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Ranking · Time & Attendance Tracking Software

Best Time & Attendance Software for Healthcare & Clinics

9 products scored on six criteria. EcoTime leads at 8.9 and the field is tight, with 0.4 points between first and last, so read the catches before you pick. Every product opens to the evidence behind its number.

9 products scored6 criteria87 sources citedUpdated Aug 1, 2026
Jump to the ranking How the scores work
1 EcoTimeecotimebyhbs.com

EcoTime masters union rules, but its interface feels dated.

Read the reviewVisit ↗
2 QGendaqgenda.com

QGenda wins Best in KLAS three years running

Read the reviewVisit ↗
3 symplrsymplr.com

symplr's mobile app is rated just 2.3 out of 5.

Read the reviewVisit ↗
9Products
8.5 to 8.9Score spread
1Free plan or tier
01

The ranking

Order follows the score. Six little boxes show each product's criterion scores: green or red is above or below the category average, grey means too few products share that criterion to compare. The full review sits right under each one.

Nothing matches that filter here. Tap All to see every product.

1

EcoTime

ecotimebyhbs.com · EcoTime Healthcare Time & Attendance · scored Dec 2025

EcoTime masters union rules, but its interface feels dated.

Best forLarge healthcare systems with complex union pay rules and 24/7 shifts.

Quote only healthcarecomplianceannual billing
Top score
Visit EcoTime ↗ See the evidence

Time and attendance software built for healthcare shift differentials, union rules, and FMLA compliance.

Standout factHBS has served over 1,500 clients since 1992.jonassoftware.com
Biggest catchUsers say the interface is clunky and takes real time to learn.selecthub.com
1,500+Clients servedjonassoftware.com
1992Operating sincejonassoftware.com

Milestones

1992HBS founded
2022Acquired by Jonas Software

Source: jonassoftware.com

Learning curve

AfternoonWeeks

Clunky interface, steep learning curve reported by users

Upside

  • Automates complex union pay rules
  • Dedicated FMLA compliance module
  • US-based support, 7 days a week

Catch

  • Clunky, dated interface
  • Steep learning curve
  • No monthly billing option
Pick it ifLarge healthcare systems with complex union pay rules and 24/7 shifts.
Skip it ifSmall clinics with simple, standard 9-to-5 staffing needs.
PricingCustom quote only, billed annually

Editor's takeEcoTime targets hospitals and health systems juggling union contracts and shift differentials. Its Prior Period Adjustment module and FMLA tracking cover compliance gaps generalist tools miss. Buyers should expect an older interface and an annual-only contract.

Does EcoTime handle FMLA compliance?

Yes. A dedicated module tracks FMLA requests, checks employee eligibility, and manages approval steps automatically.

Can organizations pay for EcoTime monthly?

No. All EcoTime subscriptions are billed annually, with no monthly payment option currently offered.

The evidence: 6 criteria, 3 penalties (−0.16 points)
9.4
Product Capability & DepthLooked for: We evaluate the software's ability to handle complex healthcare-specific scheduling, time tracking, and rule configurations.EcoTime excels in managing complex healthcare environments, offering robust features for shift differentials, multi-union rule sets, and retroactive timesheet adjustments that automatically recalculate payroll.ecotimebyhbs.comecotimebyhbs.comecotimebyhbs.com
9.1
Market Credibility & Trust SignalsLooked for: We assess the vendor's longevity, financial backing, and adoption within the healthcare sector.Founded in 1992 and acquired by Jonas Software in 2022, HBS has a long-standing reputation with over 1,500 clients and tracks 250,000+ employees.healthcareitnews.comjonassoftware.comjonassoftware.com
8.6
Usability & Customer ExperienceLooked for: We look for intuitive interfaces and responsive support structures tailored to non-technical healthcare staff.While the interface is sometimes described as clunky or dated compared to modern SaaS, the US-based, team-assigned support model is highly praised and mitigates usability friction.ecotimebyhbs.comselecthub.comecotimebyhbs.com
8.5
Value, Pricing & TransparencyLooked for: We evaluate pricing clarity, billing flexibility, and return on investment for enterprise healthcare organizations.Pricing is quote-based and not publicly transparent, with a strict annual billing policy that may limit flexibility for some organizations.ecotimebyhbs.comecotimebyhbs.comecotimebyhbs.com
9.6
Compliance & Complex Rule ManagementLooked for: We examine the system's ability to automate adherence to labor laws, union contracts, and FMLA regulations.EcoTime is a market leader in handling complex compliance needs, featuring a dedicated FMLA module and the ability to manage multiple union contracts and shift differentials simultaneously.ecotimebyhbs.comecotimebyhbs.comecotimebyhbs.com
9.3
Support & Implementation ModelLooked for: We analyze the quality of onboarding, training, and ongoing technical support availability.HBS offers a distinct 'Team-Based' support model where clients are assigned specific US-based teams, ensuring support staff are familiar with the client's specific configuration.ecotimebyhbs.comecotimebyhbs.comecotimebyhbs.com

