurance and those paid for by Workers’ Compensation Board, Department of Veterans’ Affairs, etc.

    D. Movement of residents

    Line a. In facility on the first day of the fiscal period – the count of all the residents who were assigned a bed at 00:01 hours, the first day of the fiscal period. Include any resident who was temporarily absent from the facility on this date, e.g., visiting relatives or residents transferred to other institutions such as hospitals, but who had not been formally discharged.

    Line b. Admissions – the total number of new residents accepted into the facility during the fiscal year reported. This involves the allocation of a bed to a resident. An admission is registered each time a person is formally admitted.

    Line c. Total under care – the total of those in the facility (on the books) at the beginning of the fiscal period, plus all admissions during the year.

    Line d. Discharge – the total of all residents who were discharged from the facility during the fiscal year.

    Line e. Death – the cessation of life of a resident during the fiscal year.

    Line f. Total separations – the total of discharges and deaths.

    Line g. In facility on the last day of the fiscal period – the count of all residents registered in the facility at 24:00 hours, the last day of the fiscal period. Includes residents temporarily out of the facility who had not been formally discharged.

    E. Age and sex of residentss in facility on the last day of the fiscal period

    Count each resident once only, and assign them to the appropriate columns according to their age and sex grouping.

    Instructions for page 4

    F. Types of care

    Counting each resident once only, please assign all residents in your facility to one of the types of care. This should be based on the type of care the resident was receiving on the last day of the fiscal period.

    For temporarily absent residents, indicate the type of care these residents usually receive in this facility.

    Line a. Room and board – for those residents paying only for the use of a room. No services or type of care are received.

    Line b. Room and board with guidance/counselling – this is the minimum amount of care possible in a facility. Usually includes basic counselling and assistance with social problems. Most residents of facilities for emotionally–disturbed children and for alcohol and drug will be in this category.

    Line c. Room and board with custodial care – minor supervision required.

    Line d. Type I Care – that required by a person who is ambulatory and/or independently mobile, who has decreased physical and/or mental faculties, and who requires primarily supervision and/or some assistance with activities of daily living and provision for meeting psycho–social needs through social and recreational services. The period of time during which care is required is indeterminate and related to the individual condition but is less than 90 minutes in a 24 hour day. Many facilities for the developmentally delayed will have most of their residents in this category.

    Line e. Type II Care – that required by a person with a relatively stabilised (physical or mental) chronic disease or functional disability. They have reached the apparent limit of recovery, and are not likely to change in the near future. They have relatively little need for the diagnostic and therapeutic services of a hospital, but require personal care for a total of 1 ½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision and provision for meeting psychosocial needs.

    Line f. Type III Care – that required by a person who is chronically ill and/or has a functional disability (physical or mental), whose acute phase of illness is over, whose vital processes may or may not be stable, whose potential for rehabilitation may be limited. These residents require a range of therapeutic services, medical management and skilled nursing care plus provision for meeting psychosocial needs. A minimum of 2½ hours of individual therapeutic and/or medical care is required in a 24–hour day.

    Line g. Higher type care – report here those persons who need substantially more nursing and/or medical care than described above. It is assumed that there would be very few residents who would be receiving care of this type. Care above TYPE III is usually provided in a hospital setting.

    Refer to Appendix 1 for the list of provincial equivalencies of type of care.

    G. Principal characteristics of residents in facility on the last day of the fiscal period

    Counting each resident once only, please group them according to the most appropriate principal characteristic.

    Line a. Aged – Residents are in the facility mainly because of old age (65+). They may have some other related disabilities associated with ageing, but for the purpose of this survey, consider the principal characteristic as aged.

    Line b. Physically challenged/disabled – Residents are in a facility primarily because of bodily dysfunctions (e.g. blind, deaf, loss of limbs, etc.)

    Line c. Developmentally delayed – Residents are slow or limited in intellectual or emotional development or academic progress.

    Line d. Psychiatrically–disabled adults – Includes ex–psychiatric patients, individuals with a chronic mental illness or those convalescing from a mental illness.

    Line e. Emotionally–disturbed children – Children with behaviour disorders that require specialised treatment.

    Line f. Addictions – Residents require treatment for problems with alcohol or drug addiction.

    Line g. Transients – Persons requiring short–term respite who are without a home due to an emergency or a continuing situation.

    Line h. Other – Includes residents who do not fit in any of the other categories, e.g. unmarried mothers, children requiring shelter who do not fit in any of the other categories, etc.

    Note – Only hostels providing at least a counselling level of care fall into scope for the RCF survey. Hostels providing only hotel or room and board should not be included. If your facility falls into the latter category, please state this on the cover page and return this survey.

    Instructions for page 5

    Personnel

    Personnel employed – Persons on the payroll of the facility on the last day of the fiscal period.

    Exclude voluntary and contract workers for whom no salaries are recorded. Also exclude persons paid on a fee for services basis (doctors or dentists on call, etc.). Report this as an expense in Section I.

    Personnel employed on the last day of the fiscal period. – Columns 1 & 2

    Report only the number of "full–time" and "part–time" staff employed. Do not use full–time equivalencies unless actual figures are unavailable. Exclude casual employees from the first two columns. Casual employees refers to those employed on a non–continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.

    Full–time – refers to persons employed on a full–time basis, i.e. regularly employed throughout the facility’s full work week.

    Part–time – refers to persons employed on a part–time basis, i.e. regularly employed on selected days or partial days in the facility’s work week.

    The owner/operator of a small facility may be the only person working full–time. If this is the case, write ‘1’ full–time employee on line 40. Hours should then be split to reflect the approximate time spent in Direct care for residents, line 38 and General services, line 39. Report remuneration in Section I.

    When an employee fills more than one position, that individual is to be recorded once only under the category of employment in which the major portion of time is spent.

    Total accumulated hours paid during the reporting period – Column 3

    Include total hours paid for all full–time, part–time and casual employees who have had salaries or wages paid to them by the facility. Hours covering paid holiday time and other paid leave are to be included for all categories of personnel. Do not include hours for contractual employees.

    ROUND OFF FRACTIONS AND REPORT WHOLE NUMBERS ONLY.

    H. Direct care to residents

    Report all personnel whose time is mainly spent with the residents, giving assistance, nursing care, guidance or any other forms of personal help directly to the residents. The majority of facilities will report most of their direct care personnel on line f.

    Line a. Registered nurses – staff who have graduated from a recognised formal nursing educational program and have qualified to practise nursing as registered nurses according to appropriate provincial legislation.

    Depending on the size of the facility, this may include the Director of Nursing, the Assistant Director of Nursing, supervisors and general-duty nursing staff who qualify as registered nurses.

    In facilities where the Director of Nursing also acts as the Administrator of the facility, report data for this person under Administration, Section I, line a.

    Line b. Registered qualified nursing assistants / licensed practical nurses – are persons authorised to function as nursing assistants according to appropriate provincial legislation.

    Line c. Physiotherapists/Occupational therapists – a physiotherapist is qualified to practise by meeting the requirements of the Canadian Physiotherapy Association or equivalent standards. They are responsible for the maintenance and improvement of the functional capacity of a resident through procedures including exercise, massage and manipulation. An occupational therapist is qualified to practise by meeting the requirements of the Canadian Association of Occupational Therapists. They are responsible for the maintenance and improvement of the functional capacity of the resident through the practice of activities of daily living and the development of vocational and manual skills.

    Line d. Other therapists – includes speech therapists, child therapists, behaviour therapists, group therapists, etc.

    Line e. Activity/recreation staff – staff involved in setting up or maintaining a program of social activities, recreation, or hobbies for the residents.

    Line f. Other direct care staff – includes nursing aides, health-care aides, dieticians, counsellors, child-care workers, orderlies, social workers, graduate nurses, chaplain, etc.

    I. General services

    Report here all other personnel of the facility who provided indirect services on the last day of the fiscal period, and who are not shown in Section H, lines a.-g. above.

    Line a. Administration – the person(s) providing administrative direction, and also performing functions such as admitting, personnel, payroll, accounting, purchasing, switchboard operations, public relations, etc. Only report data relating to the personnel who carry out these functions in residential care facilities.

    Line b. Dietary – the persons involved in the requisitioning, storage, preparation and distribution of food to meet the normal and therapeutic nutritional needs of residents and for other food services provided by the facility. This will include the operation of a cafeteria.

    Line c. Housekeeping, laundry – the staff involved in maintaining a sanitary environment including those who process soiled linen, receive, repair, store, distribute, control and supply clean linen and wearing apparel, as required by residents and staff of the facility.

    Line d. Plant operation, maintenance and security – staff involved in the provision, distribution and monitoring of water, light, heat, power and other building service systems throughout the physical plant. This includes services of a janitor. Also include those who are responsible for the servicing and repairing of the physical plant, and those who protect property, persons and residents.

    Line e. Other – report here any other General Services personnel and hours not reported above and please specify the nature of the service. Include outreach workers employed by the facility but providing services outside of the facility in the community.

    Instructions for page 6

    Expenses

    On this page report details of the cost of operating and maintaining the facility for the most recent fiscal year that ended at any time between April 1, 2011 and March 31, 2012. Capital costs are to be excluded.
    REPORT IN DOLLARS ONLY, OMITTING CENTS.
    You may provide financial statements instead of completing sections J, K, L and M of the questionnaire. If you wish to send us your financial statements, please follow the instructions in point 4 of the section “When completing the survey” found on page 6 of this guide.

    J. Direct care to residents expenses

    Column 1
    Salaries and Wages

    Lines a.-f. should correspond with details in Section H concerning personnel and paid hours; if hours have been reported on a line in Section H, there should be a corresponding dollar value reported in Section J and vice versa.

    Column 2
    All Other Expenses

    Report any expenses, other than salaries and wages, related to a specific area or department. Include any amounts paid to persons as a fee for service (doctors not on staff, etc.).

    Line g. Drugs – report here all drugs used throughout the facility, as well as medicines, anaesthetic gases, oxygen and other medical gases, intravenous solutions, etc., dispensed by prescriptions or otherwise.

    Line h. Medical and Surgical Supplies – included in this category are items used in the treatment and examination of residents such as sutures, dressings, clinical thermometers, sterile supplies, catheters, needles and syringes, etc.

    Line i. Other Supplies – report here the total cost of all other supplies and expenses of services involved in the direct care of residents which were not reported on lines c.-h. (column 2).

    K. General services expenses

    Where the facility has arranged for any services, e.g. dietary, housekeeping, maintenance, to be provided by an independent outside company as a “purchased service” – the total costs of such service should be shown in column 2 and not the salaries and wages column regarding such purchased service. Please note such “purchased services” in the space provided for supplementary information.

    Line a. Administration – Report here the costs of providing administrative direction and for carrying out business office and personnel functions of the facility including admitting, personnel, payroll, public relations, purchasing, stores, switchboard operations and chaplaincy.

    In column 2 give the total costs to the employer of all types of employee benefits, such as Canada Pension Plan, Employment Insurance, Provincial Health Insurance Plan, Workers’ Compensation, Group Life and Group Pension Plans.

    Also include, if applicable, honorariums paid to members of the Board and/or Medical Advisory Committee, and legal, audit and collection fees.

    The total cost of the following types of items should be charged to Administration: printing, postage, advertising, conventions, dues & subscriptions, donations, freight, delivery, telephone, automobile expenses, travel and insurance.

    Line b. Dietary – the costs for the requisitioning, storage, preparation and distribution of food to meet the normal or therapeutic nutritional needs of residents and other food services provided by the facility. This will include the operation of a cafeteria.

    Report in column 2 the costs of food, dishwashing supplies, paper products, dishes, cutlery, etc.

    Line c. Housekeeping, laundry – the costs for maintaining a sanitary environment, including the costs of processing soiled linen and for receiving, repairing, storing, distributing, controlling and supplying clean linen and wearing apparel, as required for residents and staff of the facility.

    Line d. Plant operation, maintenance and security – the costs for the provision, distribution and monitoring of water, light, heat, power and other building service systems throughout the physical plant, and for servicing and repairing the physical plant; also includes costs incurred for the protection of property, persons and residents.

    Line e. Other – report here all other costs of general services which were not reported on lines a. - d.

    L. Other expenses

    Please report here:

    • Any interest on loans, notes, mortgages, etc.
    • Business taxes, land and realty taxes, etc. (EXCLUDE income tax).
    • Overhead charged to the facility for Head Office management.
    • Depreciation for the 12 month period for buildings, furniture and equipment, land improvements, automobiles, etc.
    • Rent or leased costs of building and/or equipment.
    • Insurance premiums, licences and fees paid to government or other regulatory bodies, etc.

    Instructions for page 7

    Report on this page the total revenue of the facility for the most recent fiscal year that ended at any time between April 1, 2010 and March 31, 2011.

