U.S. MARKET OVERVIEW
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1 U.S. MARKET OVERVIEW Hospital Human Resource Applications 2010 Year End Report This historical report of the U.S. hospital market is brought to you as an online resource from the Dorenfest Institute.
2 Human Resources Applications Summary of Installation (2009/2010) Payroll Time & Attendance Benefits Administration Personnel Management 2009 (n=5,235) 2010 (n=5,281) 91% 87% 92% 88% 87% 88% 97% 98% The rate of installations, which includes contracts signed, has increased slightly across all HR applications. Payroll is the only HR application that has reached market saturation. Time & attendance is also approaching market saturation.
3 Human Resources Applications Summary of Plans (in Not Automated Hospitals) Time & Attendance Benefits Administration Personnel Management % 0.49% 2.14% (627) (616) There is little activity for first time purchase plans amongst hospitals in the human resources suite. By volume and percent, the intent to purchase time & attendance is the highest. None of the respondents reported plans to purchase payroll software. Payroll 0.00% Percent of "Not Automated" Hospitals Planning to Purchase Software Number in white and parentheses represents number of not automated hospitals
4 Human Resources Applications Summary of Plans (Replacing Current Software) Personnel Management Payroll Benefits Administration 4,642 5,172 4, % 1.12% 1.06% Very few hospitals that use human resource applications report plans to replace their current solution in the near future. Respondents were least likely to report plans to replace their existing time & attendance software. Time & Attendance 4, % Number in white represent number of automated hospitals Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
5 Human Resources Applications Summary of Plans Benefits Administration (n=53) Payroll (n=58) Personnel Management (n=56) Time & Attendance (n=27) 70% 92% 100% 95% 30% 8% All of the planned purchases payroll will be replacement purchases. Most of the planed purchases for benefits administration and personnel management software will also be replacement purchases. Two-thirds of purchases for time & attendance software will be replacements. Percent of Hospitals with Installed Software - Replacing Percent of Hospitals Planning to Purchase Software for the First Time
6 Summary of Installation 5,209 hospitals have installed or contracted to install an application in at least one of the following areas: benefits administration, payroll, personnel management and time & attendance. 4,352 of these 5,209 hospitals (83 percent) use all four applications. Of the 4,352 hospitals that have all four HR applications, 893 hospitals (21 percent) use the same software vendor for all four applications. 356 additional hospitals have three of the four HR applications. Only a handful of hospitals (72) do not have any of the four HR solutions identified in this report currently implemented. N = 5,281
7 Benefits Administration Top Ten Installed and Contracted Systems LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % CPSI % SELF-DEVELOPED % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % MCKESSON % AUTOMATIC DATA PROCESSING, INC % SAP % 60 Vendors share the remaining 18.51% of the market. N = 4,564
8 Benefits Administration Top Ten Installed/Contracted Systems Hospitals Under 100 Beds MEDITECH % CPSI % LAWSON % ORACLE CORP./PEOPLESOFT % HEALTHLAND % HEALTHCARE MANAGEMENT SYSTEMS, INC % SELF-DEVELOPED % AUTOMATIC DATA PROCESSING, INC % SAP % MCKESSON % 43 Vendors share the remaining 16.70% of the market. N = 2,054
9 Benefits Administration Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % MEDITECH % ORACLE CORP./PEOPLESOFT % SELF-DEVELOPED % HEALTHCARE MANAGEMENT SYSTEMS, INC % MCKESSON % API HEALTHCARE % CPSI % SIEMENS HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % 25 Vendors share the remaining 15.16% of the market. N = 963
10 Benefits Administration Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % SELF-DEVELOPED % MCKESSON % AUTOMATIC DATA PROCESSING, INC % SIEMENS HEALTHCARE % API HEALTHCARE % SSA GLOBAL TECHNOLOGIES, INC % BENESOFT, INC % ULTIMATE SOFTWARE % 25Vendors share the remaining 12.25% of the market. N = 604
