SQ No:20120522 - 5826

Date: 05/22/2012

Page 1 of 12

Sales Quotation
Customer Code: Customer Name: Address:

C00073A Remedios Trinidad Romualdez Hospital

Calanipawan Tacloban City, Northern Leyte, 6500 Philippines 327-5004 (053)327-5355 Atty. Cheryl Chu Assistant Administrator Wilfredo Liao, M.D, Asst. Medical Director

Fax No: Tel No: Attention to: Thru:

Dear Atty. Chu, We are pleased to submit for your consideration and approval our quotation for medical equipment.

Philips MX4000 Dual with 3D & CT Angio

Philips Supplied Items
No Catalog No QTY Description

0 1 2 3 4 5 6 7 8 9

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

NCTC171 NCTC140

1 1

MX4000

Dual with 3D & CT Angio

Dicom Modality Worklist MX Isolation Transformer Global Console UPS Global Virtual Endoscopy Dental CT Bolus Tracking MX Table Extension MX MX Computer Table MX Coronadal Head Holder Third Party Vendor Items

9896 052 00861 1 9896 052 00881 1 NCTC180 NCTC200 NCTC210 NCTC220 NCTC700 NCTC715 1 1 1 1 1 1

No

Catalog No

QTY

Description

10 11 12 13 14

11. 12. 13. 14. 15.

1 1 1 1 1

Imaxeon SALIENT Compact CT Injection System Codonics Horizon (Film and Paper) Lead Gown Lead Glass Step Up Transformer

For details of our offer, please refer to the features and specifications in the Product Data Sheet enclosed.

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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System Price

Philips Supplied Items System Price: Php12,054,000.00 12% VAT: Php1,446,000.00 Total: Php13,500,000.00

Terms of Payment

Downpayment of 50% amounting to Php6,750,000.00 payable to Medical One Corporation upon signing of Memorandum of Agreement. Balance of 50% amounting to Php6,750,000.00 payable to Medical One Corporation upon completion of installation and final acceptance of the customer. Third Party Items Imaxeon SALIENT Compact CT Injection System: Codonics Horizon (Film and Paper): Lead Gown: Lead Glass: Step Up Transformer (If Required):

Php 497,000.00 Php 450,000.00 Php 11,000.00 Php 117,500.00 Php 153,000.00

Third party supplied items can be purchased from Medical One Corporation or from other suppliers of your choice.

Delivery, installation and commissioning.

Within 90 to 120 days after signing of Memorandum of Agreement, Medical One shall have completely delivered, installed and commissioned the equipment. In case of delays, Medical One shall inform Customer of such in due time. On the other hand if delivery is advanced, Medical One shall correspondingly advise Customer of the same.
System Warranty

Warranty Philips Products 95% Uptime Guaranty. Full warranty on parts and service for three years. Tube warranty 150,000 scan second pro rata for one year. Non-Philips vendor items warranty shall be covered by the respective third-party vendors or agents unless otherwise stated.

Post warranty service shall be done by qualified and factory-trained service engineers of Medical One Corporation
Service Contract

Flexible service contracts are available from Philips Healthcare as follows: Labor-Only Contract: Philips Healthcare can provide a labor-only repair and maintenance service as required for an agreed period. Comprehensive Maintenance Agreement: Philips Healthcare shall provide both parts and service as required for an agreed period.
Parts Availability

Philips Healthcare guarantees that replacement parts will continue to be available for 10 years after the equipment has been discontinued. All equipment quoted are presently state-of-the-art equipment in the market. Critical spare parts inventories are available in the Philippines.
On-site Applications Support

Clinical applications support Local training of one (1) rad tech for seven (7) days. On-site clinical applications support by Philips applications specialist for five (5) days after turnover. Follow-up on-site clinical applications support by Philips applications specialist within ninety (90) days after the first Support. On-site clinical applications support by Philips Healthcare applications support, anytime upon request provided that the support does not exceed a total of ten (10) days and shall not also exceed two (2) visits.

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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Confidentiality

The information in this proposal is considered confidential and proprietary and may not be disclosed to third parties and business competitors.

Validity:

This offer is valid until 30 days from date of this offer.

