Cash Flow Management in a Hospital Using an MIS (Cash Pond Example)
A hospital manages a Cash Pond (a pooled cash reserve) to ensure smooth daily operations, covering salaries, medical supplies, equipment maintenance, and emergency expenses. A Management Information System (MIS) is used to track cash inflows (revenues) and cash outflows (expenses).
1. How a Hospital Uses MIS for Cash Flow Management
✅ Cash Inflows (Revenue Sources)
- Patient Payments: Cash, insurance claims, and online payments.
- Government Grants & Donations: Funding from health programs or NGOs.
- Pharmacy & Lab Income: Revenue from medicines, tests, and scans.
- Emergency & ICU Charges: Special fees for critical care services.
✅ Cash Outflows (Expenses)
- Salaries & Wages: Payments to doctors, nurses, and staff.
- Medical Supplies & Equipment: Buying medicines, surgical tools, and maintenance costs.
- Operational Costs: Electricity, water, rent, and internet services.
- Loan Repayments: If the hospital has borrowed for expansion or new facilities.
2. Example: Hospital Cash Flow Tracking Using MIS
| Date | Transaction Type | Description | Inflow (₹) | Outflow (₹) | Balance (₹) |
|---|---|---|---|---|---|
| 01-Feb | Patient Payment | OPD & Emergency Fees | 1,00,000 | 0 | 1,00,000 |
| 03-Feb | Lab & Pharmacy Sales | Pathology & Medicines | 50,000 | 0 | 1,50,000 |
| 05-Feb | Equipment Purchase | X-ray Machine | 0 | 70,000 | 80,000 |
| 10-Feb | Insurance Claim | Claim Settlements | 40,000 | 0 | 1,20,000 |
| 15-Feb | Salary Payments | Staff Salaries | 0 | 50,000 | 70,000 |
| 20-Feb | Government Grant | Health Dept. Support | 1,00,000 | 0 | 1,70,000 |
| 25-Feb | Loan Repayment | EMI for Expansion | 0 | 30,000 | 1,40,000 |
3. Benefits of Using MIS in Hospital Cash Flow
✔ Real-Time Monitoring – Keeps track of cash availability.
✔ Automated Billing & Invoicing – Ensures accurate patient payments.
✔ Expense Control – Avoids unnecessary spending and ensures financial stability.
✔ Predicts Future Needs – Helps in planning new purchases or hospital upgrades.
✔ Prevents Fraud & Mismanagement – Keeps all transactions transparent.
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