    Revenues from accommodation should represent the majority of the income.
    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    M. Source of Revenue

    Line a. Provincial Health Department or Ministry (Provincial Health Insurance Plan) – where Provincial Health Insurance provides coverage for standard ward accommodation for an eligible resident, record the income earned from such a Plan, e.g. Ministry or Department of Health or Long Term Care.

    Line b. Provincial Social Services Department or Ministry (Provincial Social Services Plan) – report all amounts earned from Provincial Government Social Service Programs or Departments, e.g. Dept. of Social Services, Dept. of Social Services and Community Health (AB.), Community and Social Services (ON.), Community Services and Corrections (MB.), etc.

    Line c. Other Provincial Department or Ministry – report amounts earned from a provincial department or agency other than Health or Social Services, e.g. crown agencies such as alcohol/drug commissions.

    Line d. Municipalities, Regional or District Administrations – include all amounts earned from municipalities, regional or district administrations on behalf of residents.

    Line e. All Other – include all amounts for accommodation earned from sources other than described (lines 45–48) including earnings from Federal Government departments or agencies, Workers’ Compensation Boards, Department of Veterans’ Affairs, etc. Also include any grants or donations received by the facility.

    Line f. Residents – Co–insurance or Self–pay – record all amounts to be paid by residents personally or by private insurance companies as their share of the standard ward rate.

    Line g. Differential – Preferred Accommodation – record all amounts earned from persons occupying semi–private and private rooms for which an additional charge over and above standard ward rate is charged.

    Line h. Total earnings for accommodation – sum lines 45 to 51.

    Line i. Sundry Earnings – record here all other earnings not attributable to basic accommodation. This would include such items as:

    • Physical therapy
    • Special duty nursing
    • Hairdressing or barber services
    • Laundry, dry cleaning
    • Employee or guest meals
    • Vending machines, telephone
    • Day care
    • Sale of crafts
    • Etc.

    Appendix 1

    Type of Care Equivalences
    Province Provincial Level / Type of care Type of care equivalencies for the survey
    For more detailed information, please refer to section F of the Guide
    All Most children's and alcohol and drug facilities Room and board with guidance / counselling with respect to social, employment, addiction problems, or parental guidance with skilled counselling
    Newfoundland and Labrador
    Personal functions
    Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 3 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 4 Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Mental/Sensory/Perceptual Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 3 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 4 Higher Type
    Prince Edward Island Level I Room and board with custodial care
    Level II Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level IV Type II (i.e., medical and professional nursing supervision, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Nova Scotia Room and board with custodial care Room and board with custodial care
    Level 1 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Care in Residential Care Facilities Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Adult Residential Centres Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Group Homes and Developmental Residences Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Regional Rehabilitation Centres Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II (i.e., medical and professional nursing supervision, etc.)
    New Brunswick Level I Room and board with custodial care
    Level Type II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Care in a Nursing home Type III (i.e., medical management, skilled nursing care, etc.)
    Care in a Hospital extended care Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Ontario Care in a Retirement home Room and board with custodial care
    or Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in a Long–term care home Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Manitoba Personal Care Level 1 Room and board with custodial care
    Personal Care Level 2 Room and board with custodial care
    Personal Care Level 3 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Personal Care Level 4 Type II (i.e., medical and professional nursing supervision, etc.)
    Hospital Acute Care Level Equivalent Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Hospital/Extended Care Facility Equivalent Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Saskatchewan Supervisory care Room and board with custodial care
    Limited personal care Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Intensive personal or nursing care Type II (i.e., medical and professional nursing supervision, etc.)
    Long–term restorative or palliative care Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Alberta Assisted Living – Level 3 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II (i.e., medical and professional nursing supervision, etc.)
    Assisted Living – Level 4 Type II (i.e., medical and professional nursing supervision, etc.)
    Facility Living Type II (i.e., medical and professional nursing supervision, etc.)
    or Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    British Columbia Registered Assisted Living Facilities Type I care (care less than 90 minutes per day)
    Licensed facilities under the Community Care and Assisted Living Act, including hospice and convalescent care facilities Type II care (personal care for a total of 1½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision)
    Residential Care and Private Hospitals under the Hospital Act (not included in this survey) Type III care (minimum of 2½ hours of
    individual therapeutic and/or medical care per day)
    Stand–alone residential care facilities under the Hospital Act Higher Type care (substantially more nursing and/or medical care than described above, generally in acute care)
    Yukon Territory Level 1 Room and board with custodial care
    Level 2 Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 3 Type II (i.e., medical and professional nursing supervision, etc.)
    Level 4 Type III (i.e., medical management, skilled nursing care, etc.)
    Level 5 Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Northwest Territory Level I Room and board with custodial care
    Level II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type
    Nunavut Level I Room and board with custodial care
    Level II Type I (i.e., supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II (i.e., medical and professional nursing supervision, etc.)
    Level IV Type III (i.e., medical management, skilled nursing care, etc.)
    Level V Type III (i.e., medical management, skilled nursing care, etc.)
    or Higher Type

    Guide
    Instructions and Definitions

    Reporting Instructions

    Read carefully all instructions and definitions in this booklet and on the questionnaire.

    1. All dollar amounts should be reported in CANADIAN DOLLARS ($CDN) and should be rounded to the nearest dollar (e.g. $5,400.40 should be rounded to $5,400).
    2. Unaudited financial data are acceptable.
    3. Your best estimates are acceptable when precise figures are not available.
    4. To report items not specified on the questionnaire, use lines designated as "Other" and provide supplementary information.

    Reporting Arrangements

    1. Please keep a copy of the completed questionnaire for your own records.
    2. Statistics Canada survey staff would be pleased to discuss alternatives that would make completing this survey easier for you. Such alternatives could include:
      1. responding to Statistics Canada using the electronic questionnaire rather than completing the paper questionnaire;
      2. providing Statistics Canada with a spreadsheet on disk rather than completing the paper questionnaire;
      3. completing the survey over the telephone with the assistance of Statistics Canada staff;
      4. providing financial statements rather than completing the RCF Survey financial questions.
    3. If you have prepared a report of statistical and financial data for regional boards or provincial government ministries, with equivalent information, you may send a copy of the report instead of completing the same items on the RCF Survey questionnaire. Please complete the cover page of the RCF Survey and return it with the report to Statistics Canada.
    4. If this facility is administered by a central agency or is a multiple facility set-up, please indicate the reporting arrangements and the name, address and number of beds of each facility involved in the administrative entity. This will enable Statistics Canada to modify the mail-out for the next year and thereby eliminate duplicate reporting and additional respondent burden.

    Cover Page

    Label

    Please correct the legal name, business name, contact information shown on the pre–printed label, using the corresponding boxes below the label.

    031. Type of organization

    Place a check mark in the circle beside the option that best describes the legal organization of this business.

    1. Sole proprietorship – An unincorporated business wholly owned by one person. In most cases, this person manages the business and consequently is the owner manager.

    2. Partnership – A form of business organization in which two or more persons are co-owners without becoming incorporated. They agree to contribute assets or other resources to the business, and to share its profits, losses and debts.

    3. Incorporated company – A business legally constituted with share capital that, after registering with the proper authorities, constitutes a body corporate legally distinct from the partners or stockholders.

    4. Co-operative – A group of persons who share certain assets and operations to enable access, at a lower cost, to the means of production, distribution, credit or other activity for the mutual benefit and risk of its members. Each member has equal rights and accountability according to the principle of "one member, one vote".

    5. Joint venture – A business organization where two or more persons or entities form an association to jointly carry out an industrial or commercial activity, or decide to share resources and control these jointly, for the purposes of a specific project rather than as an ongoing business. The expectation is that the persons or entities involved share in the costs and benefits.

    6. Government business entity – A business corporation in which the state holds controlling interest, and is operating in the commercial market. This does not include Crown corporations.

    7. Government – A not-for-profit entity financed and controlled by a ministry, department, agency, autonomous organization, board, commission or fund of the federal, provincial, territorial or local government and not operated in the commercial market.

    8. Non-profit organization – Organization usually formed for social, economic, educational, religious, philanthropic or health purposes in which there is normally no transferable ownership interest and which does not carry on business with a view to distribution or use of any profits for the pecuniary gain of its members or grantors.

    040. GST number

    Please provide the first nine (9) digits of this facility’s GST Registered Account Number (also known as the Business Number).

    The GST Registered Account Number will be used to verify the information about this facility currently held on Statistics Canada’s Business Register.

    050. Reporting Arrangements

    Please provide the count of facilities that you are including in this report. If you are reporting for more than one facility, please return a list of facilities, addresses and number of beds for each facility that you have included data for with this report. You can also return the printout list of facilities with any updates clearly indicated.

    Instructions for page 2

    Fiscal period

    For the purpose of this survey, please report information for your 12-month fiscal period for which the final day occurred on or between April 1, 2009 and March 31, 2010.

    For example, if your fiscal period ended December 31, 2009, please report for the period January 1, 2009 to December 31, 2009.

    A. Ownership

    Refers to the person, group of persons, agency or corporate body who is the registered owner according to the deed or statute.

    11. Proprietary – applies to a facility owned by an individual or group. These are private organizations and/or corporations operating for a profit.

    02. Religious – applies to a facility owned and operated by a religious organization on a non–profit basis.

    01. Lay – applies to a facility owned and operated by a voluntary lay body on a non–profit basis. This category excludes facilities maintained by industrial or commercial corporations (see proprietary).

    04. Municipal – applies to a facility owned and operated by a city, county, municipality or other municipal government, or by another body which is empowered to levy taxes or to otherwise operate after the fashion of a municipality.

    05. Provincial or territorial – applies to a facility owned by a branch, division, agency or department of a provincial or territorial government.

    12. Federal – applies to a facility operated by a department or agency of the Government of Canada, e.g. Veterans’ Affairs, Health Canada or National Defence.

    14. Regional Health Authority, Board, District, Corporation – applies to those facilities owned and operated by a regional governance structure responsible for the continuum of health services for defined geographic regions.

    B. Beds

    121. Licensed or approved – the number of beds licensed or approved by provincial or municipal authorities. Report all beds, even if some are not in use at the present time. This includes licensed respite beds.

    122. Staffed and in operation – report only the number of beds available for use. Include those occupied and any vacant beds to which you could have admitted residents at the end of the fiscal year reported. This amount does not have to agree with the approved complement. This includes licensed respite beds.

    Instructions for page 3

    C. Total days of care during reporting period by responsibility for payment

    A day of care is the period of service to a resident between the census taking hours on two successive days. The total days of care are the number of days of care in the reporting period or year. A facility of four beds and 100 percent occupancy would report total days of care as (4 x 365) 1,460. A facility of four beds in which one bed was not occupied for 31 days during the year would report total days of care as 1,429. This could be calculated as [(4 x 365) – 31] or counting each day that each bed was occupied [(1 x 365) + (1 x 365) + (1 x 365) + (1 x 334)]. If unable to provide a breakdown, please estimate, or if unable to estimate then report days under major funding agency.

    1. Days charged to a Provincial or Territorial Government Health Program or Department.
    2. Days charged to a Provincial or Territorial Government Social Service Program or Department.
    3. Days charged to another Provincial or Territorial Department other than Health or Social Services, e.g. crown agencies such as Alcohol and Drug Commissions.
    4. Days charged to a municipality, regional or district administration.
    5. All days not reported above, including residents who pay for their own care directly or through private insurance and those paid for by Workers’ Compensation Board, Department of Veterans’ Affairs, etc.

    D. Movement of residents

    1. 1. In facility on the first day of the fiscal period – the count of all the residents who were assigned a bed at 00:01 hours, the first day of the fiscal period. Include any resident who was temporarily absent from the facility on this date, e.g. , visiting relatives or residents transferred to other institutions such as hospitals, but who had not been formally discharged.
    2. 2. Admissions – the total number of new residents accepted into the facility during the fiscal year reported. This involves the allocation of a bed to a resident. An admission is registered each time a person is formally admitted.
    3. 3. Total under care – the total of those in the facility (on the books) at the beginning of the fiscal period, plus all admissions during the year.
    4. 4. Discharge – the total of all residents who were discharged from the facility during the fiscal year.
    5. 5. Death – the cessation of life of a resident during the fiscal year.
    6. 6. Total separations – the total of discharges and deaths.
    7. 7. In facility on the last day of the fiscal period – the count of all residents registered in the facility at 24:00 hours, the last day of the fiscal period. Includes residents temporarily out of the facility who had not been formally discharged.

    Characteristics of residents
    This includes all residents temporarily absent on this date but who were registered in your facility and for whom a bed was assigned.

    E. Age and sex of residents

    Count each resident once only, and assign them to the appropriate columns according to their age and sex grouping.

    Instructions for page 4

    F. Types of care

    Counting each resident once only, please assign all residents in your facility to one of the types of care. This should be based on the type of care the resident was receiving on the last day of the fiscal period.