Very truly yours,

Eljun B. Flores
Territory Representative

Jonnie Tutaan
Product Sales Specialist

Conforme:

Atty. Cheryl Chu Assistant Administrator

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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PRODUCT DATA AND SPECIFICATIONS

Philips Supplied Items No. 1. Catalog No
NCTC171

Item Description MX4000 Dual with 3D & CT Angio

The MX 4000 Dual makes the power of multislice CT available to everyone. Blending technical excellence with quality components, Philips engineers have created a scanner for health professionals who require consistent, routine CT capability. The compact, ergonomic console is self-contained so there is no need for a separate workstation, and it's small enough to fit in almost any hospital room. In fact, every aspect of the MX 4000 Dual is crafted to enhance the clinical experience, from its whisper-quiet operation to its large bore that provides patients with a soothing environment. The MX 4000 Dual delivers value and reliability, from its ease of use to its dependable performance. Highlights - Advanced multislice technology with 2-slices per revolution - Easy to install and service through modular design - Low lifecycle costs from reliable design and minimal energy consumption - Improved productivity through simple, user-friendly operator's interface - 2.5 MHU Philips X-ray tube - 1.0 sec scan time (360 degrees) - 28kW Generator - Compact design allows installation in most pre-existing rooms - Maximum single spiral scan of 80 sec Patient handling and setup Philips helps improve productivity during patient handling and setup through a variety of features, making patients more comfortable and making technologists' jobs easier. Gantry Scan Control Panel Controls and displays for gantry tilt, patient couch elevation and stroke are located on both sides of the gantry. Scan Control Box Gantry and patient couch controls and displays are located conveniently at the operator's console. Additional functions include emergency stop, intercom, and scan enable/pause buttons. Gantry Aperture: 70 cm diameter Gantry Tilt: -30 to +30 Slice Position Indicator: Internal slice plane laser marker

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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X-Ray Indicator On scan control panels and inside the gantry. AutoVoice A standard set of commands for patient communication; before, during and after scanning. Also provides the ability to record customized messages. Two-way intercom Allows patient monitoring and communication. DoseRight Z-axis Dose Modulation Automatically adjusts mAs along the z-axis during scanning for dose reduction. Table Longitudinal motion: Stroke: 1600 mm Scannable range: 1500 mm (with head holder) Speed: Up to 100 mm/sec Position accuracy: 0.25 mm Vertical motion: Range: 430 to 970 mm above floor Speed: 9 to 41 mm/sec Table load capacity: 200 kg (440 lbs) with full accuracy Table Accessories Table pad Knee rest Headrest pad Head holder and head holder pads Scan Planning Scan Planning Registration of patient information and clinical procedure selection, using anatomic graphical display and sample images. Expert Protocol Planning Flexible selection of protocol parameters for optimized scanning. Allows users to tailor protocols to their specific needs. Pre-defined and user programmable scan protocols, including multi-protocol procedures, can be stored and retrieved. Scan parameters may be easily modified before and during the study to meet specific clinical needs. Pediatric protocols are age and weight specific for to minimize dose while maintaining image quality. Surview Plan Planning via interactive mouse control of multiple, independent acquisition series of any type on Surview image Viewing angles: 0, 90, Longitudinal speed: 100mm/sec Scan length: 100mm, 300mm, 500mm, 1000mm

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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Scan width:

500 mm

DoseWise Easy-to-read, at-a-glance information, keeping you aware of dose levels at all times. Dose displays include: CTDI Volume Dose Efficiency Multi Language User Interface The entire MX user interface is available in either English or Chinese. Patient name and demographics may be entered in English, Chinese or in any characters included in Latin I. Scan and image acquisition System Rotate-rotate architecture with optimized geometry for low dose imaging.Generator The MX 4000 Dual generator uses modern, low-voltage slip ring technology to provide a constant high voltage to the CT x-ray tube assembly. Output capacity: 28 kW kV selection: 80, 100, 120, 140kVp mA selection: 30-200mA X-ray Tube Rotating graphite composite anode; continuous operation during scan. Anode Max Storage Capacity: 2.5MHU Anode Max Cooling Rate: 5kW Focal spot (IEC): Large: 0.6mm x 1.3mm Small: 0.4mm x 0.7mm Focus-detector distance: 1300mm Focus-isocenter distance: 618mm Detector Philips multislice detector design acquires high quality images while minimizing dose. Material: GOS No. of Elements: 1,440 Dynamic Range: 1,000,000 to 1 Data Sampling Rate: Up to 1024 views/revolution/element Slice Collimation: 2 x 1mm, 2 x 2.5mm, 2 x 5mm, 2 x 7mm, 2 x 10mm Scan Angles: 240, 360 Scan Field of View: 500mm Image Quality Spatial Resolution: 15.0Lp/cm @ cut-off Noise: 0.38% as measured on the Philips system phantom (21.6cm water equivalent) Low Contrast Resolution: 3.0mm @ 0.5% as measured on the 20cm CATPHAN phantom Absorption Range: -1024 to +3072 Hounsfield units 7200 QA Phantom This phantom is used for checking and calibrating the image performance

