ANNUAL HEALTH FACILITY STATISTICAL REPORT HEALTH ...

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3/25/2021 Online Health Facility Statistical Report System https://ohsrs.doh.gov.ph/gen_report.php?ReportingYear=2020&FacilityCode=DOH000000000000428 1/16 Reports Dashboard Synchronization Extract Data User Management FAQs Change Password Logout Forms Welcome DOHRO4A! Facility Name: RO Calabarzon Today is Thursday, March 25, 2021 Online Health Facility Statistical Report System Republic of the Philippines Department of Health HEALTH FACILITIES AND SERVICES REGULATORY BUREAU ANNEX - E A.O. No. 2012-0012 ANNUAL HEALTH FACILITY STATISTICAL REPORT YEAR 2020 Name of Hospital: BAUAN DOCTORS GENERAL HOSPITAL Street Address: F. MANGOBOS STREET CORNER TANO ROAD City / Municipality: BAUAN District / Province: BATANGAS Region: REGION IV-A (CALABARZON) Contact Number: Fax Number: Email Address: [email protected] (PLEASE FILL OUT ALL ITEMS. PUT N/A IF NOT APPLICABLE.) I. GENERAL INFORMATION A. Classification 1. Service Capability

Transcript of ANNUAL HEALTH FACILITY STATISTICAL REPORT HEALTH ...

3/25/2021 Online Health Facility Statistical Report System

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Welcome DOHRO4A! Facility Name: RO Calabarzon Today is Thursday, March 25, 2021

Online Health Facility Statistical Report System

Republic of the Philippines Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX - E A.O. No. 2012-0012

ANNUAL HEALTH FACILITY STATISTICAL REPORTYEAR 2020

Name of Hospital: BAUAN DOCTORS GENERAL HOSPITAL Street Address: F. MANGOBOS STREET CORNER TANO ROADCity / Municipality: BAUAN District / Province: BATANGAS Region: REGION IV-A (CALABARZON)Contact Number: Fax Number:Email Address: [email protected]

(PLEASE FILL OUT ALL ITEMS. PUT N/A IF NOT APPLICABLE.)

I. GENERAL INFORMATION

A. Classification

1. Service Capability

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Service capability: Capability of a hospital/other health facility to render administrative, clinical, ancillary and other services

General: [ ] Level 1 Hospital [ ✔ ] Level 2 Hospital [ ] Level 3 Hospital (Teaching/Training)

[ ] Infirmary

Trauma Capability: [ ✔ ] Trauma Capable [ ] Trauma Receiving

Specialty: (Specify) [ ] Treats a particular disease [ ] Treats a particular organ [ ] Treats a particular class of patients [ ] Others(Specify):

2. Nature of Ownership

Government: [ ] National - DOH Retained/Renationalized [ ] Local (Specify):

[ ] Province [ ] City [ ] Municipality

[ ] DILG - PNP [ ] DND - AFP [ ] DOJ [ ] State Universities and Colleges (SUCs) [ ] Others (Specify):

Private: [ ] Single Proprietorship/Partnership/Corporation [ ] Religious [ ] Civic Organization [ ] Foundation [ ✔ ] Others(Specify):

Cooperative

B. Quality Management

Quality Management/Quality Assurance Program: Organized set of activities designed to demonstrate on-going assessment of important aspects of patient care and services

[ ] ISO Certified (Specify ISO Certifying Body and area(s) of the hospital with Certification) Validity Period:

[ ] International Accreditation Validity Period:

[ ✔ ] PhilHealth Accreditation

[ ✔ ] Basic Participation [ ] Advanced Participation

Validity Period:

Jan 01, 2021 - Dec 31, 2021

[ ] PCAHO Validity Period:

C. Bed Capacity/Occupancy

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Authorized Bed Capacity: 100 beds

Authorized bed: Approved number of beds issued by HFSRB/RO, the licensing offices of DOH

Implementing Beds: 100 beds

Implementing beds: Actual beds used (based on hospital management decision)

Bed Occupancy Rate (BOR) Based on Authorized Beds: 49.92% beds

[Total Inpatient service days for the period]** x 100[Total number of Authorized beds] x [Total days in the period (365 0r 366 for leap year) ]

Bed Occupancy Rate: The percentage of inpatient beds occupied over a given period of time. It is a measure of the intensity of hospital resources utilized by in-patients.(givenperiod of time is January 1 to December 31each year for the annual statistics)

Inpatient Service days (Inpatient bed days): Unit of measure denoting the services received by one in-patient in one 24 hour period.