    For temporarily absent residents, indicate the type of care these residents usually receive in this facility.

    1. Room and board – for those residents paying only for the use of a room. No services or type of care are received.

    2. Room and board with guidance/counselling – this is the minimum amount of care possible in a facility. Usually includes basic counselling and assistance with social problems. Most residents of facilities for emotionally–disturbed children and for alcohol and drug will be in this category.

    3. Room and board with custodial care – minor supervision required.

    4. Type I Care – that required by a person who is ambulatory and/or independently mobile, who has decreased physical and/or mental faculties, and who requires primarily supervision and/or some assistance with activities of daily living and provision for meeting psycho–social needs through social and recreational services. The period of time during which care is required is indeterminate and related to the individual condition but is less than 90 minutes in a 24 hour day. Many facilities for the developmentally delayed will have most of their residents in this category.

    5. Type II Care – that required by a person with a relatively stabilised (physical or mental) chronic disease or functional disability. They have reached the apparent limit of recovery, and are not likely to change in the near future. They have relatively little need for the diagnostic and therapeutic services of a hospital, but require personal care for a total of 1 ½– 2 ½ hours in a 24 hour day, with medical and professional nursing supervision and provision for meeting psychosocial needs.

    6. Type III Care – that required by a person who is chronically ill and/or has a functional disability (physical or mental), whose acute phase of illness is over, whose vital processes may or may not be stable, whose potential for rehabilitation may be limited. These residents require a range of therapeutic services, medical management and skilled nursing care plus provision for meeting psychosocial needs. A minimum of 2½ hours of individual therapeutic and/or medical care is required in a 24–hour day.

    7. Higher type care – report here those persons who need substantially more nursing and/or medical care than described above. It is assumed that there would be very few residents who would be receiving care of this type. Care above TYPE III is usually provided in a hospital setting.

    Refer to Appendix 1 for the list of provincial equivalencies of type of care.

    G. Principal characteristics

    Counting each resident once only, please group them according to the most appropriate principal characteristic.

    1. Aged – Residents are in the facility mainly because of old age (65+). They may have some other related disabilities associated with ageing, but for the purpose of this survey, consider the principal characteristic as aged.

    2. Physically challenged/disabled – Residents are in a facility primarily because of bodily dysfunctions ( e.g. blind, deaf, loss of limbs, etc. )

    3. Developmentally delayed – Residents are slow or limited in intellectual or emotional development or academic progress.

    4. Psychiatrically–disabled adults – Includes ex–psychiatric patients, individuals with a chronic mental illness or those convalescing from a mental illness.

    5. Emotionally–disturbed children – Children with behaviour disorders that require specialised treatment.

    6. Addictions – Residents require treatment for problems with alcohol or drug addiction.

    7. Transients – Persons requiring short–term respite who are without a home due to an emergency or a continuing situation.

    8. Other – Includes residents who do not fit in any of the other categories, e.g. unmarried mothers, children requiring shelter who do not fit in any of the other categories, etc.

    Note – Only hostels providing at least a counselling level of care fall into scope for the RCF survey. Hostels providing only hotel or room and board should not be included. If your facility falls into the latter category, please state this on the cover page and return this survey.

    Instructions for page 5

    Personnel

    Personnel employed – on the payroll of the facility on the last day of the fiscal period.

    Exclude voluntary and contract workers for whom no salaries are recorded. Also exclude persons paid on a fee for services basis (doctors or dentists on call, etc. ). Report this as an expense in Section J.

    Personnel employed on the last day of the fiscal period – Columns 1 & 2

    Report only the number of "full–time" and "part–time" staff employed. Do not use full–time equivalencies unless actual figures are unavailable. Exclude casual employees from the first two columns. Casual employees refers to those employed on a non–continuing or irregular basis, such as those who temporarily relieve regular employees on vacation or sick leave or those who are hired temporarily for such casual jobs as snow removal, office overload, etc.

    Full–time – refers to persons employed on a full–time basis, i.e. regularly employed throughout the facility’s full work week.

    Part–time – refers to persons employed on a part–time basis, i.e. regularly employed on selected days or partial days in the facility’s work week.

    The owner/operator of a small facility may be the only person working full–time. If this is the case, write ‘1’ full–time employee on line I.7. Hours should then be split to reflect the approximate time spent in Direct care for residents, line H.7 and General services, line I.6. Report remuneration in Section J and K.

    When an employee fills more than one position, that individual is to be recorded once only under the category of employment in which the major portion of time is spent.

    Total accumulated hours paid during the reporting period – Column 3

    Include total hours paid for all full–time, part–time and casual employees who have had salaries or wages paid to them by the facility. Hours covering paid holiday time and other paid leave are to be included for all categories of personnel. Do not include hours for contractual employees.

    ROUND OFF FRACTIONS AND REPORT WHOLE NUMBERS ONLY.

    H. Direct care to residents

    Report all personnel whose time is mainly spent with the residents, giving assistance, nursing care, guidance or any other forms of personal help directly to the residents. The majority of facilities will report most of their direct care personnel on line 6.

    1. Registered nurses – staff who have graduated from a recognised formal nursing educational program and have qualified to practise nursing as registered nurses according to appropriate provincial legislation.

    Depending on the size of the facility, this may include the Director of Nursing, the Assistant Director of Nursing, supervisors and general-duty nursing staff who qualify as registered nurses.

    In facilities where the Director of Nursing also acts as the Administrator of the facility, report data for this person under Administration, Section I, line 1.

    2. Registered qualified nursing assistants / licensed practical nurses – are persons authorised to function as nursing assistants according to appropriate provincial legislation.

    3. Physiotherapists/Occupational therapists – a physiotherapist is qualified to practise by meeting the requirements of the Canadian Physiotherapy Association or equivalent standards. They are responsible for the maintenance and improvement of the functional capacity of a resident through procedures including exercise, massage and manipulation.

    An occupational therapist is qualified to practise by meeting the requirements of the Canadian Association of Occupational Therapists. They are responsible for the maintenance and improvement of the functional capacity of the resident through the practice of activities of daily living and the development of vocational and manual skills.

    4. Other therapists – speech therapists, child therapists, behaviour therapists, group therapists, etc .

    5. Activity/recreation staff – staff involved in setting up or maintaining a program of social activities, recreation, or hobbies for the residents.

    6. Other direct care staff – includes nursing aides, health-care aides, dieticians, counsellors, child-care workers, orderlies, social workers, graduate nurses, chaplain, etc .

    I. General services

    Report here all other personnel of the facility who provided indirect services on the last day of the fiscal period, and who are not shown in Section H, lines 1-7 above.

    1. Administration – the person(s) providing administrative direction, and also performing functions such as admitting, personnel, payroll, accounting, purchasing, switchboard operations, public relations, etc . Only report data relating to the personnel who carry out these functions in residential care facilities.

    2. Dietary – the persons involved in the requisitioning, storage, preparation and distribution of food to meet the normal and therapeutic nutritional needs of residents and for other food services provided by the facility. This will include the operation of a cafeteria.

    3. Housekeeping, laundry – the staff involved in maintaining a sanitary environment including those who process soiled linen, receive, repair, store, distribute, control and supply clean linen and wearing apparel, as required by residents and staff of the facility.

    4. Plant operation, maintenance and security – staff involved in the provision, distribution and monitoring of water, light, heat, power and other building service systems throughout the physical plant. This includes services of a janitor.

    Also include those who are responsible for the servicing and repairing of the physical plant, and those who protect property, persons and residents.

    5. Other – report here any other General Services personnel and hours not reported above and please specify the nature of the service. Include outreach workers employed by the facility but providing services outside of the facility in the community.

    Instructions for page 6

    Expenses

    On this page report details of the cost of operating and maintaining the facility for the most recent fiscal year that ended at any time between April 1, 2009 and March 31, 2010. Capital costs are to be excluded.
    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    J. Direct Care to Residents

    Column 1 – Salaries and Wages
    Lines 1–6 should correspond with details in Section H concerning personnel and paid hours; if hours have been reported on a line in Section H, there should be a corresponding dollar value reported in Section J and vice versa.

    Column 2 – All Other Expenses
    Report any expenses, other than salaries and wages, related to a specific area or department. Include any amounts paid to persons as a fee for service (doctors not on staff, etc. ).

    Drugs – report here all drugs used throughout the facility, as well as medicines, anaesthetic gases, oxygen and other medical gases, intravenous solutions, etc ., dispensed by prescriptions or otherwise.

    Medical and Surgical Supplies – included in this category are items used in the treatment and examination of residents such as sutures, dressings, clinical thermometers, sterile supplies, catheters, needles and syringes, etc .

    Other Supplies – report here the total cost of all other supplies and expenses of services involved in the direct care of residents which were not reported on lines 3-8 (column 2).

    K. General Services

    Where the facility has arranged for any services, e.g. dietary, housekeeping, maintenance, to be provided by an independent outside company as a “purchased service” – the total costs of such service should be shown in column 2 and not the salaries and wages column regarding such purchased service. Please note such “purchased services” in the space provided for supplementary information.

    1. Administration – Report here the costs of providing administrative direction and for carrying out business office and personnel functions of the facility including admitting, personnel, payroll, public relations, purchasing, stores, switchboard operations.

    In column 2 give the total costs to the employer of all types of employee benefits, such as Canada Pension Plan, Employment Insurance, Provincial Health Insurance Plan, Workers’ Compensation, Group Life and Group Pension Plans.

    Also include, if applicable, honorariums paid to members of the Board and/or Medical Advisory Committee, and legal, audit and collection fees.

    2. Dietary – the costs for the requisitioning, storage, preparation and distribution of food to meet the normal or therapeutic nutritional needs of residents and other food services provided by the facility. This will include the operation of a cafeteria.

    Report in column 2 the costs of food, dishwashing supplies, paper products, dishes, cutlery, etc .

    3. Housekeeping, laundry – the costs for maintaining a sanitary environment, including the costs of processing soiled linen and for receiving, repairing, storing, distributing, controlling and supplying clean linen and wearing apparel, as required for residents and staff of the facility.

    4. Plant operation, maintenance and security – the costs for the provision, distribution and monitoring of water, light, heat, power and other building service systems throughout the physical plant, and for servicing and repairing the physical plant; also includes costs incurred for the protection of property, persons and residents.

    5. Other – report here all other costs of general services which were not reported on lines 1-4.

    L. Other expenses

    Please report here:

    • Any interest on loans, notes, mortgages, etc.
    • Business taxes, land and realty taxes, etc. (EXCLUDE income tax).
    • Overhead charged to the facility for Head Office management.
    • Depreciation for the 12 month period for buildings, furniture and equipment, land improvements, automobiles, etc.
    • Rent or leased costs of building and/or equipment.
    • Insurance premiums, licences and fees paid to government or other regulatory bodies, etc.

    Instructions for page 7

    Report on this page the total revenue of the facility for the most recent fiscal year that ended at any time between April 1, 2009 and March 31, 2010.

    Revenues from accommodation should represent the majority of the income.
    REPORT IN DOLLARS ONLY, OMITTING CENTS.

    M. Source of Revenue

    1. Provincial Health Department or Ministry (Provincial Health Insurance Plan) – where Provincial Health Insurance provides coverage for standard ward accommodation for an eligible resident, record the income earned from such a Plan, e.g. Ministry or Department of Health or Long Term Care.

    2. Provincial Social Services Department or Ministry (Provincial Social Services Plan) – report all amounts earned from Provincial Government Social Service Programs or Departments, e.g. Dept. of Social Services, Dept. of Social Services and Community Health (AB.), Community and Social Services (ON.), Community Services and Corrections (MB.), etc.

    3. Other Provincial Department or Ministry – report amounts earned from a provincial department or agency other than Health or Social Services, e.g. crown agencies such as alcohol/drug commissions.

    4. Municipalities, Regional or District Administrations – include all amounts earned from municipalities, regional or district administrations on behalf of residents.

    5. All Other – include all amounts for accommodation earned from sources other than described (lines 1–4) including earnings from Federal Government departments or agencies, Workers’ Compensation Boards, Department of Veterans’ Affairs, etc. Also include any grants or donations received by the facility.

    6. Residents – Co–insurance or Self–pay – record all amounts to be paid by residents personally or by private insurance companies as their share of the standard ward rate.

    7. Differential – Preferred Accommodation – record all amounts earned from persons occupying semi–private and private rooms for which an additional charge over and above standard ward rate is charged.

    8. Total earnings for accommodation – sum lines 1 to 7.

    9. Sundry Earnings – record here all other earnings not attributable to basic accommodation. This would include such items as:

    • Physical therapy
    • Special duty nursing
    • Hairdressing or barber services
    • Laundry, dry cleaning
    • Employee or guest meals
    • Vending machines, telephone
    • Day care
    • Sale of crafts
    • Etc .

