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2018 Annual Report

Management 4 Department Managers 5 Mission 6 Vision 7 Shared Values 8 Highlights 9 Learning and Growth 10

Training 11

Services 15 Research 16 The New Organizational Structure 17 Internal Processes 18

Significant Accomplishments 20

Emergency and Outpatient Services 22 Health Advocacies and Patient Support Groups 23 Thoracic Surgery and Anesthesia 24 Interventional Pulmonology 26 Pathology and Laboratory 27 Radiology 28 Clients 30

Customer Satisfaction 31

Financials 33

Statement of Financial Position 35

Statement of Financial Performance 40 Statement of Cash Flows 46 New Directions 47

Early Lung Cancer Detection 48

Pallative Care 48 Interventional Pulmonology 49 Hemodialysis 50

TABLE OF CONTENTS

Lung Transplantation 51 Hyperbaric Medicine and Wound Care 52 Esophagus and Swallowing Center 52 Lung Low Dose CT Scan 53 Z-Package for Lung Cancer 54 Molecular Diagnostics and Cellular Therapeutics 55 Clinical Pharmacy 56 Management Information System 57 General Services 59

MANAGEMENT

Vincent M. Balanag, Jr, MD Executive Director

Sullian S. Naval, MD Deputy Executive Director for Medical Services

Victoria C. Idolor, MD Deputy Executive Director for Hospital Support Services

Elvira N. Baura, MAN

Deputy Executive Director for Nursing

4

DEPARTMENT MANAGERS

1. Antonio B. Ramos MD: Administrative and Ancillary Department

2. Norberto A. Francisco MD: Research and Development Department

3. Benilda B. Galvez MD: Pulmonary, Critical Care and Sleep Medicine Department

4. Ma. Teresa A. Barzaga MD: Pathology and Laboratory Medicine Department

5. Joseph Z. Obusan MD: Radiology and Radiotherapy Department

6. Anjanette R. de Leon MD: Pediatric Pulmonary and Critical Care Medicine Department

7. Guillermo B. Barroa Jr. MD: Thoracic Surgery and Anesthesia Department

5

To be the premier institution for lung and other chest diseases, providing quality health care

through excellent service, training and research

6

VISION

We provide quality health care through state-of-the-

art facilities and highly competent, compassionate staff for the improvement

of the Filipino people's quality of life.

We endeavor to achieve financial stability

and long-term sustainability.

We provide immediate attention to every individual in need

regardless of creed, color, sex, socio-

economic status and political affiliation.

We are dedicated to lung health promotion

and advocacy.

7

MISSION

Respect for individual worth

Unity and teamwork

Concern and care for patients, employees and institution

Integrity and Honesty

Responsibility and discipline

Creativity and innovativeness

Commitment and dedication to excellence

SHARED VALUES

8

Training Needs Assessment

Management and Supervisory Skills

Seminar

Cascading of LCP Strategic Direction

11

International Health Care Management

Leadership Training Program

Thoracic Surgery and Anesthesia Since 1982, trained

33 Thoracic Surgeons and 35 Thoracic Anesthesiologists

Full accreditation for training in Thoracic Surgery

Center of Excellence in Video Assisted Thoracic Surgery 4 Malaysians, 2 Filipinos trained

12

The only accredited training program in Thoracic Anesthesiology in the country

PULMONARY MEDICINE FELLOWSHIP TRAINING PROGRAM

accredited for another 3 years by the Philippine College of Chest Physicians (PCCP)

8 NEW DIPLOMATES OF THE PCCP 100% passing rate in the PCCP certifying

written and oral exam

13

Advanced Cardiovascular Life Support (ACLS)

Provider Training with Basic Life Support

(BLS)

8th ASEAN Nurses Education Program

14

Temasek Foundation International

Nanyang Polytechnic International Nursing Training

Program on Oncology

VENTANA-PD-L1 (SP263) Pathologist Training Workshop

PULMONARY, CRITICAL CARE, and SLEEP MEDICINE DEPARTMENT

HOCUS POCUS: Balik Aral sa LCP Center of Excellence for Training in Pulmonary

Procedures 100 alumni updated on chest ultrasound and

bronchoscopy skills

Training on Extra Corporeal Membrane Oxygenation

(ECMO )

SECTION OF SLEEP MEDICINE

Four new rooms opened in the Sleep Lab facility

Accreditation for another 3 years of the Sleep

Medicine Fellowship Training Program

15

ANNUAL RESEARCH FORUM

10 research papers complete

23rd ASIA-PACIFIC SOCIETY OF

RESPIROLOGY IN TAIPEI, TAIWAN

4 poster presentations Recipient of Paul

Zimmerman’s Young Investigators Award

16

PHREB formally awarded the renewal of Accreditation

during the PCHRD convention. LCPIERB was granted a full 4-year level 3 Accreditation effective 05

March 2018 until 04 March 2022.

