REPUBLIC OF THE PHILIPPINES PHILIPPINE INSTITUTE OF DEVELOPMENT STUDIES MAKATI CITY Trade and Liberalization Of Health and Related Services DRAFT REPORT ONLY (For Comments) Jovi C. Dacanay Maria Cherry Lyn S. Rodolfo SCHOOL OF ECONOMICS UNIVERSITY OF ASIA AND THE PACIFIC JULY 2005 TABLE OF CONTENTS Abstract Executive Summary List of Tables List of Figures Chapter 1. Background Introduction Trends in Global Health Care Healthcare Industry in the Philippines 1 Chapter 2. Trade in Health Services 11 GATS Framework Mode 1: Cross-Border Trade Mode 2: Consumption Abroad Mode 3: Commercial Presence Mode 4: Movement of Natural Persons Chapter 3. Assessment of Local Capabilities 37 Summary of Opportunities Local Capabilities Chapter 4. Strategic Directions and Options for Negotiations 64 Case Study The Private Hospital Industry 69 Bibliography Annexes List of Tables Table 1 Expenditures on Health: Sources of Financing 3 Table 2 Table 3 Table 4 Table 5 Table 6 Share of Health Expenditures to GDP Per Capita Expenditure on Health: Top 10 Countries The Senior Market Modes of Supply under GATS Health and Social Services in the GATS Scheduling Guidelines and CPC Telehealth Applications 6 6 7 11 12 Table 7 Table 8 Table 9 Table 10 Table 11 Table 12 Table 13 Table 14 Table 15 Table 16 Table 17 Table 18 Table 19 Table 20 Table 21 Table 22 Table 23 Categories of Consumers Moving Abroad Profile of Major Players in Health Tourism Cost of Long Term Care in Japan: Public and Private Silver Businesses Retirement Communities Classification Investment rules on hospital and insurance companies Demand for Nurses and Other Medical Professionals in OECD Countries Overview of Commitments for Modes 1, 2 and 3 on Medical, Health-Related and Social Services Summary of Specific Commitments in GATS Number of Spas Japanese Living Abroad COST COMPARISON Why Consider the Philipines? List of Medical Transcription Companies Key ICT Indicators Output and Income Linkages Output And Income Coefficients Of Variation 17 22 26 28 29 32 33 35 36 41 42 48 49 50 55 58 59 Abstract There is a growing emphasis on the role of trade in health services (telehealth, medical transcription, health tourism and retirement, investments and exports of medical professionals). The Philippines has not made any commitments in removing barriers to trade under the General Agreement on Trade in Services of the World Trade Organization. This paper seeks to identify the opportunities, barriers and risks for the Philippines in participating in global trade in health services, examine the capabilities of the country in engaging in trade, and identify strategic directions that the Philippines can pursue. It presents the different market niches that can be tapped relative to the opportunities which include: aging populations of the OECD nations, the shortage of medical professionals in those countries, the long waiting lines in hospital facilities, the Health Insurance Portability and Accountability Act of the US, and poor health care systems in other countries. It also addresses certain issues related to institutional structure, firm infrastructure, market niching and development, and human resource development. A case study on the private hospital industry is presented to show the structure, conduct and performance of this very critical provider in health tourism and retirement. Draft Report CHAPTER 1 BACKGROUND A. INTRODUCTION There is a growing emphasis on the role of trade in health services in contributing to health care financing and improving the quality, coverage and efficiency of health care delivery and ultimately to economic development. Countries like Thailand, Chile, Singapore and Malaysia (and Philippines as a new entrant) are embarking on aggressive health tourism programs. The aging populations and shortage of nurses in the OECD countries have opened up opportunities for the Philippines, South Africa and the Carribbean economies to export health workers. For India, Pakistan and the Philippines, business process outsourcing particularly in the form of medical transcription is proving to be another growth area. On the other hand, the likes of the United States, Singapore and Australia are at the forefront of utilizing telemedicine and expansion of their reputable health care companies as growth drivers. Exportable health services are seen as means of easing fiscal constraints, generating jobs and income, improving the infrastructure (number and quality of health facilities) and upgrading the capacities of health professionals through the utilization of export revenues. These earnings tend to cross-subsidize the provision of better health care systems to the general need population. Ultimately, the export earnings are expected to contribute to expanding the scope and improving the quality and cost of delivery of health services to the general needy population as a strategy for sustainable development. Such links however tend to be weakened by institutional failures (e.g. poor corporate and public governance, lack of coordination among others). The health care industry is composed of the health care delivery and health care financing. The health care delivery or provider pertains to health care institutions that offer and provide health services. Its primary aim is to maintain and operate facilities for health prevention, promotion, treatment, diagnosis and care of people who suffer from various diseases, illnesses, disabilities, as well as individuals who need other medical and nursing care. It includes health care facilities such as hospitals and clinics, and health professionals who give services such as medical doctors, nurses, dentists, and midwives.1 It essentially involves where and how health services are administered and produced. On the other hand, the health care financier’s main purpose is to provide financial support to individuals so they can easily avail of health services from the providers. It involves how services are financed.2 It does not only reduce the cost of care but it also contributes in increasing the ability of individuals to secure health services. These two, which are part of a complex system, are interdependent. The benefits and services offered by the health care financiers involve the providers. For instance, these give hospital benefits. Similarly, the financing system contributes to the services given by the health care delivery. Because of their financial support, people have greater access to the providers and are able to avail more of their services. Moreover, because one is dependent on the other, policies which are directed to one part of the system also affects the other in terms of its costs and benefits.3 1 Philippine Health Care Factbook (2002). “Health Care Financing Regional Seminar on Health Care Financing” (1987). 3Ibid. 2 -1- Draft Report Both the public and private sector have roles in the health care industry. A system can both be financed and operated publicly, or it can be both privately financed and delivered. Moreover, a system can be financed publicly but privately delivered, or it can be the other way around where the financier comes from the private sector but the delivery is from the public sector.4 The public providers give curative, preventive and rehabilitative services. These government health facilities often cater to the low income groups. The private providers, on the other hand, often offer services that are only rehabilitative and curative in nature. These health facilities that are privately operated usually aim at the upper and middle income groups.5 Health care financing has three major sources: government, private and external. The government’s share is high in developed nations, ranging from 44% in the case of the USA to as high as 83.4% for the United Kingdom (WHO 2004). The pressures of aging populations, shortage of medical workers and fiscal constraints on delivering better health care services have forced a number of governments to reform their national health systems through organizational restructuring, decentralization, and improved management and administration of the public health care system. There have been more conscious and concerted efforts to allocate resources toward more cost-effective and efficient health care services. In many cases, the private sector has been shouldering the bulk of health care financing. This is particularly true in countries where governments lack the fiscal resources (Table 1). External financing sources are a major source as well for a number of least developed countries especially those in the African region.. 4Ibid. 5Solon (1992). -2- Draft Report Table 1. Expenditures on Health: Sources of Financing General government expenditure on health as % of total expenditure on health b Member State Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesiac Iran, Islamic Republic of Iraqd Ireland Israel Italy Jamaica Japane Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon 1998 8.9 35.9 65.6 78.6 33 71.7 55.2 24.7 68.3 69.7 19.3 44.9 70.6 30.7 65.4 82.1 70.2 51.7 40.9 90.3 62.9 27.3 53.3 44 81.3 67.9 38.7 20.5 10.1 17 70.6 75.3 34 31.4 36.4 39 67.5 63.4 72.4 91.7 69.3 24.6 85.1 84.7 39.5 91.8 76.9 9.9 82 52.5 73.3 31.4 38.3 34.7 42.5 62 66.1 86.3 47.6 65.4 76.3 76 60.7 24.5 45.4 78.6 42 52.1 65.8 47.4 14.8 35 83.4 35.4 51.9 74.8 83 26.5 27.8 45.3 51 76.5 72.1 71.8 58.6 80.8 53.6 55.1 45.2 99 78.4 50.5 1999 7.7 37.7 66.4 71.6 41.4 72.2 56.2 30.8 69.8 69.6 21.6 46.8 70 27.2 65.4 81.1 70.6 48.6 37 89.6 58.1 56.7 54.1 42.8 79.4 66.5 42 19.9 10.1 24.4 70.3 73.9 38 33.2 38.4 38 73.2 60.8 68.4 89.6 68.1 23.2 86.1 85.5 38.7 91.5 75.3 7.2 82.2 52.9 74.3 32.1 39.4 35.9 43.5 62.4 59.7 80.4 48.1 65.2 75.3 76 49.2 34.2 37.6 78.6 40.2 53.4 69.7 48.3 16.3 41.8 84 36.3 50.8 72.4 83.9 23.6 29.6 43.4 39.6 72.8 69.4 72.3 50.3 81.1 48.2 51.9 41.1 98.9 77.7 49.4 2000 6.3 39.2 69.6 70.1 54 72 55.1 29.8 69.1 69.6 22 47.2 69.3 25.6 65.8 80.1 70.5 48 43.4 90.6 60.1 52 54.3 41 80 61.2 40 17.9 14.2 27.8 70.4 73.5 41.1 41.2 42.2 34.6 77.9 54.9 70.2 90.9 66.7 21.3 86.4 85.8 37.6 91.4 73.5 7.4 82.4 52.8 71.5 35.2 31.2 35.3 45.1 66.5 62.7 76.7 45.9 65.2 75.1 75.8 39.5 44.2 33.3 78.8 40.6 53.9 70.1 48.6 16.9 47.7 82.7 36 52.5 70.7 83.6 20.9 25.4 41.6 29.1 73.3 67.2 73.7 52.6 81.3 45.2 50.9 46.5 98.8 76.4 50 48.6 65.5 27.5 49.4 64 27.5 53.3 58.8 30.1 2001 Private expenditure on health as % of total expenditure External resources for health as % of total expenditure on health on health b 9 36 74.2 71 51.8 70.8 53.5 21.5 68.3 68.5 23 47.5 70.4 25.8 67.6 75.5 71.4 45.1 46.2 91.2 59.3 48.8 56.7 42.9 78.3 55.8 39.7 20.8 14.9 26.2 70.1 75.8 39.4 41.5 43.7 35.5 80.7 46.9 69 93.8 65.2 20.1 85.5 86 38.4 91.4 73.4 18.2 82.7 51.5 71.3 35.6 33.5 37.8 42.4 70.1 61.5 77.8 41.4 67.1 75.4 75.9 43.5 43.7 37.4 78.6 40.9 53.1 71.9 48.3 16.8 46.6 79.9 37.7 52.1 69 83.2 20.7 35.8 44.3 27.1 75.6 66.5 76 43.4 81.7 45.7 56.4 42.8 98.7 77.1 50.2 2002 39.2 38.7 74 70.5 41.9 68.6 50.2 22.9 67.9 69.9 22.1 48.6 72 25.2 68.4 73.9 71.2 47.3 44.4 92.2 59.8 49.8 61.9 45.9 78.2 53.4 45.9 21.5 17.1 26.2 69.9 75.1 41.6 41.9 45.1 33.7 82.9 58 70.3 93 65.4 22.4 81.4 86.5 41.3 91.4 76.6 30.2 82.9 52.9 71.3 36.4 36 36.6 44.7 72.2 63.7 76.3 44.9 64.6 75.7 76 41.3 44.6 27.1 78.5 41 52.9 71 47.5 15.5 48.2 76.3 39.4 51.2 70.2 84 21.3 36 47.8 16.9 75.2 65.7 75.6 57.4 81.7 46.1 53.2 44 98.8 75.2 51.2 1998 91.1 64.1 34.4 21.4 67 28.3 44.8 75.3 31.7 30.3 80.7 55.1 29.4 69.3 34.6 17.9 29.8 48.3 59.1 9.7 37.1 72.7 46.7 56 18.7 32.1 61.3 79.5 89.9 83 29.4 24.7 66 68.6 63.6 61 32.5 36.6 27.6 8.3 30.7 75.4 14.9 15.3 60.5 8.2 23.1 90.1 18 47.5 26.7 68.6 61.7 65.3 57.5 38 33.9 13.7 52.4 34.6 23.7 24 39.3 75.5 54.6 21.4 58 47.9 34.2 52.6 85.2 65 16.6 64.6 48.1 25.2 17 73.5 72.2 54.7 49 23.5 27.9 28.2 41.4 19.2 46.4 44.9 54.8 1 21.6 49.5 1999 92.3 62.3 33.6 28.4 58.6 27.8 43.8 69.2 30.2 30.4 78.4 53.2 30 72.8 34.6 18.9 29.4 51.4 63 10.4 41.9 43.3 45.9 57.2 20.6 33.5 58 80.1 89.9 75.6 29.7 26.1 62 66.8 61.6 62 26.8 39.2 31.6 10.4 31.9 76.8 13.9 14.5 61.3 8.5 24.7 92.8 17.8 47.1 25.7 67.9 60.6 64.1 56.5 37.6 40.3 19.6 51.9 34.8 24.7 24 50.8 65.8 62.4 21.4 59.8 46.6 30.3 51.7 83.7 58.2 16 63.7 49.2 27.6 16.1 76.4 70.4 56.6 60.4 27.2 30.6 27.7 49.7 18.9 51.8 48.1 58.9 1.1 22.3 50.6 2000 93.7 60.8 30.4 29.9 46 28 44.9 70.2 30.9 30.4 78 52.8 30.8 74.4 34.2 19.9 29.5 52 56.6 9.4 39.9 48 45.7 59 20 38.8 60 82.1 85.8 72.2 29.6 26.5 58.9 58.8 57.8 65.4 22.1 45.1 29.8 9.1 33.3 78.7 13.6 14.2 62.4 8.6 26.5 92.6 17.6 47.2 28.5 64.8 68.8 64.7 54.9 33.5 37.3 23.3 54.1 34.8 24.9 24.2 60.5 55.8 66.7 21.2 59.4 46.1 29.9 51.4 83.1 52.3 17.3 64 47.5 29.3 16.4 79.1 74.6 58.4 70.9 26.7 32.8 26.3 47.4 18.7 54.8 49.1 53.5 1.2 23.6 50 55.5 58.3 29.9 50.9 64.1 30.1 51.4 34.5 72.5 50.6 36 72.5 46.7 41.2 69.9 -3- 2001 91 64 25.8 29 48.2 29.2 46.5 78.5 31.7 31.5 77 52.5 29.6 74.2 32.4 24.5 28.6 54.9 53.8 8.8 40.7 51.2 43.3 57.1 21.7 44.2 60.3 79.2 85.1 73.8 29.9 24.2 60.6 58.5 56.3 64.5 19.3 53.1 31 6.2 34.8 79.9 14.5 14 61.6 8.6 26.6 81.8 17.4 48.5 28.7 64.4 66.5 62.2 57.6 29.9 38.5 22.2 58.6 32.9 24.6 24.1 56.5 56.3 62.6 21.4 59.1 46.9 28.1 51.7 83.2 53.4 20.1 62.3 47.9 31 16.8 79.3 64.2 55.7 72.9 24.4 33.5 24 56.6 18.3 54.3 43.6 57.2 1.3 22.9 49.8 2002 60.8 61.3 26 29.5 58.1 31.4 49.8 77.1 32.1 30.1 77.9 51.4 28 74.8 31.6 26.1 28.8 52.7 55.6 7.8 40.2 50.2 38.1 54.1 21.8 46.6 54.1 78.5 82.9 73.8 30.1 24.9 58.4 58.1 54.9 66.3 17.1 42 29.7 7 34.6 77.6 18.6 13.5 58.7 8.6 23.4 69.8 17.1 47.1 28.7 63.6 64 63.4 55.3 27.8 36.3 23.7 55.1 35.4 24.3 24 58.7 55.4 72.9 21.5 59 47.1 29 52.5 84.5 51.8 23.7 60.6 48.8 29.8 16 78.7 64 52.2 83.1 24.8 34.3 24.4 42.6 18.3 53.9 46.8 56 1.2 24.8 48.8 1998 1.7 5.8 0 0 6.2 3.9 0.3 11.7 0 0 0.8 n/a 0 12.3 4.5 0 0 3.6 25.9 17.9 6.2 9.5 2.4 0.3 n/a 0.1 13.2 18.6 12.4 5.9 0 7.6 23.2 23.3 0.1 0.2 0.3 50.8 3.4 42.6 0.8 3.1 0.5 0.1 0 0 0.2 6.4 0 10.2 2.3 3.2 2.4 1.4 2.9 16.4 41.5 1.5 22.9 7.7 0 0 3.6 26.2 5 0 6.2 n/a 0.9 5.4 12.7 25.2 3.6 26 10.1 0 0 2.8 8.3 0 0.3 0 0 0 2.6 0 7.1 0.7 12.8 n/a 0 10.3 1999 1.9 6.9 0.1 0 9.2 3.8 0.3 19.6 0 0 1.1 n/a 0 12.2 4.2 0.1 0 3.1 14.4 36.8 5.7 3.9 2.2 0.5 n/a 0.5 13.2 18 13.4 5.2 0 8.4 20 22.3 0.1 0.3 0.3 47.6 2.5 37 0.7 3.3 1 0.2 0 0 0.2 3.6 0 10.5 2.1 3.2 3.2 1.6 1.5 9.4 47.9 3.5 24.4 11.1 0 0 3.1 31.6 8.1 0 6.1 n/a n/a 5.3 13.5 29.4 4 27.3 13.1 0 0 1.1 8.3 0 1 0 1.6 0 2.6 0 6.6 0.8 13.3 n/a 0 15.4 2000 2.4 8.7 0.1 0 14.9 3.8 0.3 20.9 0 0 2.2 n/a 0 12.9 4 0.1 0 2.9 23.4 17.1 6 5.2 1.9 0.5 n/a 1.9 11.8 14.5 18.8 6.1 0 13.5 20 28.4 0.1 0.2 0.3 35.9 2.1 29.3 0.8 3.4 1 0.2 0 0 0.3 4.8 0 11.8 1.3 2.4 4.1 1.9 0.9 7.8 47.9 0.9 25.9 10.9 0 0 1.2 39 11 0 12.1 n/a n/a 4.5 13.8 30.7 3.1 27.9 9.5 0 0 1.7 6.6 0.1 0.9 0 2.6 0 1.8 0 5.9 0.7 13.2 2.2 0 16.4 2001 5.3 4.9 0.1 0 11.8 3.4 0.3 24.8 0 0 4.2 0.2 0 13.3 4.4 0.2 0 8.5 61.8 18.5 7.1 3 2.5 0.5 n/a 1.5 6.6 15.8 19.7 7 0 15.1 15.7 22.8 0.1 0.1 0.1 25.7 2.3 19.1 1.5 2.7 1.1 0.3 2.6 0 0.4 16.4 0 15.5 0.9 1.8 1.8 1.9 0.8 5.9 39.1 0 29.3 10.1 0 0 1.6 33.5 13.8 0 17.6 n/a n/a 1.4 12.5 31.8 2.2 23.6 6.3 0 0 0.4 2.9 0.4 1.5 0 3.6 0 3.3 0 5.7 0.7 17.2 4.7 0 15.6 2002 42.6 3.8 0.1 0 7.9 1.1 0.3 18.6 0 0 4 n/a 0 13.5 4.2 0.1 0 8 65.9 18.7 7 1.8 3.8 0.5 n/a 1.4 5.8 16.2 4.9 6.4 0 19.3 17 27.9 0 0.1 0 43 2.2 5.4 1.3 2.2 1.1 0.2 2.3 0 59 27.8 0 20.3 0.5 1.4 0.9 1.6 0.7 4.8 49.2 0 29.5 5.6 0 0 2.8 40.6 12.6 0 18.5 n/a 13.2 4.4 9.5 35.9 2.6 15.6 8 0 0 1 1.8 0.3 0.6 0 3.9 0 4.1 0 5.2 0.6 16.4 3 0 14 44.5 41.7 70.1 49.1 35.9 69.9 20.4 0.8 2 19.5 0.7 1 19.7 0.6 0.5 21.1 0.6 0.5 9.6 0.5 0.5 Draft Report General government expenditure on health as % of Member State Lesotho Liberia Libyan Arab Jamahiriya Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Yemen Zambia total expenditure on health 1998 83.8 80.4 49.6 76 90.9 56.5 35.5 51.6 85 45.7 69 66.4 63.9 68 46 88.2 75.7 65.4 28.3 57.7 10.6 72.4 89 25.6 67.2 77 49.3 40.2 26.1 98.4 84.7 81.6 35.6 92.9 73.5 90.9 45.5 52.6 42.5 65.4 67.1 76.9 46.9 63.3 59.6 55.9 51.3 62.5 67.5 60.4 73.5 77.5 82 79.3 36.8 62.1 77.3 44.2 41.6 91.6 75.7 93 46.1 44.8 72.2 51.3 17.6 61.7 56.6 85.8 54.9 40.4 34.6 56.8 87.4 67.9 20.2 70.9 45.2 50.3 71.9 73.7 59.3 28.8 71.7 77 80.4 49.3 44.5 37.8 48.6 70.4 54.7 32.7 34.7 53.7 1999 b Private expenditure on health as % of total expenditure External resources for health as % of total expenditure b on health on health 83 81.4 49.1 74.9 89.7 53.7 33.7 52.9 85.2 42.9 67.5 65.2 64.2 71.5 47.8 88 73.5 66.5 29.1 61.9 11 73.3 89.1 21.4 65.9 77.5 45.8 50.2 29.1 98.4 85.2 83.2 30.3 91.4 69.4 89.9 44.9 53.1 43.7 71.1 67.6 76.2 46.9 45.9 64.9 56 54 60.1 68.8 60.8 74.1 77.8 87.3 75.5 38 59.5 76.6 53.8 38.3 89.9 75.5 93.4 45 41.1 72 49 15.8 59.6 59 85.7 55.3 41 27.6 57.1 85.2 70.7 22.2 71.6 44.3 52.3 61.1 69.2 57.3 30.6 68.8 75 80.6 47.8 44.3 34.8 49.2 71.8 2000 84.4 74.7 51.5 69.7 89.7 52.7 34.4 53.1 86.9 49.7 68.4 65 63.3 72.8 46.6 86.8 75.7 70.3 33.9 66.5 13.7 68.9 88.9 21 66.5 78 49.3 50.8 33.5 98.4 85 78.8 32.4 91.7 71.9 89.7 40.2 53 47.1 70 69.5 75.6 49 51.8 67.9 56.5 52.9 63.7 69.8 64 77 77.4 86.2 74.9 42.1 55.1 75.3 60.4 35.2 89.7 76 93.4 44.8 42.4 71.6 49.2 17.3 43.3 58.6 84.9 55.6 43 28.1 58.3 84.6 65.7 14.8 73.7 40.3 48.5 62.9 71.6 53.5 26.8 69 75.5 80.9 51.6 44.4 33.4 46.4 71.8 2001 83.7 71 50.9 72.6 89.8 64.1 43.6 53.7 87.5 50.1 71.3 64.7 67.9 75 44.8 86.9 76.6 72.3 32.5 69.8 12.5 71.1 88.7 24.7 65.9 76.4 49.2 49 31.4 98.4 83.4 82.1 32.7 92 71.4 89 35.2 52 43.6 71.9 70.6 75.5 54.5 51.9 67.8 54.4 55.4 64.2 68.9 64.1 82.2 79.4 87.6 77.6 45.1 60 75.7 61 33.5 89.6 74.9 93.5 44.6 41.2 71.4 48.9 19.7 39.6 57.9 84.9 57.1 45 28.9 58.9 83.1 64.4 14.3 73.6 39.9 51 62.5 69.4 53.4 27.3 69.3 75.1 83 55.3 44.9 33.8 46.4 73.1 2002 84.9 68 47.2 72.6 85.4 55 41.1 53.8 87.7 50.8 71.8 67.3 74.2 76.9 44.9 88.2 79.6 70.4 32.8 71 18.5 70.1 88.8 27.2 65.6 77.9 49.1 50.8 25.6 98.4 83.5 81.6 34.9 91 71.7 88.6 38.1 49.9 39.1 72.4 70.5 78.2 52.9 58.2 65.9 55.8 57.2 62.1 68.4 65.5 75.9 79.2 87.7 77.1 45.2 62.8 74.3 60.3 30.9 89.4 74.9 93.2 n/a 40.6 71.3 48.7 20.7 41.8 59.5 85.3 57.9 45.8 27.7 69.7 84.7 63.9 10.8 73.5 37.3 49.9 65.8 70.7 46.7 27.9 71.1 73.4 83.4 54.8 44.9 29 45.5 73.6 1998 16.2 19.6 50.4 24 9.1 43.5 64.5 48.4 15 54.3 31 33.6 36.1 32 54 11.8 24.3 34.6 71.7 42.3 89.4 27.6 11 74.4 32.8 23 50.7 59.8 73.9 1.6 15.3 18.4 64.4 7.1 26.5 9.1 54.5 47.4 57.5 34.6 32.8 23.1 53.1 36.7 40.4 44.1 48.7 37.5 32.5 39.6 26.5 22.5 18 20.7 63.2 37.9 22.7 55.8 58.4 8.4 24.3 7 53.9 55.2 27.8 48.7 82.4 38.3 43.4 14.2 45.1 59.6 65.4 43.2 12.6 32.1 79.8 29.1 54.8 49.7 28.1 26.3 40.7 71.2 28.3 23 19.6 50.7 55.5 62.2 51.4 29.6 51.8 32.7 33.7 51.2 54.4 28.1 35.9 52.2 43.8 28.2 33.5 52.8 46.9 29.2 27.2 52.9 45.3 67.3 65.3 46.3 1999 17 18.6 50.9 25.1 10.1 46.3 66.3 47.1 14.8 57.1 32.5 34.8 35.8 28.5 52.2 12 26.5 33.5 70.9 38.1 89 26.7 10.9 78.6 34.1 22.5 54.2 49.8 70.9 1.6 14.8 16.8 69.7 8.6 30.6 10.1 55.1 46.9 56.3 28.9 32.3 23.8 53.1 54.1 35.1 44 46 39.9 31.2 39.2 25.9 22.2 12.7 24.5 62 40.5 23.4 46.2 61.7 10.1 24.5 6.6 55 58.9 28 51 84.2 40.4 41 14.3 44.7 59 72.4 42.9 14.8 29.3 77.8 28.4 55.7 47.7 38.9 30.8 42.7 69.4 31.2 25 19.4 52.2 55.7 65.2 50.8 28.2 2000 15.6 25.3 48.5 30.3 10.3 47.3 65.6 46.9 13.1 50.3 31.6 35 36.7 27.2 53.4 13.2 24.3 29.7 66.1 33.5 86.3 31.1 11.1 79 33.5 22 50.7 49.2 66.5 1.6 15 21.2 67.6 8.3 28.1 10.3 59.8 47 52.9 30 30.4 24.4 51 48.2 32.1 43.5 47.1 36.3 30.2 36 23.1 22.6 13.8 25.1 57.9 44.9 24.7 39.6 64.8 10.3 24 6.6 55.2 57.6 28.4 50.8 82.7 56.7 41.4 15.1 44.4 57 71.9 41.7 15.4 34.3 85.2 26.3 59.7 51.5 37.1 28.4 46.5 73.2 31 24.5 19.1 48.4 55.6 66.6 53.6 28.2 2001 16.3 29 49.1 27.4 10.2 35.9 56.4 46.3 12.5 49.9 28.7 35.3 32.1 25 55.2 13.1 23.4 27.7 67.5 30.2 87.5 28.9 11.3 75.3 34.1 23.6 50.8 51 68.6 1.6 16.6 17.9 67.3 8 28.6 11 64.8 48 56.4 28.1 29.3 24.5 45.5 48.1 32.2 45.6 44.6 35.8 31.1 35.9 17.8 20.6 12.4 22.4 54.9 40 24.3 39 66.5 10.4 25.1 6.5 55.4 58.8 28.6 51.1 80.3 60.4 42.1 15.1 42.9 55 71.1 41.1 16.9 35.6 85.7 26.4 60.1 49 37.5 30.6 46.6 72.7 30.7 24.9 17 44.7 55.1 66.2 53.6 26.9 2002 15.1 32 52.8 27.4 14.6 45 58.9 46.2 12.3 49.2 28.2 32.7 25.8 23.1 55.1 11.8 20.4 29.6 67.2 29 81.5 29.9 11.2 72.8 34.4 22.1 50.9 49.2 74.4 1.6 16.5 18.4 65.1 9 28.3 11.4 61.9 50.1 60.9 27.6 29.3 21.8 47.1 41.8 34.1 44.2 42.8 37.9 31.6 34.5 24.1 20.8 12.3 22.9 54.8 37.2 25.7 39.7 69.1 10.6 25.1 6.8 n/a 59.4 28.7 51.3 79.3 58.2 40.5 14.7 42.1 54.2 72.3 30.3 15.3 36.1 89.2 26.5 62.7 50.1 34.2 29.3 53.3 72.1 28.9 26.6 16.6 45.2 55.1 71 54.5 26.4 1998 4.2 67.1 0 0 0 34.8 29.8 1.1 12.6 24.2 0 13.5 5.8 1.4 0.9 n/a 0 9 2.2 32.1 1.2 2.5 n/a 10.9 0 0 9.1 17.4 13.1 n/a 0 0 2.7 13.5 0.9 29 2.1 1.4 2.8 0 0 0 0 1.1 2.7 0.7 50.5 6.4 0.5 0.2 15.8 0 48.5 0 13.1 0.1 8 18.8 0 0.1 0 7.7 5.3 0.2 0 2.8 1.7 9.5 18.8 0 0 0.2 13.7 0.1 3.2 76.2 3.7 21.3 9 0.7 0 0.9 7.1 30.9 0.4 0 0 25.1 0 0.6 0.1 26 1999 3.7 67 0 0.6 0 40.5 37 1 7.7 18.8 0 38.2 5.5 1.2 1.2 27.5 0 18.9 1.8 41.9 3.1 2.4 n/a 9.3 0 0 8.5 28.9 13.8 n/a 0 0 2.2 11.9 1 18.5 2.1 1.4 3.7 0 0 0 0 16.1 2.6 0.9 27.8 5.7 0.5 0.2 13.8 0 59.9 0 12.7 1.1 7.5 22.2 0 0.1 0 7.1 6.1 0.1 0 2.7 2.9 17.6 10.3 0 0 0.1 14.5 0.4 4.2 63.4 2.7 23.9 8.3 0.7 0 2.1 6.4 27.6 0.3 0 0 27 0 0.1 0.9 26.4 2000 11.1 56.4 0 0.7 0 43.1 39.2 0.8 3.3 24.2 0 36.5 5.7 1.1 1 26.7 0 17.2 1.8 47.2 1.9 3.8 n/a 13.8 0 0 7.9 45.2 16.2 n/a 0 0.1 3.5 11.4 0.9 22.1 1.8 1.2 3.5 0 0 0 0 33 2 0.2 36.8 5.2 0.5 0.2 19.1 0 57.5 0 12.9 1.7 6.8 25.4 0 0 0.1 16.5 9 0.4 0 2.7 2 9.7 5.5 0 0 0.1 18.3 0.1 1.3 56.5 3.6 24.6 7.3 0.8 0 1 6.4 28.3 0.7 0 0 29.7 0 0.5 1.8 26.7 2001 16.5 44 0 0.7 0 38.8 32.9 0 1.8 20.8 0 25.4 4.9 1.6 0.9 19.6 0 15.4 1.8 44.7 1.9 4.3 n/a 13.3 0 0 7.9 33.5 5.6 n/a 0 0 3.5 11.8 0.5 22.8 2.3 4.6 3.7 0 0 0 0 8.4 1.7 0.2 29.6 5 0.6 0.2 15.6 0 61.8 0 17.1 1.1 6.8 25.1 0 0 0.1 16.5 9.3 0.4 0 3.1 2.5 13.2 4.1 0 0 0.1 16.9 0.2 4 60.6 2.7 23.7 7.3 0.8 0 0.8 29.5 27.4 0.7 0 0 29.6 0 0.8 2.9 19.5 2002 20.8 40.8 0 0.6 0 32.2 37.6 0 3.4 18.2 0 22.7 3.3 1.8 0.8 n/a 0 0.7 1.9 39.3 1 5.2 n/a 9 0 0 9.3 37.7 6.1 n/a 0 0 1.8 n/a 0.9 34.3 2.1 4.6 2.8 0 0 0 0 2.8 0.8 0.2 32.8 4.7 0.1 0.2 8.7 0 60.2 0 16.9 0.3 7.5 16.5 0 0 0.1 41 0 0.3 0 1.9 2.6 6.6 3.5 0 0 0.2 14.9 0.2 0.9 35.7 4.7 24 6.6 0.7 0 0.7 n/a 28.8 3.6 0 0 26.9 0 0.6 5 19.5 48.2 67.3 66.3 48.8 45.6 71.9 64.1 47.8 56.2 71.8 66.5 47.2 53.1 70.8 72.8 47.1 1.2 2.8 7.7 23.9 1 3.4 5.3 20.3 0.4 2.7 4.7 18.5 0.1 2.6 3.6 14 0.1 1.8 3 18.6 Figures computed by WHO to assure comparabilitya; they are not necessarily the official statistics of Member States, which may use alternative rigorous methods. 6 Source: World Health Organization (WHO) 6 The Philippine National Health Accounts (2003) estimated that government expenditures (including social insurance) accounted for 40% of total expenditures in the year 2002 (closely approximating the WHO figures). The shares of private sources and other sources were 58.6% and 2.8% respectively. In 2003, share of government increased to 43.7% while private sources declined to 54.9%. -4- Draft Report Still, governments seek to find alternative ways of financing health care. As mentioned, trade in health services is strongly considered as another way by which the objectives of health services sector can be achieved. As this paper will explore there are still barriers related to national treatment and market access that need to be negotiated between or among governments to give greater flexibility in the movement of consumers and health care providers. At the multilateral level, the framework used in the negotiation process is the General Agreement on Trade in Services (GATS) which defines four ways (modes of supply) by which countries can engage in trade, that is, cross-border trade, movement of consumers, commercial presence and movement of natural persons. These modes will be discussed further in the next chapter. The Philippines has not made any commitments in removing barriers under any of those modes under the GATS. However, it has been engaged in trade of health services, primarily through the export of our medical professionals for more than a decade already. To confirm the Philippine’s interest in pursuing opportunities related to health services trade, the Arroyo administration has identified health tourism and IT-enabled services (including medical transcription) as priority programs. Furthermore, it issued Executive Order 372 that created a private-public partnership to formulate a development strategy for three services sectors namely: Information and Communications Technology, Logistics and Health and Wellness. Given this background, this paper seeks to address the following questions: (1) What are the opportunities and risks for the Philippines in participating in global trade in health services? (2) Why should the Philippines explore those opportunities? Does the Philippines have a competitive advantage in health services exports? What are the implications on the cost, quality and availability of health services in the Philippines? (3) What are the key strengths and weaknesses of the Philippine health services sector? (4) What are strategic directions that the Philippines can pursue in order to become competitive particularly in relation to the various forms of regional integration? Section 1 of this report defines the objectives and trends in the global healthcare industry and presents an overview of health care financing in the Philippines. Section 2 presents the opportunities and risks in the global health services market and explores the various modes of engaging in health services trade, empirical evidences and opportunities, and barriers to trade. Section 3 is an assessment of the domestic capabilities of the Philippines in participating in trade of health services. Lastly, Section 4 presents some strategic directions and options for negotiations. -5- Draft Report B. Trends in the Global Health Care The health services sector is a major economic contributor to the gross domestic product. Health expenditures account for 6 percent of GDP in India, more than 8 percent of the OECD GDP and up to 15 percent in the United States (Table 2). Table 2. Share of Health Expenditures to GDP C o unt ry Unit e d S t a t e s P hilippine s T ha ila nd S inga po re M a la ys ia India Indo ne s ia c 1998 13 3 .5 3 .9 4 .2 3 5 .2 2 .5 1999 13 3 .5 3 .7 4 .1 3 .1 5 .7 2 .6 2000 1 3 .1 3 .4 3 .6 3 .6 3 .3 6 .3 2 .8 2001 1 3 .9 3 .2 3 .5 3 .9 3 .8 6 .1 3 2002 1 4 .6 2 .9 4 .4 4 .3 3 .8 6 .1 3 .2 Source: WHO Trade in health services has been incorporated in national priority programs by an increasing number of countries because of the opportunities brought about by rising consumer health care expenditures and the demonstration effects of countries (i.e Thailand, India, Malaysia) that have been successful in segments like health tourism. Health care expenditures are estimated at US$3 trillion per year and with Asia’s health care market accounting for 13% at US$390 billion (b). The US has the highest per capita spending of US$5,274. The fast aging population of Japan spends US$2,400 per person, accounting for 77% of the regional market.7 Table 3. Per Capita Expenditure on Health: Top 10 Countries COUNTRY 1998 1999 2000 2001 2002 United States o f A merica 4,096 4,298 4,539 4,873 5,274 Switzerland 3,908 3,881 3,572 3,774 4,219 No rway 2,865 3,024 2,850 3,352 4,033 M o naco 3,342 3,267 3,053 3,051 3,656 Luxembo urg 2,610 2,848 2,459 2,614 2,951 Iceland 2,509 2,849 2,746 2,478 2,916 Denmark 2,725 2,767 2,478 2,565 2,835 Germany 2,772 2,727 2,398 2,418 2,631 Sweden 2,335 2,395 2,277 2,169 2,489 Japand 2,222 2,601 2,827 2,558 2,476 Note: Total of 192 countries Source: WHO 7 Per capita spending on healthcare varies widely across developing and developed countries – as low as US$0.3 per annum in North Korea (and US$5 in Nigeria) to as high as US$2,400 in Switzerland and US$5,400 in the United States. In the Philippines, per capita health spending is $29 on average, ranked number 141 out of 192 countries surveyed by the World Health Organization. Thailand has a higher per capita spending of US$90. Yet, the amount of health spending is not directly correlated with health status, as more health investment does not necessarily mean better health outcomes (World Bank 1993). For instance, while the U.S. has the highest investment in health among the OECD countries, the country ranks 37 in the world in terms of overall performance of the health sector (WHO, 2000). -6- Draft Report On the demand side the higher expenditures are driven by8: the aging populations in a number of countries expanded reach of mandatory insurance schemes emergence and/or discovery of new diseases lack of incentives for patients to economize since health care is covered by most insurance schemes. On the supply side, the factors include:9 lack of incentives to relate the cost of treatment with the benefits introduction of more expensive technologies insufficient health care planning and unfocused treatment by doctors (WTO 1998) Let us consider the aging population of a number of OECD countries which is a strong force behind higher expenditures and active participation by developing countries in trade. According to the United Nations the number of persons aged 60 years or older is estimated to be 629 million in 2002 and is projected to grow to almost 2 billion by 2050 at which the population of older persons will be larger than the population of children for the first time in history. The majority of the world’s older persons reside in Asia (54 percent) while Europe has the next share (24 percent). By the year 2025, the number of people aged 60 and over will be highest in Japan, Italy and Germany.10 Over in Japan, there are more than 20 million aged 60 and above and the average life span of a Japanese is now 77.10 years for the male and 84 years for the female as of 1999, the highest in the world. In terms of demographics, Japan is the only developed country that is aging at a very fast rate. In the year 2025, the proportion of those 65 and over will be highest in Japan, followed by Italy and Hong Kong. Although the US will also be aging, in relative terms, the US will be much younger than Japan. Table 4 presents the share of the senior market in other industrialized countries. Table 4. The Senior Market (65 years and above) Country 1996 Australia 15.6 Canada 16.2 Denmark 16.5 France 20.2 Germany 21.0 Italy 22.1 Japan 21.0 Netherlands 17.9 Switzerland 19.3 UK 20.7 US 16.4 *as percent share to total population 2010 19.3 20.4 23.0 22.5 25.1 26.1 29.8 22.3 23.6 23.3 18.8 Source: UN 8 Background Notes of the WTO Secretariat (1998). Ibid. 10 Maria Cherry Lyn S. Rodolfo,“Wooing the Elderly,” Industry Monitor, University of Asia and the Pacific, April 2002. 9 -7- Draft Report As mentioned, countries are exploring trade in health services as potential sources of revenue that can improve the government’s fiscal position and allow it to spend on health care or engage the private health providers into expanding their revenue base and therefore increase scope and efficiency and quality of health services delivery. Note however that the link is not automatic because of possible failure of institutions ( i.e. misallocation of revenues to other government priority programs). Box 1. The Graying of Japan’s Population: Rising Demand for Long-Term Care The market for long-term care is biggest in Japan today because of the rising cost of medical care and the growing number of elderly in relation to the total population. An average Japanese spends US$2,400 annually in medical care, US$270 for average daily hospitalization cost, almost twice the average medical spending in developed economies. With 20 million retirees having their regular medical check-ups or treatment, the figure translates to a total of US$48B. The Philippines can export nurses and caregivers to Japan if only the latter will finally open up its health services sector. A deployment program must be drafter to prevent massive migration at the expense of the Philippine’s national health system. Another route is for Japan to send its retirees to the Philippines via long stay and retirement programs (Padojinog and Rodolfo 2004) and thus provide employment and income opportunities for medical professionals locally. The long stay program is deemed to be more feasible to market because it does not involve completely uprooting the Japanese from their homeland. They can come here during the cold months and return to Japan during spring. The supply of long-term care by the family can be expensive from the standpoint of both individual and society (Seike 1998). Family members have to give up their work in order to take care of the elderly. The opportunity cost is higher for those professionals who have acquired significant skills over the years. Figure 1. Projection of Long-Term Care Need in Japan 58 60 50 36 40 30 20 10 0 20 17 9.6 Workers Needed for 1995 2000 2010 10.9 Workers Needed for Home-based Care Source: Ministry of Health andInstitutional Welfare;Care Seike (1998) Japan’s Ministry of Health and Welfare estimates that the number of elderly needing nursing care is over two million and is set to increase to four million in 2010 and as high as 5.2 million in 2025. The Ministry plans to separate nursing services from existing medical care and institute a social insurance plan to cover the former. Care workers have been in great demand in Japan especially in recent years. Since 1990, the number of care workers has increased from about 40,000 to about 120,000 in 1996 and the increase has been about 10,000-20,000 new workers each year. Source: Padojinog and Rodolfo (2004) C. Health Care Industry in the Philippines According to the WHO, the Philippines spent US$ 29 per capita on health services (2.9% of the Gross Domestic Product) in 2002. Private hospitals and the health care industry only incur a minimal contribution to GDP. This can be explained by the low percentage share of health care expenditures to an average family’s expenditures. This share amounts to only 2% to 3% of average income. -8- Draft Report In terms of financing, the private sector has become the major provider in recent years (Figure 2). One reason behind this is the fiscal constraints faced by the government. The second is the apparent increase in the availability of private healthcare companies. External financing is quite limited to donations by international agencies. In private financing, a big portion is still financed by households as revealed by the proportion of out of pocket expenditures to total private sector financing. In 2002, of the total health expenditures, the government expenditures (including social insurance) accounted for 40% of total expenditures (closely approximating the WHO figures). The shares of private sources and other sources were 58.6% and 2.8% respectively. In 2003, share of government increased to 43.7% while private sources declined to 54.9%. Of the total private health expenditures, 1.34% came from private insurance companies, 5.7% came from HMOs and 42.8% were out-of-pocket expenditures by individuals. One can note that almost half of the health care expenditures were either financed independent of any prepaid health care plans or were not sufficiently covered by those plans. Traditionally, the health care industry of the Philippines has been principally financed by taxes and out-of-pocket payments of individuals. Nevertheless, various financing mechanisms, particularly insurance and prepayment schemes, are continuously increasing their contributions in the health expenditures of the country recently. Medicare, the compulsory health insurance, is the most established of all insurance schemes because it has been existing since 1972. FIGURE 2. Personal and Public Health Care Spending by Sources of Funds (Actual vs Targeted Based on Health Sector) 100% Other Expenses for Health 90% 80% Government spending for public health 70% 60% Other Private Sector spending for personal health care 50% 40% Government spending for personal health care 30% 20% Social Insurance spending for personal health care 10% 0% Actual Target 1999 Actual Target 2000 Actual Target 2001 Actual Target 2002 Out-of-Pocket spending for personal health care Source: Philippine National Health Accounts, National Statistics Coordination Board, as of July 2004 The actual percentage share of out-of-pocket which falls significantly above the targeted percentage share from the health care reform agenda manifests the dependence of the health care system on the household’s personal disbursements to be able to access health care services. The Figure shows that the health care system is expected to develop the capacity of social insurance to carry the burden of health care financing. -9- Draft Report The targeted amount also increases other expenses for health care which includes expenditures incurred either by public or private firms on the financing of health care which includes research and development and manpower training. The plan targets an improvement from the current 11% to 18%. The plan does not concretize how an improvement in the funds allotted for research and development and manpower training can be achieved. The data provided by the National Health Accounts, however, shows that these funds are usually sourced from official development funds which are coursed through the National Government. The accounts do not reflect the purchases of private firms on capital equipment. The research and development funds, however, are targeted towards the improvement of the facilities of government retained health care providers. Purchases of private hospitals for equipment are directly targeted for the improvement of personal health care services. The major health care providers are hospitals, half of which are accounted for by private hospitals and the rest by the government. The former’s ability to engage in social services and their expansion programs are constrained by their relatively unhealthy financial conditions. Private hospitals, for instance, have improved on productivity in the past years but their capacity in terms of number of beds per population has not significantly increased (see Case Study at the end of the paper). The public hospitals likewise need upgrading of facilities. There is a pressing need for the government and the country as a whole to invest on education and healthcare in order to improve the quality of life of the population or our level of human development in general. If financing coming from the local market (particularly from government) is not currently sufficient the country can explore opportunities from exporting health services. Thus, the next section examines the various possibilities by which countries can engage in health services trade and considers the barriers and risks including empirical evidences of such trade. - 10 - Draft Report CHAPTER 2 Trade in Health Services A. The GATS Framework There are various ways by which a country can engage in trade of health services. The GATS of the World Trade Organization (WTO) provides the multilateral framework for such participation by defining four modes of supply (Table 5). It should be noted that the extent of trade in these modes of supply is not yet accurately captured by current statistical system of the WTO where services are grouped only as travel, transportation, communication and other commercial services. Table 5. Modes of Supply under GATS Modes 1 CROSS-BORDER TRADE IN SERVICES Description the possibility for nonresident service suppliers to supply services cross-border into the Member’s territory. 2 CONSUMPTION OF HEALTH SERVICES ABROAD the freedom for the Member’s residents to purchase services in the territory of another Member. 3 ESTABLISHMENT TRADE OR COMMERCIAL PRESENCE the opportunities for foreign service suppliers to establish, operate or expand a commercial presence in the Member’s territory, such as a branch, agency, or wholly owned subsidiary. 4 MOVEMENT OF HEALTH PROFESSIONALS. the possibilities offered for the entry and temporary stay in the Member’s territory of foreign individuals in order to supply a service. Examples in the health care services o commercial telemedicine and telediagnosis services such as shared medical services (medical transcription), laboratory services or claims processing o hospital management functions o data collection for statistical or educational purposes, back-up advisory facilities for local staff abroad. o Specialized hospital and surgical care, (a) from developing to developed countries, for example, consumers from developing countries who are able and willing-to-pay and therefore are able to seek rapid access to highquality medical services abroad; (b) within the two country groups in cases, for example, where domestic suppliers are unable to provide a required service in time or compete effectively in terms of price or quality, i.e. liver transplant with patient and liver donor from a developing country but the surgery is performed in another country where equipment is available and post-surgery medical care is accessible. o cosmetic surgery, health and wellness o Medical and nursing education provided to foreign students o Health insurance companies, physician practices, diagnostic facilities o The limitations are intended to provide cover, inter alia, for economic needs tests intended to contain health costs, nationality requirements, equity ceilings, joint venture requirement and not further specified licensing and approval procedures. o Two forms for the international trade in health services are existing: (a) temporary movement of health personnel to provide services abroad; and, (b) short-term health consulting assignments. Source: S/C/W 50 Health and Social Services: Background Note by WTO Secretariat (September 1998) - 11 - Draft Report In studying trade in health services, there are two important classification lists that should be used as reference – the UN Central Product Classification List and the GATS Classification List. The commitments of countries to liberalize the health sector are based on Section 8 of the GATS List. However, in discussing the four modes of supply defined above, we need to refer to both the UN CPC Division 93 and the GATS List. To illustrate, Table 6 reveals that under the GATS, health and social-related services are defined under Section 8. These include hospital services, other human health services, and social services. However, trade in health services also covers the exports of medical professionals which are not covered under the Section 8 but Section 1 (Professional Services) of the GATS List. As noted by the WTO Secretariat (1998), such delineation between Sections 1 and 8 tends to ignore the strong complementarities between medical services and hospital services as an example. Table 6. Health and Social Services in the GATS Scheduling Guidelines and CPC Sectoral Classification List under GATS 1. Business Services A. Professional Services h. Medical and dental services i. Veterinary Services j. Services provided by midwives, nurses, physiotherapists and paramedical personnel k. Other 8. Health Related and Social Services A. Hospital services B. Other Human Health Services C. Social Services Relevant UN CPC No. 9312 932 93191 Definition/Coverage in provisional CPC Services chiefly aimed at preventing, diagnosing and treating illness through consultation by individual patients without institutional nursing Veterinary services for pet animals and animals other than pets (hospital and non-hospital, medical, surgical and dental services) Services such as supervision during pregnancy and childbirth… nursing without admission care, advice and prevention for patients at home n.a. N.A. 9311 Services delivered under the direction of medical doctors chiefly to inpatients aimed at curing, reactivating and maintaining the health status Ambulance Services; Residential health facilities services other than hospital services Social Services with accommodation(a) ; social services without accommodation(b) 9319 (other than 93191) 933 a – welfare services delivered through residential institutions to old persons and the handicapped (PPC 93311) and children and other patients (93312); other social services with accommodation (93319). b - child day-care services including day care services for the handicapped (93321); guidance and counseling services n.e.c. related to children (93322);welfare services not delivered through residential institutions (93323); vocational rehabilitation services (excluding services where the education component is predominant) (93324); other social services without accommodation (CPC 93329). Sources: UN Statistical Classification System, WTO, Gonzales et al (2001) There are other issues related to the sectoral classification list of the GATS on health services. Consider activities such as health tourism (spas, cosmetic surgery for aesthetic purposes, and convalescent care and rehabilitation and use of local health services by tourists). Section 8 is not specific to activities aimed at providing specialized treatments to tourists. The use of spas can be categorized as Professional Services offered by - 12 - Draft Report midwives, nurses, physiotherapists and para-medical personnel provided they involve some treatment with a medical doctor located on the premises as some wellness programs do. Given this background, the presentation of the four modes of supply will cover both Divisions 1 and 8 of the GATS Classification List. These modes will emphasize the strong linkages of Division 8 with other sectors such as insurance, tourism, telecommunication and even financial services. As far as health services are concerned, the export data are actually currently reflected in various accounts. In the case of medical transcription or outsourcing, the export figures are part of the communication services. For health tourism, the data are part of travel. The revenues generated by medical professionals working abroad are reflected in overseas workers’ remittances. The next discussions define and present empirical evidences of trade in health services under the various modes of supply. Opportunities and risks as well as barriers to commercial trade are explored. B. Empirical Evidences and Barriers to Trade Global demand for health services is estimated at US$12.5 trillion which includes direct clinical services US$804.2 billion, professional back up services US$22.5 billion, consumer health information related services $21.6 billion, continuing professional education services of $3.9 billion, and management of health care delivery services of $235.5 billion.11 B.1. Cross Border Trade Under this mode, trade in health services is aided by telecommunications. Telehealth12 is the broad term used to describe the use of computer-assisted telecommunications to support functions for clinical (e.g. telemedicine) and for non-clinical purposes (e.g. management, surveillance, literature and access to knowledge).13 Telemedicine includes all forms of remote medicine such as teleconsultations, telepathology, teleradiology, telepsychiatry, teledermatology, telecardiology etc. In 2000, the Centre for International Business Studies in Alberta, Canada, estimated global demand for telehealth services to be worth approximately US$1.25 trillion14 Telemedicine The European Commission’s Healthcare Telematics Program (1996) defines TeleMedicine (“medicine at a distance”)15 as the rapid access to shared and remote medical expertise by means of telecommunications and information technologies (e.g. telephones, 11 Rupa Chanda, “ Trade in Health Services.” Commission on Macroeconomics and Health Working Paper Series No.4:5. June 2001. 12 Telehealth is also known as health care telematics. 13 Salah H. Mandil, “Telehealth: What is it? Will It Propel Cross-Broder Trade in Health Services?” UNCTAD-WHO Joint Publication International Trade in Health Services: A Development Perspective, Geneva 1998. 14 Commission on Macroeconomics and Health - Paper No. WG 4:5. 15 First coined in the 1970s by Thomas Bird. - 13 - Draft Report fax machines, personal computers and other forms of multimedia), no matter where the patient or relevant information is located. Information exchange takes the form of data, audio and/or visual communication between physician and patient or between physicians and between physicians and health care professionals in geographically separate locations and to facilitate the exchange of information for medical, healthcare, research and/or educational purposes. One of the more popular form is teleconsultation wherein patients consult their physicians via email. In the past, patients needed to physically travel to other countries to seek medical attention or expertise. Medical records have to be physically transported to be diagnosed by experts abroad. The advancements in information technology have reduced the cost of such transactions by removing the physical barriers. Telemedical projects are aimed at reducing transaction costs (Williamson 1985,1986) in the delivery of health services.16 Governments particularly in developed nations tend to see telemedicine as way of reducing the burden on health care financing that is often associated with high hospital-related expenses. The benefits of telemedicine as a form of cross-border trade are well-recognized by governments in rural communities in less developed countries where there is a shortage of doctors in health centers.17 Doctors save on travel time (due to inadequate infrastructures of telecommunications, roads and transport) and patients need not wait for a long time for consultation. Telemedicine practice is also expected to help upgrade the professional standards of the medical practitioners particularly those at the receiving end. Most of the applications however are still within national systems of countries and the flows of trade are largely from developed to developing countries because they possess the technical and medical capabilities as well as standards of practice. It can also be between hospital partners in both developed countries. Table 7 presents some empirical evidences of telemedicine. For a more through literature review on the subject, one can consult the relevant references from the International Telecommunications Union.18 However, some barriers exist for the commercialization of such trade. On the part of developed countries, the providers need to consider the technical capability of the personnel on the receiving end of the exchange and the compatibility of the available technological infrastructure, particularly if it will be in the form of live video conferencing or even the use of store-and-forward technology19. Accuracy is needed in the transmission of images, data and electronic records. Disparities in standards of technology and 16 Williamson argued that transactions (exchange-related operations) are arranged with a view to minimizing transaction costs. This refers to any expenditure, starting with the production of the goods or services and extending to its delivery to the customer (end user). 17 For instance, in Nepal, there is an acute shortage of doctors. The total numbers of allopathic doctors are 4000 and majority of them are staying in capital and other major cities. The public and doctors ratio is approximately 6000: 1. Health workers in rural health care, who serve most of the population, are isolated from specialist support and up to date information. http://web.idrc.ca/fr/ev-61427-201-1-DO_TOPIC.html 18 http://www.itu.int/ITU-D/tech/telemedicine/ 19 Telemedicine providers have started to use the store-and forward methods that use the worldwide web using softwares such as the TeleMedMail as an alternative to live video conferencing which can be very expensive. This is a software application to facilitate the store-and –forward telemedicine by email of images from digital cameras. It is written in Java and allows structured text entry, image processing, image and data compression and data encryption. - 14 - Draft Report operations may exist between the source country, for example, the United States and the receiving country, the Philippines. Hence, internationally recognized standards are needed for technological infrastructure (at varying levels) in order to enhance medical care practice. These issues are being discussed in the workshops on standardizations of e-health by the International Telecommunication Union. Technical assistance is needed by developing countries where nodes for telemedicine may already exist but they lack standards for medical devices, equipment, network or connectivity, software and guidelines on processes or procedures. Such standardization should be developed in line with internationally recognized standards in order to facilitate the globalization of the local telemedicine industry. Recognition of licenses and liability issues are major concerns as well. The WTO (1998) noted that there are cases where telemedicine from country A to B is effectively practiced but not from B to A (e.g. between the United States and Arab Countries). As far as liability is concerned, there have been proposals to adopt solutions similar to those in traditional medical services, that is, the liability belongs to the practitioner who received the service (e.g. as in laboratory tests). While telemedicine seems to be an attractive alternative for patients who want to consult with medical experts abroad, for example, Stanford Hospital, it can still be expensive since telemedicine for the most part is not covered by the existing insurance schemes yet. Thus, in many developing countries, telemedicine can only be afforded by the rich citizens but can be made available to health facilities through subsidies from governments, external agencies, telecommunications operators or even hospital operators. Managed health care systems can possibly cover telemedicine as it becomes more commercialized. Tele-education or distance learning is also fast becoming as another mode by which developed countries are able to export their health services to developing countries. The flows can also be between developing countries. Other barriers to trade in telehealth exist. These include: emotional barriers on the part of the patients. Patients still prefer to be seen and physically examined by their doctors for fear of being wrongly diagnosed. Medical Transcription For non-clinical purposes, specific examples include medical transcription outsourcing or offshore medical reporting and business process outsourcing (e.g. insurance claims and processing), laboratory testing and diagnosis and treatment; or surveillance of disease patterns and trends. The trade flows are mostly from developing countries like India, Pakistan and Philippines to the United States, the major market. In the United States, for instance, the Health Insurance Portability and Accountability Act (HIPAA) has stimulated an increase in demand for transcription by physicians (although nurses and other medical workers are also in need of transcription) in order to avoid malpractice lawsuits and facilitate insurance claims. Outsourcing medical transcription can help reduce transaction costs for physicians (Box 2). India has been recognized as a leader in this industry, accounting for almost 80 percent of the total demand (as cited by DTI-ICT Report). The likes of Pakistan and the Philippines are seeking to increase its share of the market but supply constraints, particularly in relation to human resource availability and training, are major issues to be addressed. - 15 - Draft Report For developing countries, some threats exist in relation to exploring the potentials from medical transcription. One of these is the possibility of the US putting a cap on the amount of business to be outsourced. The second is related to technological developments, particularly the voice recognition technology which will likely threaten wherein the records are automatically transcribed by the computer. Some consider such development as a threat to the job opportunities in the MT industry. B.2. Consumption Abroad Another way by which health services can be traded is to tie them up with tourism, considered as a major growth driver in Thailand, India and Malaysia. In the past, the major reasons for travel included leisure, business, conferences and others. If ever health reason was cited, it accounted for only a small portion of the total pie of visitor arrivals. Today, a growing number of tourists are traveling to destinations to mix leisure and pursuit of wellbeing (e.g. physical, emotional and even spiritual) or simply seek medical treatment. This is health tourism. Another form of movement refers to students who study medicine and other allied courses abroad. The two groups are discussed separately in the section. Movement of patients This mode of supply can be categorized into two: health tourism and retirement. These two activities are very much linked with each other. To develop and promote retirement, the market must first see and experience a destination and later consider it for a longer visit or long stay program. Health tourism can be a pull factor by providing information about the existence of amenities and support facilities in other destinations, with priority given to medical amenities and facilities.20 After all, people’s decision to migrate temporarily or permanently begins with their evaluation of current living arrangements, including the availability and affordability of medical care. This evaluation is influenced by triggering mechanisms, evaluation factors, and the type of move being considered. Triggering mechanisms include both personal changes and external elements that can be either positive (“pull” factors) as in the case of health tourism or negative (“push” factors). 20 Stallman, Judith and Cristina Espinoza. Tourism and Retirement Migration. Faculty paper Series. Department of Agricultural Economics. Texas University. 1996 - 16 - Draft Report Table 7. Telehealth Applications Categories of TeleHealth All forms of medicine at a distance: teleconsultations, telepatholoy, teleradiology, telepsychiatry, teledermatology, telecardiology Applications Videoconferencing, computer-based email 21 22 Empirical Evidences In April 1997, the first real-time telemedical consultation between China and the US by satellite in the form of a video teleconference between physicians at Peking Union Medical College Hospital and physicians at Mass General and Partners Health Care in Boston. (Hong Kong Telemedicine Association). 21 Schlansky and Michael Ricci, M.D., clinical director of the UVM/Fletcher Allen Telemedicine Program, in Vietnam, hosted the one-hour telemedicine demo. This demonstration is the beginning of a long-term Telemedicine Program that will link three hospitals in Hanoi and Hanoi Medical College with the UVM College of Medicine/Fletcher Allen Health Care and The George Washington University Medical Center (GWUMC). Additional medical schools and institutions in the U.S. and Vietnam will be added as the program evolves. The Telemedicine Program is supported by Vietnam's Ministry of Health and the Ministry of Post and Telecommunications. 