What HRIS systems are best for hospitals?

We need help choosing an HRIS system. Our hospital system has about 2500 employees, mostly in one state, including clinics and hospital facilities. We’re a nonprofit, and we’re looking for an HRIS that can handle payroll, HR, position management for partial FTEs, recruiting, performance management, and similar needs.

We’re considering UKG, Paycor, Paycom, Paylocity, and ADP, but I know HRIS systems can be frustrating. Does anyone in healthcare have experience with these or other systems? How has implementation and day-to-day usage been?

We switched from ADP to Paylocity at my company, and it’s been a mess. ADP wasn’t perfect, but Paylocity is far worse. Almost every issue we’ve raised gets the response, ‘The system isn’t designed to do that. Submit feedback.’ It feels like they don’t know how larger companies operate. For example, we can only track bonuses by job title, not by individual employees. I wouldn’t recommend Paylocity at all. It’s made my job so stressful I’ve thought about leaving.

@Jai
I’ve had the same problems with Paylocity, and I manage HR for only 200 employees. Their support just repeats stuff from the knowledge base, which I’ve already checked before calling.

@Jai
We’re a smaller company with 500 employees, and we hate Paylocity, too.

@Jai
I feel the same. After waiting seven months for implementation, I finally posted on LinkedIn tagging their leadership. Two months later, only two things were fixed, and we still have 14 more issues to resolve.

Workday might work well for your setup and size. It’s strong with position management and FTE tracking. For recruiting, it’s better than most options unless you pair something like Greenhouse with it, which I recommend.

@Shawn
I agree about Workday, but only if you have staff to manage it. Payroll teams alone might struggle without technical expertise. Also, Workday recruiting isn’t the best for candidates, so consider integrating Greenhouse or another ATS.

Why isn’t Workday on your list? It seems like a good fit for your organization.

Wade said:
Why isn’t Workday on your list? It seems like a good fit for your organization.

I was wondering the same thing.

You should definitely consider Workday, UKG, and Oracle. For your size, these are solid options. ADP might be tolerable, but I’d rank it below the first three. Paylocity and Paycom are tied for next, with Paycom being my least favorite.

Does your finance team need ERP integration beyond GL? Avoid Paycom because it’s tough to get out once you’re in.

Many healthcare organizations use Oracle HCM successfully, especially if they have high employee turnover or contingent hiring. If your budget allows, I’d look at Workday or Oracle.

I’ve used ADP and UKG. Both have their pros and cons. ADP is better for payroll and taxes, but its performance management tools used to be bad. UKG offers a lot of customization, but some features are confusingly designed. Reporting is powerful but has a steep learning curve. Support quality has fluctuated in recent years. It depends on your priorities.

UKG and Workday are worth looking into, depending on your budget. UKG gives more control to users, but their time-keeping module isn’t great. Avoid Oracle if you don’t have a dedicated team to manage it.

I worked for a healthcare company with 5,000 employees, and we used Paychex Oasis. It was reliable, and we rarely had issues.

I really like Paylocity. It’s been great for our needs.

Workday, UKG, or Dayforce would be my recommendations. Dayforce works best if your organization’s structure is based on location. Workday might be better if it’s based on a reporting structure.

I wouldn’t recommend UKG. Anything else would probably be better.

Do you think you can afford Workday? Or maybe a PEO like TriNet?

Noor said:
Do you think you can afford Workday? Or maybe a PEO like TriNet?

Not sure about Workday pricing, but we’ll look into it. With 2200 employees, a PEO isn’t an option.

Fraser said:

Noor said:
Do you think you can afford Workday? Or maybe a PEO like TriNet?

Not sure about Workday pricing, but we’ll look into it. With 2200 employees, a PEO isn’t an option.

That makes sense. I was asking because some departments need help managing HRIS and payroll. That’s why I brought up a PEO.