Lung Center of the Philippines

Annual Report
Annual Report
CY 2012
CY 2012
HIGHLIGHTS OF PERFORMANCE
CY 2012
LUNG CENTER AWARD
The Lung Center of the Philippines through the Smoking Cessation
Program won and was awarded the RED ORCHID !RD" on #a$ %&'
%()% at the Philippine Trade and Training Center* This is a national sear+h
for a )((, Smoke -ree En.ironment* This was a program adopted/initiated
0$ Department of Health*
PEDIATRIC PULMONARY
The Center 0eing a re+ipient of -1 %()) Dis0ursement ++eleration
Program 2DP3 in the amount of P)(4' ((('(((*(( for pur+hase of medi+al
e5uipment for Pediatri+ Pulmonar$ Program and the 6io7regenerati.e
Te+hnolog$ Program in whi+h ninet$ per+ent 2&(,3 has 0een released has
+ontri0uted mu+h to said program* The Pedia Out7patient and Emergen+$
Room is alread$ in full operation* Pedia !ard of )8 0ed +apa+it$ has 9%:
admissions while the ser.i+e ward of ; 0ed +apa+it$ has <8 patients
admission*
HOSPICE AND PALLIATIVE CARE
Hospi+e +are is a medi+all$ dire+ted end of life" +are for the terminall$
in=ured patients* It is a model 5ualit$"' lo.ing and +ompassionate +are e.er
gi.en to patients 0$ highl$ professional and spirituall$ oriented workers*
Close to <(, 7 <4, of admitted patients at the Lung Center of the
Philippines are +an+er +ases and an additional per+entage of terminall$ ill
COPD and PT6 +ases will also die in si> 2;3 months? time or less* The LCP
hospi+e shall +ater to all terminall$ ill and in=ured patients from @ATI'
PHC' E#C' Philippine Children #edi+al Center' likewise' will a++ept
referrals from other institutions* The hospi+e and palliati.e +are se+tion or
unit will also a++ept rotation of hospi+e su0spe+ialt$ fellows from famil$
medi+ine training hospitals mainl$ the BP7PCH* The S# -oundation has
donated the hospi+e e5uipment and fi>tures ne+essar$ for the hospi+e
fa+ilit$*
RADIOTHERAPY SECTION
On #ar+h %())' the Radiotherap$ Se+tion opens its ser.i+es to the pu0li+
and +an 0e seen with sharp a++eleration in the num0er of ser.i+es and
patients*
The Se+tion has +ontri0uted a remarka0le in+rease in the num0er of
patients 0$ 8(, from %()) to %()%* The newl$ a+5uired Linear ++elerator
#a+hine has greatl$ +ontri0uted to patients with lung +an+er on the
radiation therap$ on the following pro+edures/treatmentD %D' 9D'
Conformal Treatments and the Intensit$ #odulated Radiation Therap$
2I#RT3 with Simulation planning*
STEM CELL
The #ole+ular Diagnosti+s and Cellular Therapeuti+s La0orator$ 2Stem
Cell Bnit3 offers a promising area of hope for the amelioration of man$
diseases for whi+h there has 0een no +ure and minimal hope of pre.ention*
The Stem Cell pro.ides 5ualit$' autologous dendriti+ .a++ines and other
autologous adult stem +ell70ased therapies* -or a+ti.e immunotherap$'
dendriti+ +ell are used to trigger the immune response against diseases
in+luding +an+er* -or regenerati.e purposes' autologous adult stem +ells
are administered to mediate repair of affe+ted tissues* -or the period
Eanuar$ ) to De+em0er %)' %()%' the #ole+ular Diagnosti+s and Cellular
Therapeuti+s La0orator$ had a total of 9% patients* Out of the 9% patients'
%9 of whi+h a.ailed the immune +ell therap$' ; of whi+h a.ailed the
Cir+ulating Tumor +ell anal$sis for patients' the regenerati.e therap$ and )
patient the Tumor Colle+tion and Culture*
LCP MAJOR PROGRAMS AND PROJECTS
1. CRITICAL AIRWAY & INTERVENTIONAL PULMONARY UNIT 7 the Criti+al irwa$
