Why are we conducting this survey?
The Survey on Health Care Clinics in Canada aims at better understanding patients access to care in Canada, with Cycle 1 of the survey focusing on medical and diagnostic clinics.
The questions focus on the number of magnetic resonance imaging (MRI), computed tomography (CT) scans and ultrasounds performed in the past fiscal year, and whether these scans were charged directly to patients insured under a provincial or territorial health care insurance plan. The survey also collects information on the total amount charged directly to patients for these services.
Data on operating revenue and expenses will be used to maintain the Canadian Business Register which lists all active businesses in Canada.
Responses to the Survey on Health Care Clinics in Canada will remain confidential. No data sharing agreements with Health Canada are planned for this survey.
Your information may also be used by Statistics Canada for other statistical and research purposes.
Your participation in this survey is required under the authority of the Statistics Act.
Other important information
Authorization to collect this information
Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
Confidentiality
By law, Statistics Canada is prohibited from releasing any information it collects that could identify any person, business, or organization, unless consent has been given by the respondent, or as permitted by the Statistics Act. Statistics Canada will use the information from this survey for statistical purposes only.
Record linkages
To enhance the data from this survey and to reduce the response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.
Data sharing agreements
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.
Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.
For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon. The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory. Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data, and mailing it to the following address:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Centre for Population Health Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6
You may also contact us by email at infostats@statcan.gc.ca or by fax at 1-514-496-4879.
For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.
For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to entities located within the jurisdiction of the respective province or territory.
For this questionnaire
Please report for your Canadian operation(s)
Reporting instructions
- Report dollar amounts in thousands of Canadian dollars.
- When precise figures are not available, provide your best estimates.
- Enter "0" if there is no value to report.
Who should complete this questionnaire?
This questionnaire should be completed by the person most knowledgeable of the day-to-day activities of this business.
How do we protect your information?
Statistics Canada is committed to respecting the privacy of consultation survey participants. All personal information created, held or collected by the agency is protected in accordance with the Privacy Act.
Deadline for completing this questionnaire
Please complete this questionnaire and submit it within 21 days of receipt.
Printing your completed questionnaire
You can print this questionnaire once you have completed and submitted it.
Business or organization and contact information
1. Verify or provide the business or organization's legal and operating name, and correct information if needed.
Note: Legal name should only be modified to correct a spelling error or typo.
- Legal name
- Operating name (if applicable)
2. Verify or provide the contact information for the designated contact person for the business or organization's, and correct information if needed.
Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.
- First name
- Last name
- Title
- Preferred language of communication
- Mailing address (number and street)
- City
- Province, territory or state
- Postal code or ZIP code (Format: Letter digit letter space digit letter digit or 5 digits dash 4 digits) Example: A9A 9A9 or 12345-1234
- Country
- Email address Example: user@example.gov.ca
- Telephone number (including area code) Example: 123-123-1234
- Extension number (if applicable)
- Fax number (including area code) Example: 123-123-1234
3. Verify or provide the current operational status of the business or organization identified by the legal and operating name above.
- Operational
- Not currently operational e.g., temporarily or permanently closed, change of ownership
- Why is this business or organization not currently operational?
- Seasonal operations
- When did this business or organization close for the season?
Date Example: YYYY-MM-DD
- When does this business or organization expect to resume operations?
Date Example: YYYY-MM-DD
- Ceased operations
- When did this business or organization cease operations?
Date Example: YYYY-MM-DD
- Why did this business or organization cease operations?
- Bankruptcy
- Liquidation
- Dissolution
- Other
- Specify the other reasons why operations ceased
- Sold operations
- When was this business or organization sold?
Date Example: YYYY-MM-DD
- What is the legal name of the buyer?
- Amalgamated with other businesses or organizations
- When did this business or organization amalgamate?
Date Example: YYYY-MM-DD
- What is the legal name of the resulting or continuing business or organization?
- What are the legal names of the other amalgamated businesses or organizations?
- Temporarily inactive but expected to reopen
- When did this business or organization become temporarily inactive?
Date Example: YYYY-MM-DD
- When does this business or organization expect to resume operations?
Date Example: YYYY-MM-DD
- Why is this business or organization temporarily inactive?
- No longer operating because of other reasons
- When did this business or organization cease operations?
Date Example: YYYY-MM-DD
- Why did this business or organization cease operations?
4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.
Note: The described activity was assigned using the North American Industry Classification System (NAICS).
NAICS description text
Description and examples
NAICS description text
Examples and inclusions/exclusion text
- This is the current main activity
- This is not the current main activity
Provide a brief but precise description of this business or organization's main activity e.g., breakfast cereal manufacturing, shoe store, software development
Main activity
5. You indicated that NAICS description text is not the current main activity.
Was this business or organization's main activity ever classified as NAICS description text.
- Yes
- When did the main activity change?
Date Example: YYYY-MM-DD
- No
6. Search and select the industry classification code that best corresponds to this business or organization's main activity.
How to search:
- if desired, you can filter the search results by first selecting the business or organization's activity sector
- enter keywords or a brief description that best describe the business or organization's main activity
- press the Search button to search the database for an activity that best matches the keywords or description you provided
- select an activity from the list.
Select this business or organization's activity sector (optional)
Farming or logging operation
Construction company or general contractor
Manufacturer
Wholesaler
Retailer
Provider of passenger or freight transportation
Provider of investment, savings or insurance products
Real estate agency, real estate brokerage or leasing company
Provider of professional, scientific or technical services
Provider of health care or social services
Restaurant, bar, hotel, motel or other lodging establishment
Other sector
Reporting period information
1. What are the start and end dates of this business's or organization's most recently completed fiscal year?
For this survey, the end date should fall between April 1st, 2023 and March 31st, 2024.
