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WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 MFO 3. HOSPITAL SERVICES 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

1. Number of out-patients managed a. Pedia b. Internal Medicine c. Obstetrics/Gynnecology d. Surgery e. Other Departments e.1 Laboratory e.2 Pharmacy/Drugs & Medicines e.3 Equipment, supplies & materials 573 650 15 64 5 509 650 15 64 5 420 650 15 64 5 1,502 1,950 45 192 15 418 650 15 64 5 360 650 15 64 5 365 650 15 64 5 1,143 1,950 45 192 15 495 650 15 64 5 420 650 15 64 5 480 650 15 64 5 1,395 1,950 45 192 15 480 650 15 64 5 523 650 15 64 5 547 650 15 64 5 1,550 1,950 45 192 15 5,590 7,800 180 Med/Dental & Lab Supp 768 Drugs & meds 5020308000 5020307000 5020308000 180 768 60 GOP GOP GOP 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 1,800 3,330 462 60 105 105 105 60 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 600 1,110 155 20 35 35 35 20 1,800 3,330 463 60 105 105 105 60 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 1,800 3,330 462 60 105 105 105 60 600 1,110 154 20 35 35 35 20 600 1,110 154 20 35 35 35 20 600 1,110 155 20 35 35 35 20 1,800 3,330 463 60 105 105 105 60 7,200 13,320 1,850 240 420 Med/Dental & Lab Supp 420 Med/Dental & Lab Supp 420 Med/Dental & Lab Supp 240 Med/Dental & Lab Supp 5020308000 5020308000 5020308000 5020308000 420 420 420 240 GOP GOP GOP GOP

60 Med/Dental & Lab Supp

2. Number of in-patients managed a. Pedia b. Internal Medicine c. Obstetrics/Gynnecology d. Surgery e. Dietary f. Other Departments f.1 Laboratory f.2 Pharmacy/Drugs & Medicines f.3 Equipment, supplies & materials 943 1,517 20 191 5 878 1,517 20 191 5 965 1,516 20 190 5 150 50 100 2 34 35 35 35 5 150 50 100 2 34 35 35 35 5 150 50 100 2 33 35 35 35 5 450 150 300 6 101 2,786 4,550 105 105 105 15 60 572 15 965 1,517 20 191 5 992 1,517 20 191 5 980 1,516 20 190 5 150 50 100 2 34 35 35 35 5 150 50 100 2 34 35 35 35 5 150 50 100 2 33 35 35 35 5 450 150 300 6 101 2,937 4,550 105 105 105 15 60 572 15 1,270 1,517 20 191 5 1,170 1,517 20 191 5 1,170 1,516 20 190 5 150 50 100 2 34 35 35 35 5 150 50 100 2 34 35 35 35 5 150 50 100 2 33 35 35 35 5 450 150 300 6 101 3,610 4,550 105 105 105 15 60 572 15 1,080 1,517 20 191 5 1,089 1,517 20 191 5 1,133 1,516 20 190 5 150 50 100 2 34 35 35 35 5 150 50 100 2 34 35 35 35 5 150 50 100 2 34 35 35 35 5 450 150 300 6 102 3,302 4,550 105 105 105 15 60 572 15 12,635 18,200 240 Med/Dental & Lab Supp 2,288 Drugs & meds 5020308000 502030700 5020308000 240 2,288 60 GOP GOP GOP 1,800 600 1,200 24 405 420 Med/Dental & Lab Supp 420 Med/Dental & Lab Supp 420 Med/Dental & Lab Supp 60 Med/Dental & Lab Supp 5020308000 5020308000 5020308000 5020308000 420 420 420 60 GOP GOP GOP GOP GOP

60 Med/Dental & Lab Supp

3. Number of elective surgeries a. Equipment supplies & materials for OR 2 10 3 10 3 10 8 30 3 10 3 10 2 10 8 30 3 10 2 10 3 10 8 30 3 10 3 10 2 10 8 30 32 120 Med/Dental & Lab Supp 5020308000 120 GOP

4. Number of emergency surgeries a. Equipment supplies & materials for OR 50 10 50 10 50 10 150 30 50 10 50 10 50 10 150 30 50 10 50 10 50 10 150 30 50 10 50 10 50 10 150 30 600 120 Med/Dental & Lab Supp 5020308000 120 GOP

