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Hospital software for charity & trust hospitals

For trust, welfare and Zakat-funded hospitals: the welfare desk, Zakat funds, sponsors and donors run in the same system as the OPD, the wards and the ledger. Every service is posted at full rate and the subsidy is applied against a fund, so the true cost of the charity you deliver is always visible.

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Funding plan · ADM-1047
Approved
Billed at full rateRs 40,000
Zakat fund · Mustahiq on file15,000
Sponsor pledge · case SC-091210,000
Trust general fund8,000
Patient pays7,000
One posting line per source · welfare approval WAP-000214

Every service at full rate. Every subsidy against a fund.

A trust hospital that posts discounted prices never learns what its charity costs. EloHIMS raises every bill at the full tariff and books revenue at that figure. The subsidy is then charged to whoever bore it — the Zakat fund, the general fund or a sponsor's pledge — or recorded as a hospital concession, and the patient's share is collected, all in one voucher.

Every bill line is stamped with who paid for it: the welfare band, the fund or the panel. The settlement receipt and the discharge summary show the full cost, the subsidy and the patient's share, so trustees can see what was given, department by department and fund by fund. The rest of this page follows a patient through a trust hospital, in the order your welfare staff work.

Step 1 · Patient category

A category that follows the patient to every counter

Your trust defines its own welfare bands — paying, subsidised, free, or as many as you need. A band can take off a percentage of the bill or a fixed amount, and points at the fund that pays. With automatic cover switched on, the OPD, pharmacy, lab and inpatient counters apply the patient's band as the bill is raised, and the collect screen shows the split before the cashier presses Collect; otherwise cover is applied to the bill afterwards. Either way, nobody types in a discounted price.

No concession is given without a CNIC or B-form on the patient's file. If the same number already sits on another file with a live or pending concession, the assessment is stopped and the other MRN named — so one person cannot be helped twice under two registrations.

Percentage or fixed subsidy
Half off, or a fixed Rs 300 off each bill — whichever your trust uses.
Applied at the counter
The band, not the cashier, decides what the patient pays.
CNIC or B-form required
Duplicates across files are caught and the other MRN shown.
Step 2 · Welfare desk

A welfare desk with a queue, a means test and an approval ladder

The welfare desk is the step a private hospital does not have. EloHIMS gives it its own screens and makes its decisions binding everywhere else.

One request queue"Request concession" from registration, the admission desk, pharmacy or the bill. The officer sees one queue, oldest first, with CNIC, what it is for and the estimated cost. No patient is queued twice.
Means test your trust writesScoring rules on income, income per head, dependants, assets and support already received. The score suggests a band; choosing another needs a reason. A blank field is skipped, never scored as zero.
Approval ladder by amountUp to three levels — for example officer, medical superintendent, committee — set by the size of the concession. The assessor never approves their own case, and nobody signs twice.
Cover only after the last signatureWhile approval is pending the patient stays on their current band. The final signature activates the new one and fixes the approval reference, which prints on the receipt.
Validity and reviewA decision covers one visit, one admission, or a period with a review date. A nightly job expires lapsed decisions and a Due-for-review list prompts re-assessment.
Refusals on recordDeclining a request or refusing an approval needs a reason, and closes it. A one-visit concession is used by the first bill and returned if that bill is voided.
Department queues
Token numbering per department, per doctor or hospital-wide.
Daily limits
A cap per clinic that can count walk-ins as well as bookings.
Free follow-ups
A revisit inside the window costs the patient nothing and is still recorded.
Step 3 · OPD

A high-volume OPD, run by settings

Many trust OPDs are busy, low-fee and run as department queues rather than doctor queues. EloHIMS handles that through Queue rules: department numbering, a daily limit per clinic and free follow-ups are all settings, not development work.

Because the patient's category is already on the file, the fee counter applies it. The receipt shows the welfare cover and band, what the patient pays, which fund paid the rest, and the welfare approval reference. More in OPD queue management.

Step 4 · IPD & funding plan

One admission, up to four sources of money

A funding plan on the admission (or the surgery booking) splits the cost across up to four sources — for example Zakat, a sponsor's pledge, the trust's general fund and the patient. The plan is approved at a welfare approval level, never by the person who wrote it. The final bill then follows it: each source pays up to its planned amount, in order, and posts its own line; the patient pays the rest. Spending beyond the plan needs a separate right. Voiding the bill restores every fund and pledge.