22 Video-consultation specialist from afar Inter-institutional, patient and clinical records and information systems, electronic health and clinical records and Health care procedures or process assisted Telephone based or face to face consultation between specialists and general practitioners with Appointments by email, electronic scheduling by general practitioners Electronic transfer of images to specialists; comparison of images against banks of stored electronics slides and images for comparison Patient traveling from remote locations if requiring specialized counselling, diagnosis and treatment Referrals from general practitioner Physical transfer of medical images for specialist opinion on radiographs, ultrasound, pathology slides, etc. http://www.med.stanford.edu/telemed/telemed-history.html http://www.upliftinternational.org/telemedPR.htm - 17 - Medical Transcription Industries in India, Philippines, Pakistan and Australia OphthWeb(a) patients consulting an optometrist, a general practitioner, or any specialist may access records immediately on a home or office computer. Barriers to Cross-Border Trade • Recognition of Licenses (personnel capabilities) and Standards • Recognition of standards for telehealth technological infrastructure and processes • Insurance Coverage • Privacy Issues • Liability Concerns • Cost of technology infrastructure • Mis-match between the level of technology of telemedicine in developed countries, and the capacities of telecommunications and computer installations in developing countries Draft Report clinical records and databases accessible by network Tele-education and multimedia applications for health professionals and patients, and networked research databases; Internet services Computerized records Telemonitoring, telecare networks, telephone triage, remote home care, and emergency networks Telenurses; call operators or users patients’ Video consultation or conferencing with medical experts; on-line access to networked research materials and databases centers Handwritten, recorded or paper-based patient files and records Medical students or professionals going abroad to study or access literature and databases Physical transfer of consumers, elderly, chronically ill, disaster and accident victims to medical facilities for monitoring (a) The OphthWeb aims to increase efficiency in medical care through telemedicine. This concept was developed by the Singapore Eye Research Institute at the Singapore National Eye Center and Kent Ridge Digital Laboratories in collaboration with the Chinese University in Hong Kong. It was launched between the Xiamen Eye Center in Fujian Province and Singapore. Sources: Vellinga (2002); authors - 18 - Draft Report Box 2. The Medical Transcription Industry The medical transcription industry had its genesis in the USA and was a development of three requirements (US Bureau of Labor Statistics): • • • the need to maintain basic hospital data, recording of data and medical procedures for research and records for insurance purposes. The US medical sector requires high level of documentation at each stage of the treatment in order for doctors to avoid malpractice lawsuits. Thus, the medical transcription industry has been providing great support to these medical practitioners. In the past this service was contracted out by hospitals and practitioners to companies close to the health facilities. Compensation methods for medical transcriptionists vary. Some are paid based on the number of hours they work or on the number of lines they transcribe. Others receive a base pay per hour with incentives for extra production. Employees of transcription services and independent contractors almost always receive production-based pay. Independent contractors earn more than transcriptionists who work for others but have higher expenses than their corporate counterparts, receive no benefits, and may face higher risk of termination than employed transcriptionists. However, the relatively high cost of labor in the US encouraged hospitals and individual practitioners to outsource transcription in developing countries like India, Pakistan and the Philippines. Aided by high speed satellite links, the current practice is for doctors to simply record their findings through a dictaphone or some such device These sound tracks are then sent through datacom lines to overseas companies (where costs are much lower) that employ "medical transcriptionists" who hear these recordings, transcribe them into reports (can be in Microsoft Word format) and send them back electronically through datacom lines. The offshore medical transcription industry is estimated at US$17 billion for the US demand alone.23 That translates to around 96 billion lines. Charges are based on the 65 character American Association of Medical Transcriptionist (AAMT) line. In order to calculate a line, one can count all of the keystrokes transcribed, including formatting such as underlining and bolding, then divide that number by 65 to calculate the number of lines. The per line rate is dependent on the difficulty level of the dictation. Average charge per line can range from 10 cents to 14 cents. 24 India is recognized as the market leader today where around 200,000 are employed by the industry. Its competitiveness lies in the relatively low cost of labor plus its affinities with Indian doctors based in the US. In the US, a transcriptionist receives around $11 to $18 per hour according to the Bureau of Labor Statistics. In annual terms, a full-fledged transcriptionist in the US receives U.S.$ 25,000 to 30,000 In India, the average annual salary is US$2,700 while in the Philippines, the average salary is estimated at US$2,500-3,500 depending on the skills of the transcriptionist (Rodolfo 2005). India had the first mover advantage when it started out earlier in the 1990s. What is the future of medical transcription? There are fears that the voice recognition technology will ease out the role of transcriptionists. They are valid fears but they there will always be room for manpower in this industry given the size of the market demand and the rising needs of the elderly population and the time lag in the implementation of technology. Also, transcription companies can integrate horizontally by providing backroom operations for insurance claims processing, bills processing and other services needed by practitioners. Consider Japan. Older people are more prone to sickness and thus require regular medical check up or special medical attention. The cost of living and medical care in Japan is one of the highest in the world. This could put a lot of pressure on the limited pension of around US$1,500 - $3,000 per month for an average Japanese retiree. For instance, an average Japanese spends at least US$2,400 annually in medical care. The daily cost of hospitalization in Japan is around US$800. Elderly people in Japan tend to stay longer at 23 24 http://www.indiainfoline.com/cyva/repo/medi/ch03.html Association of Medical Transcription Companies in the Philippines. - 19 - Draft Report 4.1 days – much longer than the national average of 2.0 days. Since Japan has one of the highest proportions of its population covered by private health insurance, the growing number and cost of medical care of its senior citizens would ultimately place a lot of strain on the pension and insurance systems of the country (Padojinog and Rodolfo 2004). Thus, Japan can consider sending their citizens to developing countries like Thailand and the Philippines for medical treatments that can be packaged with holidays. Table 8 reveals the different market segments under health tourism and retirement. Let us consider health tourism first. Health Tourism The term health tourism is used interchangeably with medical tourism in a number of references. The World Tourism Organization defines health tourism25 to include services related to medical care, sickness and well-being, and rehabilitation and recuperation. These services range from holiday packages made up, for instance, of spa retreats, cosmetic treatments, diagnostic services, Chinese herbal therapy, and even heart surgery. The term “medical” tends to imply that people who travel for medical purposes are always sick. Thus, to provide a more positive image for this segment, the term health tourism is more often used (as evidenced by the marketing slogans of Thailand and Malaysia which use the term “health” rather than “medical”). This market has been proven to be a high repeat-user business, which has the ability to reach out to travelers of a higher socio-economic level, resulting in a higher ratio of expenditure per visitor earnings and therefore realize a higher volume of foreign exchange related to tourism.26 Given this background, we can therefore define three segments of health tourism– spa wellness, medical wellness and rehabilitation. 25 Health tourism is a broader concept in the sense that it includes products and services catering to markets seeking well-being or wellness, not necessarily in need of medical treatment. 26 Marcus Matthews-Sawyer and Peter Grant, “ Medical Tourism in Pacific Asia: A Prescription for Success.” PATA Compass, January-February 2002. - 20 - Draft Report Health Tourism Table 8. Categories of Consumers Moving Abroad Categories/ Products Spa Wellness Health Tourism Market Sample Products Client Group those who travel to specific places to benefit from natural endowments - such as hot springs and spas Upper middle to high income Healthy Low health risk All ages Medical Wellness those who travel abroad for leisure but incorporate consultations for second opinion or diagnostics Spas Lifestyle/Healthy vacations Nature tourism Ecotourism Community Tourism Resorts Herbal Treatments Complementary Healing Diagnostic services those who travel for medical, dental, cosmetic, eye and other related outpatient treatment (non-invasive procedures), similar quality to that they can receive at home, but less expensive or for specific services not available in the country of origin. Emigrants living abroad and border patients are important groups of clients. Usually pursuit for aesthetic purposes rather than for recuperation those who travel abroad looking for specialized (invasive) surgical treatments that employ advanced technology which may not be available at home or from prestigious health institutions; - 22 - Elective surgery Cosmetic surgery Joint replacement Cardiothoracic services Eye surgery Cancer treatment Capacity Requirements Good facilities Skilled manpower (i.e. therapists, tour operators) Importance of Insurance Coverage No Major Players Upper middle to high income Healthy enough to travel All ages Potential market for repeat visits to seek further medical attention Specialist skills Skilled support groups (e.g. tour operators) Yes (currently consultations are not covered by insurance and patients are willing to pay in cash) Thailand India US Malaysia Australia Upper middle to high income Healthy enough to travel Specific surgical or medical requirements Variable health risk All ages Specialist skills Broad range needed for intervention and backup Higher level of Technology Skilled manpower (e.g. nurses, therapists, etc.) Language and cultural affinities Specialist skills Broad range needed for intervention and backup Higher level of Technology Skilled manpower (e.g. nurses, therapists, etc.) Yes ( Cosmetic treatments are not covered by insurance and patients tend to be willing to pay on their own as long as the costs are competitive relative to those in their country of residence) India Thailand Cuba Malaysia Yes (non-portability of public and private insurance is a major barrier but some private insurance companies are starting to accredit some facilities that meet their standards) United States Singapore Great Britain Australia India Upper middle to high income Healthy enough to travel Specific surgical or medical requirements Variable health risk Middle age to elderly United States Thailand Singapore Indonesia Austria Language and cultural affinities Draft Report Rehabilitation/L ong Stay those who travel for convalescence and not necessarily retirees; Recuperation treatment from Theraphy Dialysis cancer Higher income Specific needs Other health conditions Low to medium health risk Elderlysubstance abusers More therapeutic intervention rather than medical Higher income Variable health risks Potential market retirement Skilled manpower (e.g. nurses, therapists, etc.) Yes Thailand Malaysia Florida Carribbean economies Yes Thailand Malaysia Carribbean economies Yes Florida, USA Spain Canada Australia Thailand Language and cultural affinities Addiction programs Elderly care programs Retiremennt Long Migrant Retirees Immigrants Stay/ Retirees who travel abroad to spend long holidays (at least 6 months) or escape from the cold winter months and may seek medical attention during their stay. Those who travel abroad to retire permanently in countries where the costs of living are lower or where the climate is favorable among other things. They can live in three different types of retirement communities: (a) independent living; (b) assisted living, and (c) continuing care. for Upper middle to higher income Specific needs Middle to elderly age Language and cultural affinities Skilled manpower (e.g. nurses, therapists, etc.) Specialist skills Language and cultural affinities (a) there are three segments of the retiree market: retiring individuals, retired and the retired elderly. The retiring individuals can be the potential market for long stay. Retired and retired elderly for retirement industry. Sources: Adapted from Gonzales et al (2001); authors - 23 - Draft Report The Spa Industry This is one of the fastest growing segments of the health and wellness market. The major players today are the United States, Canada, Austria, Thailand and Indonesia. In Thailand, the spa industry attracted 3.3 million users out of which 2.5 million were overseas spa patrons contributing a total of US$85 million to Thailand’s foreign exchange revenues.27 In Europe, Austria is the first to have adopted the concept of wellness and act upon it quickly. Germany, its major market, contributes an estimated 17-19 billion Euros. A major barrier in this segment is the air access infrastructure. Visitor flows are usually constrained by the lack of flights due to the restrictive bilateral air service agreements between countries. Air traffic rights are not part of the GATS framework on air transport liberalization. Hence, countries still have to deal with their markets on a bilateral basis although a number have already singed up in regional arrangements. Medical Treatment Countries that actively promote medical wellness include Cuba, Costa Rica, Hungary, India, Malaysia and Thailand. Among the newcomers in the field are Belgium, Poland, Hong Kong, Singapore and the Philippines. South Africa specializes in medical safaris; visitors who plan to see the African wildlife can also add to their itinerary a visit to the plastic surgeon. Medical wellness can include simple activities such as consultations with specialists in a particular medical field or diagnosis for second opinion. This can also cover noninvasive medical procedures such as simple cosmetic, dental or eye surgery (e.g. botox injection, lasik for the eye, tooth extraction). The average period for recuperation for cosmetic procedures is 2-7 days. These are the packages that are relatively easier to sell. The other segment covers invasive procedures such as open heart and cancer-related operations, knee and hip replacements. Countries that have gained international reputation for highly specialized treatment are the United States and Singapore. In the past five years, however, we have witnessed a number of developing countries wooing these patients to avail themselves of similar procedures in their hospitals at lower costs. Their major selling point is the cost advantage they can offer to international patients. The major players in Asia are Thailand, India and Malaysia. The major drivers of demand for these services are the aging population, shortage of medical professionals, the relatively high cost of medical services in most OECD countries and the long waiting lines in hospitals for treatment and surgery. The Asian market is a large market given the relatively poor health care systems. An inquiry into the cost advantage of those developing countries will reveal that a cardiac by-pass surgery, for instance, costs more than US$90,000 in the United States and US$20,000 in the United Kingdom compared to less than $5,000 in India and Thailand. 27 Tourism Authority of Thailand. http://www.tatnews.org - 24 - Draft Report Figures 3 and 4 present comparative costs of certain procedures in OECD and Asia. Annex 1 presents other comparison of medical treatment rates in both OECD and Asian countries. Figure 3. Cost Comparison: Cardiac By-Pass Surgery (in US$) Kuala Lumpur India USA London Singapore Bangkok 0 20000 40000 60000 80000 100000 Source: Pacific Asia Travel Association (PATA) and UA&P Figure 4. Cost of Private Room Per Night (in US$) Kuala Lumpur India USA Singapore Bangkok 0 200 400 600 800 1000 1200 1400 1600 Source: PATA and UA&P Who are the major players in this trade? Table 9 presents a summary of the major players’ market positioning in health tourism. USA. The US is a major exporter of health services as evidenced by the relatively significant flows generated by institutions such as Mayo Clinic, Johns Hopkins Medical enter, and Massachusetts General Hospital from Mexico, Argentina and even Arab countries (WTO 1998). In fact the US is so far the only country that has started early in capturing movement of patients and economic contributions. Today, Thailand and Malaysia are constantly reporting the latest developments in this segment. Cuba. The Servimed in Cuba has been tapped to generate foreign exchange earnings from the sale of health tourism packages and to establish joint ventures. The competitive advantage lies in competitive prices due to low labour costs, highly qualified health professionals, and certain exclusive treatments, which draw patients essentially from Latin and North America. This program is highly supported by the government. - 25 - Draft Report Table 9. Profile of Major Players in Health Tourism Country Thailand Volume of Foreign Patients 800,000 Export Revenues US$470 million in revenues India 150,000 Malaysia 122,000 foreign patients ($9.4 million). Singapore 150,000 –200,000 (spent S$345 M a year US$915 M - 26 - Current Markets Targets Americans 59,000 Japanese 130,000 Britons 14,000 US$2B (2010) Middle East and South Asian US$1 (2012) 60% of foreigners who seek treatment are from Indonesia, another 10% are from Brunei, Vietnam, Singapore and Thailand. The rest are from West Asia, South Asia (Bangladesh and India) and Japan. US$1B ( 2010) Indonesians and Malaysians account for 70-85% 1 million international patients per year by 2012 US$2B Draft Report Thailand. Singapore has faced stiff competition with the Bumrungrad Hospital (now Bumrungrad International) in Thailand. Today, the Private Hospital Association with more than 185 members has been supporting this health tourism project. Available treatments include dentistry, ophthalmologic surgery, and plastic surgery, among others. Services in Bangkok can be 50-70% cheaper than the costs charged in Singapore. Around 800,000 foreign patients were treated in Thailand in 2003, generating US$470M in revenues. The major markets of Thailand today are the Japanese, Americans and British. The Bumrungrad Hospital treated 350,000 patients. The international patient volume of Bumrungrad Hospital increased by 57% between 1999 and 2001 and revenue contribution reached 37%. Bangkok’s International Medical Centre is also competing by offering services in 26 languages, recognizing cultural and religious dietary restrictions, and dedicating a special wing for Japanese patients. Malaysia. Malaysia is another country whose stakeholders are convinced about the value of health tourism as a major growth engine. Under the 8th Malaysia Plan, the government identified health tourism as a growth driver in 1998 and created a National Committee for the Promotion of Health Tourism in Malaysia. The committee is tasked to spearhead the development of the medical and long-stay programs and promote Malaysia as a “second home” for international tourists. The committee is composed of airlines, hospitals, travel and tourism agencies, and the Malaysian Industrial Development Authority. Five subcommittees were created to address the issues of (a) Identification of markets, (b) Tax Incentives, (c) Fee packaging, (d) Advertisement, and (e) Accreditation. In 2003, there were 100,000 health tourists, up 18.2% from 2002. Out of the total number of health tourists, 60% were from Indonesia, another 10% were from Brunei, Vietnam, Singapore, and Thailand. The rest were from West Asia, South Asia (Bangladesh and India), and Japan. Total revenue was estimated at $10M. Cardiology and general surgery services appear to be in highest demand among foreign patients. The Middle East is a major target market given the large annual medical expenditure in these countries. The government aims to generate around $1B in revenues from health tourism alone by 2010. Singapore. Singapore is another aggressive player in the field serving its immediate regional markets. An estimated 150,000 foreign patients sought treatment in Singapore in 2000 and spent about S$345 million a year in healthcare. Based on figures from the Ministry of Health, most of the patients came from Malaysia and Indonesia (70-85%). Today, Singapore does not compete on the basis of price alone but is boosting its image as a destination with high standards of healthcare. It is positioning itself as a centre for health and wellbeing programs (e.g. health screening, aesthetic and anti-ageing therapies) and for the treatment of various illnesses. It also aims to establish one-stop centers in key regional markets to make it more convenient for patients to come to Singapore.28 It is aiming for one million international patients per year by 2012 and revenues worth US$2B. Retirement The aging populations of OECD countries provide employment opportunities for developing countries that have relatively abundant supply of medical workers. The first is in terms of the export of medical workers who in turn contribute to the Gross National Product of their countries. This will be discussed further under movement of natural persons or Mode 4. The second is in terms of exporting their medical workers’ services 28 Based on a report by the Committee on Health Care Services. - 27 - Draft Report through the development of the so-called retirement industry in the local economy. Hence, medical workers’ movements will be confined within the geographical boundaries of the country. The retirees as consumers will be the ones moving from their home country to the retirement destination. There are approximately 126 million who are 65 years and older in OECD countries with an average pension of US$2,000 per month. If around 20% of them decide to retire to developing countries, that’s around 25 million retirees infusing US$50 billion in consumption spending including medical care. The high cost of living in the developed countries is driving retirees to move to tropical countries or where the cost of living is more competitive. In Japan, the health care sector is still closed to foreign practitioners. Thus, relatively expensive silver businesses have developed (Table 10). Robots are also being explored to provide long term care to the aging population. Table 10. Cost of Long Term Care in Japan: Public and Private Silver Businesses Type of Services Description Cost of Service Home care for the Company keeps an eye on 2,200 yen (18 dollars at 120 elderly who find the situation at home and yen to the dollar) per hour for themselves alone reports to the senior these calls. citizen’s family who can feel at ease as they move elsewhere in Japan or even overseas at work. Emergency Taxi companies have 4,800 yen (40 dollars) monthly transportation established a cooperative rental fee for an emergency emergency alert support alert device. network operating in around 40 areas in Japan Home helper services involving nursing care and 5,000 yen (42 dollars when help with household chores provided by municipal employees but less than half from private equivalents Bathing Services Privately run 14,000 yen (117 dollars per month) Nursing home 32,400 yen (270 dollars per month) 366,000 yen (3,000 dollars) A one-month stay in a Municipally operated nursing home Privately run 267,0000 yen (2,200 dollars) Source: Padojinog and Rodolfo (2004) The retirement market is usually defined as elderly persons who move to countries where costs are lower and the climate is better than in the home country and returning nationals who have lived many years abroad and who are able to retire in their country of origin. However, the retiree market can be segmented into three groups: retiring individuals, retired individuals and the retired elderly and the retirement industry can be classified into several types depending on the type of retirement living (Table 11). Each classification - 28 - Draft Report caters to a particular need of the retiree. Many, in fact, all retirement communities offer these kinds of services but in varying degrees of assistance. Many retirees prefer to live independently with little nursing assistance. Others prefer a frequent medical and nursing assistance. Table 11. Retirement Communities Classification Classification Description Offers licensed programs for increasing Continuing Care Communities levels of assistance designed to meet the changing health and service needs of residents A standard of living to support full, comfortable lifestyles for those who are Independent Living Communities active but want freedom from heavy housekeeping and maintenance chores. These can be residential or rental units A standard of living who need a little bit Assisted Living Communities of help with the activities of daily living but do not need nursing care. Barriers o Non-portability of insurance. This is a major barrier considered by the retiree market, particularly those from developed countries who intend to move to developing countries. Their public health systems and even private insurance will not cover the costs of treatment in the retirement destination. Even if an individual does not intend to retire but simply seek treatment abroad, non-portability of public insurance is a barrier. In most cases, private insurance companies from developed countries do not cover treatment in developing countries because of malpractice and lawsuit issues. o Visa requirements, foreign exchange restrictions or the need to obtain authorization for medical expenditures may constraint patients from seeking medical treatment in other countries. Emotional insecurities can also slow down movement of patients or retirees. Language and cultural barriers may hinder them from seeking treatment abroad. This is particularly true for the Japanese market. Even if a retiree is already on a long stay program in the Philippines, he still goes back to Japan to seek medical treatment because of concerns on language and cultural differences.29 Movement of Students There are incentives for students to pursue undergraduate and postgraduate medical education (e.g. traditional and non traditional) abroad. First, specific programs may not be available in the home country. Second, scholarships on medical education require students to pursue the program in another country and not in the home country. Third, foreign 29 Based on interviews with Japanese retirees (see Padojinog and Rodolfo,”Prospects and Impediments to Developing the Tourism and Retirement Industries,” APEC PASCN, Makati. 2003). - 29 - Draft Report institutions have good reputation in the desired filed of specialization. Fourth, in some cases, students from more developed countries go to lesser developed ones but with good reputation in medical education due to cost considerations. China has been attracting foreign students to study Traditional Chinese Medicine. Barriers Mutual Recognition. Foreign diplomas or certificates may not be recognized in the student's home country. Migration of Foreign Students. The possibility of these students not returning to the home country has been a major concern of developing countries. The establishment of satellite or affiliate schools from developed nations in developing countries through joint venture agreements has encouraged medical students to study in their home country. Growth in telehealth services trade. When ICT infrastructure is quite developed, students may not be encouraged to study abroad since teleconferencing can give them access to experts as well. B.3. FOREIGN COMMERCIAL PRESENCE This mode includes the establishment of a commercial presence in a foreign market to provide health-related services to clients in that market in any of the following categories: (i) in the hospital operation/management sector; Hospital management companies usually enter foreign markets through joint ventures with local partners or triad ventures with local and third country investors, acquisition of facilities, management contracts and licensing and involvement of local partnership in order to gain access to certified and qualified medical personnel as well as local markets. The presence of foreigners in the industry is relatively strong in developing countries such as Indonesia and Thailand. In the former, a number of investments came in at the height of the Asian crisis, when most hospitals either declared bankruptcy or failed to become profitable. Major investors in hospital services come from Australia and Singapore but there are some from Malaysia and Japan. Even hospital management is common practice already in cities like Jakarta (where at least five hospitals are owned or managed by foreign firms and individuals), Surabaya, Java, and Bali.30 In Dubai, a medical zone was constructed to house the famous clinics such as the Mayo Clinic, Harvard Medical Center, currently patronized by the rich citizens of Arab countries. The Singapore-based Parkway Group Healthcare Pte. has developed the Gleneagles International as its brand in acquiring or investing in hospital facilities. It has acquired eleven hospitals, ten in Asia and one in Britain, and a majority share in a dental surgery chain operating throughout South-East Asia. 30 Widiatmoko and Gani, “Indonesia’s hospital sector: International relations within Indonesia’s hospital sector.” Prepared for the World Health Organization. - 30 - Draft Report (ii) in the health insurance sector; Some countries have opened up their health insurance markets to some extent (Table 12) although restrictions are still imposed on foreign insurance companies investing in hospitals. Managed care operations (a combination of managed care and insurance) have been used as a way to penetrate foreign markets in order to circumvent the foreign equity and nationality restrictions. They are expected to reduce the overall medical costs by requiring participating physicians to provide the lowest cost treatment. Patients have raised concerns of discrimination by physicians between HMO patients and non-HMO patients. (iii) in the educational sector; Some well known medical schools are establishing themselves in foreign countries (as in the case of the John Hopkins School in Singapore), including developing countries, usually through joint-ventures with local schools. This kind of foreign commercial presence is often accompanied by movement of providers (e.g. professors) and movement of consumers (e.g. students moving from the headquarters to the subsidiaries and vice-versa). The interest for the recipient country is to differentiate and upgrade the curricula available to its students/medical personnel, while the interest for the exporting institution is to have access to new sources of revenue, to spread its reputation abroad, and to avoid the overcrowding of its headquarters. This move encourages students in developing countries to pursue medical studies in their own home countries. (iv) on an ad-hoc basis. To upgrade facilities, some companies expand abroad through contract-based activities under multilateral funding. Since it is time-limited, the exporting country provides opportunities for its medical professionals without burdening the local health care system. Contracts can be renewed depending on the needs of the importing countries and the resources of multilateral agencies. The exporting companies can likewise develop a pool of personnel to be deployed therefore upgrading the quality of the health care workers. Barriers The major barrier is related to foreign ownership rules/equity participation rules. Based on their GATS commitments, there are significant restrictions on the establishment of commercial presence as revealed in Table 11 to their GATS commitments. The establishment of a permanent commercial presence in a foreign country is another way to deliver services to foreign markets. These arrangements often take the form of joint venture or partnership arrangements, which provide valuable local knowledge and access to accredited local staff. In this context, health service providers can face government policies that discriminate against overseas entrants into the marketplace. These can include: • • • limits on foreign equity ownership; discriminatory tax arrangements; restrictive competition policies (including a lack of competitive neutrality); - 31 - Draft Report • • • clearance being required from the Ministry of Health; quantitative limits on the numbers, location, staffing and management of foreign establishments; and pre-emptory political decisions. Changes to these policies generally require high-level negotiations with the relevant foreign governments. Table 12. Investment rules on hospital and insurance companies Countries Rules/Policies France, Italy, Luxembourg, the construction or expansion of hospital facilities is limited by a the Netherlands, and Spain health services plan that identifies local needs. Austria Sweden Finland France European Union United States Japan Brazil India Mexico Malaysia foreign commercial presence commitments affecting all 27 health care sectors require authorities to consider local interests before authorizing foreign persons or companies to acquire property and before allowing foreign concerns to invest in corporate entities. Maintains economic-need limitations on the number of private medical service practices that may be subsidized through its social security health care reimbursement system foreign commercial presence is allowed only through incorporation with a foreign equity ceiling of 51 per cent. Foreign acquisitions of the stock of newly privatized companies may be limited if total foreign investment exceeds one third of total investment or 20 percent of total equity. some form of economic-need limitations on the establishment of new hospital facilities the establishment of hospitals or other health care facilities may be subject to needs-based quantitative limits. limits ownership of hospitals and clinics to national-licensed physicians or groups of persons of whom at least one member is a Japanese-licensed doctor. Investor owned hospitals that are operated for profit are prohibited. Regulations are less strict in the nursing home sector where foreign companies are benefiting from a dramatic increase in the over-65-year-old population in Japan and a shortage of nursing homes and other long-term care facilities in that country Foreign companies cannot own hospitals or clinics foreign companies can establish themselves only through incorporation, with a foreign equity ceiling of 51 per cent Foreign investment is allowed up to 49 per cent of the registered capital of enterprises. Economic needs tests. Foreign companies have to set up jointventure corporations with Malaysian individuals or Malaysian controlled corporations or both. Source: WTO Other barriers include discriminatory tax or other treatment or restrictive competition policies. Another is the fear of governments from developing countries that an emerging private sector would create a two-tier system of “haves”and “have-nots”, siphon off skilled-public sector workers and undermine efforts to establish national health insurance schemes. In addition, legislative restrictions often exist on foreign acquisition and ownership of healthcare facilities. - 32 - Draft Report B.4. Movement of natural persons As mentioned under Mode 2, the aging populations of the OECD countries present an opportunity to ease unemployment problems and augment income generation in developing countries through the export of its medical workers. And the major importing countries so far are the US, UK, and Canada. There have been a number of estimates of the degree of shortage in nurses and other medical professionals in these countries (Table 13). Table 13 . Demand for Nurses and Other Medical Professionals in OECD Countries Country Extent of Shortage and Year Canada 78,0000 (2011) 113,000 (2016) Australia 31,000 (2006) 40,000 (2010) Source: as cited in Calma (2005) New openings are for nursing aids and caregivers for the elderly or those with disabilities in hospitals, nursing and retirement homes. The major sources are the Carribbean economies, the Philippines, and South African countries31. There are many reasons why these health professionals move out of their home countries. First, they seek for improved living and working conditions and more lucrative remuneration, about 5 to 6 times what they receive locally. The earnings are often used to support their families back home. Second, they want to upgrade their skills. From a national perspective, the remittances of these health workers help finance the health care needs of the domestic population. The migration also tends to ease the unemployment problems or the lack of work opportunities. The temporary movement of these health professionals is generally beneficial. Cultural affinities and geographical proximity facilitate the movement of health personnel abroad. However, the brain drain risk or problem starts to happen when these professionals get married and decide to settle in those countries and a number start to follow. It becomes aggravated when the doctors leave their home countries to work as nurses abroad. Barriers32 o Economic needs test requirements. Economic needs tests (ENT) condition temporary entry upon a determination that no resident/national of the host country is available and qualified to carry out the same assignment. In the GATS commitments, ENT, defined as a barrier to market access under Article XVI, frequently appears as a qualification to commitments relating to the movement of natural persons, including intracorporate transferees and independent contracted professionals. ENT acts as a quota restriction and may be qualitative or quantitative. 31 South Africa has witnessed an exodus of medical personnel to Canada, United Kingdom and United States, and also a migration from the public to the private sector within the country. 32 WTO (1998) - 33 - Draft Report o Discriminatory licensing. Licensing provision can impede entry of foreigners through non-recognition of their professional qualifications or by imposing discriminatory, more stringent and more costly standards on them. o Difficulties with accreditation or recognition of foreign professional qualifications. This would refer to the different requirements imposed on professionals by different state or provincial boards. Professional organizations also tend to impose requirements serve as obstacles to persons wishing to provide service even on temporary basis. o Nationality and residency requirements. Within the European Union discriminatory treatment of nationals of other Member States based on nationality with regard to establishment and provision of services is prohibited. In the United States, the requirements for obtaining a license to practice medicine for those with qualifications obtained outside the United States vary from state to state, some of which allow graduates of foreign medical schools to practice subject to a written examination. Candidates must also pass the qualifying examination of the Educational Commission for Foreign Medical Graduates, and then undertake a period of graduate medical education at a hospital in the United States. Other barriers include immigration regulations, access to examinations for completion of qualifications and foreign exchange controls affecting the repatriation of earning, or discriminatory regulation of fees and expenses. Commitments Most of the members have unbound commitments on Mode 1 meaning that they are free to introduce any new measure regulating foreign service provision in the domestic market - in both market access and national treatment (Table 14). In the GATS commitments related to trade in health services, consumption abroad is usually allowed without limitations. However, some countries (i.e. Bulgaria, Poland and the United Sates) have indicated restrictions on the coverage of public insurance schemes outside the country. - 34 - Draft Report Table 14. Overview of Commitments for Modes 1, 2 and 3 on Medical, Health-Related and Social Services SECTOR Number of Members (Full Commitment for Modes 1-3)a Cross Border Supply Consumption Abroad Commercial Presence Full Limited Unbound Full Limited Unbound Full Limited Unbound Medical 49(12)b 17 6 26 38 7 4 19 24 6 and Dental Services Veterinary 37 (10)c 17 2 18 33 1 3 19 14 4 Services Midwives, 26 (4)d 6 4 16 21 5 0 10 16 0 nurses etc. Others 3 (1)e 2 1 0 2 1 0 1 2 0 Hospital 39 (9)f 11 1 27 31 5 3 18 17 4 Services 13 (6)g Other 6 1 6 6 5 2 8 4 1 human health services Social 19(2)h 3 0 16 4 13 2 5 13 1 Services 3(2)I Other 2 1 0 2 1 0 2 1 0 Health and social services a full commitments for both market access and national treatment and no limitations in sectoral coverage b Brunei Darussalam, Burundi, Congo, Gambia (subject to horizontal limitations for mode 3), Ghuinea, Hungary, Iceland (subject to language requirement), Malawi, Norway, Rwanda, South Africa and Zambia c Australia, Burundi, Congo, Finland, Gambia, (subject to horizontal limitations for mode 3), Lesotho, Singapore, Qatar, South Africa, Saudi Arabia, (subject to horizontal limitations for mode 3). d Gambia, (subject to horizontal limitations for mode 3) e Iceland f Burundi, Ecuador, Gambia (subject to horizontal limitations for Mode n3), Hungary, Jamaica, Malawi, Saint Lucia, Sierra Leone, Zambia. g Gambia (Subject to horizontal limitations for mode 3), Hungary, Malawi, Sierra Leone, Zambia h Hungary, Sienna Leone. - 35 - Draft Report Source: WTO (1998) and ITC (2002) Table 15. Summary of Specific Commitments in GATS Philippines Thailand Singapore Malaysia India Indonesia Accounting and Finance X X X Advertising X X X Legal X Architectural and Engineering X X X X X X X X X X Audiovisual X X X X Construction/Engineering X X X X Distribution X Education X X X X X X X Telecommunications X Health Travel and Tourism X X X X X Recreation/Culture/Sports Transportation Courier X Source: ITC (2002) - 36 - X X Draft Report CHAPTER 3 ASSESSMENT OF CAPABILITIES This chapter presents the opportunities for the Philippines based on the assessment of the external environment earlier. This will be followed by an assessment of the internal strengths and weaknesses of the Philippines by looking at the following factors which affect the value chain of the different modes of trade in health services. A. Summary of Opportunities for the Philippines Based on the previous chapter, the following are opportunities that the Philippines can pursue as the government prepares for greater participation in this trade and for future negotiations. • • • • • • Aging populations in OECD Shortage of medical professionals in those countries High cost of medical expenditures in developed countries relative to the Philippines plus the long waiting lines for treatment Poor healthcare systems in most Asian and neighboring countries Requirements for medical professionals to maintain records of patients for insurance claims and bills processing Relatively high cost of labor in the medical transcription industry in developed countries Figure 5. Major Opportunities for the Philippine Health Services Sector •Aging Populations in OECD •Shortage of medical professionals •Poor healthcare systems in developing nations •High Cost of Medical Services •Requirements for maintenance of patient records •Relatively high cost of labor for transcription •Telemedicine •Exports of Medical Professionals •Commercial presence on ad-hoc basis •Tele-education and/or movement of foreign students to the Phil Medical Transcription (tele-diagnosis/ teleconsultation) •Health Tourism •Long Stay •Retirement Telemedicine post-consultation *between patient and physician or *between physicians As shown in Figure 5, there is a wide range of opportunities for the Philippines to - 37 - Draft Report pursue. And there is a set of products or services that can be developed, packaged and sold starting with our core capabilities or competencies. Note that the linkages among the four modes of supply have the potential to stimulate growth of other related and supporting industries in the local market. These industries include telecommunications, tourism, manufacture of drugs, utilities, and private services to name a few. There are already empirical evidences of the Philippine’s participation in health services trade as explored in the subsequent discussions. Telehealth: Telemedicine and Medical Transcription The export of telemedicine from the Philippines to other countries is not yet fully explored at this stage. The flows are usually from developed countries to the Philippines and these are mostly in the form of videoconferencing during meetings or conferences. Makati Medical Center during its past conferences utilized telemedicine when medical experts from Standford Hospital shared their expert opinions.33 The development of health tourism can impact on telemedicine when patients and/or their physicians in their home countries consult with the physicians here prior to their visit (this is where digital imaging or scanning plays a role) and then again when they require post-treatment diagnosis. The application of telemedicine is so far mostly within our national systems. The UP-PGH National Telehealth Center is at the forefront of the application of telemedicine to upgrade the trainings of public health facilities in the provinces34 and to facilitate the conduct of medical missions in remote areas.35 It was established in 1998 to facilitate integration of telecommunication technology into healthcare delivery. The current projects are teledermatology and computer literacy. The initiative makes use of low bandwidth high impact (store-and-forward) and primarily between physicians. The UPPGH plans to incorporate the telemedicine applications in future medical outreach missions to bring the teaching hospital’s resources to remote places. Through the Advanced Science and Technology Institute under the Department of Science and Technology, work is being done to develop research and education internetworks. In the program on ICT Advanced Networking Research there are initiatives to conduct R&D, set-up test bed, deploy and demonstrate technologies to support activities in Ecommerce, telemedicine and distance learning in the Philippines. The rising source of export revenues for the Philippines is medical transcription. Medical transcription started out only three years ago, serving less than 1 percent of the 33 34 Makati Medical Center website The WHO funded a US$150,000 project which will use a combination of self-instructional materials and the Internet to to disseminate and promote the exchange of information among health professionals and the general public. Under the project, district health systems will be strengthened with initial implementation targeting five regional or district hospitals (in Region II and XI) to become the first satellite nodes that will facilitate the Internet-based training. The DoH has identified several topics to be included in the trainings. These are related to the different practices of medicine (pediatrics, surgery, OB-gyne, interpretaton of ECG tracings, etc), emergency services (basic life support, trauma), and health adminstration. 35 In February 2000 the UP-PGH team used crude computer technology to conduct the mission between PGH and *Lack of a hospital in Balanga, Bataan where a medical mission was deployed. - 38 - Draft Report US demand for such services according to the DTI. It includes the provision of the following types of transcription works: office visits, progress notes, operative reports, emergency notes, discharge summaries, x-ray reports, consultation reports, history and physical reports, clinical notes, psychiatric evaluation, laboratory reports and pathology reports. Based on the DTI ICT Report, about 6,700 US hospitals have yet to convert their medical records into electronic format, in compliance with the Federal Certification, a US law which requires all medical record to be computerized. This represents about 42% of US demand requiring outsourcing. India has captured 80 percent of the market and the rest are shared by Pakistan, Philippines, Sri Lanka and Australia. To be able to meet demand, the US market alone needs about 230,000 medical transcriptionists. Health Tourism and Retirement Two areas are explored here: movement of consumers, (e.g. health tourism and retirement) and movement of students. In 2001, the Department of Tourism started to advocate and promote medical tourism during the Tourism Related Industries Congress held at the Philippine International Convention Center. Dr. Ricardo Quintos presented this concept and the Office of Product Research and Development identified medical tourism as a major product niche to be tapped. However, it was only last year when the government started to really devote much attention and advocacy campaign on health tourism when it created a Task Force on Export Competitiveness under Executive Order No.372 that was tasked to mobilize public and private sector initiatives for health and wellness. The Medium Term Philippine Development Plan (2004-2010) likewise states that the government will prioritize the establishment of health and retirement zones and that the private sector will be consulted on this initiative. The 2005 Investment Priorities Plan (Annex 2) has now includes health zones in its list of priority sectors and the Implementing Rules and Regulations provide incentives such as tax holidays and dutyfree importation of equipment. The Philippine Economic Zone Authority is still studying how this initiative can be supported under its organization in a manner that will stimulate the sector’s boom similar to what happened to the IT-enabled services. Outside these government initiatives, members of the private sector have already spending on their own feasibility studies and business missions and exploring business opportunities in health tourism. Individual physicians (e.g. Dr. Francisco Lucero and Dr. Carlos Lasa Jr for cosmetic surgery) have been orienting their websites toward health tourism and optimizing their presence through the support of IT service providers. Spa Wellness The DOT has been leading in the promotion of spas to the international market. A check of the DOT website will reveal the list of spas being promoted. These are Mandala Spa in Boracay, the San Benito Farm in Lipa, The Peninsular Spa, The Nurture Spa in Tagaytay. However, there has been a mushrooming of spas in the country in the past five years. Some have become members of the Spa Association of the Philippines in order to project an image of good quality of services to the market. In terms of numbers featured in websites, this number pales in comparison to those promoted by Thailand and Indonesia (Table 16). - 39 - Draft Report Table 16. Number of Spas SPA N um ber of Spa P o te n tia l S p a H o lid a y D e s tin a tio n P h ilip p in e s 39* 3 ** S in g a p o r e T h a ila n d M a la y s ia 106 250 198 6 22 13 F ig u re s a s o f 2 0 0 3 S o u rc e : In te llig e n t S p a (2 0 0 3 ). S p a C o n s u m e r S u rv e y 2 0 0 3 . A c c e s s e d A u g u s t 1 7 , 2 0 0 4 , fro m h ttp :/ / w w w .ta tn e w s.o rg / to u rism _ n e w s/ 2 1 7 1 .a sp *S o u rc e : A ss o c ia tio n o f S p a s , P h ilip p in e s . (b a se d o n th e to ta l n u m b e r o f sp a s a c c re d itd b y th e a s so c ia tio n **S o u rc e : D e p a rtm e n t o f T o u ris m , S P A D ire c to ry , P h ilip p in e s . (b a s e d o n th e to ta l n u m b e r o f d e s tin a tio n s p a s a c c re d ie d b y th e D e p a rtm e n t. Medical Tourism Faith healing has been the common concept of medical tourism in the country given its popularity decades ago. But other segments evolved as our health service providers particularly hospitals and their expert physicians started to gain international reputation for quality service. It is only recently that we have started to brand and sell health tourism packages to the international market. Tour operators do not have readily available packages in their brochures or even websites (although a consortium of stakeholders - the Belo Medical Group, Ricky Reyes and travel agents - have started to sell beauty holidays). The DOT website likewise still has to be linked to umbrella associations such as the Philippine Hospital Association in order for the tourist to be able to have a menu of hospital facilities and services to choose from. Such clustering is the strategy pursued ahead by Thailand and Malaysia. The DOT has started to accredit hospitals for its medical tourism programs. The hospitals accredited include St. Luke’s Hospital, Asian Hospital, Makati Medical Center and the New Medical City. It has also started working with tour operators in the country to help promote medical tourism packages. The entrepreneurial spirit among private sector stakeholders is highly proven by the clustering of providers through the support of ICT. A good example of this is the rxpinoy website (www.rxpinoy.com) developed and maintained by the Infomediary Inc. Another is (www.doktorko.com) which was initiated by a group of Filipino doctors. Individual physicians and ambulatory clinics are increasingly becoming more visible. Examples are those of Dr. Lucero’s and Dr. Lasa’s cosmetic and plastic surgery packages, Asian Eye Institute and Eye Republic. In Cebu, Dr. Larrazabal is at the forefront of promoting Cebu for health tourism. Samples of packages of these physicians are presented in Annex 2. We still lack more accurate data on medical wellness – inventory of facilities, services and capabilities of facilities (including ambulatory clinics) and volume of foreign patients being treated and the revenues generated. These figures are needed in - 41 - Draft Report order to highlight the business opportunities that can be created for our medical professionals and therefore encourage them to continue to stay in the country. Retirement In 1985, the late President Marcos created the Philippine Retirement Authority (PRA) to promote the Philippines as a retirement destination. Statistics show that there are currently more than 800,000 Japanese on long stay abroad (Table 17). The number of long-stayers has increased from 326,225 in 1971 to 839,435 in 2001. Around 20% are in Asia, mostly in China, Singapore, and Thailand. There are 10,137 Japanese officially residing in the Philippines making it the 8th most popular destination in Asia next to China, Singapore, Thailand, Korea, Taiwan, Malaysia and Indonesia. Majority of these retirees are living in areas or communities that are not really labeled for retirement. One reason is that some of them have married locals. Some prefer being integrated with the local communities rather than being confined in communities for the elderly or passive retirees. Rose Princess, an increasingly popular retirement home caters to Japanese and some Filipino elderly. We only have a few “retirement communities” (Rose Princess, Orchids) and we need others that can be at par with the likes of Florida, Canada or Thailand in terms of the state of infrastructure (e.g. roads, hospital facilities) and capacity to absorb the wave of retirees that can potentially hit the Philippines. It should be noted that there have been initiatives from real estate developers and their potential Japanese partners in the past. The projects did not materialize due to the Asian financial crisis plus the massive politicking at the local level. - 42 - Draft Report Table 17. Japanese Living Abroad (1975-2000) COUNTRY 1975 1980 1985 1990 1995 1998 1999 TOTAL Asia Iran Iraq India Indonesia Korea, Republic of Kuwait Saudi Arabia Singapore Thailand China Taiwan Philippines Hong Kong Malaysia Other North America United States of America Canada 396,617 42,948 2,11 1 49 2 793 4,255 2,725 448 549 4,694 5,952 5,037 3,394 3,101 3,964 2,023 3,409 123,221 109,645 8,759 445,372 62,689 799 2,143 8,838 6,026 3,040 711 3,919 8,140 6,424 6,199 5,022 3,958 7,795 3,201 4,474 139,367 121,180 12,280 480,739 68,274 54 7 1,56 0 1,054 6,524 2,567 1,857 2,300 8,077 7,852 8,415 5,088 2,578 8,974 4,836 6,045 170,547 146,104 16,995 620,174 86,886 394 728,268 141,739 500 789,534 166,936 541 1,190 7,031 5,826 423 12,701 14,289 8,269 7,729 4,025 13,980 6,116 4,913 263,863 236,401 21,846 1,442 10,583 10,206 161 1,011 24,003 21,745 16,592 10,687 4,175 21,766 10,366 8,502 296,594 263,577 25,493 2,020 14,112 14,413 244 939 25,521 22,481 44,657 12,326 7,260 795,852 165,168 513 4 2,050 11,766 15,217 211 1,121 24,186 21,400 43,997 13,227 8,728 2000 # OF PERMANENT EXPATRIATES 811,712 285,027 168,434 7,455 435 197 197 1 2,035 98 12,254 668 16,446 695 161 45 846 27 23,063 989 21,154 749 46,090 666 14,041 428 9,227 1,247 11,726 10,696 325,557 289,957 28,002 11,545 11,207 331,245 293,606 11,625 11,053 339,067 297,968 Dominican Republic Mexico Other South America Argentina Colombia Paraguay Brazil Peru Venezuela Bolivia Other Europe, the NIS Group United Kingdom Italy Austria Netherlands Greece Switzerland Sweden 562 2,462 1,793 184,592 15,327 716 4,964 146,488 11,774 960 3,327 1,036 36,768 5,559 2,337 768 1,469 643 1,326 776 555 3,157 2,195 178,336 15,887 822 5,187 141,580 8,460 1,545 3,709 1,135 50,632 10,943 3,013 1,187 2,059 951 1,946 943 610 2,774 4,064 154,503 15,660 973 5,120 120,276 7,083 967 2,911 1,513 70,215 19,889 3,442 1,173 2,500 1,028 2,864 1,174 622 3,286 1,708 130,565 12,663 963 4,388 105,060 2,458 819 2,593 1,621 111,933 44,351 4,849 1,568 4,334 907 4,456 1,510 620 4,632 2,272 116,859 11,709 1,353 4,119 90,890 3,370 871 2,646 1,901 131,469 51,668 6,174 1,605 5,931 724 4,980 1,901 633 4,707 2,258 108,724 11,457 1,470 3,877 83,803 2,620 795 2,654 2,048 141,216 55,583 6,934 1,738 6,392 662 5,151 1,982 30,681 603 4,109 2,246 103,796 11,846 1,370 3,860 79,560 1,886 773 2,538 1,963 144,080 55,224 7,359 1,792 5,919 624 5,595 34,066 614 4,158 2,261 99,496 11,804 1,392 3,915 75,318 1,810 695 2,645 1,917 146,774 53,114 7,997 1,826 6,481 620 5,694 2,003 Spain 2,074 2,184 2,000 4,195 4,219 4,462 4,532 Denmark 498 580 597 870 886 961 947 Germany 12,060 13,991 16,073 20,913 23,843 23,202 23,270 France 4,646 6,842 12,156 15,026 18,543 22,238 24,658 Belgium 1,719 2,433 4,014 4,551 5,039 4,652 4,688 Russia 978 976 831 957 1,471 1,640 1,562 Other 1,915 2,584 2,474 3,446 4,485 5,619 5,907 Africa 4,848 8,161 7,662 5,491 7,866 7,494 6,386 Algeria 737 2,199 1,238 344 53 49 66 Egypt 367 1,039 1,395 925 772 1,001 1,046 Kenya 444 560 713 828 875 810 740 South Africa 644 611 801 530 3,136 2,747 1,540 Other 2,656 3,752 3,515 2,864 3,030 2,887 2,994 4,240 6,187 9,538 21,398 33,701 39,568 45,137 Oceania Australia 3,393 5,007 7,466 15,154 23,929 27,899 33,188 New Zealand 442 659 1,068 2,006 4,337 5,978 6,412 Other 405 521 1,004 4,238 5,435 5,691 5,537 1. Excluding Taiwan, Beginning 1998, including Hong Kong as it was returned to the People's Republicof China 2. Through 1985, including Antarctica 3. Through 1990, Germany (Fed.Rep) only 4. Through 1990, data for USSR. a. including Antarctica. Source: Consular and Migration Affairs Department, Minister's Secretariat, Ministry of Foreign Affairs. - 43 - 2,142 4,683 960 25,021 25,574 4,936 1,484 6,242 5,992 72 912 735 1,210 3,053 51,909 38,427 7,780 5,702 601 1,044 132,44 4 109,60 8 20,486 441 1,570 339 93,064 11,063 994 3,559 72,644 1,222 361 2,345 876 28,816 9,468 1,448 579 759 434 3,062 1,414 966 621 3,784 4,942 38 1,301 446 10 177 125 134 22,802 16,813 3,703 2,286 Draft Report Exports of Medical Professionals We are not a newcomer in this type of trade. In fact, the problem now is that we have been so good at this, gaining international reputation for our capabilities and compassionate care for foreign patients that foreign demand for our medical professionals is exerting pressure on our local health care industry. Today, according to the National Institute of Health Executive Director Dr. Jaime Galvez-Tan (2005), around 3,500 doctors are taking up nursing courses to seek better opportunities in a number of OECD countries where there is shortage of nurses and other medical professionals. Some current trends are indeed alarming. An average of 11,000 nurses have been deployed by the country in the past two years. Enrollment in nursing in the NCR alone increased from 8,600 in SY1998-1999 to 34,000 in 2003-04 while enrollment in medicine declined from 9,106 in SY 2002-03 to 6,500 in SY 2003-04. Furthermore, there has been an increase in a number of nursing schools as well as training institutions for caregivers. The government is not completely preventing medical professionals from leaving. It is simply exploring ways by which brain drain can be prevented in order to ensure the sustainability and quality of local health care delivery. Providing better opportunities for these medical professionals in our own country can help address the situation. Thus it is important that the linkages among these four modes of trade are explored. B. Assessment Of Local Capabilities Does the Philippines have a competitive advantage in the trade of health services? This requires an inquiry into the competitiveness of existing and potential firms in health services trade. Countries gain competitiveness through their firms (Porter 1990; Buckley et. al. 1988; Kester and Leuhrman 1989) which in turn become internationally competitive when they are able to retain and expand their global market shares and ultimately increase their profits (OECD 1993; Clark and Guy 1998). Competitiveness of health service providers is a function of their own internal endowments, conduct, and the environment in which they are embedded (Rasiah 2003). A firm’s internal endowments refer to its capabilities (i.e. core competencies) that separate it from other firms in the industry. They include human resource, process technology, research and development, basic infrastructure, high technology infrastructure, business networks and some minimum efficiency of scale/scope. Porter (1990) captured those endowments and environment in the four elements of national advantage: demand conditions, factor conditions, presence of related and supporting industries, and firm structure and rivalry. In recent years, the theory of international trade has focused more on other possible sources of factor endowments apart from labor. Studies have focused more on frictions in trade and investment due to geography, institutions, transport and information costs (Venables 2001; Bond 2001) and the transmission of knowledge across borders (Grossman and Helpman 1991). These traditional notions of endowments can be combined with the newer ones to help understand why lesser developed countries like the Philippines engaged in the observable patterns of trade. - 44 - Draft Report Porter (1990) asserts that firms can create competitive advantage by examining the different portions of the value chain. Each portion of this value chain requires some levels of infrastructure to make the firm meet the demands of buyers and minimize costs of operations and delivery. It is important to understand and assess how firms will still be able to generate profit margins from its activity. Primary Value Chain Activities Inbound Logistics Operation Outbound Logistics Marketing & Sales Service Value chain analysis hypothesizes that policy impediments exist that if removed will unleash competition which will raise productivity and investment leading to growth. The new institutional economics (Williamson 1975; Coase 1972; North 1992) argues that transaction costs exist that if removed would enable firms to maximize use of resources within a network or supply chain to deliver a product most efficiently therefore raising productivity of the entire chain. Value chain analysis can identify policy-induced costs related to the rules of the game but also non-state transactions costs (e.g. logistics and support) which firms will have to assess if they or others outside the organization can deliver more efficiently. Indeed, the Philippines is not alien to all the developments in health services trade. Figure 6 shows that commitments on the part of the government and the private sector to increase our market share in the global trade in health services will impact on three areas of the health care and its related and supporting industries: namely: firm infrastructure, human resource management and training and technological infrastructure.36 o Establishment of networks through the firm or provider’s infrastructure. This refers to the establishment of sector-wide quality standards and the presence of frontline services. The tourism and healthcare industry are closely linked in the establishment of a health tourism sector. The same is true of the telecommunications and tourism sectors and the telecommunications and medical transcription. This requires the need to link or network customer support services to improve market access. o Services are solely people-centered; therefore human resource management and training is particularly important. Rigorous selection and constant professional development are crucial. A new compensation scheme for the service provision to foreigners may be introduced without undermining the price advantage of the Philippines. 