Total Inpatient Service days or Inpatient Bed days =[(Inpatients remaining at midnight + Total admissions) - Total discharges/deaths) + (number of admissions and discharges onthe same day)].

II. HOSPITAL OPERATIONS

A. Summary of Patients in the Hospital

For each category listed below, please report the total volume of services or procedures performed.

**Inpatient: A patient who stays in a health facility licensed to admit patients, while under treatment

Inpatient Care Number

Total number of inpatients 5,554

Total Newborn (In facility deliveries) 1,422

Total Discharges (Alive) 5,327

Total patients admitted and discharged on the same day 312

Total number of inpatient bed days (service days) 18,269

Total number of inpatients transferred TO THIS FACILITY from another facility for inpatient care 351

Total number of inpatients transferred FROM THIS FACILITY to another facility for inpatient care 39

Total number of patients remaining in the hospital as of midnight last day of previous year 22

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B. Discharges

Type of Service No. ofPatients

TotalLength

ofStay/Total

No. ofDaysStay

Type of Accomodation Condition on Discharge

RemarksNon-Philhealth Philhealth

HMO OWWA R/I T H A U

Deaths

TotalDischargesPay Service/Charity Total Pay Service/Charity Total

<48hrs

≥48hrs

Total

Medicine 2,003 7,012 134 6 140 407 1,356 1,763 0 229 1,937 23 0 0 0 51 61 112 2,072

Obstetrics 1,768 5,304 64 0 64 612 992 1,604 0 53 1,727 0 0 0 0 0 0 0 1,727

Gynecology 40 120 12 0 12 8 20 28 0 2 59 0 0 0 0 0 0 0 59

Pediatrics 1,459 4,647 59 0 59 473 789 1,262 0 22 1,408 10 0 0 0 3 0 3 1,421

Surgery

Pedia 11 84 2 0 2 3 6 9 0 5 10 2 0 0 0 0 0 0 12

Adult 183 732 19 3 22 75 86 161 0 27 147 4 0 0 0 6 9 15 166

Other(s)

Total 5,464 17,899 290 9 299 1,578 3,249 4,827 0 338 5,288 39 0 0 0 60 70 130 5,457

Total Newborn 90 370 5 0 5 0 62 62 0 23 0 0 0 0 0 3 5 8 8

Pathologic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Non-Pathologic 90 370 5 0 5 0 62 62 0 23 0 0 0 0 0 3 5 8 8 *R/I - Recovered/Improved T - Transferred U - Unimproved

H - Home Against Medical Advice A - Absconded D - Died

Average Length of Stay (ALOS) of Admitted Patients Total length of stay of discharged patients (including Deaths) in the period = 3 - 4 Day(s)

Total Discharges and Deaths for the same period

Average length of stay: Average number of days each inpatient stays in the hospital for each episode of care.

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Ten Leading causes of Morbidity based on final discharge diagnosisFor each category listed below, please report the total number of cases for the top 10 illnesses/injury. (Do not include deliveries)Cause of Morbidity/Illness/Injury Number ICD-10 Code

1. Influenza and pneumonia 806 J10-J18

2. Diabetes mellitus 596 E09-E14

3. Cerebrovascular diseases 552 I60-I69

4. Intestinal infectious diseases 460 A00-A09

5. Hypertensive diseases 427 I10-I15

6. Arthropod-borne viral fevers and viral hemorrhagic fevers 373 A90-A99

7. Diseases of esophagus, stomach and duodenum 269 K20-K31

8. Other diseases of the urinary system 235 N30-N39

9. Other viral diseases 111 B25-B34

10. Renal failure 105 N17-N19

Kindly accomplish the "Ten Leading Causes of Morbidity/Diseases Disaggregated as to Age and Sex" in the table below.