    Appendix 1

    Type of Care Equivalences
    Province Provincial Level / Type of care Type of care equivalencies for the survey
    For more detailed information, please refer to section F of the Guide
    All Most children's and alcohol and drug facilities Room and board with guidance / counselling with respect to social, employment, addiction problems, or parental guidance with skilled counselling
    Newfoundland and Labrador
    Personal functions
    Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 3 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 4 Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Mental/Sensory/Perceptual Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 3 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 4 Higher Type
    Prince Edward Island Level I Room and board with custodial care
    Level II Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level IV Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level V Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Nova Scotia Room and board with custodial care Room and board with custodial care
    Level 1 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 2 Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Care in Residential Care Facilities Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Adult Residential Centres Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Group Homes and Developmental Residences Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in Regional Rehabilitation Centres Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II ( i.e. , medical and professional nursing supervision, etc. )
    New Brunswick Level I Room and board with custodial care
    Level Type II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Care in a Nursing home Type III ( i.e. , medical management, skilled nursing care, etc. )
    Care in a Hospital extended care Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Ontario Care in a Retirement home Room and board with custodial care
    or Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Care in a Long–term care home Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Manitoba Personal Care Level 1 Room and board with custodial care
    Personal Care Level 2 Room and board with custodial care
    Personal Care Level 3 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Personal Care Level 4 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Hospital Acute Care Level Equivalent Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Hospital/Extended Care Facility Equivalent Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Saskatchewan Supervisory care Room and board with custodial care
    Limited personal care Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Intensive personal or nursing care Type II ( i.e. , medical and professional nursing supervision, etc. )
    Long–term restorative or palliative care Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Alberta Assisted Living – Level 3 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    or Type II ( i.e. , medical and professional nursing supervision, etc. )
    Assisted Living – Level 4 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Facility Living Type II ( i.e. , medical and professional nursing supervision, etc. )
    or Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    British Columbia Registered Assisted Living Facilities Type I care (care less than 90 minutes per day)
    Licensed facilities under the Community Care and Assisted Living Act, including hospice and convalescent care facilities Type II care (personal care for a total of 1½ – 2 ½ hours in a 24 hour day, with medical and professional nursing supervision)
    Residential Care and Private Hospitals under the Hospital Act (not included in this survey) Type III care (minimum of 2½ hours of
    individual therapeutic and/or medical care per day)
    Stand–alone residential care facilities under the Hospital Act Higher Type care (substantially more nursing and/or medical care than described above, generally in acute care)
    Yukon Territory Level 1 Room and board with custodial care
    Level 2 Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level 3 Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level 4 Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level 5 Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type
    Northwest Territory Level I Room and board with custodial care
    Level II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level V Type III (i.e., medical management, skilled nursing care, etc. )
    or Higher Type
    Nunavut Level I Room and board with custodial care
    Level II Type I ( i.e. , supervision and/or assistance with daily living and meeting psycho–social needs)
    Level III Type II ( i.e. , medical and professional nursing supervision, etc. )
    Level IV Type III ( i.e. , medical management, skilled nursing care, etc. )
    Level V Type III ( i.e. , medical management, skilled nursing care, etc. )
    or Higher Type

    Instructions and Definitions

    Culture Functions:

    The cultural activities or functions included in this questionnaire are by no means exhaustive. They are however, intended to cover the major areas of current economic and political interest.

    Report expenditures under the function which is sole beneficiary of that expenditure. Expenditures related to numerous cultural activities should be included in the function "Multidisciplinary Activities".

    Row

    1. National Library

    A national library is an institution designated as such by the government.

    2. Public Libraries

    Libraries used by the public, supported chiefly by taxation, and generally governed by a public library board. Public libraries consist of main and branch libraries as well as regional, rural, provincial and urban. Excluded are departmental and agency libraries.

    3. School Libraries

    Libraries administered as units, each located in one place at least as large as a classroom, and providing books and other library services and materials for the use of all pupils and teachers. Excluded are classroom collections, teachers' collections, and book collections located in the school but administered by the public library authority.

    4. University and College Libraries

    All libraries in university and college institutions, including private colleges, technical institutes, and teachers' colleges.

    5. Museums

    All institutions open to the public and administered in the public interest for the purpose of conserving, studying, interpreting, assembling and exhibiting objects and specimens of educational and cultural value, including artistic, scientific, historical and technological materials. Included in this definition are: general museums, history museums, natural science museums, science and technology museums, art museums and galleries (excluding art galleries primarily concerned with temporary exhibits), etc.

    6. Public Archives

    Institutions designated as public archives by the government.

    7. Historic Parks and Sites

    All parks, sites, monuments and buildings designated as historical by official documentation and/ or law, including pioneer villages and heritage areas.

    8. Nature/Provincial Parks

    All nature and provincial parks whose purpose is to acquire, preserve, study, interpret, and make accessible to the public, objects, specimens, documents, buildings, and land areas of educational and cultural value. Excluded are expenses associated with recreational activities, such as the cost of providing a camp ground in a park. If these expenses cannot be excluded, provide your best estimate for such expenses in a footnote.

    9. Other Heritage

    All expenses associated with the management of programs to preserve, protect, investigate and interpret archaeological sites, as well as expenses associated with restoring historical buildings or structures of archaeological significance. Also include all other heritage activities which are not defined in categories 7 and 8.

    10. Arts Education

    For the purpose of this survey, arts education refers to the fine, applied and performing arts rather than to strictly academic fields such as language, history, literature, etc. The term "arts" as used here includes theatre, music, dance, painting, drama, photography and any other area of arts study reported by arts education institutions.

    Report all expenditures associated with the teaching of the arts both at the National Schools (such as the National Ballet School in Toronto and the National Theatre School in Montreal) and at Arts Institutions (such as Holland College of Visual Arts, Nova Scotia College of Art and Design, Ontario College of Art, Kootenay School of Art, Emily Carr University of Art and Design, Mennonite Brethren Bible/Art College and Conservatoire de musique et d'art dramatique).

    Do not report expenditures associated with the teaching of the arts at educational institutions (elementary and secondary schools, and college and university institutions).

    11. Literary Arts

    Report grants to authors and publishers for the publication of books, periodicals, magazines and newspapers. Also include financial support for literary seminars, workshops and prizes, as well as subsidies to bookstores and distributors. Costs associated with a publication put out by a cultural department or an agency should be included in expenditures for the cultural activity covered in the publication. Expenditures on these publications covering two or more cultural activities should be included in the function "Multidisciplinary Activities”.

    Do not report expenditures on non-cultural government publications. Also exclude financial support for organizations which distribute non-literary material, such as agricultural newsletters, etc.

    12. Performing Arts

    The performing arts include theatre, dance, music, and opera. Report expenditures related to creation, production and performance. Also include the financial support given to performing arts organizations, associations and groups.

    13. Visual Arts and Crafts

    Activities traditionally labelled "visual arts and crafts” include painting, sculpture, plastic arts, photography, fine and decorative arts, and craft works. Report expenditures on activities related to the actual creation and production of works of art and crafts. Also include the financial support given to organizations and institutions for activities related to visual arts and crafts, such as grants to art galleries which hold temporary exhibits or travelling shows of works of art.

    14. Film and Video

    Activities related to the creation, production, dissemination and exhibition of films and video. Report the financial support given to film organizations, associations and societies for these activities. Also include the funds spent by government on activities related to the production and distribution of films of a cultural nature.

    Do not report expenditures related to government production of non-cultural films, such as educational and promotional films produced for government by private film-makers. Also include the expenditures on censor boards.

    15. Broadcasting

    Report expenditures related to radio and television, including those associated with government broadcasting (e.g., CBC and TV Ontario). Also report financial assistance to private stations and to institutions (e.g., grants for school broadcasting).

    16. Sound Recording

    Report records, tapes and compact discs of a musical and oral nature. Report expenditures related to the creation of records, tapes, compact discs and other digital recordings as well as funds for operation of studios and purchase of equipment. Also include expenditures related to distribution, including subsidies to distributing companies, manufacturers and stores.

    17. Multiculturalism

    Report expenditures and grants for multiculturalism.

    18. Multidisciplinary Activities

    Report expenditures related to numerous activities or functions which cannot be broken down by function. This includes financial support given to cultural facilities, centres, festivals, municipalities, cultural exchange programs and arts organizations for various cultural activities.

    19. Other

    Report unallocatable general and administration expenditures related to numerous cultural activities. Allocatable general and administration expenditures should be included in the expenditures for the various cultural activities.

    Expenditures on Cultural Activities:

    Departments/Ministries should report their gross budgetary expenditures (revenues credited to the vote are not subtracted). To avoid duplication, exclude from department or ministry expenditures any grants given to agencies which keep their own financial accounts, because these agencies will file their spending reports separately.

    Agencies should report their gross total expenditures. The expenditures of an agency may exceed government grants if its spending is supported by revenues generated by its operation.

    Type of Expenditure

    Intramural - the reporting department/unit. The cultural work is normally carried out by personnel assigned to the department and usually in facilities of the department. Also included are the administration of extramural programs, the costs of acquiring land, buildings and equipment to be used for cultural activities, and contracts to provide services required for cultural projects (e.g., computer services).

    Column

    1. Wages and Salaries

    Report expenditures for wages and salaries for full-time, part-time, regular, term, and casual employees. Also include the employee benefits paid by the government into social security, pension funds, etc. Exclude expenses not requiring a cash outlay, such as accrued employee termination benefits and vacation pay.

    2. Purchases of Goods and Services

    Report expenses associated with the purchase of materials and office supplies, rent, fuel and light, repairs and maintenance, printing, travel expenses, telephone and telegraph charges, equipment with a normal life of under one year and purchase of other goods and services (excluding employee services) required for the department or agency to operate. Also include the fees paid to freelancers during the reporting period. Exclude expenditures not requiring a cash outlay, such as depreciation and amortization expenses, and imputed costs of accommodation provided without charge by departments and agencies.

    3. Operating Expenditures

    Report the sum of the amounts listed in category I (wages and salaries) and category 2 (purchases of goods and services).

    4. Capital Expenditures

    Expenditures on goods with a normal life of more than one year. Report expenses associated with the construction and acquisition of land, buildings, machinery and equipment. Also include the expenses associated with extraordinary building repairs.

    Extramural - grants, contributions and transfers to arts and culture.

    (a). Operating Grants, Contributions and Transfers

    Report financial assistance which is not for capital development or acquisition but is described as current (operating) in the financial statements.

    5. Individuals

    Report financial assistance to individuals, such as grants to artists, and prizes and awards to individuals.

    6. Associations and Organizations

    Report financial assistance and transfers to institutions (such as museums, archives and libraries), companies, associations, groups and organizations.

    7. Provincial/territorial Governments

    Report transfers to the provincial/territorial governments under laws respecting fiscal arrangements between the Federal Government and the provinces/territories, contributions pertaining to shared-cost programs, and assistance to finance existing programs.

    8. Municipal Governments

    Report transfers to municipalities, special-purpose boards (such as regional library boards and conservation authorities) and school boards for arts and culture related activities.

    9. Other

    Report financial assistance and transfers for arts and culture not included in the above categories, such as assistance to foreign governments for arts and culture related activities.

    (b). Capital Grants, Contributions and Transfers

    Report grants and transfers made to finance the acquisition of capital assets.
    Definitions of columns 11 to 15 correspond to the definitions above for columns 5 to 9.

    Method for Allocating Expenditures to Provinces and Territories

    Please break down the expenditures by province/territory as follows:

    Intramural

    Column

    1. Wages and Salaries

    Report the provincial/territorial breakdown of wages and salaries according to the provincial territorial location of the department or agency which makes the payment to the staff members. For branch office(s) of a department or an agency, report the provincial territorial breakdown of wages and salaries according to the provincial territorial location of the branch office(s).

    2. Purchases of Goods and Services (excluding employee services)

    Report the provincial territorial breakdown of expenses associated with the purchases of goods and services (including fees paid to freelancers) in accordance with the provincial territorial location of the Head Office and branch office(s) purchasing goods and services.

    4. Capital Expenditures

    Report the provincial territorial breakdown of expenditures related to the purchase of land and construction of buildings according to their provincial territorial location. Also report the provincial territorial breakdown of costs associated with the acquisition of machinery and equipment in accordance with the provincial/ territorial location of the supplier.

    Extramural

    5. to 16. Report the provincia1/territorial breakdown of grants, contributions and transfers according to the permanent residence or location of the recipient. In the case of individual artists, report the province/territory of permanent residence at the time of application. For arts organizations, report the province/territory which is their home base in spite of the fact that some of these organizations, such as performing arts companies, may tour and thereby benefit many regions. In the same way, many galleries exhibit the works of art from across the country but their home base is in a given province/territory.