36 This strategic framework was adopted from Gonzales et al (2001) and Kaiser (2005) with modifications by the authors to reflect the fact that the impact of liberalization on upgrading of firm infrastructure, technological infrastructure, and human resource management and training due to the participation in the four modes of health services will apply not just on health-related industries but to related and supporting industries such as tourism. - 45 - Draft Report o Technology Development/ R&D: Information technology and services provide the core of the sector’s advantage. Usually, the quality of the service is signaled using the price of benefit packages. However, a sizeable amount of funds would be needed to upgrade the sector’s medical equipment and facilities. For example, government health care facilities needed a total of P 28 billion for modernization from 2000 to 2004 in order to keep up with the modernization and expansion projects of leading hospitals in the National Capital Region. The top 3 private hospitals in NCR, on the other hand have invested a total of P 8 billion in fixed assets from 2000 to 2003, or about 33% of the total amount needed to modernize government hospitals and health care facilities. A network infrastructure, technology development and research, and human resource management and training are the key areas for the improvement of the quality of health services export in general. Currently, it is evident that the Philippines still has a lot to do to tap the potentials from Mode 2 particularly health tourism (Kaiser 2005) and retirement. An improvement in those areas is also likely to improve the value added contribution of health care and its related industries. Currently, the health care sector improves value added through the establishment of a reputation for quality service. The main strategy of the major healthcare providers and the allied sectors is to achieve higher standards of services, whether they be accredited by international or local institutions or achieved through systems of benchmarking. - 46 - Draft Report Figure 6. The competitive position of a health service provider will therefore depend on many factors (extracted from the review of literature above) within the value chain: (a) firm infrastructure cost structure o service differentiation and standards o availability of facilities o business networks and supporting industries o (b) availability and skill level of human resources © technological infrastructure These comparative advantages are reinforced by other factors such as geographical proximity, cultural and linguistic affinities, natural endowments, and the ability to market the advantages effectively. In assessing capabilities and issues and identifying recommendations, the present study used the following: o Reports from the NEDA, DOT, DOH, and the DTI o Various studies on healthcare in the Philippine Institute of Development Studies and APEC-PASCN and their affiliate institutions - 47 - Draft Report o Local studies on the healthcare and tourism situations Alfiler (1992), Solon (1992) Edralin et al (2001), Dacanay (2001-05), Padojinog and Rodolfo(2005), (Kaiser (2005), Galvez-Tan (2005) o Consultations with stakeholders at the University of Asia and the Pacific (200205) and in those organized by government. B.1. Firm Infrastructure Cost Structure Why will US hospitals ever consider the Philippines for medical transcription? The main advantage of the Philippines is its telecoms infrastructure, labor, and reasonable office rental fees (Rodolfo 2005). These are the three main cost items that matter in the competitiveness of medical transcription companies.37 For labor, the Philippines is especially attractive because of its global reputation for health professionals. A basic knowledge of medical terms is critical for medical transcription. Are labor costs competitive with India, the market leader? In medical transcription, the Philippines charges a rate of 10-12 cents per line, rates which are competitive with those of India. Our labor cost is higher than India’s but very competitive relative to the US. The average salary of a full-fledged transcriptionist in the Philippines is US$2,500-$4,000 per year (depending on skills level) compared to India’s U$2,700 and the USA’ $25,000 - $30,000. Our other major advantages include our cultural and linguistic affinities with the US plus the benefits of our deregulated telecommunication sector (Rodolfo 2005). Costs of telecommunications lines are lower by 30-50% in the Philippines than in India. Furthermore, procurement times are shorter (3 weeks as opposed to 3 months) and less transmission delay. The bandwidth cost has declined by 70 percent during the past four years, according to local IT service and contact center providers (as cited by DTI). As regards health and retirement, our spa services are likewise competitive (Table 18). The likes of The Farm and Mandala Spa are high-end providers which have gained international reputation because of the quality of their services. They have been awarded by the International Spa Association in 2004 and have been elevated to the same status as the very popular spas in Thailand and Indonesia. Table 18. COST COMPARISON (for selected Asian countries) (in US$) Wellness massage therapy facial therapy Singapore Malaysia Thailand Philippines 81 94 51 52 48 43 30 35 37 Salaries and wages account for 40-60%, rent 10-18% and telecommunications line 10-25%. See Rodolfo (2005) for details. The DTI reports a similar cost structure: Salaries and Benefits taking 50%; Building & Infrastructure, about 20%; and Utilities and Communications, 10%. Training and Business Trips were also cited by the DTI as significant cost items for BPOs. - 48 - Draft Report In the field of medical wellness, cosmetic surgeons such as Dr. Francisco Lucero and Dr. Carlos Lasa have already launched their own websites to promote health tourism. Starting in the 1990s, St. Luke’s Hospital has been bringing in patients from the Micronesian States.38 Why would foreigners consider the Philippines? Our rates are very competitive when compared to Thailand and Malaysia which enjoy cost advantages in a number of cosmetic procedures including controversial gender change procedures. A cardiac bypass surgery, for instance, costs more than US$90,000 in the United States and US$20,000 in the United Kingdom compared to $5,000 - $6,000in the Philippines (Table 19). Even the cost of a private room per night is competitive in the Philippines. Table 19. Why Consider the Philippines? Treatment USA Singapore Cataract Surgery 2,500-3,500 1,749 Total Knee 5,000 6,207 replacement Liposuction 2,800 –5,700 3,221 Malaysia 1,014 4,342 Thailand 950 5,500 Philippines 1,424 5,639 1,711 1,365 1,400 Cosmetic surgery is one of the niches the country can tap more easily compared to others. It is not covered by insurance so patients belong to the upper middle to high income levels. Recently, the Ophthalmic Consultants Philippines Co. (better known as Eye Republic) and the RP-based Korean travel agent Bingo Tour signed a Memorandum of Agreement that will provide Korean national patients desiring eye and cosmetic surgery in the Philippines.39 The cost of living is lower in the Philippines than in developed countries. Hence, the Filipino-American community in the United States is a major market that must be tapped. Japan is another one although it is relatively more difficult to uproot the Japanese retirees from their homeland unless the government strongly supports and recommends the Philippines as a retirement destination. Japan has a dollar per capita income of over US$30,000 – which is 30 times that of the Philippines. Another indicator is to compare the cost of hospitalization in Japan and the Philippines. In the Philippines, the daily cost of hospitalization is 30 times lower than that of Japan. In terms of medical charges, the Philippines is more than 9 times lower compared to Japan. Cost of dwelling units in the Philippines is lower while providing more living space for the household. In fact, there is no need even to construct new settlements just to serve the retirees. The soft property market currently prevailing in the Philippines has caught many developers of both subdivision and condominiums with large inventories of unsold units. Perhaps with some adjustments in the standards of construction and amenities, many of these housing developments can be re-launched or re-marketed as retirement villages or clusters or lifestyle communities (since active retirees prefer to still live in the metropolis and simply spend some activities in the countryside). 38 Meeting with Stakeholders on Health, Wellness and Beauty, UA&P. July 2004. Bingo Tour, being the agent, will provide all the marketing requirements for medical tourism of Korean nationals desiring eye and cosmetic surgery in the Philippines 39 - 49 - Draft Report The relatively low salaries of our medical or health professionals is a major factor that forces them to leave the country and enable us to earn foreign exchange through their remittances. There are other opportunities in trade of health services (outside of sending them to primarily OECD nations) that will allow for temporary migration without imposing a burden on the local health care system. Availability and Quality of Facilities and Standards. There are currently 29 medical transcription organizations and 10 medical transcription schools under the Association of Medical Transcription in the Philippines (Table 20). They are supported by foreign partners in the US. We relatively have a good track record in terms of minimum accuracy rate of 98 percent and are able to make a turnaround time of 24 hours. Emergency Room (ER) cases can be turned around for 3 to 6 hours. In order to become competitive, the local MT companies must maintain confidentiality of medical as well as financial information. Thus, the industry is working with Congress to enact a law that will include a provision requiring all local MT companies to comply with the US HIPAA of 1996. The HIPAA law protects privacy in medical records and other healthcare-related information. Table 20. List of Medical Transcription Companies in the Philippines • Cross Pacific Solutions, Inc. • Medi-Type Transcription Services (SVI) • Outsource Exchange, Inc. • E-Brains • Pilipino Medical Transcription Services, Inc. • E-Data Services Phils., Inc. • Quorum Linear Phils. • Transkripsyo, Inc. • Innodata • JLBS, Inc. • Digital Data • Data MD Int’l, Inc. • Digitext Asia • Digitizedata.com, Inc. • Medscript Phils., Inc. • Q-Interaction • Partek Phils. • Worldscribe Asia, Inc. • IT Services.com • E-Scribir, Inc. (formerly • Accu Script) • Infosource Company • TRX Global Corp. • Int’l Data Conversion Solutions,Inc. • Total Transcription Solution, Inc. • IT Outsource, Inc. • Innovatech • Zubo Systems Source: DTI Health Tourism and Retirement. One disadvantage of the Philippines is the relatively small number of destination spas compared to our regional competitors. Only a few destination spas are currently popular among tourists and balikbayans in Luzon. These are the Nurture Spa in Tagaytay, the San Benito Farm in Lipa and the Sanctuary Spa in Batangas. In the Visayas, there are the Mandala Spa in Boracay and the newly opened Chi Spa in Shangrila-Mactan in Cebu. In terms of service differentiation, the Philippines has proven that it is capable of providing unique and high standard products and services. This was evidenced by the awards that The Farm and Mandala received from the International Spa Association last year. Their websites provide transparency of the services that clients can expect. Standards of services for different kinds of spas (day, destination and hotel) are certified by the Spa Association of the Philippines (at least for their members) and by the DOT. - 50 - Draft Report Laguna is an area being promoted by the government as wellness haven. The hot springs are a natural attraction. However, most of the facilities are not of high quality in terms of standards. The therapists also need further training.40 The DSWD and the National AntiPoverty Commission have started out with this training project under the umbrella initiative of the Creative Economy Council early this year. However, the changes in leadership have since stalled significant progress in this area. Filipinas Paradise was an early entrant in the retirement industry in the early 1990s. By 1996, another retirement home – Rose Princess – was set up in Laguna. There have been attempts by other developers to develop retirement havens for the Japanese but these projects were aborted due to the Asian financial crisis and unfavorable investment climate. Today, Rose Princess has expanded through franchising to other areas such as Cebu, Matabungkay and Subic. In the absence of dedicated “retirement communities”, the PRA has started to accredit tourism-related real estate properties – condominiums, subdivisions, etc. – to accommodate long stayers (based on a set of guidelines). But the number still pales in comparison with other countries. Another indicator that we can use to assess the capability of firms to provide services is the quality of facilities including their technological capabilities. Medical wellness and retirement rely heavily on hospital and clinic care and services so it is important to examine the state of our hospital industry (see Case Study). It should be noted that some of our facilities already employ state-of-the art technology but which can be improved in a number of hospitals through investments or sharing of cost for facilities (as is the case with Asian Hospital and Makati Medical Center). St. Luke’s is due to open another facility at the Fort Bonifacio Global City. Under a globalized insurance market environment, the health care sector of the Philippines is facing the need to accredit its various services. For example, Asian Hospital has acquired international accreditation and Medical City has been preparing for international accreditation so as to join the pool of accredited health care facilities given by insurers. Tertiary hospitals located in Metro Manila are improving and expanding their facilities in order to make health care accessible not only to Metro Manila residents but also within cities in Southern Luzon peripheral to Metro Manila. Tertiary hospitals, ambulatory clinics and diagnostic center located within the Makati, Las Piñas and San Juan areas are initiating moves towards networking of facilities. For instance, doctors locate hospital offices within this vicinity. There is also a cost-sharing of medical equipment and facilities between tertiary hospitals in Las Piñas and Makati, as in the case of Asian Hospital and Makati Medical Center. A prominent institution rendering the accreditation service is the prestigious Joint International Commission for the Accreditation of Health Care Organizations. The USbased accreditation service gives a quality stamp on the health care provider as the accreditation signifies that the provider has acquired the highest international standards for health care service, i.e. comparable to other reputable hospitals worldwide. The preaccreditation process requires an 18-month to 2-year as the hospital will have to comply with the standard set of medical equipment and services required of a tertiary hospital. The actual accreditation process and reply can take at least 2 to 3 years after the actual hospital visit by the accreditors. Thus, the acquisition of an international quality service 40 Based on discussions during the 2nd meeting of the Creative Economy Council. Makati City. February 2005. - 51 - Draft Report recognition needs a medium-term plan of hospital service upgrading and equipment purchase. In the Philippines, St. Luke’s Medical Center acquired this recognition in 2003. It was the first in the Philippines and the second in Asia to Bumrungrad International which is Thailand’s major hospital when it comes to health tourism. The announcement for application for accreditation has been done since the mid-nineties. The other major hospitals such as Medical City (Professional Services, Inc.) and Asian Hospital have applied for accreditation as well. Given the experience of St. Luke’s this would mean that at least one more hospital in the National Capital Region would be able to acquire international recognition on or before 2010.41 The experience of St. Luke’s attests the importance of developing business networks not only locally but in major markets for exports of health services. It should be noted that when we want to attract our Overseas Filipinos to retire here, they will most likely desire to retire in their hometowns. A barrier to such movement however is the nonportability of insurance. Such barrier can be removed if the health facilities are accredited by international institutions. This becomes a constraint to our ability to promote regional retirement destinations because our regional secondary and tertiary hospitals currently lack the capacity, infrastructure and resources to pursue accreditation. One possible solution is to link up these satellite hospitals to a central hospital that can be accredited. But the critical component for such strategy is investment which can come from local or foreign sources or both. The private hospital sector is currently threatened in its financial viability. This may explain the marked decrease in the number of hospitals and beds from 1964 to 2003. Among the major problems are: o Increasing hospital operating expenses o High level of bad debts and uncollected accounts o Increasing costs of capital expenditures (building expansion or equipment purchase) o Generally poor management skills and shortage in the supply of hospital management specialists o Delayed reimbursements by MEDICARE o Scarcity in long-term financing and high loan default rates o Maldistribution of hospital facilities especially in urban areas o Generally poor population with low paying capacity for hospital services Currently, the hospital industry is included in the Negative List of Foreign Investments. Only a maximum of 40 percent foreign ownership is allowed by law. Bumrungrad International entered the Philippine health care industry via partnership (management contract) with Asian Hospital. Another way by which infrastructure particularly in the provinces can be upgraded is through the establishment of health (and retirement) zones. This can also address the foreign equity restrictions for hospital operations. The 2005 IPP of the DTI already recognizes the importance of health zones and the private sector is eagerly waiting for the PEZA guidelines. One issue for local investors seeking to infuse equity 41 Among the internationally accredited hospitals acquiring high scores in quality service for all diagnosisrelated groups and specialties are Mayo Clinic and John Hopkins Hospital at Baltimore. - 52 - Draft Report into some tertiary hospitals that can be positioned for health tourism is the requirement of generating fifty percent export revenues beginning in the first year of operations in order to receive the incentives. These investors may not be able to meet such requirements given that they are just starting to build up networks with foreign medical partners or markets abroad.42 These areas can likewise be opened for the practice of foreign medical professionals (as long as they practice only within these bounds). Caring for retirees, particularly the elderly is intensely service-oriented which goes beyond medical care. It is providing personalized care for a longer period of time involving more people. This care must involve other meaningful activities that will keep the retirees busy. As a result, a retirement facility does not only become a venue for providing medical attention, but also a place where self-esteem and self-worth are restored. Business Networks/Presence of Related and Supporting Industries. The success of exportable health services depends on the existence of competent supporting industries which include: • Private and public hospitals • Ambulatory Clinics/Facilities • Professional Services (e.g. medical and allied services) • Other Private Services (e.g. associations) • Government Services • Telecommunication services (including IT providers) • Real Estate Services • Utilities • Educational and Training Institutions • Financial Services • Transportation Services • Tours and travel agencies • Equipment providers or suppliers • Pharmaceutical Industry Hospital Network. The network of hospitals are presented in Annex 3. In recent years, capacity of the hospital industry has not significantly expanded due primarily to financial constraints (see Case Study). Resources were used to upgrade facilities and improve productivity as in the case of private hospitals. The top hospitals in the country today are St. Luke’s Hospital, the New Medical City, Asian Hospital and Makati Medical Center. 42 Roundtable discussion on Health, Wellness and Beauty held at the Executive Lounge of the University of Asia and the Pacific. July 6, 2005. - 53 - Draft Report Ambulatory Clinics. We also have a network of ambulatory facilities registered with the DOH (Annex 4). Some clinics which have gained reputation for their quality care are focused on eye care and cosmetic procedures. These include Asian Eye Institute and American Eye Center. Professional and Other Private Services. We have a pool of doctors, nurses, therapists and other allied medical graduates in the country. These professionals are known for their quality care and competency in their fields. They continue to pursue lifelong learning by seeking higher credentials through fellowships, etc. There are various associations (examples are the Philippine Medical Association, Philippine Association of Plastic and Cosmetic Surgeons, Philippine Nursing Association) that support the upgrading of quality and concerns of the medical professionals. We should also include the manpower agencies that deploy service providers for purposes of security, maintenance and janitorial services and others to hospitals and other facilities. Government Services. Various agencies provide support to this sector. These are the Philippine Regulatory Commission for licensing, the Commission on Higher Education, the DOH, DOT, DTI, NEDA, DFA and the Office of the President. They are involved in accreditation, training and manpower capacity building, setting up incentives, and policy formulation and implementation. Telecommunications Services. The deregulated sector has a number of international providers which support and enhance support to telehealth. A significant amount of trans-Pacific data communication bandwidth is easily available. There are a number of international carriers for telecommunication services as a result of the deregulation in the early 1990s. Bandwidth cost has declined by 70 percent during the past four years, according to local IT service and contact center providers (as cited by DTI). Firms need to develop websites and promote their packages via these websites. Hence, they also need the support of IT providers or firms. - 54 - Draft Report Table 21. Key ICT Indicators: Philippines vs. India and the US (2001, latest) ICT Infrastructure & Access Tel. lines per 1,000 people Country In largest city Waiting list (in '000) Revenue per line ($) Cost of local call ($ per 3min.) Mobile phones per 1,000 people Int'l. telecoms Outgoing traffic (min. per subscriber) Cost of call ($ per 3min.) Computers & the Internet Personal Computers Per '000 people Installed in schools ('000) Internet Users ('000) Monthly off-peak access charge Service provider charge ($) Telephone usage charge ($) ICT Expenditures Total ICT ($ million) ICT as % of GDP ICT per capita ($) RP India US 42 265 -721 -150 38 136 1,649 198 0.02 6 667 --1,566 0.09 451 49 4.8 14 3.2 156 -- 21.7 77 5.8 239 625.0 16,322 2,000 7,000 142,823 23.9 -- 10.0 0.2 5.5 3.5 3,131 4.2 40.5 19,662 3.9 19.0 812,635 7.9 2,923.8 Source: ICT at a Glance, by WB Development Data Group *as cited in Rodolfo (2005) Educational Services. The country has around 313 medical schools turning out approximately 30,000 graduates per year. There are around 10 medical transcription schools registered with the Association of Medical Transcription Companies in the Philippines. For medical transcription, the industry can tap graduates of medical or allied courses. However, as mentioned earlier, the major challenge to the transcription industry is in recruiting these graduates to consider transcription here in the Philippines rather than caregiving or nursing abroad. Education institutions have started to offer diploma courses on medical transcription by tying up with transcription companies and the Technical Educational Skills Development Authority (TESDA). Government services as an industry also serve as support industry to medical transcription. Real Estate Services. The Philippines has a number of areas that have been identified for tourism and retirement. The Philippine Retirement Authority and the DOT both have a list of these areas for investments. Rental fees are relatively attractive compared to those in developed nations. Hence, the pension funds of retirees, for instance, can more than adequately cover for their needs during their stay here as migrants or immigrants. Utilities. Electricity costs are high in the Philippines, considered second highest in Asia. This needs to be addressed considering that hospitals are major users of electricity and - 55 - Draft Report water. The medical transcription industry can be supported by reforms such as peak-load pricing and benefit from lower charges during night time. Transportation. The basic transportation infrastructure is air transport. Traffic rights are highly if not fully utilized in a number of revenue generating markets (Austria 2000; Aldaba 2005; Rodolfo 2005). These rights have to be renegotiated to introduce competition, bring down costs of air travel and spur regional development. Financial Services. There are a number of banks and financial institutions that support hospitals and facilities. Government-owned banks likewise support public hospitals. As mentioned in the case study, a number of hospitals are financially burdened. Thus, any support from the financial sector to release resources for facilities and manpower upgrading are greatly needed (Annex 4). Tours and travel agencies. They are the major marketing arms of the health tourism and retirement industries. They are composed of pro-active private stakeholders who have been spending on their own network building and promotions abroad. They are members of associations such as Philippine Travel Agencies Association, Network of Independent Travel Agencies, Philippine Tour Operators Association. Pharmaceutical Companies. These companies support programs of hospitals. They can also contribute to the development of the health tourism industry through telemedicine. Box 3. Linkage Analysis of the Health Sector A system of a networked or integrated health care industry would contribute to the attainment of an effective and safe health provider sector. The existence of such an integrated system shall be discussed. The ability of the private health care industry to operate competitively under a managed care environment would depend on the strength of the inter-industry linkages, i.e. private health care industry with other industries and linkages from within the various industries forming the private health care industry. A.1 BACKWARD AND FORWARD LINKAGES An examination of the strength of linkage indices in an economy provides one mechanism for identifying key or leading sectors. For example, if industry 1 has a greater backward linkage than industry 2, this means that a peso worth of expansion of output of industry 1 would be more beneficial to the economy than would an equivalent expansion in output of industry 2, in terms of productive activity throughout the economy that would be generated by the expansion. In the same way, if industry 3 has a greater forward linkage than industry 4, this means that a peso worth of expansion in output of industry 3 is more beneficial to the economy than a similar expansion in the output of industry 4, from the point of view of the overall productive activity that it would support. Backward linkage is used to indicate the direction of causation of economic effects in a demand-side model. If industry 1 increases output, there will be increased demand from industry 1, as a purchaser, on other industries whose products are used as inputs in production in industry 1. On the other hand, forward linkage is used to indicate the direction of causation of economic effects on the supply side. If industry 1 increases output, there will be increased supplies from industry 1, as a seller, for other industries which use products of industry 1 as inputs in their production. An industry with a backward or forward linkage index greater than unity is considered high. Manufacture of surgical and medical supplies and the manufacture of ophthalmic goods have high output forward linkages, while the manufacture of surgical and medical supplies, manufacture of ophthalmic goods, - 56 - Draft Report public health services and the entire medical and health-related services industry have income forward linkages. These industries produce large economic effects as their supplies increase. On the other hand, among those industries with the highest output backward linkage indices are manufacture of drugs and medicine and the manufacture of ophthalmic goods, private hospitals, private clinics, other social and related community services, public health services, and the entire medical and health-related services. These industries produce large economic effects as their demand increase. Notice that most industries that belong to the medical and health-related industry and the entire medical and health-relate industry itself exhibit relatively low output linkage indices. This can be attributed to the fact that these are service industries that have low output effects because these industries cater mostly to the final demand sectors, i.e. households and government. In terms of income effects, more industries that belong to the medical and health-related industry and the entire medical and health-related industry itself can produce large income effects. COEFFICIENT OF VARIATION: LINKAGE DISPERSION A linkage dispersion shows the extent or degree of an industry’s linkage to other industries, i.e. how many industries it actually affects in the economy. For instance, an industry may have a high linkage, yet it only affects a few industries. Similarly, an industry may have a high linkage, yet it only affects a few industries. Similarly, an industry may have a low linkage, but it affects many industries at a small degree. The coefficient of variation measures the wideness or narrowness of linkages in the entire economy. Industries with narrow forward linkages are mostly industries which produce specialized output that require specialized intermediate industries as its buyers, or because it has the final demand sector as its main buyer. In contrast, industries with wide forward linkages are those industries whose products are used by many other industries, such as wholesale and retail trade and utilities. On the other hand, industries with narrow backward linkage dispersion are those industries that do not need a wide variety of inputs, perhaps other than its own. Again, in the manufacture of machinery and electrical equipment, it will need a wide variety of inputs to produce their output. Examples of industries with wide backward linkage are land, water and air transport, and, hotel and restaurant industries. Among the industries that belong to the medical and health-related industry, only life and nonlife insurance have a wide forward output linkage dispersion effect. Moreover, only the manufacture of drugs and medicine, and the life and non-life insurance industries have wide forward income linkage dispersion effect. This means that output and income effects of an increase in supplies of these industries is spread throughout the economy. On the other hand, the other industries which have a wide backward income linkage dispersion effect have large output and income effects for every increase in demand. Multiplier Effect Multipliers reflect the difference of the initial effect an exogenous or final demand change and the total effects of that change. The multiplier effect illustrates the changes in economic activities brought about by other economic activities. It benefits the business directly catering to final demand consumers, supplying businesses and eventually the owners and employees of these businesses. The multiplier effect basically traces how many times a peso re-circulates in the economy before it leaks out of the region. An output multiplier for an industry is the total value of production in all sectors if the economy that is needed in order to satisfy a one-peso increase in the final demand for that industry. An output multiplier is interpreted as follows: a one-peso increase in final demand will lead to an increase in output of that industry by the value of the multiplier. On the other hand, an income multiplier translates the impacts of a change in final demand into changes in income, instead of translating these changes into sectoral output. An income multiplier is interpreted as follows: a one-peso increase in final demand will lead to an increase in income by the value of the multiplier. Among the industries that belong to the medical and health-related industry, the industries that ranked the highest in terms of output generation are manufacture of ophthalmic goods and manufacture of drugs and medicine, ranking 6th and 15th respectively. Notice that these industries also have a high backward output linkage measure and a wide output backward linkage dispersion measure. This asserts that these industries have a more magnified output effect on the economy as they need a lot of varied input requirements from other industries to satisfy an increase in final demand. - 57 - Draft Report Note that most industries that exhibit high income multipliers are those that are labor-intensive or that belongs to the services industry. The entire medical and health-related industry itself ranked 6th among all other industries. For every one unit increase in final demand in the economy, there will be a P 0.3387 increase in income of employees in the medical and health-related industry. Table 22. Output and Income Linkages in the Health Care Industry and Health-Related Sectors Output Linkages Income Linkages Industry Description Forward Backward Forward Backward Manufacturing Drugs and Medicine 0.9254 1.0751 0.8985 1.0220 Surgical, Dental, Medical and 1.9535 0.9319 3.3712 1.2327 Orthopedic Supplies Ophthalmic Goods 1.7060 1.1788 1.6904 1.1326 Services Life and Non-Life Insurance 0.8342 0.6798 0.9770 0.7709 Private Hospitals, Sanitaria and 0.4255 0.9779 0.5491 1.1307 Similar Institutions Private Medical, Dental, Veterinary and other Health 0.5456 0.8071 0.7672 1.0032 Clinics and Laboratories Other Social and Related 0.4685 0.8747 0.8239 1.2368 Community Services Public Health Services 0.4149 0.9140 1.5080 2.1745 Total Medical and Health-Related 0.7029 0.8337 1.1428 1.1624 Services Source: Input-Output Table, 1994 - 58 - Draft Report TABLE 23. Output And Income Coefficients Of Variation In The Health Care Industry And Health-Related Sectors Output Linkages Income Linkages Industry Description Forward Backward Forward Backward Manufacturing Drugs and Medicine narrow wide wide wide Surgical, Dental, Medical and narrow wide narrow narrow Orthopedic Supplies Ophthalmic Goods narrow narrow narrow narrow Services Life and Non-Life Insurance wide narrow wide narrow Private Hospitals, Sanitaria and narrow wide narrow wide Similar Institutions Private Medical, Dental, Veterinary and other Health narrow wide narrow narrow Clinics and Laboratories Other Social and Related narrow wide narrow narrow Community Services Public Health Services narrow wide narrow narrow Total Medical and Health-Related narrow narrow narrow narrow Services Source: Input-Output Table, 1994 - 59 - Draft Report B.2. Availability and Skilled Manpower Resources. The Philippines has 313 medical schools and the country has 30,000 medical and allied program professionals. Nevertheless, it is important to highlight that medical transcription is open to all graduates in who are interested in pursuing a career as transcriptionist or simply being entrepreneurial enough to do transcription as an extra source of income. The latter is particularly true for doctors who want to earn extra during their “idle hours” i.e. when they are not treating patients or attending to other medical duties. Opportunity is also open to non-science or non-allied health-related degree holders with exceptional English language communication skills, or those with legal or business transcription background. Such a large pool does not assure, however, steady supply of transcriptionists who will allow us to tap the potentials of the US market. For one, the contact center is still deemed to be more lucrative and easier to enter than the MT industry. Furthermore, entrepreneurs find it relatively easier to set up a call center than an MT company since they need not tie-up with a hospital in the US. Furthermore, the MT industry is strongly competing with caregiving and other medical-related alternatives. Even graduates of nonmedical courses consider nursing over medical transcription whenever they shift to a medical-related career. While some graduates may be interested to consider medical transcription, they do consider the opportunity cost of additional training which is usually conducted for 6 months consisting of around 3 modules at a cost of P20,000 per module or a total of P60,000 – P75,000 for all modules. Graduates of medical and allied courses can cut short the training to 3 months or even less43 and focus on two modules only and mostly on the Medical Style And Grammar and Medical Transcription Technology. Some find it more worthwhile to spend on their training for caregiving since that will be their entry point to work abroad and bring better opportunities for their families. Furthermore, the difference between the salaries here and abroad is still a major factor being considered. Some managers have raised concerns on the quality of English proficiency of some graduates which make them require the potential MT applicant to still complete all the modules. The quality of English of our graduates needs upgrading. Although we turn out an average of 30,000 graduates of medicine and alliedmedical fields, we face an alarming rise in the migration of doctors to become nurses abroad based on the report of the Department of Health (2005). The salary of nurses in the USA amount to US$4,000 per month plus the benefit of being able to bring one’s family to the US. Registered nurses earn an average of US$150 per month here in the Philippines (Galvez-Tan 2005). Any move to increase the salary scale of registered nurses by at least three to four times is current level may help lessen the occurrence of immigration. An increase in the income scale of government-employed registered nurses through a government subsidy or grant may incentivize trained nurses to stay. The rationale for a four-fold increase in salary would be human capital investment on the part of the national government that would account for the marginal benefits contributed by trained registered nurses to the smooth functioning of the health care system. Trained and experienced nurses would act as managers of the hospital, as in the case of the hospital management system in the United States. The function of managing the hospital would suffice for a four-fold increase in salary as nurses are not trained technicians but are licensed professionals. An improved salary scheme would differentiate trained 43 The University of Perpetual Help Medical Transcription Academy offers flexible curriculum. - 61 - Draft Report registered nurses from caregivers, the current manpower substitute for routine medical check-ups. The current local supply of registered nurses as of 2004 reached 1.8 million, a third of which have received their license since 1991. Registered nurses of at least 10 years of practice may form the pool of trainors and may be qualified for the salary increase as long as they are competent and qualified to manage a hospital system. One major source of concern is the seemingly deteriorating quality of our graduates as evidenced by the drop in the percentage of passers (from 56% in 1998 to 48% in 2004) in the licensure exams. A number of nursing schools have been established leading to high enrollment rates but the number of graduates is low relative to the enrollment data. There is a need to update and improve the curriculum of schools with track records in nursing in order to increase the number of nursing graduates passing the licensure exams. This would improve the number and future pool of trainors. In fact, hospitals who have the capacity to pay and attract trained nurses from the United States are slowly increasing their pool of recruits for nurses abroad who have plans of going back to the Philippines. A doctor who receives an average of P15,000 per month (or US$300) and is supporting a family is definitely likely to be attracted by the financial returns of shifting to nursing. Thus, the compensation scheme of our medical professionals (who will become scarce resources and demand higher prices in the near future just to keep them here without any other effort to create income generating activities) will need to be addressed by the government. The problem is that doctors do not have much paying patients here in the country. This is where health tourism becomes an alternative route of providing income opportunities for them. A group of physicians led by Dr Emmanuel Barrias who is based in Michigan formed a foundation called Doktor Ko Outreach Foundation Inc. One of its projects is called LingkoDoktor (started early this year) under which they finance a doctor's start up capital for three years (a total of around US$30,000) so that he/she stays in the Philippines to practice medicine and not leave the country for nursing opportunities abroad. So far they have one beneficiary in Cagayan. The Philippine Medical Association has proposed strategic solutions to prevent brain drain (also cited in Galvez-Tan 2005). These include the creation of a National Health Service Act which will help program the deployment of medical professionals abroad, creation of National Commission on Health Human Resources Development and establishment of nursing registries. Credentials of medical professionals are very critical in the success of health tourism, retirement and even telehealth. The same is true with allied services such as telecommunications and tourism. The different associations have set their own ways of granting credentials to their members. Such credentials have to be aligned to international standards in order to facilitate the movement of our professionals abroad even on temporary basis. - 62 - Draft Report Implications on Local Health Objectives The effects of migration of medical workers have been widely discussed among the various stakeholders. However, there is a need to further assess the possible risks of health tourism and retirement. The first is extensive price discrimination against foreign nationals. The cost of the medical care provided to retirees can be standardized within a range or ceilings are set based on local rates (as practiced in Thailand). However, this is still subject to further study and discussions among the stakeholders. Another risk is the migration of public health workers to the private sector which when left unchecked can lead to a deterioration of services to the general needy population. Likewise, we cannot discount the possibility that the revenues generated by these export services will be diverted to political programs of the government and not necessarily used for the expansion of health care services. Failure of institutions can deter the growth of the industry. - 63 - Draft Report CHAPTER 4 STRATEGIC DIRECTIONS For a number of years, the Philippines has exploited mainly the opportunities for the exports of our medical professionals. However, as shown in the previous chapters, other markets and product niches can be exploited to our advantage if our domestic capabilities are strengthened and our weaknesses are made irrelevant. The overall objective is to tap exportable health services to support the delivery of better health care to our local population. We have the capability to participate in all modes of trade in health services as the current empirical evidences have revealed. So what else do we need as country to make trade work to our advantage? There is no existing roadmap for the entire health services sector as far as exploring the potentials and linkages of the various modes of health services. The Philippine Services Coalition, composed of government, private sector and the academe, is working on developing that roadmap under the Competitiveness Project. Let us consider the following areas: A. Institutional Structure A common denominator amongst countries which are exploiting the opportunities that trade liberalization presents to the health service sector (such as Australia, Canada, Cuba, Jordan, India, Sweden and the United Kingdom) is the existence of a national structure to coordinate and promote participation in the global market by the health sector. Their export strategies highlight the strong linkages between domestic production and external markets of health care services. A public-private mix is ideal in the Philippines since this will optimize scarce resources through a public and/or private-sector mix and create a forum for addressing political and other concerns. The strategies are implemented by the governments; public and private sectors; private sector associations; and individual companies. Such a national structure is important to bring together all sectors and networks to develop common vision and strategies to increase awareness of the capabilities of the country and its firms in the various modes of health services trade, identify barriers and obstacles that hinder market access in local and foreign markets; pursue cooperation in an environment of competition, develop and maintain database and identify strategies that will minimize the negative impact on the local health care sector. In the Philippines, what is that national structure? And who is on top of this national structure? Is it the Task Force on Export Competitiveness or the NEDA? There are also concerns on who is the lead agency in projects such as health or medical tourism? Is it really the DOT or the DOH? This study notes that inter-agency meetings are held to define incentives as in the case of the preparation for the Investments Priorities Plan and Implementing Rules and Regulations. However, there is no unifying body that seeks to address the development of the health services sector – that is, addressing local and globalization issues. - 64 - Draft Report We can consider the models of other countries: o London Medicine was created in 1993 with sponsorship and support from London medical and business communities, as well as local and national authorities. It has two main objectives: promoting and developing business opportunities for London Medicine's affiliates in order to increase the flows of clinical, educational and research work in London's hospitals and medical schools, and to attract research contracts and investment from British and international companies. o Australia established the National Health Industry Development Forum (HIDF) in 1994 and implanted a programme of assistance to private firms, in an effort to bring various parts of the health industry together and help develop a common focus. The Forum is jointly convened by the ministries of industry and of health, with the support of Austrade. Australia's export strategy is focusing on two of the modes of supply, namely cross border trade and movement of consumers . Singapore also has its own Singapore Medicine which has consciously repositioned Singapore as a medical hub by focusing on more complicated procedures that do not directly compete with Thailand. Whatever national structure is created or defined by the government from the existing structures should have clearly defined functions. And it should consider how to mitigate the impact on the local health care sector. B> Market and Product Niching and Development There is no doubt that markets exist. The effective demand is already high relative to the supply capabilities of OECD countries and even developing countries in Asia. However, it is not yet very clear to us which markets we can and are capable to tap in the short, medium and long term in both OECD and developing Asian countries. We have been focusing on OECD countries, mainly the US and UK, who are in great need of medical professionals for many years already. Thus, the main mode was for us to send our workers there. Temporary migration can help upgrade the skills of these workers when they come back. However, the timing of their deployment plus the risk of permanent migration on their part (given that they can bring their families with them) can aggravate the looming medical professional crisis and eventual collapse of our local health care system. It is therefore important that we develop, package and market other products that can serve the same traditional markets in OECD and minimize the risks mentioned. This is where health tourism and retirement (under Mode 2) become very crucial. It is time now for the citizens of these OECD countries to come, visit, spend and eventually retire here. The impact of this mode is very significant in the sense that their consumption and medical care expenditures here in the Philippines will create multiplier effects on the local economy. Tourism for instance, has the capability to generate direct and indirect output effects of around 2 pesos and twenty five centavos for every 1 peso spending by a tourist. Tele-health is an unexplored service that we can provide to our neighboring Asian countries. It can be in the form of tele-education between our top hospitals and facilities or schools. Tele-diagnosis is also part of pre-health tourism and post-health tourism. - 65 - Draft Report Currently, we lack an inventory of facilities and capabilities of our medical providers and related or allied industries. Such inventory is needed for us to be able to develop and package sets of services that we can sell abroad. Yes, beauty holidays and some health tourism products are already existing. But we can offer other products under tele-health (Mode 1) and commercial presence (Mode 3). Perhaps in the medium term, our top facilities can consider expanding their presence abroad, setting up satellite clinics or offices and contribute to revenue generation. Such mode can be linked to telehealth (mode 1) when these satellite offices send their diagnosis via telemedicine to their main facilities here in the Philippines. Such arrangement can likewise serve to prepare patients for health tourism. Post tele-diagnosis can therefore serve as another revenue source when these patients return to their countries of residence. We can also invite foreign investments to help us upgrade our health facilities and services. Asian Hospital, for instance, was able to partner with Bumrungrad International and this partnership is expected to change the nature of competition among hospitals and the positioning of Asian Hospital in the region. We can also attract investments in our schools to upgrade the quality of the curriculum and facilities which can likewise attract foreign students to study medicine and related courses. Or we can aggressively pursue the Chinese strategy of forming health teams working abroad on contract - both in the framework of aid programmes or on a strictly commercial basis. Chinese institutions enter into agreements with foreign governments – mostly local authorities - or directly with medical institutions. It has opened more than a dozen traditional Chinese medicine medical facilities in more than twenty countries. This is the same strategy being pursued by India’s Apollo Clinic which is also looking at the Philippines for its expansion. This strategy requires developing a brand of services to be exported abroad. Singapore’s Parkway Health Group developed the Gleneagles International brand as part of this strategy. The Raffles Medical Group is building up strategic alliances overseas by developing triangular business associations with healthcare organizations from developed countries, to venture into third countries in partnership with host country investors. We can also consider the strategy of Australia in medical education. To facilitate the flows of foreign patients to public and private clinics Australia has established a medical visa. Public medical schools are training foreigners in many areas of health. To meet foreign demand, Australian medical schools have created specialized international departments, set up joint ventures with foreign universities and opened medical schools in the target markets. As result of the above strategy, the incomes earned from overseas training activities contribute up to 20 percent to universities' budgets. While these possibilities can be realized, there is a need for a roadmap for the liberalization of health services. Where do we want to be in the next five years or ten or twenty years? This roadmap will likewise enable us to phase in limited budget for infrastructure spending. Even for health tourism and retirement, there is a need to specifically identify target markets in the short and medium term. It should be noted that infrastructure constraints related to the air access between the Philippines and some markets can only be overcome by renegotiating bilateral air service agreements (which can take a number of years) or becoming part of regional arrangements as in the case of the Association of Southeast Asian Nations. - 66 - Draft Report Market intelligence is needed by private stakeholders. This is where the linkages with government can be exploited through the services to be provided by commercial and diplomatic offices abroad. Such service can reduce search costs on the part of private sector. C. Firm Infrastructure There is a need for the industry to collect more accurate estimates of the industry or market size (in volume and value) in order to highlight the possible business