11 Benefits Administration Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % SELF-DEVELOPED % MCKESSON % SSA GLOBAL TECHNOLOGIES, INC % API HEALTHCARE % ULTIMATE SOFTWARE % AUTOMATIC DATA PROCESSING, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % 20 Vendors share the remaining 15.38% of the market. N = 403
12 Benefits Administration Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % SELF-DEVELOPED % MEDITECH % ULTIMATE SOFTWARE % MCKESSON % SSA GLOBAL TECHNOLOGIES, INC % SIEMENS HEALTHCARE % SAP % INFOR GLOBAL SOLUTIONS % 14 Vendors share the remaining 14.02% of the market. N = 214
13 Benefits Administration Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON % ORACLE CORP./PEOPLESOFT % INFOR GLOBAL SOLUTIONS % MEDITECH % SELF-DEVELOPED % SAP % AUTOMATIC DATA PROCESSING, INC % MCKESSON % SSA GLOBAL TECHNOLOGIES, INC % KRONOS INCORPORATED % 18 Vendors share the remaining 11.36% of the market. N = 326
14 Payroll Top Ten Installed and Contracted Systems LAWSON % MEDITECH % ORACLE CORP./PEOPLESOFT % CPSI % HEALTHLAND % HEALTHCARE MANAGEMENT SYSTEMS, INC % AUTOMATIC DATA PROCESSING, INC % MCKESSON % SELF-DEVELOPED % SIEMENS HEALTHCARE % 62 Vendors share the remaining 19.57% of the market. N = 5,126
15 Payroll Top Ten Installed/Contracted Systems Hospitals Under 100 Beds CPSI % MEDITECH % HEALTHLAND % LAWSON % ORACLE CORP./PEOPLESOFT % HEALTHCARE MANAGEMENT SYSTEMS, INC % AUTOMATIC DATA PROCESSING, INC % MCKESSON % SELF-DEVELOPED % SAP % 53 Vendors share the remaining 18.69% of the market. N = 2,541
16 Payroll Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % MEDITECH % ORACLE CORP./PEOPLESOFT % SELF-DEVELOPED % MCKESSON % HEALTHCARE MANAGEMENT SYSTEMS, INC % API HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % KRONOS INCORPORATED % SIEMENS HEALTHCARE % 26 Vendors share the remaining 15.73% of the market. N = 998
17 Payroll Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % MCKESSON % AUTOMATIC DATA PROCESSING, INC % SELF-DEVELOPED % SIEMENS HEALTHCARE % API HEALTHCARE % SSA GLOBAL TECHNOLOGIES, INC % KRONOS INCORPORATED % 19 Vendors share the remaining 11.38% of the market. N = 624
18 Payroll Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % MCKESSON % SSA GLOBAL TECHNOLOGIES, INC % API HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % SELF-DEVELOPED % KRONOS INCORPORATED % HEALTHCARE MANAGEMENT SYSTEMS, INC % 17 Vendors share the remaining 14.91% of the market. N = 409
19 Payroll Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % MCKESSON % SELF-DEVELOPED % ULTIMATE SOFTWARE % SIEMENS HEALTHCARE % SSA GLOBAL TECHNOLOGIES, INC % API HEALTHCARE % INFOR GLOBAL SOLUTIONS % SAP % 13 Vendors share the remaining 11.93% of the market. N = 218
20 Payroll Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON % ORACLE CORP./PEOPLESOFT % AUTOMATIC DATA PROCESSING, INC % INFOR GLOBAL SOLUTIONS % KRONOS INCORPORATED % SAP % SELF-DEVELOPED % API HEALTHCARE % MCKESSON % MEDITECH % 12 Vendors share the remaining 10.13% of the market. N = 336
21 Personnel Management Top Ten Installed and Contracted Systems LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % CPSI % SELF-DEVELOPED % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % MCKESSON % AUTOMATIC DATA PROCESSING, INC % SAP % 52 Vendors share the remaining 18.20% of the market. N = 4,600
22 Personnel Management Top Ten Installed/Contracted Systems Hospitals Under 100 Beds MEDITECH % LAWSON % CPSI % ORACLE CORP./PEOPLESOFT % HEALTHLAND % HEALTHCARE MANAGEMENT SYSTEMS, INC % SELF-DEVELOPED % AUTOMATIC DATA PROCESSING, INC % SAP % MCKESSON % 40 Vendors share the remaining 17.14% of the market. N = 2,048
23 Personnel Management Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % MEDITECH % ORACLE CORP./PEOPLESOFT % SELF-DEVELOPED % MCKESSON % HEALTHCARE MANAGEMENT SYSTEMS, INC % SIEMENS HEALTHCARE % API HEALTHCARE % CPSI % AUTOMATIC DATA PROCESSING, INC % 23 Vendors share the remaining 15.06% of the market. N = 976
24 Personnel Management Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % MCKESSON % SELF-DEVELOPED % AUTOMATIC DATA PROCESSING, INC % SIEMENS HEALTHCARE % API HEALTHCARE % SSA GLOBAL TECHNOLOGIES, INC % 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE N = % 23 Vendors share the remaining 10.86% of the market.