Fiscal Year Start date
Example: YYYY-MM-DD
Fiscal Year End date
Example: YYYY-MM-DD
2. What is the reason the reporting period does not cover a full year?
Select all that apply.
- Seasonal operations
- New business
- Change of ownership
- Temporarily inactive
- Change of fiscal year
- Ceased operations
- Other
- Specify the other reason the reporting period does not cover a full year
Operating Revenue and Expenses
3. For the reporting period ending between April 1st, 2023 to March 31st, 2024, what was this business's total operating revenue ?
Include:
- Revenue from business activities, such as revenue from the sale of products and services (including those paid directly by patients and through insurance), and rental revenue
- Revenue from any level of government, including from contracts, grants and other contributions (e.g., from a provincial or territorial ministry of health or from other government department)
- Non-government grants, donations, and subsidies
- Other revenue including dividends, revenue from interest, revenue from intracompany transfers, revenue from fundraising, and any other revenue relevant to this business.
When precise figure is not available, please provide your best estimate.
Report dollar amounts in thousands of Canadian dollars.
Total operating revenue(CAN$'000)
4. For the reporting period ending between April 1st, 2023 to March 31st, 2024, what was this business's total operating expenses ?
Report dollar amounts in thousands of Canadian dollars.
When precises figure is not available, please provide your best estimate.
Total operating expenses (CAN$'000)
Medical and diagnostic laboratories
5. Which of the following services does this business offer?
Select all that apply
MRI
CT scan
Ultrasounds
OR
None of the above
6. For the reporting period ending between April 1st, 2023 to March 31st, 2024, how many diagnostic tests, referred by a physician or nurse practitioner, were received by patients insured by a provincial or territorial health care insurance plan?
Include:
- diagnostic tests billed to provincial or territorial health care insurance plans, and tests billed directly to patients
- only patients with a referral from a physician or nurse practitioner.
Exclude: Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada), services provided under contract to a province or territory, a provincial or territorial health authority
When precise figure is not available, please provide your best estimate.
a. Patients insured within the province or territory
A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
MRI
CT scans
Ultrasounds
b. Patients insured in another province or territory
A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
MRI
CT scans
Ultrasounds
Total
Sum of a + b.
MRI
CT scans
Ultrasounds
The next section of this survey is to better understand Canadians' access to MRIs, CT scans, and ultrasounds at medical and diagnostic laboratories, and whether the patient had to pay to access the service.
Please note medical and diagnostic laboratories may be charging insured residents for these services, as there are a variety of circumstances when provincial and territorial health care insurance plans may not cover the costs of these scans when they are performed outside of a hospital.
As a reminder, your responses to this survey will remain confidential.
Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada.
7. Of the diagnostic tests reported in question 6, were any billed directly to a patient insured under a provincial or territorial health care insurance plan?
Yes, some patients paid out of pocket for diagnostic tests
No, patients did not pay out pocket for any diagnostic tests
8. Of the total number of diagnostic tests reported in question 6, how many were billed directly to patients insured under a provincial or territorial health insurance plan?
Include only patients with a referral from a physician or nurse practitioner.
Exclude: Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada), services provided under contract to a province or territory, a provincial or territorial health authority
When precise figure is not available, please provide your best estimate.
a. Patients insured within the province or territory
A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
MRI
CT scans
Ultrasounds
b. Patients insured in another province or territory
A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
MRI
CT scans
Ultrasounds
Total
Sum of a + b.
MRI
CT scans
Ultrasounds
9. Of the total number of diagnostic tests reported in question 8, what was the total amount billed, directly to patients, by this business for diagnostic tests received by patients insured under a provincial or territorial health care insurance plan?
Include:
- diagnostic tests billed to provincial or territorial health care insurance plans, and tests billed directly to patients
- only patients with a referral from a physician or nurse practitioner.
Exclude: Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada), services provided under contract to a province or territory, a provincial or territorial health authority
When precise figure is not available, please provide your best estimate.
a. Patients insured within the province or territory
A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
Amount billed to the patient in CAN$ '000
b. Patients insured in another province or territory
A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
Amount billed to the patient in CAN$ '000
Total amount billed to patients for diagnostic tests
Sum of a + b.
Changes or events
10. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.
Select all that apply.
- Strike or lock-out
- Contracting out
- Organizational change
- Price changes in labour or raw materials
- Natural disaster
- Sold business or business units
- Expansion
- Acquisition of business or business units
- Merger of business or business units
- Vacation or maintenance periods
- Equipment failure
- Increased or decreased market demand
- Dissolution
- Change in accounting or basis of reporting
- Liquidation
- End of business activities
- Change in business activities
- Other
- Specify the other change or event
OR
- No changes or events
Contact person
11. Statistics Canada may need to contact the person who completed this questionnaire for further information.
Is the designated contact person for the business or organization the best person to contact?
- Yes
- No
- Who is the best person to contact about this questionnaire?
- First Name
- Last Name
- Title
- Email address
Example: user@example.gov.ca
- Telephone number (including are code)
Example: 123-123-1234
- Extension number (if applicable)
- Fax number (including area code)
Example: 123-123-1234
Feedback
12. How long did it take to complete this questionnaire?
Include the time spent gathering the necessary information.
Hours
Minutes
13. Do you have any comments about this questionnaire?
Enter your comments.