Cause ofMorbidity/Illness/Injury

Age Distribution of Patients

Total

ICD-10CODE /

TABULARLIST

Under1 1 - 4 5 - 9 10 -

1415 -19 20 -24 25 -

2930 -34

35 -39

40 -44

45 -49

50 -54

55 -59

60 -64

65 -69

70 &over

Subtotal

Spell out. Do notabbreviate. M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F

1. Influenza andpneumonia 20 15 29 32 25 23 31 29 14 25 20 15 19 17 12 13 21 18 30 22 33 29 36 32 32 30 25 30 28 36 30 35 405 401 806 J10-J18

2. Diabetes mellitus 0 0 0 0 1 0 2 0 0 0 0 0 0 0 21 36 31 39 24 33 29 35 31 37 35 42 30 35 34 38 35 28 273 323 596 E09-E14

3. Cerebrovasculardiseases 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 30 23 21 25 30 25 35 33 45 28 47 36 45 35 48 45 302 250 552 I60-I69

4. Intestinal infectiousdiseases 16 10 21 19 21 18 23 20 26 21 10 15 12 14 15 11 14 19 16 13 12 10 17 14 13 11 10 9 7 8 6 9 239 221 460 A00-A09

5. Hypertensive diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 12 13 17 10 14 28 30 33 24 32 25 36 20 34 26 29 35 224 203 427 I10-I15

6. Arthropod-borne viral 0 0 39 38 45 43 30 27 28 27 11 13 12 14 8 11 4 3 5 4 3 3 2 3 0 0 0 0 0 0 0 0 187 186 373 A90-A99

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fevers and viralhemorrhagic fevers

7. Diseases of esophagus,stomach and duodenum 0 0 3 5 3 4 3 1 2 2 10 12 16 11 10 13 17 15 13 10 18 6 13 10 15 18 10 5 8 6 5 5 146 123 269 K20-K31

8. Other diseases of theurinary system 3 4 15 22 13 25 7 23 2 11 3 12 5 19 3 7 2 4 0 5 9 5 0 3 0 8 4 9 3 4 2 3 71 164 235 N30-N39

9. Other viral diseases 5 3 8 5 9 7 10 12 9 7 4 3 3 2 1 2 1 2 3 4 3 1 2 1 2 2 0 0 0 0 0 0 60 51 111 B25-B34

10. Renal failure 0 0 0 0 0 0 0 0 0 0 3 2 3 1 8 7 9 9 5 6 8 6 7 4 2 3 3 2 4 3 5 5 57 48 105 N17-N19

Total Number of Deliveries

For each category of delivery listed below, please report the total number of deliveries.

Deliveries Number

Total number of in-facility deliveries 1,422

Total number of live-birth vaginal deliveries (normal) 695

Total number of live-birth C-section deliveries (Caesarians) 727

Total number of other deliveries 0

Outpatient Visits, including Emergency Care, Testing and Other Services For each category of visit of service listed below, please report the total number of patients receiving the care.

Outpatient visits Number

Number of outpatient visits, new patient 6,401

Number of outpatient visits, re-visit 1,708

Number of outpatient visits, adult (Age 19 years old and above) 6,643

Number of outpatient visits, pediatric ( Age 0 to 18 yrs old; before 19th birthday) 1,466

Number of adult general medicine outpatient visits 5,168

Number of specialty (non-surgical) outpatient visits 736

Number of surgical outpatient visits 833

Number of antenatal care visits 125

Number of postnatal care visits 6

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Ten Leading Causes of OPD Consultation

Ten Leading OPD Consultations Number ICD-10 Code

1. Other diseases of the urinary system 545 N30-N39

2. Acute upper respiratory infections 315 J00-J06

3. Diseases of esophagus, stomach and duodenum 285 K20-K31

4. Hypertensive diseases 279 I10-I15

5. Other viral diseases 181 B25-B34

6. Intestinal infectious diseases 178 A00-A09

7. Influenza and pneumonia 133 J10-J18

8. Diseases of inner ear 122 H80-H83

Ten Leading Causes of ER Consultation

Ten Leading ER Consultations Number ICD-10 Code

1. Cerebrovascular diseases 63 I60-I69

2. Other forms of heart disease 40 I30-I52

3. Ischemic heart diseases 24 I20-I25

4. General symptoms and signs 13 R50-R69

5. Chronic lower respiratory diseases 5 J40-J47

6. Provisional assignment of new diseases of uncertain etiology or emergency use 4 U00-U49

7. Influenza and pneumonia 4 J10-J18

8. Other diseases of the pleura 3 J90-J94

TESTING

Total number of medical imaging tests (all types including x-rays, ultrasound, CT scans, etc.) Number