25 Personnel Management Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % MCKESSON % SELF-DEVELOPED % SSA GLOBAL TECHNOLOGIES, INC % API HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % ULTIMATE SOFTWARE % 16 Vendors share the remaining 13.05% of the market. N = 406
26 Personnel Management Top Ten Installed/Contracted Systems Hospitals Beds LAWSON % ORACLE CORP./PEOPLESOFT % MEDITECH % SELF-DEVELOPED % ULTIMATE SOFTWARE % MCKESSON % API HEALTHCARE % SIEMENS HEALTHCARE % SSA GLOBAL TECHNOLOGIES, INC % 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 12 Vendors share the remaining 10.60% of the market % N = 217
27 Personnel Management Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON % ORACLE CORP./PEOPLESOFT % INFOR GLOBAL SOLUTIONS % SELF-DEVELOPED % SAP % AUTOMATIC DATA PROCESSING, INC % MEDITECH % MCKESSON % KRONOS INCORPORATED % 3 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 10 Vendors share the remaining 6.26% of the market % N = 336
28 Time & Attendance Top Ten Installed and Contracted Systems KRONOS INCORPORATED % API HEALTHCARE % CPSI % AUTOMATIC DATA PROCESSING, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % ORACLE CORP./PEOPLESOFT % HEALTHLAND % MEDITECH % SELF-DEVELOPED % CERIDIAN % 71 Vendors share the remaining 8.44% of the market. N = 4,855
29 Time & Attendance Top Ten Installed/Contracted Systems Hospitals Under 100 Beds KRONOS INCORPORATED % CPSI % API HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % HEALTHLAND % MEDITECH % TIMETRAK SYSTEMS, INC % ORACLE CORP./PEOPLESOFT % 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 50 Vendors share the remaining 9.37% of the market % N = 2,329
30 Time & Attendance Top Ten Installed/Contracted Systems Hospitals Beds KRONOS INCORPORATED % API HEALTHCARE % AUTOMATIC DATA PROCESSING, INC % CPSI % ORACLE CORP./PEOPLESOFT % CERIDIAN % MEDITECH % INFORMATION MANAGEMENT TIME SYSTEMS, INC % HEALTHCARE MANAGEMENT SYSTEMS, INC % JBDEV, INC % 24 Vendors share the remaining 5.15% of the market. N = 970
31 Time & Attendance Top Ten Installed/Contracted Systems Hospitals Beds KRONOS INCORPORATED % API HEALTHCARE % ORACLE CORP./PEOPLESOFT % AUTOMATIC DATA PROCESSING, INC % CERIDIAN % SELF-DEVELOPED % MEDITECH % KEANE, INC % INFORMATION MANAGEMENT TIME SYSTEMS, INC. 12 Vendors share the remaining 2.96% of the market. N = % SAP % MCKESSON %
32 Time & Attendance Top Ten Installed/Contracted Systems Hospitals Beds KRONOS INCORPORATED % API HEALTHCARE % PEOPLESOFT % SELF-DEVELOPED % AUTOMATIC DATA PROCESSING, INC % CERIDIAN % SAP % MEDITECH % EPIC % LAWSON % 11 Vendors share the remaining 4.23% of the market. N = 402
33 Time & Attendance Top Ten Installed/Contracted Systems Hospitals Beds Vendor # of Installations % of Market KRONOS INCORPORATED % API HEALTHCARE % ORACLE CORP./PEOPLESOFT % SELF-DEVELOPED % AUTOMATIC DATA PROCESSING, INC % MEDITECH % PAYCHEX, INC % CPSI % 12 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKETSHARE % N = 213
34 Time & Attendance Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market KRONOS INCORPORATED % API HEALTHCARE % ORACLE CORP./PEOPLESOFT % AUTOMATIC DATA PROCESSING, INC % LAWSON % SELF-DEVELOPED % TIME LINK INTERNATIONAL, CORP % SAP % ACCERO % HUNTINGTON BUSINESS SYSTEMS % 7 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKETSHARE % N = 332
35 Benefits Administration Vendors Being Considered for a Planned Purchase Vendor # of Times Considered ORACLE CORP./PEOPLESOFT 23 MEDITECH 7 MCKESSON 5 HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 HEALTHLAND 2 CPSI 2 AUTOMATIC DATA PROCESSING, INC. 2 6 OTHER VENDORS ARE BEING CONSIDERED BY ONE HOSPITAL 6
36 Payroll Vendors Being Considered for a Planned Purchase Vendor # of Times Considered ORACLE CORP./PEOPLESOFT 23 MEDITECH 8 MCKESSON 6 HEALTHLAND 4 HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 CPSI 3 AUTOMATIC DATA PROCESSING, INC. 3 4 OTHER VENDORS ARE BEING CONSIDERED BY ONE HOSPITAL 4
37 Personnel Management Vendors Being Considered for a Planned Purchase Vendor # of Times Considered ORACLE CORP./PEOPLESOFT 23 MEDITECH 7 MCKESSON 5 HEALTHCARE MANAGEMENT SYSTEMS, INC. 3 HEALTHLAND 2 CPSI 2 AUTOMATIC DATA PROCESSING, INC. 2 5 OTHER VENDORS ARE BEING CONSIDERED BY ONE HOSPITAL 5
38 Time & Attendance Vendors Being Considered for a Planned Purchase Vendor # of Times Considered KRONOS INCORPORATED 9 API HEALTHCARE 5 MCKESSON 3 HEALTHLAND 3 AUTOMATIC DATA PROCESSING, INC. 3 MEDITECH 2 CPSI 2 HEALTHCARE MANAGEMENT SYSTEMS, INC. 1
39 Human Resources Applications Temporal Summary of Installation Benefits Administraiton (n=3,008) Payroll (n=3,379) Personnel Management (n=3,068) 10% 10% 10% 34% 34% 34% 34% 33% 34% 17% 18% 17% Nearly two-thirds of all the HR application purchases occurred between 1995 and Time & Attendance (n=2,735) 7% 39% 34% 18% Prior to to to to to to 2010
40 Contact HIMSS Analytics Phone: Fax: Web:
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