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.
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.
Human Resources Applications Summary of Plans (in Not Automated Hospitals) Time & Attendance Benefits Administration Personnel Management 374 0.64% 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
Human Resources Applications Summary of Plans (Replacing Current Software) Personnel Management Payroll Benefits Administration 4,642 5,172 4,630 1.14% 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 4,880 0.39% Number in white represent number of automated hospitals Percent of Hospitals with Installed or Contracted Systems Planning to Purchase Software
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
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
Benefits Administration Top Ten Installed and Contracted Systems LAWSON 1044 22.87% ORACLE CORP./PEOPLESOFT 651 14.26% MEDITECH 628 13.76% CPSI 295 6.46% SELF-DEVELOPED 253 5.54% HEALTHCARE MANAGEMENT SYSTEMS, INC. 222 4.86% HEALTHLAND 204 4.47% MCKESSON 165 3.62% AUTOMATIC DATA PROCESSING, INC. 148 3.24% SAP 116 2.54% 60 Vendors share the remaining 18.51% of the market. N = 4,564
Benefits Administration Top Ten Installed/Contracted Systems Hospitals Under 100 Beds MEDITECH 300 14.61% CPSI 267 13.00% LAWSON 260 12.66% ORACLE CORP./PEOPLESOFT 230 11.20% HEALTHLAND 201 9.79% HEALTHCARE MANAGEMENT SYSTEMS, INC. 159 7.74% SELF-DEVELOPED 85 4.14% AUTOMATIC DATA PROCESSING, INC. 78 3.80% SAP 70 3.41% MCKESSON 63 3.07% 43 Vendors share the remaining 16.70% of the market. N = 2,054
Benefits Administration Top Ten Installed/Contracted Systems Hospitals 100-199 Beds LAWSON 223 23.16% MEDITECH 195 20.25% ORACLE CORP./PEOPLESOFT 112 11.63% SELF-DEVELOPED 97 10.07% HEALTHCARE MANAGEMENT SYSTEMS, INC. 45 4.67% MCKESSON 41 4.26% API HEALTHCARE 28 2.91% CPSI 26 2.70% SIEMENS HEALTHCARE 26 2.70% AUTOMATIC DATA PROCESSING, INC. 25 2.60% 25 Vendors share the remaining 15.16% of the market. N = 963
Benefits Administration Top Ten Installed/Contracted Systems Hospitals 200-299 Beds LAWSON 204 33.77% ORACLE CORP./PEOPLESOFT 104 17.22% MEDITECH 82 13.58% SELF-DEVELOPED 29 4.80% MCKESSON 27 4.47% AUTOMATIC DATA PROCESSING, INC. 26 4.30% SIEMENS HEALTHCARE 17 2.81% API HEALTHCARE 15 2.48% SSA GLOBAL TECHNOLOGIES, INC. 11 1.82% BENESOFT, INC. 9 1.49% ULTIMATE SOFTWARE 9 1.49% 25Vendors share the remaining 12.25% of the market. N = 604
Benefits Administration Top Ten Installed/Contracted Systems Hospitals 300-399 Beds LAWSON 148 36.72% ORACLE CORP./PEOPLESOFT 69 17.12% MEDITECH 30 7.44% SELF-DEVELOPED 20 4.96% MCKESSON 19 4.71% SSA GLOBAL TECHNOLOGIES, INC. 17 4.22% API HEALTHCARE 13 3.23% ULTIMATE SOFTWARE 9 2.23% AUTOMATIC DATA PROCESSING, INC. 9 2.23% HEALTHCARE MANAGEMENT SYSTEMS, INC. 8 1.99% 20 Vendors share the remaining 15.38% of the market. N = 403
Benefits Administration Top Ten Installed/Contracted Systems Hospitals 400-499 Beds LAWSON 83 38.79% ORACLE CORP./PEOPLESOFT 34 15.89% SELF-DEVELOPED 13 6.07% MEDITECH 12 5.61% ULTIMATE SOFTWARE 11 5.14% MCKESSON 9 4.21% SSA GLOBAL TECHNOLOGIES, INC. 6 2.80% SIEMENS HEALTHCARE 6 2.80% SAP 5 2.34% INFOR GLOBAL SOLUTIONS 5 2.34% 14 Vendors share the remaining 14.02% of the market. N = 214