17

The New Organizational Structure

In April 2018, the Department of Budget and Management (DBM) approved the New Staffing Pattern of the Lung Center of the Philippines comprising of 1,589 itemized plantilla positions based on a 500 bed health facility. The Center is initially authorized to fill-up 620 positions based on its current bed capacity.

The new Staffing Pattern was implemented in August, 2018, consistent with its new Organizational Structure.

20

SIGNIFICANT ACCOMPLISHMENTS IN 2018

60%

66.7%

260%

125%

Assistance in Student Researches

Registration and Launching of Clinical Trials

Registration and Assistance in Institutional Research

TRB Protocol Review

RESEARCH

241 actual operating

bed capacity

169 average number

of in-patients per day

77% occupancy rate

6,703 total admissions

6,716 total discharges

12.9%

8.28%

3.0%

3.06%

3.96%

21

SIGNIFICANT ACCOMPLISHMENTS IN 2018

SERVICE

EMERGENCY And OUTPATIENT SERVICES

11, 742 patients served in the emergency room

23,400 patients served in the outpatient clinics

1,901 patients enrolled in Public Health and Domiciliary Unit clinics (Tuberculosis Directly Observed Treatment Short Course and Programmatic Management of Drug Resistant Tuberculosis)

Monthly Lay Fora on common pulmonary diseases and other

special services

1,510 patients evaluated and given clearances in Health and Fitness Clinic

22

HEALTH ADVOCACIES and PATIENT SUPPORT GROUPS

23

Healthy Lungs Seminars: 141 community health workers trained

Champion of the COPD Olympics 2018: 67 support

group members

Asthma Club workshops: 88 new asthma patients trained

Smoking Cessation Clinic: 106 smokers counseled

DOH Quitline: 443 smokers advised

137 counselled 29 Quitters

51 cases of RESTORED Airway

9.7% increase from 2017

9.6 % increase from 2017

INTRAOPERATIVE VIDEO-ASSISTED INTERCOST/AL BLOCK

339 Patients

THORACIC SURGERY & ANESTHESIA

24

2, 264 Procedures 4% increase from 2,087 cases

in 2017

Increasing Number of Minimally Invasive procedures

than open thoracotomies

THORACIC SURGERY & ANESTHESIA

44 OPEN THORACOTOMIES

547 VIDEO- ASSISTED THORACOSCOPIC

SURGERIES

25

223 cases of Fiberoptic Bronchoscopy and Endobronchial

ultrasound—TBNA

20 cryotherapy procedures

40 ultrasound-guided percutaneous lung biopsies

20 indwelling pleural catheter insertions

2 percutaneous tracheostomy insertions

INTERVENTIONAL PULMONOLOGY

26

PATHOLOGY AND LABORATORY

13.39% increase in workload for 2017

404,888 patients served

Excellent in Proficiency Testing: First and Second Line Drug Susceptibility

Testing for MTB & Transfusion Transmissible

Infection

Transformed, Strengthened & Defined- National Reference

Laboratory for Anatomic Pathology

for Pulmonary Diseases from simply

Anatomic Pathology

revenue increase

by 19.4%

27

RADIOLOGY

Increase in number of patients who underwent procedures and radiotherapy from 2017 to 2018:

Diagnostics-9.4% CT-Scan-16.6% Ultrasound-26.5% Radiotherapy -12.5%

Newly acquired equipment:

1.5 MRI tesla 16 slice CT scan

SPECT-CT for Nuclear Medicine Digital Radiology unit

Innovative software:

Stereotactic software (SBRT)

RIS-PACS CAD Artificial Intelligence for Early Lung

Cancer Screening Program

Sustained increase in revenue of 24%

28

Increase in capital expenditure

Increase in sales by 27% for Drugs and Medicines and 21% increase in sales for medical supplies from

2017 to 2018.