    Do not break down the financial assistance to national organizations by province/territory (Report the data under national organizations as indicated in the table). Included in national organizations are those organizations from whose services the entire country benefits (such as the Canadian Conference of the Arts, National Ballet School, National Theatre School and professional service associations, such as the writer's union). Also include in national organizations the grants given to individuals for international representation, as well as financial assistance to visiting foreign artists.

    General information

    Record linkages

    To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

    Concepts, definitions and data quality

    The Monthly Survey of Manufacturing (MSM) publishes statistical series for manufacturers – sales of goods manufactured, inventories, unfilled orders and new orders. The values of these characteristics represent current monthly estimates of the more complete Annual Survey of Manufactures and Logging (ASML) data.

    The MSM is a sample survey of approximately 10,500 Canadian manufacturing establishments, which are categorized into over 220 industries. Industries are classified according to the 2007 North American Industrial Classification System (NAICS). Seasonally adjusted series are available for the main aggregates.

    An establishment comprises the smallest manufacturing unit capable of reporting the variables of interest. Data collected by the MSM provides a current ‘snapshot’ of sales of goods manufactured values by the Canadian manufacturing sector, enabling analysis of the state of the Canadian economy, as well as the health of specific industries in the short- to medium-term. The information is used by both private and public sectors including Statistics Canada, federal and provincial governments, business and trade entities, international and domestic non-governmental organizations, consultants, the business press and private citizens. The data are used for analyzing market share, trends, corporate benchmarking, policy analysis, program development, tax policy and trade policy.

    1. Sales of goods manufactured

    Sales of goods manufactured (formerly shipments of goods manufactured) are defined as the value of goods manufactured by establishments that have been shipped to a customer. Sales of goods manufactured exclude any wholesaling activity, and any revenues from the rental of equipment or the sale of electricity. Note that in practice, some respondents report financial trans­ac­tions rather than payments for work done. Sales of goods manufactured are available by 3-digit NAICS, for Canada and broken down by province.

    For the aerospace product and parts, and shipbuilding industries, the value of production is used instead of sales of goods manufactured. This value is calculated by adjusting monthly sales of goods manufactured by the monthly change in inventories of goods / work in process and finished goods manufactured. Inventories of raw materials and components are not included in the calculation since production tries to measure "work done" during the month. This is done in order to reduce distortions caused by the sales of goods manufactured of high value items as completed sales.

    2. Inventories

    Measurement of component values of inventory is important for economic studies as well as for derivation of production values. Respondents are asked to report their book values (at cost) of raw materials and components, any goods / work in process, and fin­ished goods manufactured inventories separately. In some cases, respondents estimate a total inventory figure, which is allocated on the basis of proportions reported on the ASML. Inventory levels are calculated on a Canada‑wide basis, not by province.

    3. Orders

    a) Unfilled Orders

    Unfilled orders represent a backlog or stock of orders that will generate future sales of goods manufactured assuming that they are not cancelled. As with inventories, unfilled orders and new orders levels are calculated on a Canada‑wide basis, not by province.

    The MSM produces estimates for unfilled orders for all industries except for those industries where orders are customarily filled from stocks on hand and order books are not gen­erally maintained. In the case of the aircraft companies, options to purchase are not treated as orders until they are entered into the account­ing system.

    b) New Orders

    New orders represent current demand for manufactured products. Estimates of new orders are derived from sales of goods manufactured and unfilled orders data. All sales of goods manufactured within a month result from either an order received during the month or at some earlier time. New orders can be calculated as the sum of sales of goods manufactured adjusted for the monthly change in unfilled orders.

    4. Non-Durable / Durable goods

    a) Non-durable goods industries include:

    Food (NAICS 311),
    Beverage and Tobacco Products (312),
    Textile Mills (313),
    Textile Product Mills (314),
    Clothing (315),
    Leather and Allied Products (316),
    Paper (322),
    Printing and Related Support Activities (323),
    Petroleum and Coal Products (324),
    Chemicals (325) and
    Plastic and Rubber Products (326).

    b) Durable goods industries include:

    Wood Products (NAICS 321),
    Non-Metallic Mineral Products (327),
    Primary Metals (331),
    Fabricated Metal Products (332),
    Machinery (333),
    Computer and Electronic Products (334),
    Electrical Equipment, Appliance and Components (335),
    Transportation Equipment (336),
    Furniture and Related Products (337) and
    Miscellaneous Manufacturing (339). 

    Survey design and methodology

    Beginning with the August 1999 reference month, the Monthly Survey of Manufacturing (MSM) underwent an extensive redesign.

    Concept Review

    In 1998, it was decided that before any redesign work could begin the basic concepts and definitions of the program would be confirmed.

    This was done in two ways: First, a review of user requirements was initiated. This involved revisiting an internal report to ensure that the user requirements from that exercise were being satisfied. As well, another round of internal review with the major users in the National Accounts was undertaken. This was to specifically focus on any data gaps that could be identified.

    Secondly, with these gaps or requirements in hand, a survey was conducted in order to ascertain respondent’s ability to report existing and new data. The study was also to confirm that respondents understood the definitions, which were being asked by survey analysts.

    The result of the concept review was a reduction of the number of questions for the survey from sixteen to seven. Most of the questions that were dropped had to do with the reporting of sales of goods manufactured for work that was partially completed.

    In 2007, the MSM terminology was updated to be Charter of Accounts (COA) compliant. With the August 2007 reference month release the MSM has harmonized its concepts to the ASML. The variable formerly called “Shipments” is now called “Sales of goods manufactured”. As well, minor modifications were made to the inventory component names. The definitions have not been modified nor has the information collected from the survey.

    Methodology

    The latest sample design incorporates the 2007 North American Industrial Classification Standard (NAICS). Stratification is done by province with equal quality requirements for each province. Large size units are selected with certainty and small units are selected with a probability based on the desired quality of the estimate within a cell.

    The estimation system generates estimates using the NAICS. The estimates will also continue to be reconciled to the ASML. Provincial estimates for all variables will be produced. A measure of quality (CV) will also be produced.

    Components of the Survey Design

    Target Population and Sampling Frame

    Statistics Canada’s business register provides the sampling frame for the MSM. The target population for the MSM consists of all statistical establishments on the business register that are classified to the manufacturing sector (by NAICS). The sampling frame for the MSM is determined from the target population after subtracting establishments that represent the bottom 5% of the total manufacturing sales of goods manufactured estimate for each province. These establishments were excluded from the frame so that the sample size could be reduced without significantly affecting quality.

    The Sample

    The MSM sample is a probability sample comprised of approximately 10,500 establishments. A new sample was chosen in the autumn of 2006, followed by a six-month parallel run (from reference month September 2006 to reference month February 2007). The refreshed sample officially became the new sample of the MSM effective in January 2007.

    This marks the first process of refreshing the MSM sample since 2002. The objective of the process is to keep the sample frame as fresh and up-to date as possible. All establishments in the sample are refreshed to take into account changes in their value of sales of goods manufactured, the removal of dead units from the sample and some small units are rotated out of the GST-based portion of the sample, while others are rotated into the sample.

    Prior to selection, the sampling frame is subdivided into industry-province cells. For the most part, NAICS codes were used. Depending upon the number of establishments within each cell, further subdivisions were made to group similar sized establishments’ together (called stratum). An establishment’s size was based on its most recently available annual sales of goods manufactured or sales value. 

    Each industry by province cell has a ‘take-all’ stratum composed of establishments sampled each month with certainty. This ‘take-all’ stratum is composed of establishments that are the largest statistical enterprises, and have the largest impact on estimates within a particular industry by province cell. These large statistical enterprises comprise 45% of the national manufacturing sales of goods manufactured estimates.

    Each industry by province cell can have at most three ‘take-some’ strata. Not all establishments within these stratums need to be sampled with certainty. A random sample is drawn from the remaining strata. The responses from these sampled establishments are weighted according to the inverse of their probability of selection. In cells with take-some portion, a minimum sample of 10 was imposed to increase stability.

    The take-none portion of the sample is now estimated from administrative data and as a result, 100% of the sample universe is covered. Estimation of the take-none portion also improved efficiency as a larger take-none portion was delineated and the sample could be used more efficiently on the smaller sampled portion of the frame.

    Data Collection

    Only a subset of the sample establishments is sent out for data collection. For the remaining units, information from administrative data files is used as a source for deriving sales of goods manufactured data. For those establishments that are surveyed, data collection, data capture, preliminary edit and follow-up of non-respondents are all performed in Statistics Canada regional offices. Sampled establishments are contacted by mail or telephone according to the preference of the respondent. Data capture and preliminary editing are performed simultaneously to ensure the validity of the data.

    In some cases, combined reports are received from enterprises or companies with more than one establishment in the sample where respondents prefer not to provide individual establishment reports. Businesses, which do not report or whose reports contain errors, are followed up immediately.

    Use of Administrative Data

    Managing response burden is an ongoing challenge for Statistics Canada. In an attempt to alleviate response burden, especially for small businesses, Statistics Canada has been investigating various alternatives to survey taking. Administrative data files are a rich source of information for business data and Statistics Canada is working at mining this rich data source to its full potential. As such, effective the August 2004 reference month, the MSM reduced the number of simple establishments in the sample that are surveyed directly and instead, derives sales of goods manufactured data for these establishments from Goods and Services Tax (GST) files using a statistical model. The model accounts for the difference between sales of goods manufactured (reported to MSM) and sales (reported for GST purposes) as well as the time lag between the reference period of the survey and the reference period of the GST file.

    In conjunction with the most recent sample, effective January 2007, approximately 2,500 simple establishments were selected to represent the GST portion of the sample.

    Inventories and unfilled orders estimates for establishments where sales of goods manufactured are GST-based are derived using the MSM’s imputation system. The imputation system applies to the previous month values, the month-to-month and year-to-year changes in similar firms which are surveyed. With the most recent sample, the eligibility rules for GST-based establishments were refined to have more GST-based establishments in industries that typically carry fewer inventories. This way the impact of the GST-based establishments which require the estimation of inventories, will be kept to a minimum.

    Detailed information on the methodology used for modelling sales of goods manufactured from administrative data sources can be found in the ‘Monthly Survey of Manufacturing: Use of Administrative Data’ (Catalogue no. 31-533-XIE) document.

    Data quality

    Statistical Edit and Imputation

    Data are analyzed within each industry-province cell. Extreme values are listed for inspection by the magnitude of the deviation from average behavior. Respondents are contacted to verify extreme values. Records that fail statistical edits are considered outliers and are not used for imputation.

    Values are imputed for the non-responses, for establishments that do not report or only partially complete the survey form. A number of imputation methods are used depending on the variable requiring treatment. Methods include using industry-province cell trends, historical responses, or reference to the ASML. Following imputation, the MSM staff performs a final verification of the responses that have been imputed.

    Revisions

    In conjunction with preliminary estimates for the current month, estimates for the previous three months are revised to account for any late returns. Data are revised when late responses are received or if an incorrect response was recorded earlier.

    Estimation

    Estimates are produced based on returns from a sample of manufacturing establishments in combination with administrative data for a portion of the smallest establishments. The survey sample includes 100% coverage of the large manufacturing establishments in each industry by province, plus partial coverage of the medium and small-sized firms. Combined reports from multi-unit companies are pro-rated among their establishments and adjustments for progress billings reflect revenues received for work done on large item contracts. Approximately 2,500 of the sampled medium and small-sized establishments are not sent questionnaires, but instead their sales of goods manufactured are derived by using revenue from the GST files. The portion not represented through sampling – the take-none portion - consist of establishments below specified thresholds in each province and industry. Sub-totals for this portion are also derived based on their revenues.

    Industry values of sales of goods manufactured, inventories and unfilled orders are estimated by first weighting the survey responses, the values derived from the GST files and the imputations by the number of establishments each represents. The weighted estimates are then summed with the take-none portion. While sales of goods manufactured estimates are produced by province, no geographical detail is compiled for inventories and orders since many firms cannot report book values of these items monthly.

    Benchmarking

    Up to and including 2003, the MSM was benchmarked to the Annual Survey of Manufactures and Logging (ASML). Benchmarking was the regular review of the MSM estimates in the context of the annual data provided by the ASML. Benchmarking re-aligned the annualized level of the MSM based on the latest verified annual data provided by the ASML.

    Significant research by Statistics Canada in 2006 to 2007 was completed on whether the benchmark process should be maintained. The conclusion was that benchmarking of the MSM estimates to the ASML should be discontinued. With the refreshing of the MSM sample in 2007, it was determined that benchmarking would no longer be required (retroactive to 2004) because the MSM now accurately represented 100% of the sample universe. Data confrontation will continue between MSM and ASML to resolve potential discrepancies. 