opportunities in the sector. Lack of information on opportunities, is in all likelihood, the single biggest obstacle that developing countries face. Networks with Filipino-American medical professionals should be established in order to attract them to outsource their transcription needs to the Philippines. These medical associations hold annual meetings or conferences. The Department of Foreign Affairs and the Department of Trade and Industry can facilitate in providing market information to the industry players. Marketing infrastructure needs to be improved. We need to increase our presence in the Meetings, Incentives, Conferences and Events (MICE) market by providing competitive bids for medical meetings or congresses. This is a way by which we can expose our capabilities and become a health hub Associations (travel and medical and educational) can pursue to hold symposia or meetings to discuss latest issues and propose strategies to the government. There is a greater need for the medical sector to participate in talks on the liberalization of the health services sector Travel agencies, medical providers and allied services need to link up their core competencies to help concentrate on delivering quality services. A cluster-based approach must be drafted by both the government and private sector as starting point for the development of a roadmap for the industry. This approach has been initiated with the support of IT as in the case of the websites of providers such as Infomediary and clinics already engaged in health tourism. The main rationale is to reduce the transaction costs on the part of the consumers and on the part of the providers as well. These clusters should be linked up with the DOT, DTI and DOH websites. D. Human Resource Development Apart from those cited in the previous chapters, it should be noted that growth of the health care industry in the Philippines is constrained by the lack of internationally accredited health care facilities, massive deployment of health care professionals and the presence of a social insurance system that is at the initial stage of universal social health insurance coverage. The aggressive move of the Thai government to make health care accessible for all meant the equivalent of P 2,000 health care insurance benefits for each 46.6 million Thai nationals starting 2002. This move is foreseen to increase the demand for health care provided either by public or private providers. The contingency fund of Baht 5.168 million - 67 - Draft Report for the development of hospitals facing deficits and another Baht 5.168 million for human resource development is expected to transform the health care sector in Thailand in two to three years to be abreast with internationally accredited health care services. The additional health care insurance benefit made available by the Thai government is meant to increase the utilization of the currently existing facilities thereby promoting medical tourism, geared primarily towards out-patient care (i.e. health promotion, primary care and sickness prevention), even among locals. Any move on the part of the central government to allow Filipinos to increase health benefits would contribute to increasing output and incomes of health care professionals of the health care industry by at least 30%. On the other hand, an increase in the amount of health care spending via an increase in benefits allowable via social health insurance is likely to increase the demand for health care by at least three times. This would mean that PHILHEALTH may have to refine its schedule of premium contributions for monthly gross income ranges higher than P 30,000. Individuals may be given an option to purchase more social health care insurance incentivized through an income tax exemption similar to tax exemptions given for every purchase of health insurance at annual premiums of at least P 2,500. As a whole, strengthening the capacity of PHILHEALTH as a health insurer is likely to achieve a strong ripple effect to the development of other sectors in the health care industry, particularly, among its providers. The government should consider more closely the proposal to create the National Commission on Health Human Resources Development (as cited in Galvez Tan 2005). This will help improve the Philippines’ competitive position on the other modes of health services trade. This paper explored the opportunities, risks and possible strategies that the country can pursue in order to exploit the potentials from health services trade. However, a roadmap must be developed soon to allow us to focus our resources on revenue generating markets and based on our competencies. Broader consultations need to be conducted particularly in the areas of Mode 1 (telemedicine) and Mode 3 (commercial presence) because of the implications on the health care providers, primarily hospitals and ambulatory clinics. - 68 - Draft Report CASE STUDY: THE PRIVATE HOSPITAL INDUSTRY This section focuses on the current competitive market behavior of health care providers, particularly hospitals and medical equipment distributors, in order to provide quality health care. Sparse information can be obtained on industry-standardized indicators. Thus, efforts by providers to improve service quality shall be measured from their fixed asset purchases. VALUE ADDED IN THE PRIVATE HEALTH CARE INDUSTRY AND HUMAN CAPITAL Investments in fixed assets in the private health care industry is accompanied by the apt medical professional able to utilize such investments. As a consequence, investments in medical equipment in the industry is proportional to the number of medical professionals employed by the providers. This can be seen by the high correlation between the total book value of fixed assets and employment. The high correlation between these two variables shall be combined and shall be considered in the report as a human capital indicator. FIGURE I.2 Total Book Value of Fixed Assets vs. Employment in the Private Health Care Industry from 1985 to 2002 Total Book Value of Fixed Assets (in PhP Billions) 35 30 25 20 15 10 5 - 10,000 20,000 30,000 40,000 50,000 em ploym ent 60,000 70,000 80,000 Source: Annual Survey of Establishm ents Being a labor and quality service-intensive industry, it can be observed that value added is also high related with human capital. (See Figure I.3) FIGURE I.3 - 69 - Draft Report Human Capital vs. Real Gross Value Added of the Private Health Care Services from 1985 to 2002 Human Capital: Total Book Value of Fixed Assets/Employment 600,000 500,000 400,000 300,000 200,000 100,000 2,000 4,000 6,000 8,000 10,000 12,000 14,000 Real Gross Value Added (in PhP Millions) Source: Annual Survey of Establishm ents From Figure I.2 it can be observed that a sudden increase in fixed asset investments from 2000 to 2002 have been incurred, but, without a proportional increase in employment. This indicates that the industry has currently relied on its set of medical professionals to be able to render an increased level of quality service. It can be observed from Figure I.4 that the health care providers who incurred the increased fixed asset investments from 2000 to 2002 have been the top 3 hospitals in the National Capital Region. These three hospitals account for 22% of total book value of fixed assets in the private health care sector. The top 3 hospitals include St. Luke’s Medical Center, Professional Services, Inc. (Medical City) and Medical Doctors, Inc. (Makati Medical Center).44 The amount allotted by the three major private hospitals in the National Capital Region shows that from the past decade, they have been preparing for the acquisition of medical equipment. This investment far exceeds the needs of government health care providers. The consequences of these key areas to the development, namely, network infrastructure through linkages, manpower development and training, and, technology development, within the medical services and health-related sectors shall be discussed. These three key points become advantageous to the industry upon the establishment of closer linkages among the health-related sectors. Such links can be motivated by the leading hospitals which currently have the market power to offer health treatments and benefit packages that would cater to different market segments. No financial statements for Asian Hospital could be obtained as full operations have been formally opened since 2002 only. 44 - 70 - Draft Report FIGURE I.4 Total Fixed Assets of Top Private Hospitals vs. Total Book Value of Fixed Assets of Surveyed Establishments in the Private Health Care Industry (in PhP 000) 45,000,000 40,000,000 Num ber of Establishm ents 1,400 1,200 1,000 35,000,000 800 600 % Share of Top 3 to Surveyed Establishments 30,000,000 400 60 200 50 0 40 25,000,000 30 20 10 99 97 95 01 20 19 19 93 19 19 89 91 19 87 19 19 19 85 20,000,000 15,000,000 Book Value of Fixed Assets of Establishments in the Private Health Care Industry 10,000,000 T o tal F ixed A sset s o f T o p P rivat e H o spit als 5,000,000 T o tal F ixed A ssets o f the T o p 3 P rivate H o spit als 0 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Source: Annual Survey of Establishments, NSO and Top 7,000 Corporations, Philippine Business Profiles C. HOSPITAL QUALITY STANDARDS HOSPITALS IN NCR AND CAPITAL INVESTMENTS OF THE TOP PRIVATE The key indicator to be used in the study would be the level of investments of top private hospitals, and particularly, the performance of the top 3 private hospitals in the National Capital Region. It can be observed from Figure I.4 that the total fixed assets of the top 3 private hospitals in NCR follow the over-all trend of the total book value of fixed assets of the private health care industry. Private hospitals only account for half the number of hospital beds in the country as of 2001, with the other half accounted for by government hospitals (See Figure I.5). While the private hospital industry accounts for half of hospital bed providers, they account for the majority of fixed assets investments in the health care industry. This can be deduced from the fact that the top 3 private hospitals in NCR have invested a total of P 8 billion in fixed assets from 2000 to 2003, or about 33% of the total amount needed to modernize government hospitals and health care facilities. The investments of the chosen private - 71 - Draft Report hospitals would then be an indicator of the level of hospital quality being achieved in the NCR. FIGURE I.5 Bed Capacity for the Philippines 55,000 Government 50,000 45,000 40,000 Private 35,000 30,000 25,000 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 20,000 Source: Department of Health It can be observed from Figure I.5 that while more fixed assets have been purchased by private hospitals, the number of beds has not increased. Existing private hospitals have therefore opted to improve the quality of hospital care through the acquisition of more medical equipment, rather than increasing the level of access through the provision of more hospital beds. The P 28 billion allotted for government hospitals is aimed towards the modernization and rehabilitation of the existing hospitals. The amount still does not include the purchase of medical equipment. D. THEORETICAL APPROACH The basis for the analysis of the modes through which trade in services in the medical and health-related sector may come about is based on the following framework. From Figure I.1, the eventual development of the medical tourism sector, a key industry in the international services trade, would need the simultaneous development of the private health care industry. It can only come about through the improvement of the health care service quality. The report focuses on the ability of the hospital industry to provide quality heath care services. The discussion proceeds in the following manner. First, the focus placed on the hospital industry as a key driver in the establishment of quality health care services apt for international services trade is due to the perceived presence of location linkages, or linkages spurred by the presence or concentration of - 72 - Draft Report market activity in the specific geographical market of area, which is initiated in the private health care industry through the activity of reputable hospitals. The presence of efficient location linkages shall be discussed in chapter 2. With the presence of location linkages, there is therefore an argument for the establishment of a private health care services area or health care zone. The zone need not be bounded, i.e. territorial. It only depicts the string presence of shared market activity among the firms established within the same area or zone. Second, the strength of market linkages initiated by location-specific factors can come about with the development of health care services quality. The competitive behavior of the providers shall be analyzed as follows. The factors explaining how health care quality can be improved will be based on the approach that private providers, who account for 50% of the amount of health care services provided in the country, are able to price their services based on the willingness to pay of consumers. Consumers with a high willingness to pay are serviced by private providers. Consumers with a low willingness to pay are primarily serviced by public health care service establishments. The willingness to pay approach is applicable to the Philippines due to the dependence of health care financing on out-of-pocket payments. The indicator used for willingness to pay shall be income. The study focuses on the factors affecting the decision of private providers to supply health care services. Private providers behave as profit-maximizing firms whose decisions include the level of quality of health care services to be supplied. In a market where a small fraction of income, i.e. less than 2%, is spent on health care, private providers compete on the basis of quality and volume of health care services, rather than on the basis of price. Firms aim to maximize profits where profits is a function of the demand for health care services, utilization cost, and investments on medical equipment. The functional relationships among the variables are: Revenues = f { demand (+), price (-), quality improvements (-), utilization cost (-) } These relationships shall be operationalized using the following indicators: Profitability = f { real gross value added of the private health care industry or RGVA (+), implicit price index of the gross value added of the private health care industry or IPIGVA (-), investments in fixed assets (-), health expenditures (-) } The investment decision is a decision to improve quality health care and is a function of the price charged to patients for the use of the health care service, demand from consumers with a high willingness to pay and linkages within the health care industry. The presence of linkages in the industry is incorporated in the analysis due to the spatial characteristic of the demand for health care services. The competitive behavior of firms or providers as well as the role of health care professionals in the provision of quality health care shall be discussed in chapters 3 and 5 respectively. - 73 - Draft Report TABLE II.3 OUTPUT AND INCOME MULTIPLIERS IN THE HEALTH CARE INDUSTRY AND HEALTH-RELATED SECTORS Output Multipliers Income Multipliers 1 Industry Description Rank Value Rank1 Value Manufacturing Drugs and Medicine 15 2.2750 19 0.3124 Surgical, Dental, Medical and Orthopedic 21 2.1348 3 0.4461 Supplies Ophthalmic Goods 6 2.6897 5 0.3953 Services Life and Non-Life Insurance 41 1.4443 36 0.2377 Private Hospitals, Sanitaria and Similar 23 2.0916 14 0.3328 Institutions Private Medical, Dental, Veterinary and 34 1.7023 13 0.3370 other Health Clinics and Laboratories Other Social and Related Community 30 1.8668 6 0.3934 Services Public Health Services 28 1.9348 2 0.6730 2 Total Medical and Health-Related Services 26 1.7849 6 0.3387 Source: Input-Output Table, 1994 Notes: (1) The value refers to the industry’s order or position out of 43 industries. (2) Only 36 industries are considered. IN SUMMARY. The wide backward effects of the output multipliers for the health care services sector, with the exception of life and non-life insurance, indicates that the health care sector and related industries benefit largely for every increase in demand. Also, an increase in output in the economy translates to an increase in income in the same sectors. An implication in these indicators is that any increase in demand for health care services and related industries is beneficial to the development of the health care sector itself, not only in terms of output but also in terms of income of health care professionals. The increase in income is estimated to be 30% for every increase in the output for the entire economy. One final note. Even if an industry may rank low with respect to its multiplier value, the multipliers in themselves already generate positive changes that benefit the industry. Moreover, although the model assumes that there are no large structural changes in the economy, the multiplier effects generated reflect the economic conditions during the period in which the input-output table was constructed. C. LOCATION OR SPATIAL ANALYSIS Hospitals, being the most important institutional recipient of the country’s financial resources for health, warrant a study on the way its resources are distributed to the different - 74 - Draft Report regions of the Philippines. While there is still a lot to be gained in terms of equity in such a distribution, this paper emphasizes the need for location efficiency in any policy directed towards rectifying the problem. Hence, this article aims to prescribe an optimal policy rule that can balance both equity and efficiency, taking into consideration that there is the perpetual trade-off between these two objectives. In search of an optimal policy rule, certain considerations were considered. Equity objectives can easily be satisfied if the standard bed-to-population ratios and concentration ratios are studied. However, a major contribution of this article is to reconcile such standards with equity45 and efficiency46 in the allocation of the country’s health resources. The number of beds per province and region was used as the indicator for hospital resources. The theory on the new economic geography was used as a basis. In essence, the theory states that if the criteria for the distribution of these resources follow market forces, then policy prescriptions targeted to correct the situation can be both efficient and sustainable. The theoretical basis of the study is empirically verified using the Hirschman input-output forward and backward linkages as the main market force working towards the agglomeration47of the hospital industry in certain regions of the country. By bringing this aspect into light, one can arrive at an optimal policy rule that balances both equity and efficiency standards in the distribution of health and medical resources. ON THE EQUITABLE DISTRIBUTION OF HEALTH RESOURCES. In the Philippines, as in every developing country, there is the perpetual problem of health and medical resources not reaching the majority of the population who are poor. This can be seen in the substantial differences in welfare indicators across the different regions of the country. For instance, the difference in life expectancy between the capital region and Western Mindanao is larger than the difference in average life expectancy between 1960 and 1980.48 Mortality rates for all ages and for infants are higher in regions with a very high incidence of poverty. Data on differential mortality show that, in general, the poor have higher mortality rates than the economically better off. The infant mortality rate is higher in rural areas where the majority of the poor are located. In the same the World Bank report, a high correlation was found to exist between these mortality rate with poor environmental sanitation, crowding and congestion arising from inadequate housing and low income. The situation has not changed much over the years. Current trends do not favor rapid improvements in health status in the medium term unless major and highly focused interventions are put in place. ON THE EFFICIENT DISTRIBUTION OF HEALTH RESOURCES. The problem, however, with the current distribution of resources in any geographical unity is that location decisions of plants and firms are governed by market forces. First, government intervention in the area of geographical location of firms and plants is not a widely accepted view. Even after the so-called Keynesian revolution in economic thought, government intervention in economic Refers to locational equity. This means that an equitable outcome is one that allows equal access to hospital services in every region of the country. Specifically, an equitable outcome is one where the hospital industry reaches the whole population equally in other regions. 46 Refers to locational efficiency. An efficient location is one that follows decisions on input and output backward and forward linkages. Central to this is the location of firms and industries where there is a large market access. If location is based on the identified market forces that contribute to agglomeration, then it is said to be efficient. 47 Refers to the geographic concentration of firms and industries. Firms and industries that tend to cluster or agglomerate are able to achieve gains from locating in such areas. 48 World Bank (1985). The World Bank Report. Philippines 45 - 75 - Draft Report forces remains a controversial issue. In trying to solve this problem of unequal distribution of wealth among regions of the same country, many prescriptions for economic policy have focused on redistribution. However, it is necessary to judge a redistributive scheme on both efficiency and equity terms. Advocates of equality of income argue that even if all barriers are removed, the resulting distribution of income will still be too inequitable; therefore, it is appropriate and necessary to undertake the policies to redistribute income. However, some programs designed to achieve the said objective involve the big trade-off between efficiency and equity. Considering these two criteria makes the task of redistribution complicated, if not outright impossible. Second, such as policy prescription fails to address the underlying forces that have led to the imminent problem in like manner when you target symptoms but not the source of the disease. When policy makers decide to interfere in a market for redistributive purposes, they must first assess the extent of the resultant market disequilibria. The nature of markets is a powerful determinant of how distribution occurs and whom it affects. Without a firm background on the role of the market as an allocator of resources, such policies may just result to economic backlash. These will occur due to a simple failure to understand the proper relationships of supply and demand. Hence, efficiency standards need not, and should not, necessarily be done away with then targeting equity in the distribution of some good. An awareness, therefore, of the market mechanisms behind such a distribution is both important and necessary. The very nature of the service talked about here warrants such an analysis. While it is true that health is a right that should be made available to everyone, it is also true that this good is not a pure public good that can easily be distributed and made readily available by the government to everyone. Public goods are characterized by non-rivalry49 and non-exclusivity50. However, hospital services have a certain level of rivalry and exclusivity when provided so that while equity is an ideal situation, the government is limited in its policies targeted at the distribution of hospital services. Hence, efficiency has likewise to be satisfied. In the analysis of both equity and efficiency in location theory, a wide array of literature exists. Economic theories explaining the spatial dispersion of the production of certain industries abound. Many theorists have tried to explain why within a region, economic activities conglomerate at a few centers rather than form a pattern of even dispersion over the region as a whole51. C.1 HOW DO WE ACHIEVE AN OPTIMAL POLICY RULE? The optimal policy rule is based on a locational equitable and efficient criteria for choice. The location chosen is Luzon, thereby comparing indices from the National Capital Region, Cordillera Autonomous Region (CAR) and, Regions 1 to 5. EQUITY CRITERIA. The equity factor in the health sector involves two aspects: (1) equity in the distribution of health; and (2) equity in the financing of health services. This This refers to goods that can be made available to everyone without affecting any other individual’s opportunity for consuming them. 50 This refers to goods that, when provided, cannot bar other people from enjoying it. 51 This is a usual economic assumption in perfectly competitive markets. 49 - 76 - Draft Report paper focuses on the first point; that is, government must assure that all who require certain health services, regardless of geographic locale or income status, have equal opportunity to receive them. With the view that equity has first to be attained, the Department of Health (DOH) of the Philippines has included among its thrusts and directives the need to extend its services to the majority of the Filipinos who are poor. The National Health Plan has enumerated policies that should address the matter. One of them is the rationalization of hospital services and facilities based on needs. This states that DOH hospitals shall give priority to serving the indigent and underserved population. Meanwhile, private hospital expansion will be encouraged in areas with low bed-to-population ratios. Existing policies targeted at the hospital sector, however, are still short of attaining this end. De Ferranti (1985)52 finds that these policies in developing countries have failed to address the huge disparities present in the distribution of resources from budget sources (ie. across urban or rural provinces) and that only the advantaged groups such as higher income groups have benefited from such policies. Social redistribution directed at this problem, however, are seen to be socially inefficient. From these, it can be considered that hospital bed-to-population ratio is an index that can provide equity standards in the allocation of health resources. In fact, the National Health Plan of the Philippines has specified this as a measure to be followed in its goal to achieve equity. In addition, Adorna (1976) used the Gini concentration ratio as an indicator of where to redistribute hospital resources from areas with a high concentration of these services to those who are in more need of it. This can also be used to address the equity issue. EFFICIENCY CRITERIA. If equity were the only concern, then the allocation of health resources would be straightforward: resources should be directed to those regions with a low bed-to-population ratio and a high Gini coefficient. However, the matter is more complicated than it seems. The need for efficiency in the allocation of these resources stems from the fact that additional hospital beds in a region would be useless if market forces dictate that it would be more sensible and practical if these were located elsewhere. In the formulation of an optimal policy rule, the theory on the “new economic geography” provides a basis for efficiency standards. Krugman (1991) integrates the concept of linkages in the clustering of industry. The main motivation for plants and firms governed by increasing returns to locate near each other is to minimize transportation costs. This will only be possible, given immobile resources, to locate in areas with a large demand located within its environs, ie. nearby towns or cities. This leads to the creation of forward linkages. Moreover, firms also consider proximity to its suppliers as further scope for minimizing transportation costs. This, on the other hand refers to backward linkages. The next question that Krugman wishes to answer is in which areas will such linkages be high. He answers by saying that linkages will be high precisely where industrial production is concentrated. There has to be an interaction of self-reinforcing De Ferranti, D. (1985). “Paying for Health Services in Developing Countries.” Philippine Health Care Fact Book. 1990. Manila: Center for Research and Communication. 552-554. 52 - 77 - Draft Report forces that make the concentration of production a sustainable and necessary outcome53. For a cluster of sectors to develop, output of some firms and industries serve as inputs to other firms and industries54. Such inputs and outputs can range from manufacturing, distribution, communication and financial services. The constant and almost circular relationship of economic activity among groups of industries encourages local production. Thus, the efficiency criteria is based on a high output, specialization and employment index using input-output table analysis to indicate the scope of private health care sector’s activity in the area, and, to determine intra-industry and inter-industry linkages55 between the main cities of private health care activity and its environs. This criteria is chosen because the study hypothesizes that the firm or cluster of firms would want to locate in an areas which is already oriented towards the private health care industry to take advantage of the existing linkages. METHODOLOGY. This study attempts to demonstrate that inter-regional input-output model can be an appropriate and useful technique in analyzing the geographic concentration of industrial activity. The objective of an inter-regional inter-industry inputoutput analysis is a matrix of input-output coefficients identified not only by industry but also by geographic areas or regions. The desirability of using input-output techniques in regional analysis stems from the fact that it is an empirically workable model that provides an organizational framework and a set of consistency checks. Input-output techniques also have their limitations. First, there is no full set of compatible regional input-output tables in the Philippines from which an inter-regional analysis could be performed. Hence, the study resorts to the use of non-survey methods, particularly, the location quotient, to construct a regional table. The national input-output table used is the 1994 59 x 59 table for lack of a more recent table. Another drawback is that regional input-output models cannot be used for long-run policy analysis or long-term forecasting, especially if a country experiences rapid structural change. And while a developing country such as the Philippines aims at structural transformation (ie. changes in production functions and input coefficients), such a technique remains attractive because of its flexibility and versatility. Therefore, the use of the inter-regional input-output model will be limited to medium-term applications.56 Given this methodology, this study is among the few in which input-output techniques are used to check for the backward and forward linkages that lead to industrial agglomeration. IN SUMMARY, the equity criteria will indicate those regions lacking in bed supply. The efficiency criteria will be based on a ranking by descending order of the HirschmanHerfindahl ratio (indicator of market concentration), Gini-Balassa ratio (indicator of market 53 Krugman, Paul (1992) . “A Dynamic Spatial Model”. National Bureau of Economic Research. Working Paper 4219. 54 The underlying assumption here is that firms deciding to locate within a cluster of industries have considered that the effect on revenues of greater inter-regional and inter-industry linkages more than offsets transportation and wage costs. This assumption is not empirically verified due to the lack of inter-industry and region specific data on transportation costs and wages. 55 Krugman, Paul and A. J. Venables (1995). “Integration, Specialization and Adjustment”. National Bureau of Economic Research Working Paper 4559. 56 Other limitations include: (1) regional production coefficients were substituted by national coefficients which means that uniform production functions for various industries throughout the country exist, ie. a production function that exhibits diminishing returns to scale, (2) no significant technological developments have taken place from 1994 to the present, (3) no significant or major structural change or nay random events have occurred. The study does not intend to explain why the National Capital Region has become the center of private health care economic activity in Luzon. - 78 - Draft Report access), specialization ratio (indicator of manpower access), and, centrality index (indicator for core region) on the regions of Luzon. An impact or linkage criteria will be done through the manipulation the inter-regional and inter-industry input-output tables. This will lead to the achievement of regional inter-industry and regional intra-industry linkages and multipliers determining those regions having a central role in the economic development of other regions through a growth stimulation of the private health care industry. Once these regions are determined, one has to verify whether or not the economic linkages are selfreinforcing. This is the sustainability criteria. According to Venables (1996)57, inputoutput linkages will only be self-reinforcing if a circular causation is found to exist between forward and backward linkages. This means that forward linkages can strengthen backward linkages and vice-versa, only if an increase in output of one industry leads to the increase in output of both its upstream and downstream industries. Only when these linkages are self-reinforcing can it be said that concentration will be sustainable without the help of exogenous factors such as government support and the like. C.2 EMPIRICAL RESULTS The discussion on empirical results shall be grouped as equity, efficiency, impact or linkages and sustainability criteria. EQUITY CRITERIA. Hospital distribution appears to be very unequal in 1994 with a Gini coefficient of 0.9712. However, this has decreased over the years up to 1997. The decline has been steady, having a coefficient of 0.4225 in 1997, which is above the range for developing countries given by the United Nations Development Program (UNDP). However, this is still above the relatively even range of 0.20 to 0.35 criteria of UNDP. Combining the Gini ratios on the national and regional levels, it is obvious that while the over-all distribution among the regions has improved over the time period in question, the distribution per province has not changed much. The bed-to-population ratios for each of the provinces show that very little has been done to improve the situation, and that despite the target ratio of 1:500 by the Department of Health, only a few select provinces have achieved this standard. To be exact, only six out of the total 92 provinces included in the analysis had a ratio of less than 1:500 in 199758. (See Table 1) The difference, however, between NCR and Region 4 is that the latter has a far greater bed-to-population ratio than the former. NCR has actually passed the target ratio with 1 bed per 359 persons. Region 4, on the other hand, has to service 1,169 persons with just 1 bed. By looking closely into these figures, it can be seen that this region has in fact one of the lowest ratios in the Philippines. Combining the results of the Gini ratio and the bed-to-population ratio, Region 4 has more to gain in terms of equity, as compared to NCR, if additional hospital beds were to be placed here. While having one of the highest Gini ratios, it also has one of the lowest bed-to-population ratios. Integrating all these results, it can be seen that Region 4 is actually in more need of the hospital resources (in terms of hospital beds) of the country. With one of the lowest Venables, A. J. (1996). “Equilibrium Locations of Vertically Linked Industries.” International Economic Review. 37:341-360. 57 58 Ramento (2001), page 163 - 79 - Draft Report ratios, equity is best achieved if additional hospital beds were located there. NCR, on the other hand, has the highest ratio, that is, highest level of maldistribution of hospital beds, as compared to the other regions of the country. For instance, as of 1997, the bed-topopulation among the different municipalities in NCR ranged from 1:62 (Mandaluyong), 1:219 (Manila), 1:343 (San Juan), to 1:2915 (Pateros/Taguig) and 1:7537 (Malabon). The results of Table 1 may be summarized as NCR, Regions 3 and 4 having met the criteria of need for greater health care resources, primarily due to the maldistribution of hospital beds. Regions 3 and 4 are in need of more supply of hospital beds located in either private of government hospitals. Of the two regions, Region 4 seems to be in greater need of hospital beds, thereby making it a location that meets the equity criteria. TABLE II.4. EQUITY CRITERIA INDICATORS GINI COEFFICIENTS OF DISTRIBUTION OF HOSPITAL BED HOSPITAL BEDS BY REGION REGION (STANDARD: 1:500) DISTRIBUTION (STANDARD: 0.20 TO 0.35) 1994 1997 1994 1997 Total Philippines 0.9712 0.4255 na na 1 0.7012 0.7017 1:1058 1:1080 CAR 0.8080 0.8078 1:557 1:576 2 0.7338 0.6996 1:1012 1:1128 3 0.8744 0.8702 1:1218 1:1191 4 0.9387 0.9382 1:1130 1:1169 NCR 0.7677 0.9650 1:425 1:359 5 0.8640 0.8531 1:1034 1:767 6 0.7736 0.8053 1:1228 1:1197 7 0.6323 0.6334 1:918 1:966 8 0.8416 0.8458 1:1149 1:1237 9 0.5500 0.5516 1:1130 1:1023 10 0.8150 0.7721 1:1086 1:438 11 0.8032 0.8039 1:796 1:834 12 0.7298 0.7263 1:850 1:1001 ARMM 0.7961 0.8263 1:1744 1:2548 CARAGA 0.8546 0.8513 na na Source: Department of Health Note: Boldfaced data are the regions to be compared. EFFICIENCY CRITERIA. A summary of the efficiency and equity criteria shall be presented in Table 2. An over-all picture of hospital bed supply and distribution was shown in Table 1. It tells us that the lack of supply and maldistribution of hospital beds happens not only in Luzon but in the Visayas and Mindanao regions as well. Among the efficiency criteria, NCR meets the criteria for greatest locational efficiency in terms of market access of health care resources, it being the core of health care activity in Luzon. This is because the hospital beds and health care manpower are located in areas accessible to the market served, that is, for consumers located within and outside - 80 - Draft Report the region. The centrality index for NCR also shows that it is indeed the core of the health care sector in Luzon, having the highest index. Its market access extends to Regions 3 and 4, but, the greatest impact of the health care sector is felt within NCR itself. This result strengthens the fact that NCR is the core of the private health care industry in Luzon. TABLE II.5 SUMMARY RESULTS OF THE EQUITY AND EFFICIENCY CRITERIA LUZON, 1997 CRITERIA NCR CAR 1 2 3 EQUITY Gini concentration 0.96 0.81 0.70 0.70 0.87 Bed-to-Population 1:359 1:576 1:1080 1:1128 1:1191 EFFICIENCY Hirschman-Herfindahl (Market Concentration) PRIMARY 0.16 0.11 0.01 0.03 0.01 SECONDARY 0.03 0.01 0.04 0.01 0.07 TERTIARY 0.003 0.28 0.11 0.18 0.15 Gini-Balassa (Market Access) 0.61 0.26 0.20 0.46 0.48 0.30 0.40 0.80 0.59 1.32 1.28 1.12 4 5 STANDARD 0.94 0.85 0.20-0.35 1:1169 1:767 1:500 0.02 0.01 0.02 PRIMARY 0.50 0.20 0.62 SECONDARY 0.53 0.33 0.43 TERTIARY 0.80 0.33 0.63 Specialization 1.33 1.23 1.12 (Manpower Access) CENTRALITY OR CORE 62 4 3 3 8 8 (IN MILLIONS) Source: Ramento (2001), pages 86-94 Note: Boldfaced numbers are those in the highest rank (or nearest the standard), those in the lowest rank at 1st decimal place. 0.02 0.01 0.05 0.24 0.24 0.55 1.24 3 Highest rank by descending order at 1st decimal place Highest rank by descending order at 1st decimal place italicized numbers are However, while the equity criteria shows that locating more hospital beds in Regions 3 and 4 are equitable, one has to see which region is a more efficient market. Region 4 shows that it has more market access as it has a greater concentration of hospital beds in primary, secondary and tertiary hospitals than Region 3. Thus, both NCR and Region 4 meet the efficiency criteria. Since both NCR and Region 4 meet the criteria for centrality, specialization and market access, this means that locating in either of the two regions would entail the most benefits from agglomeration. This is possible due to the input-output linkages existing in these regions as proposed by the “new economic geography” theory. IMPACT OR LINKAGES CRITERIA. A reassessment of the locational efficiency will be done in the light of the theory of the “new economic geography.” This tries to answer the question of whether or not the policy prescription of equity and efficiency can be sustained. This will be based on the conclusion obtained from the inter-regional and intra-regional output, income and employment multipliers. The multipliers in Table 3 denote that it would be more efficient to induce a change in either NCR or Region 4 as both regions will influence from within the regions and its periphery the highest increase in output and income, ie. a PhP 2.30 to PhP 2.40 increase in - 81 - Draft Report output and a PhP 1.52 to PhP 1.53 increase in income for every PhP 1.00 increase in the output and value added of the private health care sector. The trade-off is that CAR would not be able to realize a PhP 0.12 increase in employment compensation if the inducement were not put into that region. The impact criterion stresses the amount of economic activity that would result in infusing more resources in the private health care industry of NCR and Region 4, ie. via increasing the number of hospital beds, of the regions which meet the efficiency criteria. TABLE II.6 INTRA-REGIONAL AND INTER-REGIONAL PRIVATE HEALTH CARE SECTOR OUTPUT, INCOME AND EMPLOYMENT MULTIPLIERS PER UNIT CHANGE IN FINAL DEMAND IN LUZON (BASED ON THE 1994 INTER-REGIONAL AND INTER-INDUSTRY INPUT-OUTPUT TABLES) INTER-REGIONAL1 (A) INTRA-REGIONAL2 (B) NATIONAL3 (A + B) REGION OUTPUT INCOME Employment OUTPUT INCOME Employment OUTPUT INCOME Employment NCR 0.66 0.39 0.001 1.74 1.13 0.01 2.40 1.52 0.01 CAR 0.17 0.15 0.002 1.15 1.01 0.01 1.33 1.16 0.12 1 0.25 0.20 0.002 1.22 1.02 0.02 1.47 1.22 0.02 2 0.18 0.15 0.001 1.16 1.01 0.01 1.34 1.16 0.01 3 0.25 0.22 0.001 1.37 1.03 0.01 1.62 1.25 0.01 4 0.73 0.49 0.002 1.54 1.03 0.01 2.27 1.53 0.01 5 0.30 0.24 0.003 1.27 1.03 0.02 1.57 1.27 0.02 Source: Ramento (2001), pp. 116-124 Notes: Boldfaced numbers denote the highest level of multipliers. (1) Inter-regional multipliers show the effect of an increase in output, income and employment in the peripheral regions for every peso change in the final demand of a particular sector in the region. (2) Intra-regional multipliers show the effect of an increase in the output, income and employment of all sectors within the region produced by a peso worth of output, income or employment in the private health care industry of the region. (3) The sum of the inter-regional and intra-regional multipliers. These multipliers are going to be achieved only if we can assume that there are no demand constraints, for example, consumers can afford the hospital room rates, and, that at least there is no surplus of hospital beds. SUSTAINABILITY CRITERIA. The next problem that the study wishes to investigate is whether the current concentration of hospital beds in NCR is sustainable. In other words, will the forces of backward and forward input-output linkages be self-reinforcing? Venables (1996) says that for a downstream industry to bestow a source of backward linkage for an upstream industry, not only should a buyer-supplier relationship between the two exist, but also that an increase in the output of the downstream industry should induce the upstream industry to produce more efficiently through the creation of a larger market for its products. Similarly, the downstream industry will enjoy the benefits of forward linkages only in so far as an increase in the output of an upstream industry would allow it to produce more efficiently. With a 50% increase in output and income in the private health care industry, it has been shown that such an increase has positive effects with the other industries closely linked with it. Specifically, it increases the output and income of 27 industries (due to output increase) and 29 industries (due to income increase) in both NCR and the rest of - 82 - Draft Report Luzon, over and above what the case would be if the inducement were made in other regions. In the case of Region 4, a total of 13 out of 45 industries would benefit for every 50% increase in output and 16 industries would benefit for every 50% increase in income of the private health care industry in Region 4. This leads us to conclude that indeed, with the current maldistribution of hospital beds in the NCR and Region 4, the inducement to increase output or income in the private health care industry resulting into an increase in the output and income of the other regions, would be sustainable, based on vertical linkages with both upstream and downstream industries. This result has been verified using hospital beds as the indicator for the inducement that would increase health care resources in either NCR or Region 4. These results are not far from what is currently happening in the hospital industry. By the end of 2002, Asian Hospital is expected to fully launch its 250-bed capacity state-ofthe-art hospital which is located near C-5 and Parañaque serving the peripheral areas of Makati, Las Piñas, Cavite and Laguna. The building’s equipment and manpower resources have the potential to double its bed capacity. Medical City is also building a 500 bedcapacity hospital and is scheduled to be operational by 2004 serving the peripheral areas of San Juan, Mandaluyong, Marikina, Pateros and Taguig and the municipalities of Rizal such as Antipolo, Angono and Taytay. In spite of these additional hospital beds, there continues to be a dearth of hospital beds in the northern part of NCR which could serve the areas of Malabon, Navotas, Caloocan, Valenzuela and Bulacan. C.3 POLICY IMPLICATIONS The optimal policy rule that can be obtained from these findings is that equity objectives in the allocation of health resources in the Philippines can be made consistent with locational efficiency if one works within the market forces that move in favor of the concentration of these resources. The theory of the “new economic geography” has given us a basis for the current distribution; input-output linkages indeed do play a major role in the clustering of hospitals in certain regions of the country. The presence of strong demand linkages in Region 4, together with the finding that allocation would be equitable if targeted there, provides a balance between equity and efficiency. A few recommendations can be made. First, if an equitable outcome is the main objective of a policy directed at the hospital industry, policy-makers should target those regions in which the net economic loss is minimized, using the result of impact multipliers. The trade off consists in empirically verifying the linkages that would be lost if the region would not receive an inducement, ie. more health care investments or hospital beds. Second, the incorporation of inter-regional and inter-industry industries in the criteria would help denote the comparative advantage of such an inducement if realized. Knowing that efficiency increases in labor in capital can work in favor of agglomeration, the government can give priority to the education and productivity of labor and capital to help induce development in the industry of interest. Lastly, recognizing the important factors to consider in choosing a location, potential hospitals can use linkages as a criterion by which they can have the greatest gains. Though the results from the criteria have a direct effect on the private hospital industry, - 83 - Draft Report these criteria can also be useful to public hospital administrators because they too have to be guided by the intention of being able to produce the same services efficiently. B. PROVIDERS OF HEALTH CARE: PRIVATE HOSPITALS Hospitals, a P 21 billion industry as of 1997, are perhaps the most important institutional recipient of the country’s financial resources for health. As of 2002, the Philippines has a per capita income of about US$ 1,700 and the private health care industry accounts only 1.14% of Gross Domestic Product. While an average of 8.99% of the gross value added of the total services industry group are accounted for by private medical and health services, private hospitals are the main providers of health as they account for 74% of the private health industry’s gross value added. In the Philippines alone, most of the large private hospitals, 11.30%, are located in the National Capital Region where average annual income is the highest for the whole country. The hospitals account for close to a third of the country’s private hospital bed capacity. The industry has capacity for backward linkages, this means that it has a better impact in terms of acquiring inputs from other sectors. This may be in the form of drugs, medicine and other medical supplies. However, the backward linkage is relatively low in comparison to other industries because, except for those mentioned, most of the inputs of hospitals are imported. FIGURE III.2 Private Health Care Sector Value Added by Percentage Share 8% 7% 3% 13% 15% 16% 5% 6% Hospitals 8% Medical Clinics, Laboratories, Dental and Private Practice 73% 1989-1993 HMOs 72% 1999-2003 74% 1994-1998 Health Insurance Sources: National Incom e Accounts, Top 7,000 Corporations, Philippine National Health Accounts The private hospital sector is currently threatened in its financial viability. This may explain the marked decrease in the number of hospitals and beds from 1964 to 2003. Among the major problems are: • • Increasing hospital operating expenses High level of bad debts and uncollected accounts - 84 - Draft Report • • • • • • Increasing costs of capital expenditures (building expansion or equipment purchase) Generally poor management skills and shortage in the supply of hospital management specialists Delayed reimbursements by MEDICARE Scarcity in long-term financing and high loan default rates Maldistribution of hospital facilities especially in urban areas Generally poor population with low paying capacity for hospital services FIGURE III.3 Number of Hospitals and Bed Capacity, Philippines 1,250 42,000 1,230 41,000 1,210 40,000 1,190 39,000 1,170 38,000 1,150 37,000 1,130 36,000 1,110 35,000 1,090 34,000 1,070 33,000 1,050 Total Num ber of Hospitals Total Bed Capacity 32,000 1985 19861987 1988 1989 19901991 1992 1993 1994 19951996 1997 1998 19992000 2001 Source: Departm ent of Health These problems may manifest the reason why the number of hospitals and beds in the Philippines have a decreasing trend since 1964. From the current figures reported by the Department of Health, the private hospital industry has not yet reached the capacity 1,227 hospitals with a total of 42,351 beds in 1984. Since then, capacity in terms f the number of hospitals and beds have substantially declined. FIGURE III.4 - 85 - Draft Report Average Number of Hospitals in the Philippines by Region from 1994 to 2001 Region 12 7% (74) Caraga 2% (27) ARMM 1% NCR 11% or (128 hospitals) CAR 2% (24) Region 1 7% (79) Region 11 13% (140) Region 2 4% (43) Region 10 6% (69) Region 9 4% (48) Region 8 3% (29 ) Region 7 4% (47 ) Region 3 11% (120) Region 6 2% (26) Region 5 8% (85) Region 4 15% (170) Source: Departm ent of Health Achieving financial viability is essential for hospitals to satisfactorily achieve its social responsibility of providing health care. Private hospitals could carry out more socially responsible programs in health promotion, health prevention and primary health care if they have a stable financial position. Because of these problems, private hospitals are expected to shift their costs to some of their patients in order to maintain a high level of profits. However, recently private hospitals are hounded by the problem of low returns from HMO operations. The rationale for this is that contracts made with HMOs result in low charges for HMO enrollees that impels them to charge insured patients higher. The industry may have to overcome these obstacles as their crucial role of providing health care cannot easily be substituted by home care. This section aims to present facts about the private hospital industry’s performance and give insights as to how it can achieve a healthier financial position. B.1 INDUSTRY DEFINITION, PRODUCTS AND SERVICES The Private Hospital Industry, according to the Philippine Standard Industry Classification, is defined as: Private medical service establishments accepting patients for treatment and confinement of more than 24 hours, under the direct care of the physician. [Philippine Standard Industry Classification, 1977] Furthermore, the scope of this industry includes, according to Section 16 of R.A. 4226, privately owned hospitals, established and operated with funds raised or contributed through donations, or by private capital or other means by private individuals, association, corporation, religious organizations, firm company or joint stock association. They can either be general (provides services for all kinds of illnesses, diseases, injuries or deformities) or special (provides services for one particular kind of illness/disease or health medical need). Private hospitals are further classified according to levels of complexity or specialization. The hospital system in the Philippines is basically a three-tier mode. The three levels are tertiary, secondary and primary. Each level has well-defined roles, - 86 - Draft Report functions, capabilities, facilities, organizational structure, and staffing standards. This categorization allows a provision of a hierarchy of services utilizing appropriate resources at each level. for the Philippines, the distribution of hospitals by category levels as of 1997 to 2003 is as follows: TABLE III.2 AVERAGE NUMBER OF BEDS IN PRIVATE HOSPITALS Primary Secondary Tertiary REGION 1997 1999 2003 1997 1999 2003 1997 1999 RP TOTAL 15 14 14 30 29 33 130 128 I 11 12 12 26 27 31 94 86 II 12 11 11 20 30 33 100 50 III 10 11 12 21 22 22 72 75 IV 12 12 4 25 25 48 84 84 V 13 13 20 27 28 27 61 65 VI 16 16 75 36 38 33 160 174 VII 16 17 16 39 40 40 127 126 VIII 14 14 14 26 31 28 113 113 IX 14 13 14 31 32 28 70 87 X 16 15 15 40 41 38 99 92 XI 20 19 19 50 44 36 115 110 XII 16 14 14 37 33 34 73 73 NCR 17 15 16 34 31 36 216 211 CAR 15 16 17 36 32 31 160 160 ARMM 16 17 20 15 CARAGA 16 17 12 32 32 42 75 82 Source: Department of Health Note: Shaded regions are those with an average number of hospital national average TOTAL 2003 1997 1999 127 78 50 78 87 62 184 165 113 87 89 110 71 199 160 67 34 22 17 22 28 20 69 56 25 21 27 31 25 84 28 16 24 35 22 18 24 29 21 71 56 26 23 27 31 23 86 27 17 26 38 22 19 27 29 28 95 73 26 24 29 32 25 87 32 20 22 beds which is greater than the These levels are defined as: Primary Care. This level, which is usually entry level for the patient, provides services of a non-critical nature. Primary care can include routine outpatient care, preventive care, diagnosis and treatment, rehabilitation services, and patient education service. Secondary Care. This level of care is intermediate in specialization. Secondary care usually is provided in general community hospitals as standard inpatient care. Patients for this level of care are referred by office-based, specialized physicians. Tertiary Care. This level of care is the most specialized available to patients; it occurs in regional medical centers and specialty hospitals. Tertiary care is expensive, requires highly educated proficient practitioners, and uses complicated treatment procedures. (D.C. Adler & N.J. Shoemaker, 1979). The Department of Health gives a more specific classification: The tertiary level is composed of specialty centers, specialized hospitals, medical centers, regional hospitals, and provincial or general hospitals. Tertiary hospitals have capabilities - 87 - 2003 Draft Report and facilities for providing medical care to cases requiring sophisticated diagnostic and therapeutic equipment and the expertise of trained specialists in the sub-specialties. Special and specialty centers, in particular, are equipped with expensive and sophisticated diagnostic and therapeutic facilities for a specific medical problem area. These are hospitals fully departmentalized and equipped with the service capabilities needed to support certified Medical Specialists and other licensed physicians rendering services in the field of Medicine, Pediatrics, Obstetrics and Gynecology, Surgery, their subspecialties and ancillary services. These are large-scale hospitals with bed capacities ranging from 50 to over 700 beds. Their medical equipment and facilities are usually the most advanced and are constantly upgraded. The secondary level consists of district hospitals with capabilities and facilities for medical care to cases requiring hospitalization. It also has the expertise of trained specialists. These hospitals are equipped with the service capabilities needed to support licensed physicians rendering services in the fields of Medicine, Pediatrics, Obstetrics and Gynecology, General Surgery and other ancillary services. Unlike primary hospitals, secondary hospitals have higher bed capacities, ranging from 10 to 69 beds. This accounts for increased activity as an admitting medical center. Occupancy rates reveal higher admissions, ranging from 30% to 60%. The primary level is composed of municipal and Medicare hospitals which have facilities and capabilities for first contact emergency care and hospitalization for simple cases. These are hospitals equipped with the service capabilities needed to support licensed physicians rendering services in Medicine, Pediatrics, Obstetrics and Minor Surgery. Bed capacity of primary hospitals range from 6 to 25 beds. Because bed size is small and facilities are limited, hospital operations are not centered on out-patient activities. Primary hospitals operate more as out-patient clinics than as admitting medical centers. The distribution of private hospitals by category level as of 1997 can be characterized by the clustering of hospitals in areas with a relatively high income level such as the National Capital Region, Regions 3 and 4. For instance, NCR has an average of 200 beds per tertiary hospital whereas Regions 3 and 4 have only about an average of 100 beds per tertiary hospital. The larger, more financially viable tertiary hospitals in NCR have about 300 to 600 beds. Each hospital is divided into several departments. Although the number of these departments vary according to the specialization of the hospital, eight departments can be distinguished: • • • • • • • • cardiology department respiratory therapy laboratory surgery radiology emergency room coronary care unit pulmonary care unit - 88 - Draft Report There are several procedures undertaken depending on the type of care needed by the patient. B.2 EMPLOYMENT, INVESTMENTS, FINANCING On the average, there is a medical personnel (doctors, nurses, midwives, and medical technicians) for every bed in a primary hospital. Doctors and nurses are employed as general practitioners or professionals. The average number of doctors for secondary hospitals is 14, mostly resident physicians. These hospitals experience difficulty in attracting doctors, especially for rural-based ones. On the average, secondary hospitals maintain 1.06 medical personnel for every authorized bed. Tertiary hospitals have an average of 145 doctors. No difficulty is experienced in attracting doctors because of the perceived prestige attached to tertiary hospitals. Many