29

31

IMPROVEMENT IN CLIENT SATISFACTION SURVEYS ACROSS SERVICES

A. Professionalism and Helpfulness

• 92% to 100% Net Approval Ratings

B. Technical Skills • 98% to 100% Net Approval Ratings for Medical

Services

32

C. Facilities

• 80% to 90% Net Approval for Selected LCP Facilities

34

2016 - 2017 2017 - 2018

Operating Expenses

11.2% 10.8%

Reduction in % increase in operating expenses

Operating Expenses are still increasing but at a lower rate than previous years

35

LUNG CENTER OF THE PHILIPPINES

CONDENSED STATEMENT OF FINANCIAL POSITION

AS AT DECEMBER 31, 2018

NOTE* 2018 2017

ASSETS

Current Assets

Cash and Cash Equivalents 4 290,730,156 292,072,900

Receivables 5 284,964,364 245,621,295

Inventories 6 68,572,923 69,303,848

Other Current Assets 1,903,816 1,962,441

Total Current Assets 646,171,258 608,960,485

Non-Current Assets

Property, Plant and Equipment 7 4,610,891,215 4,519,676,593

Total Non-Current Assets 4,610,891,215 4,519,676,593

Total Assets 5,257,062,473 5,128,637,078

LIABILITIES

Current Liabilities

Financial Liabilities 8 144,738,460 150,830,407

Inter-Agency Payables 8 78,411,648 111,211,772

Trust Liabilities 8 163,348,786 38,161,329

Deferred Credits/Unearned Income 28,204,631 23,864,301

Other Payables 250,431,130 222,079,585

Total Current Liabilities 665,134,654 546,147,395

Non-Current Liabilities

Financial Liabilities 9 10,000,000 30,000,000

Total Non-Current Liabilities 10,000,000 30,000,000

Total Liabilities 675,134,654 576,147,395

Net Assets (Total Assets Less Total Liabilities) 4,581,927,819 4,552,489,683

NET ASSETS/EQUITY

Government Equity 4,581,927,819 4,552,489,683

Total Net Assets/Equity 4,581,927,819 4,552,489,683


DETAILED STATEMENT OF FINANCIAL POSITION

AS AT DECEMBER 31, 2018

2018 2017

ASSETS

Current Assets

Cash and Cash Equivalents 290,730,156 292,072,900

Cash on Hand 5,070,398 2,236,136

Cash-Collecting Officers 4,395,508 1,558,197

Petty Cash 674,891 677,939

Cash in Bank-Local Currency 285,659,757 289,836,764

Cash in Bank-Local Currency, Bangko Sentral ng Pilipinas 285,659,757 289,836,764

Receivables 284,964,364 245,621,295

Loans and Receivable Accounts 103,868,193 122,878,170

Accounts Receivable 89,414,331 136,080,152

Allowance for Impairment-Accounts Receivable (37,103,192) (49,480,913)

Net Value-Accounts Receivable 52,311,139 86,599,238

Notes Receivable 144,266,626 126,470,953

Allowance for Impairment-Notes Receivable (92,709,572) (90,192,022)

Net Value-Notes Receivable 51,557,054 36,278,931

Lease Receivables 1,514,165 4,436,472

Operating Lease Receivable 4,625,731 6,504,428

Allowance for Impairment-Operating Lease Receivable (3,111,566) (2,067,956)

Net Value-Operating Lease Receivable 1,514,165 4,436,472

Inter-Agency Receivables 70,104,091 0

Due from Government Corporations 70,104,091 0

Other Receivables 109,477,914 118,306,653

Receivables-Disallowances/Charges 94,338,188 96,915,302

Due from Officers and Employees 14,959,888 15,631,332

Other Receivables 24,082,011 21,391,905

Allowance for Impairment-Other Receivables (23,902,173) (15,631,886)