Score adjustments−0.16 points in total

−0.06Users report the interface can be clunky and requires a significant learning curve compared to more modern SaaS alternatives.selecthub.com · severity 60/100
−0.07Reporting interface lacks flexibility, specifically missing drag-and-drop customization for creating combined reports across departments.g2.com · severity 55/100
−0.03Vendor enforces strict annual billing cycles, which limits payment flexibility for organizations that prefer monthly terms.ecotimebyhbs.com · severity 45/100
Visit EcoTime ↗ Back to the top of the ranking
2

QGenda

qgenda.com · QGenda Healthcare Workforce Management · scored Dec 2025

QGenda wins Best in KLAS three years running

Best forAcademic medical centers with complex physician on-call schedules.

From $500 per month FedRAMPSOC 2Epic integration
Visit QGenda ↗ See the evidence

Healthcare workforce platform unifying scheduling, credentialing, and time tracking with FedRAMP security.

Standout factRanked Best in KLAS for Nurse and Staff Scheduling for the third consecutive year.prnewswire.com
Biggest catchSetup is complex and time-consuming, often requiring multiple meetings and custom development.g2.com
4,000+Organizations servedklasresearch.com
3 years runningBest in KLAS winsprnewswire.com
$500-$1,000/moEstimated starting pricekimedics.com

Standout number

4,000+healthcare organizations served

Source: klasresearch.com

Compliance

✓ FedRAMP Authorized✓ SOC 2✓ HIPAA

Source: qgenda.com

Upside

  • Best in KLAS, 3 years running
  • FedRAMP Authorized, SOC 2 compliant
  • Deep Epic, Workday integrations

Catch

  • Pricing not publicly disclosed
  • Complex, lengthy implementation
  • Interface called confusing by some
Pick it ifAcademic medical centers with complex physician on-call schedules.
Skip it ifSmall clinics with simple, static staffing schedules.
PricingCustom quotes; third-party estimates start near $500-$1,000/month.

Editor's takeQGenda has topped the Best in KLAS ranking for Nurse and Staff Scheduling for three straight years and serves more than 4,000 healthcare organizations. It holds FedRAMP Authorization and an agency-wide Authority to Operate from Veterans Affairs, security few workforce tools can match. Getting started takes work. Reviewers describe setup as time-consuming, often requiring multiple meetings and custom development before go-live.

How much does QGenda cost?

Pricing is not public. Third-party estimates put costs starting around $500 to $1,000 per month, with a custom quote required.

Is QGenda approved for government use?

Yes. It holds FedRAMP Authorization and an agency-wide Authority to Operate from the Department of Veterans Affairs.