Each ward can hold a quota of free beds for welfare patients, shown as used / quota on the bed board. Admitting a welfare patient to a paying bed beyond the quota needs an override right, and the band still applies. The deposit asked at admission follows the patient's band: none, a share, or the full amount. See bed management.

Up to four sources
Fund, pledge, hospital concession or patient — one posting line each.
Approved, not assumed
A draft plan is never applied; its author cannot approve it.
Free-bed quota per ward
A live counter on the bed board; going over needs an override right.
Deposit by band
The admit screen prefills the deposit and explains the rule.
Declaration first
The Mustahiq form is uploaded before the patient can be marked eligible.
Clinical purposes only
Zakat never pays for optical items such as spectacles.
Purposes per fund
Tick what each fund may pay for; anything else is refused.
Exceptions flagged
The Zakat Compliance report lists any spend outside your rules.
Step 5 · Donors & funds

Zakat that only goes where your rules allow

Zakat pays only for patients with a Mustahiq declaration on file. The welfare officer uploads the signed declaration (PDF or image, stored privately); only then is the patient marked eligible, and eligibility can be withdrawn with a reason. Zakat pays for clinical care only — never optical — and each fund can be limited further to the purposes your trust allows, such as consultation, inpatient care, diagnostics or medicines. A Zakat fund can be tied to its own bank account.

The counter enforces this before any money moves: Zakat is refused for a bill that breaks the rule, and the collect screen shows why before Collect. If your trust chooses to absorb such shortfalls, that share becomes a hospital concession instead of a Zakat charge. The Zakat Compliance report sets Zakat received against Zakat spent, shows the share spent within your rules, and flags each exception with its reason. Deciding who is Mustahiq and what Zakat may fund remains your trust's decision; EloHIMS records that decision and applies it.

Step 5 · Donors & funds

Sponsors, donors and campaigns — without exposing patients

Donors want to know their money reached someone. Patients are entitled to privacy. EloHIMS gives donors the first without giving away the second.

Anonymised sponsor casesThe sponsor board shows a case code, age band, diagnosis category, summary, amount needed and progress. A summary that names the patient or MRN is refused.
Pledges to a caseA pledge can target one case, and its money then reaches only that patient. Donor statements show the case code, not the name or MRN, unless the patient has consented.
Campaigns with goalsRun a campaign with a goal, dates and its own fund; donations given to it are steered there, and Campaign Progress shows raised against goal.
Thank-yous, reminders, "case treated"A thank-you after each donation, a reminder as a pledge falls due, and a "case treated" note by case code when the patient is discharged — sent through the hospital's own notification rules, such as SMS.
Receipts and donation certificatesEvery donation is receipted to a fund, and a donation certificate can be printed for the donor. Each donor's message history is kept on their record.
Donations on the cashier's ZCash and card donations need an open shift and appear on the X and Z reports as "of which donations". Bank and cheque gifts stay out of the drawer.
Step 6 · Camps — a worked example

An eye trust's pipeline, from village camp to glasses

An eye trust's model is a pipeline from village camps to batch cataract surgery. In EloHIMS a cataract patient moves through it on one MRN, with no paper.

1. CampScreened at a village camp on a device that works offline and syncs later. Medicines given at the camp are recorded.
2. ListRegistered from her screening, put on the cataract list and ranked by vision and age; on the surgery-day transport list until operated.
3. BiometryNot listed for theatre until her A-scan biometry is recorded.
4. Batch surgeryOperated on a batch surgery day with Sign-In, Time-Out and Sign-Out; the lens logged against her biometry. Her funding plan or band pays.
5. ReviewsDay 1, Week 1 and Month 1 reviews fall due; a review near home can be marked "seen at camp".
6. GlassesSpectacles dispensed on the same record — paid from a general fund or by the patient, never from Zakat.

The camp outcome report sets each patient's camp vision against their post-op vision, and the sponsor's camp report carries findings, medicines and outcomes. See the full clinical flow in ophthalmology EMR.

Step 7 · Billing with subsidy

Instalments and waivers, with a reason and an approver

When a patient cannot clear the balance at discharge, the cashier sets up a payment plan — weekly, every two weeks or monthly — whose instalments must add up to what is owed. Payments are applied to the instalments in order, and an Instalments due list on Hospital Bills shows this week's and overdue ones, with the phone number to call.