tertiary hospital administrators believe that they have a greater responsibility to provide quality health care. The average medical personnel-to-bed ratio maintained by tertiary hospitals is 2.28. An interview with industry participants has revealed that tertiary hospitals providing more specialized services need an initial capital requirement of about P 5.6 Million per hospital bed, with financial viability achieved upon reaching 500 beds. Breakeven point happens upon the tenth year of operation. A study made by Socorro Zingapan (1995) reveals that ownership (i.e. private or public) does not influence the propensity of facilities to incur capital expenditures in a single year. Public and private hospitals differ as regards the type of hospital investment in the long-run. For instance, public hospitals invest more in trying to have a bigger bed capacity as compared to private facilities. Even if private hospitals are greater in number, it is the public hospitals that provide more beds for patients. On the other hand, private hospitals are shown to have a greater propensity to invest in relatively advanced medical equipment, ie. CT Scan, linear accelerator for cancer patients, etc. Zingapan (1995) shows that there are three significant determinants of a hospital’s decision to invest. They are: • • • capacity of existing beds of private facilities in the province; the case mix of the hospital, specifically the ratio of patients who were attended to with surgical procedure; and the number of private financing schemes to which the hospital is affiliated. On the other hand, the study also identified the determinants of the amount of capital expenditure: • • • • • • in-patient fee; infant mortality rate in the province; case mix; mark-up from Medicare; assets at the beginning of the year; and ownership. A hospital’s source of financing are rather limited. Operations are mostly financed from in-patients paying out-of-pocket. Financing from insurance holders, ie. HMO and private insurance card holders are rather limited, accounting for 6% of total financing. - 89 - Draft Report However, the SSS and the GSIS, via compulsory social insurance finance 37% of private hospital services. These may explain why delays in reimbursement of claims may cause a drain on a hospital’s liquidity. (See Figure III.5). FIGURE III.5 Personal H ealth Care Spending by S ource of Funds (in P hP Millions) 10 0,00 0 Total Pers onal 9 0,00 0 8 0,00 0 Gov ernment 7 0,00 0 6 0,00 0 Soc ial Ins uranc e 5 0,00 0 4 0,00 0 Out-of -Poc ket 3 0,00 0 2 0,00 0 Other Priv ate Sec tor 1 0,00 0 1991 1 99 2 1 993 199 4 1995 1996 19 97 1998 199 9 2 00 0 2001 20 02 Sou r ce : Ph ilipp ine Nation al He alth Acco un ts , Natio nal Statis tics Co or d in ation Bo ar d , as of Ju ly 2004 Hospitals locate in areas where there is a clustering of establishments into the manufacture, distribution and retail of food, pharmaceuticals, medical supplies and medical equipment. They also consider locating in areas with high average income, high average expenditures on medical care, high population density. In other words, they generally locate in more economically developed cities. B.3 COST OF HOSPITAL SERVICES Hospitals generally do not absorb costs. Any increase in the price of pharmaceuticals, medical supplies and use of equipment, are all burdened by the patient. This behavior increases the importance of decreasing the burden on households for having to pay for costly hospital services. Private insurance companies along with insurance-based HMOs only help finance a small portion of hospital care. Employer-based sources of financing also account for a minimal 3% of the financing of hospital services. This behavior can be perceived in the linear and positive relationship between the price index for private health care services, most of which are accounted for by the private hospital industry, and, revenues of the private hospital industry, indicated by gross value added. There is also a linear and positive relationship between the financing of private hospital services and the price index. Thus, patients do not question the price charged to them by the hospital, they take prices as given. If this is true, then hospitals can take advantage of substantial discounts in the purchase of pharmaceuticals and medical supplies. Likewise, salaried general practitioners would be able to increase revenues for the hospital if they are able to improve the number of patients treated per day as well as give referrals to doctors for patients requiring more specialized care. This is under the assumption that doctors give the necessary treatment as needed by patients. - 90 - Draft Report FIGURE III.6 Value Added versus Spending per Hospital Bed (in PhP 000) 1,400 1,264 1,200 1,052 909 1,000 864 774 800 669 566 600 400 200 - 173 198 269 302 94 111 153 161 1989 1990 1991 1992 332 387 465 459 337 254 267 298 236 1993 1994 1995 1996 1997 412 1998 471 1999 2000 2001 Sources: National Income Accounts, Philippine National Health Accounts, Top 7,000 Corporations Costs incurred by hospitals in health care may be indicated by spending or utilization cost per hospital bed. The rest is accounted for by the hospital’s investment on capital equipment and compensation. It can be observed that utilization costs account for close to 50% of gross value added. These costs are passed on to the consumer. Hospital operators claim that patients have a maximum of 5 days for inpatient care, break-even is achieved when patients stay for one to two days. - 91 - Draft Report INDUSTRY STRUCTURE C. The basic elements affecting competition shall be discussed. Having a monopolistically competitive to a loose oligopoly market environment, health care providers compete on the basis of achieving market power in various geographic segments. Concentration of health care providers in a certain geographic location greatly affects the level of demand for health care services. This allows some health care providers such as hospitals to gain a sufficient of market power by location. FIGURE III.7 Share to Revenues of the Top 6 and Top 3 Private Hospitals vs. HHI of Top 6 in NCR 90 Top 6 Share to Revenues among Top Hospitals 5,000 Duopoly 80 4,000 70 60 50 Top 3 Share to Revenues among Top Hospitals 40 Tight 3,000 Oligopoly 2,000 30 20 Hirschman-Herfindahl Index of Top 6 in NCR Loose Oligopoly 1,000 10 - 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Source : Top 7,000 Corporations, Philippine Busines s Profile s With an industry that is composed of more than 1,500 establishments, the top 3 hospitals account for a considerable share, almost 10%, of the private health care industry’s value added as can be seen in Figure III.8 and Figure III.9. - 92 - Draft Report FIGURE III.8 S h a re o f T o p 3 NC R -H o s p ita ls to G V A H e alth C a re 14 13 12 11 10 9 8 7 6 5 198 9 1990 19 91 1992 1993 19 94 1995 1996 19 97 1998 1999 20 00 2001 2002 2003 S o u rc e s : N a t io n a l In c o m e A c c o u n t s , P h ilip p in e N a t io n a l H e a lt h A c c o u n t s , T o p 7 ,0 0 0 C o rp o ra t io n s FIGURE III.9 G ro s s V a l u e A d d e d in t h e P riv a te H e a lth C a r e In d u s try 8 0 ,0 0 0 7 0 ,0 0 0 C u rre n t G V A P r i v a te H e a l th C are 6 0 ,0 0 0 5 0 ,0 0 0 C u rre n t G V A o f P r i v a te H o s p it a l s 4 0 ,0 0 0 3 0 ,0 0 0 2 0 ,0 0 0 Re ve n u e s o f T o p 3 H o s p i ta l s in N C R 1 0 ,0 0 0 198 9 199 0 19 91 19 92 1 993 1 994 1995 1996 1997 1998 1999 2000 2001 2002 2003 S o u r c e s : N a t io n a l In c o m e A c c o u n t s , P h i li p p in e N a t io n a l H e a l t h A c c o u n t s , T o p 7 , 0 0 0 C o r p o r a ti o n s C.1 COMPETITION AND MARKET RIVALRY The level of competition and regulation in the medical and health-related services sector varies according to the type of organization of health care markets. While the Philippines’ medical and health-related services sector is still prominently characterized by the existence of independent physicians and out-of-pocket health care cost reimbursements, there are certain areas in the country which are governed by a more progressive managed care market environment with medical care provided by contracted physicians (i.e. individual or team). These growth areas are still scarce. Most providers depend on a system of financing which is based on a fee-for-service scheme. As a consequence, investments in medical equipment are difficult to sustain as the mode of payment is based on the capacity of the patient to pay. This prevalent mode of financing makes provides absorb the entire risk of providing health care. C.2 FIXED ASSET PURCHASES AS A DETERMINANT OF MARKET DOMINANCE The high correlation between the industry’s book value of fixed assets and the top 3 hospital’s average value of fixed assets shows that most of the medical equipment investments for more than a decade have been incurred by the top 3 hospitals. FIGURE III.10 - 93 - Draft Report From Figure III.11, it can be observed that the top 3 hospitals had to incur a high level of revenues in order to acquire the capital investments made from 1999 to 2000. Such investments include the construction of new buildings and modernization of equipment in preparation for accreditation. FIGURE III.11 Ratio of Gross Income to Value of Fixed Assets of Establishments in the Private Health Care Industry and Top Private Hospitals Num ber o f Estab lis hme nts 1, 400 1, 200 1, 000 800 600 400 200 0 5.0 4.5 E s t a blis hm e nt s in P riv a t e H e a lt h C a re 4.0 3.5 T o p P riv a t e H o s pit a ls 3.0 2.5 Top 3 2.0 1.5 1.0 0.5 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 Source: Annual Survey of Establishm ents, NSO and Top 7,000 Corporations, Philippine Business Profiles D. COMPETITION ASSESSMENT The market and provider concentration in the National Capital Region as seen in Chapter 2 can be explained by the market dominance of the top 3 hospitals. The profitability of the top 3 private hospitals in NCR act as a good indicator of the private health care industry’s growth. Inherent in their provision of health care services is the constant purchase of medical equipment which accounts for the bulk of fixed asset purchases in the industry. - 94 - Draft Report Average Book Value of Fixed Assets Private Health Care Establishments vs. Average Fixed Assets of Top 3 Private Hospitals (in PhP Millions) Num ber of Establishm ents 1,400 1,200 1,000 800 600 400 200 0 7,000 18 5,000 14 12 10 4,000 Average Book Value of Fixed Assets of Private Health Care Establishm ents 3,000 8 6 2,000 4 Average Value of Fixed Assets of the Top 3 Private Hospitals 2 a v e ra ge bo o k v a lue a v e ra ge f ixe d assets to p 3 - 19 85 19 86 19 87 19 88 19 89 19 90 19 91 19 92 19 93 19 94 19 95 19 96 19 97 19 98 19 99 20 00 20 01 20 02 20 03 - 1,000 Average Fixed Assets Top 3 Private Hospitals 6,000 16 Care Establishments Average Book Value of Fixed Assets of Private Health 20 Source: Annual Survey of Establishm ents, NSO and Top 7,000 Corporations, Philippine Business Profiles In the absence of satisfactory indicators acting as evidence in the influence of the top 3 hospitals in the establishment of health care networks in the National Capital Region, one can intuit that their profitability levels spur market demand among their environs. The development, however, of key provider networks within their environs has not developed as fact as their performance. Secondary and primary hospitals located within market reach of these hospitals would also have to develop their facilities in order to maintain the quality standards from which these hospitals have gained reputation for. The presence of relatively high output and employment multipliers from the economic activity of the private health care services along with the presence of locational efficiency or agglomeration economies in areas with high concentration and location linkages manifests that health care services network efficiencies can be best achieved through the concentration of health care resources in key areas. Among such key areas would be the currently developing private health care services network present in the National Capital Region due to the presence of high regional linkages within the area. Another area in development for private health care services networks would be in Region 4. - 95 - Draft Report BIBLIOGRAPHY Alfiler, Ma. Conception P. (1992), “Prepaid Managed Health Care: The Emergence of HMOs as Alternative Financing Schemes in the Philippines,” Working Paper, Series no. 92-07, Philippine Institute of Development Studies. Almario, E. S. et al. (1993), “Philippine Medicare Experience: Results of Recent research Concerning Medicare in the Philippines,” Health Finance Development Project, Monograph no. 7, Department of Health. Arey, L.B. et al. (eds) (1957), Dorland’s Illustrated Medical Dictionary, 23rd ed., W.B. Saunders Company, Philadelphia, USA. Banchuin, Dr. Chatri, M.D., FRCS (2002). “New Health Insurance Policy in Thailand.” Unpublished. Calma, Jay Rupert (2005). The Exodus of Our Vital Supply of Nurses. Masteral Thesis. M.S. Industrial Economics. University of Asia and the Pacific. Pasig City. Clark, J. and Guy, K. (1998) Innovation and competitiveness: a review. Technology Analysis & Strategic Management 10(3), 363-395. Dacanay, Jovi. C. (1998a), “Approaching Equilibrium,” Industry Monitor, University of Asia and the Pacific, Pasig City, Philippines. Dacanay, Jovi C. (1998b), “Doctors vs. patients?,” Industry Monitor, University of Asia and the Pacific, Pasig City, Philippines. Dacanay, Jovi C. (1999), “Examining the HMO industry,” Industry Monitor, University of Asia and the Pacific, Pasig City, Philippines. Dacanay, Jovi C. (2000), “New Considerations,” Industry Monitor, University of Asia and the Pacific, Pasig City, Philippines. Dacanay, Jovi. C. and Loreto Ramento (Apr. 2001), “NCR at the Hub of Health Care,” Industry Monitor University of Asia and the Pacific, Pasig City, Philippines. Dacanay, Jovi. C. and Nonna Parilla (Aug. 2003), “Who Really Benefits from HMOs?” Industry Monitor, University of Asia and the Pacific, Pasig City, Philippines. D.C. Adler & N.J. Shoemaker. (1979). AACN organization and management of criticalcare facilities. London: The CV Mosby Company. Edralin, Divina et al (2001).An In-Depth Analysis of the Philippine Health Sector. Philippine Export-Technical Advocacy Projects and Services. Also available at http://www.pids.gov.ph - 96 - Draft Report Gallup International (1995), “Introductory Baseline Study for an Information, Education and Communication Campaign of Medicare,” Health Finance Development Project, Monograph no. 13, Asia Research, Inc., and the IEC Campaign plan. Galvez-Tan, Jaime (2005). The National Nursing Crisis: Seven Strategic Solutions. Also available at http://www. http://www.up.edu.ph/forum/2005/JulAug05/brain_drain.htm Gonzales et al (2001). Health Tourism and Related Services: Carribbean Development and International Trade. Submitted to the Regional Negotiating Machinery. “Health Care Financing Regional Seminar on Health Care Financing” (1987), Asian Development Bank Economics Development-Institute and East West Center, Manila, Philippines. Health, Education and Welfare Specialists, Inc. (1995), “Evaluation of the Potentials of Private Insurance Industry as a Source of Health Care Finance in the Philippines,” Discussion Paper, Series no. 95-08, Philippine Institute of Development Studies. Regional Telecommunication Development Conference for the Arab States. Beirut Lebanon. Available at http://www.itu (Accessed 2005 January 18) International Telecommunications Union (1996). Kaiser, Katherina (2005). “The Health Care Service Market for the International Consumer: An Analysis of the Philippines.” Discussion Paper. The Small and Medium Enterprise Development for Sustainable Employment Program (SMEDSEP). European Chamber of Commerce. Makati: Philippines. Philippine Health Care Factbook, vol. 1 (2002), University of the Philippines, Manila, Philippines. Philippine National Health Accounts (2003). National Statistical Coordination Board. Makati City. Porter, M. (1990) The Competitive Advantage of Nations. New York, Free Press, Macmillan. Presidential Decree No.612 or the Insurance Code of the Philippines, and Chapter IV of Act. No.2427 or the Insurance Act of the Philippines. Republic Act No. 7875, Article II, Sec. 4 . National Health Insurance Act of 1995. Rodolfo, Ceferino S. (2005). Sustaining the Competitive Advantage in Business Process Outsourcing. Philippine Institute of Development Studies. Makati City. Rodolfo, Maria Cherry Lyn S. (2004). “Health Tourism: Widely Prescribed.” Staff Memos. Issue # 13. - 97 - Draft Report Rodolfo, Maria Cherry Lyn S. and Winston Padojinog (2004). “Philippine Tourism’s Big Bold Move.” Staff Memos. Issue # 10. Solon, Orville, et al. (1992), “Health Sector Financing in the Philippines,” Health Finance Development Project, Monograph no. 2, Department of Health, Manila, Philippines; and the United States Agency for International Development. Watson Wyatt (1996), Environment Study of the Philippine Health Maintenance Organization Industry, Watson Wyatt Worldwide. “Trade in Western Australian Health Industry Services:Directions for Development.” Available at: http://www.wa.gov.au/tiac/health/ (Accessed 2004 December 5) World Health Organization (2001), Available at: http://www.who.int/en/ (Accessed 2004, July 4). World Trade Organization (1998). Available at: http//www.wto.org (Accessed 2004 August 10) Zingapan, M.S. (1995a). “Analysis of supply and market for health care facilities: Final report.” Discussion Paper. Manila: Philippine Institute for Development Studies. Zingapan, M.S. (1995). “Hospital investment patterns: A baseline study.” Paper. Manila: Philippine Institute for Development Studies. - 98 - Discussion Annex 1. COST COMPARISON (for selected Asian countries) (in US dollars) Singapore Malaysia Thailand Philippines Wellness massage theray facial theray Treatment coronary angiogram CABG catarac surgery total knee replacement liposuction breast augmentation facelift* ceasarean normal delivery 81 94 51 52 48 43 25 23 1,054 8,410 1,749 6,207 3,221 2,930 …… 1,801 1,113 1,119 7,895 1,014 4,342 1,711 2,369 2,600 1,034 482 2,886 7,856 798 7,500 1,365 2,500 2,700 695 935 1,744 8,167 1,424 5,639 1,400 1,822 1,900 991 800 *Source: Office of Product Research and Development, Community Tourism Development Division, Department of Tourism. Philippine Medical Tourism: Marketing Plan 2005 INVESTMENTS PRIORITIES PLAN TABLE OF CONTENTS Message ………………………………………...……………………….………………… 2 Ten Point Agenda to “BEAT THE ODDS”.…………………………….………………… 3 Foreword …………………………………………………………………………………… 4 Memorandum Order No. 169….……………………………………….………………… 6 Part I : 7 Priority Investment Areas …………………………………………………….. I.Preferred Activities II.Other Preferred Activities III.Mandatory Inclusions IV.ARMM List 2 3 4 5 MALACAÑANG MANILA BY THE PRESIDENT OF THE PHILIPPINES MEMORANDUM ORDER NO. 169 APPROVING THE 2005 INVESTMENT PRIORITIES PLAN Pursuant to Article 29 of the Omnibus Investments Code of 1987, the attached 2005 Investment Priorities Plan (IPP) is hereby approved. This Memorandum Order shall take effect fifteen (15) days after its publication in at least one newspaper of general circulation as required under Article 31 of the Omnibus Investments Code of 1987. DONE in the City of Manila, this 26th of April in the year of our Lord, Two Thousand and Five. 6 Part 1 PRIORITY INVESTMENT AREAS The descriptions/coverage and the entitlement of incentives of the following listed activities shall be defined and clarified in the General Policies and Guidelines to be issued by the Board of Investments (BOI). All projects with sovereign guarantee and/or guaranteed rate of return shall not be entitled to income tax holiday (ITH). I. PREFERRED ACTIVITIES A. Agribusiness This covers commercial production and commercial processing of agricultural and fishery products including their by-products and wastes. B. Healthcare and Wellness Products and Services This covers hospital services, medical and dental services, other human health and wellness services (including services in the field of nursing care, rehabilitation and recuperation, spas), retirement villages and related services located either in identified medical zones1 or outside Metro Manila when catering mainly to foreigners and non-residents. This also covers the manufacture of drugs and medicines in accordance with the Philippine Drug Formulary of the Department of Health (DOH), supplements limited to Vitamin A, iron and iodine for use in the Food Fortification Law, and herbal medicines. C. Information and Communications Technology This covers IT and IT-enabled services and ICT support services located either outside Metro Manila or in identified IT hubs. D. Electronics This covers all segments within the value-chain structure of the industry such as Original Design Manufacturing (ODM), electronics manufacturing services (EMS), the manufacture of electronic products (except home appliances), IC design, the manufacture of parts and components of electronic products including the inputs for the manufacture of such components, and the manufacture of production supplies (e.g., molds and dies, precision tools, etc.) used by the electronics industry. This also covers the establishment and operation of Centers of Excellence, test and other service facilities catering to the electronic industry. E. Motor Vehicle Products This covers the production and/or manufacture of motor vehicle parts and components, and the manufacture or assembly of motor vehicles provided that the activity includes a program for the development of motor vehicle parts and components. This also covers the establishment and operation of Centers of Excellence that support the development of the motor vehicle industry. 1 Medical zones are selected areas declared by the President upon the recommendation of the Board of Investments, which are developed into centers for professional health care provided by physicians and nurses, for the treatment of inpatients and diagnosis and/or therapy of outpatients, inclusive of emergency medical services, with large numbers of beds for intensive care and long-term care, facilities for surgery and childbirth, bioassay laboratories, trauma centers, children’s hospitals, seniors’ hospitals, and hospitals for dealing with specific medical needs. It shall include affiliation with universities for medical research and the training of medical personnel. 7 F. Energy This covers the exploration, development, and/or utilization of energy sources. This also covers activities using energy technologies leading to energy efficiency and conservation in accordance with the program of the Department of Energy (DOE). G. Infrastructure This covers the establishment of infrastructures such as business parks, mass housing, mass transport involving rail system, physical infrastructure such as roads and bridges, telecommunications involving at least 3rd generation cellular mobile telephone system (CMTS) and rural telephony system located in less developed areas (LDA), and logistics. Logistics covers: agricultural services involving post harvest facilities, grains-highway facilities, cold storage, blast freezing, vapor heat treatment (VHT), and ice plants in less developed areas (LDA); air and land transport; multi-modal passenger and/or cargo terminals; pipeline operations; toxic and hazardous waste (THW) management; and, water supply, treatment, and distribution. This also covers infrastructure projects under the BOT Law. H. Tourism This covers the establishment of tourism economic zones, tourist accommodation facilities, tourist estates, and eco-agri tourism facilities. This also covers historico-cultural heritage projects and services provided by tourist operators as endorsed by the Department of Tourism (DOT). I. Shipbuilding/Shipping This covers shipbuilding, ship repair, shipyard operations (excluding shipbreaking), and overseas, domestic and RORO shipping and terminal operations. J. Jewelry This covers the manufacture of fine jewelry and costume jewelry. K. Fashion Garments This covers the production of fashion garments as endorsed by the Department of Trade and Industry (DTI). Fashion garments essentially refers to wearing apparel for a specific season with a distinct style and color based on international trends. II. OTHER PREFERRED ACTIVITIES This covers the following: A. Other export activities not identified under Part I (I). B. Industry Clusters supporting activities under Part I (I) and (III). C. Modernization activities under Part I (I) and (III) and Part I (II) (B). Notes to Part I (II): 1. Other export activities shall be entitled to limited incentives. 2. Industry Cluster covers horizontal and vertical linkages. Horizontal and vertical-backward linkages are limited to first-tier activities only. Raw Materials for vertical-forward linkages under “Agribusiness” and “Mining” should be wholly obtained. 8 III. MANDATORY INCLUSIONS All areas/activities, which as provided for under existing laws, specifically require their inclusion in the IPP. LAW P.D. 705 R.A. 7103 R.A. 7942 R.A. 8047 R.A. 8479 R.A. 9003 R.A. 9275 R.A. 7277 IV. ACTIVITY Industrial Tree Plantation Iron & Steel Exploration, mining, quarrying, and processing of minerals Publication or printing of books or textbooks2 Refining, storage, marketing and distribution of petroleum products2 Ecological Solid Waste Management2 Clean Water Act2 Rehabilitation, Self-Development and Self-Reliance of Disabled Persons Activities covered under Bilateral Agreements2 ARMM List The ARMM List covers priority activities, which have been independently identified by the Regional Board of Investments of the ARMM in accordance with E.O. 458. The BOI-ARMM can grant registration and administer incentives to activities listed in the IPP, provided these are located in ARMM and subject to the General and Specific Guidelines. 1. Export Activities a. Export Trader and Service Exporters b. Support Activities for Exporters 2. Agriculture, Food and Forestry-Based Industries a. Processed Food • Production and processing of halal meat and halal foods • Leguminous and other vegetable-based protein (textured, pelletized or liquid) • Spices processing (e.g. hot pepper, black pepper, ginger, etc.) Note: May be integrated with plantation • Vegetable oils (e.g. peanut oil, rice bran oil, sunflower and soybean oil) and production of food crops Note: Maybe integrated with post-harvest processing and other vegetables (such as tomatoes) • Integrated coconut processing and plantation • Seaweeds production and processing • Cassava processing and root crops Note: Maybe integrated with plantation. • Fruit processing (e.g. durian, mangosteen, jackfruit, marang, banana, mango, passion guava, calamansi, and guyabano) and plantation • Aquaculture (Fish Production and Processing) such as, but not limited to: - Frozen fish - Chilled fish - Canned fish - Abalone - Crab fattening - Eel production - Squid processing - Carp and tilapia production and processing 2 Excluded from Industry Clusters. 9 • • • • • - Tropical fish production and processing - Shrimps/prawn - Lapu-lapu (Grouper) and other marine products Corn flour mill (integrated with plantation) Young corn production Note: May include processing/canning Mushrooms culture and processing Sweet potato plantation and processing Crocodile farming and processing b. Cutflower Production c. Pearl Culture and Processing d. Industrial Tree Plantation (include Mangrove, Rattan, Bamboo, etc.) and wood processing (cement wood board and fiberboard) reconstructed veneer. e. Shipbuilding / Ship Breaking / Ship Repair and Watercraft f. Abaca Pulp Production and Processing g. Palm Oil Plantation, Processing, Refining and Germinated Oil Palm Seeds h. Coffee Processing (maybe integrated with plantation) i. Particle Board (use of agri-based waste material such as rice straw, wood waste, etc.) j. Activated Carbon Manufacturing (use of coconut shell, wood based, etc.) k. Feeds Production (animal feeds and feeds for aquaculture) l. Tobacco Plantation and Processing m. Production of Beverage Crops, but not limited to: • Cacao beans • Coffee beans (Arabica variety) n. Production of Plantation Crops and Other Medical Herbs/Essential Oil Plants (including flower extracts) o. Production of Livestock and Poultry (including Dairy products) • Beef (including cow-calf and feedlot operations) • Carabao (water buffalo) production • Goats and sheep • Frozen semen and embryos Note: includes natural method and artificial insemination and embryo transfer technology p. Bricks and Roofing Tiles Production q. Quality Seeds and Seedlings of Fruit Trees and Other Planting Materials Propagated Asexually or by Tissue Culture r. Sugar Cane Plantation, Processing and Refineries s. Sericulture t. Mosquito Coil Processing 10 3. Basic Industries a. Pharmaceuticals • Antibiotics - Penicillin - Streptomycin - Tetracycline - Soft gelatin capsules • Medical Devices - Prosthetics - Diagnosis • Other pharmaceuticals, herbal medicines b. Textile and Textile Products • Yarns and fabrics • Hand-woven textiles • Specialty fabrics • Tire cord fabrics Note: Must be integrated with weaving and dipping units • Ramie (degumed, staple fiber, combed tops, noels and slivers) • Fish nets • Fabrics made of indigenous raw materials • Silk reeling c. Fertilizers (organic and inorganic) • Solid Waste Materials d. Mining (Exploration and Development of Mineral Resources) • Mining and Quarrying of Metallic and Non-Metallic Minerals (including small scale as defined under P.D. 1899, but to exclude river beds in operations) • Processing of minerals (such as beneficiation and other metallurgical methods) e. Cement – at least 1.0 million MTPY Capacity (clinker based) 4. Consumer Manufactures a. Rubber Products such as: • High pressure and hydraulic rubber hoses • Rubber bolts • Industrial rubber rollers • Rubber tires b. Leather Products 5. Infrastructure and Services a. Public Utilities (with developmental route of the five provinces and one city of the ARMM and other adjacent Cities and Provinces) • Common carriers (land, air and water transport facilities) • Electric transmission/distribution • Water supply facilities/waterways and sewerage systems • Buses/cargo trucks • Other specialized mass transport systems • Power generation like Hydro Power, and Geothermal b. Telecommunications with International Gateways 11 c. Tourism • Tourism estates Subject to guidelines developed jointly by the Board of Investments – ARMM and Department of Tourism (DOT) • Tourist accommodation facilities - Hotels - Resorts - Other tourist accommodation facilities such as appartels, pension houses, tourist inns, and others • Tourist transport facilities - Air - Water - Tourist buses and taxi/van Note: *Should be endorsed by the DOT. **New and expansion projects may be registered. d. Industrial Service Facilities This will cover the following activities: • Common centers: - Testing and quality control laboratories - Training and demonstration centers - Tool shops and similar facilities - Metal working ♦ Electroplating ♦ Foundry ♦ Forging ♦ Machining ♦ Heat treatment ♦ Brass making - Furniture ♦ Kiln drying ♦ Treatment and processing facilities - Ceramics ♦ Kiln ♦ Glazing - Food Processing ♦ Bottling and Canning of Water ♦ Industrial Salt ♦ Vapor heat treatment ♦ Slaughterhouse/abattoir - Automotive battery plate manufacturing Note: The following criteria must be met: - The project will serve the common needs of the industry in the locality and; - The project will improve the relative status and comparative advantages of the industry. • Development of Retirement Villages - Shall include health and medical facilities including amenities required by the Philippine Leisure and Retirement Authority (PLRA). - Subject to the guidelines to be approved by BOI-ARMM in consultation with the PRA, the Department of Health (DOH), the Regional Planning and Development Office (RPDO) and other concerned agencies. 12 e. Petrochemical Complex f. Industrial Gases (such as oxygen and nitrogen) g. Miscellaneous Chemical Products • Biotechnological/biosynthetic chemicals • Essential oils • Fine chemicals 6. Engineering Industries a. Engineering Products • Motor vehicle parts and components • Automobile parts and assembly • Modern offset printing b. Electronics and Telecommunication Products 7. ARMM Priority and Tourism Areas Listed below are potential tourist destinations, which need further exploration, and evaluation for intensified promotions, development and marketing. NUCLEUS GATEWAY Area I - Sulu Area II - Tawi-Tawi Area III - Lanao del Sur Area IV - Maguindanao Area V - Basilan Jolo Bongao Marawi City Cotabato City Isabela SATELLITE DESTINATION Sulu Province Tawi-Tawi Province Lanao del Sur Province Maguindanao Province Basilan Province 13 DISTRIBUTION OF LICENSED PRIVATE HOSPITALS BY SERVICE CAPABILITY/BEDS LEVEL OF HEALTH CARE BY CENTER FOR HEALTH DEVELOPMENT, BY PROVINCE/ CITY PHILIPPINES, 2003 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS 3 4 5 2 7 5 42 44 58 23 93 60 SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS 1 1 3 3 3 1 20 25 63 81 95 15 SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 4 5 8 5 11 6 3 25 2 10 2 3 84 62 69 121 104 208 75 222 367 35 470 100 81 1914 0 11 3 20 5 5 1 0 45 183 102 263 174 74 34 0 830 CHD - ILOCOS REGION ILOCOS NORTE LAOAG CITY ILOCOS SUR CANDON CITY VIGAN CITY LA UNION 1 20 SAN FERNANDO CITY PANGASINAN ALAMINOS CITY DAGUPAN CITY 19 1 1 239 10 21 1 48 6 596 8 79 17 1 2 198 9 20 28 306 SAN CARLOS CITY URDANETA CITY TOTAL 0 0 0 0 1 20 6 1 5 1 2 27 128 25 139 25 75 691 2 3 3 3 3 1 100 102 65 115 54 34 15 470 1 6 2 216 2 155 2 1 155 75 3 161 5 446 0 0 0 CHD - CAGAYAN VALLEY REGION CAGAYAN 1 4 TUGUEGARAO CITY ISABELA SANTIAGO CITY CAUAYAN CITY NUEVA VIZCAYA 1 50 1 50 QUIRINO TOTAL 1 4 0 0 0 ii 0 0 0 0 0 0 BIRTHING HOME * REGION/PROVINCE/CITY HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 0 2 4 61 1 8 3 0 1 14 12 6 13 5 0 7 137 0 20 163 1057 20 137 311 0 35 285 630 304 222 290 0 163 3637 CHD- CENTRAL LUZON REGION AURORA BATAAN 1 8 13 1 3 136 20 31 BALANGA CITY BULACAN 2 9 SAN JOSE DEL MONTE CITY NUEVA ECIJA 2 26 1 4 40 12 163 705 3 171 4 86 1 20 CABANATUAN CITY 3 311 1 10 1 10 PALAYAN CITY SAN JOSE CITY PAMPANGA ANGELES CITY 1 SAN FERNANDO CITY 12 TARLAC TARLAC CITY 6 3 1 6 1 46 35 10 72 10 1 36 8 376 1 10 1 7 5 1 7 35 39 275 15 150 1 2 3 200 160 267 1 150 3 180 1 100 1 14 50 1048 5 561 ZAMBALES OLONGAPO CITY TOTAL 2 9 1 12 3 iii 36 5 75 105 1585 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS 12 2 150 25 1 9 10 89 SECONDARY HOSP. FIRST LEVEL REFERRAL HOSP* SECOND LEVEL REFERRAL HOSP* BEDS HOSP. BEDS HOSP. BEDS 25 17 3 436 43 3 17 83 445 1 2 3 1 4 95 125 306 75 254 1 43 13 5 3 317 149 65 1 2 2 50 145 202 5 107 1 10 1 9 2 50 257 6 245 43 1 4 1 1 105 270 50 100 90 2289 23 1777 THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 30 9 4 5 33 0 1 2 18 7 7 0 3 5 5 3 1 17 5 17 5 0 177 681 338 309 168 1188 0 43 57 639 351 330 0 32 60 107 28 50 437 276 379 161 0 5634 CHD- SOUTHERN TAGALOG REGION BATANGAS LIPA CITY BATANGAS CITY 1 1 3 TANAUAN CITY CAVITE 1 120 3 400 1 150 3 254 8 924 TAGAYTAY CITY TRECE MARTIREZ CITY 1 2 CAVITE CITY LAGUNA 7 27 CALAMBA CITY SAN PABLO CITY 1 11 MARINDUQUE 3 5 OCCIDENTAL MINDORO ORIENTAL MINDORO 32 60 CALAPAN CITY 3 PALAWAN 28 PUERTO PRINCESA CITY QUEZON 6 75 7 1 84 12 52 599 LUCENA CITY RIZAL ANTIPOLO CITY 1 6 3 20 ROMBLON TOTAL 0 0 1 iv 25 0 0 0 REGION/PROVINCE/CITY BIRTHING HOME * PRIMARY HOSP. BEDS HOSP. BEDS 1 1 8 4 10 126 2 4 4 7 44 62 47 93 INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS 3 2 68 47 1 3 2 3 1 25 100 50 125 20 1 3 19 20 75 530 3 100 SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 14 7 2 7 8 9 3 6 2 2 6 6 72 202 276 44 138 197 143 125 255 25 20 70 109 1604 0 4 2 0 3 0 0 3 0 0 0 4 1 1 0 0 1 19 120 35 0 251 0 0 750 0 0 0 650 30 50 0 0 17 1903 CHD- BICOL REGION ALBAY LEGASPI CITY LIGAO CITY TABACO CITY CAMARINES NORTE CAMARINES SUR 2 51 IRIGA CITY NAGA CITY 2 15 CATANDUANES MASBATE MASBATE CITY SORSOGON TOTAL 4 27 2 2 5 3 39 25 20 50 34 501 0 0 1 2 20 35 1 16 2 51 3 125 1 100 1 50 1 60 2 160 5 235 3 260 0 0 0 CHD- WESTERN VISAYAS REGION AKLAN ANTIQUE CAPIZ ROXAS CITY 2 235 3 750 4 650 9 1635 GUIMARAS ILOILO ILOILO CITY PASSI CITY NEGROS OCCIDENTAL BAGO CITY BACOLOD CITY KABANKALAN CITY SAN CARLOS CITY 1 1 30 50 5 180 SAGAY CITY SILAY CITY VICTORIAS CITY TOTAL 0 0 0 0 1 5 17 88 0 v 0 0 0 0 0 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS 7 1 5 1 132 20 52 25 2 26 INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS 5 5 3 2 208 206 50 125 FIRST LEVEL REFERRAL HOSP* HOSP. BEDS SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 12 7 8 11 0 3 3 0 0 0 0 0 0 0 2 0 46 340 313 102 2070 0 126 190 0 0 0 0 0 0 0 185 0 3326 0 5 3 5 0 3 7 1 0 2 1 27 61 89 301 0 50 84 17 0 40 10 652 CHD- CENTRAL VISAYAS REGION BOHOL TAGBILARAN CITY CEBU CEBU CITY 1 87 2 210 1 3 100 190 2 185 9 772 6 1710 6 1710 DANAO CITY LAPU-LAPU CITY MANDAUE CITY TOLEDO CITY DANAO CITY TALISAY CITY NEGROS ORIENTAL BAIS CITY BAYAWAN CITY CANLAON CITY DUMAGUETE CITY SIQUIJOR TOTAL 0 0 16 255 0 0 3 1 30 14 15 589 0 0 2 2 1 31 75 50 1 2 30 35 2 40 10 261 0 0 0 CHD- EASTERN VISAYAS REGION LEYTE ORMOC CITY TACLOBAN CITY 1 12 1 125 1 100 1 14 1 125 1 100 1 14 BILIRAN 2 5 1 SOUTH LEYTE EAST SAMAR NORTH SAMAR 20 49 17 SAMAR CALBAYOG CITY CATBALOGAN CITY TOTAL 1 2 10 22 0 0 12 130 0 vi 0 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS 3 1 110 25 4 156 3 3 14 75 70 436 1 2 40 114 1 2 50 68 4 2 3 160 55 120 SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 0 3 1 0 4 17 7 8 40 0 110 25 0 156 232 115 396 1034 0 16 3 4 0 9 6 3 2 3 5 2 6 6 0 65 367 110 144 0 122 289 83 48 31 272 55 145 350 0 2016 CHD- WESTERN MINDANAO REGION BASILAN ISABELA CITY (BASILAN) ZAMBOANGA DEL NORTE DAPITAN CITY DIPOLOG CITY ZAMBOANGA DEL SUR PAGADIAN CITY ZAMBOANGA CITY TOTAL 0 0 15 3 1 19 192 30 10 232 3 38 1 1 18 10 1 22 2 28 1 22 11 1 1 194 20 10 1 1 40 50 7 3 1 2 3 102 59 15 48 31 3 3 216 216 1 95 1 1 100 100 0 0 0 CHD- NORTHERN MINDANAO REGION BUKIDNON MALAYBALAY CITY VALENCIA CITY 1 20 2 20 CAMIGUIN MISAMIS OCCIDENTAL OZAMIS CITY OROQUIETA CITY TANGUB CITY MISAMIS ORIENTAL CAGAYAN DE ORO CITY GUINGOOG CITY 1 30 3 1 25 10 7 108 33 514 LANAO DEL NORTE ** ILIGAN CITY** 2 180 1 112 1 70 3 240 3 277 5 420 MARAWI CITY** TOTAL 0 0 2 ** FROM REG. 12 TRANSF. TO REG. 10 Y2003 vii 90 15 607 0 0 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS 9 10 3 1 3 26 3 13 68 156 181 54 5 71 528 92 251 1338 INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 9 10 7 5 4 26 9 23 93 156 181 246 220 121 528 367 1005 2824 0 4 0 0 0 19 6 13 9 12 5 3 1 72 170 0 0 0 359 217 241 189 246 450 124 6 2002 CHD- SOUTHERN MINDANAO REGION COMPOSTELA VALLEY DAVAO DEL NORTE PANABO CITY TAGUM CITY DAVAO ORIENTAL DAVAO DEL SUR DIGOS CITY DAVAO CITY TOTAL 0 0 1 1 25 25 1 2 2 1 90 70 50 5 6 16 200 228 638 1 30 1 2 72 145 1 75 1 30 4 292 30 1 25 2 115 11 2 11 4 10 1 177 35 152 50 126 10 7 4 2 5 167 182 89 139 1 41 6 586 3 3 501 501 0 0 0 CHD- CENTRAL MINDANAO REGION MAGUINDANAO COTABATO CITY LANAO DEL NORTE ILIGAN CITY MARAWI CITY 1 NORTH COTABATO 15 KIDAPAWAN CITY SULTAN KUDARAT TACURONG CITY SOUTH COTABATO *** GEN. SANTOS CITY *** 1 25 KORONADAL CITY *** SARANGGANI *** TOTAL 0 0 1 15 1 *** FROM REG. 11 TRANSF. TO REG. 12 Y2003 viii 25 3 124 22 726 2 135 1 2 4 250 3 95 305 400 0 0 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. BEDS TOTAL HOSP. BEDS 0 3292 474 3273 411 711 586 182 0 250 185 340 380 281 366 89 10820 85 81 312 5 5 67 10 565 CHD- NATIONAL CAPITAL REGION 1 12 1 12 0 18 11 38 9 5 3 8 0 7 6 6 2 10 2 4 129 0 5 2 6 1 1 4 1 20 BATANES MANILA 1 25 6 1 32 20 4 4 2 1 46 59 26 6 1 4 1 9 2 13 2 2 22 30 CALOOCAN CITY QUEZON CITY LAS PIÑAS CITY MAKATI CITY MANDALUYONG CITY MARIKINA CITY 4 6 12 3 2 1 6 135 228 429 57 30 25 169 2 3 4 65 65 195 4 2 1 265 118 75 13 1 8 1 1 2 3132 200 2351 190 600 561 1 150 2 380 2 366 31 7930 3 125 1 50 4 175 MALABON VALENZUELA CITY MUNTINLUPA CITY PARAÑAQUE CITY 1 2 90 145 PASAY CITY 3 PASIG CITY 31 6 200 SAN JUAN TAGUIG TOTAL 11 94 0 0 2 21 19 248 3 1 33 46 1 1 3 1 10 5 5 52 10 151 0 0 2 51 70 1668 2 1 4 52 35 132 1 15 8 234 10 693 CHD- CORDILLERA REGION ABRA BENGUET BAGUIO CITY IFUGAO APAYAO KALINGA MT. PROVINCE TOTAL 0 0 0 0 0 viiii 0 0 0 1 160 1 20 1 160 1 20 0 REGION/PROVINCE/CITY BIRTHING HOME * HOSP. BEDS PRIMARY HOSP. BEDS INFIRMARY* HOSP. BEDS SECONDARY HOSP. BEDS FIRST LEVEL REFERRAL HOSP* HOSP. BEDS SECOND LEVEL REFERRAL HOSP* HOSP. BEDS THIRD LEVEL REFERRAL HOSP* HOSP. BEDS ACUTE CHRONIC PSYCHIATRIC CARE FAC.* HOSP. BEDS CUSTODIAL PSYCHIATRIC CARE FAC.* HOSP. TOTAL BEDS HOSP. BEDS 0 0 3 2 0 1 6 0 41 40 0 12 93 66 260 46 0 105 90 35 602 39456 CHD-ARMM LANAO DEL SUR MARAWI CITY MAGUINDANAO 3 2 41 40 1 6 12 93 SULU TAWI-TAWI TOTAL 0 0 0 0 0 0 0 5 1 5 66 10 46 2 4 2 19 30 40 35 227 0 0 3 157 2554 308 3874 42 1496 355 0 0 0 0 0 0 0 0 CHD- CARAGA AGUSAN DEL NORTE BUTUAN CITY AGUSAN DEL SUR 1 50 2 75 1 100 150 1 100 0 0 0 0 5 4 5 0 4 5 2 25 5996 83 15297 7 219 1 12 1057 1 100 1 50 125 2 9832 81 SURIGAO DEL NORTE SURIGAO CITY SURIGAO DEL SUR BISLIG CITY TOTAL PHILIPPINES 0 0 23 176 0 0 vv ADMINISTRATIVE ORDER 70-A s., 2002 * - SERVICE CAPABILITY BIRTHING HOME A health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies. INFIRMARY A health facility that provides maternity service on pre-natal and post-natal care, normal spontaneous delivery, and care of newborn babies. FIRST LEVEL REFERRAL HOSP. Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality. SECOND LEVEL REFERRAL HOSP. Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment THIRD LEVEL REFERRAL HOSPITAL Teaching and training hospitals that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and surgical procedure and intensive care. sub-specialized forms of treatment, surgical procedure and intensive care ACUTE CHRONIC PSYCHIATRIC A health facility that provides long term care , including basic human services such as food and shelter, to chronic mentally ill patients. CARE FACILITY CUSTODIAL PSYCHIATRIC CARE FACILITY A health facility that provides medical service, nursing care, pharmacological treatment, psychosocial intervention for mentally ill patients. DISTRIBUTION OF LICENSED PRIVATE HOSPITALS BY SERVICE CAPABILITY/BEDS LEVEL OF HEALTH CARE BY CENTER FOR HEALTH DEVELOPMENT PHILIPPINES, 2003 REGION/PROVINCE/CITY BIRTHING HOME * PRIMARY HOSP. BEDS HOSP. BEDS INFIRMARY* HOSP. BEDS SECONDARY FIRST LEVEL REFERRAL HOSP* SECOND LEVEL REFERRAL THIRD LEVEL HOSP* REFERRAL HOSP* ACUTE CHRONIC PSYCHIATRIC CARE FAC.* CUSTODIAL PSYCHIATRIC CARE FAC.* TOTAL HOSP. BEDS HOSP. BEDS HOSP. BEDS HOSP. BEDS HOSP. BEDS HOSP. BEDS HOSP. BEDS PHILIPPINES 23 176 157 2554 308 3874 42 1496 355 9832 81 5996 83 15297 7 219 1 12 1057 39456 Ilocos Region 0 1 2 3 4 0 0 2 0 0 0 0 11 0 0 0 0 4 9 20 27 0 0 22 0 0 0 0 94 0 0 0 1 0 3 1 2 0 15 0 1 2 16 1 0 0 0 0 20 0 36 25 51 0 589 0 22 90 638 25 0 0 0 0 27 15 75 90 19 5 0 10 14 15 1 22 51 8 0 3 691 470 1585 2289 530 180 0 261 436 607 30 726 1668 234 0 125 3 0 14 23 5 0 9 1 3 3 4 4 10 0 0 2 161 0 1048 1777 235 0 772 125 216 277 292 250 693 0 0 150 5 1 5 8 3 9 6 1 1 5 3 3 31 1 0 1 446 50 561 924 260 1635 1710 100 100 420 501 400 7930 160 0 100 0 0 1 0 0 0 0 1 0 0 0 0 4 1 0 0 0 0 10 0 0 0 0 14 0 0 0 0 175 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 84 45 137 177 72 19 46 27 40 65 93 72 129 20 6 25 1914 830 3637 5634 1604 1903 3326 652 1034 2016 2824 2002 10820 565 93 602 Cagayan Valley Region Central Luzon Region Southern Tagalog Region Bicol Region Western Visayas Region Central Visayas Region Eastern Visayas Region Western Mindanao Region Northern Mindanao Region Southern Mindanao Region Central Mindanao Region National Capital Region Cordillera Administrative Region ARMM CARAGA 0 0 1 0 39 0 16 0 19 7 68 1 0 0 6 0 0 0 12 0 501 0 255 0 232 108 1338 15 0 0 93 0 48 28 36 52 0 5 0 12 2 33 1 41 21 10 0 19 596 306 376 599 0 88 0 130 28 514 25 586 248 151 0 227 ADMINISTRATIVE ORDER 70-A s., 2002 * - SERVICE CAPABILITY BIRTHING HOME A health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies. INFIRMARY A health facility that provides maternity service on pre-natal and post-natal care, normal spontaneous delivery, and care of newborn babies. FIRST LEVEL REFERRAL HOSP. Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality. SECOND LEVEL REFERRAL HOSP. Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment THIRD LEVEL REFERRAL HOSPITAL Teaching and training hospitals that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and surgical procedure and intensive care. sub-specialized forms of treatment, surgical procedure and intensive care PSYCHIATRIC CARE FACILITY A health facility that provides long term care , including basic human services such as food and shelter, to chronic mentally ill patients. CUSTODIAL PSYCHIATRIC CARE FACILITY A health facility that provides medical service, nursing care, pharmacological treatment, psychosocial intervention for mentally ill patients. Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO DOH/RET HOSP. ILOCOS REGION ILOCOS NORTE Bangui 1 BANGUI DISTRICT HOSPITAL 25 Batac MARIANO MARCOS MEMORIAL HOSPITAL AND 2 MEDICAL CENTER Dingras General PC 7643033 200 Dr. Ma. Lourdes Otayza General TC 7923133 MEDCTR 3 DINGRAS DISTRICT HOSPITAL 25 Dr. Wendell Calderon General PC 7847383 Marcos 4 DOÑA JOSEFA E. MARCOS DISTRICT HOSPITAL 25 Dr. Llewelyn Santos General PC 7847957 Piddig 5 PIDDIG MEDICARE AND COMMUNITY HOSPITAL 15 Dr. Chona Estrella Rabang General Infirmary Vintar 6 VINTAR MUNICIPAL HOSPITAL 10 Dr. Ireneo Bayudan General Infirmary 1 GOV. ROQUE B. ABLAN SR. MEMORIAL HOSP. 100 Dr. Rogelio Balbag (PHO) General PC 7731770 2 LAOAG CITY GENERAL HOSPITAL 15 Dr. Eleazar Asuncion General Infirmary 7720007 Cervantes 1 BESSANG PASS MEMORIAL HOSPITAL 25 Dr. Romeo Querubin General PC Magsingal 2 MAGSINGAL DISTRICT HOSPITAL 25 Dr. Angelita Zapata General Infirmary 7263514 Narvacan 3 CENTRAL ILOCOS SUR DISTRICT HOSPITAL 50 Dr. Audie Narsese General PC 7325756 Salcedo 4 SALCEDO MEDICARE & COMMUNITY HOSPITAL 15 Dr. Rosalinda Quesada General Infirmary Sta. Lucia 5 STA. LUCIA DISTRICT HOSPITAL 25 Dr. Reynaldo Olveña General Infirmary 7426915 Sinait 6 SINAIT DISTRICT HOSPITAL 25 Dr. Amando Agdeppa General Infirmary 7285394 Tagudin 7 SOUTHERN ILOCOS SUR DISTRICT HOSPITAL 50 Dr. Eugene Dauz General PC 7487015 Tamag, Vigan 8 GABRIELA SILANG GENERAL HOSPITAL 100 Dr. Eliseo Calderon General TC 7222782 Nat'l. Highway,SnNicolas 1 CITY OF CANDON HOSPITAL (NEW) General Infirmary LAOAG CITY ILOCOS SUR CANDON CITY LA UNION (page 2) 6 Dr. Walberg Samonte Dr. Candonino Gazmen Nazareno, Agoo 1 LA UNION MEDICAL CENTER 100 Dr. Fernando Astom General TLRH Bacnotan 2 BACNOTAN DISTRICT HOSPITAL 25 General PC Dr. Manuel Pocsidio 077-7425236 7101698 0912-3257019 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION LA UNION Balaoan NAME OF HOSPITAL NORTHERN LA UNION MATERNITY AND 3 CHILDREN'S HOSPITAL Caba 4 CABA MEDICARE & COMMUNITY HOSPITAL 15 Naguilian 5 NAGUILIAN DISTRICT HOSPITAL 25 Rosario 6 ROSARIO DISTRICT HOSPITAL 25 Dr. Hector Beñas 1 ILOCOS TRAINING AND REGIONAL MEDICAL CTR 1 WESTERN PANGASINAN DISTRICT HOSPITAL LA UNION-SN FERNANDO CITY PANGASINAN Alaminos NO. ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 25 Dr. Rodolfo Catbagan CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO General PC Dr. Jose Ostrea General Infirmary Dr. Godofredo Garcia General PC General PC 7121252 200 Dr. Jackson Soriano General TC 8885864; 2421143 MEDCTR 75 General FLRH Dr. Glorioso Maramba 5527029 Asingan 2 ASINGAN MEDICARE & COMMUNITY HOSPITAL 15 Dr. Noemi Taganas General Infirmary 5632934 Bayambang 3 BAYAMBANG DISTRICT HOSPITAL 25 Dr. Nicolas Miguel General FLRH 5922958 Bolinao 4 BOLINAO MEDICARE & COMMUNITY HOSPITAL 15 Dr. Marvin Orlino General Infirmary 5542158 Dasol 5 DASOL MUNICIPAL HOSPITAL 10 Dr. Susan Rita Merenio General Infirmary V. Solis St., Lingayen 6 LINGAYEN DISTRICT HOSPITAL (NEW) 20 Dr. Athena Marie Merrera General Infirmary Malasiqui 7 MALASIQUI MUNICIPAL HOSPITAL 15 Dr. Marino Idica General Infirmary 5365760 Manaoag 8 MANAOAG MUNICIPAL HOSPITAL 10 Dr. Rolando Santos General Infirmary 5290141 Mangatarem 9 MANGATAREM DISTRICT HOSPITAL 25 Dr. Bonifacio Desamito General FLRH 9023720 Mapandan 10 MAPANDAN MUNICIPAL HOSPITAL 10 Dr. Franklin Sable General Infirmary 5255061 Pozorrubio 11 POZORRUBIO MUNICIPAL HOSPITAL 10 Dr. Josefa Gomez General Infirmary 5667370 Tayug 12 EASTERN PANGASINAN DISTRICT HOSPITAL 150 Dr. Juvencio Tumbaga General FLRH 5724338 Umingan 13 UMINGAN MEDICARE & COMMUNITY HOSPITAL 15 General Infirmary 5765033 DAGUPAN CITY Arellano St. 1 REGION I MEDICAL CENTER 300 Dr. Jesus D. Canto General TC SN CARLOS CITY 1 PANGASINAN PROVINCIAL HOSPITAL 150 Dr. Mario de Guzman General TLRH 5327603 1 DON AMADEO PEREZ SR. MEMORIAL GEN. HOSP. 50 Dr. Edwin Murillo General FLRH 5683874 Alcala 1 ALCALA MUNICIPAL HOSPITAL 10 Dr. Edmund T. Feri General Infirmary Aparri 2 APARRI PROVINCIAL HOSPITAL 50 Dr. Ferdinand V. Cariño General FLRH Bolingit URDANETA CITY Dr. Rustica de Guzman 5234307 MEDCTR CAGAYAN VALLEY REGION CAGAYAN (page 3) CAGAYAN DOH/RET HOSP. 8229952 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION CAGAYAN TUGUEGARAO CITY ISABELA NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY Centro,Baggao 3 BAGGAO MEDICARE COMMUNITY HOSPITAL 10 Dr. Bernard Carol General Infirmary Tallang, Baggao 4 BAGGAO MUNICIPAL HOSPITAL 10 Dr. Harim Santos General Infirmary Ballesteros 5 BALLESTEROS DISTRICT HOSPITAL 25 Dr. Benjamin O. Tolero General FLRH Bangag, Aparri 6 APARRI MEDICARE COMMUNITY HOSPITAL 10 Dr. Perlita G. Collado General Infirmary Camalaniugan 7 MATILDE A. OLIVAS DISTRICT HOSPITAL 25 Dr. Precy Nolasco General FLRH Centro Gattaran 8 DR. TOMAS NOLASCO SR. MEMORIAL HOSPITAL 10 Dr. Nida N. Rosales General Infirmary Gonzaga 9 ALFONSO PONCE ENRILE MEMORIAL HOSPITAL 25 Dr. Llonel C. Donato General FLRH Lasam 10 LASAM DISTRICT HOSPITAL 50 Dr. Maximo P. Salva General FLRH Piat 11 NUESTRA SRA. DE PIAT DISTRICT HOSPITAL 25 Dr. Evelyn B. Duque General FLRH Sanchez Mira 12 NORTHERN CAGAYAN DISTRICT HOSPITAL 25 Dr. Roberto G. Bello General FLRH Tuao 13 TUAO DISTRICT HOSPITAL 25 Dr. Danilo C. Alonzo General FLRH Carig, Tuguegarao 1 CAGAYAN VALLEY MEDICAL CENTER 400 Dr. Emmanuel F. Acluba General TLRH Tuguegarao 2 TUGUEGARAO PEOPLE'S EMERGENCY HOSPITAL 23 Dr. Ray A. Dulig General Infirmary TEL NO/FX NO 8524041 8444589 8441410/ 8443789 MEDCTR 8464226 Cabagan 1 MILAGROS DISTRICT HOSPITAL 50 Dr. Manuel C. Beltran General FLRH 6363139 Ilagan 2 GOV. FAUSTINO N. DY SR. MEMORIAL HOSP. 100 Dr. Glenn Mathew Baggao General Infirmary 8242018 Jones 3 JONES MEDICARE COMMUNITY HOSPITAL 10 Dr. Diego Pascua General Infirmary 6943101 Palanan 4 PALANAN STATION HOSPITAL 10 Dr. Charles G. Acosta General Infirmary Roxas 5 MANUEL A. ROXAS DISTRICT HOSPITAL 50 Dr. Oscar Caballero General FLRH San Antonio, Ilagan 6 SAN ANTONIO MUNICIPAL HOSPITAL 10 Dr. Elsie V. Cruz General Infirmary San Mariano 7 SAN MARIANO MEDICARE COMMUNITY HOSPITAL 10 Dr. Janet Mamaradlo General Infirmary Sta. Maria 8 ELVIN MASIGAN MUNICIPAL HOSPITAL 10 Dr. Shalee Costales General Infirmary Arellano, Quezon 9 QUEZON COMMUNITY INFIRMARY 8 Dr. Honofre Palpallatic General Infirmary Tumauini TUMAUINI COMMUNITY HOSPITAL (former Tumauini District 10 Hospital) 15 Dr. Reynaldo Badua General Infirmary 1 CAUAYAN DISTRICT HOSPITAL 75 Dr. Glenn Baggao General FLRH 6428035 (page 4) CAUAYAN CITY Cauayan DOH/RET HOSP. 6345304 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY DOH/RET TEL NO/FX NO HOSP. 6828123/ 6827657 REGL SANTIAGO CITY 1 SOUTHERN ISABELA GENERAL HOSPITAL 50 Dr. Ildefonso B. Costales General FLRH NUEVA VIZCAYA Bambang 1 NUEVA VISCAYA PROVINCIAL HOSPITAL 50 Dr. Edwin Galapon General FLRH Bayombong 2 VETERANS REGIONAL HOSPITAL 200 Dr. Cirilo R. Galindez General TLRH Dupax del Norte 3 DUPAX DISTRICT HOSPITAL 25 Dr. Fe Agnes Rañon General Infirmary Kasibu 4 KASIBU MUNICIPAL HOSPITAL 10 Dr. Lucena Perez-Caldito General Infirmary Punpong, Kayapa 5 LT. TIDANG MEMORIAL HOSPITAL 25 Dr. Christopher G. Magallanes General Infirmary Aglipay 1 AGLIPAY DISTRICT HOSPITAL 25 Dr. Marlene Pedro General Infirmary Cabarroguis 2 QUIRINO PROVINCIAL HOSPITAL 100 Dr. Tagumpay A. Felismino General FLRH Diffun 3 DIFFUN DISTRICT HOSPITAL 25 Dr. Briccio M. Macabangon General Infirmary Maddela 4 MADDELA MUNICIPAL HOSPITAL 10 Dr. Fernando T. Melegrito General Infirmary Baler 1 AURORA MEMORIAL HOSPITAL 25 Dr. Norma Palmero General FLRH Bgy. Ma. Aurora 2 MA. AURORA COMMUNITY HOSPITAL 15 Dr. Luisito Te General Infirmary Bgy. Marikit, Casiguran 3 CASIGURAN DISTRICT HOSPITAL 25 Dr. Arceli Bayubay General Infirmary Dingalan 4 DINGALAN COMMUNITY HOSPITAL 10 Dr. Raul Tomboc General Infirmary Bgy. A. Ricardo, Bagac 1 BAGAC MEDICARE AND COMMUNITY HOSP. 15 Dr. Wynne Gubuan General Infirmary 9198952452 San Ramon, Dinalupihan 2 JOSE C. PAYUMO JR. MEMORIAL HOSPITAL 50 Dr. Alberto de Leon General FLRH 474811724 Lamao, Limay 3 ARSENAL "KALUSUGAN" HOSPITAL 25 Dr. Carolina Banzon General FLRH 472445626 Ma. Fe Sudv., Orani 4 ORANI DISTRICT HOSPITAL 45 Dr. Barbara Reyes General FLRH 474312827 BALANGA CITY Tenejero, Balanga City 1 BATAAN PROVINCIAL (GENERAL) HOSPITAL 200 Dr. Manuel Ponce General SLRH BULACAN 1 BALIUAG DISTRICT HOSPITAL 75 General FLRH QUIRINO 3213101/ 3212758 3212090/ 3213560 REGL 3212488 6828552/ 6925088 CENTRAL LUZON REGION AURORA BATAAN (page 5) Sabang ,Baliuag Dr. Agapito Pascual 047-2373270 REGL 447662364 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NUEVA ECIJA CABANATUAN CITY NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY Bagumbayan 2 GREGORIO DEL PILAR DISTRICT HOSPITAL 25 Dr. Homobono Soriano General FLRH 447920119 Caniogan, Calumpit 3 BULACAN MATERNITY AND CHILDREN'S HOSPITAL 25 Dr. Rosario Santos Special FLRH 446971917 Dr. Raymond Añag Sto. Niño, Hagonoy 4 EMILIO G. PEREZ MEMORIAL HOSPITAL 50 General FLRH 447930092 Malolos, Majon 5 BULACAN PROVINCIAL HOSPITAL 200 Dr. Carlito Santos General TLRH 447910630 Pob. Sta. Maria Sapang Palay, San Jose del Monte 6 ROGACIANO H. MERCADO MEMORIAL HOSPITAL 100 Dr. Eduardo Aquino General FLRH 446413038 7 OSPITAL NG LUNGSOD NG SAN JOSE DEL MONTE 50 Dr. Wilfredo de Vera General FLRH 9163121214 Sta. Rita Old,San Miguel 8 SAN MIGUEL DISTRICT HOSPITAL 50 Dr. Medina Magbitang General FLRH 447460130 Poblcn, San Rafael 9 SAN RAFAEL RURAL HEALTH AND COMMUNITY HOSP. 6 Dr. Yolanda T. Ascaño Sebastian General Infirmary Curva, Bongabon 1 BONGABON DISTRICT HOSPITAL 50 Dr. Orlando Bautista General FLRH 2 CARRANGLAN MEDICARE & COMMUNITY HOSPITAL 15 Dr. Concepcion Bautista General Infirmary Bayanihan, Gapan 3 GAPAN DISTRICT HOSPITAL 25 Dr. Benjamin Lopez General FLRH Gulod, Gen. Tinio 4 GEN. TINIO MEDICARE AND COMMUNITY HOSPITAL 15 Dr. Cristino Deriña General Infirmary Pacac, Guimba 5 GUIMBA DISTRICT HOSPITAL 25 Dr. Benedicto Andrade General FLRH Science City, Muñoz 6 CENTRAL LUZON STATE UNIVERSITY HOSPITAL 18 Dr. Josephine Fabricante General Infimary San Mariano,San Antonio 7 SAN ANTONIO DISTRICT HOSPITAL 50 Dr. Debby Padolina General FLRH 9122360367 Pulong Bule, St. Domingo 8 STO. DOMINGO DISTRICT HOSPITAL 25 Dr. Leopoldo Doctor General FLRH 9128783165 Talavera 9 TALAVERA EXTENSION HOSPITAL 10 Dr. Vicente Cruz Jr. General Infirmary Mabini St. DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND 1 MEDICAL CENTER 400 Dr. Huberto F. Lapuz General TLRH 2 E.L. JOSON MEMORIAL HOSPITAL 100 Dr. Wilfredo Reyes General FLRH 444631715 3 M.V. GALLEGO CABANATUAN CITY GEN. HOSP 76 Dr. Benedicto Joson Jr. General FLRH 444631628 1 FORT MAGSAYSAY ARMY STATION HOSPITAL 50 Maj. Ronaldo C. Cruz General Infirmary 2 PALAYAN CITY EMERGENCY HOSPITAL 4 Mayor Lorelie Fajardo General Infirmary 1 SAN JOSE CITY GENERAL HOSPITAL 50 Dr. Concepcion Bautista General FLRH (page 6) PALAYAN CITY Bgy. Caimito, Palayan City DOH/RET HOSP. 044-4921119 Carranglan Maharlika Rd. SAN JOSE CITY TEL NO/FX NO 444863346 446111416 444111168 EXTENSION 045-4631607 MEDCTR LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION PAMPANGA San Agustin, Arayat NO. NAME OF HOSPITAL 1 DR. EMIGDIO C. CRUZ SR. MEMORIAL HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 25 Dr. Sancho Mercado CATEGORY/ **SERVICE CLASS CAPABILITY General FLRH TEL NO/FX NO DOH/RET HOSP. 458850737 Clark Field 2 CLARK AIRBASE HOSPITAL 25 Lt. Romeo T. Romero General Infirmary 455996088 Floridablanca 3 BASA AIR BASE HOSPITAL 100 Maj. Romeo Delgado General FLRH 459700299 San Jose, Florida Blanca 4 ROMANA PANGAN DISTRICT HOSPITAL 50 Dr. Eddie Ponio General FLRH 45970488 Sta. Rita, Guagua 5 DIOSDADO P. MACAPAGAL MEMORIAL HOSPITAL 25 Dr. Ernesto Santos General FLRH 459002734 Lubao 6 ESCOLASTICA ROMERO DISTRICT HOSPITAL 50 Dr. Demetria T. Barin General FLRH 459716329 Mabalacat 7 MABALACAT DISTRICT HOSPITAL 25 Dr. Benjamin Arboleda General FLRH 453312801 Batasan, Macabebe 8 MACABEBE DISTRICT HOSPITAL 25 Dr. Rodolfo Gutierrez General FLRH 458660400 9 BALITUCAN DISTRICT HOSPITAL 25 Dr. Rogelio Santos General FLRH 458660400 Babo Sacan, Porac 10 PORAC DISTRICT HOSPITAL 25 Dr. Antonio Aquino General FLRH 459630494 San Luis 11 SAN LUIS DISTRICT HOSPITAL 25 Dr. Monica Vicencio General FLRH 459632102 ANGELES CITY Bgy. Pampang 1 OSPITAL NING ANGELES 120 Dr. Benjamin Buencamino General FLRH 453221222 G SAN FERNANDO CITY Bulaon Resettlement, Sn Fdo. 1 RICARDO P. RODRIQUEZ MEMORIAL HOSPITAL 25 General FLRH 459634240 Bgy. Dolores, San Fernando 2 JOSE B. LINGAD MEMORIAL GENERAL HOSPITAL 250 Dr. Venancio Banzon General TLRH 459613921 REGL Malacampa, Camiling 1 CAMILING DISTRICT HOSPITAL 25 Dr. Mercedes Gapultos General FLRH 459340310 Brgy. Alfonso, Concepcion 2 CONCEPCION DISTRICT HOSPITAL 50 Dr. Resurreccion Quiambao General FLRH 459230852 Dr. Victor Geronilla TARLAC ZAMBALES Dr. Rolando Ong San Roque, La Paz 3 LA PAZ MEDICARE & COMMUNITY HOSPITAL 15 General Infirmary 458040426 San Miguel 4 CAMP AQUINO ARMY STATION HOSPITAL 100 Col. Adones Cruz General FLRH 459850015 San Vicente 5 TARLAC PROVINCIAL HOSPITAL 200 Dr. Ricardo Ramos General TLRH 459820806 Dolores, Cabangan 1 CABANGAN INFIRMARY 5 Dr. Ma. Liezl Velasquez General Infirmary Yamat, Candelaria 2 CANDELARIA DISTRICT HOSPITAL 25 Dr. Pedro Ecunar General FLRH Iba 3 PRES. RAMON MAGSAYSAY MEMORIAL HOSPITAL 150 Dr. Raulin Dadural General SLRH 0917-3454540 San Marcelino 4 SAN MARCELINO DISTRICT HOSPITAL 50 Dr. Marietta Minas General FLRH 476232301 Sta. Cruz 5 OSPITAL NG STA. CRUZ 15 Dr. Crisostomo Torralba General FLRH New Asinan 1 JAMES L. GORDON MEMORIAL HOSPITAL 155 Dr. Arturo Mendoza Jr. General TLRH (page 7) ZAMBALES OLONGAPO CITY 472224120 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO DOH/RET HOSP. SOUTHERN TAGALOG REGION BATANGAS Balayan 1 DON MANUEL LOPEZ MEMO. DISTRICT HOSP. 50 Dr. Antonio C. Hernandez Bauan 2 BAUAN GENERAL HOSPITAL 45 Dr. Merlyn A. Espino District FLRH Medicare FLRH Apacible St., Calatagan 3 CALATAGAN MEDICARE HOSPITAL 15 Dr. Merle A. Alonzo Medicare Infirmary Cuenca 4 MARTIN MARASIGAN MEMORIAL HOSPITAL 15 Dr. Bernaldito M. Adajar Medicare FLRH Bgy. Yiab, Laurel 5 LAUREL MUNICIPAL HOSPITAL 10 Dr. Venus P. de Grano Mun. Infirmary Malinis, Lemery 6 DON JUAN MAYUGA MEMORIAL HOSP. 50 Dr. Marcelino G. Malabanan Fabrica, Lobo 7 LOBO MUNICIPAL HOSPITAL 10 Dr. Protacio B. Bathan Nasugbu 8 APACIBLE MEMORIAL DISTRICT HOSP. 50 Dr. Carmelita S. Vergara Rosario 9 MAHAL NA VIRGEN MARIA STO. ROSARIO DISTRICT HOSP. 25 Dr. Eden B. Zuño Banay-Banay I, San Jose 10 SAN JOSE DISTRICT HOSPITAL 25 San Juan 11 SAN JUAN DISTRICT HOSPITAL 25 BATANGAS CITY 1 BATANGAS REGIONAL HOSPITAL 200 Dr. Renato Dimayuga LIPA CITY 1 FERNANDO AIR BASE HOSPITAL 70 2 LIPA CITY DISTRICT HOSPITAL 1 LAUREL MEMORIAL DISTRICT HOSP. TANAUAN CITY Santor CAVITE 043-2114169 7271258/ 9805274 09120-3382907 043-3421204 1984171 District FLRH Mun. Infirmary 043-4111260 District FLRH 4047131 0432152087/9312845 Mun. FLRH 043-3211330 Dr. Reynaldo Ozaeta District FLRH 043-7262230 Dr. Eden B. Zuño District FLRH 043-6333756 General TLRH 043-7230165 REGL LTC Namnrel G. Serran, MC,PAF Military FLRH 