Benefits Administration Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON 126 38.65% ORACLE CORP./PEOPLESOFT 102 31.29% INFOR GLOBAL SOLUTIONS 12 3.68% MEDITECH 9 2.76% SELF-DEVELOPED 9 2.76% SAP 8 2.45% AUTOMATIC DATA PROCESSING, INC 7 2.15% MCKESSON 6 1.84% SSA GLOBAL TECHNOLOGIES, INC. 5 1.53% KRONOS INCORPORATED 5 1.53% 18 Vendors share the remaining 11.36% of the market. N = 326
Payroll Top Ten Installed and Contracted Systems LAWSON 1032 20.13% MEDITECH 705 13.75% ORACLE CORP./PEOPLESOFT 655 12.78% CPSI 401 7.82% HEALTHLAND 313 6.11% HEALTHCARE MANAGEMENT SYSTEMS, INC. 252 4.92% AUTOMATIC DATA PROCESSING, INC. 222 4.33% MCKESSON 213 4.16% SELF-DEVELOPED 210 4.10% SIEMENS HEALTHCARE 129 2.52% 62 Vendors share the remaining 19.57% of the market. N = 5,126
Payroll Top Ten Installed/Contracted Systems Hospitals Under 100 Beds CPSI 372 14.64% MEDITECH 351 13.81% HEALTHLAND 310 12.20% LAWSON 263 10.35% ORACLE CORP./PEOPLESOFT 232 9.13% HEALTHCARE MANAGEMENT SYSTEMS, INC. 188 7.40% AUTOMATIC DATA PROCESSING, INC. 123 4.84% MCKESSON 87 3.42% SELF-DEVELOPED 45 2.95% SAP 70 2.75% 53 Vendors share the remaining 18.69% of the market. N = 2,541
Payroll Top Ten Installed/Contracted Systems Hospitals 100-199 Beds LAWSON 218 21.84% MEDITECH 203 20.34% ORACLE CORP./PEOPLESOFT 113 11.32% SELF-DEVELOPED 79 7.92% MCKESSON 48 4.81% HEALTHCARE MANAGEMENT SYSTEMS, INC. 45 4.51% API HEALTHCARE 36 3.61% AUTOMATIC DATA PROCESSING, INC. 34 3.41% KRONOS INCORPORATED 33 3.31% SIEMENS HEALTHCARE 33 3.31% 26 Vendors share the remaining 15.73% of the market. N = 998
Payroll Top Ten Installed/Contracted Systems Hospitals 200-299 Beds LAWSON 204 32.69% ORACLE CORP./PEOPLESOFT 105 16.83% MEDITECH 91 14.58% MCKESSON 36 5.77% AUTOMATIC DATA PROCESSING, INC. 34 5.45% SELF-DEVELOPED 23 3.69% SIEMENS HEALTHCARE 20 3.21% API HEALTHCARE 17 2.72% SSA GLOBAL TECHNOLOGIES, INC. 12 1.92% KRONOS INCORPORATED 12 1.92% 19 Vendors share the remaining 11.38% of the market. N = 624
Payroll Top Ten Installed/Contracted Systems Hospitals 300-399 Beds LAWSON 143 34.96% ORACLE CORP./PEOPLESOFT 69 16.87% MEDITECH 37 9.05% MCKESSON 22 5.38% SSA GLOBAL TECHNOLOGIES, INC. 16 3.91% API HEALTHCARE 15 3.67% AUTOMATIC DATA PROCESSING, INC. 14 3.42% SELF-DEVELOPED 12 2.93% KRONOS INCORPORATED 12 2.93% HEALTHCARE MANAGEMENT SYSTEMS, INC. 9 2.20% 17 Vendors share the remaining 14.91% of the market. N = 409
Payroll Top Ten Installed/Contracted Systems Hospitals 400-499 Beds LAWSON 78 35.78% ORACLE CORP./PEOPLESOFT 33 15.14% MEDITECH 16 7.34% MCKESSON 13 5.96% SELF-DEVELOPED 13 5.96% ULTIMATE SOFTWARE 12 5.50% SIEMENS HEALTHCARE 7 3.21% SSA GLOBAL TECHNOLOGIES, INC. 6 2.75% API HEALTHCARE 5 2.29% INFOR GLOBAL SOLUTIONS 5 2.29% SAP 5 2.29% 13 Vendors share the remaining 11.93% of the market. N = 218
Payroll Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON 126 37.50% ORACLE CORP./PEOPLESOFT 103 30.65% AUTOMATIC DATA PROCESSING, INC 13 3.87% INFOR GLOBAL SOLUTIONS 12 3.57% KRONOS INCORPORATED 10 2.98% SAP 9 2.68% SELF-DEVELOPED 8 2.38% API HEALTHCARE 7 2.08% MCKESSON 7 2.08% MEDITECH 7 2.08% 12 Vendors share the remaining 10.13% of the market. N = 336