#anagement and Training' will make signifi+ant impro.ement in the areas of patient safet$'
team +ommuni+ation' e5uipment a.aila0ilit$ and response effi+ien+$* It will also offer
training to other spe+ialties to 0e more +ompetent in handling patients with +riti+al and
diffi+ult airwa$s* irwa$ management is a pro+edure and essential skill ne+essar$ not onl$
for the anaesthesiologist 0ut to all ph$si+ians* Optimal resus+itati.e treatment of medi+al
and trauma patients often re.ol.es around timel$ and effe+ti.e airwa$ inter.entions that +an
0e +hallenging in the a+ute setting' espe+iall$ in +riti+al patients*
Objectives / G!"s #
)* To ensure safet$ of all patients with +riti+al/diffi+ult airwa$ 0$ the appli+ation of ad.an+ed
knowledge' skill' te+hni5ues and de.i+es*
%* To edu+ate and update Clini+ians of the Lung Center of the Philippines and other
spe+ialties from all other hospitals with the +urrent knowledge on airwa$ management
and the use of ad.an+ed airwa$ de.i+es*
9* To esta0lish the Lung Center of the Philippines Diffi+ult irwa$ lgorithm*
8* To +ondu+t resear+h a+ti.ities pertaining or related to +riti+al / diffi+ult airwa$
management*
4* To esta0lish links with different +enters / hospitals in the entire Philippines for read$
a++ess and +onsult of their own +riti+al / diffi+ult airwa$ pro0lems*
;* To +ondu+t sur.e$s and gather fa+tual information related to +riti+al/diffi+ult airwa$
+ases* Thus' will esta0lish The Philippine Criti+al/Diffi+ult irwa$ Registr$*
<* To +olla0orate with International irwa$ So+ieties for the ad.an+ement of our knowledge
and skills*
:* To esta0lish The Lung Center of the Philippines Criti+al / Diffi+ult irwa$ we0site*


2. THE ESOPHAGUS & SWALLOWING CENTER 7 will 0e in the forefront in the +are
and management of patients with esophageal diseases and swallowing disorders*
Objectives #
)* To pro.ide e>+ellent ser.i+e in the diagnosti+ e.aluation and +orresponding
management of patients with esophageal diseases and swallowing disorders*
%* To engage in the progressi.e appli+ation of appropriate and most re+ent surgi+al
treatment modalities spe+iall$ in the field of minimall$ in.asi.e esophageal surger$ and
offer 0etter ser.i+e to our patients*
9* To pro.ide a .enue for the training and de.elopment of thora+i+ surgeons/spe+ialists
dedi+ated in the diagnosis and treatment of patients with esophageal disease and/or
swallowing disorders*
8* To re+ord and e.aluate data gathered from the diagnosis' medi+al and surgi+al treatment
of patients with esophageal disease as well as swallowing disorders for the purpose of
resear+h and de.elopment of new or refinement of +urrent management*
4* To share our e>perien+es and esta0lish +olla0orati.e a+ti.ities with lo+al and
international +enters with the same interest in order to ensure our patients? safet$ and an
updated management of esophageal disease and swallowing disorders*
3. COMPREHENSIVE ASTHMA CENTER 7 this is a +enter that is at the forefront of
asthma +are and is +ommitted to the +omprehensi.e management of patients with asthma
of all ages' ra+es' religious 0eliefs' edu+ational' and so+io7e+onomi+ le.els*
Missi$ #
)* To ena0le asthma patients to 0reathe and li.e normal li.es*
Objectives / G!"s #
)* To redu+e and pre.ent asthma s$mptoms and a+ute asthma atta+ks that re5uire
emergen+$ room .isits and hospitaliFations
%* To pro.ide patient and famil$ edu+ation a0out asthma
9* To pro.ide %87hours7a7da$ emergen+$ a++ess to asthma treatment
