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연도별 건강보험 재정현황
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Financial Indicators of N.H.I.S by Year
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 (단위: 천 원)
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Unit : KRW 1,000
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구 분
Division		201120122013201420152016201720182019202020212022
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총 괄수 익
Revenue		 계(A)Total(A)38,761,068,39142,473,652,81747,205,853,84950,515,544,42153,292,081,27356,459,878,17458,818,071,22562,715,795,21869,173,265,70275,114,982,73481,708,157,70591,008,855,870
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 보험료(C1)Contributions(C1)32,922,109,94236,389,962,61939,031,892,89541,593,818,43244,329,819,29947,593,146,51650,416,797,88453,896,460,44059,132,775,13063,111,442,86569,486,860,56876,770,270,727
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 정부지원금Government Subsidies5,028,322,7635,343,180,3005,799,355,0006,314,933,0007,090,180,0007,091,671,0006,774,705,0007,070,427,6327,767,162,0009,215,191,0009,558,935,00010,486,168,000
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 －보험재정국고지원금(C2)Government Subsidies of insurance finances(C2)4,071,546,0004,335,900,0004,800,744,0005,295,798,0005,571,650,0005,200,262,0004,873,623,0005,190,335,6325,958,923,0007,335,099,0007,642,285,0008,671,228,000
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 －관리재정국고지원금Government Subsidies of Administrative finances - - - - - - - - - - - -
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 －담배부담금(C3)Surcharge on Tobacco956,776,7631,007,280,300998,611,0001,019,135,0001,518,530,0001,891,409,0001,901,082,0001,880,092,0001,808,239,0001,880,092,0001,916,650,0001,814,940,000
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 기 타Others810,635,686740,509,8982,374,605,9542,606,792,9891,872,081,9741,775,060,6581,626,568,3411,748,907,1462,273,328,5722,788,348,8692,662,362,1373,752,417,143
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비 용
Expenditure		 계(B)Total(B)37,258,746,90239,152,044,40441,265,338,09344,752,555,67648,162,139,59653,740,831,94258,022,559,28065,978,340,94572,097,239,31673,618,774,33678,951,093,54786,176,745,502
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 보험급여비Benefits(D)35,830,249,26137,581,294,60139,674,332,27742,827,513,03745,760,188,01551,014,929,38054,891,742,63063,168,331,86968,996,577,06171,165,241,18976,713,404,53483,466,780,924
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 보험급여비(실급여비)(D)Benefits(actual Benefits)(D)(35,830,249,261)(37,581,294,601)(39,674,332,277)(42,827,513,037)(45,760,188,015)(51,014,929,380)(54,891,742,630)(63,168,331,869)(68,996,577,061)(71,165,241,189)(76,713,404,534)(83,466,780,924)
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 －요양급여비Medical Benefits34,782,840,85336,412,260,56638,439,809,78041,491,373,56044,265,380,83949,398,676,84053,196,709,57061,423,364,49067,130,361,43369,335,931,24974,723,156,88981,145,009,500
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 －요양급여비(실급여비)Medical Benefits(actual Benefits)(34,782,840,853)(36,412,260,566)(38,439,809,780)(41,491,373,560)(44,265,380,839)(49,398,676,840)(53,196,709,570)(61,423,364,490)(67,130,361,433)(69,335,931,249)(74,723,156,889)(81,145,009,500)
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 －장제비Funeral Expenses - - - - - - - - - - - -
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 －본인부담액보상금Compensation for Lange Co-payment149,446120,53252,98425,9268828411720 489 - - -
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General Profile －건강검진비Physical Examination Expenses880,820,346958,503,466996,832,5251,101,394,2251,264,691,1541,400,889,6781,508,193,0861,556,179,3491,668,959,2131,630,315,0501,836,596,6931,986,907,864
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 －임신ㆍ출산 진료비Prenatal care costs 166,438,616 210,410,037237,636,988234,719,325230,115,141215,362,021186,839,802188,788,030197,255,926198,994,890153,650,952334,863,560
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 관리운영비Administrative finances611,160,200614,424,605630,896,362641,896,430623,330,927674,239,271729,737,585763,555,340886,109,428879,878,222886,898,351912,481,288
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기타(계)others(total)817,337,441956,325,198960,109,4541,283,146,2091,778,620,6542,051,663,2912,401,079,0652,046,453,7362,214,552,8271,573,654,9251,350,790,6621,797,483,290
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사업경비business expenses 94,059,123 98,760,711105,199,807137,202,308176,574,777180,472,245217,785,474258,034,717257,461,532249,135,437245,442,463277,025,581
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사옥관리비building maintenance costs 22,194,541 24,389,911 26,551,73629,124,15330,025,54636,639,38938,211,12641,705,18229,768,12134,362,64636,360,17134,415,033
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타기관부담금other agency charges178,603,478189,629,940227,443,814261,594,000350,009,000234,332,715341,164,384328,929,688414,463,571370,065,671383,685,115397,009,472
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기타etc522,480,299643,544,636600,914,097855,225,7481,222,011,3311,600,218,9421,803,918,0811,417,784,1491,512,859,603920,091,171685,302,9131,089,033,204
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기타포괄손익Other Comprehensive Income - - 19,582,748 - 45,168,370 - 15,133,106 -11,593,9457,981,698-29,691,88910,073,52926,374,448-4,359,26638,510,451
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 총수지율(B/A)Rate of Expenditure to Revenue(B/A)96.192.287.488.690.495.298.6105.2104.298.096.694.7