Personnel Management Top Ten Installed and Contracted Systems LAWSON 1055 22.93% ORACLE CORP./PEOPLESOFT 685 14.89% MEDITECH 654 14.22% CPSI 282 6.13% SELF-DEVELOPED 246 5.35% HEALTHCARE MANAGEMENT SYSTEMS, INC. 210 4.57% HEALTHLAND 198 4.30% MCKESSON 177 3.85% AUTOMATIC DATA PROCESSING, INC. 150 3.26% SAP 117 2.54% 52 Vendors share the remaining 18.20% of the market. N = 4,600
Personnel Management Top Ten Installed/Contracted Systems Hospitals Under 100 Beds MEDITECH 310 15.14% LAWSON 263 12.84% CPSI 253 12.35% ORACLE CORP./PEOPLESOFT 242 11.82% HEALTHLAND 195 9.52% HEALTHCARE MANAGEMENT SYSTEMS, INC. 148 7.23% SELF-DEVELOPED 81 3.96% AUTOMATIC DATA PROCESSING, INC. 77 3.76% SAP 70 3.42% MCKESSON 63 3.08% 40 Vendors share the remaining 17.14% of the market. N = 2,048
Personnel Management Top Ten Installed/Contracted Systems Hospitals 100-199 Beds LAWSON 226 23.16% MEDITECH 198 20.29% ORACLE CORP./PEOPLESOFT 117 11.99% SELF-DEVELOPED 95 9.73% MCKESSON 43 4.41% HEALTHCARE MANAGEMENT SYSTEMS, INC. 43 4.41% SIEMENS HEALTHCARE 30 3.07% API HEALTHCARE 27 2.77% CPSI 26 2.66% AUTOMATIC DATA PROCESSING, INC. 25 2.56% 23 Vendors share the remaining 15.06% of the market. N = 976
Personnel Management Top Ten Installed/Contracted Systems Hospitals 200-299 Beds LAWSON 209 33.87% ORACLE CORP./PEOPLESOFT 111 17.99% MEDITECH 86 13.94% MCKESSON 31 5.02% SELF-DEVELOPED 27 4.38% AUTOMATIC DATA PROCESSING, INC. 26 4.21% SIEMENS HEALTHCARE 18 2.92% API HEALTHCARE 15 2.43% SSA GLOBAL TECHNOLOGIES, INC. 11 1.78% 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE N = 617 18 2.92% 23 Vendors share the remaining 10.86% of the market.
Personnel Management Top Ten Installed/Contracted Systems Hospitals 300-399 Beds LAWSON 147 36.21% ORACLE CORP./PEOPLESOFT 73 17.98% MEDITECH 38 9.36% MCKESSON 22 5.42% SELF-DEVELOPED 18 4.43% SSA GLOBAL TECHNOLOGIES, INC. 17 4.19% API HEALTHCARE 12 2.96% AUTOMATIC DATA PROCESSING, INC. 10 2.46% HEALTHCARE MANAGEMENT SYSTEMS, INC. 9 2.22% ULTIMATE SOFTWARE 9 2.22% 16 Vendors share the remaining 13.05% of the market. N = 406
Personnel Management Top Ten Installed/Contracted Systems Hospitals 400-499 Beds LAWSON 83 38.25% ORACLE CORP./PEOPLESOFT 34 15.67% MEDITECH 14 6.45% SELF-DEVELOPED 13 5.99% ULTIMATE SOFTWARE 12 5.53% MCKESSON 11 5.07% API HEALTHCARE 6 2.76% SIEMENS HEALTHCARE 6 2.76% SSA GLOBAL TECHNOLOGIES, INC. 6 2.76% 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 12 Vendors share the remaining 10.60% of the market. 10 4.61% N = 217
Personnel Management Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market LAWSON 127 37.80% ORACLE CORP./PEOPLESOFT 108 32.14% INFOR GLOBAL SOLUTIONS 15 4.46% SELF-DEVELOPED 12 3.57% SAP 9 2.68% AUTOMATIC DATA PROCESSING, INC. 8 2.38% MEDITECH 8 2.38% MCKESSON 7 2.08% KRONOS INCORPORATED 6 1.79% 3 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 10 Vendors share the remaining 6.26% of the market. 15 4.46% N = 336
Time & Attendance Top Ten Installed and Contracted Systems KRONOS INCORPORATED 2833 58.35% API HEALTHCARE 580 11.95% CPSI 330 6.80% AUTOMATIC DATA PROCESSING, INC. 207 4.26% HEALTHCARE MANAGEMENT SYSTEMS, INC. 125 2.57% ORACLE CORP./PEOPLESOFT 113 2.33% HEALTHLAND 106 2.18% MEDITECH 72 1.48% SELF-DEVELOPED 42 0.87% CERIDIAN 40 0.82% 71 Vendors share the remaining 8.44% of the market. N = 4,855