A balance the trust decides to write off is waived, not deleted. A waiver needs a reason from your trust's own list and an approver — a user with the waive right, or a manager's PIN — and it posts to the ledger as a waiver, so it appears in the subsidy reports. See billing and accounting.

Full cost
on every bill, with the subsidy and the patient's share beside it.
Reason + approver
stamped on every waiver, for the auditor and the trustees.
In order
payments settle instalments one by one; the plan closes itself.
Where the subsidy went
By department, by doctor, and by fund and month.
Who was helped
Cost per free patient, paying vs free, free patients by band.
Trustee dashboard
Operations, cost per surgical episode, patients treated, what the trust carried, Zakat status.
Packs by email
Monthly management, quarterly trustee and annual impact PDFs.
Step 8 · Trustee reporting

The numbers a board of trustees asks for

Because every bill carries its full cost and its funding, the reports need no spreadsheet work: subsidy by department, by doctor and by fund and month; cost per free patient; paying vs free patients; cost per patient; free patients by band; Zakat Compliance; an Impact Report (gifts, donors, care given below cost, patients helped, sponsored patients treated, camps and people screened); and Campaign Progress.

The trustee dashboard reads those same reports, so its figures always match them, and each card links to its report. Scheduled report packs send the monthly management, quarterly trustee and annual impact PDFs from the hospital's own email account, once per period — with a preview and a "send a test to me" first. More in reports and the command centre.

Configuration

Set by your trust, not hard-coded

No two trusts run welfare the same way. These are settings your administrators change, not development requests.

Patient categoriesAs many welfare bands as you need, each a percentage or a fixed amount, each paid from the fund you choose.
Means-test rulesWhich factors score, the thresholds and the points — and the score range that suggests each band.
Approval levelsUp to three levels per band, the amount at which each applies, and who holds each right.
Concession validityOne visit, one admission, or a period with a review date.
Zakat fund rulesThe purposes each fund may pay for and the bank account behind it.
Free-bed quotaHow many free beds each ward keeps for welfare patients, and who may override.
Deposit ruleNo deposit, a share or the full deposit, set per band.
Waiver reasonsYour own list of reasons; a reason once used is kept for the audit trail.
A starting point for eye trustsA new eye trust starts with Free, Half and Paying bands and automatic cover on — change any of it.
The outcome

A trust hospital where every concession is assessed, approved and applied the same way at every counter — and the trustees can see exactly what the charity cost, and who it reached.

Modules behind the trust workflow

See EloHIMS run your trust hospital.

Welfare desk, Zakat rules, funding plans, sponsors, donors and trustee reports — on the same system as your OPD, wards and ledger.

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Charity & Trust Hospital Software FAQs

Answers to the questions hospitals ask us most.

How does EloHIMS record the cost of charity care?

Every service is billed at the full tariff and revenue is booked at that figure. The subsidy is then charged to whoever bore it — the Zakat fund, the general fund, a sponsor's pledge or a hospital concession — and the patient's share is collected, in one voucher. Each bill line carries its band and fund, so subsidy reports by department, doctor, fund and month need no spreadsheet work.

How does EloHIMS handle Zakat?

Zakat pays only for patients with a Mustahiq declaration on file; a patient is marked eligible only after the signed declaration is uploaded. Zakat pays for clinical care only, never optical, and each fund can be limited to the purposes your trust allows. Bills that break these rules are refused at the counter, and the Zakat Compliance report flags any exception. Who is Mustahiq remains your trust's decision.

Who approves a welfare concession?

Your trust sets up to three approval levels per band by concession amount — for example welfare officer, medical superintendent and committee. The assessor can never approve their own case and nobody signs twice. While approval is pending the patient stays on their current band; cover applies only after the last signature, and the approval reference prints on the receipt.

Can sponsors fund a specific patient without seeing who they are?

Yes. The sponsor board shows a case code, age band, diagnosis category, summary, amount needed and progress — never a name or MRN — and a summary that names the patient is refused. A pledge can target one case so its money reaches only that patient. Donor statements show the case code unless the patient consents.

Can one admission be paid from several funds?

Yes. A funding plan on the admission splits the cost across up to four sources — for example Zakat, a sponsor's pledge, the general fund and the patient. The plan must be approved by someone other than its author. The final bill follows it, each source posting its own line, and spending beyond the plan needs a separate right.

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