Rosa 2012

Annex B
Report on Salaries and Allowances (ROSA) including Extraordinary and Miscellaneous Expenses (EMEs)
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012 Officer 1st quarter Officer 2nd quarter Officer 3rd quarter
Data Source
Name: TIN No:
MELECIO N. DY ,MD,MPH,CESE CARAGA REGIONAL HOSPITAL (DOH Central Office) OIC- CHIEF OF HOSPITAL III
Name of Agency: Position/Designation:
(Indicate whether Mother Unit or Ex-Officio Member) Months Served: May 16 2012 to Present Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: Reviewed by: 15,600.00 15,600.00 3,000.00 6,300.00 6,300.00
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date:
Annex B
Data Source
Name:
CHERYL A. GOTINGA CARAGA REGIONAL HOSPITAL CMPS - I
TIN No: 925-550-079-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives (PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 196,786.25 Reviewed by: 226,413.00 196,786.25 226,413.00 4,000.00 5,000.00 6,000.00 7,500.00 27,924.00 4,000.00 5,445.00 14,969.25 5,445.00 11,000.00 11,000.00 16,500.00 16,500.00 135,372.00 6,000.00 140,544.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date:
Annex B
Data Source
Name:
PONCIANO S. LIMCANGCO ,MD,FPSP,MBA,CEO VI CARAGA REGIONAL HOSPITAL Chief of Hospital III
TIN No: 140-023-506-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives ( PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 241,644.25 Reviewed by: 237,730.00 241,644.25 237,730.00 9,000.00 7,500.00 6,000.00 7,500.00 30,655.00 4,000.00 5,445.00 14,969.25 5,445.00 18,900.00 18,900.00 12,600.00 12,600.00 156,930.00 6,000.00 156,930.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459
Date: 07/31/12
Date:
Annex B
Data Source
Name:
RONIL B. SALMAYOR , CPA CARAGA REGIONAL HOSPITAL Administrative Officer V
TIN No: 140-023-506-000 Name of Agency: Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Subsistence Allowance Hazard Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives ( PIB + Mid-year) Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.) Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total Prepared by: 139,412.50 Reviewed by: 132,548.00 139,412.50 132,548.00 6,000.00 7,500.00 6,000.00 7,500.00 19,229.00 4,000.00 5,445.00 22,093.50 5,445.00 88,374.00 6,000.00 88,374.00 6,000.00 (Indicate whether Mother Unit or Ex-Officio Member)
CLAYTON EDGAR M. DELGADO,CPA Accountant II
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III
Tel No. (086) 826-1116 Date: 07/31/12
Tel No. (086) 826-2459 Date:
Received by Principal Officers and Members of Governing Boards of Government and/or Controlled Corporations and their Subsidiaries and Secretaries, Undersecretaries and Assistant Secretaries of National Government Agencies For the period of January 1 to December 31, 2012
Data Source
1st quarter
1st quarter
1st quarter
Name: TIN No: Name of Agency: CARAGA REGIONAL HOSPITAL (Indicate whether Mother Unit or Ex-Officio Member) Position/Designation: Months Served: Basic Salary: Allowances and Other Benefits
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.)
DR.PONCIANO S. LIMCANGCO 140-023-506-000
MELECIO N. DY
CHERYL A. GOTINGA 925-550-079-000
Chief of Hospital III
OIC-Chief of Hospiatl III
CMPS-I
156,930.00
135,372.00
6,000.00
6,000.00
18,900.00 18,900.00
11,000.00 11,000.00
5,445.00 14,969.25
5,445.00 14,969.25
4,000.00
4,000.00
9,000.00 7,500.00
4,000.00 5,000.00
Sub-Total Add: EMEs(previously entitled Discretionary Fund) Total
241,644.25
196,786.25
241,644.25
196,786.25
Prepared by:
Reviewed by:
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader Verified Correct:
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date: 07/31/12
Data Source
2nd quarter
2nd quarter
2nd quarter
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (etc.)
DR.PONCIANO S. LIMCANGCO
140-023-506-000
MELECIO N. DY
CHERYL A. GOTINGA
925-550-079-000
OIC-Chief of Hospiatl III
CMPS-I
156,930.00
140,544.00
6,000.00
6,000.00
12,600.00 12,600.00
6,300.00 6,300.00
16,500.00 16,500.00
5,445.00
5,445.00
30,655.00
27,924.00
6,000.00 7,500.00
3,000.00