The evidence: 6 criteria, 3 penalties (−0.14 points)
9.4
Product Capability & Depthqgenda.comqgenda.com
9.2
Market Credibility & Trust Signals
8.7
Usability & Customer ExperienceLooked for: We assess the user interface, mobile accessibility, and ease of implementation for both administrators and clinical staff.While the mobile app is praised for enabling shift swaps, the administrative backend is described as having a steep learning curve and complex setup process that often requires vendor support.qgenda.comg2.comg2.com
8.2
Value, Pricing & TransparencyLooked for: We analyze pricing models, public transparency of costs, and contract flexibility relative to the features provided.Pricing is not publicly disclosed and is quote-based, with estimates starting around $500-$1,000/month. Some users report price increases following the acquisition of other tools like ShiftAdmin.qgenda.comkimedics.comkimedics.com
9.1
Integrations & Ecosystem StrengthLooked for: We examine the ability to connect with EHRs, HRIS, and payroll systems to ensure data flow across the hospital IT stack.The platform offers robust integrations with major systems like Epic, Cerner, Workday, and ADP, supported by a REST API for custom connections, facilitating a 'single source of truth'.getapp.comqgenda.com
9.7
Security, Compliance & Data ProtectionLooked for: We verify adherence to healthcare-specific standards like HIPAA, SOC 2, and FedRAMP for sensitive patient and provider data.QGenda demonstrates elite security standards, holding SOC 2 Type II attestation, HIPAA compliance, and FedRAMP authorization, making it suitable for federal agencies and large health systems.qgenda.comqgenda.com

Score adjustments−0.14 points in total

−0.04Pricing is opaque (quote-based only) and users note price increases when transitioning from acquired products like ShiftAdmin.kimedics.com · severity 60/100
−0.05Users report the setup process is complex and time-consuming, often requiring substantial custom development.g2.com · severity 50/100
−0.05Some users describe the interface as confusing and struggle with navigation errors and slow performance.g2.com · severity 45/100
Visit QGenda ↗ Back to the top of the ranking
3

symplr

symplr.com · symplr Workforce · scored Dec 2025

symplr's mobile app is rated just 2.3 out of 5.

Best forEnterprise hospital systems needing predictive staffing and EHR integration.

From $6,500 per year Best in KLASpredictive schedulinghealthcare enterprise
−0.1 vs #1
Visit symplr ↗ See the evidence

A healthcare workforce management platform with predictive scheduling used in 9 of 10 US hospitals.

Standout factSmart Square forecasts staffing needs 120 days out at 96% accuracy.symplr.com
Biggest catchThe mobile app holds a 2.3 out of 5 rating on the App Store.apps.apple.com
9 of 10US hospitals using symplrsymplr.com
96%forecast accuracy claimsymplr.com
2.3/5mobile app ratingapps.apple.com

Adoption

9 of 10U.S. hospitals using symplr

Source: symplr.com

What reviewers say

Apple App Store
2.3/5 · 1,900

Source: apps.apple.com

Upside

  • Best in KLAS, 2023-2025
  • Predictive scheduling, 96% accuracy
  • Used by 9 of 10 US hospitals

Catch

  • Mobile app rated 2.3 out of 5
  • Rigid for non-clinical roles
  • Opaque enterprise pricing
Pick it ifEnterprise hospital systems needing predictive staffing and EHR integration.
Skip it ifSmall private practices or non-healthcare organizations.
PricingContact for pricing, starts around $6,500/year

Editor's takesymplr Workforce backs its Best in KLAS award with real hospital adoption, running in 9 of 10 U.S. hospitals. Its Smart Square engine forecasts staffing needs 120 days out with claimed 96% accuracy. The gap is mobile, where frontline staff rate the app 2.3 out of 5, citing login and biometric issues.

How accurate is symplr's predictive scheduling?

The vendor claims 96% accuracy forecasting staffing needs up to 120 days in advance. It can also automate filling up to 75% of open shift hours early.

Is symplr's mobile app well rated?

No. It holds a 2.3 out of 5 rating on the Apple App Store from nearly 1,900 reviews. Users cite login loops and Face ID failures after recent updates.

