Click on the bold text to access the full report: A Billion Reasons to Care


A Billion Reasons to Care is the first provincial review of the $1.4 billion-dollar contracted long-term care sector in British Columbia. The review examined industry contracts, annual audited financial statements and detailed reporting on revenue and expenditures for the years 2016/17 and 2017/18.

Report Highlights 
– financial reporting systems were inconsistent between health authorities and they lacked openness and transparency
– there was insufficient detail for significant expenditures related to management fees, head office allocation and some administrative costs
– the method to report direct care hours was based on self-reported unaudited expense reports prepared by the care home operators with no ability to verify the reported worked hours
– less than half of care home operators are required to make their audited financial statements available to the public and no care homes publicly report their expense statements

The report found that while receiving, on average, the same level of public funding:
– not-for-profit care homes spend $10,000 or 24% more per year on care for each resident
– for-profit care homes failed to deliver 207,000 funded direct care hours
– not-for-profit care homes exceeded direct care hour targets by delivering an additional 80,000 hours of direct care beyond what they were publicly funded to deliver