6,000.00 7,500.00
237,730.00
15,600.00
226,413.00
237,730.00
15,600.00
226,413.00
Prepared by:
Reviewed by:
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO Verified Correct:
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459 Date: 07/31/12
State Auditor IV Audit Team Leader
Data Source
3rd quarter
3rd quarter
3rd quarter
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Hazard & Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (3) PHIC Sharing (etc.)
140-023-506-000
MELECIO N. DY
CHERYL A. GOTINGA
925-550-079-000
OIC-Chief of Hospiatl
CMPS-I
156,930.00
140,544.00
6,000.00
6,000.00
12,600.00 12,600.00
16,500.00 16,500.00
5,445.00 14,969.25
5,445.00 14,969.25
7,500.00 95,831.00
6,000.00
6,000.00 7,500.00
95,831.00
95,831.00
286,675.25
127,031.00
309,289.25
286,675.25
127,031.00
309,289.25
Prepared by:
Reviewed by:
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Verified Correct:
MELECIO N DY, MD,MPH,CESE OIC-Chief of Hospital III Tel No. (086) 826-2459
Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader
Date: 07/31/12
Data Source
4th quarter
4th quarter
4th quarter
PERA/ADCOM Per Diem on Board Meetings Honorarium Representation Allowance Transportation Allowance Gasoline Allowance Food Subsidry Hazard & Longevity Pay Amelioration Allowance Clothing/Uniform Medical Benefits Bonus and Incentives Dependent's Allowance Others (1) Cellular Expense (2) Ligth & Water (3) PHIC Sharing (etc.)
140-023-506-000
MELECIO N. DY
CHERYL A. GOTINGA
925-550-079-000
OIC-Chief of Hospital
CMPS-I
156,930.00
140,544.00
6,000.00
6,000.00
9,450.00 9,450.00
9,450.00 9,450.00
16,500.00 16,500.00
5,445.00 29,914.50
5,445.00 29,914.50
66,309.00
62,806.00
4,500.00 7,500.00 80,000.00
1,500.00
6,000.00 7,500.00
40,000.00
80,000.00
375,498.50
60,400.00
371,209.50
375,498.50
60,400.00
371,209.50
Prepared by:
Reviewed by:
CLAYTON EDGAR M. DELGADO,CPA Accountant II Tel No. (086) 826-1116 Date: 07/31/12 MATHEW REY M. MAGNO State Auditor IV Audit Team Leader Verified Correct:
ANDRES M. DOLAR, JR.,MD,MPM,DPBR Medical Center Chief - I Tel No. (086) 826-2459 Date: 07/31/12
ANNEX B
EMEs)
1st quarter
RONIL B. SALMAYOR 109-978-262.000
Admin. Officer V
88,374.00
6,000.00
5,445.00 22,093.50
4,000.00
6,000.00 7,500.00
139,412.50
139,412.50
MD,MPH,CESE
ANNEX B
EMEs)
2nd quarter
RONIL B. SALMAYOR
109-978-262.000
Admin. Officer V
88,374.00
6,000.00
5,445.00
19,229.00
6,000.00 7,500.00
132,548.00
132,548.00
MD,MPH,CESE
ANNEX B
EMEs)
3rd quarter
RONIL B. SALMAYOR
109-978-262.000
Admin. Officer V
88,374.00
6,000.00
5,445.00 22,093.50
13th month pay
PIB
6,000.00 7,500.00 14,917.00
150,329.50
150,329.50
MD,MPH,CESE
ANNEX B
EMEs)
4th quarter
RONIL B. SALMAYOR
109-978-262.000
Admin. Officer V
88,374.00
6,000.00
5,445.00 44,184.00
50,168.00
6,000.00 7,500.00 12,500.00
220,171.00
220,171.00
AR, JR.,MD,MPM,DPBR

Rosa 2012

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Annex B

Name: TIN No:

Name of Agency: Position/Designation:

CHERYL A. GOTINGA CARAGA REGIONAL HOSPITAL CMPS - I

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

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

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

CLAYTON EDGAR M. DELGADO,CPA Accountant II

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

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

Tel No. (086) 826-2459 Date:

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

CHERYL A. GOTINGA 925-550-079-000

Chief of Hospital III

OIC-Chief of Hospiatl III

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

Chief of Hospital III

OIC-Chief of Hospiatl III

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

State Auditor IV Audit Team Leader

Chief of Hospital III

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

Chief of Hospital III

4,500.00 7,500.00 80,000.00

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

RONIL B. SALMAYOR 109-978-262.000

13th month pay

6,000.00 7,500.00 14,917.00

6,000.00 7,500.00 12,500.00

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