X-Ray 7,637

Ultrasound 2,421

CT-Scan 837

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MRI 0

Mammography 0

Angiography 0

Linear Accelerator 0

Dental X-Ray 0

Other 476

Total number of laboratory and diagnostic tests (all types, excluding medical imaging)

Urinalysis 6,802

Fecalysis 907

Hematology 19,920

Clinical chemistry 29,977

Immunology/Serology/HIV 3,827

Microbiology (Smears/Culture & Sensitivity) 1,814

Surgical Pathology 0

Autopsy 0

Cytology 0

Blood Service Facilities

Number of Blood units Transfused 310

EMERGENCY VISITS

Emergency visits Number

Total number of emergency department visits 1,422

Total number of emergency department visits, adult 1,138

Total number of emergency department visits, pediatric 284

Total number of patients transported FROM THIS FACILITY’S EMERGENCY DEPARTMENT to anotherfacility for inpatient care 60

C. Deaths

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For each category of death listed below, please report the total number of deaths.

Types of deaths Number

Total deaths 227

Total number of inpatient deaths 138

Total deaths < 48 hours 49

Total deaths ≥ 48 hours 89

Total number of emergency room deaths 54

Total number of cases declared 'dead on arrival' 35

Total number of stillbirths 10

Total number of neonatal deaths 8

Total number of maternal deaths 0

Gross Death Rate 2.85% Gross Death Rate = Total Deaths (including newborn for a given period) x 100

Total Discharges and Deaths for the same period 2.85% = 156 x 100 (User encoded)

5,465

Net Death Rate 1.69%

Net Death Rate = Total Deaths (including newborn for a given period) - death < 48 hours for the period x 100Total Discharges (including deaths and newborn) - death < 48 hours for the period

1.69% = 89 x 100 (User encoded)

5,278

Ten Leading Causes of Mortality/Deaths and Total Number of Mortality/Deaths.

(Do not include Cardio-respiratory arrest, put underlying cause instead)Mortality/Deaths Number ICD-10 Code

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1. Ischemic heart diseases 43 I20-I25

2. Other diseases of the respiratory system 32 J95-J99

3. Influenza and pneumonia 18 J10-J18

4. Cerebrovascular diseases 12 I60-I69

5. Hypertensive diseases 8 I10-I15

6. General symptoms and signs 8 R50-R69

7. Other bacterial diseases 6 A30-A49

8. Other forms of heart disease 4 I30-I52

9. Other land transport accidents 4 V80-V89

10. Renal failure 3 N17-N19

Kindly accomplish the "Ten Leading Causes of Mortality/Deaths Disaggregated as to Age and Sex" in the table below. (Do not include cardio-respiratory Arrest and maternal deaths)

Cause ofMortality

(Underlying)

Age Distribution of Patients

Total

ICD-10CODE /

TABULARLIST

Under1 1 - 4 5 - 9 10 -

1415 -19

20-24

25 -29

30 -34

35 -39

40 -44

45 -49

50 -54

55 -59

60 -64

65 -69

70 &over

Subtotal

Spell out. Donot abbreviate. M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F

1. Ischemicheart diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 5 2 1 0 1 0 0 0 5 1 3 1 3 2 10 6 29 14 43 I20-I25

2. Otherdiseases of therespiratorysystem

0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 1 0 2 1 3 2 4 2 9 4 22 10 32 J95-J99

3. Influenza andpneumonia 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 10 4 12 6 18 J10-J18

4.Cerebrovasculardiseases

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 1 0 0 1 2 0 3 1 8 4 12 I60-I69

5. Hypertensivediseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 2 1 1 4 4 8 I10-I15

6. General 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 2 1 0 0 0 6 2 8 R50-R69

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symptoms andsigns

7. Otherbacterialdiseases

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 1 0 2 2 4 6 A30-A49

8. Other formsof heart disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 2 2 4 I30-I52

9. Other landtransportaccidents

0 0 0 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 V80-V89

10. Renalfailure 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 3 0 3 N17-N19

D. Healthcare Associated Infections (HAI)

HAI are infections that patients acquire as a result of healthcare interventions. For purposes of Licensing, the four (4) major HAI would suffice.

