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The Adela Serra Ty Memorial Medical Center today, started as an emergency hospital on April 26, 1961 with a 25-bed capacity. This was established when Surigao del Sur was divided into two provinces: Surigao del Norte and Surigao del Sur. In 1967, the hospital’s accommodations increased to 50 beds and became Surigao del Sur Provincial Hospital. It moved up to a 75-bed capacity in 1970 with the construction of the left wing of the building, and new items were created and filled up. In 1983, it was increased to 100 beds under the National Government followed by the construction of the right wing the hospital in 1989.
The Public Health Services and the Hospital Services were integrated in 1984. Then these health services of Surigao del Sur became one under the Integrated Provincial Health Office.
The advent and implementation of the Local Government Code of 1992 or RA 7160 caused the devolution of the Surigao del Sur Provincial Hospital to the Provincial government of Surigao del Sur. Similarly, the Rural Health Units were devolved to the municipal governments.
Meanwhile on February 15, 1993, the Surigao del Sur Provincial Hospital was renamed Adela Serra Ty Memorial Medical Center by Virtue of RA No. 7433 sponsored by then Congressman Mario Serra Ty.
Realizing the difficulties encountered by the hospital during devolution especially in MOOE and PS, Congressman Mario Serra Ty worked for its re-nationalization. Thus, on August 12, 1997, a bill to re-nationalize and to convert the hospital into Adela Serra Ty Memorial Medical Center to tertiary level with a 200-bed capacity, by virtue of Republic Act 8343 sponsored by Cong. Mario Serra Ty, was approved by His Excellency President Fidel V. Ramos.
However, it was only in April 2000 that the hospital was completely re-nationalized with a national funding under GAA as Level II facility with a status quo MOOE (Php7,765,000.00) and PS (117 personnel, Php13,770.00). Funds were insufficient even for a 100-bed capacity.