Net Value-Other Receivables 109,477,914 118,306,653

Inventories 68,572,923 69,303,848

36

Inventory Held for Consumption 68,572,923 69,303,848

Office Supplies Inventory 619,307 621,971

Accountable Forms, Plates and Stickers Inventory 129,420 149,990

Food Supplies Inventory 2,211,787 3,159,054

Drugs and Medicines Inventory 30,441,539 26,154,812

Medical, Dental and Laboratory Supplies Inventory 31,141,888 37,196,383

Other Supplies and Materials Inventory 4,028,981 2,021,638

Other Current Assets 1,903,816 1,962,441

Advances 322,061 0

Advances for Payroll 322,061 0

Prepayments 1,334,856 1,715,541

Advances to Contractors 256,000 256,000

Other Prepayments 1,078,856 1,459,541

Other Assets 246,900 246,900

Other Assets 246,900 246,900

Total Current Assets 646,171,258 608,960,485

Non-Current Assets

Property, Plant and Equipment 4,610,891,215 4,519,676,593

Land 2,880,000,000 2,880,000,000

Land 2,880,000,000 2,880,000,000

Land Improvements 1,333,921 1,333,921

Land Improvements, Aquaculture Structures 1,333,921 1,333,921

Buildings and Other Structures 984,190,115 995,060,811

Buildings 1,628,190,070 1,625,356,626

Accumulated Depreciation-Buildings (196,343,478) (182,639,338)

Accumulated Impairment Losses-Buildings (447,656,477) (447,656,477)

Net Value-Buildings 984,190,115 995,060,811

Machinery and Equipment 718,738,473 622,976,192

Office Equipment 71,719,726 68,464,969

Accumulated Depreciation-Office Equipment (39,445,310) (36,468,243)

Net Value-Office Equipment 32,274,416 31,996,726

Information and Communication Technology Equipment 56,377,514 36,482,879

Accumulated Depreciation-Information and Communication Technology Equipment (26,894,276) (24,213,942)

Net Value-Information and Communication Technology Equipment 29,483,238 12,268,938

Communication Equipment 5,005,977 5,005,977

Accumulated Depreciation-Communication Equipment (4,412,059) (4,386,119)

Net Value-Communication Equipment 593,918 619,858

Technical and Scientific Equipment 1,278,043,193 1,115,018,859

Accumulated Depreciation-Technical and Scientific Equipment (515,487,274) (430,759,171)

Accumulated Impairment Losses-Technical and Scientific Equipment (106,169,018) (106,169,018)

Net Value-Technical and Scientific Equipment 656,386,901 578,090,670

Transportation Equipment 3,721,191 4,163,265

Motor Vehicles 7,823,009 7,823,009

Accumulated Depreciation-Motor Vehicles (4,101,819) (3,659,744)

Net Value-Motor Vehicles 3,721,191 4,163,265

37

Furniture, Fixtures and Books 1,180,563 1,139,213

Furniture and Fixtures 3,361,293 3,217,514

Accumulated Depreciation-Furniture and Fixtures (2,749,154) (2,646,725)

Net Value-Furniture and Fixtures 612,139 570,789

Books 1,530,301 1,530,301

Accumulated Depreciation-Books (961,876) (961,876)

Net Value-Books 568,425 568,425

Other Property, Plant and Equipment 21,726,951 15,003,190

Other Property, Plant and Equipment 44,376,246 35,670,698

Accumulated Depreciation-Other Property, Plant and Equipment (22,649,295) (20,667,508)