8* To return sta0iliFed patients to the primar$ health +are pro.iders
4* To pro.ide additional a++ess to edu+ation and +are with our asthma .an
;* To pro.ide professional 2for health +are pro.iders3 and +ommunit$ edu+ation
<* To network with other agen+ies in pro.iding a++ess to asthma +are
Se%vices !v!i"!b"e #
1. A&b'"!t%( Ast)&! C$t%" C"i$ic 7 is where patients and their families +an ha.e
a++ess to asthma edu+ation' diagnosis' e.aluation and treatment*
2. U%*e$t C!%e Ast)&! U$it 7 a %87hour7a7da$ emergen+$ a++ess to asthma treatment
for patients with a+ute asthma who re5uire urgent and emergen+$ +are and
hospitaliFation*
4. AVIATION MARITIME & TRAVEL MEDICINE
Objectives/G!"s #
)* To pro.ide medi+al assessment and fitness e.aluation for indi.iduals or groups for flight'
di.ing and tra.el*
%* To esta0lish a spe+ialt$ referral70ased unit that deals with medi+al pro0lems related to
flight' di.ing and tra.el*
Acti$ P"!$s #
1. -inaliFe the Program and seek formal appro.al*
%* Cenerate resour+es and funds for personnel training' e5uipment' fa+ilities*
9* -inaliFe personnel line7up
8* Commen+e personnel training
4* Prepare materials and +omplete e5uipment and fa+ilities
;* Create .ital linkages with rele.ant se+tors
<* !ork for +ertifi+ation
:* Laun+h and +ommen+e program
&* Condu+t promotional/marketing a+ti.ities
)(* Perform periodi+ e.aluation
5. PAIN MANAGEMENT AND PALLIATIVE CARE UNIT 7 is a h$0rid multidis+iplinar$
pain +lini+ and a tertiar$ palliati.e +are unit* #ultidis+iplinar$ Pain Clini+ is a health +are
deli.er$ fa+ilit$ manned 0$ ph$si+ians of di.erse spe+ialties and health +are pro.iders who
spe+ialiFe in the diagnosis and management of patients with +hroni+ pain*
Objectives/G!"s #
1. To e.aluate' diagnose' and treat +hroni+ pain*
2. To treat patients in a humane' +ompassionate and ethi+al manner*
3. To assist in goal setting and pa+ing
4. To engage in resear+h
5. To de.elop the staff to 0e responsi.e to the needs of the patients in terms of pain
management and related aspe+ts of patient?s +are*
6. DEPARTMENT O+ THORACIC ONCOLOGY
Objectives / G!"s#
)* To pro.ide ser.i+e in the diagnosis' management' treatment and follow7up +are of
indi.iduals with intrathora+i+ malignan+ies*
%* To de.elop spe+ialist through the ongoing a+5uisition of knowledge regarding
esta0lished and e.ol.ing 0iomedi+al' +lini+al and similar s+ien+es' with the su0se5uent
appli+ation of that knowledge in a professional' +ompassionate' multidis+iplinar$ and
effe+ti.e form of treatment to persons with underl$ing intrathora+i+ on+ologi+ pro0lems*
Visi$ #
)* To esta0lish a world +lass +enter for training spe+ialist in intrathora+i+ malignan+ies*
%* To 0e a repositor$ site for tumor spe+imens*
3. Center for resear+h for intrathora+i+ malignan+ies*
8* To 0e a mem0er of an international referral +enter spe+ialiFing in intrathora+i+
malignan+ies*
S'&&!%( , Acc%e-ite- P)(sici!$s
Visiti$* . 9:<
Re,e%%!" . :(
P"!$ti""! . 8;
+e""/s i$.t%!i$i$* . 9(
012
SERVICES O++ERED
O't3!tie$t De3!%t&e$t
. Emergen+$ Room Ser.i+es
7 Ceneral OPD Clini+s
7 Health and -itness
7 Pre7flight ssessment
7 sthma Clini+
7 COPD Support Croup
7 Smoking Cessation
7 Spe+ialt$ Clini+s
7 T6
7 Lakas 6aga Clu0
7 sthma Clu0
7 COPD
7 Outpatient Thora+i+ Surger$
7 Pain Clini+
7 Lung Transplant Program
7 m0ulan+e Ser.i+es
P'b"ic He!"t) !$- D&ici"i!%( U$it
7 Can+er Support Croup
7 Dire+tl$ O0ser.ed Therap$ for T6 2DOTS3
7 Samahan ng Lusog 6aga 2Support Croup3