75 Dr. Myron S. Duque District FLRH 043-7564282 0437561313/3413112 25 Dr. Danilo T. Ramilo District FLRH 043-7781328 DBB, Dasmariñas 1 D.B.B. MUNICIPAL HOSPITAL 10 Dr. Jocelyn C. Caballes Mun. Infirmary 046-8532076 G.M.A. 2 G.M.A. MEDICARE HOSPITAL 15 Dr. Ma. Imelda C. Simon Medicare Infirmary 046-8900868 Pinagtipunan, General Trias 3 GEN. TRIAS MEDICARE HOSPITAL 10 Dr. Sesinand M. Talosig Medicare Infirmary 046-4378384 Kawit 4 KAWIT KALAYAAN HOSPITAL 10 Dr. Edgardo R. Figueroa Mun. Infirmary 4388523 Maragondon 5 CAVITE MUNICIPAL HOSPITAL 10 Dr. Maroquita B. Modesto Mun. Primary 046-4120826 Naic 6 NAIC MEDICARE HOSPITAL 10 Dr. Clemevina P. Custodio Medicare Infirmary 4120312 P. Gomez St. 1 DRA. OLIVIA SALAMANCA MEMO. DIST. HOSP. 50 Dr. Abelardo Icasiano District FLRH 046-4310652 Fort San Felipe 2 CAVITE NAVAL HOSPITAL 100 Lt. Col. Mario G. Taylor Military FLRH 046-4310469 (page 8) CAVITE CAVITE CITY LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION Sangley Point NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 3 MAJOR DANILO ATIENZA AIR BASE HOSPITAL (NEW) 10 Dr. Namnrel Serran 1 OSPITAL NG TAGAYTAY 12 2 TAGAYTAY MEDICARE HOSPITAL 10 TRECE MARTIRES CITY Luciano 1 GEN. EMILIO AGUINALDO MEMORIAL HOSPITAL LAGUNA Maitim, Bay CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO General Infirmary Dr. Benjamin R. Victoria Mun. Infirmary 4132160 Dr. Wilfredo S. Camama Medicare Infirmary 8601358 250 Dr. Albert V. Batingal General SLRH 4190061; 1705 1 PAGAMUTANG PANGMASA NG LAGUNA 25 Dr. Gonzalo C. Lavarias Jr. District Infirmary 049-5360661 Canlalay, Biñan 2 OSPITAL NG BIÑAN (NEW) 30 Dr. Elvis Bedia General Infirmary Bucal, Calamba 3 DR. JOSE P. RIZAL MEMORIAL DISTRICT HOSP. 50 Dr. Rene P. Bagamasbad District FLRH 8342702 Bgy. Tres, Cabuyao UP, Los Baños College 4 OSPITAL NG CABUYAO 5 UNIVERSITY HEALTH SERVICE 40 30 Dr. Robelito Magbuhat Dr. Jessie Imelda F. Walde District General FLRH FLRH 049-5312054 049-5361825 Fabricante St., Luisiana 6 LUISIANA DISTRICT HOSPITAL 50 Dr. Daniel M. Alagon District FLRH 049-5554071 Bgy. Talortor, Majayjay 7 MAJAYJAY MEDICARE HOSPITAL 15 Dr. Jose F. Guia Medicare Infirmary F. Baltazar, Nagcarlan 8 NAGCARLAN DISTRICT HOSPITAL 25 Dr. Mona Lisa Cosme District FLRH 049-5631014 Tavera, Pakil 9 GEN. J. CAILLES MEMORIAL HOSP. 50 Dr. Jovenal V. Rallos District FLRH 049-5455213 San Pedro 10 SAN PEDRO MUNICIPAL HOSPITAL 10 Dr. Arnold C. Calupitan Sta. Cruz 11 LAGUNA PROVINCIAL HOSPITAL 150 Dr. Alsaneo F. Lagos Cattleya St.,LM Subdv., Sta. Rosa 12 STA. ROSA COMMUNITY HOSPITAL 50 1 PANLALAWIGAN PAGAMUTAN NG LAGUNA DR. DAMIAN REYES MEMORIAL HOSPITAL (former 1 Marinduque Provincial Hospital) TAGAYTAY CITY Bacolod St., Kaybagal SN PABLO CITY 3054504 Mun. Infirmary 049-6984306 General SC 049-8081994 Mun. FLRH 049-5343601/ 5343598 100 Dr. Leonardo Bernardo General SLRH 5620371;311 100 Dr. Gerardo Caballes General FLRH 042-3321621 Dr. Lauro F. Cerdan (page 9) MARINDUQUE OCCIDENTAL MINDORO Bgy. Santol, Boac Bgy. Lapu-Lapu, Sta.Cruz 2 STA. CRUZ DISTRICT HOSPITAL 25 Dr. Thelma P. Principe District FLRH 3211768 Torrijos 3 TORRIJOS MUNICIPAL HOSPITAL 10 Dr. Cynthia C. del Rosario Mun. Infirmary 3111165 Abra de Ilog 1 ABRA DE ILOG MUNICIPAL HOSPITAL 10 Dr. Carlos R. Dipasupil Mun. Infirmary 7111157 Bgy. Tangal, Lubang 2 LUBANG DISTRICT HOSPITAL 25 Dr. Leogardo V. Abeleda District Infirmary Bgy. Tayamaan, Mamburao 3 OCCIDENTAL MINDORO PROVINCIAL HOSP. 100 Dr. Antonio J. Ramos Jr. Provl. PC 7111116 DOH/RET HOSP. LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY Paluan 4 PALUAN MEDICARE COMMUNITY HOSP. 10 Dr. Ariel G. Tolentino Sto. Niño, Rizal 5 RIZAL COMMUNITY HOSPITAL 8 Dr. Eduardo Liboro San Jose 6 SAN JOSE DISTRICT HOSPITAL 25 Dr. Noelito S. Fernandez District PC Poblacion 1, Sta. Cruz 7 STA. CRUZ COMMUNITY HOSPITAL 10 Dr. Leonides Y. Soria Mun. Infirmary Bulalacao 1 BULALACAO COMMUNITY HOSPITAL 10 Dr. Rey L. Asignacion Mun. Infirmary Bongabong 2 BONGABONG COMMUNITY HOSPITAL 10 Dr. Almer Hernandez Mun. Infirmary Gloria 3 GLORIA MEDICARE COMMUNITY HOSP. 10 Dr. Jorge G. Palomaria Medicare Infirmary Mansalay 4 MANSALAY MEDICARE COMMUNITY HOSP. 10 Dr. Richard Froilan Sagpao Medicare Infirmary Santiago, Naujan 5 NAUJAN MUNICIPAL HOSPITAL 10 Dr. Zernan S. Labaguis Mun. Infirmary 4470069 Odiong, Roxas 6 ROXAS DISTRICT HOSPITAL 25 Dr. Efren M. Faustino District Infirmary 2892280 CALAPAN CITY Calapan 1 ORIENTAL MINDORO PROVINCIAL HOSP. 100 Dr. Efren Fautisno Provl. PC 2885152 PALAWAN Poblacion, Aborlan 1 ABORLAN MEDICARE HOSPITAL 15 Dr. Virgilio M. Timario Medicare Infirmary Pangobilian, Brookes Point 2 BROOKES POINT DISTRICT HOSPITAL 25 Dr. Ma. Ana S.T. Mostrales District Infirmary Culion 3 CULION SANITARIUM 600 Dr. Paul A. Evangelista District PC ORIENTAL MINDORO Medicare Infirmary Mun. Infirmary TEL NO/FX NO DOH/RET HOSP. 7111168 2843903 SANITARIA Bgy. 5, Coron 4 CORON DISTRICT HOSPITAL 25 Dr. Edgar Flores District PC Catadman, Cuyo 5 CUYO DISTRICT HOSPITAL 25 Dr. Ricardo Adalid District FLRH Alfonso XIII, Quezon 6 QUEZON MEDICARE HOSPITAL 10 Dr. Mary Ann H. Navarro Medicare Infirmary Taytay 7 TAYTAY DISTRICT HOSPITAL 25 Dr. Nestor A. Reyes District PC 1 CAMP GENERAL ARTEMIO RICARTE STATION HOSP 20 LTC B.V. Natividad Military PC 4332411 Malvar St., Puerto Princesa 2 OSPITAL NG PALAWAN 50 Dr. Grorifino M. Juan (OIC) Provl. PC 4332721 REGL Alabat 1 ALABAT ISLAND DISTRICT HOSPITAL 25 Dr. Teodoro R. Serrano,Jr. District FLRH 042-3028028 G. Orda St., Atimonan 2 DOÑA MARTA MEMORIAL DISTRICT HOSPITAL 50 Dr. Arnulfo O. Imperial District FLRH 042-3165326 Catanauan 3 BONDOC PENINSULA DISTRICT HOSPITAL 25 Dr. Wilson T. Rivera District FLRH 042-9112127 Maasin Norte, Candelaria 4 CANDELARIA MUNICIPAL HOSPITAL 10 Dr. Jesus M. Calayag Mun. Infirmary 042-5858327 841132830 (page 10) PUERTO HQS, West Command, AFP, PRINCESA CITY Camp Artemio Ricarte QUEZON LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION QUEZONLUCENA CITY RIZAL NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO Bay Calimpac, Guinayangan 5 GUINAYANGAN MEDICARE COMMUNITY HOSP. 15 Dr. Florencia A. Vergara Medicare Infirmary 042-3034462 Gumaca 6 GUMACA DISTRICT HOSPITAL 75 Dr. Agripino P. Tullas District PC 042-4211047 Riza St., Infanta 7 C.M. RECTO MEMORIAL DISTRICT HOSPITAL 25 Dr. Romeo E. Protesta District FLRH 042-5352882 Lopez 8 MAGSAYSAY MEMORIAL DISTRICT HOSP. 75 Dr. Emma B. Serdon District FLRH 042-3205437 Mauban 9 MAUBAN DISTRICT HOSPITAL 25 Dr. Wennie P. Alcantara District FLRH 042-7840216 Polillo 10 POLILLO MEDICARE HOSPITAL 10 Dr. Jesus Calayag Medicare Infirmary 3148111 Sampaloc 11 SAMPALOC MEDICARE COMMUNITY HOSP. 10 Dr. Virgilio T. Mislang Medicare Infirmary 9128698 Bgy. Cawayan I, Sn Francisco 12 SAN FRANCISCO MUNICIPAL HOSPITAL 10 Dr. Mario L. Lopez Mun. Infirmary 9122658 Bgy. Bayanihan, San Narciso 13 SAN NARCISO MUNICIPAL HOSPITAL 10 Dr. Reynaldo E. Florido Mun. Infirmary 0985-408190 Bgy. Muntinparang, Tagkawayan 14 MARIA L. ELEAZAR MEMORIAL DISTRICT HOSPITAL 25 Dr. Emerita Masaganda District FLRH 042-3048323 Bgy. Ibabang, Kalilayan, Unisan 15 UNISAN MEDICARE COMMUNITY HOSP. 10 Dr. Marylen D. Zubiri Municipal Infirmary 9699370 Quezon Avenue 1 QUEZON MEMORIAL HOSPITAL 200 Dr. Romeo M. Maaño Sr. General SC 7102440 Camp Guillermo Nakar 2 CAMP NAKAR STATION HOSPITAL 25 LTC Eugenio J. Mislang Jr. MC Military Infirmary A. Ibañez St, Sn Isidro, Angono 1 ANGONO GENERAL HOSPITAL 75 Dr. Aser B. Ram District FLRH 6512254 Pritil, Libis, Binangonan 2 BINANGONAN MUNICIPAL HOSPITAL 17 Dr. Esmeraldo Discimulacion Mun. Infirnary 6525211 042-3735854 (page 11) RIZAL Jala Jala 3 JALA-JALA MUNICIPAL HOSPITAL 10 Dr. Angelito de la Cuesta Mun. Infirnary 6744233 Tomas Claudio, Morong 4 RIZAL PROVINCIAL HOSPITAL 75 Dr. Hermogenes Certeza Provl. FLRH 6531055 Almadrigo, Pililla 5 PILILLA MEDICARE COMMUNITY HOSPITAL 15 Dr. Edwin B. Vitor Medicare Infirmary 6540897 Bgy. Sampaloc, Tanay 6 ARMY STATION HOSPITAL 100 Lt. Col. Alfonso M. Evangelista Military FLRH 6743378 San Isidro, Taytay 7 TAYTAY EMERGENCY HOSPITAL 10 Dr. Gerardo Camba General Infirmary 6798089 1 ANTIPOLO DISTRICT HOSPITAL 10 Dr. Virgilio Zapra District Infirmary 6398454 2 ANTIPOLO COMMUNITY MINI-HOSPITAL 10 Dr. Alfredo G. Paspe Jr. District Infirmary 697321/6213 ANTIPOLO CITY Bagong Nayon 2 P. Burgos St., Plaza DOH/RET HOSP. LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION ROMBLON Cajidiocan NO. NAME OF HOSPITAL 1 SIBUYAN DISTRICT HOSPITAL ABC* 25 MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Dr. Ramon Villanueva CATEGORY/ **SERVICE CLASS CAPABILITY District PC Punta, Looc 2 DON MODESTO FORMELLEZA SR. MEMORIAL HOSP 10 Dr. Irvin D. Alojado Mun. Infirmary Liwanag, Odiongan 3 ROMBLON PROVINCIAL HOSPITAL 75 Dr. Edmundo Y. Reloj Provl. PC Bgy. Capaclan, Romblon 4 ROMBLON DISTRICT HOSPITAL 75 Dr. Giovanni Fondevilla District PC San Agustin 5 TABLAS ISLAND DISTRICT HOSPITAL 25 Dr. Fermin M. Fatalla District Infirmary San Jose 6 SAN JOSE DISTRICT HOSPITAL 10 Dr. Ma. Estelita R. Sabio District Infirmary TEL NO/FX NO DOH/RET HOSP. BICOL REGION ALBAY Cabasan, Bacacay 1 CAGRARAY DISTRICT HOSPITAL 25 Dr. Loreto Capellan General Infirmary Pantao, Libon 2 PANTAO DISTRICT HOSPITAL 25 Dr. Grace Tabagan General Infirmary Manito 3 MANITO MUNICIPAL HOSPITAL 10 Dr. Francis Orland Bolaños General Infirmary Pio Duran 4 PIO DURAN MEMORIAL DISTRICT HOSPITAL 25 Dr. Cardelle Bas General PC Rapu-Rapu 5 RAPU-RAPU DISTRICT HOSPITAL 25 Dr. Domingo O. Vergara General PC Villahermosa, Rapu-Rapu 6 VILLAHERMOSA MUNICIPAL HOSPITAL 10 Dr. Dionedes Coralde General Infirmary LIGAO CITY Tuburan, Ligao 1 JOSEFINA BELMONTE DURAN MEMO. DIST. HOSP. 25 Dr. Luis Db. Mendoza General PC LEGAZPI CITY Rizal Street 1 BICOL REGIONAL TRAINING AND TEACHING HOSP. 250 Dr. Jose Daep Jr. General TC 1 ZIGA MEMORIAL DISTRICT HOSPITAL 50 Dr. Mario Cardinal General PC 1 CAPALONGA MEDICARE COMMUNITY HOSPITAL 15 Dr. Anthony Mago General Infirmary Daet 2 CAMARINES NORTE PROVINCIAL HOSPITAL 100 Dr. Arnulfo Salagoste General SC Labo 3 LABO DISTRICT HOSPITAL 25 General PC Cabusao 1 BICOL SANITARIUM 450 Dr. Valeriano Lopez Special Infirmary Caramoan 2 CARAMOAN MUNICIPAL HOSPITAL 10 Dr. Casiano B. Brioso General Infirmary Garchitorena 3 GARCHITORENA MEDICARE AND COMMUNITY HOSP. 15 Dr. Gregorio Cordoviz General Infirmary TABACO CITY 4852250 484001417 REGL 4874291 (page 12) CAMARINES NORTE CAMARINES SUR Capalonga Dr. Amador Salem Libmanan 4 LIBMANAN DISTRICT HOSPITAL 50 Dr. Emma Raña General PC Ocampo 5 OCAMPO MUNICIPAL HOSPITAL 10 Dr. Wilfredo Baniquid General Infirmary 7215425 5119059 SANITARIA LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY Ragay 6 RAGAY DISTRICT HOSPITAL 25 Dr. Adolfo Rosales General FLRH San Jose 7 SAN JOSE MEDICARE COMMUNITY HOSPITAL 15 Dr. Garry Fajardo General Infirmary Sipocot 8 SIPOCOT DISTRICT HOSPITAL 25 Dr. Ferdie Palima General FLRH Tinambac 9 TINAMBAC MEDICARE COMMUNITY HOSPITAL 15 Dr. Ursolino M. Primavera General Infirmary IRIGA CITY San Ramon 1 SAN RAMON MUNICIPAL HOSPITAL 10 Dr. Valerie Belmonte General Infirmary NAGA CITY Concepcion Pequeña Sr. 1 BICOL MEDICAL CENTER 450 Dr. Edgar Esplana General TC Peñafrancia Avenue 2 NAGA CITY HOSPITAL 16 Dr. Luningning A. Luciano General Infirmary 1 BATO MATERNITY AND CHILDREN'S HOSPITAL 25 Dr. Ma. Bessie Rodulfo General Infirmary CATANDUANES Bato MASBATE Caramoran 2 CARAMORAN MUNICIPAL HOSPITAL 10 Dr. Verma Sanio General Infirmary Gigmoto 3 GIGMOTO DISTRICT HOSPITAL 25 Dr. Silvestra Libetario General Infirmary Pandan 4 PANDAN DISTRICT HOSPITAL 25 Dr. Pilarsita Buendia General PC San Andres 5 JUAN M. ALBERTO MEMORIAL DISTRICT HOSPITAL 25 Dr. Sharmy Arcilla General Infirmary Viga 6 VIGA DISTRICT HOSPITAL 25 Dr. Lubella Sanchez General Infirmary Virac 7 EASTERN BICOL MEDICAL CENTER 100 Dr. Rudy T. Tresvalles General TC Aroroy 1 AROROY MUNICIPAL HOSPITAL 10 Dr. Wenifreda C. Tan General Infirmary Balud 2 BALUD MUNICIPAL HOSPITAL 10 Dr. Oscar T. Acuesta General Infirmary Cataingan 3 CATAINGAN DISTRICT HOSPITAL 25 Dr. Rodulfo R. Amamzor General PC (page 13) MASBATE SORSOGON Cawayan 4 CAWAYAN MUNICIPAL HOSPITAL 10 Dr. Ariel Areliano General Infirmary Claveria 5 CLAVERIA DISTRICT HOSPITAL 25 Dr. Pedro T. Lee General PC Dimasalang 6 MOISES ESPINOSA SR. MEMORIAL MUNICIPAL HOSP 10 Dr. Wilfredo Lim General Infirmary Mandaon 7 MANDAON MEDICARE COMMUNITY HOSPITAL 15 Dr. Napoleon Villasis General Infirmary Masbate 8 MASBATE PROVINCIAL HOSPITAL 100 Dr. Adolfo Almanzor General SC San Jacinto 9 TICAO DISTRICT HOSPITAL 25 Dr. Rosario P. Mores General PC Bulan 1 BULAN MUNICIPAL HOSPITAL 10 Dr. Celso D. Lutestica General Infirmary Cumadcad, Castilla 2 VICENTE PERALTA MEMORIAL DISTRICT HOSPITAL 25 Dr. Charlie Dulay General FLRH Donsol 3 DONSOL DISTRICT HOSPITAL 25 Dr. Ricardo Carl Ortiz General FLRH Gubat 4 GUBAT DISTRICT HOSPITAL 25 Dr. Juliana Cariño General FLRH TEL NO/FX NO DOH/RET HOSP. MEDCTR 8114558 8111384 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION Irosin NO. NAME OF HOSPITAL ABC* 25 MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Dr. Arcadio Tan CATEGORY/ **SERVICE CLASS CAPABILITY General TEL NO/FX NO Macabog, Sorsogon 5 IROSIN DISTRICT HOSPITAL 6 DR. FERNANDO B. DURAN, SR. MEMORIAL HOSP. (former FLRH Magallanes 6 MAGALLANES MEDICARE COMMUNITY HOSPITAL 15 Dr. Eduardo C. Judit General Infirmary Matnog 7 MATNOG MEDICARE COMMUNITY HOSPITAL 15 Dr. Arlen Dulay Brices General Infirmary Prieto Diaz 8 PRIETO DIAZ MUNICIPAL HOSPITAL 10 Dr. Isidoro Bino General Infirmary Buruanga BURUANGA MEDICAL COMMUNITY HOSPITAL (former BURUANGA MUNICIPAL HOSPITAL) 1 15 Dr. John Salazar General Infirmary 0912-5128027 Ibajay 2 IBAJAY DISTRICT HOSPITAL 25 Dr. Victor Santamaria General Infirmary 2882011 Kalibo 3 DR. RAFAEL S. TUMBOKON MEMO. PROV. HOSP. 100 Dr. Landelino Meñez General FLRH 2684917 Libacao 4 LIBACAO MUNICIPAL HOSPITAL 10 General Infirmary Madalag 5 DON LEOVIGILDO DIAPO SR. MUNICIPAL HOSPITAL 10 Dr. Mary Grace Gubatina-Tumaca General Infirmary Malay 6 BORACAY ISLAND MUNICIPAL HOSPITAL 10 Dr. Edwin Elarina General Infirmary 036-2883041 Malay 7 MALAY MUNICIPAL HOSPITAL 10 Dr. Anthony Redaniel General Infirmary 2603103 WESTERN VISAYAS REGION AKLAN ANTIQUE - Barbaza 1 PEDRO L. GINDAP MUNICIPAL HOSPITAL 10 Dr. Mary Jocelyn Polido General Infirmary Bugasong 2 BUGASONG MEDICARE COMMUNITY HOSPITAL 15 Dr. Azucena Pe General Infirmary Culasi 3 CULASI DISTRICT HOSPITAL 25 Dr. SME Panes General FLRH 2888241 Pandan 4 GOV. LEANDRO FULLON DISTRICT HOSPITAL 25 Dr. Angel Lim General Infirmary 2889041 Bgy. Atabay, San Jose 5 ANGEL SALAZAR MEMORIAL GENERAL HOSPITAL 100 Dr. Samuel Tonogan General SC Sebaste 6 SEBASTE COMMUNITY HOSPITAL 10 Dr. Uldarico Babayen-on, Jr. General Infirmary Sibalom 7 RAMON MAZA SR. MEMORIAL DISTRICT HOSPITAL 25 Dr. Gilfred M. Jandenil General FLRH Tobias Fornier 8 PRES. DIOSDADO MACAPAGAL HOSPITAL 25 Dr. Antonio Cadano General Infirmary Valderrama 9 VALDERRAMA MUNICIPAL HOSPITAL 10 Dr. Estelita Maguad General Infirmary Dao 1 SEN. GERARDO ROXAS MEMORIAL DISTRICT HOSP. 25 - General FLRH (page 14) ANTIQUE CAPIZ Jamindan 2 CAMP PERALTA STATION HOSPITAL 25 Lt. Col. Bernadette Natividad General Infirmary Mambusao 3 MAMBUSAO DISTRICT HOSPITAL 50 Dr. Gilson Albaña General FLRH 6470220 Bailan, Pontevedra 4 BAILAN DISTRICT HOSPITAL 50 Dr. Gualberto Bernas General FLRH 6340381 Tapaz 5 TAPAZ DISTRICT HOSPITAL 25 Dr. Ramon Nolasco, Jr. General FLRH 8874275 DOH/RET HOSP. LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION ROXAS CITY GUIMARAS ILOILO Arnaldo Blvd., NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY 1 ROXAS MEMORIAL PROVINCIAL HOSPITAL 100 Dr. Milagros Balgos General TEL NO/FX NO SC 6210629 5813155 Jordan 1 GUIMARAS PROVINCIAL HOSPITAL 25 Dr. Edwin Sulit General FLRH Lanipe, Nueva Valencia 2 NUEVA VALENCIA DISTRICT HOSPITAL (NEW) 25 Dr. Edwin Sulit General Infirmary Alimodian 1 ALEOSAN DISTRICT HOSPITAL 50 Dr. Ernesto Garvilles General FLRH 3310602 Balasan 2 JESUS COLMENARES DISTRICT HOSPITAL 25 Dr. Eduardo Diaz General FLRH 3970879 Barotac, Nuevo 3 DON JOSE S. MONFORT MEDICAL CENTER EXT. HOSP. 10 Dr. Andres M. Dolar Jr. General Infirmary Cabatuan 4 RAMON TABIANA MEMORIAL DISTRICT HOSPITAL 75 Dr. George Acepcion General FLRH 5228211 Calinog 5 RICARDO S. PROVIDO SR. MEMORIAL HOSPITAL 25 Dr. Edgar Castaños General FLRH 7257590 DOH/RET HOSP. 3612492 EXTENSION Dumangas 6 DUMANGAS DISTRICT HOSPITAL 50 Dr. Oscar Puig General FLRH 3612229 Guimbal 7 REP. PEDRO TRONO MEMORIAL DISTRICT HOSP. 50 Dr. Antonio Garibay General FLRH 3155172 Janiuay 8 FEDERICO ROMAN TIRADOR SR. MEMORIAL DIST. HOSP. 25 Dr. Elena Villanueva (OIC) General FLRH 3171319 Lambunao 50 Dr. Roberto Castronuevo General FLRH 5337350 New Lucena 9 DR. RICARDO Y. LADRIDO MEMORIAL HOSPITAL NEW LUCENA POLYTECHNIC COLLEGE MEDICAL CLINIC 10 AND HOSP 10 Dr. Layla Catedral-Solinap General Infirmary 5262014 Pototan 11 ILOILO PROVINCIAL HOSPITAL 100 Dr. Noel Roy Gigare General FLRH 5297496 Sta. Barbara 12 WESTERN VISAYAS SANITARIUM 300 Dr. Edgardo Gonzaga Special FLRH 5239515 SANITARIA Mandurriao 1 WESTERN VISAYAS MEDICAL CENTER 300 Dr. Jose Mari Fermin General TC E. Lopez St., Jaro 2 WEST VISAYAS STATE UNIVERSITY MEDICAL CTR. 300 Dr. Ramon S. Guerra, Jr. General TC 1 DON VALERIO PALMARES SR. MEMO. DISTRICT HOSP. 25 Dr. Russell Landoy General FLRH Calatrava 1 CALATRAVA MUNICIPAL HOSPITAL 10 Dr. Carmelo Arguelles General Infirmary Cauayan 2 CAUAYAN MUNICIPAL HOSPITAL 10 Dr. Jose Hernando Monton General Infirmary Escalante 3 VICENTE GUSTILO MEMORIAL DISTRICT HOSPITAL 50 Dr. Josephus Jubal General FLRH 4540539 Himamaylan 4 GOV. VALERIANO GATUSLAO MEMO. DIST. HOSP 75 Dr. Victor Cortez General FLRH 3883594 Isabela 5 ISABELA DISTRICT HOSPITAL 25 Dr. Joventino Roque General Infirmary Valladolid Street 6 VALLADOLID DISTRICT HOSPITAL 50 Dr. Anthony Hinolan General FLRH (page 15) ILOILO CITY PASSI CITY NEGROS OCC. 3212841 MEDCTR 3202431-38 3115453 4610360 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NEGROS OCC.BACOLOD CITY Lacson Street NAME OF HOSPITAL CORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL 1 HOSP. BAGO CITY ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO 400 Dr. Domingo Vega General TC 1 BAGO CITY HOSPITAL 10 Dr. Pilar Mabasa General Infirmary 4610552 CADIZ CITY 1 CADIZ DISTRICT HOSPITAL 25 Dr. Josephine Pahamtang General FLRH 7190186 KABANKALAN CITY 1 KABANKALAN DISTRICT HOSPITAL 25 Dr. Caludelia Pabillo General FLRH 4712357 2 GUMERSINDO GARCIA SR. MEMORIAL HOSPITAL 25 Dr. Charity Bocol General Infirmary 4712113 LA CARLOTA CITY 1 DON SALVADOR BENEDICTO MEMORIAL DIST. HOSP. 25 Dr. Ma. Girlie Pinongan General FLRH 4603360 SAGAY CITY 1 ALFREDO MARAÑON SR. MEMORIAL DISTRICT HOSP. 25 Dr. Juanito Abastillas General FLRH 7224819 SAN CARLOS CITY 1 SAN CARLOS CITY HOSPITAL 50 Dr. Filped Maisog General FLRH 3125674 SILAY CITY 1 DR. JOSE C. LOCSIN MEMORIAL PROVINCIAL HOSP. 75 Dr. Ma. Estrella Ledesma General FLRH 4951704 Candijay 1 MEDICARE COMMUNITY HOSP. OF CANDIJAY 15 Dr. Melvin Lopez General Infirmary 1988211 Carmen 2 CONG. SIMEON G. TORIBIO MEMORIAL HOSP. 50 Dr. Avelyn Lantaca General Secondary 5259081 9178899445 Brgy. Bato 4331591 loc. 202 REGL (page 16) CENTRAL VISAYAS REGION BOHOL BOHOL DOH/RET HOSP. Catigbian 3 CATIGBIAN DISTRICT HOSPITAL 25 Dr. Esterlita Tubal General Secondary Inabanga 4 F. DAGOHOY MUNICIPAL HOSPITAL 10 Dr. Greg Sodusta General Infirmary 5129013 Jagna 5 TEODORO B. GALAGAR MEMORIAL HOSP. 25 Dr. Winefreda Cagulada General Secondary 2382404 Loon 6 CONG. NATALIO P. CASTILLO SR. MEMORIAL HOSP. 25 Dr. Margarito Añana General Secondary 5059170 Maribojoc 7 MEDICARE COMMUNITY HOSP. OF MARIBOJOC 15 Dr. Celestina Ma. Jude de la General Infirmary 5049170 San Miguel 8 SAN MIGUEL MUNICIPAL INFIRMARY HOSPITAL 10 Dr. Eduardo G. Abellar General Infirmary San Jose, Talibon 9 GARCIA MEMORIAL PROV'L. HOSP. 75 Dr. Harold Gallego General Secondary Potohan, Tubigon 10 TUBIGON COMMUNITY HOSPITAL 15 Dr. Bernabe Bob P. Batausa General Infirmary 2372446 Pitogo, Ubay 11 PRES. CARLOS P. GARCIA MUNICIPAL HOSPITAL 10 Dr. Ethel Dacalos Palatan General Infirmary 9195936546 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION CEBU TALISAY CITY CEBU CITY NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO Argao 1 ISIDRO C. KINTANAR MEMORIAL HOSPITAL 25 Dr. Domingo Efren General Secondary 4858599 Balamban 2 BALAMBAN DISTRICT HOSPITAL 10 Dr. Lorna Desiree Gonzales General Infirmary 3332273 Badian 3 BADIAN DISTRICT HOSPITAL 25 Dr. Eugenio Ungab General Secondary 2541983 Bantayan Island 4 BANTAYAN DISTRICT HOSPITAL 25 Dr. Tomasita-Dee-Santillan General Infirmary 3525231 Barili 5 BARILI DISTRICT HOSPITAL 10 Dr. Claro Villegas General Infirmary Bogo 6 SEVERO VERALLO MEMORIAL HOSPITAL 50 Dr. Rosendo Te General Primary 2512332 Carcar 7 JESUS M. PARAZ MEMO. DISTRICT HOSPITAL 10 Dr. Zenia Escobido General Infirmary 4870417 Daanbantayan 8 DAANBANTAYAN DISTRICT HOSPITAL 10 Dr. Benjamin Rodriguez General Infirmary Minglanilla 9 MINGLANILLA DISTRICT HOSPITAL 50 Dr. Eriberto Beduya General Infirmary 4902937 Oslob 10 OSLOB DISTRICT HOSPITAL 10 Dr. Rebecca Opsima General Infirmary 4819985 Pandacan, Pinamungahan 11 DR. JOSE MA. V. BORROMEO MEMO. DIST. HOSP. 10 Dr. Corazon G. Herrera General Infirmary San Isidro 1 TALISAY DISTRICT HOSPITAL 10 Dr. Manuel Bacareza General Infirmary DOH/RET HOSP. 2733225 DIST B. Rodriguez Street 1 VICENTE SOTTO MEMORIAL MEDICAL CENTER 400 Dr. Filomena De los Santos General TC 2539891 MEDCTR Basak 2 ST. ANTHONY MOTHER AND CHILD HOSPITAL 25 Dr. Robert Denopol Special Secondary 2627208 SPECIAL Guba 3 GUBA COMMUNITY HOSPITAL 10 Dr. Manuel Veloso General Infirmary Natalio Bacalso Ave. 4 CEBU CITY MEDICAL CENTER 200 Dr. Lydia Salarda General TC DANAO CITY 1 DANAO DISTRICT HOSPITAL 25 Dr. Cynthia Duterte General Secondary LAPU-LAPU CITY 1 MACTAN BENITO EBUEN AIR BASE HOSPITAL 25 Maj. Alexander Suarez General Infirmary 3408509 2 LAPU-LAPU DISTRICT HOSPITAL 75 Dr. Jaime Kaamiño General Secondary 3400249 1 EVERSLEY CHILDS SANITARIUM 500 Dr. Gerardo Aquino Special Secondary 3451114 SANITARIA 2 MANDAUE CITY HOSPITAL 25 Dr. Dominga Obenza General Secondary 3 VICENTE GULLAS MEMORIAL HOSPITAL 70 Dr. Leticia F. Abinuman General TC 1 TOLEDO CITY GENERAL HOSPITAL 25 Dr. Virgilio Dumadag General Primary Bindoy 1 BINDOY DISTRICT HOSPITAL 25 Dr. Gervacio Salatandre General Primary 2252879 Guihulngan 2 GOV. WILLIAM VILLEGAS MEMORIAL HOSPITAL 50 Dr. Vevito Gonzaga General Secondary 3361085 2557141 (page 17) MANDAUE CITY Banilad TOLEDO CITY NEGROS ORIENTAL 032-2003323 3451125 3469292; 6137 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO Mabinay 3 MEDICARE COMMUNITY HOSPITAL OF MABINAY 15 Dr. Ernesto Uy General Primary Siaton 4 CONG. LAMBERTO C. MACIAS MEMORIAL HOSP. 25 Dr. Sozelon Zerrudo General Secondary 9187400958 NEGROS OR.BAYAWAN CITY Bayawan 1 BAYAWAN DISTRICT HOSPITAL 50 Dr. Fidencio Aurelia General Secondary 5310169 BAIS CITY 1 BAIS DISTRICT HOSPITAL 50 Dr. Dante Domingo General Secondary 5415126 DUMAGUETE CITY Piapi 1 NEGROS ORIENTAL PROVINCIAL HOSP. 250 Dr. Virgilio T. Sienes General TC 2250950 SIQUIJOR Siquijor 1 SIQUIJOR PROVINCIAL HOSPITAL 100 Dr. Nell Alcoran General Secondary 3442012 EASTERN VISAYAS REGION BILIRAN Naval 1 BILIRAN PROVINCIAL HOSPITAL 25 Dr. Alfonso Veneracion General PC 5009319 EASTERN SAMAR Arteche 1 ARTECHE DISTRICT HOSPITAL 25 Dr. Olivo O. Mejica General Infirmary 2612206 (page 18) EASTERN SAMAR Balangiga 2 ALBINO DURAN MEMORIAL HOSPITAL 25 Dr. Benedicto O. Garcia General Infirmary Borongan 3 EASTERN SAMAR PROVINCIAL HOSP. 100 Dr. Reinerio H. Zamora General PC Gen. MacArthur 10 Dr. Manuel B. Japzon General Infirmary Guiuan 4 GEN. MAC ARTHUR MUNICIPAL HOSP. FELIPE ABRIGO MEMORIAL HOSPITAL (former Southern 5 Samar District Hosp.) 50 Dr. Librado C. Lajara General PC Homonhon 6 HOMONHON ISLAND COMMUNITY HOSP. 10 Dr. Antonio G. Quesada General Infirmary Llorente 7 LLORENTE MUNICIPAL HOSPITAL 10 Dr. Daniel Pomida General Infirmary Oras 8 ORAS DISTRICT HOSPITAL 25 Dr. Eva A. Japson General Infirmary Quinapondan 9 QUINAPONDAN COMMUNITY HOSPITAL 10 Dr. Grace Quinto (OIC) General Infirmary Taft 10 TAFT DISTRICT HOSPITAL 25 Dr. Ma. Melissa A. Gagala General Infirmary NORTH SAMAR Allen Biri NORTH SAMAR Capul 1 ALLEN DISTRICT HOSPITAL 50 Dr. Timoteo Lao General PC 2 BIRI DISTRICT HOSPITAL 25 Dr. Edmundo A. Molon General Infirmary 3 CAPUL DISTRICT HOSPITAL 25 Dr. Lapulapu M. Ortego General Infirmary 2612206 DOH/RET HOSP. LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION SAMAR NAME OF HOSPITAL ABC* CATEGORY/ **SERVICE CLASS CAPABILITY Catarman 4 NORTHERN SAMAR PROVINCIAL HOSPITAL 100 Dr. Benjamin E. Ver General PC Gamay 5 GAMAY DISTRICT HOSPITAL 50 Dr. Sabina Narido General Infirmary Laoang 6 DR. GREGORIO B. TAN MEMORIAL HOSPITAL 50 Dr. Leandro Negado General Infirmary San Antonio 7 SAN ANTONIO DISTRICT HOSPITAL 25 Dr. Carlos C. Gorre General Infirmary Catbalogan 1 CAMP LUKBAN STATION HOSPITAL 25 Col. Jezebel Bautista General Infirmary Catbalogan 2 SAMAR PROVINCIAL HOSPITAL 100 Dr. Dulce J. Cernal (OIC) General PC Gandara 3 GANDARA DISTRICT HOSPITAL 25 Dr. Reynaldo Roldan General Infirmary 1 CALBAYOG DISTRICT HOSPITAL 75 Dr. Jose V. Ong General PC CALBAYOG CITY LEYTE NO. MEDICAL DIRECTOR/ CHIEF OF HOSPITAL TEL NO/FX NO DOH/RET HOSP. 3541036 055-3563191 3561231 2091566 Abuyog 1 ABUYOG DISTRICT HOSPITAL 75 Dr. Lydia M. Perez General PC 3342217 Visca, Baybay 2 VISCA INFIRMARY 10 Dr. Isabel B. Bertulfo General Infirmary 3352607 Baybay 3 WESTERN LEYTE PROVINCIAL HOSPITAL 100 Dr. Loreto I. Dumaguing General PC 3352249 Burauen 4 BURAUEN DISTRICT HOSPITAL 75 Dr. Josenilo Bunado General PC Calubian 5 NORTHWESTERN LEYTE DISTRICT HOSP. 75 Dr. Robert C. Nicolas General Infirmary 053-5492280 3342217 (page 19) LEYTE Candahug, Palo 6 LEYTE PROVINCIAL HOSPITAL 25 Dr. Ma. Teresa Caidic (OIC) General Infirmary 3235069 Carigara 7 CARIGARA DISTRICT HOSPITAL 25 Dr. Marita T. Gariando General Infirmary 3312435 Hilongos 8 HILONGOS DISTRICT HOSPITAL 25 Dr. Proceso Mantua General PC 3362102 Matalom 9 MATALOM COMMUNITY HOSPITAL 10 Dr. Norberto P. Oja General Infirmary 5699124 Palo 10 SCHISTOSOMIASIS HOSPITAL 25 Dr. Charlemagne N. Escape General Infirmary Palompon 11 DR. MANUEL VELOSO MEMORIAL HOSPITAL 75 Dr. Romeo Beltran General Infirmary Tabango 12 TABANGO COMMUNITY HOSPITAL 10 Dr. Manuel Pastor General Infirmary Suba, Villaba 13 VILLABA COMMUNITY HOSPITAL 10 Dr. Ma. Lourdes O. de la Rama General Infirmary LEYTE - ORMOC CITY 1 ORMOC DISTRICT HOSPITAL 125 Dr. Honorato Jervoso, Jr. General PC TACLOBAN CITY R. Magsaysay Blvd. 1 EASTERN VISAYAS REGIONAL MEDICAL CTR. 250 Dr. Adelaida Amarga-Asperin General TC LEYTE 1 ANAHAWAN DISTRICT HOSPITAL 50 General PC Anahawan Dr. Ernesto J. Cahoy RESEARCH 5519458 2552475 MEDCTR 5810093 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION SOUTH LEYTE NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Hinunangan 2 HINUNANGAN COMMUNITY HOSPITAL 10 Maasin 3 SOUTHERN LEYTE PROVINCIAL HOSPITAL 100 Dr. Leonardo B. Eway Dr. Leoncio P. Mato CATEGORY/ **SERVICE CLASS CAPABILITY General Infirmary General SC Pintuyan 4 PINTUYAN DISTRICT HOSPITAL 25 Dr. Corazon K. Gloria General Infirmary Sogod 5 SOGOD DISTRICT HOSPITAL 50 Dr. Jaime M. Carbonilla General PC 1 BASILAN GENERAL HOSPITAL 25 Dr. Remus Domingo Dayrit General Infirmary 25 Dr. Rosalyn Go General Infirmary Liloy 1 LABASON DISTRICT HOSPITAL LILOY INTEGRATED HEALTH DISTRICT HOSP. (former Liloy 2 Medicare Hospital) 10 Dr. Esmeralda Nadela General Infirmary Manukan 3 MANUKAN MEDICARE COMMUNITY HOSP. (NEW) 10 Dr. Nilo Sosmeña General Infirmary Piñan 4 PIÑAN DISTRICT HOSPITAL 25 Dr. Filipinas Nielo General Infirmary Sergio Osmena 5 SERGIO OSMEÑA MUNICIPAL HOSPITAL 10 Dr. Mila Guico General Infirmary Sindangan 6 SINDANGAN DISTRICT HOSPITAL 100 Dr. Marcelito Lacaya, Jr. General PC TEL NO/FX NO DOH/RET HOSP. 3813351 053-5872035 3822400 ZAMBOANGA PENINSULA REGION BASILAN- ISABELA CITY ZAMBOANGA DEL NORTE Labason 2003094 REGL (page 20) ZAMBOANGA DEL NORTE Sibutad 7 SIBUTAD MUNICIPAL HOSPITAL 10 Dr. MeiMei Yu (OIC) General Infirmary Siocon 8 SIOCON DISTRICT HOSPITAL 25 Dr. Eliseo Alpuerto General Infirmary DAPITAN CITY 1 DR. JOSE RIZAL MEMORIAL HOSPITAL 75 Dr. Ramon Neri General PC DIPOLOG CITY 1 ZAMBOANGA DEL NORTE PROVINCIAL HOSP. 100 Dr. Chita Cunanan General PC ZAMBOANGA DEL SUR Alicia 1 ALICIA DISTRICT HOSPITAL 25 General Infirmary Aurora 2 AURORA GENERAL HOSPITAL 150 Dr. Basilio Ceniza Dr. Victorino Aprieto General PC Lakewood 3 LAKEWOOD MUNICIPAL HOSPITAL 10 Dr. Deogenes Rubillos General Infirmary Mahayag 4 MAHAYAG DISTRICT HOSPITAL 10 Dr. Felipe F. Son General Infirmary Margosatubig 5 MARGOSATUBIG DISTRICT HOSPITAL 25 Dr. Richard Sison (OIC) General Secondary Olutanga 6 OLUTANGA MUNICIPAL HOSPITAL 10 Dr. Franklin Macalua General Infirmary REGL REGL LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NAME OF HOSPITAL ABC* CATEGORY/ **SERVICE CLASS CAPABILITY Payao 7 PAYAO MUNICIPAL HOSPITAL 10 Dr. Noel Herrera General Infirmary Ipil, Sibugay ZAMBOANGA SIBUGAY PROVINCIAL HOSP.( former Ipil 8 District Hospital) 25 Dr. Ashley L. de Villa General Infirmary Tambulig 9 TAMBULIG MUNICIPAL HOSPITAL 10 Dr. Lilia Rocas General Infirmary 1 PAGADIAN CITY HOSPITAL (NEW) 15 Dr. Arnel Lerias General Infirmary Labangan 2 CAMP MAJ. SANG-AN HOSPITAL 25 Maj. Alex Peralta ( CO ) General Infirmary Tuburan District 3 ZAMBOANGA DEL SUR PROVINCIAL HOSPITAL 50 Dr. Corazon Ariosa General Secondary Curuan 1 CURUAN MEDICARE COMMUNITY HOSPITAL 10 Dr. Alejandro Rivera General Infirmary Dr. Evangelista St. 2 ZAMBOANGA CITY MEDICAL CENTER 250 Dr. Romeo Ong General TC PAGADIAN CITY Purok Luy-A-I,Danlugan ZAMBOANGA CITY NO. MEDICAL DIRECTOR/ CHIEF OF HOSPITAL TEL NO/FX NO DOH/RET HOSP. 1691 MEDCTR Labuan 3 LABUAN PUBLIC HOSPITAL 10 Dr. Alexis Roy Valdez General Infirmary EXTENSION Pasobolong 4 MINDANAO CENTRAL SANITARIUM 450 Dr. Lope Ma. Carabaña, OIC Special Infirmary SANITARIA Sta. Maria 5 EDWIN ANDREW'S AIRBASE HOSPITAL 29 Dr. Edgar Ventura General Infirmary Upper Calarian 6 CAMP NAVARRO GENERAL HOSPITAL 100 Col. Ariel Zerrudo General PC San Raymundo, Sulu 1 SULU SANITARIUM 120 Dr. Emelina A. Pelinio Special Infirmary (page 21) JOLO SANTARIA NORTHERN MINDANAO REGION BUKIDNON West Poblacion, Kalilangan 1 KALILANGAN MUNICIPAL HOSPITAL 10 Dr. Noemi Isa Campugan General Infirmary Poblacion, Kibawe 2 KIBAWE MUNICIPAL HOSPITAL 10 Dr. Antonio Tubog General Infirmary Poblacion, Kibawe 3 MARAMAG DISTRICT HOSPITAL 25 Dr. Venus V. Tagarda General FLRH Malitbog 4 PROVINCIAL HOSPITAL OF MALITBOG 10 Dr. Reynaldo Abriol General Infirmary Musuan, Maramag 5 CENTRAL MINDANAO UNIVERSITY HOSPITAL 25 Dr. Naluin G. Esdrelon General Infirmary San Fernando 6 BUKIDNON HOSPITAL - San Fernando Branch 10 Dr. Miguel Antonio Prantilla General Infirmary Talakag 7 MEDICARE COMMUNITY HOSPITAL 15 Dr. Joseph J. Borong General Infirmary MALAYBALAY CITY BUKIDNON PROVINCIAL HOSPITAL OF MALAYBALAY CITY 1 Y2004 100 Dr. Jaime S. Bernadas General SC CAMIGUIN 1 CATARMAN DISTRICT HOSPITAL General Infirmary Catarman 25 Dr. Fritzgerald C. Arancel REGL LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION Mambajao MISAMIS OCCIDENTAL NO. NAME OF HOSPITAL 2 CAMIGUIN GENERAL HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 100 Dr. Joseph Chrysler L. Beja CATEGORY/ **SERVICE CLASS CAPABILITY General FLRH TEL NO/FX NO DOH/RET HOSP. REGL Calamba 1 CALAMBA DISTRICT HOSPITAL 50 Dr. Rodolfo L. Nazareno General Secondary Jimenez 2 MEDICARE COMMUNITY HOSPITAL 15 Dr. Roy D. Abejo General Infirmary Tudela 3 TUDELA MUNICIPAL HOSPITAL 10 Dr. Themistocles L. Obenza General Infirmary OROQUIETA CITY 1 MISAMIS OCCIDENTAL PROVINCIAL HOSPITAL 100 Dr. Jose B. Conde General SC 5311529 OZAMIS CITY Maningcal MAYOR HILARION A. RAMIRO, SR. REGIONAL TRAINING 1 AND TEACHING HOSP. 150 Dr. Romeo Ong General TC 5210022 REGL Manabay 2 S.M. LAO MEMORIAL CITY GENERAL HOSPITAL 50 Dr. Eriberto C. Cuizon General Secondary 1 DOÑA MARIA D. TAN MEMORIAL HOSPITAL 50 Dr. Jose Pantoja Jr. General Secondary Balingasag 1 MEDICARE COMMUNITY HOSPITAL 15 Dr. Asuncion Yap General Infirmary Codilla St., Poblacion, Initao 2 INITAO DISTRICT HOSPITAL 25 Dr. Bebina Casiño General Infirmary Jasaan 3 JASAAN MUNICIPAL HOSPITAL 15 Dr. Clifford Joe S. Achas General Infirmary Manticao 4 MEDICARE COMMUNITY HOSPITAL 15 Dr. Lavern Maandig General Infirmary Talisayan 5 TALISAYAN DISTRICT HOSPITAL 25 Dr. Alfredo Tagaro General Infirmary Camp Evangelista, Patag 1 CAMP EVANGELISTA STATION HOSPITAL 100 Lt. Col. Ronaldo Cruz General FLRH MISAMIS OCC. (page 22) TANGUB CITY MISAMIS ORIENTAL CAGAYAN DE ORO CITY Serina St., Carmen GUINGOOG CITY Doña Graciana St. 2 JR BORJA MEMORIAL CITY HOSPITAL 100 Dr. Evelyn Perez General Secondary 3 NORTHERN MINDANAO MEDICAL CENTER 300 Dr. Ma. Evelyn Clarete General TC 1 GUINGOOG DISTRICT HOSPITAL 50 General FLRH Dr. Grace Jadol 728829/721794 MEDCTR LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO LANAO DEL SUR MARAWI CITY 1 AMAI PAKPAK MEDICAL CENTER 75 Dr. Amer Saber General FLRH LANAO DEL NORTE Sagadan, Baroy 1 LANAO DEL NORTE PROVINCIAL HOSPITAL 100 Dr. Gavina Galbines General FLRH Kolambugan 2 KOLAMBUGAN DISTRICT HOSPITAL 75 Dr. Medel T. Tomada General FLRH Pala-o 1 GREGORIO T. LLUCH MEMORIAL HOSPITAL 75 Dr. Raides Caga General SC Maragusan 1 MARAGUSAN MUNICIPAL HOSPITAL 10 Dr. Eulogio Florendo General Infirmary Montevista 2 MONTEVISTA DISTRICT HOSPITAL 25 Dr. Jose Eulalio Dujali General Secondary Pantukan 3 PANTUKAN DISTRICT HOSPITAL 25 Dr. Evangeline Hornido General Secondary (page 23) COMPOSTELA VALLEY San Vicente 4 LAAK MUNICIPAL HOSPITAL 10 Dr. Buenaventura Rodriguez General Infirmary DAVAO DEL NORTE Carmen 1 CARMEN DISTRICT HOSPITAL 25 Dr. Jean Escalante General Infirmary 084-6286592 Kapalong 2 KAPALONG DISTRICT HOSPITAL 25 Dr. Ma. Suzette T. Ramos General Secondary 084-3710468 Garden City of Samal Island 3 SAMAL DISTRICT HOSPITAL 25 Dr. Reynaldo Villanueva General Infirmary 916-5562179 TAGUM CITY Apokon 1 DAVAO REGIONAL HOSPITAL 200 Dr. Romulo Busuego General TC DAVAO ORIENTAL Cateel 1 CATEEL DISTRICT HOSPITAL 15 Dr. Modesto Veroy General Infirmary Gov. Generoso 2 GOV. GENEROSO MUNICIPAL HOSPITAL 10 Dr. Danny Juvilla Pudpud General Infirmary Lupon 3 LUPON DISTRICT HOSPITAL 25 Dr. Raul Failma General Secondary Manay 4 MANAY MUNICIPAL HOSPITAL 10 Dr. Justiniano Antonio General Infirmary Mati 5 DAVAO ORIENTAL PROVINCIAL HOSPITAL 100 Dr. Resuldo Malintad General SC 1 TOMAS LACHICA DISTRICT HOSPITAL 25 General Infirmary ILIGAN CITY DOH/RET HOSP. MEDCTR. 3416225 2212536/ fx 0633576751 SOUTHERN MINDANAO REGION COMPOSTELA VALLEY DAVAO DEL SUR Jose Abad Santos Dr. Ignacio Matbagan 920-5639228 084-3720335 4003199 REGL LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NAME OF HOSPITAL ABC* CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO DOH/RET HOSP. Kiblawan 2 GREGORIO MATAS DISTRICT HOSPITAL 25 Dr. Nixon Yee General Secondary Matanao 3 MATANAO MEDICARE COMMUNITY HOSPITAL 15 Dr. Ma. Luz LC Torres General Infirmary 1 DAVAO DEL SUR PROVINCIAL HOSPITAL 100 Dr. Mahelinde Colmenares General SC 5532682 Bajada 1 DAVAO MEDICAL CENTER 400 Dr. Gerardo Cunanan General TC 2272731 MEDCTR Camp Panacan 2 CAMP PANACAN STATION HOSPITAL SOUTHERN AFP 35 Lt. Col. Joselito Lonzame General Primary 082-2414166 Lower Kibalong, Marilog Dist. 3 MARILOG DISTRICT HOSPITAL 10 Dr. Edward Ladrido General Infirmary 082-2273974 DIGOS CITY DAVAO CITY NO. MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CENTRAL MINDANAO REGION NORTH COTABATO Alamada 1 ALAMADA PROVINCIAL COMMUNITY HOSPITAL 10 Dr. Florilyn Pimentel General Infirmary Aleosan 2 ALEOSAN DISTRICT HOSPITAL 35 Dr. Jacqueline Docil (OIC) General FLRH (page 24) NORTH COTABATO NORTH COTABATO Arakan 3 ARAKAN VALLEY DISTRICT HOSPITAL 25 Dr. Alex Cabrera General Primary Kabacan 4 M'LANG DISTRICT HOSPITAL 25 Dr. Lilian Roldan General FLRH Amas, Kidapawan 5 COTABATO PROVINCIAL HOSPITAL 100 Dr. Reuel N. Toledo Jr. General FLRH USM Campus, Kabacan 6 USM HOSPITAL 30 Dr. Betty G. Quiapo General FLRH Poblacion 4, Midsayap 7 DR. AMADO DIAZ PROVINCIAL FOUND. HOSP. 25 Dr. Rosario Isabel P. Pader General Infirmary New Cebu Pres. Roxas 8 NEW CEBU PROVINCIAL HOSPITAL - ANNEX 10 Dr. Sabino Marasigan General Primary Tuluran 9 FR. TULIO FAVALI MUNICIPAL HOSPITAL 10 Dr. Chedita Briones General Infirmary 1 COTABATO REGIONAL AND MEDICAL CENTER 400 Dr. Ariadne G. Silongan General TC SK, Maguindanao 2 COTABATO SANITARIUM HOSPITAL 190 Dr. Rogelio D. Chua, OIC General Infirmary Isulan 1 SULTAN KUDARAT PROVINCIAL HOSPITAL 50 General FLRH Lambayong 2 SULTAN SA BARONGUIS DISTRICT HOSPITAL 25 Dr. Felicisimo Evangelista General FLRH Poblacion, Kalamansig 3 KALAMANSIG MUNICIPAL HOSPITAL 10 Dr. Idette Lucile S. Urutia General Infirmary COTABATO CITY Sinsuat Ave.Rosary Heights SULTAN KUDARAT Dr. Isaias de Peralta 064-3415844 9175481621 064-4212192 MEDCTR 4290133 SANITARIA 2013034 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION SOUTH COTABATO SARANGANI NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO Salaman, Lebak 4 MEDICARE COMMUNITY HOSPITAL OF LEBAK 15 Dr. Primo Castillon, Jr. General Infirmary 2094446 Sen. Ninoy Aquino 5 SEN. NINOY AQUINO MUNICIPAL HOSPITAL 10 Dr. Rizalino Urbano General Infirmary 9193281685 Koronadal 1 SOUTH COTABATO PROVINCIAL HOSPITAL 100 Dr. Conrado Braña General TC Lake Sebu 2 LAKE SEBU MUNICIPAL HOSPITAL 10 General Infirmary Dr. Mila Quinton Norala 3 NORALA DISTRICT HOSPITAL 25 Dr. Santiaga Balayon General FLRH Polomolok 4 POLOMOLOK MUNICIPAL HOSPITAL 10 Dr. Rogelio Aturdido, Jr. General Infirmary Tupi 5 ROEL I. SENADOR, MD. MEMORIAL HOSPITAL 10 Dr. Mary Janet Marcelino General Infirmary Glan 1 GLAN MEDICARE COMMUNITY HOSPITAL 15 Dr. Eden Rose Malanao General Infirmary Kiamba 2 KIAMBA DISTRICT HOSPITAL 25 Dr. Antonio Dandionco General Infirmary Maasim 3 MAASIM MUNICIPAL HOSPITAL 10 Dr. Jose Lukban General Infirmary Maitum 4 MAITUM MUNICIPAL HOSPITAL 10 Dr. Junie Basmillo General Infirmary DOH/RET HOSP. 2282919 (page 25) NOTE: FROM REG. 11 SOUTH COTABATO, GENERAL SANTOS CITY, KORONADAL CITY, SARANGGANI TRANSFERRED TO REG. 12- EFFECTIVE Y2003 NATIONAL CAPITAL REGION MANILA MANILA CALOOCAN CITY QUEZON CITY Taft Avenue, Ermita Pres. Quirino Ave., cor. Roxas Blvd., 677 Geronimo cor. Carola St. Sampaloc 1 UP-PHILIPPINE GENERAL HOSPITAL 1334 Dr. Carmelo A. Alfiler General TLRH 2 OSPITAL NG MAYNILA MEDICAL CENTER 300 Dr. Christia S. Padolina General TC 3 OSPITAL NG SAMPALOC 50 General FLRH Dr. Angel Erich R. Sison 5218450 5246061 7490215 to11/7490207 Lope de Vega St., Sta. Cruz 4 DR. JOSE FABELLA MEMORIAL HOSPITAL 700 Dr. Ruben Flores Special TC 7345561 SPCL Quiricada St., Sta. Cruz 5 SAN LAZARO HOSPITAL 500 Dr. Arturo Cabanban Special TC 7323776 SPCL Rizal Avenue, Sta. Cruz 6 JOSE R. REYES MEMORIAL MEDICAL CTR. 450 Dr. Ma. Alicia M. Lim General TC 7119491 MED.CTR. Delpan St., Tondo 7 GAT ANDRES BONIFACIO MEMORIAL MED. CTR. 150 Dr. Ma. Dolores M. Luna General SLRH 2440858 J. Abad Santos, Tondo Honorio Lopez, Blvd., Balut, Tondo 8 OSPITAL NG TONDO 50 General FLRH 2519401 9 TONDO MEDICAL CENTER 200 Dr. Victor J. dela Cruz General TC 2518420 MEDCTR 109 Caimito Road 1 COL. SALVADOR T. VILLA MEMORIAL HOSPITAL 40 General SC 3612413 Tala 2 DR. JOSE N. RODRIGUEZ MEMORIAL HOSP. 365 Dr. Rolando C. Samson Special FLRH 9629877/8209 SANITARIA Ma. Clara cor. Banawe St. 1 PHILIPPINE ORTHOPEDIC CENTER 700 Dr. Jesus M. Dueñas Special TC 7124601 SPCL Dr. Remedios F. Timbol Dr. Antonio C. Santos LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* V. Luna Road 2 AFP MEDICAL CENTER Camp Gen. E. Aguinaldo, Murphy, Cubao 3 CAMP GEN. EMILIO AGUINALDO STATION HOSP. 25 Camp Crame MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 1200 BGEN. Ronald E. Kempis CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO DOH/RET HOSP. General TLRH 4262701 Col. Efren O. Veran (CSG)MC General FLRH 4 PNP GENERAL HOSPITAL (Main) 150 P/Supt. Georgia D. Regalado General SC 9116005/9116001 7230401 loc3983 266 E. Rodriguez Sr. Blvd. 5 NATIONAL CHILDREN'S HOSPITAL 250 Dr. Marieta R. Siongco Special TLRH E. Rodriguez Sr., Ave. 6 QUEZON INSTITUTE 200 Dr. Ernesto M. Molina Special TLRH Seminary Road, EDSA 7 QUEZON CITY GENERAL HOSPITAL 250 Dr. Edgardo de Villa Salud General TC East Avenue 8 EAST AVENUE MEDICAL CENTER 350 Dr. Gilberto Del Castillo General TC MEDCTR East Avenue 9 NATIONAL KIDNEY AND TRANSPLANT INSTITUTE 224 Dr. Enrique T. Ona Special TC 9243601 SPCLTY East Avenue, Diliman 10 PHILIPPINE HEART CENTER 280 Dr. Ludgerio D. Torres Special TC 9252401 SPCLTY J.P. Laurel St., UP Campus, Diliman 11 UP HEALTH SERVICES 50 General Infirmary 9283608/ 9205301 7240656 SPCL 7813761-65 9297224 (page 26) QUEZON CITY North Avenue, Diliman Quirino Highway, Bgy. Sn Bartolome, Nova. 12 VETERANS MEMORIAL MEDICAL CENTER 766 Dr. Antonio Sison General TC 9276426 13 NOVALICHES DISTRICT HOSPITAL 30 Dr. Eduardo F. Aldana General FLRH 4185987 Quezon Avenue Ext. 14 LUNG CENTER OF THE PHILIPPINES 98 Dr. Juanito A. Rubio (OIC) Special TC Quezon Avenue 15 PHILIPPINE CHILDREN'S MEDICAL CENTER 200 Dr. Lilian V. Lee Special TLRH Katipunan Road, Proj. 4, 16 QUIRINO MEMORIAL MEDICAL CENTER 300 Dr. Rosalinda I. Arandia General TC Bernabe Cmpd., Diego Cera LAS PÑAS CITY St., Pulang Lupa I MAKATI CITY MANDLUYONG CITY Dr. Marcia E. Macalinao 1 LAS PIÑAS DISTRICT HOSPITAL 2 LAS PIÑAS CITY LYING-IN CENTER (NEW) 50 12 Fort Andres Bonifacio 1 FORT BONIFACIO GENERAL HOSPITAL Fort Bonifacio Fort Bonifacio 605 Boni Avenue, Bgy. Plainview 9246601-25 SPCLTY 9134758 MEDCTR 8731887/ 8730556 DIST General Special FLRH BH 200 Col. William Yu,MC (GSC)PA General FLRH 8127416 LOC.4601 2 MANILA NAVAL HOSPITAL 100 LCol. Joselito P. Avancena General FLRH 8928261 3 OSPITAL NG MAKATI 200 Dr. Ernesto A. Santos General TLRH 8826316 FLRH 5322563/5322 78/5320480 1 MANDALUYONG CITY MEDICAL CENTER 50 Dr. Irma Asuncion Dr. Julio P. Javier II 9246101 SPCLTY Dr. Alfredo L. Lo, FPCS General LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION MARIKINA CITY Sumulong Highway MALABON MUNTINLUPA CITY (page 27) MUNTINLUPA CITY NO. NAME OF HOSPITAL 1 AMANG RODRIGUEZ MEDICAL CENTER ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL 150 Dr. Roland L. Cortez CATEGORY/ **SERVICE CLASS CAPABILITY General TC Maya-Maya St., cor. Dagatdagatan Ave. Kaunlaran Vill. 1 PAGAMUTANG BAYAN NG MALABON 18 Dr. Roberto R. Romero General Infirmary Rosita Subdv., O. Reyes St., Santulan 2 SAN LORENZO RUIZ WOMEN'S HOSPITAL 10 Dr. Ma. Isabelita M. Estrella Special PC Alabang 1 RESEARCH INSTITUTE FOR TROPICAL MEDICINE 50 Dr. Remigio M. Olveda Special TC TEL NO/FX NO DOH/RET HOSP. 9420245 MEDCTR 2813499/ 2852804 2944853/ 2944855 SPECIAL RESEARCH Civic Drive, Filinvest Corp.City, Alabang Bu. of Corrections, NBP Reservation 2 OSPITAL NG MUNTINLUPA 149 Dr. Jodor A. Lim General SC 7710464/ 7710128 3 NEW BILIBID PRISON HOSPITAL 500 Dr. Ma. Luz E. Villanueva General FLRH 8500143 National Road, Putatan 4 MUNTINLUPA LYING-IN CENTER 10 Dr. Azucena Velasco Special BH 8612461 PQUE CITY Quirino Ave., La Huerta 1 PARAÑAQUE COMMUNITY HOSPITAL 50 Dr. Loreleigh R. Santiago General FLRH 8264060/ 8264060 PASAY CITY Villamor Air Base 1 AIR FORCE GENERAL HOSPITAL 100 Col. Edgar B. Erediano General SC 8535056 P. Burgos Street 2 PASAY CITY GENERAL HOSPITAL 150 Dr. Oscar Linao General TC 8313285 F. Legaspi St., Maybunga 1 PASIG CITY GENERAL HOSPITAL 100 Dr. Pacifico Gangan General TC 6427380 Pasig Blvd. 2 RIZAL MEDICAL CENTER 300 Dr. Bernardita Javier (OIC) General TC 6719740 MEDCTR SAN JUAN N. Domingo Street 1 SAN JUAN MEDICAL CENTER 150 Dr. Lorenzo M. Hocson General FLRH TAGUIG East Service Rd., Western Bicutan 1 TAGUIG-PATEROS DISTRICT HOSPITAL 50 General PC PASIG CITY Dr. Eleazar B. Lim 7259804/9948/725 3765 8378132/ 8378132 DIST LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION VALENZUELA CITY BATANES NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Padrigal St., Karuhatan 1 VALENZUELA GENERAL HOSPITAL 100 Dr. Mario Panay Poblacion, Polo 2 VALENZUELA CITY EMERGENCY HOSPITAL 20 Basco 1 BATANES GENERAL HOSPITAL Itbayat CATEGORY/ **SERVICE CLASS CAPABILITY General FLRH Dr. Helen Agustin-de Guzman General Infirmary 50 Dr. Epifanio Pagalilauan Jr. General FLRH 2 ITBAYAT DISTRICT HOSPITAL 25 Dr. Martin Heginio Querubin General Infirmary 1 BALINDONG DISTRICT HOSPITAL 10 Dr. Mashiding Lumandong General Infirmary 2 DR. SERAPIO MONTANER AL-HAJ. MEMORIAL HOSP. 25 Dr. Romeo G. Montaner General Secondary Dr. Putri Ali TEL NO/FX NO 2946711-17 /2932936 DIST 981992599 REGL - ARMM LANAO DEL SUR Balindong (page 28) LANAO DEL SUR Malabang Tamparan 3 TAMPARAN DISTRICT HOSPITAL 25 Wao 4 WAO DISTRICT HOSPITAL 25 1 CAMP SIONCO STATION HOSPITAL 50 MAGUINDANAO Awang Datu Odin Sinsuat - LT. COL. Eduardo Jesus M. Flores General Secondary General Infirmary General Infirmary Shariff Aguak 2 MAGUINDANAO PROVINCIAL HOSPITAL 50 Dr. Tahir Sulaik, OIC General Secondary Buluan 3 BULUAN DISTRICT HOSPITAL 25 Dr. Teogenes Baluma General Secondary SULU Jolo 1 SULU PROVINCIAL HOSPITAL 100 Dr. Fahra Tan-Omar General Secondary TAWI-TAWI Bongao 1 DATU HALUN SAKILAN MEMORIAL HOSPITAL 50 Dr. Edward H. Chio General Infirmary Mapun, Cagayan de Tawi Tawi 2 CAGAYAN DE TAWI-TAWI DISTRICT HOSPITAL 25 Dr. Remedios F. Dajao General Secondary Cabadbaran 1 CABADBARAN DISTRICT HOSPITAL 25 Dr. Eleuterio R. Bahena II General FLRH Jabonga 2 JABONGA MUNICIPAL HOSPITAL 10 Dr. Roberto B. Sagado General Infirmary CARA GA AGUSAN DEL NORTE DOH/RET HOSP. 3431211 Kitcharao 3 KITCHARAO DISTRICT HOSPITAL 25 Dr. Elizabeth N. Campado General Infirmary Nasipit 4 NASIPIT DISTRICT HOSPITAL 25 Dr. Ruby M. Toribio General FLRH 9197144854 3432053 Las Nieves 5 LAS NIEVES MUNICIPAL HOSPITAL 10 Dr. Harry Capile General Infirmary 3413535 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION BUTUAN CITY AGUSAN DEL SUR NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY Libertad 1 AGUSAN DEL NORTE PROVINCIAL HOSPITAL 100 Dr. Mercedes Atupan General SC Km. 5, Baan 2 BUTUAN MEDICAL CENTER 100 Dr. Wilfredo R. Dulu General SC Bayugan 1 BAYUGAN COMMUNITY HOSPITAL 15 Dr. Romeo B. Cedeño General Infirmary Bunawan 2 BUNAWAN DISTRICT HOSPITAL 50 Dr. Reinerio P. Jalalon General FLRH TEL NO/FX NO DOH/RET HOSP. 085-3415129 3417460/ 3425499 2312136 Esperanza 3 ESPERANZA MEDICARE COMMUNITY HOSPITAL 15 Dr. Elsa C. Gunay General Infirmary La Paz 4 LA PAZ MUNICIPAL HOSPITAL 10 Dr. Orestes Costibolo General Infirmary PLDT085-198 Loreto 5 LORETO MUNICIPAL HOSPITAL 10 Dr. Cesar Laihee General Infirmary Patin-ay 6 D.O. PLAZA MEMORIAL HOSPITAL 100 Dr. Joel Esparagoza General SC Albor 1 ALBOR DISTRICT HOSPITAL 10 Dr. Celma Calunsag-Gallardo General Infirmary Dinagat 2 DINAGAT DISTRICT HOSPITAL 30 Dr. Douglas D. Subang General Infirmary 2326577 Gigaquit 3 GIGAGUIT MUNICIPAL HOSPITAL 10 Dr. Mariana R. Eliot General Infirmary 2545353 Loreto 4 LORETO DISTRICT HOSPITAL 10 Dr. Domingo B. Abuyme Jr. General Infirmary 2326579 Mainit 5 MAINIT MEDICARE COMMUNITY HOSPITAL 15 Dr. Ramie Hipe General Infirmary 086-8265305 Placer 6 PLACER DISTRICT HOSPITAL 30 Dr. Georgia R. Liwanag General Infirmary 8265325 Pilar 7 PILAR DISTRICT HOSPITAL 25 Dr. Leonora G. Andanar General Infirmary Sta. Monica 8 STA. MONICA MUNICIPAL HOSPITAL 10 Dr. Esterlina Tan General Infirmary Socorro 9 SOCORRO DISTRICT HOSPITAL 10 Dr. Narpil Pepito General Infirmary Rizal Street 1 CARAGA REGIONAL HOSPITAL 150 Dr. Ponciano Limcangco (OIC) General SC 1 BISLIG DISTRICT HOSPITAL 25 Dr. Elenita I. Jakosalem General FLRH Cortes 1 CORTES MUNICIPAL HOSPITAL 10 Dr. Felipe G. Cristobal Jr. General Infirmary Hinatuan 2 HINATUAN DISTRICT HOSPITAL 25 Dr. Danilo J. Viola General FLRH (page 29) AGUSAN DEL SUR SURIGAO DEL NORTE SURIGAO CITY SUR- BISLIG CITY SURIGAO DEL SUR 3437441 8262550 086-8263157/ 8261748 REGL 8536008 8535112 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO Lianga 3 LIANGA DISTRICT HOSPITAL 25 Dr. Wilma Joji O. Yu General FLRH 8535222 Lingig 4 LINGIG COMMUNITY HOSPITAL 10 Dr. Jose L. Restificar General Infirmary 8535282 Madrid 5 MADRID DISTRICT HOSPITAL 25 Dr. Exelente Jesus Exito Tajo General PC Marihatag 6 MARIHATAG DISTRICT HOSPITAL 25 Dr. Romeo P. de los Reyes General Infirmary San Miguel 7 SAN MIGUEL COMMUNITY HOSPITAL 10 Dr. Lucila F. Baruc General Infirmary Tandag 8 ADELA SERRA TY MEMORIAL MEDICAL HOSPITAL 100 Dr. Teodofreda Sarabosing General FLRH Bangued 1 ABRA PROVINCIAL HOSPITAL 100 Dr. Leona Berona General FLRH Bucay 2 BUCAY MUNICIPAL HOSPITAL 10 General Infirmary DOH/RET HOSP. 2113700 MEDCTR (page 30) CORDILLERA ADMINISTRATIVE REGION ABRA BENGUET BAGUIO CITY Dolores 3 DOLORES MEDICARE AND COMMUNITY HOSP. 10 Dr. Dexter B. Plunad General Infirmary 9179082330 La Paz 4 LA PAZ DISTRICT HOSPITAL 25 Dr. Bonifacio Valera General Infirmary 9186620916 Villaviciosa 5 VILLAVICIOSA MEDICARE AND COMMUNITY HOSP. 15 Dr. Manuela Fontanilla General Infirmary 9173834204 Abatan, Buguias 1 ABATAN EMERGENCY HOSPITAL 8 Dr. Ma. Imelda Ulep General Infirmary 9194632177 Sayangan, Atok 2 ATOK DISTRICT HOSPITAL 25 Dr. Winton A. Yap General FLRH Bokod 3 DENNIS MOLINTAS MUNICIPAL HOSPITAL 10 Dr. Eduardo Calpito General Infirmary Kapangan 4 KAPANGAN MEDICARE AND COMMUNITY HOSP. 15 Dr. Joseph Giovanni Frias General Infirmary Tinogdan, Itogon 5 ITOGON MUNICIPAL HOSPITAL 10 Dr. Nora M. Ruiz General Infirmary 9164857164 La Trinidad 6 BENGUET GENERAL HOSPITAL 100 Dr. Esteban Piok General FLRH 074-4225506 PMA 1 FORT DEL PILAR STATION HOSPITAL 2 BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER 50 General FLRH 744422826 350 Dr. Manuel Factora General TLRH 25 Dr. Joseph Bulayungan General Infirmary Gov.Park Rd. IFUGAO Dr. Loribee Ann Sevilla 9173772558 Alfonso Potia POTIA DISTRICT HOSPITAL Lt. Col. Mariano Mejia, MC(GSC) Hungduan 1 HUNGDUAN MUNICIPAL HOSPITAL 10 Dr. Angelina Bautista General Infirmary Lagawe 2 IFUGAO GENERAL HOSPITAL 75 Dr. Mary Josephine Dulawan General FLRH Mayoyao 3 MAYOYAO DISTRICT HOSPITAL 30 Dr. Prescilla Pagada General FLRH Panopdopan,Lamut 4 PANOPDOPAN DISTRICT HOSPITAL 25 Dr. Joel Daway Molina General Infirmary Talite 5 AGUINALDO PEOPLE'S HOSPITAL 10 Dr. Joel Dulnuan General Infirmary 4424216 MEDCTR 9182841905 LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION Tinoc APAYAO NO. NAME OF HOSPITAL 6 TINOC DISTRICT HOSPITAL ABC* 25 MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Dr. Rogelio Cagadas CATEGORY/ **SERVICE CLASS CAPABILITY General TEL NO/FX NO DOH/RET HOSP. Infirmary Calanasan 1 APAYAO DISTRICT HOSPITAL 25 Dr. Nelson Rigor, Jr. General Infirmary Mabubua,Calafug,Conner 2 CONNER DISTRICT HOSPITAL 10 Dr. Vicente Zaldivar General Infirmary 9196994043 Flora 3 FLORA DISTRICT HOSPITAL 25 Dr. Nicolo Ganac (OIC) General Infirmary 9205332039 Kabugao 4 APAYAO PROVINCIAL HOSPITAL 25 Dr. Flora Dulay (OIC) General Infirmary 9275728586 Pob. Luna 5 FAR NORTH LUZON GEN. HOSP. AND TRAINING CENTER 35 Dr. Danilo Domingo General FLRH Pudtol 6 AMMA JADSAC DISTRICT HOSPITAL 25 Dr. Mary Elisa S. Galleon General Infirmary 9194314582 Sta. Marcela 7 SANTA MARCELA MEDICARE AND COMMUNITY HOSP. 15 Dr. Roy Julian General Infirmary 916540332 DIST DIST (page 31) APAYAO KALINGA MT. PROVINCE Balbalan 1 WESTERN KALINGA DISTRICT HOSPITAL 25 Dr. Reynaldo Aranca (OIC) General Infirmary 9155712470 Lubuagan 2 KALINGA DISTRICT HOSPITAL 50 Dr. Joyce Magsaysay General Infirmary 9183684299 Pinukpuk 3 PINUKPUK DISTRICT HOSPITAL 25 Dr. Jose Aguinaldo General Infirmary N/A Rizal 4 JUAN M. DUYAN DISTRICT HOSPITAL 25 Dr. Rosalinda O. Jambaro General Infirmary 9176244527 Barlig 1 BARLIG DISTRICT HOSPITAL 25 Dr. Frances Camantiles General FLRH N/A Bauko 2 LUIS HORA MEMORIAL AND REGIONAL HOSP. 75 Dr. Edgardo Bolompo General FLRH 9194418559 REGL Bessao 3 BESSAO DISTRICT HOSPITAL 25 Dr. Maredine Kingat (OIC) General FLRH 9207005356 Bontoc 4 BONTOC GENERAL HOSPITAL 100 Dr. Penelope Domogo (OIC) General FLRH 9102472646 Natonin 5 NATONIN COMMUNITY HOSPITAL 10 Dr. Felix Mangaltang General Infirmary Paracelis 6 PARACELIS DISTRICT HOSPITAL 8 Dr. Presentacion Matib General Infirmary NOTE: PC= Primary Care SC = Secondary Care TC= Tertiary Care; *ABC = Authorized Bed Capacity **ADMINISTRATIVE ORDER 147 S., 2004 (A.O. 70-A s., 2004 / A.O.68-A s. 1989) PRIMARY CARE( FIRST LEVEL REFERRAL HOSP./ SECONDARY) Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality. SECONDARY CARE (SECOND LEVEL REFRL HOSP./ TERTIARY) Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment, surgical procedure and intensive care. N/A LIST OF LICENSED GOVERNMENT HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL CATEGORY/ **SERVICE CLASS CAPABILITY TEL NO/FX NO TERTIARY CARE (THIRD LEVEL REFRL HOSP./ BIRTHING HOME Teaching and training hospitals that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and sub-specialized forms of treatment, surgical procedure and intensive care. A health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies. A health facility that provides maternity service on pre-natal and post-natal care, normal spontaneous delivery, and care of newborn babies. ACUTE CHRONIC PSYCHIATRIC CARE FACILITY A health facility that provides medical service, nursing care, pharmacological treatment, psychosocial intervention for mentally ill patients. CUSTODIAL PSYCHIATRIC CARE FACILITY A health facility that provides long term care , including basic human services such as food and shelter, to chronic mentally ill patients. TERTIARY) INFIRMARY ( INFIRMARY / PRIMARY ) DOH/RET HOSP. Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. ILOCOS REGION ILOCOS NORTE LAOAG CITY Bacarra 1 DNA. BONIFACIA ALBANO MEMORIAL HOSPITAL 25 Dr. Eduardo Padron General Batac 2 GAOAT GENERAL HOSPITAL 20 Dr. Policarpio Gaoat Brgy. 15, San Nicolas 3 GERTES CLINIC AND HOSPITAL 10 Dr. Germiniano Gertes Vintar 4 CLINICA SAN PEDRO 7 Brgy. 7-A Hernandez Ave. 1 DR. ANTONIO A. RANADA LYING-IN CLINIC & HOSP. 10 CANDON CITY 7760073 General FLRH 7923040 General Infirmary 7703802 Dr. Rebecca Cabanos General Infirmary 7740121 Dr. Antonio Ranada General Infirmary 7715387 2 NORTHERN DOCTOR'S GENERAL HOSPITAL 25 Dr. Lannec Baquiran General FLRH 7731354 18-A Mabini St. 3 OUR LADY OF FATIMA MEDICAL CLINIC & HOSP. 8 Dr. Reuben Castillo General Infirmary 7721305 Brgy. 9, Balintawak St. 4 RANADA GENERAL HOSPITAL 20 Dr. Francisco Ranada General Infirmary 7711108 6 Dr. Ruth Santos General Infirmary 220747 5 SANTOS CLINIC AND HOSPITAL ILOCOS SUR Infirmary Bantay 1 METRO VIGAN COOPERATIVE HOSPITAL 47 Dr. Digna Ragasa General SC 7224499 Cabugao 2 PIRA CLINIC & HOSPITAL 18 Dr. Romeo Pira General FLRH 7285105 Cabugao 3 SUERO GENERAL HOSPITAL 25 Dr. Chita Suero General FLRH 7985293 Sto. Domingo 4 TOLENTINO CLINIC & HOSPITAL 10 Dr. Benjamin Tolentino General Infirmary 7263959 Sta. Maria 5 REYES CLINIC & HOSPITAL 15 Dr. Godofredo Reyes General Infirmary 7325511 Brgy. Baliw Laud, Sta. Maria 6 STO. NIÑO HOSPITAL 11 Dr. Aurea Matias Special Infirmary 7325573 Sinait 7 CORPUZ CLINIC & HOSPITAL 20 Dr. Martin Corpuz General FLRH 7288076 Del Pilar, Tagudin 8 10 Dr. Mario M. Atiga General Infirmary 7487831 Candon City 43 Medarang, San Jose Sta. Catalina PACENCIA GONZALES MEMORIAL EMERGENCY HOSP. 1 CANDON GENERAL HOSPITAL 25 Dr. Alfred Galut General FLRH 7426112 2 HOLY FAMILY HOSPITAL 31 Dr. Mila Marie Guerrero General FLRH 7426618 3 RESONABLE HOSPITAL 10 Dr. Hipolito Resonable General Infirmary 4 ST. MARTIN DE PORRES HOSPITAL 25 Dr. Modesto Pacquing General FLRH 7426464 5 RECEL MEDICAL CLINIC & HOSPITAL 8 Dr. Esteban Recel General Infirmary 7224804 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 2) VIGAN CITY LA UNION Vigan City 15 Dr. Pablo Acas General Infirmary 15 Dr. Agustin Adora General Infirmary 3 ANCHETA CLINIC & HOSPITAL 13 Dr. Susano Ancheta General Infirmary 7222258 7222589 4 FIGUERRES CLINIC & HOSPITAL 20 Dr. Alfredo Figuerres General Infirmary 7222418 5 LAHOZ CLINIC & HOSPITAL 20 Dr. Gerardo Lahoz General Secondary 7222175 59 Rizal Street 6 RABARA CLINIC AND HOSPITAL 10 Dr. Charles Rabara General Infirmary Pantay Dayan 7 ST. JAMES HOSPITAL 45 Dr. Glenn Battad General FLRH 7222945 Vigan 8 TEJANO CLINIC & HOSPITAL 12 Dr. Cirilo Tejano General Infirmary 7222366 Vigan 9 25 Dr. Rosita Rialubin General FLRH 7222990 Jose Singson ILOCOS SUR COOPERATIVE MEDICAL MISSION GROUP AND 10 HOSP. 8 Dr. Manuel Cajigal General Infirmary 2425315 San Pedro, Agoo 1 AGOO FAMILY HOSPITAL 15 Dr. Jose Aspiras Jr. General FLRH 5210648 Agoo 2 AGOO MEDICAL CLINIC 24 Dr. Amado Baltazar General Infirmary 5210757 Agoo 3 10 Dr. Mariano Panes General Infirmary 5210562 Sta. Barbara, Agoo 4 TORIO MATERNITY AND MEDICAL CENTER 10 Dr. Thelma Torio General Infirmary 5210732 Bangar 5 MARTINEZ MATERNITY & LYING-IN CLINIC 6 Dr. Rosa Martinez General Infirmary 8883425 1 BETHANY HOSPITAL, INC. 80 Dr. Antonio Orencia General TLRH 2422868/2420804 2 LA UNION MEDICAL DIAGNOSTIC CENTER 20 Dr. Dante Cirilo Rey S. Valdez General SC 2424796/2424797 3 LORMA MEDICAL CENTER 136 Dr. Juan Komiya General TLRH (72)412616to18 Bolaney, Alaminos 1 ALAMINOS DOCTOR'S HOSPITAL 25 Dr. Aida T. de Castro General FLRH 5515427 Sadsaran 2 C AND H MEDICAL AND SURGICAL CLINIC (NEW) 10 Dr. Tessie H. Aquino General Infirmary 5515409 Carlatan PANGASINAN ACAS CLINIC & HOSPITAL ADORA CLINIC & HOSPITAL Vigan SAN FERNANDO CITY PANGASINAN ALAMINOS CITY 1 2 VIGAN POLYCLINIC URGENT SURGICAL & MEDICAL CARE HOSPITAL Aguilar 1 ZARATAN JIMENEZ MEDICAL CLINIC 15 Dr. Fe Jimenez General Infirmary 5490206 Nandacan, Bautista 2 SAN JUAN BAUTISTA HOSPITAL 9 Dr. Enrica E. Manaligod General Infirmary 5919332 Bayambang 3 NUESTRO SENIOR. STO. NIÑO HOSPITAL, INC. 25 Dr. Ronaldo Toledo General FLRH 5922290 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 3) PANGASINAN Binalonan 4 PRUDENCIO MEDICAL CLINIC 10 Dr. Carlos Prudencio General Infirmary 5691090 Binalonan 5 SABALLA-ROSARIO HOSPITAL 20 Dr. Florentina Rosario General Infirmary 5624375 Sta. Fe Subdiv., Binalonan 6 ST. THOMAS AQUINAS HOSPITAL 8 Dr. Rogelio Cabida General Infirmary 5622414 Bugallon 7 LITTLE HOME CLINIC 15 Dr. Fe Jimenez General Infirmary Romulo Highway, Bugallon 8 BUGALLON GEN. HOSP. AND DIALYSIS CENTER (NEW) 15 Dr. Edith S. Bermudez General PC Labrador 9 ROSARIO-TRINIO MEDICAL CLINIC 10 Dr. Reynaldo Trinio General Infirmary Lingayen 10 LINGAYEN SACRED HEART HOSPITAL 7 Dr. Norberto Felix General Infirmary Lingayen 11 STO NIÑO DE CASIPIT HOSP.( former STO. NIÑO HOSP) 15 Dr. Joselito Casipit General Infirmary 5426116 Lingayen 12 URDUJA GENERAL HOSPITAL 25 Dr. Emelita Cachola General Infirmary 5422946 Lingayen 13 URDUJA GENERAL HOSPITAL ( former RAMOS FAMILY CLINIC ) 25 Dr. Emelita Cachola General Infirmary 5422946 Malasiqui 14 ESPINOZA-ROSARIO HOSPITAL 7 Dr. Renato Espinosa General Infirmary 5363108 Malasiqui 15 PERPETUAL HELP HOSPITAL 25 Dr. Benjamin Fadullon General Infirmary 5362143 Mangatarem 16 LOPEZ FAMILY CLINIC & HOSPITAL 12 Dr. Fernando Lopez General Infirmary 5468089 Mangatarem 17 VELASQUEZ MEDICAL CLINIC 10 Mrs. Betty Velasquez General Infirmary 5468083 Carmen, Rosales 18 BAÑEZ CLINIC 15 Dr. Reynaldo Bañez General PC 5490206 5490206 075-5444031 5488816 Carmen, Rosales 19 DEL CARMEN MEDICAL CLINIC & HOSPITAL 11 Dr. Nielo Ausa General Infirmary 5822116 Rosales 20 DR. MARCELO H. CHAN MEMORIAL HOSPITAL 15 Dr. Ma. Theresa Chan General Infirmary 5080688 Rosales 21 FABRO MEDICAL CLINIC & PRIMARY HOSPITAL 5 Dr. Petra Ocampo General Infirmary 5822416 5823073 Rosales 22 SAN ANTONIO DE PADUA HOSPITAL 24 Dr. Reuben Fernandez General PC San Manuel 23 F.B. ASUNCION HOSPITAL 10 Dr. Necita Asuncion General Infirmary Tayug 17 Dr. Joy R. Ubaldo General PC 5722241 Villasis 24 TAYUG FAMILY HOSPITAL (former Tayug Family Clin&Lab) DR. REYNALDO ORDOÑEZ MEMO. MEDICAL CLINIC AND 25 CHILDREN'S HOSP. 10 Dr. Elvis Ordoñez General Infirmary 5644082 Villasis 26 VILLASIS POLYMEDIC HOSPITAL & TRAUMA CTR. 22 Dr. Francisco Olivar General PC 5643888 1 CUISON FAMILY CLINIC (former Cuison Hospital, Inc.) 27 Dr. Fausto Cuison General PC 5221075 PANGASINAN DAGUPAN CITY Mayombo Dist. 2 DAGUPAN DOCTORS-VILLAFLOR MEM. HOSP. 80 Dr. Vivencio Villaflor, Jr. General TLRH 5227629/30 3 LUZON MEDICAL HOSPITAL 25 Dr. Teresita Santiago General FLRH 5152149 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION (page 4) PANGASINAN DAGUPAN CITY NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. 