Net Value-Other Property, Plant and Equipment 21,726,951 15,003,190

Total Non-Current Assets 4,610,891,215 4,519,676,593

Total Assets 5,257,062,473 5,128,637,078

LIABILITIES

Current Liabilities

Financial Liabilities 144,738,460 150,830,407

Payables 124,738,460 130,830,407

Accounts Payable 94,443,476 83,650,392

Due to Officers and Employees 30,294,984 47,180,015

Bills/Bonds/Loans Payable 20,000,000 20,000,000

Loans Payable-Domestic 20,000,000 20,000,000

Inter-Agency Payables 78,411,648 111,211,772

Inter-Agency Payables 78,411,648 111,211,772

Due to BIR 14,894,429 10,799,999

Due to GSIS 6,061,604 5,816,199

Due to Pag-IBIG 598,149 892,803

Due to PhilHealth 201,559 297,370

Due to NGAs 56,371,121 93,115,059

Due to Government Corporations 282,832 282,832

Due to SSS 1,955 7,510

Trust Liabilities 163,348,786 38,161,329



Guaranty/Security Deposits Payable 9,876,086 8,619,824

Deferred Credits/Unearned Income 28,204,631 23,864,301

Deferred Credits 28,204,631 23,864,301

Other Deferred Credits 28,204,631 23,864,301

Other Payables 250,431,130 222,079,585

Other Payables 250,431,130 222,079,585

Other Payables 250,431,130 222,079,585

Total Current Liabilities 665,134,654 546,147,395

38

Non-Current Liabilities

Bills/Bonds/Loans Payable 10,000,000 30,000,000

Loans Payable-Domestic 10,000,000 30,000,000

Total Non-Current Liabilities 10,000,000 30,000,000

Total Liabilities 675,134,654 576,147,395

Net Assets (Total Assets Less Total Liabilities) 4,581,927,819 4,552,489,683

NET ASSETS/EQUITY



Accumulated Surplus/(Deficit) 4,581,927,819 4,552,489,683

Total Net Assets/Equity 4,581,927,819 4,552,489,683

39

LUNG CENTER OF THE PHILIPIINES

CONDENSED STATEMENT OF FINANCIAL PERFORMANCE

FOR THE YEAR ENDED DECEMBER 31, 2018

NOTE* 2018 2017

Revenue

Service and Business Income 10 622,716,155 561,308,211

Shares, Grants and Donations 11 95,293,842 211,210,899

Total Revenue 718,009,997 772,519,110

Current Operating Expenses

Personnel Services 12 359,764,082 342,484,819

Maintenance and Other Operating Expenses 13 467,639,586 411,282,447

Financial Expenses 14 4,162,409 5,023,374

Non-Cash Expenses 15 119,388,635 93,530,816

Total Current Operating Expenses 950,954,711 852,321,455

Surplus/(Deficit) from Current Operations (232,944,714) (79,802,345)

Net Assistance/Subsidy/(Financial Assistance/Subsidy/Contribution) 16 257,657,000 265,190,000

Net Surplus/(Deficit) for the Period 24,712,286 185,387,655

40


DETAILED STATEMENT OF FINANCIAL PERFORMANCE


2018 2017

Revenue

Business Income

Seminar/Training Fees 639,215 755,685

Rent/Lease Income 12,000,604 11,472,304

Sales Revenue 119,247 123,043

Hospital Fees 922,347,250 734,596,221

Hospital Discounts, Allowances and Free Services (318,244,191) (187,925,459)