    As of the January 2007 reference month, a new sample was introduced. It is standard practice that every few years the sample is refreshed to ensure that the survey frame is up to date with births, deaths and other changes in the population. The refreshed sample is linked at the detailed level to prevent data breaks and to ensure the continuity of time series. It is designed to be more representative of the manufacturing industry at both the national and provincial levels.

    Data confrontation and reconciliation

    Each year, during the period when the Annual Survey of Manufactures and Logging section set their annual estimates, the MSM section works with the ASML section to confront and reconcile significant differences in values between the fiscal ASML and the annual MSM at the strata and industry level.

    The purpose of this exercise of data reconciliation is to highlight and resolve significant differences between the two surveys and to assist in minimizing the differences in the micro-data between the MSM and the ASML.

    Sampling and Non-sampling Errors

    The statistics in this publication are estimates derived from a sample survey and, as such, can be subject to errors. The following material is provided to assist the reader in the interpretation of the estimates published.

    Estimates derived from a sample survey are subject to a number of different kinds of errors. These errors can be broken down into two major types: sampling and non-sampling.

    1. Sampling Errors

    Sampling errors are an inherent risk of sample surveys. They result from the difference between the value of a variable if it is randomly sampled and its value if a census is taken (or the average of all possible random values). These errors are present because observations are made only on a sample and not on the entire population.

    The sampling error depends on factors such as the size of the sample, variability in the population, sampling design and method of estimation. For example, for a given sample size, the sampling error will depend on the stratification procedure employed, allocation of the sample, choice of the sampling units and method of selection. (Further, even for the same sampling design, we can make different calculations to arrive at the most efficient estimation procedure.) The most important feature of probability sampling is that the sampling error can be measured from the sample itself.

    2. Non-sampling Errors

    Non-sampling errors result from a systematic flaw in the structure of the data-collection procedure or design of any or all variables examined. They create a difference between the value of a variable obtained by sampling or census methods and the variable’s true value. These errors are present whether a sample or a complete census of the population is taken. Non-sampling errors can be attributed to one or more of the following sources:

    a) Coverage error: This error can result from incomplete listing and inadequate coverage of the population of interest.

    b) Data response error: This error may be due to questionnaire design, the characteristics of a question, inability or unwillingness of the respondent to provide correct information, misinterpretation of the questions or definitional problems.

    c) Non-response error: Some respondents may refuse to answer questions, some may be unable to respond, and others may be too late in responding. Data for the non-responding units can be imputed using the data from responding units or some earlier data on the non-responding units if available.

    The extent of error due to imputation is usually unknown and is very much dependent on any characteristic differences between the respondent group and the non-respondent group in the survey. This error generally decreases with increases in the response rate and attempts are therefore made to obtain as high a response rate as possible.

    d) Processing error: These errors may occur at various stages of processing such as coding, data entry, verification, editing, weighting, and tabulation, etc. Non-sampling errors are difficult to measure. More important, non-sampling errors require control at the level at which their presence does not impair the use and interpretation of the results.

    Measures have been undertaken to minimize the non-sampling errors. For example, units have been defined in a most precise manner and the most up-to-date listings have been used. Questionnaires have been carefully designed to minimize different interpretations. As well, detailed acceptance testing has been carried out for the different stages of editing and processing and every possible effort has been made to reduce the non-response rate as well as the response burden.

    Measures of Sampling and Non-sampling Errors

    1. Sampling Error Measures

    The sample used in this survey is one of a large number of all possible samples of the same size that could have been selected using the same sample design under the same general conditions. If it was possible that each one of these samples could be surveyed under essentially the same conditions, with an estimate calculated from each sample, it would be expected that the sample estimates would differ from each other.

    The average estimate derived from all these possible sample estimates is termed the expected value. The expected value can also be expressed as the value that would be obtained if a census enumeration were taken under identical conditions of collection and processing. An estimate calculated from a sample survey is said to be precise if it is near the expected value.

    Sample estimates may differ from this expected value of the estimates. However, since the estimate is based on a probability sample, the variability of the sample estimate with respect to its expected value can be measured. The variance of an estimate is a measure of the precision of the sample estimate and is defined as the average, over all possible samples, of the squared difference of the estimate from its expected value.

    The standard error is a measure of precision in absolute terms. The coefficient of variation (CV), defined as the standard error divided by the sample estimate, is a measure of precision in relative terms. For comparison purposes, one may more readily compare the sampling error of one estimate to the sampling error of another estimate by using the coefficient of variation.

    In this publication, the coefficient of variation is used to measure the sampling error of the estimates. However, since the coefficient of variation published for this survey is calculated from the responses of individual units, it also measures some non-sampling error.

    The formula used to calculate the published coefficients of variation (CV) in Table 1 is:

    CV(X) = S(X)/X

    where X denotes the estimate and S(X) denotes the standard error of X.

    In this publication, the coefficient of variation is expressed as a percentage.

    Confidence intervals can be constructed around the estimate using the estimate and the coefficient of variation. Thus, for our sample, it is possible to state with a given level of confidence that the expected value will fall within the confidence interval constructed around the estimate. For example, if an estimate of $12,000,000 has a coefficient of variation of 10%, the standard error will be $1,200,000 or the estimate multiplied by the coefficient of variation. It can then be stated with 68% confidence that the expected value will fall within the interval whose length equals the standard deviation about the estimate, i.e., between $10,800,000 and $13,200,000. Alternatively, it can be stated with 95% confidence that the expected value will fall within the interval whose length equals two standard deviations about the estimate, i.e., between $9,600,000 and $14,400,000.

    Text table 1 contains the national level CVs, expressed as a percentage, for all manufacturing for the MSM characteristics. For CVs at other aggregate levels, contact the Dissemination and Frame Services Section at (613) 951-9497, toll free: 1-866-873-8789 or by e-mail at manufact@statcan.gc.ca.

    Text table 1
    National Level CVs by Characteristic
    Month Sales of goods manufactured Raw materials and components inventories Goods / work in process inventories Finished goods manufactured inventories Unfilled Orders
    % % % % %
    Jan-11 0.80 1.20 1.68 1.35 1.68
    Feb-11 0.74 1.22 1.72 1.38 1.93
    Mar-11 0.74 1.21 1.66 1.33 2.77
    Apr-11 0.76 1.20 1.73 1.33 2.70
    May-11 0.77 1.20 1.71 1.40 2.67
    Jun-11 0.77 1.16 1.76 1.41 2.73
    Jul-11 0.74 1.19 1.80 1.41 2.64
    Aug-11 0.78 1.26 1.87 1.38 2.62
    Sep-11 0.80 1.28 1.88 1.38 2.61
    Oct-11 0.83 1.25 1.86 1.35 2.66
    Nov-11 0.86 1.28 1.78 1.36 2.68
    Dec-11 0.81 1.39 1.78 1.36 2.60
    Jan-12 0.89 1.29 1.84 1.38 2.60

    2. Non-sampling Error Measures

    The exact population value is aimed at or desired by both a sample survey as well as a census. We say the estimate is accurate if it is near this value. Although this value is desired, we cannot assume that the exact value of every unit in the population or sample can be obtained and processed without error. Any difference between the expected value and the exact population value is termed the bias. Systematic biases in the data cannot be measured by the probability measures of sampling error as previously described. The accuracy of a survey estimate is determined by the joint effect of sampling and non-sampling errors.

    Three sources of non-sampling error in the MSM are non-response error, imputation error and the error due to editing. To assist users in evaluating these errors, weighted rates that are related to these three types of error are given in Text table 2. The following is an example of what is meant by a weighted rate. A cell with a sample of 20 units in which five respond for a particular month would have a response rate of 25%. If these five reporting units represented $8 million out of a total estimate of $10 million, the weighted response rate would be 80%.

    The definitions of the three weighted rates noted in Text table 2 follow. The weighted response rate is the proportion of a characteristic’s total estimate that is based upon reported data (excluding data that has been edited). The weighted imputation rate is the proportion of a characteristic’s total estimate that is based upon imputed data. The weighted editing rate is the proportion of a characteristic’s total estimate that is based upon data that was edited (edited data may have been originally reported or imputed).

    Text table 2 contains the three types of weighted rates for each of the characteristics at the national level for all of manufacturing. In the table, the rates are expressed as percentages.

    Text Table 2
    National Weighted Rates by Source and Characteristic
    Characteristics Survey Source Administrative Data Source
    Response Imputation Editing Modeled Imputation Editing
    % % % % % %
    Sales of goods manufactured 82.00 4.01 7.30 6.10 0.32 0.26
    Raw materials and components 73.22 11.34 5.91 0.00 9.51 0.02
    Goods / work in process 57.67 13.52 21.40 0.00 7.34 0.07
    Finished goods manufactured 77.02 8.20 4.82 0.00 8.56 1.39
    Unfilled Orders 49.34 5.16 40.77 0.00 3.54 1.19

    Joint Interpretation of Measures of Error

    The measure of non-response error as well as the coefficient of variation must be considered jointly to have an overview of the quality of the estimates. The lower the coefficient of variation and the higher the weighted response rate, the better will be the published estimate.

    Seasonal Adjustment

    Economic time series contain the elements essential to the description, explanation and forecasting of the behavior of an economic phenomenon. They are statistical records of the evolution of economic processes through time. In using time series to observe economic activity, economists and statisticians have identified four characteristic behavioral components: the long-term movement or trend, the cycle, the seasonal variations and the irregular fluctuations. These movements are caused by various economic, climatic or institutional factors. The seasonal variations occur periodically on a more or less regular basis over the course of a year. These variations occur as a result of seasonal changes in weather, statutory holidays and other events that occur at fairly regular intervals and thus have a significant impact on the rate of economic activity.

    In the interest of accurately interpreting the fundamental evolution of an economic phenomenon and producing forecasts of superior quality, Statistics Canada uses the X12-ARIMA seasonal adjustment method to seasonally adjust its time series. This method minimizes the impact of seasonal variations on the series and essentially consists of adding one year of estimated raw data to the end of the original series before it is seasonally adjusted per se. The estimated data are derived from forecasts using ARIMA (Auto Regressive Integrated Moving Average) models of the Box-Jenkins type.

    The X-12 program uses primarily a ratio-to-moving average method. It is used to smooth the modified series and obtain a preliminary estimate of the trend-cycle. It also calculates the ratios of the original series (fitted) to the estimates of the trend-cycle and estimates the seasonal factors from these ratios. The final seasonal factors are produced only after these operations have been repeated several times.

    The technique that is used essentially consists of first correcting the initial series for all sorts of undesirable effects, such as the trading-day and the Easter holiday effects, by a module called regARIMA. These effects are then estimated using regression models with ARIMA errors. The series can also be extrapolated for at least one year by using the model. Subsequently, the raw series, pre-adjusted and extrapolated if applicable, is seasonally adjusted by the X-12 method.

    The procedures to determine the seasonal factors necessary to calculate the final seasonally adjusted data are executed every month. This approach ensures that the estimated seasonal factors are derived from an unadjusted series that includes all the available information about the series, i.e. the current month's unadjusted data as well as the previous month's revised unadjusted data.

    While seasonal adjustment permits a better understanding of the underlying trend-cycle of a series, the seasonally adjusted series still contains an irregular component. Slight month-to-month variations in the seasonally adjusted series may be simple irregular movements. To get a better idea of the underlying trend, users should examine several months of the seasonally adjusted series.

    The aggregated Canada level series are now seasonally adjusted directly, meaning that the seasonally adjusted totals are obtained via X-12-ARIMA. Afterwards, these totals are used to reconcile the provincial total series which have been seasonally adjusted individually.

    For other aggregated series, indirect seasonal adjustments are used. In other words, their seasonally adjusted totals are derived indirectly by the summation of the individually seasonally adjusted kinds of business.

    Trend

    A seasonally adjusted series may contain the effects of irregular influences and special circumstances and these can mask the trend. The short term trend shows the underlying direction in seasonally adjusted series by averaging across months, thus smoothing out the effects of irregular influences. The result is a more stable series. The trend for the last month may be, subject to significant revision as values in future months are included in the averaging process.

    Real manufacturing sales of goods manufactured, inventories, and orders

    Changes in the values of the data reported by the Monthly Survey of Manufacturing (MSM) may be attributable to changes in their prices or to the quantities measured, or both. To study the activity of the manufacturing sector, it is often desirable to separate out the variations due to price changes from those of the quantities produced. This adjustment is known as deflation.

    Deflation consists in dividing the values at current prices obtained from the survey by suitable price indexes in order to obtain estimates evaluated at the prices of a previous period, currently the year 2002. The resulting deflated values are said to be “at 2002 prices”. Note that the expression “at current prices” refer to the time the activity took place, not to the present time, nor to the time of compilation.

