Hospital Financial Information System (HFIS)

Hospital Financial Information System (HFIS)

Introduction

  • A Hospital Financial Information System (HFIS) is a subsystem of the overall Hospital Information System (HIS).
  • It deals with the collection, processing, storage, and analysis of financial data of a hospital to support decision-making, planning, budgeting, and control.
  • It ensures transparency, accountability, and efficient utilization of resources in hospitals, whether private, charitable, or government-run.

Purpose

  • To provide reliable financial information for administrators, hospital boards, investors, government agencies, and accreditation bodies.
  • To help in cost control, pricing of services, budgetary management, and performance evaluation.

Types of Information in HFIS

  1. Revenue-related Information
    • Patient billing (OPD, IPD, diagnostics, procedures, pharmacy)
    • Insurance claims & reimbursements
    • Grants, donations, subsidies
    • Miscellaneous revenue (canteen, parking, training courses)
  2. Expense-related Information
    • Salaries, wages, benefits
    • Medical supplies & consumables
    • Equipment purchase & maintenance
    • Utilities (electricity, water, IT, telecommunication)
    • Outsourcing services (housekeeping, security, laundry)
  3. Asset-related Information
    • Land & building costs
    • Medical equipment & furniture
    • Investments, endowments, fixed deposits
  4. Liability-related Information
    • Loans and interest payments
    • Accounts payable (vendors, suppliers)
    • Accrued expenses
  5. Management & Decision-making Information
    • Cost per bed, per patient, per test
    • Departmental financial performance
    • Budget variance analysis
    • Break-even point, ROI (Return on Investment)

Features of HFIS

  • Integration → Links financial modules with clinical and administrative modules.
  • Real-time Processing → Instant recording of financial transactions (e.g., patient billing).
  • Accuracy and Transparency → Reduces chances of fraud, leakage, and mismanagement.
  • User-friendly Interface → Accessible to both finance staff and administrators.
  • Decision Support → Provides dashboards, KPIs, and trend analysis for management.
  • Flexibility → Adaptable to different hospital sizes (small nursing homes vs. large tertiary hospitals).
  • Compliance → Adheres to accounting standards, taxation, and statutory requirements.
  • Security & Confidentiality → Protects sensitive patient billing and donor data.

Daily Reports in HFIS

  1. Daily Cash Flow Report – Cash receipts, payments, balance.
  2. Daily Billing Report – OPD/IPD collections, pharmacy sales, lab revenue.
  3. Daily Collection Report by Department – Surgery, radiology, pathology, etc.
  4. Outstanding Payments Report – Pending bills from patients/insurance.
  5. Inventory Consumption Report – Daily usage of drugs, consumables, and disposables.
  6. Emergency and Special Service Report – ICU, OT, and emergency billing trends.

Monthly Reports in HFIS

  1. Monthly Income & Expenditure Statement – Hospital profit or deficit.
  2. Departmental Profitability Report – Cost vs. revenue for each department.
  3. Monthly Payroll Report – Salary, overtime, allowances.
  4. Accounts Receivable Report – Pending payments from insurance/corporate clients.
  5. Accounts Payable Report – Payments due to vendors and suppliers.
  6. Budget vs. Actual Expenditure Report – Variance analysis.
  7. Monthly Balance Sheet & Cash Flow Statement – Financial position of the hospital.

Ratio Analysis in HFIS

·       Ratio analysis is a powerful tool to interpret hospital financial data and evaluate financial health.

·       It compares relationships between different figures from the balance sheet and income statement.

(A) Liquidity Ratios

Measure hospital’s ability to meet short-term obligations.

  1. Current Ratio
    • Formula:         Current Ratio=Current Assets/Current Liabilities
    • Ideal: 2:1
    • Example: If current assets = ₹20,00,000 and current liabilities = ₹10,00,000 → Ratio = 2.0
  2. Quick Ratio (Acid Test Ratio)
    • Formula:

Quick Ratio=Current Assets – Inventory/Current Liabilities

·       Ideal: 1:1

    • Example: If inventory = ₹4,00,000, quick assets = ₹16,00,000 → Quick Ratio = 1.6

(B) Profitability Ratios

Show efficiency of hospital in generating profit.

  1. Net Profit Ratio
    • Formula:         (Net Profit Ratio=Net Profit/Total Revenue)×100

Example: Net Profit = ₹10,00,000, Revenue = ₹50,00,000 → Ratio = 20%

  1. Return on Assets (ROA)
    • Formula:

ROA=Net Profit/Total Assets×100

Return on Equity (ROE)

    • Formula:

ROE=Net Profit/Shareholders’ Equity×100

(C) Turnover Ratios

Indicate how efficiently hospital resources are utilized.

  1. Debtors (Receivables) Turnover Ratio
    • Formula:

Receivables Turnover=Net Credit Sales/Average Debtors

Higher ratio = faster collection from patients/insurance.

  1. Inventory Turnover Ratio
    • Formula:

Inventory Turnover=Cost of Goods Consumed/Average Inventory

    • In hospitals, it indicates how quickly medicines and consumables are used.

(D) Operating Ratios

Show operational efficiency in managing hospital expenses.

  1. Operating Cost Ratio
    • Formula:

Operating Cost Ratio=(Operating Expenses/Net Sales)×100

  1. Operating Profit Ratio
    • Formula:

Operating Profit Ratio=(Operating Profit/Net Sales)×100

Interpretation:

  • Lower operating cost ratio → more efficient hospital.
  • Higher operating profit ratio → better profitability.

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