Net Hospital Fees 604,103,059 546,670,762

Interest Income 391,405 412,490

Fines and Penalties-Business Income 1,606,969 1,873,926

Other Business Income 3,855,656 0

Total Business Income 622,716,155 561,308,211

Total Service and Business Income 622,716,155 561,308,211

Shares, Grants and Donations

Grants and Donations

Income from Grants and Donations in Kind 95,293,842 211,210,899

Total Grants and Donations 95,293,842 211,210,899

Total Shares, Grants and Donations 95,293,842 211,210,899

Total Revenue 718,009,997 772,519,110

Current Operating Expenses

Personnel Services

Salaries and Wages

Salaries and Wages-Regular 183,087,313 166,387,145

Total Salaries and Wages 183,087,313 166,387,145

41

Other Compensation

Personnel Economic Relief Allowance (PERA) 13,078,382 13,131,341

Representation Allowance (RA) 1,784,828 1,497,645

Transportation Allowance (TA) 1,784,828 1,497,645

Clothing/Uniform Allowance 3,165,000 2,607,500

Subsistence Allowance 9,730,636 9,819,239

Laundry Allowance 973,064 981,925

Hazard Pay 36,766,023 34,882,664

Longevity Pay 14,954,549 21,132,846

Overtime and Night Pay 1,411,979 1,246,297

Year End Bonus 15,803,274 27,305,993

Cash Gift 2,743,000 2,777,125

Other Bonuses and Allowances 38,376,383 23,458,900

Total Other Compensation 140,571,946 140,339,121

Personnel Benefit Contributions

Retirement and Life Insurance Premiums 21,774,907 20,043,398

Pag-IBIG Contributions 675,400 678,600

PhilHealth Contributions 2,248,603 1,774,176

Employees Compensation Insurance Premiums 674,500 678,400

Total Personnel Benefit Contributions 25,373,410 23,174,574

Other Personnel Benefits

Terminal Leave Benefits 10,206,413 10,693,478

Other Personnel Benefits 525,000 1,890,500

Total Other Personnel Benefits 10,731,413 12,583,978

Total Personnel Services 359,764,082 342,484,819

Maintenance and Other Operating Expenses

Traveling Expenses

Traveling Expenses-Local 266,403 210,507

Total Traveling Expenses 266,403 210,507

Training and Scholarship Expenses

Training Expenses 694,029 552,492

Total Training and Scholarship Expenses 694,029 552,492

Supplies and Materials Expenses

Office Supplies Expenses 3,242,874 2,735,128

Accountable Forms Expenses 832,580 513,360

Food Supplies Expenses 34,673,608 23,620,761

Drugs and Medicines Expenses 100,482,932 72,601,915

Medical, Dental and Laboratory Supplies Expenses 103,386,120 106,707,792

Fuel, Oil and Lubricants Expenses 346,982 524,383

Other Supplies and Materials Expenses 19,246,058 22,796,395

Total Supplies and Materials Expenses 262,211,155 229,499,733

42

43

Utility Expenses

Water Expenses 13,575,784 13,214,486

Electricity Expenses 48,449,267 43,261,951

Total Utility Expenses 62,025,051 56,476,438

Communication Expenses

Postage and Courier Services 19,048 74,267

Telephone Expenses 984,854 1,229,922

Internet Subscription Expenses 383,000 71,680

Cable, Satellite, Telegraph and Radio Expenses 634,445 635,448

Total Communication Expenses 2,021,347 2,011,316

Awards/Rewards and Prizes

Awards/Rewards Expenses 236,872 177,560

Total Awards/Rewards and Prizes 236,872 177,560

Confidential, Intelligence and Extraordinary Expenses

Extraordinary and Miscellaneous Expenses 0 137,259

Total Confidential, Intelligence and Extraordinary Expenses 0 137,259

Professional Services

Legal Services 595,788 319,300

Auditing Services 13,438,427 4,737,165

Consultancy Services 4,222,432 1,398,518

Other Professional Services 210,549 324,880

Total Professional Services 18,467,195 6,779,863

General Services

Janitorial Services 18,239,373 17,259,145

Security Services 15,604,144 12,165,376

Other General Services 56,115,625 53,600,088

Total General Services 89,959,142 83,024,609

Repairs and Maintenance

Repairs and Maintenance-Machinery and Equipment 19,608,939 21,598,571

Repairs and Maintenance-Transportation Equipment 5,155 2,830

Total Repairs and Maintenance 19,614,094 21,601,401

Taxes, Insurance Premiums and Other Fees

Taxes, Duties and Licenses 599,108 523,885

Fidelity Bond Premiums 94,167 111,394

Insurance Expenses 3,182,130 2,323,209

Total Taxes, Insurance Premiums and Other Fees 3,875,404 2,958,488

44

Other Maintenance and Operating Expenses

Advertising, Promotional and Marketing Expenses 87,094 90,272

Printing and Publication Expenses 5,542 37,985

Transportation and Delivery Expenses 200 0

Rent/Lease Expenses 6,797,358 4,491,021

Membership Dues and Contributions to Organizations 42,788 9,600

Subscription Expenses 133,420 29,180

Other Maintenance and Operating Expenses 1,202,492 3,194,723

Total Other Maintenance and Operating Expenses 8,268,893 7,852,781

Total Maintenance and Other Operating Expenses 467,639,586 411,282,447

Financial Expenses

Financial Expenses

Interest Expenses 2,337,123 3,428,082

Other Financial Charges 1,825,285 1,595,291

Total Financial Expenses 4,162,409 5,023,374

Non-Cash Expenses

Depreciation

Depreciation-Buildings and Other Structures 13,704,140 13,595,782

Depreciation-Machinery and Equipment 90,411,444 3,845,206

Depreciation-Transportation Equipment 442,075 442,075

Depreciation-Furniture, Fixtures and Books 102,429 103,059

Depreciation-Other Property, Plant and Equipment 1,981,787 62,454,203

Total Depreciation 106,641,874 80,440,325

Impairment Loss

Impairment Loss-Loans and Receivables 12,746,760 13,090,492

Total Impairment Loss 12,746,760 13,090,492

Total Non-Cash Expenses 119,388,635 93,530,816

Total Current Operating Expenses 950,954,711 852,321,455

Surplus/(Deficit) from Current Operations (232,944,714) (79,802,345)