4 MEDICAL CENTRUM DAGUPAN CENTER 35 Dr. Eugenio de Leon General FLRH 5158447 5 NAZARETH GENERAL HOSPITAL 37 Dr. Edmundo Exconde General FLRH 5231253 Tapuac 6 PANGASINAN CENTER FOR FAMILY MEDICINE, INC. 75 Dr. Acela-Caramat Tuazon General TLRH (075)5156160 Tapuac District 7 LUZON MEDICAL CENTER (NEW) 35 Dr. Teresita Reyna-Santiago General SC 5152419 Nable St. 8 PANGASINAN MEDICAL CENTER, INC. 75 Dr. Felipe Rodriguez General SC 5222145 9 RAMOS NURSERY & CHILDREN'S HOSPITAL 21 Dr. Elisa Ramos Special Infirmary 5235213 Tapuac Dist. 10 DAGUPAN ORTHOPEDIC CENTER 15 Dr. Raul Sabado Special FLRH 5220312 Tapuac Dist. 11 SPECIALIST GROUP HOSP. & TRAUMA CENTER 80 Dr. Carlito Arenas General SC 1 BLESSED FAMILY DOCTORS GEN. HOSPITAL (NEW) 8 Dr. Alfredo P. Bernal General Infirmary 075-5312196 Rizal Ave. 2 ELGUIRA GENERAL HOSPITAL (NEW) 25 Dr. Samuel Elguira General PC 075-5324481 Rizal Ave. 3 PANGASINAN DOCTORS HOSPITAL 25 Dr. Simon Brown General FLRH 5233929 4 VIRGEN MILAGROSA MEDICAL CENTER 75 Dr. Angelo B. Juan General TLRH 5322380 PANGASINAN SAN CARLOS CITY URDANETA CITY 5222254/5235203 1 DIVINE MERCY FOUND. OF URDANETA HOSPITAL (NEW) 7 Dr. Leo Tarectecan General Infirmary 075-5685563 2 FRANCISCO MATERNITY & MEDICAL CLINIC 6 Dr. Josefina Francisco Special Infirmary 5688201 3 HOLY CHILD GENERAL HOSPITAL 25 Dr. Josephine Co General FLRH 5682683 4 URDANETA SACRED HEART HOSPITAL 90 Dr. Felipe Tablada General SC Diego Silang Street, Aparri 1 APPARI CHRISTIAN HOSPITAL, INC. 50 Dr. Jesus Lorenzo General FLRH 8882447/8228267 Aparri 2 LYCEUM OF APARRI HOSPITAL 50 Rev. Fr. Joel M. Reyes General FLRH 9163294655 San Vicente 075-6242296 CAGAYAN VALLEY REGION CAGAYAN Centro 8, Claveria 4 V.A. AGRA EMERGENCY HOSPITAL 10 Dr. Solferino A. Agra General Infirmary Brg. Paradise, Gonzaga 5 GONZAGA COMMUNITY HOSPITAL 10 Dr. Pablo I. Salum General Infirmary Centro Paradise, Gonzaga 6 R. C. NICOLAS CLINIC 9 Dr. Romulo C. Nicolas General Infirmary Bagumbayan, Lal-lo 8 PENEYRA CLINIC & HOSPITAL 10 Dr. Raquel R. Peneyra General Infirmary 8566513 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 5) CAGAYAN Sta. Cruz, Sta. Ana 9 ST. ANTHONY CHARITY HOSPITAL 17 Sr. Zenaida Vasello General Infirmary Centro 2, Sanchez Mira 10 ASANIAS POLYCLINIC DR. MARGARITA T. GUARING MEDICAL AND 11 MATERNITY CLINIC 8 Dr. Ma. Imelda Lutgarda Asanias General Infirmary 4 Dr. Margarita Taguba Guaring Special BH 1 CLINICA DE LEON 24 Dr. Albert de Leon General FLRH 8441608/8440013 Buntun 2 SAINT PAUL HOSPITAL 60 Dr. Sergio Mamba General FLRH 8442575/8443083 Roxas Avenue 3 HOLY INFANT CLINIC 35 Dr. Ronald P. Guzman General FLRH 8441039 Magsaysay, Alicia 1 LUCAS-PAGUILA CLINIC AND HOSPITAL 15 Dr. Mila I. Paguila General Infirmary Quezon Street, Magsaysay, Alicia TOMAS-CACAL MEDICAL CLINIC & HOSP. (former Tomas Cacal 2 Hospital) 15 Dr. Ferdinand Cacal General PC Alicia 3 MANANGO HOSPITAL 20 Dr. Danilo Manango General FLRH Sn Antonio, Delfin Albano 4 GAMBALAN HOPSITAL 8 Dr. Maximo Gambalan General Infirmary 23 Rizal St., Centro, Solana TUGUEGARAO CITY Bonifacio Street ISABELA /(078)8248079 6627073/6627353 /(078)6627813 74 Ragan Sur, Delfin Albano 5 DR. JANET TUMOLVA-LUSUNG MED. CLINIC & LYING-IN (NEW) 7 Dr. janet Tumolva-Lusung General Infirmary 0919-5719932 Centro, Cabatuan 6 CABATUAN FAMILY CLINIC 10 Dr. Sergio A. Uy General Infirmary 9173274631 Cabatuan Nat'l. Hi-way, Magsaysay, Cordon 7 DAYRIT HOSPITAL 10 Dr. Cid Dayrit General Infirmary 8 JAVONILLO HOSPITAL 24 Dr. Inesita A. Javonillo General Infirmary Baligatan, Ilagan 9 ISABELA DOCTOR'S GENERAL HOSPITAL 30 Dr. Dante E. Simon General FLRH Burgos St. Ilagan 10 CRUZ MEDICAL CLINIC 17 Dr. Jesus Cruz, Jr. General Infirmary 6949015 6242071/6222675 6223536 Ramon 11 DEMANO'S HOSPITAL AND OUT PATIENT CLINIC 10 Dr. Jeffrey Demano General Infirmary Rang-ayan, Roxas 12 DAYOS-PASCUAL MEDICAL CLINIC 15 Dr. Jocelyn P. Dayos General Infirmary Osmeña St., Vira, Roxas 13 DR. NOEL DE LEON MATERNITY CLINIC 6 Dr. Noel C. de Leon Special Infirmary 6428277 Roxas 14 SOLLER MEDICAL CLINIC 20 Dr. Eden U. Soller General Infirmary 6428144 Roxas 15 DUMLAO HOSPITAL 15 Dr. Noemi B. Dumlao General FLRH LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 6) ISABELA ISABELA CAUAYAN CITY ISABELA SANTIAGO CITY NUEVA VIZCAYA Roxas 16 YUMENA HOSPITAL 5 Dr. Antonio Yumena General Infirmary San Mateo 5 Dr. Ernesto H. Piedad General Infirmary 6642062 Nat'l. Hi-way, San Mateo 17 PIEDAD MEDICAL CLINIC 18 RAMONES GENERAL HOSPITAL -ISABELA BRNCH 10 Dr. Roger A. Ramones General Infirmary 6642493 Burgos St., Dist. II 1 CAUAYAN MEDICAL SPECIALIST HOSPITAL (NEW) 47 Dr. Edwin Villanueva General PC 078-6521401 109 Quezon St., Dist. II 2 THE ROSS MAURICIO MEMORIAL HOSPITAL (NEW) 15 Dr. Edwin Mauricio General Infirmary 078-6345678 San Fermin, Cauayan 3 DR. ESTER GARCIA GENERAL HOSPITAL 24 Dr. Ester R. Garcia General FLRH 6345504 Don J. Canciller Ave 4 BUCAG'S HOSPITAL 18 Dr. Eduardo Bucag General FLRH 6522350 Prenza 5 CAUAYAN FAMILY CLINIC 10 Mr. Simon Aquino General Infirmary 6522411 Roxas Street 6 GINES HOSPITAL 12 Dr. Romulo C. Gines General FLRH 6522452 Turayong 7 ALBANO'S CLINIC 10 Dr. Olga Magpantay General Infirmary 6522476 Centro East 1 CALLANG GENERAL HOSPITAL 50 Dr. Stephen C. Callang General FLRH 6828189/6527126 City Road., Calao East 2 DE VERA'S HOSPITAL & REHABILITATION CENTER 40 Dr. Bonaleth de Vera General FLRH 6828182/6824045 3 CORADO HOSPITAL 9 Dr. Artemio Corado General Infirmary Purok 5, Mabini 4 CAGAYAN VALLEY SANITARIUM & HOSPITAL 50 Dr. Abelardo Osiorio General TLRH 6828486/6828548 Villasis 5 DR. ADOLFO O. FLORES MEMORIAL HOSPITAL 25 Dr. Natividad Flores General FLRH 6828291 6 DR. ESTER GARCIA GENERAL HOSPITAL 24 Dr. Ester Garcia General FLRH 6345504 MEDICAL MISSION GROUP HOSPITAL AND HEALTH SERVICES 1 COOP.- NUEVA VIZCAYA 34 Dr. Exelsior G. Valdez General FLRH 3267945 Brgy. Quezon, Solano CENTRAL LUZON REGION BATAAN BALANGA CITY Capitol Drive 1 ISAAC & CATALINA MULTI-SPECIALTY CENTER 90 Dr. Ranilo Jose Sioson General FLRH Doña Francisca Subd. 2 BATAAN DOCTOR'S HOSPITAL 25 Dr. Francisco Pascual III General FLRH 472373378 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 7) BATAAN BALANGA CITY BATAAN BULACAN Don Manuel Banzon St. 3 BATAAN ST. JOSEPH HOSPITAL 18 Dr. Angel Aquino General FLRH 472372009 St. Joseph Subd. 4 WOMEN'S HOSPITAL 30 Dr. Salud Bagalso General FLRH 472371111 Rizal St. Dinalupihan 1 STO. ROSARIO MATERNITY & MEDICAL CLINIC 8 Dr. Rosario Acuña General Infirmary 474811050 Mariveles 2 MARIVELES HEALTH SERVICES COOPERATIVE HOSP. 12 Dr. Edgardo Zamora General FLRH Calle JP Rizal, Wakas, Orion 3 ORION ST. MICHAEL HOSPITAL (NEW) 10 Dr. Angelito N. Baluyot, Jr. General PC 9354980 Wawa, Balagtas BALAGTAS DOCTORS MEDICAL FOUNDATION, INC. 1 former Holy Family Hospital) ( 25 Dr. Levy Tito M. de Jesus General PC Burol 1st, Balagtas 2 COMMUNITY MEDICAL CLINIC OF BALAGTAS, CO. 12 Dr. Felicitas Lopez General Infirmary 446934320 Burol 2nd,Balagtas 3 GUBATAN CLINIC 14 Dr. Carlos Gubatan General Infirmary 446932468 Burol 2nd, Balagtas 4 GRACE MEMORIAL HOSPITAL FOUNDATION INC. 20 Dr. Sergio Santos General FLRH 044-6932062 5 B. Aquino Ave. , Baliuag 5 DE JESUS GENERAL HOSPITAL 15 Dr. Ramon de Jesus General FLRH 447663062 M. Ponce Street, Baliuag 6 CASTRO MATERNITY HOSPITAL 10 Dr. Jose Castro Special FLRH 447661463 237 M. Ponce St., Baliuag 7 MARCELO HOSPITAL 27 Dr. Severino Marcelo General FLRH 447910390 Sabang, Baliuag 8 RUGAY MATERNITY AND GENERAL HOSPITAL 14 Dr. Angelita Rugay General FLRH 7603457 Tangos, Baliuag 9 SAGRADA FAMILIA HOSPITAL 16 Dr. Erlinda Raymundo General FLRH 448514535 Biñang II, Bocaue 10 ST. PAUL HOSPITAL BULACAN, INC. 50 Dr. Nimfa de Guzman General SLRH (044) 6925964 Bunlo, Bocaue 11 MT. CARMEL HOSPITAL 25 Dr. Lamberto de Lara General FLRH Poblacion, Bocaue 50 Dr. Nanette Yanga General FLRH 446925307 Turo, Bocaue 12 DR. YANGA'S HOSPITAL, INC. BULACAN MEDICAL MISSION GROUP PHARMACY & HOSP.13 TURO BRANCH 15 Dr. Alfred de los Reyes General FLRH 044-6414502 Bustos 14 STO. NIÑO HOSPITAL 26 Dr. Leonora Mendoza General FLRH 449030244 Poblacion, Bustos 15 ST. VINCENT EENT HOSPITAL 16 Dr. Carmelita Chiong Special Secondary 447933414 Calumpit 16 STA. CRUZ HOSPITAL 30 Dr. Norman Josue General FLRH 449131462 113 Cagayan Valley Rd., StaCruz, Guiginto 17 BULACAN POLYMEDIC HOSPITAL 10 Dr. Rafael Cruz General Infirmary 446901731 Guiguinto 18 JESUS OF NAZARETH HOSPITAL 12 Dr. Cecilio Gayagoy General Infirmary 447941202 Guiguinto 19 MAGPOC MATERNITY HOSPITAL, INC. 12 Dr. Ricardo O. Magpoc Special Infirmary 6902963 Hagonoy 20 DIVINE WORD HOSPITAL 10 Dr. Abelardo Tan General Infirmary 447930034 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 8) BULACAN Poblacion 2, Marilao 21 ST. MICHAEL FAMILY HOSPITAL 25 Dr. Veneranda Gemarino General FLRH Gaspar, Lias, Marilao 22 LIA'S CLINICA HERNANDEZ 3 Dr. Marla Hernandez Special BHF 38 Hulo, Meycauayan Mc Arthur Hi-way, Bancal,Meyc. 23 EVANGELISTA HOSPITAL 7 Dr. Raymundo Evangelista General Infirmary 448405139 24 PADRIGUILAN'S MATERNITY & MEDICAL CLINIC 6 Dr. Erlinda France General Infirmary 448406124 Banga, Meycauayan Meymart Rd., Calvario,Meycauayan 25 MEYCAUYAN DOCTORS HOSPITAL, INC. (NEW) 20 Dr. Cesar Ira General PC 26 THE LORD'S HOSPITAL (NEW) 20 Dr. Enrique Puentespina General Infirmary Malhacan, North Div., Meycauayan 27 STA. CLARA DE MONTEFALCO MED. CTR., 91 Dr. John Roger Liquete General SLRH 6953647/6951294 289 St. Francis, Meycauayan 28 ST. FRANCIS OF ASSISI MATERNITY AND GENERAL HOSP. 15 Dr. Herminia Castro General FLRH 448400019 Saluysoy, Meycauayan 29 B. A. HOSPITAL 50 Dr. Wilfredo Ang General FLRH 448406569 Bigte, Norzagaray 30 NODADO GENERAL HOSPITAL 15 Dr. Nicanor Magcale General FLRH 044-7114089 044-8408140 209 Bigte, Norzagaray 31 NORZAGARAY EMERGENCY HOSPITAL 5 Dr. Sabas Adanzo Jr. General Infirmary 11031 Lawa, Obando 32 OUR LADY OF SALAMBAO HOSPITAL 10 Dr. Elpidio de la Cruz General Infirmary Siling Bata, Pandi 33 POSCABLO CLINIC & HOSPITAL 16 Dr. Eduardo Poscablo General FLRH Tabang, Plaridel 34 PLARIDEL COUNTY HOSPITAL 25 Dr. Ricardo Guevarra General FLRH 447957948 Plaridel 35 PLARIDEL EMERGENCY HOSPITAL 15 Dr. Renato Peralta General FLRH 447951236 Banga I, Plaridel 36 MARCELO-PADILLA CHILDREN'S AND MEDICAL HOSP. 20 Dr. Stanley Padilla Special FLRH Banga, Plaridel 20 Dr. Isabel San Diego General FLRH Sto. Niño, Plaridel 37 SAN DIEGO GENERAL HOSPITAL MARY THE QUEEN MATERNITY AND GENERAL HOSPITAL 38 FOUNDATION INC. 18 Dr. Jean Nebab General FLRH (044) 7950379 DRT Highway, Pulilan 39 FM CRUZ ORTHOPEDIC AND GENERAL HOSPITAL 15 Dr. Federico Cruz General FLRH 447641739 Longos, Pulilan 40 OUR LADY OF MERCY GENERAL HOSPITAL, CO. 30 Dr. Marci Cruz General SLRH (044) 6762774 044-2926265 Nat'l. Rd., Pob., Pulilan 41 JESUS THE GOOD SHEPHERD HOSPITAL 10 Dr. Magdalena Reyes General FLRH 447950055 San Jose, San Miguel 42 EMMANUEL HOSPITAL 20 Dr. Emanuel Vera General FLRH 447640264 Santa Ana 43 E.S. GARCIA HOSPITAL 3 Dr. Eloisa Garcia General Infirmary Bagbaguin, Sta. Maria 44 ED & TITA CRUZ MATERNITY & SURGICAL HOSPITAL 22 Dr. Edgardo Cruz General FLRH 446412454 Bagbaguin, Sta Maria 45 MATEO'S DIAGNOSTIC CLINIC & GENERAL HOSP., INC. 30 Dr. Marcelino Mateo General FLRH 7917274 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 9) BULACAN BULACANMALOLOS CITY BULACAN SAN JOSE DEL MONTE CITY NUEVA ECIJA Sta. Maria 47 MENDOZA GENERAL HOSPITAL 50 Dr. Ciriaco Mendoza General FLRH J.P. Rizal St., Sta. Maria 48 SANTIAGO PEDIATRIC HOSPITAL 10 Dr. Monina Santiago Special Infirmary 448407086 J.P. Rizal St., Sta. Maria 49 ST. MARY'S HOSPITAL 25 Dr. Anacleto Hermogenes General FLRH 446411416 447910127 Barasoin, Malolos 1 ST. MICHAEL CLINIC AND MATERNITY HOSPITAL 6 Dr. Teodoro Unite Special BH Caniogan, Malolos 2 MALOLOS SAN VICENTE HOSPITAL 10 Dr. Rodrigo Ladia General FLRH Brgy. Canalate, Malolos 3 MALOLOS SAN ILDEFONSO COUNTY HOSPITAL 9 Dr. Josefina Yuchongco General FLRH 447912982 McArthur Hi-way, Malolos 4 MALOLOS EENT HOSPITAL 10 Dr. Armando Chiong Special Infirmary 447911029 McArthur Hi-way, Malolos 5 MALOLOS MATERNITY HOSPITAL & EYE CENTER 21 Dr. Carolyn Reyes-Crisostomo Special FLRH Sto. Rosario, Malolos 6 SANTOS GENERAL HOSPITAL MALOLOS, INC. 25 Dr. Ernesto Santos General FLRH 447910559 Sto. Rosario, Malolos 7 MARY IMMACULATE MATERNITY HOSPITAL 10 Dr. Ana Marie Malabanan General FLRH 447917274 Maguinhawa, Malolos 8 SACRED HEART HOSPITAL 40 Dr. Alberto Reyes General FLRH 447910311 Liang, Malolos 9 SAN ROQUE HOSPITAL 12 Dr. Patricia Lee General FLRH 447912737 Baog, Matimbo, Malolos 10 ROMEL CRUZ HOSPITAL (NEW) 18 Dr. Romel Cruz General Infirmary Pinagbakahan, Malolos 11 SANTISSIMA TRINIDAD HOSPITAL 15 Erlinda Valerio General FLRH 447917331 Mojon, Malolos 12 OFELIA MENDOZA MATERNITY AND GENERAL HOSP.(NEW) 9 Dr. Ofelia Mendoza General FLRH 044-7911497 Sapang Palay 1 ROQUERO HOSPITAL 20 Mayor Eduardo Roquero General Infirmary 9123884589 Matimbo 2 ROMEL CRUZ HOSPITAL (NEW) 18 Dr. Romel Cruz General Infirmary Cabiao 1 DR. APOLLO DUQUE MEMORIAL HOSPITAL 8 Dr. Cynthia Dodgardoust General Infirmary Cabiao 2 ST. JOHN MEDICAL AND MATERNITY CLINIC 8 Dr. Antonio Gabriel General Infirmary San Fernando Sur, Cabiao 3 CABIAO GENERAL HOSPITAL, INC. 28 Dr. Romeo S. Mesina General FLRH 044-4866337to9 Bucana, Gapan 4 NUEVA ECIJA GOOD SAMARITAN GEN. HOSP.INC.(EXT) 20 Dr. Mauro Capinpin General SLRH 4862363/4862364 Guimba 5 GUIMBA GENERAL HOSPITAL 25 Dr. Felix Diosdado Lumang General FLRH 446111416 180 Castellano, San Leonardo 6 GLORIA LACSON GENERAL HOSPITAL 15 Dr. Crescencia Shamshoddin General FLRH 444862432 444862904 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 10) NUEVA ECIJA San Leonardo 7 GONZALES GENERAL HOSPITAL 18 Dr. Leonardo Gonzales General FLRH 9123145221 Poblacion Sur, Talavera 8 MALIWAT GENERAL HOSPITAL 15 Dr. Renato Maliwat General Infirmary 444114511 1 NUEVA ECIJA DOCTORS HOSPITAL INC. 113 Dr. Francisco de Guzman General TLRH 044-4862364 Burgos Ave. 2 NUEVA ECIJA GOOD SAMARITAN GEN. HOSP. INC. 100 Dr. Mauro Capinpin General TLRH 4631582/4631585 Daang Sarile, Maharlika, Hi-way 3 PREMIERE GENERAL HOSPITAL OF NUEVA ECIJA, INC. 98 Dr. Sylvia B. Yang General TLRH 4635868/4637845 1 HEART OF JESUS HOSPITAL 35 Dr. Leorino Sobrepeña General FLRH 445111282 San Juan, Apalit 1 ASSCOM-DLSUMC FRIENDSHIP HOSPITAL 30 Dr. Christine Tinio General FLRH 453025775 Apalit 2 E.D. LIM MATERNITY AND GENERAL HOSPITAL 17 Dr. Evelyn Dimayuga Lim General FLRH 3028215 Apalit 3 APALIT DOCTORS HOSPITAL 5 Dr. Robert Yap General Infirmary Plazang Luma, Arayat 4 W.G. CORTEZ MEDICAL AND DIAGNOSTIC CLINIC (NEW) 8 Dr. Wilfredo G. Cortez General Infirmary San Isidro, Guagua 5 MORALES MEDICAL CLINIC 6 Dr. Natividad Morales General Infirmary 47910105 San Roque, Guagua 6 ROSARIO MEMORIAL HOSPITAL 17 Dr. Ma. Teresa Sison General FLRH 459004086 Sto. Niño, Guagua 7 MERCY CLINIC AND HOSPITAL 15 Dr. Reyner Capati General FLRH 459000823 CABANATUAN CITY Km. 111, Maharlika Hi-way SAN JOSE CITY PAMPANGA PAMPANGA SAN FERNANDO CITY 045-8851001 Sto. Niño, Guagua 8 YABUT-PANGAN MEDICAL CLINIC 10 Dr. Victor Pangan General Infirmary 459000396 Remedios, Lubao 9 WEST PAMPANGA DOCTORS HOSPITAL 20 Dr. Roman Lingad General FLRH 459715245 San Roque, Lubao 10 DR. G.V. VILORIA MEDICAL CLINIC 3 Dr. Gaspar Viloria General Infirmary 9128753650 Duquit, Mabalacat 11 DEE HWA LIONG FOUNDATION MED. CTR. 200 Dr. Melchor R. Lucas, Jr. General SLRH 323-7777loc11123 San Joaguin, Mabalacat 12 TIGLAO GENERAL HOSPITAL 10 General FLRH 45331700 Dr. Victor Tiglao Pob., Macabebe 13 D.H. POLINTAN MEDICAL CLINIC 12 Dr. Dafrosa Polintan General Infirmary 453026522 Talag St., Macabebe 14 OUR LADY OF ROSARY HOSPITAL, INC. 10 Dr. Zenaida Carlos General Infirmary 459211215 San Matias, Sto. Tomas 15 MANABAT MATERNITY & GENERAL HOSPITAL 30 Dr. Leonardo Manabat General FLRH 459613513 V. Tiamico St. San Fernando 1 JIMENEZ CHILD CLINIC 12 Dr. Ceferino Jimenez Special Primary 459612155 San Nicolas, San Fernando 2 MUÑOZ CLINIC 10 Dr. Pedro Muñoz General Infirmary 459612804 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 11) SAN FERNANDO CITY ANGELES CITY TARLAC San Nicolas, San Fernando 3 PAMPANGA EENT & GENERAL HOSPITAL 15 Dr. Eulysses Galang General FLRH 459612751 Bo. Dolores, San Fernando 4 SAN FERNANDINO HOSPITAL 90 Dr. Edgardo Deoduco General SLRH 9613377/9615105 B. Mendoza, San Fernando 5 V.L. MAKABALI MEMORIAL HOSPITAL, INC. 97 Dr. Vicente A. Balatbat General SLRH 9614599/9612234 6 OUR LADY OF MT. CARMEL MEDICAL CENTER 98 Dr. Alberto Atilano General SLRH 8605977/8601265 Burgos St. 1 SALANGAD MATERNITY & GENERAL HOSPITAL 12 Dr. Norberto Salangad General Infirmary McArthur Hi-way 2 ANGELES UNIVERSITY FOUNDATION MEDICAL CTR. 150 Dr. Aurelia Villaraza General TLRH McArthur Hi-way 654 Malabanias Rd., Plaridel I 3 CLINICA HENSON 10 Dr. Ruben Henson Special Secondary 4 PHILIPPINE INTERNATIONAL HOSPITAL 120 Dr. Adelfo Tuazon General FLRH 045-8925162 Sto. Entierro St. 5 MOTHER OF PERPETUAL HELP HOSPITAL 50 Dr. Amelia Guiao General FLRH 453227163 Sto. Entierro Street 6 MLY GENERAL HOSPITAL 25 Dr. Ma. Lourdes David General FLRH 3223623/8886620 Rizal St. 645 Rizal St., Agapito del Rosario 7 ANGELES MEDICAL CENTER 90 Dr. Antonio Guzman General SLRH 3234448/3224632 8 DR. AMANDO L. GARCIA MEDICAL CENTER 70 Dr. Amando Garcia General SLRH 3224847/8882571 5038 Rizal St. 9 R.S. CLINIC & HOSPITAL 15 Dr. Emerito Reyes General Infirmary 4163 Rizal Ext. ST. CATHERINE OF ALEXANDRIA FOUNDATION AND MEDICAL 10 CTR. 30 Dr. Corsino Torno General FLRH 458887209 Burgos St., Camiling 1 SEÑOR STO NIÑO HOSPITAL 20 Dr. Ronaldo Toledo General FLRH 459340806 Green Village, Concepcion 2 IMMACULATE CONCEPCION POLYCLINIC AND HOSP. 30 Dr. Elpidio Inez Jr. General FLRH 459230537 Sta. Rita, Concepcion 3 M. NAPEÑAS MEDICAL CLINIC 14 Dr. Marites Napeñas General Infirmary 459230819 San Nicolas, Concepcion #1 Coral, Magallanes St.,Paniqui 4 STA. RITA HOSPITAL 15 Dr. Eutiquio Atanacio General FLRH 459230240 5 JOWELL GENERAL HOSPITAL 20 Dr. Manuel Yu General FLRH 459310409 Estacion, Paniqui 6 MIGUEL CLINIC 10 Dr. Marlon Miguel General Infirmary 459311476 Baltazar Subd., Paniqui 7 RAYOS-VALENTIN HOSPITAL 10 Dr. Rosendo Rayos General FLRH 459310621 Baltazar Subd., Paniqui 8 SING CLINIC & HOSPITAL 8 Dr. Raymundo Tañedo General Infirmary 459312088 Brgy. Samput, Paniqui 9 ST. ROSE HOSPITAL 9 Dr. Ruth Avila General Infirmary 459310777 453224425 045-8882666 456023623 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 12) TARLAC TARLAC CITY ZAMBALES OLONGAPO CITY Romulo Hi-way, Sta Ignacia 10 ANTONIO HOSPITAL 25 Dr. Eddie Antonio General Infirmary C.A.T., San Miguel, Tarlac 11 ST. MARTIN DE PORRES HOSPITAL 35 Dr. Salvador Fontanilla General FLRH 459822072 450068 Abagon, Gerona, Tarlac 12 GERONA HOSPITAL OF THE SACRED HEART 20 Dr. Renato Ang General FLRH 9310977 F. Tañedo Street, Tarlac 1 TALON GENERAL HOSPITAL 50 Dr. Patrocinio Talon General SLRH 9820239/9822631 P. Hilario, Ligtasan St. 2 RAMOS GENERAL HOSPITAL 90 Dr. Roman Belmonte, Jr. General SLRH 9827074/9827075 505 Quezon St., San Miguel 3 JOSE S. DOMINGO HOSPITAL 10 Dr. Jose S. Domingo General Infirmary Mc Arthur Hi-way, San Nicolas 4 JECSONS MEDICAL CENTER 40 Dr. Jose Chua Jr. General SLRH 045-9825501 Hosp. Drive, San Vicente 5 CENTRAL LUZON DOCTORS HOSPITAL 100 Dr. Benito Milla General TLRH 820806/9821970 EBB 1 AFABLE MEDICAL CENTER 25 Dr. John Afable General FLRH 472225272 EBB 2 ALFEROS HOSPITAL 12 Dr. Mercedes Alferos General FLRH 472224605 Harris St., 3 ST. JUDE FAMILY HOSPITAL 25 Dr. Mariano Ridon General FLRH 472224402 75 Kessing St. 4 MOTHER AND CHILD HOSPITAL 18 Dr. Diosdado Dominado General FLRH 472223012 9 Lower Kalaklan 5 TOTAL LIFECARE MEDICAL CENTER 25 Dr. Harry Badion General FLRH 472229299 Sta. Rita 6 DIVINE SPIRIT HOSPITAL 8 Dr. Arturo Embuido General Infirmary SBMA 7 SUBIC BAY MEDICAL CENTER 50 Dr. Harry E. Badion General SLRH 2529280 to 88 Balayan 1 MADONNA GENERAL HOSPITAL 35 Dr. Rosauro R. Sison General FLRH 043-2114422 Bauan JPR St., cor. Manggahan,Bauan 2 BAUAN DOCTORS GENERAL HOSPITAL (NEW) 20 Dr. Belen Marquez General PC 043-7274019 3 DR. MARIO D. BEJASA GENERAL HOSPITAL 37 Dr. Reuel Dimalibot General FLRH 7561051 Cuenca 4 STO. NIÑO MEDICAL CLINIC 10 Dr. Iluminada L. Comia General Infirmary 3421031 Ibaan 5 QUEEN MARY HOSPITAL 10 Dr. Dioscoro Angelia Jr. General Infirmary 3112082 472229134 SOUTHERN TAGALOG REGION BATANGAS Santiago St., Pob., Ibaan 6 ST. JAMES THE GREATER HOSPITAL 25 Dr. Rogelio R. Panganiban General FLRH 043-3111393 Lemery 7 LEMERY GENERAL HOSPITAL 25 Dr. Rodolfo V. Aguila Jr. General FLRH 043-4111531 R. Diokno St., Lemery 8 LITTLE ANGELS MEDICAL HOSPITAL 20 Dr. Ferdinand M. Macababbad General Infirmary 2142539 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 13) BATANGAS TANAUAN CITY Lemery 9 OUR LADY OF CAYSASAY HOSPITAL 25 Dr. Margarito D. Hernandez General FLRH 4111273 Atienza, Lemery 10 SALAZAR POLYCLINIC 15 Dr. Edgardo M. Salazar General FLRH 4111079 043-2142460 Lemery 11 ST. MARTIN GENERAL HOSPITAL 10 Dr. Deogracias P. Letargo General FLRH Mabini 12 ZIGZAG HOSPITAL 12 Dr. Catalino Ike Rasa Jr. General Infirmary 4870645 San Pioquinto, Malvar 13 ST. NAZARIUS MEDICAL CLINIC 12 Dr. Luz C. Rivera General Infirmary 4060704 Pob., Mataas na Kahoy 14 MATAAS NA KAHOY COMMUNITY HOSPITAL 11 Dr. Cesar Faller General FLRH 7562279 Lumbagan, Nasugbu 15 CENTRAL AZUCARRERA DON PEDRO HOSPITAL 20 Dr. Renji Gayosa General FLRH 9311035 Nasugbu 16 NASUGBU DOCTORS GENERAL HOSPITAL 11 Dr. Leogardee O. Estacio General Infirmary 9196436267 Brgy. Road,Pob., P.Garcia 17 DR. ROMEO ISANA ROSALES GENERAL HOSP. 16 Dr. Rhandy Rosales General PC 043-5159190 Rosario 18 PALMA-MALALUAN HOSPITAL 25 Dr. Susan Malaluan General FLRH 3211410 Rosario 19 STO. ROSARIO HOSPITAL 20 Dr. Gil E. Maderazo General FLRH 3211025 Rosario 20 VILELA GENERAL HOSPITAL 10 Dr. Rene P. Vilela General Infirmary 3211227 Rosario 21 UNTALAN GENERAL HOSPITAL 12 Dr. Eddie D. Untalan General Infirmary 043-3211563 San Juan 22 SOLOMON'S CLINIC 6 Dr. Dennis de Guzman General Infirmary 5754097 Pulo, Calit-Calit, San Juan 23 SAN JUAN DOCTOR'S HOSPITAL 35 Dr. Adolfo T. Uy General FLRH 5753138 Abelo, San Nicolas 24 ST. NICHOLAS DOCTORS HOSPITAL 15 Dr. Ruel Landicho General Infirmary 34448348 Sto. Tomas 25 ST. FRANCES CABRINI MEDICAL CENTER 100 Dr. John Cresencio F. Alonzo General SLRH 7784818/7784819 Sto. Tomas 26 ST. VINCENT DE PAUL HOSPITAL 15 Dr. Allan C. Lanip General FLRH 7781060 Sto. Tomas 27 STO. TOMAS GENERAL HOSPITAL 18 Dr. Johnny F. Platon General FLRH 7782117/7782142 A. Bonifacio St., Taal 28 ASSUMPTA MEDICAL HOSPITAL 12 Dr. Rosalinda S. Manalo General Infirmary Taal 29 TAAL POLYMEDIC HOSPITAL 45 Dr. Antero C. Datingaling General FLRH 043-4211267 2142641 Tumaway, Talisay 30 ST. ANDREW HOSPITAL 25 Dr. Zenaida S. Mendoza General FLRH 7730196 No. 6 P. Burgos Street, Tuy 31 TUY GENERAL HOSPITAL 50 Dr. Maribel R. Calingasan General FLRH 3320046 A. Mabini Ave., Tanauan 1 C.P. REYES HOSPITAL 30 Dr. Carlito P. Reyes General FLRH 043-7781119;1364 Tanauan 2 DANIEL O. MERCADO MEDICAL CENTER 100 Dr. Menandro Villadelgado General TC 7780959/7780960 50 Sixto Castillo, Tanauan 3 GONZALES MEDICAL & CHILDRENS HOSPITAL 26 Dr. Damian L. Gonzales General FLRH 7781218 Tanauan 4 H.M. CORACHEA GENERAL HOSPITAL 27 Dr. Hermogenes M. Corachea General FLRH 7781298 Tanauan 5 SILVA'S CLINIC 10 Dr. Gloria S. Velando General Infirmary 7781072 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 14) BATANGAS CITY LIPA CITY CAVITE Apacible Street 1 DIANE'S MATERNITY AND LYING-IN HOSPITAL Dr. Beulah G. Zaragoza Special BH 7231785 16 P. Prieto Street 2 GOLDEN GATE GENERAL HOSPITAL 100 Dr. Romulo L. Rosales 3 General SC 7230974 Lopez Jaena 3 ST. PATRICK'S HOSPITAL AND MEDICAL CENTER, INC. 100 Dr. Abelardo B. Perez General SC 7237089 Brgy. Gulod Itaas 4 BATANGAS HEALTH CARE HOSPITAL 106 Dr. Virgilio Pascual General SC 043-7220550 Sinagtala 1 DIVINE LOVE HOSPITAL 15 Dr. Armando B. Dimayuga General FLRH 7561338 7 Galo Reyes Street 2 DR. KISON'S CLINIC 10 Dr. Dalisay A. Kison General Infirmary 7561051 3 HOLY FAMILY MEDICAL CLINIC 15 Dr. Percival V. Lojo General Infirmary 7562416 Rizal Street C.M.Recto Ave., cor. Pres. Katigbak Street 4 LIPA DOCTOR'S HOSPITAL 10 Dr. Benjamin M. Jimenez General FLRH 7562416 5 HOLY INFANT HOSPITAL 25 Dr. Amado R. Luz General FLRH 7561211 Balintawak 6 LIPA MEDIX MEDICAL CENTER 75 Dr. Perla Israel-Olave General SLRH 7561190 ;3008 J.P. Laurel Highway 7 MARY MEDIATRIX MEDICAL CENTER 120 Dr. Roberto Magsino General TLRH 7561416 Gatpolintan St. 8 N. L. VILLA MEMORIAL MEDICAL CENTER 50 Dr. Nemesio K. Villa Jr. General SLRH 7561297 C.M. Recto Avenue 9 SAN ANTONIO GENERAL HOSPITAL 18 Dr. Cesar A. Reyes Jr. General FLRH 3122003 Burgos, Alfonso 1 DLSU-DR. RODOLFO R. POBLETE MEMO. HOSP. 20 Dr. Cristina B. Hernandez General FLRH 4150190/4151286 Dulong Bayan, Bacoor 2 CRISOSTOMO GENERAL HOSPITAL 20 Dr. Soliman C. Crisostomo General FLRH 4343195/4344805 Molino II, Nat'l. Rd., Bacoor Blk.9L2 Area A, Queensrow Subdv., Bacoor 3 MOLINO DOCTORS HOSPITAL 38 Dr. Marcos B. Orlino General FLRH 4770830/4771661 4 SAN AGUSTIN MEDICAL CLINIC 6 Dr. Evangeline V. Zozobrado General Infirmary Bacoor 5 ST. MICHAEL MEDICAL HOSPITAL 12 Dr. Yolanda R. Cruz- Rodil General FLRH Talaba, Bacoor 6 ST. DOMINIC MEDICAL CENTER, INC. 100 Dr. Marita Andaman -Rillo General TLRH 4771707 4172520/4172525/ 8177618 Molino IV, Bacoor 40 Dr. Jedy Gonzales General SLRH 4771743 Molino, Bacoor 7 METRO SOUTH MEDICAL CENTER MALUTO FAMILY HEALTH SPECIALISTS LYING-IN AND 8 DIAGNOSTIC CLINIC 6 Dr. Emiliano U. Maluto Jr. General Infirmary 4770662/4770806 260 San Jose St., Carmona 9 HCGC MEDICAL PLAZA HOSPITAL 10 Dr. Hugh B. Cledera General Infirmary 4301017 5722907 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 15) CAVITE J.M. Loyola St., Carmona 82 Espiritu St., Carmona 11 CATBAGAN GENERAL HOSPITAL 9 Dr. Rogelio T. Catbagan General Infirmary 4300717 0464300556/4300555 Cavite Blvd., Dalahican 12 CAVITE MEDICAL CENTER 60 Dr. Efren Sayoc General SLRH 4315650/5044496 Bagong Bayan, Dasmariñas 13 DELA SALLE UNIVERSITY MEDICAL CENTER 200 Dr. Jose V. Cueto Jr. General TLRH 4160226 DBB, Dasmariñas 14 DR. JOSE P. RIZAL NAT'L. MED. RESEARCH CTR. 100 Sr. Angelica Castor, SPC General TLRH 4160328/4163877 Gen. Trias 15 GEN. TRIAS MATERNITY & PEDIATRIC HOSPITAL SOUTH SUPERHIGHWAY MEDICAL CENTER SATELLITE 16 HOSPITAL 15 Dr. Rico E. Torres General FLRH 4378111 25 Dr. Socorro Hidalgo General FLRH 4331210 17 TEJERO MEDICAL AND MATERNITY CLINIC (NEW) 5 Dr. Bienvenida Pitagan Special BH 5093308 18 IMUS FAMILY HOSPITAL 15 Dr. Ronaldo Calingasan General FLRH Gen. Trias Gen. Trias Justineville II Subd.Palico, Imus 10 CATALAN MEDICAL HOSPITAL 8 Dr. Amelia Catalan General Infirmary 4716403/4716403 Tamsire Ave., Imus 19 OUR LADY OF THE PILLAR MEDICAL CENTER 82 Dr. Beluz A. San Jose General SLRH 4723191 Imus 66 Freedom Prk, Kaingin, Kawit 20 MEDICAL CENTER IMUS 90 Dr. Alfredo Navarrete General SLRH 8091646 4348523 21 KAWIT MATERNITY & GENERAL HOSPITAL 20 Dr. Constantino S. Victa General Infirmary No. 92 Bgy. Cabulusan, Magallanes 22 OUR LADY OF THE WAY MED. & PEDIATRIC CLINIC (NEW) 5 Dr. Marianida de Raya-Sisante General Infirmary Bgy. Sn Roque, Gov. Drive, Naic 23 FIRST FILIPINO SAINT HOSPITAL ( SAN LORENZO RUIZ ) 40 Dr. Rafael A. Vasquez General FLRH 4121411/4121763 Daang Makina, Naic 24 NAIC DOCTORS HOSPITAL 30 Dr. Arnulfo A. Zenarosa General FLRH 4121443/5071510 Noveleta 25 ST. MARTIN MATERNITY & PEDIATRICS HOSPITAL 50 Dr. Arlene G. Zenarosa General FLRH 4381112 Rosario 26 CONTRERAS MEDICAL CLINIC 24 Dr. Editha C. Contreras General FLRH 4381958 Gen. Trias Drive, Rosario 27 DIVINE GRACE HOSP. AND MATERNITY CENTER 32 Dr. Ismael M. Mercado General FLRH 4381452/4381723 20 Dr. Alfredo L. Trias General FLRH 4383688/4381802 Rosario 28 OUR SAVIOR HOSPITAL, INC. Km 43, By Pass Rd., Aguin. Hiway, Silang 29 ESTRELLA HOSPITAL 20 Dr. Angel Estrella General FLRH 4140793 Silang 30 VELAZCO HOSPITAL 25 Dr. Jesus Ambat General FLRH 4140280 Putting Kahoy, Silang 31 ADVENTIST UNIVERSITY OF THE PHILS. HEALTH SERVICE 10 Dr. Butch Loreto O. Garcia III General Infirmary 049-5411211 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 16) CAVITE CAVITE CITY TRECE MARTIREZ CITY San Agustin, Tanza De Roman Sub.Daang Amaya,Tanza 32 DEL ROSARIO HOSPITAL 10 Dr. Constantino S. Victa General FLRH 33 STO. NIÑO DE TANZA MEDICAL AND DIAGNOSTIC CTR. 15 Dr. Concepcion Jocelyn Pangan General Infirmary Daang Amaya, Tanza 34 TANZA FAMILY GENERAL HOSPITAL 49 Dr. Lucio T. de Mesa General FLRH 5054046 046-4377244 Caridad 1 DE LA CRUZ MATERNITY HOSPITAL 7 Dr. Amelia P. de la Cruz Special Infirmary 4313185 375 P. Burgos Ave., Caridad 2 BAUTISTA HOSPITAL 50 Dr. Edwin B. Poblete General SLRH 4310416 Bgy. De Ocampo 1 MARK JAMES HOSPITAL 43 Dr. Manuel V. Santiago General FLRH 4190174 1 CALAMBA DOCTORS HOSPITAL 92 Dr. Juan Lagunzad General SLRH 5457371/5451512 Parian, Calamba 2 ST. JOHN THE BAPTIST MEDICAL CENTER, INC. 30 Dr. Marie Judith V. Eusebio General FLRH 5457528/5457529 Calamba 3 CALAMBA MEDICAL CENTER 122 Dr. Raul O. Desipeda General TC Nat'l. Hi-way, Bgy. Halang,Calamba PAMANA MEDICAL CENTER (former Pamana Golden Care 4 Foundation, Inc.) 45 Dr. Danilo A. Ramirez General FLRH 5456858/6942934 218 J.P. Rizal, Calamba 5 GAMEZ HOSPITAL 12 Dr. Digna Gamez General FLRH 5457012/5453461 Mayapa 6 SAN JOSE HOSPITAL AND TRAUMA CENTER 40 Dr. Louie Bagos General FLRH 8340861 Platero, Biñan 65 Dr. Nieva Almeda Olivares General SLRH 5119159 Sto. Niño, Biñan 1 BIÑAN DOCTORS HOSPITAL, INC. UPH- DR. JOSE G. TAMAYO MEDICAL CENTER (former 2 University of Perpetual Help Med. Ctr.) General TC 5116381 Los Baños 3 CELINO-ESTACIO MEDICAL CLINIC 5 Dr. Apolinario Estacio General Infirmary Batong Malake, Los Baños 4 LOS BAÑOS DOCTORS HOSPITAL 60 Dr. Renato V. Torres General FLRH 5361225 Batong Malake, Los Baños Lopez Ave.,Batong Malake, Los Baños 5 SAN ANTONIO MEDICAL CLINIC 10 Dr. Ernesto M. Pua General Infirmary 5360442 6 ST. JUDE FAMILY HOSPITAL 25 Dr. Marina L. San Agustin General FLRH 5361982/5361232 J.P. Rizal Street, Paete 7 PAETE GENERAL HOSPITAL (NEW) 15 Dr. Nona C. Agbay General FLRH 049-8170392 564 A.Mabini, Pagsanjan 8 CHRISTIAN GENERAL HOSPITAL 20 Dr. Ma. Isabelita Abella General FLRH 8084051 LAGUNA - CALAMBA CITY Parian, Calamba LAGUNA 4377223 150 Dr. Arcadio L. Tamayo 5459162 049-5360179 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 17) LAGUNA SN PABLO CITY OCCIDENTAL MINDORO Pagsanjan 9 PAGSANJAN MEDICAL CLINIC, INC. 25 Dr. Susie L. Unson General FLRH 8084228/8084882 L9/10 Amante Subd.San Pedro 10 DIVINE MERCY HOSPITAL 29 Dr. Elvia Estanislao General FLRH 8083448 Pacita Complex, San Pedro 11 EVANGELISTA MEDICAL AND SPECIALTY HOSP. 26 Dr. Eduardo F. Evangelista General FLRH 8691771/8691471 San Pedro 12 FAMILY CARE HOSPITAL, INC. 40 Dr. Ma. Lourdes Mantoya-Antonil General FLRH 8084897 San Pedro 13 SAN PEDRO DOCTORS HOSPITAL, INC. 14 Dr. Laarni Verzosa General FLRH 8681961 1864 J.de Leon St., Sta. Cruz 14 HOLY FAMILY CLINIC 12 Dr. Eli R. Malaya Jr. General FLRH 8081911 Sto. Angel Central, Sta.Cruz 15 JESUS THE SAVIOR HOSPITAL 17 Dr. Joselito T. Teodoro General Infirmary P. Guevarra St., Sta. Cruz 16 LAGUNA DOCTORS HOSPITAL 25 Dr. Fred C. Chan General FLRH 8080548 Sta. Rosa 17 BALIBAGO POLYCLINIC AND HOSPITAL 15 Dr. Rhodora A. Ramirez General FLRH 049-5341591 Mariquita Pueblo, Sta. Rosa 18 ST. JAMES HOSPITAL, INC. 80 Dr. Marissa S. Santiago General SLRH 5341254/5312096 Colago Avenue 1 COMMUNITY GENERAL HOSP. SAN PABLO CITY, INC. 99 Dr. Aristeo C. Alvero General TLRH 5621314 Farconville Subd. 2 STS. FRANCIS AND PAUL GENERAL HOSP. 30 Dr. Nestor G. Alidio Sr. General FLRH 5628097 55 A. Mabini 3 SAN PABLO DOCTORS HOSPITAL 60 Dr. Oscar M. Brion General TLRH 5620998 M.Basa Street 4 CERDA MATERNITY CLINIC 11 Dr. Marysol Celino-Cerda General BH 5625570 P.Alcantara Street 5 IMMACULATE CONCEPTION HOSPITAL, INC. 25 Dr. Armando T. Reyes General FLRH 5628055 San Rafael 6 SAN PABLO COLLEGES MEDICAL CENTER 95 Dr. Edgardo Noblejas, Jr. General TLRH 5620726 4689 Laboro St,Pag-asa,San Jose 8083582/8100748 1 ZAPANTA MATERNITY AND GENERAL HOSPITAL 15 Dr. Senen M. Zapanta Jr. General Infirmary 4911491 7 Dr. Lope C. Asilo General Infirmary 4911287 Gomez St., San Jose 2 ST. MAGDALENE HOSPITAL WEST MINDORO POLYCLINIC, INC. (former Westmin United 3 Doctors Hosp.) 10 Dr. Carmen N. Nueve General Infirmary 4912207 San Roque, Pob., Sablayan 4 ST. MARTIN'S MISSION HOSPITAL (NEW) 15 Dr. Alexander Villapando General Infirmary 218 Bonifacio, San Jose LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 18) ORIENTAL MINDORO CALAPAN CITY Bonbon Dr. Emmanuela K. Lim General FLRH 2873062 2 ST. JOSEPH CLINIC 6 Dr. Joseph Manalo General Infirmary 3 HOSPITAL OF THE HOLY CROSS 30 Dr. Renato Jose M. Priela General PC 2884470 Lalud 4 MMG HOSPITAL AND HEALTH SERVICES COOPERATIVE 17 Dr. Roberto D. Chua General PC 2867024 Tawiran 5 MA. ESTRELLA GENERAL HOSPITAL 30 Dr. Lorenzo V. Goco General PC 2867386 1 PINAMALAYAN DOCTORS HOSPITAL 30 Dr. Roberto M. Ng General Infirmary Pob. IV, Victoria Gelacio Ocampo St.,Pob.1,Victoria 2 MINA DE ORO GENERAL HOSPITAL 8 Dr. Gregorio S. Valdez General Infirmary 3 UMALI MEDICAL HOSPITAL (NEW) 5 Dr. Virgilio D. Umali General Infirmary Pob. II, Victoria 4 SEÑOR TESORO MEDICAL CLINIC 8 Dr. Leo P. Geronimo General Infirmary Rio Tuba, Bataraza Brgy. Pangobilian, Brooke's Point 1 RIO TUBA NICKEL MINING CORP. HOSPITAL 10 Dr. Aristeo G. Tantoco General Infirmary 4332652 2 LEONCIO GENERAL HOSPITAL (NEW) 10 Dr. Narciso Leoncio General Infirmary 0919-3700751 Roxas 3 PALAWAN BAPTIST HOSPITAL 12 Dr. Eduardo B. Salise General Infirmary Panacan, Narra 4 SACRED HEART CLINIC 6 Dr. Manuel Tan-Paredes General Infirmary PTO.PRINCESA CITY San Pedro QUEZON 15 Bongabong V.R. Medrano Sr. cor. T.M. Kalaw, Ilaya ORIENTAL MINDORO Francisco St., Pinamalayan PALAWAN 1 CHILDREN'S MEDICAL CLINIC 1 PALAWAN ADVENTIST HOSPITAL 50 Dr. Isagani Manuel General FLRH Puerto Princesa City 2 MMG-PPC COOPERATIVE HOSPITAL (NEW) 25 Dr. Dan A. Bonbon General PC 093-4500075 9192035954 4335566 4345580/3255 147 Quezon St., Atimonan 1 EMIL JOANNA GENERAL HOSPITAL 30 Dr. Rodel V. Perez General FLRH 360 Pica St., Calauag 2 DEL CARMEN MEDICALCLINIC 17 Dr. Julito L. Caña General Infirmary 3165390/3165420 3017156 Quezon St., Calauag 3 ST. PETER GENERAL HOSPITAL 45 Dr. Dina Blanca Valeña General FLRH 3017304 Regidor St., Pob. Candelaria 4 PETER PAUL PHILIPPINE CORP. HOSPITAL 25 Dr. Rolando A. Padre General FLRH 5854531 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 19) QUEZON LUCENA CITY RIZAL Gumaca 5 SAN DIEGO DE ALCALA GENERAL HOSPITAL 12 Dr. Mercy Venturina General FLRH 3174829 San Isidro St., Lopez 6 HOLY ROSARY HOSPITAL 30 Dr. Joel E. Arago General FLRH 3025255/3024316 Real Street, Lopez 7 LOPEZ ST. JUDE HOSPITAL 50 Dr. Enrique D. Agra Sr. General FLRH 042-8411015 Katipunan, Lucban C.M.Recto, Bgy.Castillo, Pagbilao 8 LUCBAN MMG HOSPITAL 15 Dr. Jainar R. Sapungan General FLRH 5408312 9 JANE COUNTY HOSPITAL 18 Dr. Jane Andaman-Villasenor General FLRH 7311295 Gen. Luna St., Sariaya 10 GREG HOSPITAL 43 Dr. Potenciano Andaman General FLRH 6258487 Mabini St., Bgy. 6, Sariaya 11 SOLER PRIMARY GENERAL HOSPITAL 10 Dr. Ana Mia J. Soler General Infirmary 6511036 Dna Tating, Pob. II, Tiaong 12 HOSPITAL DE SOLEDAD 10 Dr. Celso L. Exconde General Infirmary 6521254 1 Mayo St.,Pob. II,Tiaong 13 LIWAG MEDICAL CLINIC, INC. 34 Dr. Jason P. Liwag General FLRH 5457672 Dr. Cesar B. Mayuga General Infirmary 5459217 General SLRH 7932216 General Infirmary 9699370 General SLRH 7102576 M. Castillo St., Tiaong 14 ST. CECILIA HOSPITAL 20 Tayabas 15 TAYABAS COMMUNITY HOSPITAL, INC. 105 Dr. Avelino A. Obispo Ibabang Kalilayan, Unisan 16 DR. ERLINDA P. TOLENTINO MEDICAL CLINIC AND HOSP. Allarey Extension 1 MOUNT CARMEL DIOCESAN GENERAL HOSPITAL Lucena City 2 HOSPITAL DELA SAGRADA FAMILIA, INC. 6 Dr. Nestor Pagkatipunan General FLRH 7107843 Ibabang Dupay-Red V 3 LUCENA MMG GENERAL HOSPITAL 60 Dr. Cesar Villamayor General SLRH 3735926 Bgy. Isabang 4 LUCENA UNITED DOCTORS HOSP. 55 Dr. Fe D. Villanueva General SLRH 3736160 to 63 Red V 5 ST. ANNE GENERAL HOSPITAL, INC. 60 Dr. Elvira A. Andaman General SLRH 7102218 8 Dr. Erlinda P. Tolentino 125 Dr. Ma. Delta Canela Quezon Avenue, Angono 1 ANGONO MEDICS HOSPITAL 30 Dr. Apolonia Villamayor General FLRH 4510787/4512274 Angono 2 PILAR MEDICAL AND MATERNITY CLINIC 6 Dr. Thelma Miranda-Pilar General Infirmary 6510231/2955328 Angono 3 SAN ISIDRO HOSPITAL 20 Dr. Dominador Marcelino General FLRH 6510954 Baras 4 OSPITAL NG BARAS 10 Dr. Ramon V. Matignas General Infirmary 6531064 Parangan, Binangonan 5 MEEK ACADEMY HOSPITAL 17 Dr. Elenita C. Geronimo General Infirmary 6521921 Binangonan 6 PAG-ASA HOSPITAL 21 Dr. Edilberto Samson General Infirmary 4512180 Cainta 7 ARNAIZ HOSPITAL 26 Dr. Jimmy Lim General FLRH 6456042 Cainta 8 JEKA MEDICAL CLINIC (NEW) 8 Dr. Juanito Pangadian Special BH 6554642 Cainta 9 RYANN ANTHONY HOSPITAL 11 Dr. Virginia Butial-Cangao General FLRH 6553102 San Roque, Cainta 10 METRO RIZAL DOCTORS HOSPITAL 25 Dr. Jorge Maravilla General FLRH 2480857; 2626 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 20) RIZAL ANTIPOLO CITY Cardona 11 CARLOS MEDICAL AND MATERNITY CLINIC 15 Dr. Zenaida M. Carlos General Infirmary Cardona 12 QUEEN MARY HELP OF CHRISTIAN HOSPITAL 48 Dr. Mediatrix B. de Jesus General FLRH 6910437/6520404 6570011 Morong 13 MORONG DOCTORS HOSPITAL 25 Dr. Don F. Soriano General FLRH 6915867 Morong 143 A. Mabini Burgos, Rodriguez 14 SAN GERONIMO MEDICAL AND ORTHOPEDIC HOSPITAL 25 Dr. Jerome DC Balajadia General FLRH 6530967/6916241 15 N. MED-CARE HOSPITAL (former Marcelo M. Pascua Hosp.) 8 Dr. Marcelo Pascua General Infirmary M.H.del Pilar, Aldea, Tanay 16 TANAY COMMUNITY HOSPITAL 10 Dr. Ireneo C. Bernardo III General Infirmary Tanay Mla. East Rd., Bgy.Dolores, Taytay 17 TANAY GENERAL HOSPITAL, INC 35 Dr. Emiliano A. Francisco General FLRH 6541049/6931545 18 MANILA EAST MEDICAL CENTER 50 Dr. Rodolfo Rabanal General SLRH 2845555 M.L.Quezon Ext.,Dalig 1 ANTIPOLO DOCTORS HOSPITAL 28 Dr. Allyson Leyva-Meimban General FLRH 6790293/6975908 Bgy. San Roque 2 ROLLUQUI MATERNITY CLINIC 6 Dr. Milagros R. Leyble Special BH 6970180 Circumferential Rd. 3 UNCIANO MEDICAL CENTER 100 Dr. Leonila de los Santos General SLRH 6500170 Marcos Hi-way, Mayamot 4 BLESSED TRINITY MATERNITY AND MEDICAL HOSPITAL 12 Dr. Elsie F. Buan General Infirmary 6812755 126 Sumulong Highway, 5 ANTIPOLO CITY MEDICAL HOSPITAL (NEW) 15 Dr. Don G. Cornel General FLRH Bacacay 1 ST. MICHAEL GENERAL HOSPITAL 10 Dr. Moises B. Binalingbing General Infirmary Daraga 2 LUDOVICE GENERAL HOSPITAL 24 Dr. Laurentina Ludovice General PC 4834649 Daraga 3 CIOCSON MEDICAL CLINIC 8 Dr. Teodoro C. Ciocson Special BH 052-8243639 Guinobatan 4 GATA GENERAL HOSPITAL 12 Dr. Dandy Garcia General Infirmary 4846284 Guinobatan 5 NAVERA'S CLINIC 13 Dr. Eli R. Navera General Infirmary 4846530 Guinobatan 6 RETUERMA GENERAL HOSPITAL 15 Dr. Renato I. Retuerma General Infirmary 9414031 6540204 2500630; 0629 BICOL REGION ALBAY ALBAY Malinao 7 LIANKO MEDICAL CLINIC 25 Dr. Floro Lianko General Infirmary 4884000 Oas 8 CASIMIRO GENERAL HOSPITAL 10 Dr. Jesus Casimiro General Infirmary 2113528 Oas 9 DR. MANUEL R. REBUENO MEMORIAL HOSPITAL 8 Dr. Inocencia T. Rebueno General Infirmary 4856427 Oas 10 LUMBIS-RANCES GENERAL HOSPITAL 20 Dr. Letecia L. Rances General PC 4856209 Pio Duran 11 ESTANISLAO CLINIC 15 Dr. Erlinda B. Estanislao General Infirmary LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 21) ALBAY ALBAY LIGAO CITY TABACO CITY LEGAZPI CITY Pio Duran 12 ZAPANTA GENERAL HOSPITAL 24 Dr. Nelly Zapanta General PC Polangui 13 ISIP GENERAL HOSPITAL 9 Dr. Ricardo Isip Jr. General Infirmary 8350421 Polangui 14 PERILLO GENERAL HOSPITAL 9 Dr. Meden O. Perillo General Infirmary 2125385 Ligao 1 DR. SOFRONIO B. GARCIA MEMORIAL HOSPITAL 30 Dr. Susan B. Garcia General Infirmary 4311398 Ligao 2 PERPETUAL HELP CLINIC 14 Dr. Ireneo Reyes General Infirmary 8370875 Tabaco 1 DR. AMANDO D. COPE MEMORIAL HOSPITAL 26 Dr. Silverio S. Cope General PC 4875282 Tabaco 2 CABREDO GENERAL HOSPITAL 25 Dr. Juan B. Cabredo III General PC 4877072 Tabaco 3 JAIME BERCES MEMORIAL HOSPITAL 25 Dr. Jeoffrey N. Lopecillo General PC 8301160 Tabaco 4 RICO'S HOSPITAL 17 Dr. Pedro T. Rico General Infirmary 2577153 Tabaco 5 TABACO COLLEGE HOSPITAL 10 Atty. Antonio Biglaen, MD General Infirmary 4875443 Tiwi 6 G. GONZALES MEDICAL CLINIC 18 Dr. Generosa T. Gonzales General Infirmary 4885045 Tiwi 7 ST. CLAIRE MEDICAL CLINIC 17 Dr. Bernardo B. Corral General Infirmary 8885553 Guevara Subdv. 1 ESTEVEZ MEMORIAL HOSPITAL INC. 35 Dr. Lourdes Estevez General SC 2455031 YMCA Lane, Em's Barrio 2 CHILDREN OF ABRAHAM PUERICULTURE CENTER (NEW) 4 Dr. Marcela Orbita Special BH 8200968 Imperial Subdv. 3 TANCHULING HOSPITAL 50 Dr. Vicente Tanchuling General SC 4806302 Rizal Street 4 AGO GENERAL HOSPITAL 100 Dr. Angelita Ago General TC 4815807 573 Rizal Street 5 DR. ESTEBAN V. ANTE MEMORIAL HOSPITAL 25 Dr. Rodulfo P. Ante General PC 2455632 Washington Drive 6 AQUINAS UNIVERSITY HOSPITAL 40 Dr. Joselito Rustia General SC 4810331 1 LEON D. HERNANDEZ MEMORIAL HOSPITAL 35 Dr. Felipe R. Abunal II, Jr. General Secondary 5211961 2 OUR LADY OF LOURDES HOSPITAL 50 Dr. Raul Palencia General SLRH 7212664 CAMARINES NORTE Daet Vinzons Ave., Daet Camambuangan, Daet 3 SANTISSIMA TRINIDAD HOSPITAL OF DAET 25 Dr. Magdaleno Adea-Manugas General Secondary 5711961 Daet 4 STO. NIÑO HOSPITAL 50 Dr. Ruth R. Herrera General Secondary 7211581 Labo 5 DR. MIGUEL V. ALEGRE HOSPITAL 10 Dr. Buenaventura Alegre General Infirmary 5852287 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 22) CAMARINES NORTE Labo 6 ST. JOHN THE APOSTLE HOSPITAL 12 Dr. Pio Lizaso General Infirmary 10 Dr. Ramon F. Aguilar General Infirmary 5852036 Jose Panganiban 7 ST. JUDE HOSPITAL JOSE PANGANIBAN PRIMARY SERVICE COOPERATIVE 8 HOSPITAL 15 Dr. Eden Bucinos General Primary 7311327 Sta. Elena 9 ROSARY OF VIRGIN MARY HOSPITAL 12 Dr. Thelma Mago General Primary 2013156 Labo CAMARINES SUR NAGA CITY IRIGA CITY CATANDUANES Baao 1 DR. ROBOSA HOSPITAL 30 Dr. Rizalina Robosa General PC 2663111 Baao 2 ST. JUDE CLINIC AND HOSPITAL 15 Dr. Remedios E. Dato General Infirmary 2663029 Baao 3 ST. RAPHAEL HOSPITAL 16 Dr. Gregorio L. Besenio General Infirmary Goa 4 ST. JOHN HOSPITAL 20 Dr. Jose Pierre Panday General PC 4530371 Goa 5 ST. VINCENT DE FERRER HOSPITAL 12 Dr. Gemma A. Lee General Infirmary 4531442 Pili 6 DR. JOHNNEL R. ZAPANTA GENERAL HOSPITAL 15 Dr. Johnnel R. Zapanta General Infirmary 4777078 Nabua 7 CLINICA FIGURACION 15 Dr. Fabio Figuracion General Infirmary 2883645 Sipocot 8 SALVACION CLINIC 10 Dr. Rico O. Vargas General Infirmary 2566018 Concepcion Grande 1 AGO FOUNDATION HOSPITAL 60 Dr. Acelita Llorin General SC 4723506; 3507 Naga City 2 DR. NILO O. ROA MEMORIAL FOUNDATION HOSPITAL 20 Dr. Nilo A. Reazon General PC 8115789 Dr. Jose Rañola Panganiban Street 3 ST. JOHN HOSPITAL, INC. 60 General SLRH Roxas Avenue 100 Dr. Samuel Reyes General TC 4731358; 8497 San Francisco 4 MOTHER SETON HOSPITAL NAGA CITY MAT. HOUSE PUER. & FAMILY PLANNING CTR. 5 FOUNDATION 4738919 10 Dr. Victoria S. Santiago Special BH 4738482 Panganiban Drive, Triangulo 6 PLAZA MEDICA CHILDBIRTH CENTER FOUND., INC. 5 Dr. Eden Borja-Fernando Special BH 054-4738831 Iriga City 1 LOURDES HOSPITAL 25 Dr. Josefina Catangui General PC 122248364 Iriga City 2 OUR LADY OF MEDIATRIX HOSPITAL 50 Dr. Rene Villaranda General PC 2992666 Francia 3 ST. MARIA JOSEFA FOUNDATION HOSPITAL 50 Dr. Efren Cresencio General PC 2993101 Panganiban 1 OUR LADY OF FATIMA HOSPITAL 10 Dr. Carmen Urgel General Infirmary Virac 2 ZANTUA GENERAL HOSPITAL 15 Dr. Ma. Cecilia L. Zantua General Infirmary Virac EASTERN PACIFIC MEDICAL AND DRUG DIAGNOSTIC CENTER 3 (NEW) 14 Dr. Emmanuel Guerrero General Infirmary 052-81100580/82 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 23) MASBATE MASBATE CITY SORSOGON Dimasalang 1 HINGCA HAO MEDICAL CLINIC (former Dimasalang Clinic) 15 Dr. Lito Belarmino General Infirmary Dimasalang 2 ST. JOSEPH MEDICAL CLINIC 10 Dr. Elpedio G. Lim General Infirmary Danao St., Masbate 12 Dr. Maria Victoria Benemile General Infirmary Rosario Street, Masbate 1 MASBATE HOSPITAL AND HEALTH SERVICES COOP. MASBATE DOCTORS HOSPITAL ( former Masbate Colleges 2 Hosp.) 26 Dr. Pantaleon Amadora General PC 3335331 Nursery cor. Quezon St., 3 MASBATE MATERNITY AND CHILD HEALTH CLINIC 10 Dr. Leonard E. Mah Special Infirmary 3335318 Ibingay Street, Masbate 4 OUR LADY OF LOURDES HOSPITAL 10 Dr. Lourdes C. Bautista General Infirmary 3332289 Masbate 5 ST. MARTIN DE PORRES MEDICAL CLINIC 10 Dr. Domingo Malapitan General Infirmary 3332386 Masbate 6 ST. VINCENT HOSPITAL 10 Dr. Ricardo M. Lazaga General Infirmary Masbate 7 ST. ANTHONY HOSPITAL 15 Dr. Antonio Chang General Infirmary Milagros 8 ST. JOHN MEDICAL CLINIC 10 Dr. William C. Dubongco General Infirmary Milagros 9 DE CASTRO HOSPITAL FOUNDATION INC. 10 Dr. Angel H. de Castro General Infirmary 3334561 3335671 Balogo 1 STS. PETER AND PAUL HOSPITAL 17 Dr. Alfred Adrian O. Lopez General PC Jimenez St., Bacon Dist. 2 ST. THERESE POLYCLINIC 20 Dr. Albert Chacon General PC 0919-8864895 Bibincahan, Bulan SORSOGON MEDICAL MISSION GROUP HOSPITAL AND 3 HEALTH SERVICES COOPERATIVE 40 Dr. Alvin Cledera General SC 056-2113042 Bulan 4 ST. JUDE MEDICAL CLINIC 10 Dr. Runny Rebustillo General Infirmary Bulusan 5 BULUSAN FAMILY CLINIC 12 Dr. Rosanna M. Halum General Infirmary Bulusan 6 GUYSAYKO GENERAL HOSPITAL 12 Dr. Gloria Guysayko General Infirmary Kalibo 1 AKLAN COOPERATIVE MISSION HOSPITAL 25 Dr. Cynthia dela Cruz General FLRH 036-2624705 Kalibo 2 ST. JUDE'S HOSPITAL 25 Ms. Estela Legazpi General FLRH 2623290 Kalibo 3 ST. GABRIEL HOSPITAL 50 Dr. Gilda Villanueva General FLRH 2621900 Caticlan, Malay 4 AKLAN BAPTIST HOSPITAL 15 Dr. Rachel Hilada General Infirmary 2887063 Semirara, Caluya 1 SEMIRARA COAL CORPORATION HOSPITAL 25 Dr. Ronald Marasigan General Infirmary Pandan 2 TUGON MEDICAL CLINIC AND HOSPITAL 10 Dr. Renato Tugon General Infirmary WESTERN VISAYAS REGION AKLAN ANTIQUE 036-2889108 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 24) ILOILO CITY Gen. Luna Street 1 SAINT PAUL'S HOSPITAL 220 Dr. Vicente Pido General TC 3372741-49 Mission Road, Jaro 2 ILOILO MISSION HOSPITAL 230 Dr. Elmer Pedregosa General TC 3200315-19 West Avenue,Molo 3 ILOILO DOCTOR'S HOSPITAL, INC. 300 Dr. Rolando R. Padilla General TC 3377702 Fuentes Drive 1 CAPIZ DOCTOR'S HOSPITAL 55 General PC 6215674 Roxas Avenue 2 CAPIZ EMMANUEL HOSPITAL, INC. 100 Dr. Alfredo Bisnar General SC 6215608 San Roque Ext. 3 ST. ANTHONY COLLEGE HOSPITAL 135 Sr. Lourdes S. Sabidong General TC 6210431; 434 NEGROS OCCIDENTAL Hinigaran 1 HINIGARAN MEDICAL CLINIC 10 Dr. Eduardo Duran General Infirmary BACOLOD CITY B.S. Aquino Drive 1 THE DOCTOR'S HOSPITAL, INC. 150 Dr. Lolito SM Tumbocon General TC 4332741;2731 Eureco , Mandalagan 2 BACOLOD OUR LADY OF MERCY SPECIALTY HOSP. 100 Dr. Patricio Tan General TC 4341036-37 Sen. B. Aquino Drive 3 DR. PABLO O. TORRE SR. MEMORIAL HOSPITAL 300 Dr. Rodolfo Nonato General TC 4337331 Taculing 4 BACOLOD SANITARIUM AND HOSPITAL 100 Dr. Rufo G. Gasapo General SC 4334831 NEGROS OCCIDENTALKABANKALAN CITY Mabinay Highway 1 SOUTHERN NEGROS DOCTORS HOSPITAL 30 Dr. Enigardo Legislador Jr. General FLRH 4713353 SAN CARLOS CITY SAN CARLOS DOCTORS HOSPITAL, INC. (former SAN CARLOS 1 PLANTERS & LABORER'S HOSP) 50 Dr. Edgardo Quisumbing General FLRH 034-3125609 1 IMMACULATE CONCEPTION HEALTH CENTER 17 Dr. Teodoro Martin Daclos General Infirmary 3992719 Antequera 1 ANTEQUERA COMMUNITY HOSPITAL 25 Dr. Salvador Labado General Infirmary 4113043 Calape 2 ST. VINCENT FERRER HOSPITAL 16 Dr. Elisa Yu General Infirmary 5079145 CAPIZ-ROXAS CITY Nat'l. Highway VICTORIAS CITY Dr. Edgar Anthony Delfin CENTRAL VISAYAS REGION BOHOL Duero 3 CAP.T RUPERTO LUZON MEMORIAL HOSP. 25 Dr. Disi Alba General Infirmary Garcia-Hernandez 4 ST. JOHN COMMUNITY HOSPITAL 12 Dr. Domiciano Nazareno General Infirmary Guindulman 5 DR. LIAO'S CLINIC AND HOSPITAL 18 Dr. Felipe Liao General Infirmary Guindulman 6 PAULINA LIM MEMORIAL HOSPITAL 40 Dr. Henrietta Gan General Secondary Jagna 7 LIM COMMUNITY HOSPITAL 28 Dr. Guido Lim General Secondary Tubigon 8 BOHOL ST. JOSEPH CLINIC 20 Dr. Ernesto Bolotaulo General Infirmary 038-2382308 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 25) BOHOL Guindulman 6 PAULINA LIM MEMORIAL HOSPITAL 40 Dr. Henrietta Gan General Secondary Jagna 7 LIM COMMUNITY HOSPITAL 28 Dr. Guido Lim General Secondary Tubigon 8 BOHOL ST. JOSEPH CLINIC 20 Dr. Ernesto Bolotaulo General Infirmary Ubay 9 L.G. CUTAMORA COMMUNITY HOSPITAL 16 Dr. Leta Cutamora General Infirmary Valencia 10 DR. LIM'S CLINIC AND HOSPITAL 25 Dr. Grace Lim General Secondary Valencia 11 LEONA O. LIM MEMORIAL HOSPITAL 100 Dr. Gilda Lim Gan General Secondary TAGBILARAN CITY CEBU 038-2382308 9125162086 1 BORJA FAMILY HOSPITAL CORPORATION 40 Dr. Melinda Borja General Secondary 4113303 2 ENGLEWOOD HOSPITAL 75 Dr. Disi Alba General Secondary 038-4113018 MEDICAL MISSION GROUP OF HOSP AND HEALTH SERVICE3 BOHOL 37 Dr. Cirilo Jalad General Secondary 4115040 4 RAMIRO COMMUNITY HOSPITAL INC. 87 Dr. Ronald Ramiro General SC 5 ST. JUDE GENERAL HOSPITAL 25 Dr. Napoleon Nazareno General Secondary 4113134 6 TAGBILARAN COMMUNITY HOSPITAL CORP. TAGBILARAN PUERICULTURE CENTER AND MATERNITY 7 HOSPITAL 48 Dr. Pura Inting General SC 4114019 20 Dr. Cyrila Tallo Special Primary Poblacion, Alegria 1 REINHARD WIRTGEN MEMORIAL HOSPITAL 10 Dr. Gilberto Magallon General Infirmary Lamacan, Argao 2 ARGAO COMMUNITY HOSPITAL (NEW) 7 Dr. Maria Evelyn Yncierto General Infirmary Media, Argao 3 PANTINOPLE MEDICAL CLINIC 10 Dr. Perla Pantinople General Infirmary Balamban 4 DUMDUM MEDICAL CLINIC 10 Dr. Aniano Dumdum General Infirmary Dalaguete 5 DR. ILDEFONSO ALCANTARA MEMORIAL HOSP. 10 Dr. Ensonacion Alcantara General Secondary Dalaguete 6 JULIO CARDINAL ROSALES MEMORIAL HOSP. 15 Dr. Jesselito Simporios General Secondary Minglanilla 7 BAKING MEDICAL CLINIC 10 Dr. Alfredo Baking General Secondary Medellin 8 BOGO MEDELLIN MEDICAL CENTER 40 Dr. Aster Khosravibabadi General Secondary Sibonga 9 CAMOTES-LAOC MEDICAL CLINIC 12 Dr. Estelita Camotes-Laoc General Infirmary Sibonga 10 DEIPARINE MEDICAL CLINIC 12 Dr. Carmelita Deiparine General Infirmary 038-4113515-19 9158181785 4848681 2723231 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 26) CEBU CITY MANDAUE CITY LAPU-LAPU CITY B. Rodriguez 1 CEBU PUERICULTURE CENTER & MAT. HOUSE 75 Dr. Raida Varona Special Secondary 2535506 B. Rodriguez St. 2 CEBU TB PAVILLON 25 Dr. Purita Gil Special Infirmary 2539879 F. Ramos Street 3 CEBU VELEZ GENERAL HOSPITAL 200 Dr. Josefina Poblete General TC 2531871 Fuente, Osmeña St. 4 CHONG HUA HOSPITAL 660 Dr. Helen Po General TC 2541461-69 Gorordo Avenue 5 PERPETUAL SUCCOUR HOSPITAL 200 Dr. Mariano Tolentino General TC 032-2338620 Villaznar Rd., Urgello 6 SACRED HEART HOSPITAL 150 Dr. Rebecca Gucor General TC 2541841/2541852 Jones Ave., Ext. 7 ST. VINCENT GENERAL HOSPITAL - CEBU CITY 50 General Secondary 2544206 Osmeña Blvd. 8 VISAYAS COMMUNITY MEDICAL CENTER 200 Dr. Cyd Raagas General TC 2533025 Osmeña Blvd. 9 CEBU DOCTORS' HOSPITAL, INC. 300 Dr. Potenciano V. Larrazabal Jr. General TLRH 400 Tres de Abril St. 10 H.W. MILLER MEMORIAL SANITARIUM AND HOSP. 60 General SC 2612111;2100 Talamban 11 CEBU NORTH GENERAL HOSPITAL 150 Dr. Potenciano SD Larrazabal III General SC 3437245;7252 S.B. Cabahug 1 DR. IGNACIO M. CORTES GENERAL HOSP. 60 Dr. Archilles Cortes General SC 3451486;3467850 Banilad 2 VICENTE GULLAS MEMORIAL HOSPITAL 70 Dr. Leticia Abinuman General TC 3469292 Umapad 3 SEAMEN'S HOSPITAL - CEBU 60 Dr. Teodosio Alcantara General SC 3462624/3444771 Basak MACTAN DOCTORS HOSPITAL, INC. (former Mactan Community 1 Hosp.) 100 Dr. Joselito Montesclaros General SC 3403721-28 Pajo 2 OUR LADY OF RULE MATERNITY AND GENERAL HOSP 16 Dr. Corazon Ouano General Infirmary 3 TOJONG INC. MATERNITY CLINIC AND GENERAL HOSP. 10 Dr. Eduardo Tojong General Infirmary 1 HOLY CHILD HOSPITAL 85 Dr. Cecilia Ramas-Uypitching General SC 2250510 2 SILIMAN UNIVERSITY MEDICAL CENTER FOUND., INC. 100 Dr. Verna T. Reyes General TC 035-2250841 2612183 NEGROS ORIENTALDUMAGUETE CITY Dr. Stanley Caminero Dr. Evelyn Pepito 2537511-34 EASTERN VISAYAS REGION EASTERN SAMAR Borongan 1 BORONGAN DOCTORS HOSPITAL 20 Dr. Belen C. Umil General PC Dolores 10 Dr. Domingo Casano General Infirmary Gen. McArthur 2 DOMINGO CASANO HOSPITAL OUR LADY OF GUADALUPE HOSPITAL ( former Ceros Medical 3 Clinic) 10 Dr. Mylo Barcial General Infirmary Guiuan 4 IMMACULATE CONCEPTION CLINIC AND HOSPITAL 15 Dr. Leticia L. Perez General PC 055-5820200 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 27) EASTERN SAMAR Guiuan 5 AGPALO HOSPITAL 10 Dr. Belen A. Agpalo General Infirmary Rizal St., Llorente 6 BACONAWA HOSPITAL 10 Dr. Mario Baconawa General Infirmary Oras 7 JIMLYN HOSPITAL 9 Dr. Marilyn Umil General Infirmary NORTHERN SAMAR Catarman 1 LEONCIO UY MEMORIAL HOSPITAL 15 Dr. Cesar L. Uy General Infirmary 3541208 LEYTE Hilongos 1 LEYTE BAPTIST HOSPITAL, INC. 16 Dr. Reagan J. Espina General PC 3362105 Hilongos 2 VILLAFLOR'S CLINIC 10 Dr. Altagracia R. Villaflor General Infirmary 3362089 Isabel 3 LIDE PASAR HOSPITAL 15 Dr. Nelson Seno General PC Osmeña St,Sto. Niño,Isabel 4 RN LUCERO MEDICAL CLINIC (NEW) 5 Dr. Rafael N. Lucero General Infirmary Avenida Veteranos 1 DIVINE WORD HOSPITAL 140 Dr. Cesar Aquitania General TC 3212308 Bgy. Calanipawan 2 REMEDIOS TRINIDAD ROMUALDEZ HOSPITAL 50 General PC 3274598 Real St. 3 BETHANY HOSPITAL 125 Dr. Earl Courtney A. Viernes General SC 3212427 TACLOBAN CITY WOMEN'S CLUB MOTHER AND CHILD 4 PUERICULTURE INC. 12 Dr. Virginia Chan Special BH 3213350 1 ORMOC MATERNITY AND CHILDREN'S HOSPITAL 14 Dr. Alicia R. Tugonon General Infirmary 2552418 2 OSPA FARMERS MEDICAL CENTER 50 Dr. Mario M. Rodriguez General PC 2553194 TACLOBAN CITY ORMOC CITY SAMAR-CALBAYOG CITY Dr. Jesus G. Reyes 2531234 053-5569031 1 CALBAYOG SANITARIUM AND HOSPITAL 15 Dr. Amie Royce Cahilig (OIC) General FLRH 3232091 2 ST. CAMILLUS HOSPITAL 25 Dr. Gilberto S. Cabigon Jr. General PC 5502091 SAMAR-CATBALOGAN CATBALOGAN PUERICULTURE CENTER AND MATERNITY 1 HOSPITAL 10 Dr. Arleen Rodriguez Special BH 3561305 SOUTH LEYTE Hinundayan 1 ZENON T. LAGUMBAY MEMORIAL HOSPITAL 10 Dr. Roberto M. Lagumbay General Infirmary Sogod 2 CLINICA CORROMPIDO 30 Dr. Anthena F. Damalerio General Infirmary 3822339 Sogod 3 CONSUELO TAN MEMORIAL MEDICAL CENTER 30 Dr. Nieves H. Tan General PC 3822036 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY (page 28) ZAMBOANGA PENINSULA REGION BASILAN-ISABELA CITY ZAMBOANGA DEL NORTE Isabela 1 BASILAN COMMUNITY HOSPITAL Isabela 2 INFANTE HOSPITAL MANAGEMENT CORPORATION 25 Dr. Alejandro Infante General PC Isabela 3 JUAN S. ALANO MEMORIAL HOSPITAL 50 Dr. Salvacion Tan General PC Sindangan 1 MAYOR JOAQUIN G. MACIAS MEMORIAL HOSPITAL 10 Dr. Felicitas Macias General Infirmary 1 DIPOLOG MEDICAL CENTER 50 Dr. Stephen Yap General PC 2 ZAMBOANGA DEL NORTE COOPERATIVE HOSPITAL 50 Dr. Jessie Tiu General Secondary DIPOLOG CITY ZAMBOANGA DEL SUR 35 Dr. Edgardo Eustaquio General PC 3 OSPITAL NG KABATAAN NG DIPOLOG, INC. 32 Dr. Johnny Franco General PC Sta. Filomena, Dipolog Cty 4 STA. ISABEL GENERAL HOSPITAL 36 Dr. Roel Gurdiel General PC Buug 1 REDOBLE MEDICAL CLINIC 8 Dr. Rosendo Redoble General Infirmary Buug 2 ST. JOHN GENERAL HOSPITAL I 25 Dr. Juan Vergara General Infirmary Diplahan 3 GEMARINO MEDICAL CLINIC 15 Dr. Carlos Gemarino General Infirmary Dumingag 4 TAGALOGUIN CLINIC 12 Dr. Amy Adona General Infirmary Imelda 5 AMOROSO MEDICAL CLINIC 8 Dr. Domingo Amoroso, Jr. General Infirmary Ipil 6 M. SIMON MEDICAL CLINIC 10 Dr. Mario Simon General Infirmary Ipil 7 ST. JOSEPH CLINIC 11 Dr. Vida Josefina Bitong General Infirmary Kabasalan 8 KABASALAN COMMUNITY HOSPITAL 6 Dr. Romeo Wooton General Infirmary Kabasalan 9 PATHFINDER ESTATE HOSPITAL 14 Dr. Elena Semella General Infirmary REVELO COMMUNITY CLINIC 10 Dr. Olegario Jimeno General Infirmary 8 Dr. Perlie Sibud Jr. General Infirmary Kumalarang Pob. Titay 10 ROMEO B. SIBUD COUNTY HOSPITAL Tubod, Lakewood 11 SINGIDAS MEDICAL CLINIC 18 Dr. Nicasio Singidas General Infirmary Poblacion, Malangas 12 PAGADIAN COMMUNITY HOSPITAL 15 Dr. Eduardo Jamellarin General PC Poblacion, Malangas 12 WESTERN ZAMBOANGA POLYMEDIC HOSPITAL 29 Dr. Marcelino Tingcang General Infirmary Molave 13 BLANCIA HOSPITAL 10 Dr. Ramcarl Blancia General Infirmary TEL NO./ FX NO. LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION (page 29) ZAMBOANGA DEL SUR ABC* 14 IGANO COMMUNITY HOSPITAL 22 Dr. Arnulfo Noli Igano General PC Molave 15 SS LUMAPAS HOSPITAL 18 Dr. Gilda Lumapas General Infirmary Sta. Clara, Naga 16 DANAO SALE MEDICAL CLINIC 10 Dr. Herminio Sale General Infirmary Tambulig 17 EUSER MEDICAL CLINIC 8 Dr. Serafin Borres General Infirmary 1 BORBON GENERAL HOSPITAL, INC. 15 Dr. Cresencia Borbon General PC 2 HOFILEÑA CLINIC 14 Dr. Romeo Hofilena General Infirmary 3 PAGADIAN CITY MEDICAL HOSPITAL 50 Dr. Samuel Mendero General PC Cabrera St. 6 Dr. Priscilla Fernandez General Infirmary 5 J. CABAHUG HOSPITAL 10 Dr. Jovencio Cabahug General PC 6 METRO PAGADIAN HOSPITAL, INC. 10 Dr. Alan Sy General Infirmary 7 ZS HEALTH SERVICES COOPERATIVE 10 Dr. Joji Canalija General Infirmary Pura, Brillantes St. ZAMBOANGA PUERICULTURE LYING-IN MATERNITY AND 1 HOSP. 15 Dr. Rolando Felisilda General PC Nunez Ext. 2 CIUDAD MEDICAL ZAMBOANGA (NEW) 31 Dr. Hermenegildo Calma General SC 062-9927330 Pilar St., 3 ZAMBOANGA CHILDREN'S HOSPITAL, INC. 35 Dr. Mario Arciaga Special PC 9931699 R.T. Lim Blvd. 4 BRENT HOSPITAL AND COLLEGES, INC. 100 Dr. Abelardo Macaraeg Jr. General TC 9912990 San Jose 5 ZAEC COMMUNITY MEDICAL CENTER 20 Dr. Oscar Ocampo General PC 9911042 Tetuan Hi-way 6 DR. SALVADOR A. CABATO MEMORIAL HOSPITAL 10 Dr. Salvador Cabato General Infirmary Veterans Avenue 8 WESTERN MINDANAO MEDICAL CENTER, INC. 110 Dr. Wilhelmina Hocson General SC 9912506-07 Veterans Avenue 7 ZAMBOANGA DOCTOR'S HOSPITAL, INC. 75 Dr. Leoncio C. Noche General SC 992-17761 1 ABRENA MEDICAL CLINIC 8 Dr. Wilhelmino Abrena General Infirmary Don Carlos 3 SIMBULAN STO. NIÑO HOSPITAL 25 Dr. Maximo H. Simbulan III General FLRH Sayre Hi-way, Don Carlos 4 PERALTA MEDICAL CLINIC 8 Dr. Victorino T. Peralta General Primary E. Aguinaldo St., Pob.,Don Carlos 5 PAHILAN FAMILY CLINIC 15 Dr. Ofelia Pahilan General Infirmary NORTHERN MINDANAO REGION BUKIDNON TEL NO./ FX NO. 4 ST. FRANCIS CLINIC V. Sagun St., Lumbia Dist. ZAMBOANGA CITY NAME OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY Molave PAGADIAN CITY ZAMBOANGA CITY NO. MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Don Carlos LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 30) BUKIDNON VALENCIA CITY BUKIDNONVALENCIA CITY BUKIDNONMALYBALAY CITY 324 Aguinaldo St., Pob.Kalilangan 6 PALANGAN FAMILY AND CHILDREN'S HOSPITAL 18 Dr. Vicente Palangan Jr. General Infirmary Kibawe 7 ERMAVI CLINIC 18 Dr. Concepcion Villalon General Infirmary Camp Phillips, Manolo Fortich J. Rizal St., South Pob. Maramag 8 PHILLIPS MEMORIAL HOSPITAL 95 Dr. Leonard T. Khu General SC 9 AZNAR MEDICAL CLINIC 18 Dr. Emmanuel Aznar General Infirmary Poblacion, Maramag 10 BONGCAS HOLY CHILD HOSPITAL 20 Dr. Roberto Bongcas General Primary South Poblacion, Maramag 11 MARAMAG MEDICAL CLINIC 20 Dr. Cynthia Roque General Infirmary 8714 Maramag 12 SAINT JOSEPH SOUTHERN BUKIDNON HOSPITAL 40 Dr. Orlando G. Kentilitisca General Infirmary Salawagan, Quezon 13 DR. ALBERTO M. PASTOR HOSPITAL 24 Dr. Alberto Pastor General Infirmary Poblacion, Quezon 14 ST. ANN MEDICAL HOSPITAL 24 Dr.Cedronio Neri Jr. General Infirmary Poblacion, Quezon 15 MARAAT MEDICAL HOSPITAL 23 Dr. Letecia Maraat General Infirmary Poblacion, Quezon 16 ST. CLAIRE HOSPITAL 20 Dr. David A. Pahilan General FLRH Balangay 3, Pob. Quezon 17 TABANERA MEDICAL HOSPITAL 20 Dr. Serafin Tabanera General Infirmary Kisolon, Sumilao 18 KISOLON EMERGENCY HOSPITAL 10 Dr. Alexis N. Castillo General Primary 125 P.Valero St., Valencia 1 ABELLA MIDWAY HOSPITAL 20 Dr. Dinah Abella General Primary Sayre H-way 2 VALENCIA MEDICAL HOSPITAL 10 Dr. Lorna P. Garcia General Infirmary ML. Quezon St., Pob., Valencia 3 LAVIÑA GENERAL HOSPITAL, INC. 64 Dr. Policarpio P. Murillo IV General FLRH Facoma Subd., Valencia 4 VALENCIA SANITARIUM AND HOSPITAL 50 Dr. Miriam Ruth D. dela Calzada General PC Bancod, Malaybalay 1 DETICIO COMMUNITY HOSPITAL (NEW) 10 Dr. Aurora Deticio General Infirmary Sumpang, Malaybalay