For All Hospitals (General and Specialty)INFECTION RATE = Number of Healthcare Associated Infections x 100

Number of Discharges

Device Related Infections

1. Ventilator Acquired Pneumonia (VAP) = Number of Patients with VAP x 1000Total Number of Ventilator Days

(Not to be filled up by Level 1 with no ICU facilities)

2. Blood Stream Infection (BSI) = Number of Patients with BSI x 1000Total Number of Central Line (peripheral lines not included)

3. Urinary Tract Infection (UTI) = Number of Patients (with catheter) with UTI x 1000Total Number of Catheter Days

Non-Device Related Infections

Surgical Site Infections (SSI) = Number of Surgical Site Infections(Clean Cases) x 100Total number of Clean Procedures done

Percentage (%)

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INFECTION RATE 0.00Device Related Infections

Ventilator Acquired Pneumonia (VAP) 0.00Blood Stream Infection (BSI) 0.00Urinary Tract Infection (UTI) 0.00

Non-Device Related InfectionsSurgical Site Infections (SSI) 0.00

E. Surgical Operations

Major Operation refers to surgical procedures requiring anesthesia/ spinal anesthesia to be performed in an operating theatre. ( Refer to different cutting specialties.)

Minor Operation refers to surgical procedures requiring only local anesthesia/ no OR needed, example suturing. (Refer to different cutting specialties)

10 Leading Major Operations (excluding Caesarian Sections) Number

1 CYSTOSCOPY RETROGRADE PYELOGRAM 672 APPENDECTOMY 543 CYSTOSCOPY WITH TRANSURETHRAL RESECTION OF PROSTATE 384 Cholecystectomy; 375 Total abdominal hysterectomy bilateral salpingo oophorectomy 346 Exploratory Laparotomy Salpingo-oophorectomy 247 MESH HERNIORRHAPHY 158 Open reduction plating 119 Modified Radical Mastectomy 910 Inguinal Exploration 7

10 Leading Minor Operations Number1 Excision biopsy 882 DEBRIDEMENT (INFECTED WOUND/ SKIN TISSUE) 403 Esophagogastroduodenoscopy 244 INTRAJUGULAR CATHETER INSERTION 165 COLONOSCOPY ONLY 166 CLOSE REDUCTION 167 CORE NEEDLE BIOPSY 15

8 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst,furuncle, or paronychia) 15

9 Hemorrhoidectomy 14

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10 Wound Exploration 13

III. STAFFING PATTERN (Total Staff Complement)

Profession/Position/DesignationSpecialty

BoardCertified

Total staff working full time(at least 40 hours/week)

Total staff working part time(at least 20 hours/week) Active

Rotating orVisiting/Affiliate

OutsourcedNumber ofpermanent full

time staff

Number ofcontractual

full time staff

Number ofpermanent

part time staff

Number ofcontractual

part time staff

A. Medical

1. Consultants 0 0 0 0 0 0 0

1.1 Internal Medicine 0 0 0 7 0 0

a. Generalist 0 0 0 2 0 0

b. Cardiologist 0 0 0 1 0 0

c. Endocrinologist 0 0 0 1 0 0

d. Gastro-Enterologist 0 0 0 2 0 0

e. Pulmonologist 0 0 0 2 0 0

f. Nephrologist 0 0 0 1 0 0

g. Neurologist 0 0 0 2 0 0

Others, specify

Infectious 0 0 0 1 0 0 0

1.2. Obstetrics/ Gynecology(and sub-specialty) 0 0 0 5 5 0

1.3. Pediatrics (and sub-specialty) 0 0 0 4 0 0

1.4. Surgery (and sub-specialty) 0 0 0 6 0 0

1.5. Anesthesiologist 0 0 0 2 0 0

1.6. Radiologist 0 0 0 3 0 0 0

1.7. Pathologist 0 0 0 1 0 0 0

2. Post-Graduate Fellows (Indicate

0 0 0 0 0 0 0

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specialty/subspecialty)