7 Lung Can+er Earl$ Dete+tion Program
7 T6 in Children
7 #DRT6 Control Program
7 T6 Control Program
7 2H)@)3 Swineflu
7 Infe+tious Disease wareness Program
7 .ian/6irdflu
R!-i"*( De3!%t&e$t
7 Diagnosti+
7 CT S+an
7 Inter.entional Radiograp$ 26iops$' spiration' et+*3
7 C7rm -luoros+op$
7 Bltrasonograph$' %7D e+ho+radiograph$ and Doppler Studies
7 Digital Radiograph$
7 Therapeuti+ 2Radiotherap$3
7 Linear ++elerator
7 6ra+h$therap$
7 Simulator
7 Radiation On+olog$ Ser.i+es
P'"&$!%( Me-ici$e De3!%t&e$t
7 Se+tion of Respirator$ Ser.i+es
7 erosol Therap$
7 rterial 6lood Cas 26C3
7 Ele+tro+ardiograph$ 2ECC3
7 -i0eropti+ 6ron+hos+op$ 2-O63
7 #e+hani+al Gentilation
7 O>$gen Therap$
7 Pol$somnograph$ 2Sleepla03
7 Pulmonar$ -un+tion Test 2P-T3
7 Pulse O>imetr$
7 Stress Test
7 Sputum Indu+tion
7 Respi+artor$ Care Institute 2RCI3
7 6ron+hos+op$
7 Intensi.e Care Bnit
7 Intermediate Care Bnit
7 Isolations Bnit
7 Cardiolog$ Ser.i+es
7 Thora+i+ On+olog$ Ser.i+es
7 Pulmonar$ Reha0ilitation 2PT3
7 #us+o7Skeletal Pain #anagement
7 Pre and Post Operati.e Reha0ilitation
7 Orthopedi+ Reha0ilitation
7 Ceriatri+ Reha0ilitation
7 Chest Ph$siotherap$
7 Ele+tri+al #us+le Stimulation
7 Hot and Cold Pa+k #odalities
7 Infrared Diatherm$ #anual Therap$
7 #us+le and Cait Retraining
7 Paraffin !a> 0ath
7 Trans+utaneous Ele+tri+al @er.e Stimulation 2E@S3
7 Therapeuti+ E>er+ises
7 Blrasound Diatherm
7 !eight Redu+tion E>er+ises
P!t)"*( / L!b%!t%( De3!%t&e$t
7 6lood 6anking
7 Clini+al Chemistr$
7 Clini+al #i+ros+op$
7 C$tolog$
7 Hematolog$
7 Immunolog$
7 Immunopatholog$
7 #i+ro0iolog$
7 Surgi+al Patholog$
7 Immunohisto+hemistr$
7 T6 La0orator$
7 @ational Referen+e La0orator$ 2@RL3
7 Stem Cell Program
T)%!cic S'%*e%( & A$est)esi! De3!%t&e$t
7 m0ulator$ / Outpatient Surger$ Ser.i+es
7 Esophageal Ser.i+e
7 Thora+i+ Endos+op$
7 Thora+i+ Surgi+al On+olog$
7 End7stage Diseases
7 Operating Room Theater
7 Pain #anagement
7 Re+o.er$ Room
7 Surgi+al Intensi.e +are units
7 Post nesthesia +are unit
Hs3it!" S'33%t Se%vices
)* Pharma+$ Di.ision
%* Central Suppl$ and Ser.i+es
9* Personnel Di.ision
8* Patient 6usiness Di.ision
4* Pro+urement' Propert$ H Supplies Di.ision/#aterial #anagement Di.ision
;* Ceneral Ser.i+es Di.ision 2Housekeeping' Communi+ation' #otorpool3
<* InformationTe+hnolog$ Ser.i+es Se+tion
:* 6udget H ++ounting Di.ision
&* So+ial Ser.i+e
L'$* Ce$te% , t)e P)i"i33i$es
A$$'!" Re3%t 4564
+isc!" Ye!% 4565 4566 4564
Tt!" 7e- C!3!cit( 405 408 408
Tt!" A-&issi$s 9:594 9:592 9:420
Tt!" Disc)!%*es 9:5;8 9:59< 9:156
Tt!" O't3!tie$ts 91:694 0;:442 09:0<<
Occ'3!$c( R!te 90= 94= 96=
St!tistic!" D!t! A-&issi$s VS Disc)!%*es
dmissions Dis+harges
%()( ;(;% ;(8:
%()) ;(;< ;(;&
%()% ;%<: ;99:
%()( %()) %()%
4&((
4&4(
;(((
;(4(
;)((
;)4(
;%((
;%4(
;9((
;94(
;8((
St!tistics # A-&issi$s vs Disc)!%*es
dmissions
Dis+harges
Tt!" N'&be% , P%ce-'%es I$.3!tie$t vs O't.3!tie$t 4564
Se+tions In7patient Out7patient
Clini+al Chemistr$ 98'848 )8'<%&
Hematolog$ 98')&% ):':()
Clini+al #i+ros+op$ %':;: )'9:8
Immunolog$ )'8%< <9&
6lood 6ank :'(8& )<'4):
#i+ro0iolog$ %9':9; %&':)8
Histopath 9':9: %'&)(
Tt!" 658:99; 80:8<0
Tt!" N> O, P!tie$ts
6<;:00<
Chemistr$ Hematolog$ C# Immunolog$ 6lood 6ank #i+ro0iolog$ Histopath
4'(((
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%('(((
%4'(((
9('(((
94'(((
8('(((
C&3!%!tive P%ce-'%es , I$3!tie$t vs O't3!tie$t 4564
In7patient
Out7patient
COMPARATIVE ANNUAL WOR?LOAD REPORT
L!b%!t%( Se%vices
C"i$ic!" !$- A$!t&ic PAY SERVICE @+S Tt!"