    The deflated MSM estimates reflect the prices that prevailed in 2002. This is called the base year. The year 2002 was chosen as base year since it corresponds to that of the price indexes used in the deflation of the MSM estimates. Using the prices of a base year to measure current activity provides a representative measurement of the current volume of activity with respect to that base year. Current movements in the volume are appropriately reflected in the constant price measures only if the current relative importance of the industries is not very different from that in the base year.

    The deflation of the MSM estimates is performed at a very fine industry detail, equivalent to the 6-digit industry classes of the North American Industry Classification System (NAICS). For each industry at this level of detail, the price indexes used are composite indexes which describe the price movements for the various groups of goods produced by that industry.

    With very few exceptions the price indexes are weighted averages of the Industrial Product Price Indexes (IPPI). The weights are derived from the annual Canadian Input-Output tables and change from year to year. Since the Input-Output tables only become available with a delay of about two and a half years, the weights used for the most current years are based on the last available Input-Output tables.

    The same price index is used to deflate sales of goods manufactured, new orders and unfilled orders of an industry. The weights used in the compilation of this price index are derived from the output tables, evaluated at producer’s prices. Producer prices reflect the prices of the goods at the gate of the manufacturing establishment and exclude such items as transportation charges, taxes on products, etc. The resulting price index for each industry thus reflects the output of the establishments in that industry.

    The price indexes used for deflating the goods / work in process and the finished goods manufactured inventories of an industry are moving averages of the price index used for sales of goods manufactured. For goods / work in process inventories, the number of terms in the moving average corresponds to the duration of the production process. The duration is calculated as the average over the previous 48 months of the ratio of end of month goods / work in process inventories to the output of the industry, which is equal to sales of goods manufactured plus the changes in both goods / work in process and finished goods manufactured inventories.

    For finished goods manufactured inventories, the number of terms in the moving average reflects the length of time a finished product remains in stock. This number, known as the inventory turnover period, is calculated as the average over the previous 48 months of the ratio of end-of-month finished goods manufactured inventory to sales of goods manufactured.

    To deflate raw materials and components inventories, price indexes for raw materials consumption are obtained as weighted averages of the IPPIs. The weights used are derived from the input tables evaluated at purchaser’s prices, i.e. these prices include such elements as wholesaling margins, transportation charges, and taxes on products, etc. The resulting price index thus reflects the cost structure in raw materials and components for each industry.

    The raw materials and components inventories are then deflated using a moving average of the price index for raw materials consumption. The number of terms in the moving average corresponds to the rate of consumption of raw materials. This rate is calculated as the average over the previous four years of the ratio of end-of-year raw materials and components inventories to the intermediate inputs of the industry.

    Canadian Vehicle Survey - Data Accuracy

    While considerable effort is put forth to ensure that a high standard is maintained throughout all survey operations, the resulting estimates are inevitably subject to a certain degree of error. The total survey error is defined as the difference between the survey estimate and the true value for the population, at which the survey estimate aims. The total survey error consists of two types of errors: sampling and non-sampling errors.

    Sampling error

    When a sample is selected from a population, estimates based on the sample data may not be exactly the same as what would be obtained from a census of that population. The two results will likely differ since only data for sampled units are used. In the case of a census, there is no sampling error.

    The difference between the estimates from a sample survey and a census conducted under the same conditions is referred to as the sampling error of a survey estimate. Factors such as the sample size, the sample design, the variability of the population characteristic under study and the estimation method affect the sampling error. If the population is very heterogeneous like the population of registered motor vehicles, a large sample size is needed to obtain reliable estimates.

    The sampling error is measured by a statistical quantity called the standard error. This quantity reflects the expected variability of the survey estimate of a particular population characteristic if repeated sampling is carried out. The true value of the standard error is, of course, not known but can be estimated from the sample. The estimated standard error is used in terms of a relative measure called the coefficient of variation (or CV). This measure is simply the estimated standard error expressed as a percentage of the value of the survey estimate. Therefore, a smaller CV indicates better reliability of the estimate.

    Non-sampling errors

    The sampling error is only one component of the total survey error. All other errors arising from all phases of a survey are called non-sampling errors. As the sample size becomes closer to the population size, the sampling error component of the total survey error is expected to decrease. However, this is not necessarily true for the nonsampling error component. For example, this type of error can arise when a respondent provides incorrect information or does not answer certain questions, when a unit in the population of interest is omitted or covered more than once, when a unit that is out-of-scope for the survey is included by mistake or when errors occur in data processing, such as coding and capture errors.

    Some non-sampling errors will cancel over a large number of observations, but systematically occurring errors (i.e. those that do not tend to cancel) will contribute to a bias in the estimates. For example, in the case of the CVS, if individuals that use their vehicles more than an average person consistently tend not to respond to the survey, then the resulting estimate of the total vehicle- kilometres will be below the true population total. Any such biases are not reflected in the estimates of standard error.

    The non-sampling error as a whole is only one part of the total survey error but its contribution may be important. To minimize the effect of this type of error, a quality assurance program is carried out for each survey. For instance, follow- ups of nonrespondents can be conducted to obtain information from the total nonrespondents or to complete partially unanswered questionnaires for questions that are deemed essential. Various quality assurance procedures can be exercised at the data capture step. The data editing procedures can identify some inconsistencies in the data structure and the imputation procedures can then correct the identified inconsistencies.

    In general, non-sampling errors are difficult to quantify. Special studies must be conducted to estimate them. However, certain measures such as response and imputation rates are easily obtained and can be used as indicators of the non- sampling errors. Different types of non-sampling errors are discussed below.

    Coverage errors

    Coverage errors arise when the survey population does not adequately cover the population of interest. As a result, certain units belonging to the population of interest are either excluded (undercoverage), or counted more than once (overcoverage). In addition, out of scope units may be present in the survey population (overcoverage).

    The following sources of coverage errors for the CVS were observed:

    • Errors in the classification variables of the survey may result in either under- or overcoverage of the registered vehicles.
    • The sample is drawn from the list created three months prior to the beginning of the reference period. Thus the vehicles registered after the list was created and before the end of the reference period cannot be drawn into the sample.
    • A vehicle list from any jurisdiction that was not created on time or did not arrive at all results in even larger undercoverage since an older list has to be used for sampling.
    • A vehicle list created early causes overcoverage.
    • A vehicle that has been scrapped or salvaged and remained on the list causes overcoverage.
    • The survey population (see "Data quality, concepts and methodology” section of the Statistics Canada – Catalogue no. 53F0004X) can contain vehicles with the same Vehicle Identification Number (VIN), for example, when a vehicle is on the registration file of more than one jurisdiction. Since every vehicle has a unique VIN, this is likely to cause some overcoverage and consequently overestimation.
    • A vehicle that was registered and subsequently unregistered between two consecutive registration lists causes undercoverage.

    Thus the CVS is subject to some degree of under and over coverage. The estimation procedure is designed to compensate for the part of the under- and over coverage that has been determined.

    Since we assume that the respondent is right (unless we have hard evidence to the contrary), the corrections at the estimation stage are mostly based on the respondent statements.

    Response errors

    Response errors occur when a respondent provides incorrect information due to a misinterpretation of the survey questions or due to a lack of correct information, or when a respondent is reluctant to disclose the correct information. Large response errors are likely to be caught during editing. However, others may simply go through undetected.

    Few response errors were discovered during editing of the data.

    Nonresponse errors

    Nonresponse errors can occur when a respondent does not respond at all (total nonresponse) or responds only to some questions (partial nonresponse). These errors can have a serious effect if the nonrespondents are systematically different in survey characteristics from the respondents and/or the nonresponse rate is high. See the response rate tables in "Data quality, concepts and methodology” section of the Statistics Canada – Catalogue no. 53F0004X.

    Processing errors

    Apart from coverage, response and nonresponse errors described above, errors that occur during the processing of the data constitute another component of the non-sampling error. Processing errors can arise in data capture, coding, transcription, editing, imputation, outlier detection and treatment, and other types of data handling.

    A coding error occurs when a field is coded erroneously because of a misinterpretation of the coding procedures or a bad judgment. A data capture error occurs when the data are misinterpreted or keyed incorrectly. For example, an odometer reading of 53467 could be keyed as 54367.

    Once data are coded and captured, they are subject to editing and imputation of missing or erroneous values. The quality of the data used in the estimation depends on the amount of imputation and the difference between the imputed and the true, but unknown, values. The imputation system could result in bias of the estimates. This can happen due to wrong assumptions or due to inability toimpute. For example, in the CVS, it is impossible to detect, for vehicles that travel only a small distance during the reported period, fuel purchases that are missing or entered in error.

    Quality indicators

    Response rates by province and vehicle type vary usually between 50 and 80%. The c.v. response rate and the relative imputation rate should be considered simultaneously to make an assessment of the reliability of an estimate. To assist the user in evaluating the potential effect of nonresponse, imputation and sampling error, a quality indicator accompanies every estimate. The quality indicator takes into account simultaneously the c.v. and the relative imputation rate.

    Quality Symbol C.V. equivalent Explanation of estimate quality
    A Less than 5% Excellent
    B 5% to 10% Very good
    C 10% to 15% Good
    D 15% to 20% Acceptable
    E 20% to 35% Use with caution
    F 35% or more Too unreliable to be published

    Using these ratings, at the national level, the estimates were judged generally of sufficient quality for publication. The provincial estimates are of a lesser quality in most cases.

    Road Motor Vehicle Survey - Fuel - Historical Notes

    Methods for reporting gasoline sales across the country are generally consistent, since the use of gasoline is greater and more widespread than that of diesel or LPG in motor vehicles.

    Net diesel sales are frequently influenced by fluctuations in the payment of rebates for off-road uses, such as farming, commercial fishing and logging. Users pay the full road-use tax when they purchase the fuel. As rebates are paid, the related quantity is deleted from the net sales by the province or territory concerned. Similar situations arise with retroactive rebate claims on gasoline. Generally, however, these are not large enough to cause a noticeable distortion.

    LPG sales for road use have been declining gradually since 1993 for Canada as a whole. In some jurisdictions, the removal of a road-use tax on LPG was responsible for this decline, as the quantities sold are no longer reported through the taxation mechanism.

    Effective April 1, 1999, the Northwest Territories was divided into two jurisdictions, the Northwest Territories and Nunavut. For 1993-1998, data for the entire region were included in the Northwest Territories, but beginning in 1999, the activity attributed to Nunavut was separated from the total. In tables with monthly information, reporting for Nunavut begins with its creation in April, 1999.

    Changes in Provincial Road Fuel Taxes

    Some major changes in provincial regulations related to energy consumption have occurred over the years. These policy changes impact on the data collected, and influence both comparisons between years and between jurisdictions in Canada.

    • The province of Quebec removed tax on liquefied petroleum gas (LPG) as of May 1997.
    • Alberta abolished the road-use tax effective April 1978 and reinstated this tax effective July 1987.
    • The Government of Saskatchewan:
      • Abolished the road-use tax in April 1982 and reinstated it in July 1987;
      • Introduced a Fuel Tax Rebate Program on June 22, 1988, including fuel purchased for personal use, retroactive to June 22, 1987. Revisions were made to the net fuel sales data for the years 1987 and 1988;
      • Introduced changes to the tax rates and the rebate programs on March 31, 1989. For fuel purchased in 1989, the program rebated only half of the tax paid on fuel for personal use while fuel purchased for farming and other primary producing activities was still eligible for a full rebate;
      • Eliminated the rebate for fuel purchased for personal use on January 1, 1990; and,
      • Eliminated the rebate for farm-use gasoline on May 8, 1992.
    • Since January 1986, the Government of New Brunswick has given a 25% rebate to farmers, fishermen and truckers. This rebate is part of the International Fuel Tax Agreement (IFTA).
    • The Government of British Columbia removed the road-use tax on LPG effective April 1982. In British Columbia, tax is collected on LPGs at the time of sale and remitted with the vendor’s social service tax return (FIN 400). However, when completing this tax, return retailers are not required to separate the tax collected on LPGs from the tax collected on sales of other items subject to social service tax. Therefore, the figure is not available.

    2011 Annual return of "Broadcasting distribution" licensee

    For the fiscal period ended August 31, 2011

    Confidential when completed

    Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

    Completion of this questionnaire is a legal requirement under the Statistics Act.

    Survey objective

    This survey collects financial and operating data for the statistical measurement and analysis of the broadcasting distribution industry. These data will be aggregated to produce national and regional estimates of the performance of your industry. Those estimates are used by the regulator and policy departments, the private sector, international organizations, academics, analysts and the general public to better understand this sector's contribution to the Canadian economy. Selected results will be published in Statistics Canada Catalogue No. 56-209-X

    Confidentiality statement

    This survey is conducted under the authority of the Statistics Act, Revised Statutes of Canada 1985, Chapter S19. Completion of this questionnaire is a legal requirement under this Act.  Statistics Canada is prohibited by law from publishing or releasing any statistics which would divulge information obtained from this survey relating to any identifiable business without the previous written consent of that business. The data on this questionnaire will be treated in confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by the Access to Information Act or any other legislation. Please note that Statistics Canada does not share any individual responses with the Canada Customs and Revenue Agency.