3. Residents 0 0 6

3.1. Internal Medicine 0 0 0

3.2. Obstetricts-Gynecology 0 0 0

3.3. Pediatrics 0 0 0

3.4. Surgery 0 0 0

B. Allied Medical

1. Nurses 0 83

2. Midwives 0 8

3. Nursing Aides 0 21

4. Nutritionist 0 1

5. Physical Therapist 0 3

6. Pharmacists 0 5

7. Medical Technologist 0 8

8. Laboratory Technician 0 2

9. X-Ray Technologist/X-RayTechnician 0 9

10. Medical EquipmentTechnician 0 0

11. Social Worker 0 0

12. Medical Records Officer/Hospital Health InformationOfficer

0 2

Others, specify

2D Echo Technologist/Vascular Technologist 0 0 2 0 0 0 0

C. Non-Medical

1. Chief Administrative Officer 0 1

2. Accountant 0 3

3. Budget officer 0 1

4. Cashier 0 3

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5. Clerk 0 1

6. Engineer 0 2

7. Driver 0 2

Others, specify

Supply Officer 0 0 3 0 0 0 0

Bookkeeping 0 0 1 0 0 0 0

HR/ IT/ Legal Department 0 0 4 0 0 0 0

Admitting Department 0 0 3 0 0 0 0

Billing Department 0 0 8 0 0 0 0

9. General Support Staff 0 0 0 0 0 0

- Janitorial 0 24 0 0 0 0

- Maintenance 0 2 0 0 0 0

- Security 0 4 0 0 0 0

Others, specify

Cafeteria/ Dietary 0 0 11 0 0 0 0

IV. EXPENSES

Report all money spent by the facility on each category.Expenses Amount in PesosAmount spent on personnel salaries and wages 44,025,680.04Amount spent on benefits for employees (benefits are in addition to wages/salaries. Benefits include for example: socialsecurity contributions, health insurance) 3,986,950.71

Allowances provided to employees at this facility (Allowances are in addition to wages/salaries. Allowances include forexample: clothing allowance, PERA, vehicle maintenance allowance and hazard pay.) 3,485,180.80

TOTAL amount spent on all personnel including wages, salaries, benefits and allowances for last year (PS) 51,497,811.55Total amount spent on medicines 37,720,385.46Total amount spent on medical supplies (i.e. syringe, gauze, etc.; exclude pharmaceuticals) 17,364,766.20Total amount spent on utilities 7,805,796.62Total amount spent on non-medical services (For example: security, food service, laundry, waste management) 4,609,546.07TOTAL amount spent on maintenance and other operating expenditures (MOOE) 67,500,494.35Amount spent on infrastructure (i.e., new hospital wing, installation of ramps) 744,697.88Amount spent on equipment (i.e. x-ray machine, CT scan) 3,346,221.88TOTAL amount spent on capital outlay (CO) 4,090,919.76

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GRAND TOTAL 123,089,225.66

V. REVENUES

Please report the total revenue this facility collected last year. This includes all monetary resources acquired by this facility from all sources including donations.

Revenues Amount in PesosTotal amount of money received from the Department of Health 1,802,029.65Total amount of money received from the local government 1,801,900.00Total amount of money received from donor agencies (for example JICA, USAID, and others) 0.00Total amount of money received from private organizations (donations from businesses, NGOs, etc.) 0.00Total amount of money received from Phil Health 82,482,305.02Total amount of money received from direct patient/out-of-pocket charges/fees 15,673,999.73Total amount of money received from reimbursement from private insurance/HMOs 7,928,036.16Total amount of money received from other sources (PAGCOR, PCSO, etc.) 1,921,959.06GRAND TOTAL 111,610,229.62

If donation is in kind, please put equivalent amount in peso

Report Prepared by: MIZPAH GRACE R. GARCIA

Designation/Section/Department: Medical Records Officer / Medical Records / Medical Records Department Date: Mar. 08, 2021

Report Approved and Certified by : REUEL DIMALIBOT Date: _______ Chief of Hospital/Medical Director

Print Valid Reject

 

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