C1 %()) )<;'9)& :;'::( 99'44< %&;'<4;
C1 %()% ):4'8;: &<'8<( 98'<:< 9)<'<%4
Pa$ Ser.i+e I-S
(
%('(((
8('(((
;('(((
:('(((
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)%('(((
)8('(((
);('(((
):('(((
%(('(((
Comparati.e Chart of !orkload
%())
%()%
RADIOLOGY DEPARTMENT
P%ce-'%es#
)*<%, de+rease in the num0er of Diagnosti+ Radiograph$ pro+edures /
patients from %()) 28)';(83 to %()% 28(':::3*
4*), in+rease in the num0er of Bltrasound pro+edures / patients from %())
29'%%)3 to %()% 29'9&<3*
n ):*8:, in+rease in the num0er of CT S+an pro+edures / patients from
%()) 2%';%&3 to %()% 29'%%43*
8(, in+rease in the num0er of Radiotherap$ pro+edures / patients from
%()) 2:'8)(3 to %()% 2)8')%43
ll pro+edures were dominated 0$ pa$ patients 0$ 9D)
Tt!" N'&be% , P%ce-'%es I$.P!tie$t vs O't.P!tie$t 4564
P%ce-'%es/Se%vices I$.P!tie$t O't.P!tie$t
Diagnosti+s )('%(< 9(';:)
Bltrasound )'&9: )'4%9
CT7S+an &<4 %'%4(
Radiotherap$ 9<; )4'::%
Tt!" 61:;<9 05:119
Ove%.!"" Tt!" 91:814
Diagnosti+s Bltrasound CT7S+an Radiotherap$
(
4'(((
)('(((
)4'(((
%('(((
%4'(((
9('(((
94'(((
P%ce-'%es I$3!tie$t vs O't3!tie$t 4564
In7Patient
Out7Patient
DEPARTMENT O+ PULMONARY MEDICINE
Tt!" N'&be% , P%ce-'%es / A-&issi$s
4566 4564
Se+tion of Respirator$ Ser.i+es &&'4&9 &8'%:&
Ph$si+al Therap$ ;'94: <'<&)
#edi+al Intensi.e Care Bnit 9(; %::
Intermediate Care Bnit ;< )<
Sta* ThereseJs Isolation Bnit )44 )%(
@um0er of -ellows in Training ): )<
OUT.PATIENT DEPARTMENT
65 Le!-i$* c!'ses , OPD C$s'"t!ti$s
C!'ses N> , C!ses
) PT6 4'):9
% 6ron+hie+tasis %'99<
9 COPD )'<9(
8 @ew Crowth <);
4 6ron+hial sthma ;4(
; CP 449
< Pleural Effusion 8&<
: BRTI )4<
& #DRT6 )94
)( Destro$ed Lung &(
PT6
6ron+hie+tasis
COPD
@ew Crowth
6ron+hial sthma
CP
Pleural Effusion
BRTI
#DRT6
Destro$ed Lung
(
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%'(((
9'(((
8'(((
4'(((
;'(((
C)!%t Re3%t , OPD C$s'"t!ti$
Tt!" $'&be% , OPD C$s'"t!ti$s 4565.4564
P!tie$ts
%()( ;9);%
%()) ;))4<
%()% ;8(94
4&4((
;((((
;(4((
;)(((
;)4((
;%(((
;%4((
;9(((
;94((
;8(((
;84((
Tt!" N'&be% , OPD C$s'"t!ti$s 4565.4564
Patients
2010
2010 2011 2012
De3!%t&e$t , S'%*e%( !$- A$est)esi!