City 1 BETHEL BAPTIST HOSPITAL, INC. 50 Dr. Ruth Palermo Asuncion General Secondary Fortich St., Malaybalay City 2 MALAYBALAY MEDICAL HOSPITAL 20 Dr. Elicita N. Bargola General Infirmary Fortich St., Bgy.9 3 MALAYBALAY POLYMEDIC GENERAL HOSPITAL 60 Dr. Melquisedes L. Po General PC 088-53242350 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 31) MISAMIS OCCIDENTAL MISAMIS OCCIDENTALOROQUIETA CITY OZAMIS CITY OZAMIS CITY TANGUB CITY Bonifacio 1 BONIFACIO MEDICAL CLINIC 15 Dr. Gerard T.R. Olegario II General Infirmary Bonifacio 2 CLINICA OZARAGA 20 Dr. Efren Ozaraga General Infirmary Clarin 3 REVELO MEDICAL CLINIC 10 Dr. Elias Revelo General Infirmary Clarin 4 LUIS VILLA MEMORIAL HOSPITAL 22 Dr. Sergio C. Villa Jr. General Secondary Jimenez 5 UY MEDICAL CLINIC 6 Dr. Ildefonso Uy General Primary Lopez Jaena Rillos St., Southern Pob., Plaridel 6 LOPEZ JAENA COMMUNITY HOSPITAL 15 Dr. Dionisio Lim General Infirmary 7 IMMACULATE CONCEPTION HOSPITAL 15 Dr. Arturo Vallejo General Infirmary Plaridel 8 TANHO MEDICAL CLINIC 12 Dr. Charlito Tan General Infirmary Sinacaban 9 DRAZEN COMMUNITY HOSPITAL 14 Dr. Alamado Revelo General Primary Lower Lancangan, Oro 1 DIGNUM FOUNDATION HOSPITAL, INC. 48 Dr. Josefa T. Dignum General FLRH Canubay 2 TAMOLA-TAN MEDICAL HOSPITAL 15 Dr. Meriam Tamola Tan General Infirmary J.P. Quijano Street 3 OROQUIETA COMMUNITY HOPSITAAL 15 Dr. Andrea Mancao General Infirmary Layawan 4 ST. THERESE HOSPITAL 20 Dr. Arsie Buaquina General FLRH Las Aguadas 1 FAITH HOSPITAL 50 Dr. Angel Feliciano General FLRH Bagakay 2 MISAMIS UNIVERSITY MEDICAL CENTER 80 Dr. Karen Belina de Leon General TC 5212411-13 Jose Abad Santos St. 3 MEDINA GENERAL HOSPITAL 100 Dr. Rico Medina, Sr. General TC 5210125;1466 Tinago 4 MISAMIS COMMUNITY HOSPITAL 14 Dr. Lily Fuentes General Infirmary Washington St. 5 ST. MARY GENERAL HOSPITAL 20 Dr. Jose Jamuel Marave General Infirmary Centro 1 ARUELO GENERAL HOSPITAL 24 Dr. Apolinario Aruelo General Infirmary 149 South 2nd St., 2 ST. VINCENT HOSPITAL 24 Dr. Clayton Chiong General Infirmary 1 ROA MEDICAL CLINIC 15 Dr. Melanie Roa General Infirmary MISAMIS ORIENTAL Cogon, Balingasag LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 32) MISAMIS ORIENTAL Tan-gan St. North Pob. Medina Nat'l. Superhighway, Pob. Salay CAGAYAN DE ORO CITY GUINGOOG CITY Carmen 2 MEDINA HOSPITAL 22 Dr. Dulce L. Abejar General Infirmary 3 ROA MEDICAL CLINIC 6 Dr. Hernando Roa General Infirmary 1 MADONNA AND CHILD HOSPITAL 95 Dr. Miguel Kho General SC 088-8584105 2 MARIA REYNA HOSPITAL 90 Sr. Elvira Theodore General TC 712628 Don Apolinario Velez St. 3 CAGAYAN DE ORO POLYMEDIC GENERAL HOSP. 95 Dr. Ruben Go General SC (8822)724892 Kolambog, Gusa 4 CAGAYAN CAPITOL GENERAL HOSPITAL FOUND., INC 50 Dr. Jesus Jardin General SC 724326 Puerto 5 PUERTO COMMUNITY HOSPITAL 35 Dr. Amabel Plamor General FLRH Tiano-Nacalaban St. 6 CAGAYAN DE ORO MEDICAL CENTER, INC. 112 Dr. Francisco Oh General SC Velez Street 7 DOCTORS SABAL HOSPITAL, INC. 30 Dr. Luis Sabal General FLRH Justo Gaerlan Street CAGAYAN DE ORO MATERNITY CHILDREN'S HOSP. AND 8 PUERICULTURE CENTER 70 Dr. Luna Alaba Special FLRH Mortola-Hayes Street 9 XU COMMUNITY HOSPITAL 25 Dr. Oscar V. Fundalan Special FLRH Bgy. 24 A 1 LIPUNAN HOSPITAL, INC. 25 Dr. Virgilio Lim General FLRH Bagaipo St., 9014 2 GUINGOOG SANITARIUM AND HOSPITAL 30 Dr. Johnny Postrero General FLRH 1 E and R HOSPITAL AND PHARMACY 70 Dr. Evelyn B. Ducay-Bandojo General SC LANAO DEL NORTEILIGAN CITY Benito C. Labao St., Ext. 722256 063-2213225 Bacolod 2 ANDOT MEDICAL CLINIC 10 Dr. and Mrs. Bob C. Andot General Infirmary Kamague 3 MERCY COMMUNITY HOSPITAL, INC. 70 Sr. Rose Palacio, RSM,MD General TC 221-1154;3672 19 Roxas Avenue 4 DR. UY HOSPITAL, INC. 70 Dr. Macario R. Valdez General TC 063-2213414 Tibanga Quezon Ave., Ext, Villaverde, Iligan 5 MINDANAO SANITARIUM AND HOSPITAL 100 Dr. Joel Dalaguan General TLRH 2213029 6 ST. MARY'S HOSPITAL OF ILIGAN INC. 30 General Primary 2213210 Dr. Salud B. Picardal 9173301892 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 33) LANAO DEL NORTE Kapatagan 1 DELBERT JON'S POLYCLINIC 10 Dr. Edilberto Yu General Infirmary Poblacion, Kapatagan 2 DR. GATCHALIAN CLINIC 5 Dr. Gerson D. Gatchalian General Infirmary Maranding, Lala 3 BONTILAO'S COUNTRY CLINIC GOZO COMMUNITY HOSPITAL (former MARANDING COMMUNITY 4 HOSP.) 30 Dr. Santiago L. Bontilao General FLRH 10 Dr. Delbert Gozo Jr. General Infirmary 5 MARANDING COMMUNITY HOSPITAL 50 Dr. Woodcrow Tabanao General FLRH 6 TUBOD COMMUNITY HOSPITAL 40 Dr. Leonard B. Miranda General FLRH Compostela COMVAL DOCTORS HOSPITAL ( former Compostela Valley 1 Hospital) 40 Dr. Corazon Bordios General Infirmary Compostela 2 DR. JULIO M. LAYUG JR. MEDICAL CLINIC AND HOSP. 24 Dr. Julio Layug, Jr. General Infirmary Compostela 3 ST. JAMES HOSPITAL AND MEDICAL CLINIC 20 Dr. Belinda Apawan General Infirmary Maranding, Lala Fernan Subdv., Maranding, Lala San Antonio, Tubod 4970098 3822234 3415205 SOUTHERN MINDANAO REGION COMPOSTELA VALLEY COMPOSTELA VALLEY 917-7027653 Maco 4 ALABA MEDICAL CLINIC AND HOSPITAL 12 Dr. Miller Alaba General Infirmary Mawab 5 FLORDELIZ MEDICAL CLINIC 10 Dr. Egberto Flordeliz General Infirmary Mawab 6 MAWAB MEDICAL CLINIC AND HOSPITAL 10 Dr. Evalina Jampayas General Infirmary Monkayo 7 BASAÑES MEDICAL CLINIC 10 Dr. Arturo Basañes General Infirmary Nabunturan NABUNTURAN DOCTORS HOSPITAL, INC. (former Flores 8 Medical Clinic) 24 Dr. Bernardo Ang General Infirmary 084-3760778 1 BABAK COMMUNITY HOSPITAL 20 Dr. Pacita Mahipus General Infirmary 918-5845123 DAVAO DEL NORTE Babak 917-7197021 Carmen 2 CARMEN MEDICAL CLINIC 10 Dr. Jesus Gaviola General Infirmary 919-3291963 Kapalong 3 ALEGRE MEDICAL CLINIC 24 Dr. Jonathan Alegre General Infirmary 084-3710125 Kapalong 4 SALOMON MANGILET MATERNITY AND MEDICAL CLIN. 24 Dr. Lourdes Mangilet-Salomon General Infirmary 084-3710153 Sto. Tomas 5 BOISER MEDICAL CLINIC AND CHILDREN'S HOSP. 15 Dr. Divina Fe C. Boiser General Infirmary Sto. Tomas BUNGABONG-SANICO MEDICAL CLINIC AND 6 MATERNITY HOSPITAL 20 Dr. Antoniette Sanico General Infirmary Sto. Tomas 7 ESPIRITU MEDICAL CLINIC AND HOSPITAL 22 Dr. Dominador Espiritu General Infirmary 084-8290054 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 34) DAVAO DEL NORTE Sto. Tomas 8 ESTELA MEDICAL CLINIC AND PHARMACY 10 Dr. Socorro Estela General Infirmary Sto. Tomas 9 MATUTES MEDICAL CLINIC AND HOSPITAL 12 Dr. Wilfredo Matutes General Infirmary 084-8291482 Sto. Tomas 10 MEPI MEDICAL CLINIC 17 Dr. Daisy Tugay General Infirmary 084-8292101 Bo. Floirendo, Panabo 1 A.O. FLOIRENDO HOSPITAL 40 Dr. Elviro Tabar General Secondary 084-2347711 Panabo 7302 Nat'l. Hi-way, Sn Francisco 2 CAINGLET MEDICAL CLINIC RIVERA MEDICAL CENTER, INC. (former CLINICA RIVERA 3 MULTITEST LABORATORY AND PHARMACY HOSP) 10 Dr. Felix Cainglet General Infirmary 084-6285222 72 Dr. Zenaida Rivera General SC 084-8226409 Panabo 4 NAVARES MEDICAL CLINIC 20 Dr. Alexis Navares General Infirmary 084-6285342 Panabo 5 PANABO POLYMEDIC HOSPITAL 36 Dr. Alfonso Bitoy, Jr. General FLRH 9175489862 Panabo 6 SOMOSO GENERAL HOSPITAL 50 Dr. Anita Baluyot-Somoso General Secondary 084-6285263 Panabo 7 ZAFRA MEDICAL CLINIC 24 Dr. Samuel Zafra General Infirmary 084-6286140 Christ the King 1 BISHOP JOSEPH REAGAN MEMORIAL HOSPITAL 50 Dr. Cyrian Gonzales General Secondary 084-2182374 Visayan Village 2 MMGH AND HEALTH SERVICE COOPERATIVE OF TAGUM 100 Dr. Gerardo Racho, Jr. General SLRH 084-2173853 3 ST. THERESE MATERNITY CLINIC 5 Dr. Marianita Delfin General Infirmary 084-2173274 Highway 54 4 TAGUM DOCTORS HOSPITAL 75 Dr. Cynthia Catungal General SC 084-2173775 5 UNITED DOCTOR'S HOSPITAL OF TAGUM , INC. 20 Dr. Mary Rose Urgel General Secondary 084-2173977 1 DIGOS DOCTORS' HOSPITAL, INC. 75 Dr. Marvin V. Manos General SC 082-5533584 2 GONZALES MARANAN CLINIC AND HOSPITAL 50 Dr. Manuel Gonzales General Secondary 082-5532474 082-5532363 PANABO CITY TAGUM CITY DAVAO DEL SURDIGOS CITY DAVAO DEL SUR Mc Arthur Hi-way 3 LLANOS MEDICAL CLINIC 30 Dr. Alfonso Llanos General Infirmary 4 MASONGSONG CLINIC 30 Dr. Dionisio Masongsong General Infirmary 5 MEDICAL CENTER OF DIGOS COOPERATIVE HOSP. 30 Dr. Vicente Balazo Jr. General Secondary 6 PAULINO HOSPITAL 60 Mrs. Ma. Asuncion Paulino General Secondary 082-5538480 7 SUNGA HOSPITAL 72 Dr. Lydia Ozoa General Secondary 082-5533058 Quezon Ave., Digos City 8 DOMINICAN HOSPITAL, INC. 30 Sis. Maxima O. Ramos, OP General Secondary 082-5536925 Kapatagan, Digos City 9 MERCADO MEDICAL CLINIC 24 Dr. Unciana Mercado General Infirmary Bansalan 1 BANSALAN MEDICAL CLINIC 24 Dr. Edison Martin General Infirmary 082-5536950 920-8164539 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 35) DAVAO DEL SUR DAVAO CITY Bansalan 2 PAZZU MEDICAL CLINIC 15 Dr. Aurora Ruizo Agra General Infirmary Bansalan 3 PIMENTEL MEDICAL CLINIC 20 Dr. Baltazar Pimentel General Infirmary Bansalan 4 VIACRUSIS MEDICAL CLINIC 24 Dr. Victor Viacrusis General Infirmary Bansalan 5 ZARSONA MEDICAL CLINIC 15 Dr. Leandro Zarsona, Jr. General Infirmary Kiblawan 6 ALFECHE MEDICAL CLINIC 24 Dr. Mario Josito Alfeche General Infirmary Hagonoy 7 BENDIJO HOSPITAL 15 Dr. Clemente Carlos III General Infirmary Hagonoy 8 J'HAGONOY MEDICAL CLINIC 20 Dr. Arturo Medillo General Infirmary Hagonoy 9 CLINICA RUDINAS AND HOSPITAL 22 Dr. Antenor Peñaloza General Infirmary Malalag 10 CLINICA PINEDA 10 Dr. Juliana Pineda General Infirmary Malalag 11 CLINICA STA. TERESA 24 Dr. Generoso Salud General Infirmary Malalag 12 GOLINGAY GENERAL HOSPITAL 20 Dr. Rizalito Golingay General Infirmary Malalag 13 STO. ROSARIO HOSPITAL 17 Mr. John Sunga General Infirmary Malita 14 ESTACION MEDICAL CLINIC AND HOSPITAL 20 Dr. Laud Estacion General Infirmary Malita 15 FANLO MEDICAL CLINIC 30 Dr. Ma. Dulce Fanlo General Infirmary 920-2598344 Matanao 16 SINAWILAN MEDICAL CLINIC 18 Dr. Jose Adlawan General Infirmary 919-5959177 Padada 17 PADADA GENERAL HOSPITAL, INC. 20 Dr. Prudencio dela Cruz General Infirmary Padada 18 TAMONDONG-DELOS CIENTOS MEDICAL CLINIC 10 Dr. Araceli Tamondong General Infirmary Padada 19 ASILO HOSPITAL 20 Dr. Vinefreda Asilo General Infirmary Sta. Cruz 20 CEREVILLE MEDICAL CLINIC 39 Dr. Delia Panuda General Infirmary Sta. Cruz 21 RALOTA-LAGRADA MEDICAL CLINIC 20 Dr. Francisco Reyes General Infirmary Pob. Sta. Maria 22 GONZALES-ADVINCULA MEDICAL CLINIC 24 Dr. Gerardo Gonzales General Infirmary Sta. Maria 23 STA. MARIA MEDICAL CLINIC 16 Dr. Lucy Pineda General Infirmary Sulop 24 DIONES HOSPITAL (former Diones Medical Clinic) 22 Dr. Cynthia Belen Diones General Infirmary Sulop 25 SULOP MEDICAL CLINIC 24 Dr. Consolacion Martinez General Infirmary 918-5015099 R. Castillo St., Agdao 1 ALTERADO GENERAL HOSPITAL 60 Atty. Senforiano Alterado General PC 082-2223358 Baguio District PRINCIPE COMMUNITY MEDICAL HOSPITAL (former Baguio 2 Community Medical Hospital) 10 Dr. Anthony Principe General Infirmary 082-3051512 Buhangin 3 A.P. DELA CERNA HOSPITAL 15 Mr. Adriano dela Cerna, Jr. General Infirmary 082-2410669 Calinan 4 CLINICA ISAGUIRRE 20 Dr. Edgar Manuel Isaguirre General Infirmary 082-2950055 918-3771036 9202517793 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 36) DAVAO CITY Calinan 5 CLINICA FELICIANO II 32 Dr. Eucarista Feliciano General Infirmary 082-2950070 Calinan 6 DR. LORENZO B. PRINCIPE CLINIC 12 Dr. Lorenzo Principe General Infirmary 082-2950233 Calinan 25 Dr. Ruben Robillo General Secondary 082-2950200 Anda Riverside, City Prop 7 ISAAC T. ROBILLO MEMORIAL HOSPITAL COMMUNITY HEALTH AND DEVELOPMENT COOPERATIVE 8 HOSP. 25 Dr. Josephine Cadayona General Secondary 082-2210808 Dakila Drv., Magallanes St., City Proper 9 TECARRO POLYCLINIC HOSPITAL 25 Dr. Edna Tecarro General Infirmary 082-2271545 Km. 7, McArthur Hi-way, Bangkal 10 DAVAO SANITARIUM AND HOSPITAL 34 Dr. Giovanni Patalinghug General Secondary 082-2983805 J.P. Laurel St. 11 DELA ROSA PSYCHIATRY AND REHABILITATION, INC. 10 Dr. Benjamin Molina Special Infirmary Madapo Hills 12 BROKENSHIRE INTEGRATED HEALTH MINISTRIES, INC. 100 Dr. Jack Estuart General TC Mandug 13 DELA CERNA MEDICAL CLINIC 14 Dr. Adriano dela Cerna, Jr. General Infirmary Sampaguita St., Mintal 14 HOLY SPIRIT OF MINTAL CLINIC 34 Dr. Jo Anne Calma General Secondary 118 E. Quirino Avenue 15 DAVAO DOCTORS' HOSPITAL 196 Dr. Crisostomo Serrano General TC 2271927 Leon Garcia St., Sta. Ana 16 SAN PEDRO HOSPITAL OF DAVAO CITY, INC. 230 Dr. Marcelo Dahinog, Jr. General TC 2214950 Toril 17 BULLECER MEDICAL CLINIC 24 Dr. Clarita Bullecer General Infirmary 082-2910723 Toril 18 DAVAO MEDIQUEST HOSPITAL INC. 17 Dr. Marie Antonette Zamora General Infirmary 082-2910229 082-2930236 Daliao, Toril 19 GUADALOPE MEDICAL CLINIC 24 Dr. Ernesto Guadalope General Infirmary 082-2911054 Saypon Highway, Toril 20 MALATE MEDICAL CLINIC 24 Dr. Bernardo Malate General Infirmary 082-2910383 21 ST. JOHN HOSPITAL 50 Dr. Gina Lopez-Alvarez General Secondary 082-2910365 Toril 22 ST. MARY GENERAL HOSPITAL 25 Dr. Fe Legaspi Soco General Infirmary 082-2910883 Toril 23 ACOSTA CLINIC 24 Dr. Bella Corazon L. Acosta General Infirmary 082-2914527 Gov. Generoso 1 VELASCO CLINIC AND HOSPITAL 23 Dr. Prima Guiritan General Infirmary 919-6153889 Madang, Mati 2 ST. CAMILLUS HOSPITAL OF MATI FOUNDATION, INC. 50 Fr. Marcelo Pamintuan, Jr. OSC General Secondary 087-3883682 Rasay St., Toril , gy DAVAO ORIENTAL 082-2271396 , NOTE: SOUTH COTABATO, GENERAL SANTOS CITY, KORONADAL CITY, SARANGGANI TRANSFERRED TO REG. 12- EFFECTIVE Y2003 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 37) CENTRAL MINDANAO REGION MAGUINDANAO COTABATO CITY NORTH COTABATO NORTH COTABATO KIDAPAWAN CITY 1 COTABATO PUERICULTURE CENTER MAT. CHILDREN'S HOSP. 30 Dr. Lydia Mercado General Infirmary 4217525 De Mazenod Ave. Ext. 2 DR. P. OCAMPO HOSPITAL 25 Dr. Pedro S. Ocampo, Jr. General PC 4217866 Quezon Avenue 3 COTABATO MEDICAL SPECIALIST HOSPITAL 40 Dr. Gerardo Agustin General SC 4214145 Rosary Heights 4 NOTRE DAME HOSPITAL & SCHOOL OF MIDWIFERY, INC. 75 Sr. Josephine Biason General SC 4212954 Carmen 1 NAQUITQUITAN MEDICAL CLINIC AND HOSPITAL 10 Dr. Anathy Naquitquitan General Infirmary Don Rufino Alonzo St. 9185954138 Kabacan 2 KABACAN MEDICAL SPECIALIST HOSPITAL 30 Dr. Guillermo Salcedo General PC Osias, Kabacan 3 KABACAN POLYMEDIC COOPERATIVE HOSPITAL 20 Dr. Kadil Sinolinding General PC Libungan 4 MOUNT OF BLESSINGS HOSPITAL 15 Dr. Wetzel Russ dela Cruz General Infirmary M'lang 5 MIDWAY HOSPITAL 15 Dr. Franklin Singanon General Infirmary 2881638 M'lang 6 ROLDAN MEDICAL CLINIC 12 Dr. Cecilia R. Roldan General Infirmary 2684028 M.H. del Pilar St., M'lang 7 M'LANG DOCTOR'S HOSPITAL, INC. 25 Dr. Elderlina Escudero General PC M'lang 8 NOTRE DAME CLINIC 24 Dr. Española General Infirmary Makilala 9 MAKILALA MEDICAL SPECIALIST HOSPITAL, INC. 20 Dr. Gifford Abejo General PC Midsayap 10 DE LA CRUZ MEDICAL CLINIC 10 Dr. Juralyn Jasmin General Infirmary Midsayap 11 MIDSAYAP COMMUNITY DOCTOR'S HOSPITAL 24 Dr. Edward Soriano General PC Midsayap 12 MIDSAYAP DIAGNOSTIC CENTER AND HOSPITAL 25 Dr. Vivencio Deomampo General PC 064-2482063 9192066257 2882459 2298337 Midsayap 13 JALANDONI MEDICAL CLINIC 6 Dr. Franklin D. Jalandoni General Infirmary Jaycee Ave. Midsayap 14 SARA MEDICAL CLINIC AND HOSPITAL 10 Dr. Renato C. Sara General Infirmary Quezon Ave., Midsayap 15 TARONGOY MEDICAL CLINIC 10 Dr. Pantaleon Tarongoy General Infirmary 2298306 Quezon St., Pikit 16 CADULONG MEDICAL CLINIC 10 Dr. Robert L. Cadulong General Infirmary 9173358520 Pikit 17 CRUZADO MEDICAL CLINIC AND HOSPITAL 10 Dr. Isabelita Cruzado General Infirmary National Highway, Tulunan 18 SORILLA MEDICAL AND MATERNITY CLINIC AND HOSPITAL 35 Dr. Ghadi Nathan Sorilla General PC J.P. Laurel St. 1 DIZON MEDICAL CLINIC AND HOSPITAL 24 Dr. Dominador B. Dizon General PC 2881636 Quezon Blvd. 2 KIDAPAWAN DOCTORS HOSPITAL INC. 94 Dr. Elsa Khio General PC 2881582 Perez St., Kidapawan City 3 DR. LUIS P. MALALUAN HOSPITAL 20 Dr. Luis P. Malaluan General Infirmary LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION (page 38) KIDAPAWAN CITY SULTAN KUDARAT SULTAN KUDARAT NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. Lanao St., Kidapawan City 4 MADONNA GENERAL HOSPITAL, INC. 40 Dr. Alfredo S. Villarico General FLRH 2881794 Lanao St., Kidapawan City 5 MANUEL HOSPITAL 15 Dr. Cesar N. Manuel General Infirmary 2881772 Sudapin, Kidapawan City 48 Dr. Eusebio D. Sarigumba General SC 2881767 Quezon Avenue 6 KIDAPAWAN MEDICAL SPECIALIST CENTER, INC. UNITED DOCTORS HOSP. OF KIDAPAWAN (former Pacifico 7 Medical Clinic and Hospital) 15 Dr. Elmarie Pacifico General Infirmary 2881772 Ala, Esperanza 1 TAMONDONG MEMORIAL CLINIC AND HOSPITAL 100 Dr. Elizabeth T. Bayuga General PC 2014546 Pob. Esperanza 2 CODILLA-RAMOS CLINIC AND HOSPITAL 15 Dr. Arlene R. Lorenzo General Infirmary Pob. Esperanza 3 LLANOS-TAMONDONG CLINIC 10 Dr. Emma Llanos Tamondong General Infirmary Esperanza 4 OUR LADY OF HOPE MEDICAL CLINIC AND HOSPITAL 10 Dr. Jesus Galapate General Infirmary Pob. Isulan 5 GALINATO FAMILY CLINIC AND HOSPITAL 24 Dr. Julian B. Galinato General Infirmary 4710019 National Highway, Isulan 6 ISULAN DOCTORS SPECIALIST CENTER, INC. 25 Dr. Melgar P. Retirado General PC 2013431 National Highway, Isulan 7 MATIAS MEDICAL CLINIC 6 Dr. Elsa A. Valdez General Infirmary Kalawag II, Isulan 8 HOLY NAZARENE CLINIC AND HOSPITAL 8 Dr. Susie M. Figuracion General Infirmary Kalamansig 9 KALAMANSIG MEDICAL CLINIC AND HOSPITAL 12 Mrs. Ma. Loreto Divinagracia General Infirmary 064-2014235 Lambayong 10 EVANGELISTA MEDICAL CLINIC AND HOSPITAL 15 Dr. Nenita R. Evangelista General Infirmary Rizal Avenue, Lebak 11 LEBAK DOCTOR'S HOSPITAL 12 Dr. Joycelyn C. Gaurana General Infirmary Romualdez, Pres. Quirino 12 ROMUALDEZ-KATIKU COMMUNITY HOSPITAL 25 Dr. Lito G. Salayog General Infirmary Gapok, Sen. Ninoy Aquino 13 OMAMBING FAMILY CLINIC 6 Dr. Elpidio Omambing General Infirmary 2013403 1 AMOIL CLINIC AND HOSPITAL 10 Dr. Mary ann M. Ayco General Infirmary 4770053 Abadilla Subd., Pob. 2 JACALAN HOSPITAL 19 Dr. Ma. Crestita T. Jacalan General Infirmary 200465 National Highway 3 LU CLINIC AND HOSPITAL 15 Dr. James G. Lu General FLRH 2003168 4 MMGH AND HEALTH SERVICE COOPERATIVE OF TACURONG 6 Dr. Ildefonso Maglasang General Infirmary National Highway 5 QUIJANO CLINIC AND HOSPITAL 25 Dr. Guillermo M. Quijano General FLRH 064-200436 Ledesma St., Tacurong 6 SANDIG MEDICAL CLINIC AND HOSPITAL 25 Dr. Virgilio E. Sandig General FLRH 2003201 23 Judge Quirino Mercado Ave. 7 ST. LOUIS MEDICAL CLINIC AND HOSPITAL 24 Dr. Thelma S. Valdez General FLRH 4770223 SULTAN KUDARATTACURONG CITY Brgy. J.C. Montilla 9163612386 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION (page 39) SULTAN KUDARATTACURONG CITY Tacurong Poblacion NAME OF HOSPITAL ABC* ** CATEGORY/ SERVICE CLASS. CAPABILITY 8 SULTAN KUDARAT DOCTORS HOSPITAL 50 Dr. Soledad T. Eugenio General FLRH Alunan Highway 9 SULTAN KUDARAT MEDICAL SPECIALIST CENTER, INC. 15 Dr. Zita Garingo General Infirmary No. 28, Nat'l. Highway 10 VALDEZ MOTHER AND CHILD LYING-IN CLINIC (NEW) 4 Dr. Elsa Valdez Special BH 1 ALLAH VALLEY MEDICAL SPECIALIST CENTER, INC. (NEW) 81 Dr. Elna Martinez General SC SOUTH COTABATO KORONADAL CITY Koronadal SOUTH COTABATO NO. MEDICAL DIRECTOR/ CHIEF OF HOSPITAL Arellano St., Koronadal 2 OUR LADY OF FATIMA HOSPITAL AND FP CENTER 24 Dr. Benjamin A. Suedad Jr. General PC Koronadal 3 OUR LADY OF LOURDES CLINIC AND HOSPITAL 25 Dr. Camilo L. Dajay, FPCS General PC Gen. Santos Drve,Koronadal 4 THE DOCTORS CLINIC AND HOSPITAL, INC. 75 Dr. Arturo Pingoy General FLRH Banga 1 JANUARIA MARCIAL MEMORIAL HOSPITAL 25 Dr. Rosito Mainit General PC Norala 2 CLINICA LUNTAO 13 Dr. Ervin Luntao General Infirmary Polomolok 3 BONTUYAN MEDICAL CLINIC 18 Dr. Visminda Bontuyan General Infirmary Polomolok 3 HERAMIL'S MATERNITY AND CHILDREN'S HOSPITAL 25 Dr. Hildegarda Heramil General Infirmary Polomolok 4 HOWARD HUBBARD MEMORIAL HOSPITAL 95 Dr. Eva Badayos Hormigos General TC Surralah 5 LANDERO CLINIC AND HOSPITAL 10 Dr. Aileen Landero-Afable General Infirmary Surralah 6 LARIOSA CLINIC AND HOSPITAL 15 Dr. Romeo Lariosa General Infirmary Surralah 7 SURALLAH COMMUNITY HOSPITAL 10 Dr. Judel Javelosa General Infirmary Sto. Nino 8 ST. JUDE CLINIC 10 Dr. Geronimo Dabalus General Infirmary Sto. Nino 9 ZMK DOCTORS CLINIC AND HOSPITAL 10 Dr. Zenaida Kapunan General Infirmary T'boli 10 T'BOLI EVANGELICAL CLINIC AND HOSPITAL, INC. 16 Dr. Salvecio B. Dagang General Infirmary Tupi 11 GARCIA CLINIC AND HOSPITAL 11 Dr. Roberto Garcia General Infirmary GEN. SANTOS CITY 1 AUGUIS CLINIC AND HOSPITAL 10 Dr. Lourdes Auguis General Infirmary Lagro Rd.cor.L.Ardaza St 2 SOCSARGEN COUNTY HOSPITAL 60 Dr. Jose SF Velasquez General SC Canary Rd., City Heights 3 MINDANAO MEDICAL CENTER 75 Dr. Francisco Jose Campos General SC TEL NO./ FX NO. 2003012 083-2282261 5002183-84 5538906 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 40) GEN. SANTOS CITY SARANGGANI Santiago Blvd., Nat'l Hi-way 4 GEN. SANTOS DOCTORS HOSPITAL, INC. 180 Dr. Daniel Go Yap General TC 5523141 Nat'l. Highway 5 ST. ELIZABETH HOSPITAL, INC. 125 Dr. Jesus Veneracion, Sr. General TC 5522813 Bialong, Klamba 1 TIBURCIO B. AQUINO MEMORIAL HOSP. General Infirmary 6 Dr. Henry E. Conlu NOTE: SOUTH COTABATO, GENERAL SANTOS CITY, KORONADAL CITY, SARANGGANI FROM REG. 11 TRANSFERRED TO REG. 12- EFFECTIVE Y2003 NATIONAL CAPITAL REGION MANILA 667 UN Ave., Ermita 1 MANILA DOCTORS' HOSPITAL 300 Dr. Dante D. Morales General TC 5243011 1122 Gen. Luna, Ermita 2 MEDICAL CENTER MANILA 250 Dr. Jose Relacion Jr. General TC 5238131-65 Cabildo St., Intramuros 3 SEAMEN'S HOSPITAL 100 Dr. Luis V. Vizcarra General SC 5278116-20 1556 Laong Laan St. Sampaloc 4 HOSPITAL OF THE INFANT JESUS 140 Dr. Pura Rodriguez- Caisip General TLRH 7312771-76 Dimasalang, Sampaloc 5 ST. JUDE GENERAL HOSP. & MEDICAL CENTER, INC. 70 General TC 7312901-13 España, Sampaloc 6 SANTO TOMAS UNIVERSITY HOSPITAL 700 Dr. Tito Torralba General TC 7313001 Dr. Rebecca Cuezon 836 F. Cayco St., Sampaloc 7 PERPETUAL SUCCOR HOSP. & MATERNITY INC. 65 General FLRH 667 Gastambide, Sampaloc 8 MARY CHILES GENERAL HOSPITAL 100 Dr. Rolando Florendo Dr. Josefina Macaraeg General TC 7355341 1474 Ma. Clara St., Samploc 2732 New Panaderos St., Sta. Ana 9 THE FAMILY CLINIC INC. 100 Dr. Alejandro Pineda, Jr. General TC 10 TRINITY WOMAN & CHILD CENTER " THE BIRTHPLACE" 25 General FLRH 7312901 564151012/5634488 286 Blumentritt St., Sta. Cruz 11 CHINESE GENERAL HOSPITAL & MEDICAL CENTER 592 Dr. Kasian Lim General TC 1430 D. Jose Sta. Cruz 2921 Nagtahan Street, Sta. Mesa 12 CLINICA ARELLANO GEN. HOSPITAL 25 Dr. Mercedes Villalobos General FLRH 7115631/5654 13 DE OCAMPO MEMORIAL MEDICAL CENTER 20 Dr. Aloysius Timtiman General FLRH 7151891/7150967 46 P. Sanchez St., Sta. Mesa 14 OUR LADY OF LOURDES HOSPITAL INC. 230 Dr. Hermogenes Purugganan General TC 7168001 V. Mapa St., Sta. Mesa 15 DR. MIRANDO C. UNCIANO SR. MEDICAL CENTER 100 Dr. Luisita de Castro General TC 7167291 Dr. Edwin A. Dimayuga Dr. Salome G. Amisola 7311631-33 7114141 1068 Hermosa Street, Tdo. 16 AMISOLA MATERNITY HOSPITAL 25 Special PC 2523335 1221 Juan Nolasco St. Tdo. 17 MARY JOHNSTON HOSPITAL 150 Dr. Myrna Velasquez General TLRH 2454021 1357 G. Masangkay St., Tdo. 18 METROPOLITAN HOSPITAL 300 Dr. Chuang Chong Chian General TC 2550401 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 41) KALOOKAN CITY QUEZON CITY QUEZON CITY 175 Capt.Samano St., Area A, Camarin 1 NODADO GENERAL HOSPITAL 40 Dr. Susan Uy Nodado General FLRH 9628021/9627991 15 Gen. Luis St., Caybiga 2 LADY OF LOURDES HOSPITAL OF CAYBIGA, INC. 20 Dr. Erlinda Mauricio General FLRH 9835581/9841413 198 A. Mabini St., Maypajo 3 MARTINEZ MEMORIAL HOSPITAL 100 Dr. Santos del Rio General FLRH 185 J.P. Rizal St., Maypajo 8th Ave., cor. F.Roxas St., Grace Park 4 CLINICA TERENCIO AND HOSPITAL 15 Dr. Emmanuel Terencio General Infirmary 5 OUR LADY OF GRACE HOSPITAL 28 Dr. Lourdes Sembrano General FLRH EDSA 849 Gen. Luis Street, Bagbaguin 6 MCU-FDT MEDICAL FOUNDATION HOSP. 209 Dr. Raquel M. So-Sayo General TC 7 BAGBAGUIN FAMILY HOSPITAL 6 Dr. Eduardo D. Acebedo General Infirmary 9835363 26 Mariano Ponce cor. Tirad Pass St. 8 JOHN PAUL HOSPITAL 15 Dr. Antonio Bautista Jr. General FLRH 3618959 115 Mariano Ponce Street 9 RONN-CARMEL HOSPITAL 25 Dr. Carolina Gabriel General FLRH 238 Reparo St.,Baesa 24 Bgy.170 Zone 15, Susano Rd., Deparo 10 BAESA ADVENT POLYCLINIC & GENERAL HOSPITAL 10 Dr. Alma Onia General Infirmary 3632775 3302108/ 3625881 15 Dr. Venerando Tantengco General Infirmary 9362683 Brgy. 177, Kalookan 11 SAN LORENZO GEN. HOSPITAL JOY CARE BIRTHING MEDICAL AND DIAGNOSTIC 12 CLINIC (NEW) 5 Dr. Yolanda B. Lim Special BH Aurora Blvd. 1 UERM MEMORIAL MEDICAL CENTER 307 Dr. Vicente Tanseco Jr. General TC 960 Aurora Blvd., Ext. 2 WORLD CITI MEDICAL CENTER 276 Dr. Reynaldo Nambayan III General TC 9138380 130 Quirino Hi-way, Baesa 3 PASCUAL GENERAL HOSPITAL 30 Dr. Mariano Pascual General FLRH 3625862 46 Bukidnon St., Bago Bantay 4 DR. MONTANO G. RAMOS HOSPITAL 25 Dr. Montano Ramos General FLRH 9276678/ 4532453 2888661 2872186/2882465 3611138 3672031-45 7161853 75 Bukidnon St., Bago Bantay 5 J.P. SIOSON GEN. HOSP. AND COLLEGES, INC. 80 Dr. Juanito Sioson General FLRH 9275643/ 4554281 8 Unang Hakbang Galas, Sn Isidro Commonwealth Ave., cor. T.Sora, New Era 6 GALAS MATERNITY, LYING-IN AND MEDICAL CLINIC F.Y. MANALO MEDICAL FOUND., INC.- NEW ERA GENERAL 7 HOSPITAL 6 Dr. Ma. Consuelo Gardiner Special BH 7163432 40 Dr. Jesse C. Baylon General FLRH 9237387 97 Tandang Sora 8 ROUND THE CLOCK, MOTHER AND CHILD CLINIC (NEW) 3 Ms. Cecilia Villacruel Special BH 39 T. Sora Ave., Culiat Street 9 OVERSEAS CONTRACT WORKERS GENERAL HOSP. 10 Dr. Roger Ramones General FLRH 531 Commonwealth 10 GEN. MIGUEL MALVAR MEDICAL FOUND. HOSP. 20 Dr. Potenciano Malvar General PC 9328517 11 Banaue Street 11 DR. FE DEL MUNDO MEDICAL CENTER FOUNDATION PHILS. 135 Dr. Fe del Mundo General TC 7120845 9313529/9313060 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 42) QUEZON CITY QUEZON CITY 39 T. Sora Ave., Culiat Street 9 OVERSEAS CONTRACT WORKERS GENERAL HOSP. 10 Dr. Roger Ramones General FLRH 9313529/9313060 531 Commonwealth 10 GEN. MIGUEL MALVAR MEDICAL FOUND. HOSP. 20 Dr. Potenciano Malvar General PC 9328517 11 Banaue Street 11 DR. FE DEL MUNDO MEDICAL CENTER FOUNDATION PHILS. 135 Dr. Fe del Mundo General TC 7120845 4 Los Angeles St., Cubao 12 THE CLINIC OF THE HOLY SPIRIT 40 Dr. Aurelio Gonzales Special ACPsyF 7217180 1966 E.Rodriguez, Cubao 13 MONTALBAN MIDWIFE CLINIC (NEW) 2 Dr. Wilma Donna Montalban Special BH 7 Kamuning Road 14 DR. JESUS C. DELGADO MEMORIAL HOSPITAL 65 Dr. Rainerio Abad General SLRH 9244051 24 C Kamuning Road 15 JONAH MATERNITY LYING-IN & POLYCLINIC 2 Dr. Benjamin V. Ona Jr. General BH 9260137 177 Kamias Road 16 ESTRELLAS HOME CARE CLINIC, INC. 60 Dr. Ma. Nita Estrellas Special ACPsyF 9223751 241 Roosevelt Ave., SFDM 17 Q.C. ST. AGNES GENERAL HOSPITAL 50 Dr. Marinella Agnes Abat General SC 3744127 201 E.Rodriguez Sr., Blvd. 18 DE LOS SANTOS MEDICAL CENTER 150 Dr. Efren de los Santos General TC 7230041 279 E. Rodriguez Sr., Blvd. 19 ST. LUKE'S MEDICAL CENTER 633 Dr. Arsenio Cantos General TLRH- 7270419 L20 cor. Mercury Street Regalado Ave., cor. Dahlia, Fairview 20 FAIRVIEW GENERAL HOSPITAL 30 General FLRH 9398764/9384796 21 FEU-NRMF-MEDICAL CENTER 300 Dr. Lilia Luna General TLRH 9384881 606 Quirino Highway , Novaliches 680 Quirino Highway, Sn Bartolome, Nova. North Olympus Subdv.Zabarte Rd., Nova. F. Salvador Ave., Jordan Plains Sta. Monica, Nova. Dr. Hermogenes Jarin 22 ANN FRANCIS MATERNITY HOSPITAL 6 Dr. Rommel R. Felix Special BH 9363256/9389424 23 BERNARDINO GEN. HOSP. I 55 Dr. Emmanuel de la Cruz General FLRH 9365060/4182243 24 BERNARDINO GEN. HOSP. II 35 Dr. Raul C. Sanchez General FLRH 9355262/9398050 25 CRUZ-DALIDA MATERNITY HOSPITAL, INC. 8 Dr. Rosario B. Cruz Dalida Special BH 9366135 Flordeliza Bldg., Km23, Quirino Hi-way, Lagro 26 NEOPOLITAN HOSPITAL 15 Dr. Joaquin Gan General Infirmary 9364576 Quirino Highway, Gulod, Novaliches 27 NOVALICHES GENERAL HOSPITAL 45 Dr. Francisco Tan Jr. General FLRH 9387890 Quirino Highway Bgy. Pasong Putik, Novaliches 28 SAN LORENZO HOSPITAL 35 Dr. Eduardo Noveloso General FLRH 9397054/9302195 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 43) QUEZON CITY 12 Marianito St., Gulod, Novaliches 16 Tandang Sora Ave., Novaliches 23 Zabarte, Kaligayahan, Novaliches 7 Dr. Cherry Valdez Padron General Infirmary 4199339 30 CASAUL GENERAL HOSPITAL , INC. 100 Dr. Ruby Lanting Casaul General SLRH 9387789 31 NODADO GENERAL HOSPITAL 17 Dr. Susan Nodado General Infirmary 4171376 32 WORD OF HOPE GENERAL HOSP. FOUND.,INC. 30 Dr. Ferdinand Calalang General FLRH 95-S Susano Road, Novaliches 33 CABARLES MATERNITY (LYING-IN), MED. & CHILDREN'S CLINIC 4 Dr. Rory Cabarles General BH 4173428 100 D. Tuazon St. 201nth Damayang Lagi,, New Manila 34 STA. TERESITA GENERAL HOSPITAL 65 Dr. Teresita Sanchez General SC 7810301 35 SUNRISE HILL THERAPEUTIC COMMUNITY HOSP. 25 Dr. Evangeline de la Fuente Special ACPsyF 6 N. Ramirez St. 36 UNITED DOCTORS MEDICAL CENTER 250 Dr. Delfin Tan General TC 17 Panay Avenue 37 CAPITOL MEDICAL CENTER 300 Dr.Thelma Navarrete-Clemente General TLRH 11 Salalilla St., Proj. 4 24 Dr. Romualdo Villarosa General FLRH Brgy. Milagrosa, Proj. 4 38 VILLAROSA HOSPITAL THE ANGELIC MATERNITY AND CHILD CARE 39 CENTER (NEW) 3 Dr. Orlando Luna Special BH Alabang, Zapote Road UNIVERSITY OF PERPETUAL HELP RIZAL MEDICAL CENTER, 1 INC. 190 Dr. Ferdinand Francis General TC 8748515 130 Real St., Pamplona 2 CHRIST THE KING MATERNITY & LYING-IN HOSP., INC. 20 Dr. Leonida Almelor Special BH 8730604 46 Real St., Pamplona Atlas Cpd., Naga Rd., Pulanglupa 3 PAMPLONA MEDICAL CLINIC 15 Dr. Ma. Angelina O'Santos General FLRH 8050524 4 A. ZARATE GENERAL HOSPITAL 17 Dr. Albert L. Zarate General FLRH 8746903 8009 GP Agutan Ave., Pulang Lupa 2 5 LAS PIÑAS DOCTORS HOSPITAL, INC. 86 David G. Callejo General SC 545-A Talon Garden 6 CALLEJO MEDICAL CLINIC 10 Dr. David Callejo General Infirmary Talon V 7 LAS PIÑAS CITY MEDICAL CENTER 56 Dr. Conrado Manalad General SC 8005695 Pelayo Vill. Talon 8 ALABANG MEDICAL CLINIC - TALON BRANCH 25 Dr. Rosita Ocampo General FLRH 8742506 Novaliches LAS PIÑAS CITY 29 VALDEZ-PADRON HOSPITAL 3733041-44 7246128/4121818 7123640 3723825 9139713/05/91351 33 8255236 8752950/8723795 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 44) MAKATI CITY 2 Amorsolo 1 MAKATI MEDICAL CENTER 600 Dr. Raul Fores General TC 8159911 379 Sen. Gil Puyat Ave. 2 M-TECH MEDICAL HOSPITAL (NEW) 10 Dr. Leopoldo Lazatin General FLRH 8966751 1838 Dian Street, Palanan 9821 Kamagong St., Sn Antonio Vill 3 ST. CLARE'S MEDICAL CENTER 75 Dr. Araceli Jo General SLRH 8316511 4 ASTHMA RX CENTER 6 Dr. Jose Lopez David Special Infirmary 8958508 1076 Chino Roces Ave. cor.Solchuaga 5 MA. LOURDES MATERNITY HOSPITAL 20 Dr. Benhur Sales Special FLRH 8953647 575 J.P. Rizal St., Olympia MAKATI PERPETUAL HELP MATERNITY MEDICAL AND 6 DIAGNOSTIC CENTER (NEW) 4 Dr. Teresita Javier Special BH MALABON CITY 520 MH del Pilar St.Santolan 1 A.P. CRUZ COMMUNITY HOSPITAL 15 Dr. Charmilyn Bernardo General Infirmary MANDALUYONG CITY 393 Boni Avenue 1 UNCIANO GENERAL HOSPITAL 25 Dr. Michael Unciano General FLRH 163 EDSA 257A Sto. Rosario, Plainview 2 DR. VICTOR R. POTENCIANO MEDICAL CENTER 168 Dr. Conrado Dayrit General TC 5314911 3 MOTHER TERESA'S THE HOME THAT CARES, INC.(NEW) 31 Dr. Ma. Lourdes Cortez Special CPsCF 5326773 49 B. Bayanan Ave., Concepcion 1 GARCIA GENERAL HOSPITAL 24 Dr. Nestor Garcia General FLRH 9424705 2 ST. VINCENT HOSPITAL 35 Dr. Edgardo Deoduco General FLRH 9417320 9419362 MARIKINA CITY 35 B. Bayanan Avenue, Concepcion Katipunan Avenue, Concepcion 2873629 5336565-66 3 JESUS IMMACULATE CONCEPTION HOSPITAL 15 Dr. Editha Zulueta General FLRH Concepcion Dos 4 SDS MEDICAL CENTER (NEW) 22 Dr. Amparo Siasoco-Serrano General PC 38 Gen. Ordoñez Street 5 SAN RAMON HOSPITAL 9 Dr. Gil Marasigan General Infirmary G. Fernando, San Roque 6 ST. JOHN THE BAPTIST OF MARIKINA HOSPITAL 31 Dr. Samuel Andin General FLRH 6829092-93 138 A.Bonifacio Ave., Tañong 7 STA. MONICA MEDICAL CLINIC 30 Dr. Edgardo Deoduco General FLRH 9978819 444 J.P. Rizal Street, Lamuan 8 ST. VICTORIA HOSPITAL 30 Dr. Adelaida Calderon General FLRH 9415081 6453060 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 45) MUNTINLUPA CITY PARAÑAQUE CITY PASAY CITY Alabang-Zapote Road Centennial Lane, Filinvest Alabang 1 ALABANG MEDICAL CENTER 20 Dr. Anita N. Ty General FLRH 8078189/8508719 2 ASIAN HOSPITAL AND MEDICAL CENTER 250 Dr. Rudy Floro General SC 249 T. Montillano St., Alabang 3 ALABANG MEDICAL CLINIC 30 Dr. Cesar T. Sy General FLRH 249 T. Montillano St., Alabang B9L1 Villa Carolina Subdv., Tunasan 4 SAN ROQUE MEDICAL CLINIC 12 Dr. Estelita Santos General Infirmary 5 BEATO-CAUILAN HOSPITAL 10 Dr. Pacencia B. Cauilan General FLRH 8615285/8617745 1125 Amparo St., Poblacion 6 BABARAN-ECHAVEZ MEDICAL & PSYCHIATRIC CLINIC 18 Dr. Ma. Luisa B. Echavez General Infirmary 8613066/8618541 7 Estanislao,Lakeview Homes 7 SAINT MARGARETH MEDICAL CLINIC, INC. (NEW) 10 Dr. Crispulo Ulysses Patdu III Special BH 7119000 8241639/8500540 8422950 5692337 No.1 National Rd., Putatan 8 ALABANG MEDICAL CLINIC - MUNTINLUPA BRANCH 25 Dr. Wislon Estrada General FLRH 38 Nat'l. Road, Putatan 9 MPI-MEDICAL CENTER MUNTINLUPA 90 Dr. Carmencita Solidum General SC 8610051/1778 8620162 Coastal Road, Brgy. San Dionis 1 OUR LADY OF PEACE HOSPITAL 90 Sr. Eva Fidela Maamo, SPC,MD General FLRH 8257714 972 G. Cruz Street, Baclaran 2 STA. RITA DE BACLARAN HOSPITAL 25 Dr. Riorita Lustestica General FLRH 8317005-06 22 Jordan St. Multinat'l Vill. 3 MULTINATIONAL MIDWIFERY LYING-IN CENTER (NEW) 3 Ms. Cecilia L. Celestino Special BH 484 Quirino Ave., Tambo St 4 D.T. PROTACIO HOSPITAL 30 Dr. Edgardo Protacio General FLRH Dr. A. Santos Ave., Sucat Ave.,Sucat Rd. 5 MEDICAL CENTER PARAÑAQUE, INC. 95 Dr. Humberto Villareal General SLRH 8256911 6 OLIVAREZ GENERAL HOSPITAL 50 Dr. Ephraim Neal Orteza General FLRH 8265750/8258747 Km. 14, West Service Rd., South Super Hi-way 7 SOUTH SUPERHIGHWAY MEDICAL CENTER 50 Dr. Jose Rabe General SLRH 8234344 1975 Donada Street 1 MANILA SANITARIUM AND HOSPITAL 150 Dr. Bibly Macaya General TLRH 5259191 2772 Roxas Blvd., 2 SAN JUAN DE DIOS EDUCATIONAL FOUNDATION 230 Sister Ma. Linda R. Monzon, DC General TLRH 8319731 8322953 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 46) PASIG CITY E. Rodriguez Avenue,Bagong Ilog Lot A2A Marcos Hi-way, Dela Paz 1 MARY IMMACULATE HOSPITAL 25 Dr. Ma. Concepcion Vesagas General FLRH 2 SALVE REGINA GENERAL HOSPITAL, INC. (NEW) 50 Dr. Ronaldo V. Mendoza General FLRH 3 METRO PSYCH FACILITY 50 Dr. Ma. Concepcion C. Vesagas Special ACPsyF 6710439 4 JOHN F. COTTON HOSPITAL 40 Dr. Angelito Obillo General SC 6328981 Ortigas Avenue Km. 17 Ortigas Ave., Ext. Rosario 5 THE MEDICAL CITY 500 Dr. Alfredo R. A. Bengzon General TC 6318626 6 MISSION HOSPITAL 30 General FLRH 73 Dr. Pilapil St., Sagad Street 7 JAVILLONAR CLINIC & HOSPITAL 25 Dr. Edgardo SA Javillonar General FLRH 6412303 Countryside Vill., Sta.Lucia 8 L.O. CEZAR POLYCLINIC 6 Dr. Librada Cezar General Infirmary 6550408 Caruncho Ave., San Nicolas 9 SABATER GENERAL HOSPITAL 20 Dr. Rodolfo Sabater General FLRH 6418194 4 Dr. Jesus Acantilado General BH 9153978 20 Dr. Rex Barbosa Dr. Ma Rowena E. Concepcion General FLRH 6412922/6413360 19 General Infirmary 6437510/6437684 6 Dr. Estradella Ermita General Infirmary 6461067 520 Dr. Sixto Antonio Ave.,Maybunga Meralco Cmpd., Ortigas Avenue 27 Pres. Quezon St. Lifehomes Subdv. Brgy. Rosario 10 HOLYLIFE HEALTH SPECIALIST CLINIC AND LYING-IN (NEW) No.2 Ruby St. Dona Juana Subdv. Rosario 11 MOTHER REGINA HOSPITAL Maybunga 12 ST. THERESE HOSPITAL, INC. SAN JUAN TAGUIG Dr. Dominador SA Pedracio 6713928/6713923 6560877/6562851 Village, Manggahan 13 PASIG MEDICAL AND MATERNITY HOSP. FOUND. INC. Wilson St., Greenhills 1 CARDINAL SANTOS MEDICAL CENTER 245 Dr. Charles Chante General TC 7270001 Brgy. Kabayanan 2 ST. MARTIN DE PORRES CHARITY HOSPITAL 121 Dr. Soledad Cortez General TC 7238045 37 Gen. Luna St., Tuktukan 313 Gen. Santos Ave., L. Bicutan 1 CRUZ-RABE MATERNITY & GEN. HOSPITAL 50 Dr. Erlinda Rabe General FLRH 6420747 2 DR. SABILI GENERAL HOSP. & HEALTH SERVICES 20 Dr. Jose Sabili General FLRH 8370917/8375954 34 MLQU St., BagumBayan M.L.Quezon St., Bagumbayan 3 HOLY MARY FAMILY HOSPITAL 11 Dr. Narciso G. Osorio Jr. General Infirmary 8370246 4 TAGIG DOCTORS' HOSPITAL 8 Dr. Mario Aquino General Infirmary 8370178 M.L.Quezon St., Bagumbayan 5 BG. IGNACIO LYING-IN CLINIC (NEW) 5 Dr. Bella G. Ignacio Special BH 8370360 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 47) VALENZUELA CITY 120 Mc Arthur Hi-way 1 FATIMA MEDICAL CENTER, INC. General TLRH 2932703 Mc Arthur Hi-way Hi-way, Marulas 2 F & P HERNANDEZ MATERNITY AND LYING-IN CLINIC 150 Dr. Vicente Santos 6 Dr. Florante Hernandez Special BH 2916531 3 CALALANG GENERAL HOSPITAL 50 Dr. Ferdinand G. Calalang General FLRH 2916802 2 Espiritu Street, Marulas 4 SANCTISSIMO ROSARIO GEN. HOSPITAL 15 Dr. Serafin David Serapio General FLRH 2916985/2772167 70 MEC Balubaran, Malinta 5 MV ROMANO HOSPITAL 15 Dr. Ma. Vida M. Romano General Infirmary 2923461/2923460 155 Pasolo Street 6 PASOLO MATERNITY AND MEDICAL CLINIC, INC. 7 Dr. Roel Santiago Special BH 4041 Que Grande St. Ugong 7 VIAN FAMILY HOSPITAL (NEW) 6 Dr. Kenneth C. Calderon General Infirmary 4325744 85 Palasan Street 8 CARLOZ CLINIC 7 Dr. Ma. Emelinda L. Carloz General Infirmary 2922814 1 DR. JOSE MA. TORRES MEMO. FOUND. HOSP. 21 General Secondary 1 SMD GENERAL HOSPITAL 11 Dr. Saffrullah M. Dipatuan General Infirmary 520617 2 SOHAYA MEDICAL & DIAGNOSTIC HOSPITAL 10 Dr. Amoran Sampal General Infirmary 520329 Buluan 1 MAGRINA CLINIC AND HOSPITAL 15 Dr. Emmanuel Magrina General Infirmary Buluan 2 MANANGAN CLINIC AND HOSPITAL 25 Dr. Sergio M. Manangan General Infirmary Bongao 1 HOLY FAMILY HOSPITAL 12 Sr. Teresita Camomot,MD General Infirmary 10 Dr. Liborio D. Ramirez, Jr. General Infirmary 2922753 ARMM BASILAN LANAO DEL SUR MARAWI CITY MAGUINDANAO TAWI-TAWI Menor St. Ext. Pangarungan Vill. - NOTE: MARAWI CITY(LANAO DEL SUR), BASILAN, SULU FROM REG.9 TRANSFERRED TO ARMM EFFECTIVE Y2003 CARAGA AGUSAN DEL NORTE Cabadbaran BUTUAN CITY 1 ST. ANNE CLINIC Magallanes 2 CLINICA JESUS NAZARENO 20 Dr. Eleanor C. Quinte General Infirmary Magallanes 3 ST. JOSEPH MEDICAL CLINIC 15 Dr. Manuel L. Relampagos General Infirmary Dr. Nilda M. Lozada 2812168 Ampayon 1 LOZADA'S HOSPITAL 10 General Infirmary 3415078 J.C. Aquino Avenue 2 BUTUAN DOCTORS' HOSPITAL 100 Dr. Claudio B. Estacio General SLRH 3427000 554 Montilla Blvd. 3 MANUEL J. SANTOS HOSPITAL 100 Dr. Terence Anthony Vesagas General SC 3412222/2255621 LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 48) BUTUAN CITY San Jose St., 4 ELISA R. OCHOA MEMORIAL MATERNITY AND HOSPITAL 50 Dr. Elena Abarquez General FLRH 3425017 AGUSAN DEL SUR Bayugan 1 AGUSAN DEL SUR DOCTORS HOSPITAL 15 Dr. Felicidad M. Bascug General Infirmary 2312027 Bayugan 2 BAYUGAN J M. YAP STO. NIÑO HOSPITAL 10 Dr. Jenny M. Yap General Infirmary 3436011/2312772 Bunawan 3 UNITED DOCTORS MEDICAL CLINIC 6 Dr. Emetrio I. Castillo General Infirmary 2552399 Trento 4 FRANCO MEDICAL CLINIC AND HOSPITAL 10 General Infirmary 2552400/2252210 Trento 5 RICO MEDICAL CLINIC AND HOSPITAL 5 Dr. Roberto A. Franco Dr. Melinda C. Rico-Ronquillo General Infirmary 2252275 1 AMARILLE DOMINOS FAMILY HOSPITAL 15 Dr. Lixberto R. Castro General Infirmary 2317190 2 GRACE CHRISTIAN CLINIC AND HOSPITAL 15 Dr. Lixberto R. Castro General Infirmary 2324427/2317466 3 MIRANDA FAMILY HOSPITAL 25 Dr. Josefino P. Miranda General FLRH 8261057/2326450 4 SURIGAO MEDICAL CENTER, INC. 50 Dr. Corazon K. Bautista General FLRH 262004/9192169601 SURIGAO DEL NORTE- SURIGAO CITY BISLIG CITY SURIGAO DEL SUR Tabon, Bislig 1 ANDRES SORIANO MEMORIAL HOSPITAL COOP. 50 Dr. Justino S. Urquico General SC 8533124 Mangagoy, Bislig 2 FAMILY MEDICAL CLINIC 25 Dr. Aurora S. Babano General Infirmary 8534305 Mangagoy, Bislig ST. VINCENT DE PAUL COLLEGE AND MATERNITY AND 3 GENERAL HOSP. 10 Dr. Ma. Rowena D. Dimaano General Infirmary Pag-antayan,Cantilan 1 ISIDRO M. OLAN SR. MEMORIAL CLINIC AND HOSP. 10 Dr. Valentin D. Olan General Infirmary Lianga 2 DIATAGON MEDICAL CLINIC 10 Dr. Bernardita R. Resus General Infirmary RADIOVHF 144.28 Tandag 4 CUARTERO GENERAL HOSPITAL 10 Dr. Josefina G. Cuartero General Infirmary 2113281 CORDILLERA ADMINISTRATIVE REGION ABRA ABRA BENGUET Bangued 1 BANGUED CHRISTIAN HOSPITAL 17 Dr. Benjamin R. Bringas General FLRH 9174026712 Bangued 2 DR. PETRONILO V. SEARES MEMORIAL HOSPITAL 35 Dr. Hubert Seares General FLRH 747528350 Bangued 3 ST. JUDE MEDICAL CLINIC 12 Dr. Wilhelmina Culangen General Infirmary 746620819 Bangued 4 VALERA MEDICAL HOSPITAL 15 Dr. Milagros Alzate General Infirmary Talogtog, Dolores 5 ST. THERESA WELLNESS CENTER 6 Dr. Loreta A. Blanco General Infirmary Buguias 1 LUTHERAN HOSPITAL 35 Dr. Joan Malinias General FLRH LIST OF LICENSED PRIVATE HOSPITALS AND OTHER HEALTH FACILITIES As of December 31, 2004 LOCATION NO. NAME OF HOSPITAL ABC* MEDICAL DIRECTOR/ CHIEF OF HOSPITAL ** CATEGORY/ SERVICE CLASS. CAPABILITY TEL NO./ FX NO. (page 49) BENGUET BAGUIO CITY IFUGAO KALINGA Mankayan 2 LEPANTO CONSOLIDATED MINING HOSPITAL 30 Dr. Fabian Tolete General FLRH 744528102 Pacdal, Tuba 3 STO. NIÑO HOSPITAL OF PHILEX MINING CORPORATION 46 Dr. Manuel Ringor General Infirmary 744528102 Assumption Rd. Ext. 1 ST. LOUIS UNIVERSITY HOSPITAL OF THE SACRED HEART 160 Dr. Roberto L. Legaspi General TC F. Burgos St. 2 STO NIÑO JESUS MEDICAL CENTER 45 Dr. Florante C. Reyes General FLRH 744459063 Magsaysay St. 3 PINES CITY DOCTORS' HOSPITAL 35 Dr. George Pangwi General FLRH 744459063 Military cut-off 4 BAGUIO MEDICAL CENTER 45 Dr. Dionisio R. Claridad General FLRH 074-4423336 Balacbac, Sto. Tomas Rd. 5 ROSEVILLE PARK CENTER 20 Dr. Rose S. Tibayan Special ACPsyF 074-4426396 Trancoville 6 BAGUIO-FIL CHINESE GENERAL HOSPITAL 12 Dr. Charles Cheng General FLRH Banawe 1 GOOD NEWS CLINIC 5 Dr. Antonio P. Ligot General Infirmary 074-4425700 9209076553 Bulanao, Tabuk 1 ALMORA GENERAL HOSPITAL 15 Dr. Jaime A. Almora General FLRH 9185639153 Bulanao, Tabuk 2 HOLY TRINITY MEDICAL CLINIC 10 Dr. George Taclobao General Infirmary 9165046660 Dagupan,Tabuk 3 ST. LUKE'S EMERGENCY HOSPITAL 22 Ms. Endena Claver General Infirmary Tabuk 4 TABUK FAMILY CLINIC 20 Dr. Rogelio Bargas General Infirmary 9197923664 MT. PROVINCE Segada 1 ST. THEODORE'S HOSPITAL 10 Rev. Moreno Tuguinay General Infirmary 9282536910 APAYAO Conner 1 SAN JUAN MEDICAL CLINIC 5 Dr. Abraham Juan General Infirmary N/A NOTE: PC= Primary Care SC = Secondary Care TC= Tertiary Care; *ABC = Authorized Bed Capacity **ADMINISTRATIVE ORDER 147 S., 2004 (A.O. 70-A s., 2004 / A.O.68-A s. 1989) PRIMARY CARE( FIRST LEVEL REFERRAL HOSP./ SECONDARY) Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality. SECONDARY CARE (SECOND LEVEL REFRL HOSP./ TERTIARY) Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment, surgical procedure and intensive care. TERTIARY CARE (THIRD LEVEL REFRL HOSP./ BIRTHING HOME Teaching and training hospitals that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and sub-specialized forms of treatment, surgical procedure and intensive care. A health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies. A health facility that provides maternity service on pre-natal and post-natal care, normal spontaneous delivery, and care of newborn babies. ACUTE CHRONIC PSYCHIATRIC CARE FACILITY A health facility that provides medical service, nursing care, pharmacological treatment, psychosocial intervention for mentally ill patients. CUSTODIAL PSYCHIATRIC CARE FACILITY A health facility that provides long term care , including basic human services such as food and shelter, to chronic mentally ill patients. TERTIARY) INFIRMARY ( INFIRMARY / PRIMARY ) Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF AMBULATORY SURGICAL CLINIC as of December 31, 2003 NAME ADDRESS TELEPHONE NO. MEDICAL DIRECTOR VALIDITY 1. ST. LUCY'S CATARACT AND LASER EYE CENTER Naguilayan, Binmaley, Pangasinan (075) 543-2476 Dr. Santiago G. Urmaza, Jr January 24, 2003 to Janaury 23, 2004 2. FRIENDLY CARE CLINIC 710 Shaw Blvd., Mandaluyong City 722-2968 Dr. Juvencio T. Ordoña February 6, 2003 to February 5, 2004 3. A.C.E.S. LASER AND SURGICENTER Cebu (Velez) Gen. Hospital, 41 F. Ramos St., Cebu City (032) 255-2821 Dr. Rueben R. Aquino February 26, 2003 to February 25, 2004 4. EYE REFERRAL CENTER 430 T. M. Kalaw St., Ermita, Manila 525-9360 to 64 Dr, Manuel M. Agulto April 27, 2003 to April 26, 2004 5. HEALTHWAY MEDICAL CLINICS - SM CITY Basement Level, SM City Annex Bldg. North EDSA, Quezon City 455-0131 / 454-5635 Dr. Joel N. Beltran March 19, 2003 to March 18, 2004 6. PHILIPPINE LITHOTRIPTER, INC. 2nd Floor, Stone and Prostate Treatment Center, St. Luke's Medical Center, 279 E. Rodriguez Sr. Blvd. Quezon City 727-5425 Dr. Achilles G. Bartolome May 18, 2003 to May 17, 2004 7. FREE RURAL EYE CLINIC Bolasi, San Fabian, Pangasinan (075) 523-3699 Dr. Guillermo De Venecia May 21, 2003 to May 22, 2004 8. MAHARLIKA AMBULATORY SURGERY CENTER Maharlika Center Bldg., J.P. Cabaguio Ave., Davao City 221-6446 to 49 Dr. Rolando A. Chiu May 25, 2003 to May 24, 2004 9. FRIENDLYCARE CLINIC - CEBU G/F GMC Bldg., Legaspi Ext., Cebu City (032) 254-7727 Dr. Juvencio F. Ordoña June 5, 2003 to June 4, 2004 10. PHILAMCARE HEALTH SYSTEMS, INC. - U.N. CLINIC Grd. Floor, Philamlife Bldg., U.N. Ave. Ermita, Manila 524-9567 / 523-6002 Dr. Erlinda L. Tiuseco loc. 621, 729, 732, 813 762 June 6, 2003 to June 5, 2004 Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF AMBULATORY SURGICAL CLINIC as of December 31, 2003 NAME ADDRESS TELEPHONE NO. MEDICAL DIRECTOR VALIDITY 11. RICHSTONE SURGICARE CENTER #886 G. Araneta Ave., Brgy. Tatalon Quezon City 743-6728 / 743-6734 Ma. Rosela B. Espinar, M.DJuly 4, 2003 to July 3, 2004 12. UROLOGY CENTER OF THE PHILIPPINES, INC. 132 Kalayaan Ave., Brgy. Central Diliman, Quezon City 924-2369 Dr. Antonio Anastacio July 6, 2003 to July 5, 2004 13. THE AMERICAN EYE CENTER, INC. 5th Level Shangri-La Plaza Mall, EDSA cor. Shaw Blvd., Mandaluyong City 636-0762 Dr. Jack G. Arroyo, Jr. July 27, 2003 to July 26, 2004 14. MALIWAT AMBULATORY SURGICAL CARE CLINIC Poblacion Sur, Talavera, Nueva Ecija (044) 951-1215 Dr. Renato Reynaldo D.G. August 12, 2003 to Maliwat August 11, 2004 15. UNIMED CLINIC Morales Bldg., Mabini St. Cabanatuan City (044) 600-2023 Dr. Benjamin S. Yu August 13, 2003 to August 12, 2004 16. MAKATI EYE LASER CENTER G/F Alegria Bldg., 2229 Pasong Tamo St., Makati City 813-0343 Dr. Salvador R. Salceda August 28, 2003 to August 27, 2004 17. CLINICA TAMESIS #42 Quezon Ave., Quezon City 712-3593 Dr. Jesus M. Tamesis, Jr. Sept. 2, 2003 to Sept. 1, 2004 18. LASER CENTER (LITHOTRIPSY ASSISTED STONE ERADICATION CENTER, INC.) 1215 Medical Plaza Ortigas, San Miguel Ave., Pasig City 687-1006 Dr. Lulius C. Cajucom Sept. 11, 2003 to Sept. 10, 2004 19. ASIAN EYE INSTITUTE, INC. 9th & 10th Floor, Phinma Plaza Bldg. Rockwell Center, Makati City 898-2020 Dr. Felipe I. Tolentino Sept. 17, 2003 to Sept. 16, 2004 20. GALILEO SURGICENTER 271 EDSA, Mandaluyong City 721-7135 Dr. Carlos G. Naval Sept. 18, 2003 to Sept. 17, 2004 21. Q.C. EYE CENTER 1300 Quezon Ave. cor. Timog Quezon City 372-0828 Dr. Raymond Evangelista Sept. 27, 2003 to Sept. 26, 2004 Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF AMBULATORY SURGICAL CLINIC as of December 31, 2003 NAME 22. FORTMED MEDICAL CLINICS - STA. ROSA ADDRESS 2/F Paseo de Sta. Rosa Commercial Complex, Brgy. Don Jose, Sta. Rosa Laguna TELEPHONE NO. MEDICAL DIRECTOR VALIDITY (049) 541-1981 to 83 520-8667 Dr. Dinah M. Urag October 1, 2003 to Sept. 30, 2004 23. FORTMED MEDICAL CLINICS - MAKATI, INC. 3/F EBC Bldg., Paseo de Roxas cor. Sen. Gil Puyat Ave., Makati City 891-9111 Dr. Richard Tin October 1, 2003 to Sept. 30, 2004 24. UROLOGY CENTER OF THE PHILS. INC. STONE UNIT 667 U.N. Ave., Ermita, Manila 521-42-30 Dr. Eduardo R. Gatchalian November 10, 2003 to November 9, 2004 25. STA. LUCIA HEALTH CARE CENTRE Basement Level, Phase II, Sta. Lucia East 647-2545 / 647-2546 Grand Mall, Marcos Highway cor. Felix Ave., Cainta, Rizal Dr. Geoffrey R. Angeles November 25, 2003 to November 24, 2004 26. ARDI HEALTH SERVICES, INC. 248 Mercedes cor. M. Suarez Ave., Brgy. San Miguel, Pasig City 640-3679 Dr. Ernesto M. Isada Dec. 2, 2003 to Dec. 1, 2004 27. MADRID POLYCLINIC AND DIAGNOSTIC CENTER #10 15TH Ave., Murphy, Quezon City 912-1235 Dr. Romulo L. Madrid Dec. 18, 2002 to Dec. 17, 2003 Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF HEALTH MAINTENANCE ORGANIZATIONS (HMO) as of December 31, 2003 NAME OF HMO ADDRESS TELEPHONE NO. HEAD VALIDITY 1. MEDICARD PHILIPPINES, INC. 9th Flr. Saguitarius Bldg., H.V. dela Costa St., Salcedo Village, Makati City 867-2020 819-3855 fax Mr. Luis S. Montoya Jan. 13, 2003 to Jan. 12, 2004 2. GETWELL FOUNDATION, INC. CMI Bldg., 315 Commonwealth Ave. Diliman, Quezon City 951-1515 / 931-1111 931-1123 fax Mr. Teofilo Q. Zapanta, Jr. Jan. 16, 2003 to Jan. 15, 2004 3. DAREA FOUNDATION, INC. 5/F Fil-Garcia Tower, Inc., Kalayaan Ave., Quezon City 926-6761 to 62 927-3983 to 85 926-6754 fax Ms. Violeta M. Bonilla Jan. 21, 2003 to Jan. 20, 2004 4. MEDOCARE SYSTEMS, INC. #30 E.U. State Tower, Quezon Ave. Quezon City 742-1867 Col. Esteban B. Uy, Jr. March 6, 2003 to March 5, 2004 5. CARITAS HEALTHSHIELD, INC. 3/F Katipunan Bldg., 95 E. Rodriguez Ave., Quezon City 781-6464 / 781-6492 781-6483 fax Mr. Geoffrey M. Martinez March 19, 2003 to March 18, 2004 6. FORTUNE MEDICARE, INC. 3rd Floor, City State Centre, 709 Shaw Blvd., Pasig City 637-0872 to 77 637-9369 to 70 633-6961 fax Ms. Dorothea J. Sibal May 25, 2003 to May 24, 2004 7. METRO CARE HEALTH SYSTEMS, INC. #20 Menlo St., Pasay City 551-7767 / 551-7764 Jo Eileen Suzanne R. Pama, MDJune 15, 2003 to June 14, 2004 8. ASALUS CORPORATION (Formerly: Pryce Care, Inc.) 12th Floor Pryce Center, 1179 Don Chino Roces Ave., cor. Bagtikan St., Makati City 898-0102 to 12 897-6337 Jeremy G. Matti July 26, 2003 to July 25, 2004 9. HEALTHTRUST INTERNATIONAL, INC. G/F Raha Sulayman Bldg., 108, Benavides S812-7178 Legaspi Village, Makati City 812-9369 Dr. Jaime S. Jorge August 17, 2003 to August 16, 2004 10. CAP HEALTH MAINTENANCE, INC. 810-9309 / 894-1291 812-8997 Atty. Entique A. Sobrepeña, Jr. August 27, 2003 to August 26, 2004 523-6002 Mr. Jesus D. Quiazon Penthouse Jaka II Bldg., No. 150 Legaspi St., Legaspi Village, Makati City 11. PHILAMCARE HEALTH SYSTEMS, INC Grpound Floor, Philamcare Bldg., U.N. Ave., Ermita, Manila August 29, 2003 to August 27, 2004 Republic of the Philippines Department of Health BUREAU OF HEALTH FACILITIES AND SERVICES Manila LIST OF HEALTH MAINTENANCE ORGANIZATIONS (HMO) as of December 31, 2003 NAME OF HMO ADDRESS TELEPHONE NO. HEAD VALIDITY 12. ST. PATRICK'S HEALTHCARE SYSTEMS, INC. 891 Samat St., Mandaluyong City 533-9745 to 46 Dr. Eduardo dela Cruz August 31, 2003 to August 30, 2004 13. MAXICARE HEALTHCARE CORPORATION 19th Floor Medical Plaza Makati, Amorsolo cor. Dela Rosa Sts. Legaspi Village, Makati City Trunkline: 812-0561 to 63 812-86-66 to 69 813-8712 to 13 fax Mr. James M. Maloney Oct. 10, 2003 to Oct. 9, 2004 14. MEDICAL SERVICES MARKETING AND DEVELOPMENT, INC. Penthouse Rm. 502 Senen East Capitol Bldg., East Capitol Drive, Kapitolyo Pasig City 633-5000 / 638-7296 638-7297 fax Mr. Virgilio A. del Valle Oct. 25, 2003 to Oct. 24, 2004 15. VALUE CARE HEALTH SYSTEMS, INC. 1401 East Tower, Philippine Stock Center, Exchange Road, Pasig City 638-0750 to 61 637-9456 fax Dr. Paul Allan A. Espina Nov. 14, 2003 to Nov. 13, 2004 16. HEALTH MAINTENANCE, INC. Tower Ground, Makati Cinema Square Pasong Tamo, Makati City 812-8806 / 811-1653 811-1313 817-1377 fax Mr. Ernesto P. Rufino III Dec. 8, 2003 to Dec. 7, 2004 17. INSULAR HEALTH CARE, INC. 2/F I-Care Bldg., 167 Legaspi Village Makati City 813-0131 Loc. 128 Mr. Carlos D. de Silva Dec. 13, 2003 to Dec. 12, 2004 18. BLUE CROSS HEALTHCARE Blue Cross Center, 8000 Makati Ave. Makati City 899-8001 899-5392 fax Mr. Rodney Alan Hall Dec. 20, 2003 to Dec. 19, 2004 Annex 5. FINANCING HEALTH CARE IN THE PHILIPPINES What follows is a description of the activities undertaken by establishments involved in the financing of health care. The public sector health financing includes the following.1 1. Tax revenues supporting health care. There are three types of tax revenues, namely income taxes, duties on imports and exports, and taxes on domestic business transactions. The public sector health financing mostly comes from tax revenues, which are the major source of government health care expenditures.2 2. Domestic and international borrowings that supplement tax revenues, which give support to health care. This is often known as “deficit financing” since this makes use of funds that will be repaid in the future. 3. Sales tax. This comprises taxes that are imposed on various items like cigarette, liquor or other luxury goods. It is a significant source of the local government’s funds for health care. 4. Taxes on betting and lotteries. These taxes contribute to the funds allocated for health care. The Philippine Amusement and Gaming Corporation and the Philippine Charity Sweepstakes Office contribute part of their income for health projects. 5. Social health insurance. The Medicare program is the government’s social health insurance program. Employers and employees pay the premiums through a mandatory payroll tax. The benefits are received by the beneficiaries through remitting claims directly from the Government Service Insurance System (GSIS) or the Social Security System (SSS). However, claims are now remitted to the Philippine Health Insurance Corporation (PhilHealth), a “tax-exempt government corporation, attached to the Department of Health that had been mandated by law since July 25, 1994 to administer the Philippine government’s National Health Insurance Program” by accrediting private corporations that are able to offer health services, or by directly providing health care services.3 This compulsory social health insurance aspires to provide “universal health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines.”4 1Health, Education and Welfare Specialists, Inc. (1995) (1992). 3Dacanay (1998a). 4Republic Act No. 7875, Article II, Sec. 4 (o). National Health Insurance Act of 1995. 2Solon 6. Other government sources include operating income, foreign grants and loans, and local government revenues.5 On the other hand, private health financiers are composed of the following6: 1. Out-of-pocket payment. This comprises the direct household expenditures of individuals for the services delivered by medical practitioners. It consists of the fees-for-service that are paid by consumers for the health care service they receive. This is also the greatest source of health financing in the Philippines.7 2. Health maintenance organizations (HMOs). These are prepaid, managed health care schemes that are established mainly for profit.8 These also provide both delivery and financing of health care services. As a financier, HMOs cover various medical costs of dependents or members.9 3. Private health insurance. This often operates either for individuals or groups, and for profit or non-profit, where regular premiums are collected from members or employees. This health care insurance is usually sold as an add-on to life or non-life insurance. This also includes indemnity health insurance, which provides health and accident insurances.10 4. Charitable contributions. This comprises cash or in-kind donations given by philanthropic individuals, groups, or institutions (ex. UNICEF) or other grant-providing organizations. 5. Direct employer financing or employer-based plans. These are the medical benefits granted to employees of some private businesses, where employers either establish in-house health facilities and hire medical professionals or negotiate with private health practitioners and organizations to provide health care to their employees. 6. Communal self- help or community-based health care services. These are community efforts of rendering low-cost health services. Some of these efforts are of-shoots of microfinance institutions, i.e. microfinance institutions focused on health care some of which are called microinsurance establishments. 5Solon (1992). Education and Welfare Specialists, Inc. (1995) 7Dacanay & Ramento (2001). 8Alfiler (1992). 9Dacanay (1998a). 10Health, Education and Welfare Specialists, Inc. (1995) 6Health, ANNEX 6. ACTUAL AND POTENTIAL MARKET, PREMIUM, BENEFIT PAYMENTS AND RELEVANT POLICIES AFFECTING HEALTH CARE FINANCING ESTABLISHMENTS (2004) Health Market Premium and Care Average Benefit Payments Financin Potential Contribution Actual g Establish ment Relevant Policies PHILHEA 1 LTH o R P Po pu lat io n of 82 .4 mi lli on o o o o o o o Private Insuranc e, HMOs and Employe e-Based Plans2. (Existenc e since 1970s) o Lo w Mi dd le to Hi gh In co m e Cl as s or 20 % to 25 % of th e po pu lat io n o o 555,052 individuallypaying members 1,644,969 government employed 5,937,622 private employed 6,175,651 sponsored program 107,848 nonpaying program 64,592,094 beneficiaries (paying and non-paying members plus dependents) 77% of the population covered 8 million paying members and 32 million beneficiaries (paying members plus dependents). 38% of the population covered o o o P 1,200 to P 6,000 based on premium contributi on schedule as of January 2004. Average of P 1,623 per paying member (total revenues per paying member) and P 381 per beneficiar y (total revenues per beneficiar y) at least P 2,500 per paying member o o o o o o o P 1,265 per paying member (total cost per paying member) and P 297 per beneficiary (total cost per beneficiary) Average value of claim is P 5,000 as of 2000 from 1,309,768 paid claims. As of 2003, number of paid claims reached 1,831,786 or 4.3% of total beneficiaries or an average of P 7,000 per claim. As of 2004, the value of claims is estimated to average to P 6,014 . As of 2004, roughly 2.5% of population are availing of the benefits. at least P 1,200 to P 2,000 per paying member Members are chosen such that only 40% to a maximum of 60% of total contributions are utilized Charged premium will increase in the succeeding year of contracting when a member utilizes 60% to 80% of contributions Roughly 15% to 23% of the population are availing of the benefits. o o Leg isla ted rese rve s for ins ura nce co mp ani es Hig hrisk ins urer s suc h as tho se cov erin g the info rma l sect or, i.e. tho se cov ere d by co mm unit ybas ed hea lth car e fina nci ng, are Commun ity-Based or Decentra lized Health Care Organiza tions. (CBHCO s)3. (11-year existence ) o 30 % of ho us eho lds liv in g ab ov e th e po ve rty lin e (P 45 ,0 00 to P 50 ,0 00 gr os s an nu al fa mi ly in co m e) or ab ou t 19 mi lli on fili pi no s o o o Members of cooperatives , microfinanc e institutions. Paying members approximate to 100,000 to 500,000 with an estimated number of 1,000,000 beneficiaries (paying and non-paying) 1.0% of the population covered o Contributi on levels range from P 6 to P 1,980 with an average of P 350. Median value is P 109. o o o Average value of claim is P 1,671 as of 2000, roughly 3 times less the equivalent amount with PHILHEALTH of P 5,000. Benefit ceilings averaged P 11,500 annually Roughly 1.0 % of the population are availing of the benefits. the pot enti al mar ket for rein sur anc e Source: 1 Data as of June 2004. Information was obtained from the Corporate Planning Department of PHILHEALTH and the accounting units of the regional branches. 2 National Health Accounts published by the National Statistics Coordination Board; Interviews with Health Care Establishments 3 Flavier, Jonathan, M.D., Elmer S. Soriano, M.D. and Anne Nicolay (2002). “Social Health Insurance in the Philippines: A Review of the Context.” Chapter 17 in Dror, David, Alexander S. Preker, eds. Social Reinsurance. The International Bank for Reconstruction and Development, World Bank and the International Labour Office. pp. 329 – 351. There is an approximate number of 66 community-based health care schemes in the Philippines under the SHINE-GTZ Project (Stands for: Social Health Insurance Networking and Empowerment-German Technical Assistance Project.