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Annex B

Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012 Officer 1st quarter Officer 2nd quarter Officer 3rd quarter

Data Source

Name: TIN No:

MELECIO N. DY ,MD,MPH,CESE CARAGA REGIONAL HOSPITAL (DOH Central Office) OIC- CHIEF OF HOSPITAL III

Name of Agency: Position/Designation:

(Indicate whether Mother Unit or Ex-Officio Member) Months Served: May 16 2012 to Present Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: Reviewed by: 15,600.00 15,600.00 3,000.00 6,300.00 6,300.00

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date:

Annex B
Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012 Officer 1st quarter Officer 2nd quarter Officer 3rd quarter

Data Source

Name:

CHERYL A. GOTINGA CARAGA REGIONAL HOSPITAL CMPS - I

TIN No: 925-550-079-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives (PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 196,786.25 Reviewed by: 226,413.00 196,786.25 226,413.00 4,000.00 5,000.00 6,000.00 7,500.00 27,924.00 4,000.00 5,445.00 14,969.25 5,445.00 11,000.00 11,000.00 16,500.00 16,500.00 135,372.00 6,000.00 140,544.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date:

Annex B
Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012 Officer 1st quarter Officer 2nd quarter Officer 3rd quarter

Data Source

Name:

PONCIANO S. LIMCANGCO ,MD,FPSP,MBA,CEO VI CARAGA REGIONAL HOSPITAL Chief of Hospital III

TIN No: 140-023-506-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives ( PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 241,644.25 Reviewed by: 237,730.00 241,644.25 237,730.00 9,000.00 7,500.00 6,000.00 7,500.00 30,655.00 4,000.00 5,445.00 14,969.25 5,445.00 18,900.00 18,900.00 12,600.00 12,600.00 156,930.00 6,000.00 156,930.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459

Date: 07/31/12

Date:

Annex B
Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012 Officer 1st quarter Officer 2nd quarter Officer 3rd quarter

Data Source

Name:

RONIL B. SALMAYOR , CPA CARAGA REGIONAL HOSPITAL Administrative Officer V

TIN No: 140-023-506-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives ( PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 139,412.50 Reviewed by: 132,548.00 139,412.50 132,548.00 6,000.00 7,500.00 6,000.00 7,500.00 19,229.00 4,000.00 5,445.00 22,093.50 5,445.00 88,374.00 6,000.00 88,374.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)

CLAYTON EDGAR M. DELGADO,CPA Accountant II

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III

Tel No. (086) 826-1116 Date: 07/31/12

Tel No. (086) 826-2459 Date:

Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012

Data Source

1st quarter

1st quarter

1st quarter

Name: TIN No: Name of Agency: CARAGA REGIONAL HOSPITAL (Indicate whether Mother Unit or Ex-Officio Member) Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.)

DR.PONCIANO S. LIMCANGCO 140-023-506-000

MELECIO N. DY

CHERYL A. GOTINGA 925-550-079-000

Chief of Hospital III

OIC-Chief of Hospiatl III

CMPS-I

156,930.00

135,372.00

6,000.00

6,000.00

18,900.00 18,900.00

11,000.00 11,000.00

5,445.00 14,969.25

5,445.00 14,969.25

4,000.00

4,000.00

9,000.00 7,500.00

4,000.00 5,000.00

Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total

241,644.25

196,786.25

241,644.25

196,786.25

Prepared by:

Reviewed by:

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader Verified Correct:

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date: 07/31/12

Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012

Data Source

2nd quarter

2nd quarter

2nd quarter

Name: TIN No: Name of Agency: CARAGA REGIONAL HOSPITAL (Indicate whether Mother Unit or Ex-Officio Member) Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.)