45

Assistance/Subsidy/(Financial Assistance/Subsidy/Contribution)

Assistance/Subsidy

Subsidy from National Government 257,657,000 265,190,000

Total Assistance/Subsidy 257,657,000 265,190,000

Net Assistance/Subsidy/(Financial Assistance/Subsidy/Contribution) 257,657,000 265,190,000

Net Surplus/(Deficit) for the Period 24,712,286 185,387,655

46

2018 2017

CASH FLOWS FROM OPERATING ACTIVITIES

Cash Inflows

Proceeds from Sale of Goods and Services 119,247 123,043

Collection of Revenue 175,348,431 515,820,015

Receipt of Assistance/Subsidy 560,114,223 578,293,352

Collection of Receivables 447,796,226 59,703,260

Other Receipts 77,882,040 135,809,780

Total Cash Inflows 1,261,260,166 1,289,749,450

Adjustments 284,474,694 0

Adjusted Cash Inflows 1,545,734,860 1,289,749,450

Cash Outflows

Payment of Expenses 702,977,812 796,505,854

Grant of Cash Advances 1,499,209 0

Prepayments 246,563 0

Remittance of Personnel Benefit Contributions and Mandatory Deductions 121,643,628 0

Other Disbursements 344,058,638 442,296,851

Total Cash Outflows 1,170,425,849 1,238,802,705

Adjustments 280,303,709 0

Adjusted Cash Outflows 1,450,729,558 1,238,802,705

Net Cash Provided by/(Used in) Operating Activities 95,005,302 50,946,745

CASH FLOWS FROM INVESTING ACTIVITIES

Cash Outflows

Purchase/Construction of Investment Property 96,348,047 49,706,066

Total Cash Outflows 96,348,047 49,706,066

Net Cash Provided by/(Used in) Investing Activities (96,348,047) (49,706,066)

Net Increase/(Decrease) in Cash and Cash Equivalents (1,342,745) 1,240,679

Cash and Cash Equivalents, January 1 292,072,900 290,832,221

Cash and Cash Equivalents, December 31 290,730,156 292,072,900


CONDENSED STATEMENT OF CASH FLOWS


Strengthening Palliative Care Services for Lung Cancer Patients

48

Designing and Implementing Clinical

Pathways for Early Lung Cancer

Detection and other pulmonary diseases

Increasing Institutional and

Collaborative Researches with

Public Health impact

Community Based Healthy

Lungs Seminars

Advancing Interventional Pulmonology

49

Acute and Acute on Chronic Renal failure needing renal replacement therapy often accompanies and may occur because of and in conjunction with pulmonary and other medical conditions. In the past, in-patients of the Lung Center of the Philippines requiring renal replacement therapy (RRT) had to be conducted to NKTI or other institutions to avail of this procedure. In order to serve its patients better the Lung Center of the Philippines is allocating two (2) beds in the MICU to serve our In-patient clientele needing renal replacement therapy. Temporarily, this service will be limited to patients already confined in our Institution until the service can be expanded to include out-patient clientele.

Two (2) beds in the MICU have been allocated for exclusive use for patients needing hemodialysis. These beds are reserved for use by Inpatients presently confined in the Lung Center of the Philippines.

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Hemodialysis in the Medical ICU

The Lung Transplant Program of the Lung Center of the Philippines first began in the early 1990’s under the leadership of Dr. Calixto Zaldivar who was then the Executive Director. During that time, several consultants both Pulmonologist and Thoracic Surgeons were sent abroad for Training and Observership in Canada and the UK.

In 2001 to 2009, under Dr. Fernando A. Melendres, then LCP Executive Director, a team composed of a thoracic surgeon and anesthesiologist were sent to Stanford University Medical Center for Thoracic Transplant training. The program was revived during the leadership of Dr. Jose Luis J. Danguilan in 2010. Since then, additional batches of doctors and nurses have been sent abroad for training and observership in Lung Transplantation,

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Lung Transplant Program

We are on the verge of performing the country’s first lung transplant and are coordinating with NKTI regarding organ procurement program (HOPE). Three (3) ECMO units have been acquired for use during lung transplants.

