A trust hospital treats free, subsidised and paying patients in the same wards, funds some of that treatment from donations or schemes, and has to show a board where the money went. HIMS records the category and the concession on the bill itself.
A charitable hospital does everything a private hospital does and then has to answer a question no private hospital is asked: who paid for this, and on whose authority was it reduced. Free, subsidised and full-paying patients are treated in the same wards by the same staff, some treatment is funded by a donor or a government scheme, and every concession has to be traceable to a decision somebody made.
HIMS handles this by treating the category and the payer as part of the patient account rather than as an adjustment made at the counter. A bill can be raised in full and reduced to a concession category with the reason and the approver recorded, so the trust can see both the value of treatment given and the value of treatment charged. Scheme and donor funded cases are recorded as their own payer against the admission. How far concession approval is enforced in the workflow is agreed during scoping.
Charitable work that is not recorded properly is indistinguishable from a leak.
The reduction is scribbled and initialled, so the full value of the treatment given is never counted.
If no bill is raised, the hospital has no record of what the care actually cost it.
Government scheme and donor funded patients sit in the same register as everyone else, so claims are reconstructed later.
A trustee asks how many free patients were treated last quarter and three people spend a week answering.
Pharmacy and consumables run on a tight budget, and there is no margin to absorb shrinkage.
The patient gets a UHID, and the billing category, free, subsidised or paying, is set on the account.
A scheme, a donor fund, an insurer or the patient is recorded as who is meeting the bill.
The full value accrues on the account so the hospital knows what the care was worth.
The reduction is recorded against the bill with its reason and the person who approved it.
The balance is collected, claimed from the scheme or charged to the donor fund.
Treatment given, concessions granted and collections are read from the dashboard rather than compiled.
Workflow: Free patients are billed in full and then fully conceded, so the treatment is valued rather than invisible.
Result: The board sees what the hospital actually gave.
Workflow: The reason and the approver are recorded with the reduction on the bill.
Result: Nobody has to remember who agreed what.
Workflow: The fund is recorded as the payer on the admission and settled against it.
Result: Donors can be shown the cases their money paid for.
Workflow: Numbers on treatment, categories and collections come off the dashboard.
Result: A week of compiling becomes an afternoon of reading.
Free and paying patients in the same wards.
Long-standing facilities with donor support.
Answerable to a board every quarter.
Much of the work funded by schemes.
Cloud setup, remote support, no local IT.
Yes. The billing category sits on the patient account, so the same wards, pharmacy and laboratory serve everyone while the bill reflects the category. Reporting can then separate treatment given from treatment charged.
A concession is recorded against the bill with its reason and the person who approved it, rather than being a silent reduction. How strictly approval is enforced in the workflow, and by which roles, is agreed during scoping.
Yes. The fund or scheme is recorded as the payer on the admission and settled against it, so cases funded that way can be listed and reported rather than reconstructed from a register.
Outpatient numbers, admissions, bed occupancy and collections are on a live dashboard, and the audit trail records who changed what. That replaces most of the manual compilation a quarterly board pack usually needs.
Yes. Registration, outpatients, beds, pharmacy and billing go live first, and laboratory, imaging and procurement follow on the same records. See software for a 50 bed hospital for how phasing works.
There is no published price. Scope is agreed on a call and quoted against that scope, and a phased go-live keeps the first commitment small. See HIMS pricing.
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Founder-led · Chennai, India · Built and supported by the person who wrote it