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Financial Planning & Analysis 2022
Which Vendor Is Helping Organizations Make the Most of Their Technology?
Healthcare organizations are taking a new approach to planning and budgeting—moving away from static yearly budgets set by a financial team toward an agile, rolling approach that leverages data from multiple sources and involves non-finance personnel. This report provides an introduction on the two main financial planning and analysis vendors that organizations are using to support this change—Strata Decision Technology and Syntellis Performance Solutions. The following pages share customer insights on the solutions’ functionality and integration and how well the vendors help customers adopt tools to meet their budgeting needs.
Market Overview: Financial Planning & Analysis Software
Healthcare organizations face unprecedented budget pressures and are exploring various avenues to meet these new financial demands. One approach is embracing more strategic finance tools. Below is an overview of the functionality verticals that comprise financial planning and analysis software as examined in this report. The following pages give an overview of the customer experiences with such solutions, while future studies will explore the impact of individual modules and capabilities on organizations’ outcomes and financial success.
Core Financial Planning & Analysis Functionality
Capital planning & tracking
Helps organizations evaluate capital needs over multiple years via tools like pro forma modeling and tracking of financial KPIs
Potential benefits: "I like how this tool forces people to think about why they are putting things in so that they aren’t just adding information as a placeholder. . . . Otherwise, if we just handed people a budget, there would be less buy-in and not as much understanding or appreciation for what goes into it.” —CFO
Long-range planning
Forecasts volumes, profitability, investment, and so forth to inform decisions over the next 3–5 years
Potential benefits: “The product gives us the ability to model scenarios for long-term planning. . . . The reports allow us to see what a change has done to our income statement and our balance sheet.” —VP, financial systems
Operational/short-term budgeting
Provides clear insight into what is impacting an organization’s budget, thereby streamlining budgeting and financial planning activities and improving decision-making
Potential benefits: “We have shortened the budget process because we do it annually and re-forecast every quarter, so we are always moving things out a quarter. Our effort now is focused on continuous improvement rather than working on a detailed budget.” —VP/executive
Performance reporting
Provides insight into department productivity via dashboards, highlighting opportunities to help meet operating budget goals
Potential benefits: “If we use the system correctly, it allows us to quickly analyze our financial budget and results and understand what is happening.” —VP/executive
Rolling forecasting
Helps identify risks and opportunities, with the goal of providing a consistent, accurate business outlook; also provides models and forecasting to allow organizations to make adjustments to stay on track with budget goals; can either complement or replace annual budget
Potential benefits: “Moving from a traditional budget to a rolling forecast has made us nimbler. That transition really helped us as we went through the COVID-19 pandemic.” —VP, financial systems
Note: The functionalities listed above are only the core functionalities for financial planning and analysis software. Secondary functionalities include continuous improvement, labor productivity management, monthly reporting, patient information, and strategic pricing.
Report Participants
For this research, KLAS spoke to provider organizations using financial planning and analysis software from the two biggest market players: Strata Decision Technology and Syntellis Performance Solutions.† We interviewed 63 individuals from 61 unique organizations. As shown in the chart to the right, the organizations interviewed cover a variety of care settings, with traditional inpatient hospitals, physician practices, and ambulatory centers being the most common. The proportion of respondents in each care setting was similar across both vendors.
† Infor, Oracle, and Workday also offer financial planning and analysis solutions, along with broader ERP product suites. This research focuses on the vendors that offer independent financial planning and analysis solutions.
Strata’s Strong Relationship Managers Foster Deep Solution Adoption
Strata Decision Technology customers report consistent adoption across the core functionalities, largely thanks to relationship managers who meet with customers often to ensure they are maximizing the solution’s value and to recommend tools for optimizing organizational budget strategies. This deep adoption has a notable impact on client-reported outcomes, which include efficient budgeting and planning (specifically, shortening the budget process with the help of rolling forecasting analysis and models) and improvements to the capital planning process. Some respondents shared that moving from a traditional budget to a rolling forecast made navigating the COVID-19 pandemic easier; despite the uncertainty of the pandemic, the solution and its forecasting ability were flexible enough to help organizations make needed changes. Those that have adopted newer functionality, such as the model scenarios and reporting, feel it lives up to its promise and report satisfaction with the solution’s ability to facilitate long-term planning (three to five years).
Syntellis Customers’ Deep Adoption of Operational/Short-Term Budgeting Improves Efficiency and Insights; More Support Needed for Broader Adoption
Syntellis Performance Solutions customers report deep adoption of operational and short-term budgeting capabilities. Respondents say the budgeting process is made efficient and accurate by tools like drill-down features for A/P and various report roll-ups that support summarized reports and detailed views of data. Use of other functionalities has a similarly positive effect on budgeting efficiency; however, overall adoption of these tools is lower. One reason is a lower level of guidance. Some customers share that due to inadequate training, their main source of help for maximizing the solution’s potential is the support personnel. While these resources are responsive and knowledgeable, proactive help to achieve deeper adoption is lacking, as is proactive communication about system bugs.