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

Page 7 of 12

of head and body. Scanning Modes Spiral Scanning Multiple contiguous slices acquired simultaneously with continuous table movement during scans. Multiple, bi-directional acquisitions. Spiral exposure: Up to 80 seconds Spiral pitch: 0.25 to 2.0, user selectable Axial Scanning Multiple-slice scan with up to two contiguous slices acquired simultaneously with incremental table movement between scans Fused modes for reconstructing partial volume artifact-free thick slices from thin slice acquisition Scan Times 1, 1.5, 2, 2.5 and 3 seconds for full 360 scans 0.66 seconds for partial angle 240 scans Reconstruction and Display Reconstruction Rate: Up to 1.5 seconds/image using 5122 matrix. Field of View: 50 to 500mm continuous Range of CT values: -1024 to +3072 Reconstruction Modes Concurrent Reconstruction Image reconstruction in line with acquisition. Off-Line Reconstruction Off-Line (batch) background image reconstruction of user-defined groups of raw data files with automatic image storage. Add Reconstruction Enables quick and easy unplanned or modified reconstructions of part or all of the images prospectively planned. Reconstruction Parameters Any study can be set up to automatically reconstruct using various reconstruction parameters. Exams can be tailored online while planning the scan, or during off-line recon. Filters: Choice of different filters. Zoom & Pan: Real-time, mouse-controlled with magnification. Archive: On-line image archiving to any installed storage device and PACS. TrueLook imaging Well-designed hardware is not enough to deliver a fine CT image. Instead, the software reconstruction process determines the clinical result. Philips corporate research and development scientists and physicists have incorporated unique algorithms and filters into MX to create TrueLook. TrueLook fine tunes the image data to minimize artifacts and enhance contrast, all at the lowest possible dose. As a result, TrueLook creates images that mirror actual anatomy.

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

Page 8 of 12

UltraImage UltraImage includes proprietary pre- and post processing hardware and software for enhanced visualization of soft tissue structures. UltraImage significantly improves image quality for the most accurate representation of even the most difficult to image anatomic areas. The full clinical impact of UltraImage is best appreciated in the brain, long bones, spine, pelvis or shoulder, where subtle, soft tissue structures can be obscured by adjacent high contrast bone. Image Processing The MX image viewer is designed for fast, efficient and simple image review and filming purposes. Images can be handled individually or in user-selected groups. - Image viewer window: Displays a single image or a selection of images. - Zoom & Pan - Scroll Bar, Leaf and Cine, Invert Image, Image Parameters Display Image Graphic Tools To help interpret clinical images, a variety of text and graphic aids can be individually positioned and manipulated with the mouse: - Pan - Zoom - Rotate - Dual Window Measurement Tools - Rectangle - Ellipse - Polygon - Length - Angle Annotation Tools - Arrow - Text - Delete all notes Window Control Preset windows provide fast and convenient window setting. Mouse-driven fine adjustments of the window center and width enable optimal image viewing. Highlight Window: Paints user-defined range of CT densities in color. Double Window: Simultaneously displays two independent CT density ranges on the same image, i.e. thorax slice with lung and mediastinum windows. MPR- Multiplanar Reformation Real-time reformation of axial images into any user defined plane - coronal, sagittal or general oblique -or curved plane. Interactive and friendly user interface is provided. The user defines the number of planes, their position, orientation, thickness and spacing and the reformatted image is displayed in real-time. Zoom, pan, leaf and window are available. Maximum or Minimum Intensity Projection (MIP)

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

Page 9 of 12

CT Angiography Maximum Intensity Projection (MIP) images, from a volumetric set of images, can be quickly reconstructed to demonstrate enhanced vascular structures. The projection images can be interactively generated in any arbitrary viewing angle, and can be windowed, zoomed and panned. 3-D SSD Reconstruction/Volume Rendering Provides fast reconstruction of three-dimensional images of up to 15 different tissues or organs and easy to understand presentation of complex anatomy. Real-time manipulation of 3-D images includes zoom, pan, rotation around any axis, and cutting of the organs with a user-defined viewing aperture to expose underlying tissues. Making a tissue transparent enables viewing of underlying organs. Curved MPR Defines MPR curved cuts along vascular structures on MIP or volume-rendered images for panoramic and cross-sectional views. Host Computer Computer Architecture: Microsoft Windows running on Intel Xeon CPU Main Memory: 2.0 GB RAM Image Management and Archiving 160 GB Hard Disk holds up to 300,000 images on line (5122 matrix) 700 MB CD RW holds up to 1228 images (5122 matrix) Monitor 19 inch, 1,280 x 1,024 Flat Panel LCD Filming The MX filming function allows the user to set up desired filming parameters. The operator can film immediately after each image, at the end of a series, or film after the end of a study and review images prior to print. CT Reporting Provides reporting capabilities for paper print of clinical results from the Philips MX including display of key images and results frames. The report is available for paper or electronic distribution to referring physicians, patients, or for medical records. Each report is editable and new default templates can be easily created and included in the system configuration. Spiral Auto Start Spiral Auto Start integrates the injector with the scanner, allowing the technologist to monitor the contrast injection to check for extravasation, and to initiate and stop the scan (with the pre-determined delay) while in the scan room. NOTE: - Costs to upgrade an approved injector and any cabling are the responsibility of the user. Aproved injectors: Medrad Vistron Liebel-Flarsheim (Tyco) CT 9000 Nemoto Auto Enhance A-60 Injector

