The hospital is serving patients from the three of the most underserved regions of the country which include Madhya Pradesh, Uttar Pradesh and Bihar. The hospital was initially started with informal eye camps in 1950, and over the years has transformed into a state of the art 350 bedded eye hospital, the largest in Central India. In 2004, a second hospital was opened in Anandpur.
The trust has also established 23 "Vision Centers" which are manned by Ophthalmic Assistants. These static centers provide screening and basic eye care services. In addition to the Vision Centers, free eye camps are conducted within a radius of 200 kms in the surrounding areas, and a team of doctors and ophthalmic assistants screen the patients for all the common eye care ailments, including cataract surgery, pediatric ophthalmic care and treatment of glaucoma. Patients requiring further treatment and surgery are referred to the base hospitals in Chitrakoot and Anandpur for further treatment.
SNC constantly endeavour to reach out quality eye care services to all sections of the society, particularly the economically poor. SNC treats 230,000 patients every year and performs around 75,000 surgeries a year. For the poor, treatment is free, for the middle class, it is subsidized; individuals from the upper middle and upper classes pay the full service fees. 41% of the surgeries have been free between April 2010 and March 2011, 47% of the surgeries were free to patients between 2009 and 2010. 39106 patients have received a surgical benefit.
There are few external grants to support any operational activity of the hospital and community-based Public Health programs signifying almost an 100% operational cost recovery from user fees.
The Trust eye care services have been certified for ISO 9001-2008 for quality management system in 2006.