Strata Customers Achieving Broader Integration with Key Systems; Syntellis Lags Behind, Limiting Impact on Effective Planning
Strata Decision Technology’s data integration team proactively sets up key integrations during the implementation; this results in 100% of interviewed customers reporting integration with their EMR and ERP solutions. A high proportion of customers also leverage decision support integrations. This depth of integration allows customers to aggregate needed information to meaningfully plan for the short and long term. Syntellis Performance Solutions clients are less likely to have key integrations in place. Without key integrations present, respondents share that Syntellis’ solution does not provide the level of insight and detail they need for proactive planning. Strata and Syntellis clients both report insufficient integration with workforce planning solutions; this marks an opportunity for either vendor to differentiate themselves by helping customers make more effective budget decisions amid healthcare’s ongoing staffing shortages.
Syntellis Performs Best for Larger Organizations; Smaller Strata Customers Are the Most Satisfied Overall
Larger Syntellis Performance Solutions customers (over 1,000 beds) feel the solution effectively scales to meet their needs. Compared to smaller Syntellis customers and to Strata customers, they report more satisfaction with product functionality and more agreement that the system works as promoted. While executive involvement is a comparatively low rating for Syntellis, the largest customers report proactive account management that helps them feel supported. Larger Strata Decision Technology customers are less satisfied. These respondents say the support is not as efficient as customers of that size expect in addressing client needs and resolving reported challenges. They also note slower-than-expected development of things like advanced cost accounting functionality and better integration between modules. These issues are not as concerning for smaller Strata customers, who are the most satisfied group between the two vendors.
Vendor Bottom Lines: Strengths & Opportunities
Strata Decision Technology
Strengths
- Partnership: Mentioned as a satisfaction driver by some customers. A few specifically cite vendor efforts to regularly connect customers with executives or relationship managers who are empowered to solve problems.
- Product quality: Some customers specifically highlight recent product improvement through upgrades. Reporting functions help healthcare organization leaders leverage all their data and information in an intuitive way.
- Insights and guidance: Provides variance data that helps customers make adjustments and course corrections, enabling them to stay on track with budget goals (tools include what-if analyses, scenario plans, and models).
Opportunities for Improvement
- Additional functionality: Some customers want additional functionality to fill gaps in forecasting and labor management.
- Development: Several customers mention the need for faster development, noting that development of functionality that would drive the outcomes customers expected to achieve when they first purchased the product is not happening as fast as they would like.
- Larger organization satisfaction: The concerns mentioned above are particularly problematic for large health systems and other 1,000+ bed organizations.
Syntellis Performance Solutions
Strengths
- Product works as promoted: Compared to Strata customers, Syntellis clients report more agreement that the product works as it was promoted, noting that Syntellis sets and delivers on clear expectations.
- Positive outcomes from use of the system: Customers report results such as improved reporting and more streamlined budget processes. Regarding the latter, respondents point specifically to increased, more detailed operational insights and increased operational efficiencies.
- Future outlook: Some customers express optimism about their future satisfaction because of new updates from the vendor that are moving the product toward better meeting client needs.
Opportunities for Improvement
- Training: Especially large customers need more training to fully understand the system’s capabilities and use it to its full capacity. Some respondents say the training video library is outdated. They also would like more opportunities for in-person training during and after implementation.
- Response times: Customers report challenges with response times from the support team. They also say support tickets can take too long to resolve, sometimes up to several weeks.
- Communication about known issues: Customers want Syntellis to reach out proactively when there are known issues with the solution, rather than clients finding out about issues when they encounter them.
About This Report
The data in this report comes from two sources: (1) KLAS’ standard quantitative evaluation for healthcare software, and (2) a supplemental evaluation tailored specifically for the financial planning and analysis software market. Interviews were conducted over the last 12 months.
KLAS’ standard quantitative evaluation is composed of 16 numeric ratings questions and 4 yes/no questions, all weighted equally. Combined, the ratings for these questions make up the overall performance score, which is measured on a 100-point scale. The questions are organized into six customer experience pillars—culture, loyalty, operations, product, relationship, and value.
To supplement the customer satisfaction data gathered with the standard evaluation, KLAS also created a supplemental evaluation to delve deeper into several questions specific to the financial planning and analysis software market. This evaluation asked respondents about their solution’s (1) impact on budgeting and planning efficiency, (2) ability to facilitate an agile/rolling approach to budgeting and forecasting, (3) ability to support planning for the long term, and (4) integrations with outside solutions and how well it leverages that outside data.
Sample Sizes
Unless otherwise noted, sample sizes displayed throughout this report (e.g., n=16) represent the total number of unique customer organizations interviewed for a given vendor or solution. However, it should be noted that to allow for the representation of differing perspectives within any one customer organization, samples may include surveys from different individuals at the same organization. The table below shows the total number of unique organizations interviewed for each vendor or solution as well as the total number of individual respondents.
Some respondents choose not to answer particular questions, meaning the sample size for any given vendor or solution can change from question to question. When the number of unique organization responses for a particular question is less than 15, the score for that question is marked with an asterisk (*) or otherwise designated as “limited data.” If the sample size is less than 6, no score is shown. Note that when a vendor has a low number of reporting sites, the possibility exists for KLAS scores to change significantly as new surveys are collected.
Writer
Elizabeth Pew
Designer
Jess Wallace-Simpson
Project Manager
Ethan Lui
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.