The evidence: 6 criteria, 3 penalties (−0.23 points)
9.2
Product Capability & Depthsymplr.com
9.6
Market Credibility & Trust SignalsLooked for: We assess market penetration, industry awards, and adoption rates among major healthcare institutions.symplr holds a dominant market position, being trusted by 9 out of 10 U.S. hospitals and consistently winning top industry awards like 'Best in KLAS' and 'U.S. Best Managed Company'.symplr.comsymplr.com
8.2
Usability & Customer ExperienceLooked for: We analyze user interface design, mobile app performance, and ease of use for both administrators and frontline staff.While administrators rate the software highly (Best in KLAS), frontline staff report significant friction with the mobile app, citing login loops, biometric failures, and removed features.symplr.comapps.apple.comapps.apple.com
8.6
Value, Pricing & TransparencyLooked for: We examine pricing structures, return on investment claims, and transparency regarding costs.Pricing is enterprise-grade and opaque (typical for this sector), but third-party data suggests a starting point around $6,500/year, and the company provides strong documented ROI metrics.symplr.comselecthub.comselecthub.com
8.9
Predictive Scheduling & AILooked for: We assess the platform's ability to integrate with EHRs, payroll systems, and other clinical tools.symplr offers robust integrations with major EHRs (Epic, Cerner) and payroll systems, facilitating a 'one vendor' approach that reduces data silos.symplr.comsymplr.comsymplr.com
9.3
Security, Compliance & Data Protectionsymplr.com

Score adjustments−0.23 points in total

−0.09The mobile application suffers from poor user ratings (2.3/5 stars) due to persistent login loops, biometric authentication failures, and interface clutter.apps.apple.com · severity 80/100
−0.07Recent app updates have removed critical visibility features, such as the ability for staff to see who else is working on their shift.apps.apple.com · severity 65/100
−0.07Users report the system is rigid and tailored so specifically to clinical environments that it requires significant customization for non-clinical roles.g2.com · severity 50/100
Visit symplr ↗ Back to the top of the ranking
4

Fareclock

fareclock.com · Fareclock Healthcare Attendance · scored Dec 2025

Free for 5 users, but no explicit HIPAA claim

Best forSmall to mid clinics wanting affordable facial recognition to prevent time theft.

Free tier From $19 per month free planfacial recognitionGPS geofencing
−0.2 vs #1
Visit Fareclock ↗ See the evidence

Time and attendance software with facial recognition and GPS geofencing, built to stop healthcare shift buddy-punching.

Standout factFacial recognition includes liveness detection to prevent photo or video spoofingfareclock.com
Biggest catchNo explicit HIPAA compliance or BAA documentation, despite targeting healthcare.fareclock.com
5 usersFree plan user limitfareclock.com
4.8/5G2 satisfaction ratingg2.com
$19.25/moPro plan starting pricefareclock.com

Free vs paid

Basic (free)

$0
  • Up to 5 users
  • Facial recognition
  • GPS geofencing

Pro, from $19.25/mo

  • More users
  • Job costing and payroll tools

Source: fareclock.com

The thing people get wrong

A healthcare-focused time clock is automatically HIPAA compliant

Fareclock's public documentation does not explicitly confirm HIPAA compliance or a BAA

Source: fareclock.com

Upside

  • Free plan for up to 5 users
  • Facial recognition with liveness detection
  • GPS tracking and geofencing included

Catch

  • No explicit HIPAA compliance documentation
  • Configuration options can overwhelm new users
  • Low volume of third-party reviews
Pick it ifSmall to mid clinics wanting affordable facial recognition to prevent time theft.
Skip it ifLarge enterprises needing complex clinical scheduling or hospital payroll integration.
PricingFree for up to 5 users; Pro from $19.25/mo

Editor's takeFareclock uses liveness-detecting facial recognition to stop buddy punching, a real problem on shift-based healthcare floors, paired with GPS geofencing for mobile staff. A free plan covers up to 5 users, with paid tiers starting at $19.25 a month. For a product marketed specifically to healthcare, the gap is compliance. Public documentation does not explicitly confirm HIPAA compliance or offer a Business Associate Agreement, worth confirming directly before signing.

Is Fareclock HIPAA compliant?

Public documentation does not explicitly confirm HIPAA compliance or the availability of a Business Associate Agreement, despite Fareclock marketing specifically to healthcare providers. Organizations with strict HIPAA requirements should confirm this directly with Fareclock before signing up.

Is Fareclock free?

Yes, the Basic plan is free for up to 5 users. Paid plans start at $19.25 a month for Pro and $29.50 a month for Premium, with pricing varying by payment frequency.