Time & Attendance Top Ten Installed/Contracted Systems Hospitals Under 100 Beds KRONOS INCORPORATED 1141 48.99% CPSI 303 13.01% API HEALTHCARE 193 8.29% AUTOMATIC DATA PROCESSING, INC. 128 5.50% HEALTHCARE MANAGEMENT SYSTEMS, INC. 114 4.89% HEALTHLAND 104 4.47% MEDITECH 51 2.19% TIMETRAK SYSTEMS, INC. 30 1.29% ORACLE CORP./PEOPLESOFT 20 0.86% 2 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKET SHARE 50 Vendors share the remaining 9.37% of the market. 30 1.29% N = 2,329
Time & Attendance Top Ten Installed/Contracted Systems Hospitals 100-199 Beds KRONOS INCORPORATED 663 68.35% API HEALTHCARE 127 13.09% AUTOMATIC DATA PROCESSING, INC. 34 3.51% CPSI 24 2.47% ORACLE CORP./PEOPLESOFT 21 2.16% CERIDIAN 15 1.55% MEDITECH 10 1.03% INFORMATION MANAGEMENT TIME SYSTEMS, INC. 10 1.03% HEALTHCARE MANAGEMENT SYSTEMS, INC. 9 0.93% JBDEV, INC. 7 0.72% 24 Vendors share the remaining 5.15% of the market. N = 970
Time & Attendance Top Ten Installed/Contracted Systems Hospitals 200-299 Beds KRONOS INCORPORATED 298 65.35% API HEALTHCARE 95 15.60% ORACLE CORP./PEOPLESOFT 30 4.93% AUTOMATIC DATA PROCESSING, INC. 27 4.43% CERIDIAN 12 1.97% SELF-DEVELOPED 7 1.15% MEDITECH 5 0.82% KEANE, INC. 5 0.82% INFORMATION MANAGEMENT TIME SYSTEMS, INC. 12 Vendors share the remaining 2.96% of the market. N = 609 4 0.66% SAP 4 0.66% MCKESSON 4 0.66%
Time & Attendance Top Ten Installed/Contracted Systems Hospitals 300-399 Beds KRONOS INCORPORATED 259 64.43% API HEALTHCARE 75 18.66% PEOPLESOFT 18 4.48% SELF-DEVELOPED 11 2.74% AUTOMATIC DATA PROCESSING, INC. 6 1.49% CERIDIAN 5 1.24% SAP 3 0.75% MEDITECH 3 0.75% EPIC 3 0.75% LAWSON 3 0.75% 11 Vendors share the remaining 4.23% of the market. N = 402
Time & Attendance Top Ten Installed/Contracted Systems Hospitals 400-499 Beds Vendor # of Installations % of Market KRONOS INCORPORATED 146 68.54% API HEALTHCARE 34 15.96% ORACLE CORP./PEOPLESOFT 6 2.82% SELF-DEVELOPED 4 1.88% AUTOMATIC DATA PROCESSING, INC. 4 1.88% MEDITECH 3 1.41% PAYCHEX, INC. 2 0.94% CPSI 2 0.94% 12 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKETSHARE 12 5.63% N = 213
Time & Attendance Top Ten Installed/Contracted Systems Hospitals 500+ Beds Vendor # of Installations % of Market KRONOS INCORPORATED 226 68.07% API HEALTHCARE 56 16.87% ORACLE CORP./PEOPLESOFT 18 5.42% AUTOMATIC DATA PROCESSING, INC. 8 2.41% LAWSON 6 1.81% SELF-DEVELOPED 4 1.20% TIME LINK INTERNATIONAL, CORP. 2 0.60% SAP 2 0.60% ACCERO 2 0.60% HUNTINGTON BUSINESS SYSTEMS 2 0.60% 7 VENDORS WITH SAME NUMBER OF INSTALLATIONS AND MARKETSHARE 6 1.82% N = 332
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
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
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
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
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 2004. Time & Attendance (n=2,735) 7% 39% 34% 18% Prior to 1985 1985 to 1989 1990 to 1994 1995 to 1999 2000 to 2004 2005 to 2010
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