Re3%t , OR P%ce-'%es
P%ce-'%es I$.3!tie$t O't.P!tie$t Tt!"
#a=or Thora+i+ Surger$ 9:< 9:<
#a=or Ceneral Surger$ %88 ; %4(
#inor Thora+i+ Surger$ 994 ;; 8()
#inor Ceneral Surger$ 9%; )9) 84<
6ron+hos+op$ 9%( )%4 884
Rigid 6ron+hos+op$ %8 ) %4
Castros+op$ 94 )) 8;
Lar$ngos+op$ % %
Colonos+op$ )4 : %9
Tra+heos+op$ ) )
Pro+tosigmoidos+op$ & 8 )9
Tt!" 6:9<8 104 4:505
(
)((
%((
9((
8((
4((
OR Pro+edures Inpatient .s Outpatient
In7patient
Out7Patient
Pe-i! U$it
Tt!" N'&be% , A-&issi$s
P!( C)!%it(
4566 19< ;5
4564 148 2;
%()) %()%
(
4(
)((
)4(
%((
%4(
9((
94(
8((
Total dmissions of Pedia Bnit
Pa$
Charit$
Pe-i! U$it
Tt!" N'&be% , Pe-i!t%ic OPD C$s'"t!ti$
P!tie$ts
4566 652<
4564 6<<9
%()) %()%
(
4((
)(((
)4((
%(((
%4((
Comparati.e @um0er of Pedia Consultations
Patients
NURSING DEPARTMENT
A> A-&i$ist%!tive
Implemented the R@ Heals Program of the Department of Health with 4(
+andidates who were graduates of the Post Craduate Course in Pulmonar$
@ursing*
Implemented the wearing of white uniform among nurses*
Laun+hed the 6est !ard ward" 0ased on Iualit$ ssuran+e/@ursing udit
results*
7> T%!i$i$*/Rese!%c)
6asi+ IGT Program 7 %( +ondu+tion
Pulmonar$ @ursing Program K ; +ondu+tion
Criti+al Care Training Program K < +ondu+tion
IGT K Bpdate K 8 +ondu+tion
++reditation of Lung Center of the Philippines @ursing as Pro.ider for @CP7
Pulmonar$ @ursing Le.els 9'8' and 4
Sent Staff nursesto PC#C for Pediatri+ Intensi.e Care for the LCP7PICB opening
Resear+h !ork K )( +omplete Do+uments 26ook 6ind3
P)i")e!"t) # Tt!" N'&be% , C"!i&s ,i"e-
%()( %()) %()%
Pa$ 9(9: %&4: 9(&:
Ser.i+e <98 ;<: ;:4
%()( %()) %()%
(
4((
)(((
)4((
%(((
%4((
9(((
94((
Philhealth Total @um0er of Claims filed
Pa$
Ser.i+e
+INANCIAL REPORT
+isc!" Ye!% 4565 4566 4564
G%ss Hs3it!" I$c&e ;01:256:6;0>;0 ;66:594:412>69 0;6:050:562>55
O3e%!ti$* 7'-*et 028:695:555>55 0<5:655:555>55 9;;:;42:555>55
@'!$ti,ie- +%ee Se%vice <2:21<:;8<>4; 89:0;8:0<5>49 89:486:50;>55
Tt!" EA3e$ses 064:<0<:550>2; ;86:96;:921>40 911:<<4:455>55
Gve%$&e$t S'bsi-( 602:095:555>55 602:095:555>55 111:158:4;8>55
Net I$c&e 094:905><2 ;0<:<21>90 60;:0;5:566>55
%()( %()) %()%
(*((
)(('((('(((*((
%(('((('(((*((
9(('((('(((*((
8(('((('(((*((
4(('((('(((*((
;(('((('(((*((
<(('((('(((*((
C&3!%!tive +i$!$ci!" Re3%t 4565: 4566:4564
Operating 6udget
Total E>penses
Co.ernment Su0sid$
@et In+ome