Hyperbaric Medicine and

Wound Care

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Esophagus and Swallowing Center

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Lung Low Dose CT scan is a diagnostic radiological non-invasive procedure that uses low x-ray dose exposure to the patient as compared to the exposure received by the patient in a conventional chest CT Scan. The radiation dose can be likened to that of a routine chest x-ray.

The Lung Center of the Philippines' Department of Radiology uses the state of the art Siemens Somatom Go.Now CT Scan machine for patients who want to undergo lung screening procedure without radiation overexposure. It can produce exceptional lung images without artefacts or image degradation even at low dose scans.

One of the AI (Artificial Intelligence) driven software that the Radiologist can use is called Lung Nodule CAD (computer aided detection) program. Lung Nodule CAD is designed to assist the Radiologist in detecting solid pulmonary nodules during the review of CT examinations of the chest. The patient and the attending physician can be assured of getting the best radiographic interpretation.

LUNG LOW DOSE CT SCAN

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Z-Package for Lung Cancer

Strengthen Partnerships with Health Maintenance Organizations

Molecular Diagnostics & Cellular Therapeutics

Breakthrough in cancer and wellness/ rejuvenation using Dendritic Cell Therapy

(DCT). 1072(2018) procedures done including

Circulating Tumor Cell Count (3 & 6 gene analysis), EGFR test, EGFR cfDNA, Tumor Collection and Culture & Interferon Gamma

Test.

National Reference Laboratory-Clinical Chemistry Promote continuous quality improvement in Clinical Chemistry laboratories through provision of NEQAS-CC and education for patient’s safety.

6.70% (3,588) increase in number of laboratories registered in the program, thus improvement of revenue to 6.2%

Establishment of Laboratory Information System (LIS) and Digital Pathology for efficient work flow improving turn around time, effective referral system, digital archiving of cases, and cancer registry.

Acquire additional equipment for Pulmonary Tuberculosis(TB-LAMP, Genexpert MTB-Rif assay &TB quantiferon), fully automated testing for Transfusion Transmissible Infection and Immunohistochemistry platform for reflex testing.

More MDCTL plans: establishment of satellite Stem Cell clinics

Complete Lung Biomarker Testing

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CT-simulator for

Radiotherapy planning treatment

Clinical Pharmacy program in all wards and Patient Counseling programs

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Closed-Circuit Television (CCTV)

Surveillance System

Network Upgrade II Structured Cabling System

High-resolution CCTV system within the buildings and the perimeter with video retention time of no less than 30 days

Fiberoptic backbone and copper cable network installed in the entire

hospital

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Telephony Upgrade

Radiology Information System Picture Archiving and Communication System (RIS-PACS)

Communications upgrade from the traditional Private

Automated Branch Exchange

(PABX) to Internet Protocol

Private Branch Exchange (IPPBX)

Diagnostic capability of LCP is likewise improved with the installation of Digital Radiography with the Radiology

Information System which will be integrated with the up-coming Hospital Information System

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The need to renovate and modernize the entry points became vital as this serves as the face of the institution as viewed from the road.

New gates, LED screens, and an iconic structure in front of the building will be installed.

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A sprawling 70 meters wide canopy designed using space frame technology and sky light will protect patients and guests from the elements as they enter the building.

The New West Wing will be a 10-story hospital building with 4 basement levels and a roof deck with sky garden and a helipad. It is designed to house additional patient wards, laboratories, and other state-of-the-art facilities both for medical and hospital support services.

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The new Outpatient Department building will provide more space and better environment for doctors and patients.

Renovation of ST. THERESE ISOLATION UNIT

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Improvement of MAIN LOBBY

DOH had recently released a new mandate to eliminate the institutional-look in government hospitals and to provide a hotel-like facility with sensual parameters both in interior and exterior features, promoting a holistic healing environment through well-designed spaces.

This new lobby color palette is inspired by nature and earth-tone colors as these colors are proven effective in playing a key role in the psychological well-being of a patient while being aesthetically appealing as well.

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Renovation of DIETARY DIVISION

AMBULATORY MEDICAL ONCOLOGY UNIT

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NEW HEMODIALYSIS SECTION

RENOVATION OF ST. THERESE CHAPEL

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