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 보험료 대 급여비 비율D/(C1+C2+C3))Rate of Benefits to Revenue(D/(C1+C2+ C3))94.490.188.589.489.093.396.0103.6103.198.497.095.7
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 당기차액(A-B)Balance(A-B)1,502,321,4893,321,608,4135,940,515,7565,762,988,7455,129,941,6772,719,046,232795,511,945-3,262,545,727-2,923,973,6141,496,208,398 2,757,064,1584,832,110,368
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 이월금Amount Carried Forward5,789,741,2276,063,791,0916,850,207,7798,916,667,2359,443,459,7756,949,876,8244,671,207,676664,572,167-2,077,502,8162,250,238,186 5,425,613,8957,474,401,612
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 누적법정준비금(E)Accumulated Legal Reserves(E)1,560,023,7854,575,743,5754,575,743,5758,220,357,17012,807,257,17016,980,057,17020,065,657,17020,773,357,17020,595,513,96717,771,260,55117,418,125,03820,241,042,884
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 연간 적용인구 1인당 보험료 (원)Yearly Contributions per Covered Person (Won)772,415843,173899,690955,2101,019,5461,080,0611,124,5601,195,4171,305,8191,408,2251,538,0821,697,700
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 연간 적용인구 1인당 급여비 (원)Yearly Benefits per Covered Person (Won)729,262759,290796,199853,900907,3241,007,5781,079,3401,238,5821,346,7441,385,6121,492,6981,623,967
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주 : 1) 결산기준
Note : 1) Based on the Settlement of Accounts
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2) 건강검진비는 급여비에 포함하고 지급준비금 상계 전 실 급여비는 ( )로 표시하였음
2) Physical examination expense is included Benefit cost actual benefit costs before being offset with legal reserve fund are written in( )
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3) 담배부담금은 2002년도에 신설되었으며, 1인당 보험료는 보험재정국고지원금 및 담배부담금이 포함됨
3) Yearly contributions per one person is included in government subsidies of insurance Finance
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4) 2003.7월 재정통합으로 직역 구분하지 않음
4) Integrating the finance system between employee insurance and self-employed insurance programs
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5) 2005년이후 지출항목 기타에는 대손상각비와 보험료 환급비용이 포함됨
5) Depreciation allowance and refund amount of contributions hare been included in an item of others in expenditure since 2005.
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6) 관리운영비는 인건비, 경상경비, 사업경비로 작성하였으나, 2007년부터 사업경비를 관리운영비에서 분리하여 별도 표기
6) Administrative finances is originally marked as operating cost, labor cost, and business expense. But, business expenses has been
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7) 결산서 중 건강보험 일반회계 영역(특별회계 제외)을 기준으로 작성
separately presented in a different category as of 2007
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8) 2006년까지 지역재정 지원 국고지원금이 재정건전화특별법 만료로 2007년부터 총재정에 지원
7) National Health Insurance's general accounts(except for special accounts) are based.
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9) 주-7)과 관련 2008년 이전에는 특별회계로 구분되어 제외되었던 사옥관리가 2009년부터 일반회계로 구분되어 포함됨
8) Since the special act for financial stabilization expired on Dec.31, 2006, there has been no government subsidy on administration.
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10) 장제비는 2008.1.1. 폐지 됨
9) In relation to note 7, office building management has been added since 2009 because it was included in special account.
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11) 임신ㆍ출산 진료비는 2008.12.15 신설, 보험급여비에 포함됨
10) Funeral costs were repealed on January 1, 2008.
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12) 이월금은 일산병원 당기잉여금을 포함한 잉여금 처분 후의 금액임( 2012년 이월금은 일반기업회계기준 제21장 "종업원급여"
11) Prenatal care costs has been added in benefits owing to the creation of prenatal benefit program on December 15, 2008.
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2011년 해당분 27,080,389 차감됨)
12) Amount Carried Forward which after disposing surplus, is included NHIS Ilsan Hospital's current surplus (Amount Carried Forward in
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13) 2013 회계연도부터 국제회계기준(K-IFRS) 적용
2012 was deducted 27,080,389 of Chapter 21 "Employee Wage" of general business account in 2011)
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14) 기타포괄손익 : 보험수리적 평가를 수행하여 확정급여채무(구 퇴직급여충당금)를 계산하는 확정급여형 퇴직급여제도의 경우,
13) K-IFRS　was applied from the 2013 fiscal year
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보험수리적 가정의 변경 및 보험수리적 가정과 실제 발생한 결과의 차이에서 발생하는 보험수리적손익을 기타포괄손익으로 인식함
14) Other comprehensive income: In defined benefit retirement wage plan using actuarial gains or loss as retirement benefit appropriation
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15) 누적법정준비금 : (2012년 이전) 법정준비금 적립(이입) 후 누적법정준비금을 해당연도에 표시, (2013년 K-IFRS적용이후) 누적법정준비금을
fund, the gap between estimated and actual gains or loss is recognized as other comprehensive income.
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이사회 의결일(다음년도 2월)이 속하는 연도에 반영 (2020.2.28. 현재 누적법정준비금 177,712억원)
15) Accumulated legal reserve: From 2013 (K-IFRS applied year), the legal reserve of the term is reflected in the legal
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16) 2016년도 재무제표 수정으로 인해 2016년도 일부 금액이 변경됨
reserve fund on the voting day (Febrary, next year) of the board of directors, which is the day of retained earning calculation.
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(As of 22th Feb, 2017, the amount of accumulated legal reserve is KRW 20,065.6 billion.)
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16) the adjustment of amounts according to the modification of financial statement in 2016
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