DR.PONCIANO S. LIMCANGCO
140-023-506-000

MELECIO N. DY

CHERYL A. GOTINGA
925-550-079-000

Chief of Hospital III

OIC-Chief of Hospiatl III

CMPS-I

156,930.00

140,544.00

6,000.00

6,000.00

12,600.00 12,600.00

6,300.00 6,300.00

16,500.00 16,500.00

5,445.00

5,445.00

30,655.00

27,924.00

6,000.00 7,500.00

3,000.00

6,000.00 7,500.00

Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total

237,730.00

15,600.00

226,413.00

237,730.00

15,600.00

226,413.00

Prepared by:

Reviewed by:

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO Verified Correct:

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date: 07/31/12

State Auditor IV Audit Team Leader

Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012

Data Source

3rd quarter

3rd quarter

3rd quarter

Name: TIN No: Name of Agency: CARAGA REGIONAL HOSPITAL (Indicate whether Mother Unit or Ex-Officio Member) Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Hazard & Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (3) PHIC Sharing (etc.)

DR.PONCIANO S. LIMCANGCO
140-023-506-000

MELECIO N. DY

CHERYL A. GOTINGA
925-550-079-000

Chief of Hospital III

OIC-Chief of Hospiatl

CMPS-I

156,930.00

140,544.00

6,000.00

6,000.00

12,600.00 12,600.00

16,500.00 16,500.00

5,445.00 14,969.25

5,445.00 14,969.25

7,500.00 95,831.00

6,000.00

6,000.00 7,500.00

95,831.00

95,831.00

Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total

286,675.25

127,031.00

309,289.25

286,675.25

127,031.00

309,289.25

Prepared by:

Reviewed by:

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Verified Correct:

MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459

Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader

Date: 07/31/12

Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012

Data Source

4th quarter

4th quarter

4th quarter

Name: TIN No: Name of Agency: CARAGA REGIONAL HOSPITAL (Indicate whether Mother Unit or Ex-Officio Member) Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Hazard & Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (3) PHIC Sharing (etc.)

DR.PONCIANO S. LIMCANGCO
140-023-506-000

MELECIO N. DY

CHERYL A. GOTINGA
925-550-079-000

Chief of Hospital III

OIC-Chief of Hospital

CMPS-I

156,930.00

140,544.00

6,000.00

6,000.00

9,450.00 9,450.00

9,450.00 9,450.00

16,500.00 16,500.00

5,445.00 29,914.50

5,445.00 29,914.50

66,309.00

62,806.00

4,500.00 7,500.00 80,000.00

1,500.00

6,000.00 7,500.00

40,000.00

80,000.00

Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total

375,498.50

60,400.00

371,209.50

375,498.50

60,400.00

371,209.50

Prepared by:

Reviewed by:

CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader Verified Correct:

ANDRES M. DOLAR, JR.,MD,MPM,DPBR Medical Center Chief - I Tel No. (086) 826-2459 Date: 07/31/12

ANNEX B

EMEs)

1st quarter

RONIL B. SALMAYOR 109-978-262.000

Admin. Officer V

88,374.00

6,000.00

5,445.00 22,093.50

4,000.00

6,000.00 7,500.00

139,412.50

139,412.50

MD,MPH,CESE

ANNEX B

EMEs)

2nd quarter

RONIL B. SALMAYOR
109-978-262.000

Admin. Officer V

88,374.00

6,000.00

5,445.00

19,229.00

6,000.00 7,500.00

132,548.00

132,548.00

MD,MPH,CESE

ANNEX B

EMEs)

3rd quarter

RONIL B. SALMAYOR
109-978-262.000

Admin. Officer V

88,374.00

6,000.00

5,445.00 22,093.50

13th month pay

PIB

6,000.00 7,500.00 14,917.00

150,329.50

150,329.50

MD,MPH,CESE

ANNEX B

EMEs)

4th quarter

RONIL B. SALMAYOR
109-978-262.000

Admin. Officer V

88,374.00

6,000.00

5,445.00 44,184.00

50,168.00

6,000.00 7,500.00 12,500.00

220,171.00

220,171.00

AR, JR.,MD,MPM,DPBR