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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MEDRAD Envision Medtron Injektron 82 CT SHENZHEN DONGDA NSJ-200C Networking 10/100/1000Mbps network speeds. DICOM Connectivity The DICOM 3.0 communications protocol allows connectivity to DICOM 3.0 compliant scanners, workstations, and printers; supports IHE requirements for DICOM connectivity. Service Class User & Provider DICOM Print Site Planning Power Requirements 380 VAC normal voltage required NOTE: Optional Isolation Tranformer and Power Conditioner available in the catalogue. Temperature Gantry room: 20 to 24 C (68 to 75 F) Control room: 18 to 28 C (64 to 82 F) Storage/Transport: -20 to +50 C (-4 F to 122 F) Humidity Gantry/Room: 30% to 60% non-condensing Storage/Transport: 10% to 90% non-condensing Heat Dissipation Gantry: 16,000 BTU/hr Computer: 3,400 BTU/hr Room Size Minimum floor space 18.5 square meters Minimum Ceiling Height: 230cm Contact the Philips Site Planning department for specific requirements pertaining to optional imaging/viewing equipment floor space and electrical, mechanical, structural or environmental specifications

2.

NCTC140

Dicom Modality Worklist MX

Provides HIS/RIS interface through DICOM modality worklist service class; enhances clinical workflow by importing patient demographics and study information from an information management system.

3.

9896 052 00861Isolation Transformer Global

TEAL Isolation transformer insures that incoming power meets Philips Medical System's specifications for optimal CT system reliability and performance. Isotran LM-380

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

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input Voltage: 200/208/220/230/240/380/400/416/440/460/480 Volts DELTA Frequency: 50/60 Hertz, Output Voltage: 220/380 Volts WYE, 220 VAC, Power Rating: 37 KVA Dimension: 55.26cm(L) x51.67cm(W) x71.27cm(H),

4.

9896 052 00881Console UPS Global

Uninterruptible Power Supply (UPS) provides up to 30 minutes of battery backup for console.

5.

NCTC180

Virtual Endoscopy
The Virtual Endoscopy application enables the virtual electronic display of three-dimensional internal surfaces of tubular anatomies

6.

NCTC200

Dental CT
Dental Planning generates panoramic views and cross-sectional cuts of mandible and maxilla, from ultra-high resolution axial slices. This application is designed to help clinicians plan dental implants by providing information about the bone tissue available and the angle and measurements of the implant.

7.

NCTC210

Bolus Tracking MX
Bolus Tracking is an automated injection planning technique that permits the user to monitor actual contrast enhancement and initiate scanning at a pre-determined enhancement level. Combine with the SAS option for full automation and efficacy.

8.

NCTC220

Table Extension MX
The table extension allows the user perform longer scans (300 mm additional).

9.

NCTC700

MX Computer Table
Computer Table for the console provides a large enough working space to accommodate keyboard, mouse, monitor and other peripheral devices.

10. NCTC715

MX Coronadal Head Holder

Coronal head holder helps orient patients in a submento-vertex position, allowing more direct coronals for clearer diagnosis. Contributes to decreased anatomical distortion through reduced gantry angulation and

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220

SQ No:20120522 - 5826

Date: 05/22/2012

Page 12 of 12

reduces patient motion.

Third Party Vendor Items No. 11. 12. 13. 14. 15. Catalog No Item Description Imaxeon SALIENT Compact CT Injection System Codonics Horizon (Film and Paper) Lead Gown Lead Glass Step Up Transformer

Optional hardwares, softwares, attachments, accessories that are not specified in this offer must be ordered as in-system items or future upgrades.Prices will be quoted and added if in-system or quoted separately if upgrade. Features, specifications and catalog numbers may change anytime without prior notice.

FORM SQ: 20101220