    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 must 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 this section, 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 to share your data and returning it in a separate envelope addressed to: Chief, Information technologies section, Investment, Science and Technology Division, Statistics Canada, Main Building, 150 Tunney's Pasture Driveway, Ottawa, Canada, K1A 0T6.

    For this survey, there are section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut as well as with the Department of Canadian Heritage, the “Ministère de la Culture, des Communications et de la Condition feminine du Québec” and the Ontario Ministry of Economic Development and Trade.

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

    Note:  As well there is a Section 12 agreement with the Canadian Radio-Television and Telecommunications Commission (CRTC).  The CRTC requires this information under the authority of the Broadcasting Act and the regulations and conditions of licence thereunder.  Because of this Act, you do not have the right to refuse to share your information with the CRTC.  It will retain a copy of the questionnaire thus satisfying the requirements of the Television Broadcasting Regulations 1987 and Radio Regulations 1986 or conditions of licence for all broadcasters in Canada to provide this type of information to the commission on or before November 30 of each year for the year ending on the previous August 31.

    Change of ownership

    When a change of ownership has been approved by the CRTC, within 90 days thereof, the former licensee will file with Statistics Canada a copy of an annual return covering the period of operations from September 1 to the day of transfer.  The new licensee will file an annual return from the day of transfer to August 31. In some cases, the new licensee elects to file an annual return for the full broadcast year. In either case, the licensee should indicate on the return, which period they are filing.

    Form 1030 – International payment and receipts

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    Non-merchandising charges related to broadcasting operation

    Receipts from non-residents
    Business services
    ($'000 Canadian)

    • Program rights and royalties
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – program rights and royalties
    • Advertising
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – advertising
    • Other receipts from non-residents
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – other receipts from non-residents
    • Interests and dividends
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – interests and dividend

    Payments to non-residents
    Business services
    ($'000 Canadian)

    • Program rights and royalties
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – program rights and royalties
    • Advertising
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – advertising
    • Other receipts from non-residents
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – other receipts from non-residents
    • Interest and dividends
      1. United States
      2. United Kingdom
      3. France
      4. European Union (excluding U.K. and France)
      5. Japan
      6. OECD countries (excluding Japan, United States and E.U.)
      7. All other countries
      8. Total – interests and dividends

    Please use the space provided below to supply any comments, explanations, methodological notes, qualifiers or other important information about the data you have supplied on this form.

    Form 1040 – Distribution summary of revenues and expenses

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    Basic and non-basic programming services

    • Revenue
      • 1. Subscription
      • 2. Local programming improvement fund charged (included in subscription revenue)
      • 3. Connection (installation and reconnection)
      • 4. Community channel sponsorship
      • 5. Community channel facilities rental
      • 6. Digital addressable DVC decoders – rental
      • 7. – Net sales
      • 8. Other (specify)
      • 9. Total revenue
    • Expenses
      • 10. Programming (community)
      • 11. Affiliation payments
      • 12. Technical
      • 13. Sales and promotion
      • 14. Administration and general
      • 15. Total expenses

    Exempt programming services

    • Revenue
      • 1. Subscription
      • 2. Local programming improvement fund charged (included in subscription revenue)
      • 3. Connection (installation and reconnection)
      • 4. Community channel sponsorship
      • 5. Community channel facilities rental
      • 6. Digital addressable DVC decoders – rental
      • 7. – Net sales
      • 8. Other (specify)
      • 9. Total revenue
    • Expenses
      • 10. Programming (community)
      • 11. Affiliation payments
      • 12. Technical
      • 13. Sales and promotion
      • 14. Administration and general
      • 15. Total expenses

    Non-programming services

    • Revenue
      • 1. Subscription
      • 2. Local programming improvement fund charged (included in subscription revenue)
      • 3. Connection (installation and reconnection)
      • 4. Community channel sponsorship
      • 5. Community channel facilities rental
      • 6. Digital addressable DVC decoders – rental
      • 7. – Net sales
      • 8. Other (specify)
      • 9. Total revenue
    • Expenses
      • 10. Programming (community)
      • 11. Affiliation payments
      • 12. Technical
      • 13. Sales and promotion
      • 14. Administration and general
      • 15. Total expenses

    Total all services

    • Revenue
      • 1. Subscription
      • 2. Local programming improvement fund charged (included in subscription revenue)
      • 3. Connection (installation and reconnection)
      • 4. Community channel sponsorship
      • 5. Community channel facilities rental
      • 6. Digital addressable DVC decoders – rental
      • 7. – Net sales
      • 8. Other (specify)
      • 9. Total revenue
    • Expenses
      • 10. Programming (community)
      • 11. Affiliation payments
      • 12. Technical
      • 13. Sales and promotion
      • 14. Administration and general
      • 15. Total expenses
         
      • 16. Operating income
      • 17. Less:  depreciation
      • 18. Local programming improvement fund
      • 19. Interest
      • 20. Other adjustments – income (expense)
      • 21. Net income (loss) before income taxes
      • 22. Provision for income taxes
      • 23. Net income (loss) after income taxes

    Gross revenue from exempt programming and non-programming services

    Licensee revenue

    • Exempt programming
      • 24. Classified advertising
      • 25. Teleshopping/general services
      • 26. Infomercials
      • 27. Games services
      • 28. Other exempt
      • 29. Total exempt programming
    • Non-programming services
      • 30. Channel lease
      • 31. Internet access services
      • 32. Telephony
      • 33. Other telecommunications services (including security)
      • 34. Other (specify)
      • 35. Total non-programming services

    Affiliation entity revenue

    • Exempt programming
      • 24. Classified advertising
      • 25. Teleshopping/general services
      • 26. Infomercials
      • 27. Games services
      • 28. Other exempt
      • 29. Total exempt programming
    • Non-programming services
      • 30. Channel lease
      • 31. Internet access services
      • 32. Telephony
      • 33. Other telecommunications services (including security)
      • 34. Other (specify)
      • 35. Total non-programming services

    Total revenue

    • Exempt programming
      • 24. Classified advertising
      • 25. Teleshopping/general services
      • 26. Infomercials
      • 27. Games services
      • 28. Other exempt
      • 29. Total exempt programming
    • Non-programming services
      • 30. Channel lease
      • 31. Internet access services
      • 32. Telephony
      • 33. Other telecommunications services (including security)
      • 34. Other (specify)
      • 35. Total non-programming services

    Please use the space provided below to supply any comments, explanations, methodological notes, qualifiers or other important information about the data you have supplied on this form.

    Form 1050 – Employment information and summary of fixed assets

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    Employment information

    Total remuneration

    • Programming
      • 1. Salaries and wages (include sales commissions and talent fees paid to employees), fringe benefits and director's fee.
      • 2. Average number of employees (the typical weekly total of full & equivalent part-time employees)
    • Technical
      • 1. Salaries and wages (include sales commissions and talent fees paid to employees), fringe benefits and director's fee.
      • 2. Average number of employees (the typical weekly total of full & equivalent part-time employees)
    • Sales
      • 1. Salaries and wages (include sales commissions and talent fees paid to employees), fringe benefits and director's fee.
      • 2. Average number of employees (the typical weekly total of full & equivalent part-time employees)
    • Administration and general
      • 1. Salaries and wages (include sales commissions and talent fees paid to employees), fringe benefits and director's fee.
      • 2. Average number of employees (the typical weekly total of full & equivalent part-time employees)
    • Total
      • 1. Salaries and wages (include sales commissions and talent fees paid to employees), fringe benefits and director's fee.
      • 2. Average number of employees (the typical weekly total of full & equivalent part-time employees)
      • 3. Fringe benefits (included in line 1 above)

    Summary of fixed assets

    Classification of fixed assets

    • Historical cost of assets in use at the end of the broadcast year
      • 4. Land
      • 5. Buildings (included land improvements)
      • 6. Head-end and components/earth receiving station and associated plant
      • 7. Distribution system plant/transmitters/transponders
      • 8. Cost of subscriber drops and devices including descramblers
      • 9. Test equipment and tools
      • 10. Furniture and fixtures
      • 11. Other property, plant and equipments
      • 12. Cable casting equipment/local program production equipment
      • 13. Leasehold improvement (except cable system plant)
      • 14. Automobiles and trucks
      • 15. Computers
      • 16. Total fixed assets
    • Accumulated depreciation at the end of the broadcast year
      • 5. Buildings (included land improvements)
      • 6. Head-end and components/earth receiving station and associated plant
      • 7. Distribution system plant/transmitters/transponders
      • 8. Cost of subscriber drops and devices including descramblers
      • 9. Test equipment and tools
      • 10. Furniture and fixtures
      • 11. Other property, plant and equipments
      • 12. Cable casting equipment/local program production equipment
      • 13. Leasehold improvement (except cable system plant)
      • 14. Automobiles and trucks
      • 15. Computers
      • 16. Total fixed assets
    • Addition to fixed assets during the broadcast year
      • 4. Land
      • 5. Buildings (included land improvements)
      • 6. Head-end and components/earth receiving station and associated plant
      • 7. Distribution system plant/transmitters/transponders
      • 8. Cost of subscriber drops and devices including descramblers
      • 9. Test equipment and tools
      • 10. Furniture and fixtures
      • 11. Other property, plant and equipments
      • 12. Cable casting equipment/local program production equipment
      • 13. Leasehold improvement (except cable system plant)
      • 14. Automobiles and trucks
      • 15. Computers
      • 16. Total fixed assets

    Please use the space provided below to supply any comments, explanations, methodological notes, qualifiers or other important information about the data you have supplied on this form.

    Form 1060 – Affiliation payments and subscribers

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    Affiliation payments and subscribers

    Affiliation payments summary
    Number of subscribers

    • Pay services
      • 1. Canadian pay services
      • 2. Non-Canadian pay services
    • Specialty services
      • 4. Canadian specialty services
      • 5. Non-Canadian specialty services
    • Distribution
      • 8. Number of direct subscribers to basic services
      • 9. Number of indirect subscribers to basic services
      • 10. Total number of direct and indirect subscribers to basic services
    • Subscribers by distribution type
      • 11. Analog type
      • 12. Digital cable
      • 13. Satellite
      • 14. IPTV
      • 15. Other
      • 16. Total (sub figure to be equal to line 10)
    • Number of households
      • 17. Number of households with access to cable services (homes passed)
      • 18. Number of households in licensed area
      • 19. Number of households with access to digital cable
      • 20. Number of households with access to IPTV

    Affiliation payments

    • Pay services
      • 1. Canadian pay services
      • 2. Non-Canadian pay services
      • 3. Total – pay services
    • Specialty services
      • 4. Canadian specialty services
      • 5. Non-Canadian specialty services
      • 6. Total – specialty services
      • 7. Total – affiliation payments

    Revenue

    • Subscribers by distribution type
      • 11. Analog type
      • 12. Digital cable
      • 13. Satellite
      • 14. IPTV
      • 15. Other
      • 16. Total (sub figure to be equal to line 10)

    Internet
    Cable modem, satellite or MDS

    • This company
      • 21. Number of subscribers to high speed Internet access services
      • 22. Revenues from high speed Internet access services
      • 23. Number of households with access to high speed Internet services
    • Affiliate
      • 21. Number of subscribers to high speed Internet access services
      • 22. Revenues from high speed Internet access services
      • 23. Number of households with access to high speed Internet services

    Video-on-demand

    • 24. Number of household with access to Video-on-demand

    Telephone

    • 25. Number of subscribers to telephone services via broadcast distribution
    • 26. Revenues from telephone services via broadcast distribution
    • 27. Number of households with access to telephone services via broadcast distribution

    Please use the space provided below to supply any comments, explanations, methodological notes, qualifiers or other important information about the data you have supplied on this form.

    Form 1070 – Reporting summary for combined undertakings

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    Reporting summary for combined undertakings

    For each province, please complete the detailed revenue by system (including exempted systems), for all class 1, 2  and 3.

    Important: do not combine the systems that operate in different provinces.

    • Province:
    • Number of exempted systems:

    Please use the space provided below to supply any comments, explanations, methodological notes, qualifiers or other important information about the data you have supplied on this form.

    Form 1070x – Reporting summary for combined undertaking by province

    Filed under the authority of the Broadcasting information regulations, 1993, the Telecommunications Act and the Statistics Act.

    Filed in confidence

    • Undertaking number
    • Head end location
    • Number of communities served
    • Digital service offered?
    • Community channel offered?
    • Is exempt
    • Number of subscribers basic service
    • Total basic and non-basic revenue
    • Exempt programming revenue
    • Non-programming revenue
    • Total all services – revenue