Training Programs Research Programs INDIRECT MANAGEMENT AND ADMINISTRATIVE COST

31 10 849

32 10 850

32 10 850

95 30 2,549

31 10 849

32 10 850

32 10 850

95 30 2,549

31 10 849

32 10 849

32 10 850

95 30 2,548

31 10 849

32 10 850

32 10 850

95 30

380 Training Expenses 120 Training Expenses

5020201000 5020201000 5029999099

380 120 10,195 -

GOP GOP GOP GOP

2,549

10,195 Other MOOE

TOTAL

5,955

1,445

5,827

1,447

5,823

1,446

17,605

4,338

5,823

1,445

5,792

1,447

5,783

1,446

17,398

4,338

6,205

1,445

6,029

1,446

6,088

1,446

18,322

4,337

6,000

1,445

6,052

1,447

6,119

1,446

18,171

4,338

71,496

17,351

17,351

Prepared by:

In coordination with:

Approved by:

CARINA B. LUMAAD
Budget Officer - Designate

FELIXBERTO E. ELTANAL, CPA, MBA Supervising Administrative Officer

LOPE MA. P. CARABAA, JR., MD, MHA CSEE Chief of Sanitarium III

Page 1

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 2

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 3

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 4

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 5

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 6

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 7

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 8

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 9

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 10

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 11

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 12

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 13

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 14

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 15

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 16

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 17

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 18

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 19

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 20

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 21

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 22

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 23

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 24

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 25

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 26

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 27

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 28

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 29

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 30

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 31

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 32

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 33

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 34

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 35

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 36

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 37

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 38

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 39

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 40

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 41

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 42

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 43

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 44

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 45

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 46

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 47

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 48

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 49

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 50

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 51

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 52

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 53

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 54

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 55

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 56

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

Page 57

WFP Form 1B MFO ACTIVITY TARGETS PER MONTH AND QUARTER FOR 2014 EVERSLEY CHILDS SANITARIUM

TIMEFRAME Activity (in months) Jan-Dec 2014 1 2 No. Jan Cost No. Feb Cost No. Q1 March Cost No. Total Cost No. April

ACTIVITY TARGETS Q2 May No. Cost No. June Cost No. Total Cost No. July Cost No. August Cost No. Q3 September Cost No. Total Cost No. October Cost No. November Cost No. Q4 December Cost No. Total Cost No. Q1-Q4 Total ITEM/QTY Cost

RESOURCE REQUIREMENTS

AC

Total Cost

Type of Fund

Cost

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WORK AND FINANCIAL PLAN PLANNING FORM 1a BUDGET SUMMARY AND MFO PHYSICAL TARGETS SUMMARY EVERSLEY CHILDS SANITARIUM A. Budget Summary By Expense Class Expense Class PS MOOE CO Total Amount (in "000 pesos) 22,031 17,351 14,000 53,382

Prepared By:

In coordination with:

Approved By:

CARINA B. LUMAAD Budget Officer-Designate

FELIXBERTO E. ELTANAL, CPA, MBA Supervising Admin. Officer

LOPE MA. P. CARABAA, JR. MD, MHA, CSEE Chief of Sanitarium III

WORK AND FINANCIAL PLAN PLANNING FORM 1a BUDGET SUMMARY AND MFO PHYSICAL TARGETS SUMMARY EVERSLEY CHILDS SANITARIUM B. Budget Summary Per Major Final Outputs Major Final Outputs Amount (in "000 pesos) MFO 1 MFO 2 MFO 3 MFO 4 GASS Support to Operation Total
Prepared By: In coordination with: Approved By:

7,156 10,195

17,351

CARINA B. LUMAAD Budget Officer-Designate

FELIXBERTO E. ELTANAL, CPA, MBA Supervising Admin. Officer

LOPE MA. P. CARABAA, MD, MHA, CSEE Chief of Sanitarium III

SUMMARY

t (in "000 pesos)

C. MOOE Budget Summary per Month


Drugs and Medicines Travelling Expenses Accountable Forms Medical, Dental and Lab Supplies Office Supplies Training & Workshops
Food Supplies

Professional Services

Expense

January February March April May June July August September October November December

Total % of Total

321 320 320 321 320 320 321 320 320 321 320 320 3,844 22%

29 29 29 29 29 30 29 29 29 29 29 30 350 2%

4 5 5 5 5 5 4 5 5 5 5 4 57 0%

234 234 235 234 234 235 234 234 235 234 234 235 2,812 16%

45 46 45 46 45 46 45 46 45 46 45 46 546 3%

41 42 42 41 42 42 41 42 42 41 42 42 500 3%

166 167 167 166 167 167 166 167 167 166 167 167 2,000 12%

153 153 154 154 153 154 154 153 154 154 153 154 1,843 11%

Prepared By:

In coordination with:

CARINA B. LUMAAD
Budget Officer - Designate

FELIXBERTO E. ELTANAL, CPA, MBA


Supervising Administrative Officer

WORK AND FINANCIAL PLAN PLANNING FORM 1a BUDGET SUMMARY AND MFO PHYSICAL TARGETS SUMMAR EVERSLEY CHILDS SANITARIUM

Electricity Expenses

Repairs & Maint. Other Machinery & Equipment

Repairs & Maint. Motor Vehicle

Repairs & Maint. Hospitals & Health Centers

Fuel, Oil & Lubricants

Agricultural & Marine Supplies

Other Supplies

Water

Postage & Courier Service

& Materials

67 68 67 68 67 68 67 68 67 68 67 68 810 5%

8 8 9 8 8 9 8 8 9 8 8 9 100 1%

13 14 14 14 14 14 13 14 14 14 14 14 166 1%

14 14 14 14 14 15 14 14 14 14 14 15 170 1%

55 54 54 55 54 54 55 54 54 55 54 54 652 4%

6 6 6 6 6 5 6 6 6 6 6 5 70 0%

111 112 111 112 111 112 111 112 111 112 111 112 1,338 8%

26 26 26 27 26 26 26 27 26 26 26 27 315 2%

1 1 1 1 1 1 1 1 1 1 10 1%

Approved By:

LOPE MA. P. CARABAA, JR, MD, MHA, CSEE


Chief of Sanitarium III

AN PLANNING FORM 1a ICAL TARGETS SUMMARY NITARIUM

Telephone Landline

Membership Dues & Cont. to Org.

Internet Expense

Advertising Expense

Printing & Publication Expense

Rent Expense

Representation

Transportation

Subscription Expense

Expense

& Delivery Expense

9 9 9 9 9 8 9 9 9 9 9 8 106 1%

1 1 1 1 1 5 0%

8 9 8 9 8 9 8 9 8 9 8 9 102 1%

1 2 1 2 1 2 2 2 1 2 1 2 19 0%

6 6 6 6 6 6 6 6 6 6 6 7 73 0%

2 2 1 2 2 1 2 2 1 2 2 1 20 0%

8 8 9 8 8 9 8 8 9 8 8 9 100 1%

1 2 1 2 1 2 1 2 1 2 1 2 18 0%

1 1 1 1 1 1 1 1 1 1 1 11 0%

Auditing Services

Other General Sevices

Taxes, Duties & Licenses

Fidelity Bonds Premium

Insurance Expense

Other MOOe

Total MOOE

5 5 6 5 5 6 5 5 6 5 6 6 65 0%

12 13 12 13 12 13 12 13 12 13 12 13 150 1%

5 5 5 5 5 5 5 5 5 5 5 5 60 0%

10 10 11 10 10 11 10 10 10 10 10 11 123 1%

23 23 23 23 23 24 23 23 24 23 23 24 279 2%

53 53 53 53 53 53 53 53 53 53 53 54 637 0

1,438 1,447 1,446 1,449 1,441 1,452 1,441 1,448 1,446 1,448 1,442 1,453 17,351 101%

WORK AND FINANCIAL PLAN PLANNING FORM 1a BUDGET SUMMARY AND MFO PHYSICAL TARGETS SUMMARY EVERSLEY CHILDS SANITARIUM

D. CAPITAL Outlay Budget Summary


CAPITAL OUTLAY (CO) Infra General Description of item
Expected Month of Expenditure

Equipment General Total Cost Description of item


Expected Month of Expenditure

Total CO Total Cost Unit Cost Total Cost

1. Construction of Laboratory & Pharmacy Building (Phase II) 7,000

1. 1 Unit Ultrasound Machine

heavy-duty

3,500

3,500

3,500

10,500

2. 1 Unit X-ray Machine heavy-duty 3,500 3,500 3,500 3,500 -

Total % of Total
Prepared By:

7,000 50%
In coordination with:

7,000

7,000

7,000 50%

14,000 100%

Approved By:

CARINA B. LUMAAD

FELIXBERTO E. ELTANAL, CPA, MBA

LOPE MA. P. CARABAA, MD, MHA, CSEE

Budget Officer - Designate

Supervising Administrative Officer

Chief of Sanitarium III

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