Hospitals & clinics

Hospital payroll that knows the wards never close

3-shift rosters, night differentials, ESI for support staff, hazard pay for ICU — wired into the same payroll engine that issues Form 16. Used by 50-bed nursing homes through 500-bed multi-specialty units.

Real problems · real fixes

What hospitals & clinics actually need from payroll

Each row is a pain point we've heard from operators in this vertical — and the specific FastLegal Payroll feature that addresses it.

Problem3-shift roster lives in WhatsApp groups and a printed grid taped to the OPD desk.

FastLegal solvesDrag-to-assign roster grid with A/B/C and 12-hour Day/Night templates pre-loaded. Department-wise filter (ICU, OPD, Casualty), bulk-assign for the entire ward in one click.

ProblemNight differentials calculated by hand at month-end — somebody always argues their math is wrong.

FastLegal solvesDifferential per hour + flat allowance per shift configured on each Shift template. Engine multiplies hours worked × rate automatically and adds a SHIFT_DIFF line to every payslip.

ProblemESI is mandatory for nursing assistants and housekeeping but the threshold (₹21,000 monthly gross) is easy to miss.

FastLegal solvesEngine flags every employee crossing/falling-under the ESIC ceiling each cycle, computes 0.75% employee + 3.25% employer contribution, and exports the ESIC monthly contribution file ready for upload to esic.gov.in.

ProblemOn-call duty allowance for consultants is ad-hoc — no audit trail when an auditor asks.

FastLegal solvesBuilt-in component for on-call duty (₹/day or ₹/call) that flows into the payslip and gets stamped on the audit log with date + approver.

ProblemForm 16 includes hazard allowance but accountants can't tell which staff worked which ICU month.

FastLegal solvesHazard allowance is a configurable salary component. Year-end Form 16 Part B + Form 12BA perquisite annexure both itemize it correctly per the Income-tax Act, 2025.

ProblemPharmacist, lab tech and radiologist have totally different shift patterns — current software treats them all alike.

FastLegal solvesDepartment-scoped shifts. Pharmacy can run Day-only, ICU runs A/B/C, Radiology runs evening-peak — all in one roster, filtered by department.

Built for the workflow

Three things that change when you pick hospitals & clinics at signup

Roster

Week-grid roster with one-click bulk-assign

Pick a department, pick a shift, pick a date range — assign in one action. Swaps tracked for audit. Roster reads top-to-bottom as your org structure: Clinical departments first, then non-clinical.

  • Pre-loaded Morning (A), Evening (B), Night (C) 8-hour shifts
  • 12-hour Day / Night shifts for ICU and OT teams
  • Drag or click-to-assign — works on mobile too
  • Bulk-assign 'all ICU nurses → Night shift Mon-Fri' in seconds
Compensation

Night & hazard pay computed at the source

Configure shift differential and hazard allowance once; engine applies them every month based on actual roster history. No spreadsheets, no copy-pasting from the duty book into the payslip.

  • Night differential ₹/hour OR flat ₹/shift — both supported
  • Hazard allowance for ICU / Trauma / Casualty / COVID wards
  • On-call duty allowance flat or per-call
  • Auto-flagged when statutory ESI gross threshold crossed
Statutory

ESI, PF and TDS files ready before the 15th

Every month: ESIC contribution sheet, PF ECR (.txt), TDS Challan 281, and the Form 24Q quarterly return. Generated from the actual run, not re-entered.

  • ESIC contribution file matches the portal upload spec
  • PF ECR v2.0 with pre-flight validator (catches missing UAN)
  • TDS Challan 281 PDF · Section 92B · quarterly Form 24Q
  • Form 16 (Part B) + Form 12BA perquisite annexure
Compliance baked in

The statutes that govern hospitals & clinics

FastLegal Payroll references each of these frameworks correctly in its payslips, PDFs and statutory exports.

Factories Act, 1948

Hospitals classified under §2(m). 2× overtime per §59, 60h weekly cap.

ESI Act, 1948

Mandatory for employees earning ≤ ₹21k/month gross. 0.75% employee + 3.25% employer.

EPF & MP Act, 1952

12% of basic (capped at ₹15k) for both employee and employer.

Maternity Benefit Act, 1961

26 weeks paid maternity for women employees with ≥ 80 days service.

Income-tax Act, 2025

Section 392 salary TDS, Section 393 contractor TDS, Form 130 from FY 2026-27.

FAQ

Common questions from hospitals & clinics

Does FastLegal handle the 3-shift roster for round-the-clock units like ICU?

Yes. Pick the Hospital industry at signup and we pre-load Morning (A) / Evening (B) / Night (C) 8-hour shifts plus 12-hour Day and Night templates. The roster page is a week-grid where you assign with one click. Bulk-assign lets you put an entire department on a shift for a date range in a single action.

How are night-shift differentials calculated for nurses and technicians?

Each shift template carries a `differentialPaisaPerHour` and a `nightAllowancePaisa` flat-fee field. When payroll runs, the engine reads every ShiftAssignment in the period, multiplies hours by the rate, and adds two line items to the payslip — Shift Differential and Night Shift Allowance — both fully taxable per Section 17(1).

Is ESI registration mandatory for my hospital?

ESI is mandatory for any establishment employing 10+ workers where the workers earn ≤ ₹21,000 monthly gross (the ESIC wage ceiling). Hospitals almost always cross both thresholds because support staff (housekeeping, security, technicians) fall under it even if doctors and consultants don't. FastLegal Payroll flags every employee crossing/falling-under the ceiling automatically.

Can I issue Form 16 with hazard allowance broken out separately?

Yes. Hazard allowance is a configurable salary component flagged as taxable. The Form 16 Part B (or Form 130 under ITA 2025) shows it as a separate earning line. The Form 12BA perquisite annexure itemizes it under the right Rule 3 category.

Does it integrate with biometric attendance machines used in hospitals?

FastLegal accepts attendance data via CSV import — every major biometric vendor (Realtime, eSSL, Matrix, Biomax, ZK Teco) can export to CSV. Roster + attendance reconciliation tells you who actually worked vs who was scheduled, before payroll runs.

Free workspace · sign up in 60 seconds

Run your next payroll on FastLegal Payroll.

Create a workspace, bootstrap the standard Indian defaults (leave types, salary structure, holidays for two years), add your first employee, and run May payroll — all before your evening chai.

  • Workspace auto-bootstrapped on signup (leave types, salary structure, holidays)
  • PF / ESI / PT / TDS computed every run — every cycle
  • Employee + contractor portals included, no extra tier
  • No credit card needed