The evidence: 6 criteria, 2 penalties (−0.13 points)
8.8
Product Capability & DepthLooked for: We evaluate the breadth of time-tracking features, specifically looking for healthcare-relevant tools like shift scheduling, job costing, and offline capabilities.Fareclock provides a comprehensive suite including facial recognition, geo-fencing, smart scheduling, and payroll integration, specifically tailored to handle complex shift rotations and clinical coverage.fareclock.comfareclock.comfareclock.com
8.5
Market Credibility & Trust SignalsLooked for: We assess user reviews, testimonials, and market presence to determine the product's reliability and reputation in the industry.The product maintains a high user satisfaction rating (4.8/5) across review platforms, though the total volume of reviews is lower compared to enterprise legacy competitors.g2.comfareclock.com
8.9
Usability & Customer ExperienceLooked for: We look for evidence of ease of use, intuitive design, and quality of customer support, particularly for non-technical staff.Users consistently praise the interface for being simple and user-friendly, with specific accolades for the ease of the mobile app and responsiveness of customer support.fareclock.comfareclock.comfareclock.com
9.2
Value, Pricing & TransparencyLooked for: We analyze pricing structures, free tier availability, and transparency to ensure the product offers competitive value.Fareclock offers a highly transparent pricing model with a generous free tier for small teams and clear per-user costs for larger plans.fareclock.comfareclock.comselecthub.com
9.3
Biometric Verification & Mobile AttendanceLooked for: We evaluate the effectiveness of biometric features and mobile capabilities in preventing time theft and enabling remote work.Fareclock excels with advanced facial recognition that includes liveness detection to prevent spoofing, paired with robust GPS geofencing.fareclock.comyoutube.com
7.9
Security, Compliance & Data ProtectionLooked for: We examine security measures and compliance certifications (like HIPAA) critical for healthcare software handling staff data.While the platform offers strong technical security like SSO and encryption, it notably lacks explicit documentation regarding HIPAA compliance or Business Associate Agreements.fareclock.comfareclock.comfareclock.com

Score adjustments−0.13 points in total

−0.08Despite marketing specifically to the healthcare industry, public documentation does not explicitly confirm HIPAA compliance or the availability of a Business Associate Agreement (BAA), which is a critical regulatory requirement for many healthcare entities.fareclock.com · severity 75/100
−0.05Some users have reported that the sheer volume of customization options and features can be overwhelming for those unfamiliar with similar systems, creating a steeper learning curve.selecthub.com · severity 45/100
Visit Fareclock ↗ Back to the top of the ranking
5

Inovalon

inovalon.com · Inovalon Healthcare Time & Attendance · scored Dec 2025

Inovalon client cut labor costs by near $1M

Best forHealthcare facilities managing agency staff and PBJ reporting requirements

From $250 per month PBJ reportinghealthcaregeo-location punch
−0.3 vs #1
Visit Inovalon ↗ See the evidence

Cloud time and attendance system built for skilled nursing and healthcare staffing compliance.

Standout factA direct QIES portal connection speeds Payroll-Based Journal filing and submissionsinovalon.com
Biggest catchMobile app users report frequent lag and pages that fail to load.apps.apple.com
$250/moStarting price (est.)getapp.com
1.5 hrs/dayScheduler time savedinovalon.com

Standout number

1.5 hrs/daytime saved per scheduler

Source: inovalon.com

In their words

“We dramatically decreased labor costs by close to a million dollars within the first year of product usage.”

inovalon.com

Upside

  • Direct QIES connection for PBJ
  • iBeacon geo-location punch checks
  • Automated overtime pay coding

Catch

  • Mobile app lag, users report
  • Cancelling contracts described as hard
  • Support responsiveness varies
Pick it ifHealthcare facilities managing agency staff and PBJ reporting requirements
Skip it ifSmall single-location practices without agency staffing needs
PricingFrom about $250/mo per third-party estimate; vendor requires custom quote

Editor's takeInovalon focuses tightly on skilled nursing and healthcare staffing needs. Its PBJ reporting connects straight to the CMS QIES portal, cutting manual filing steps. Mobile app complaints and BBB cancellation disputes are the main friction points.

What does Inovalon Time & Attendance cost?

Public estimates put pricing near $250 per month, though the vendor requires a custom quote for exact costs.

Does Inovalon help with PBJ reporting?

Yes. It connects directly to the CMS QIES portal and flags PBJ inconsistencies with a built-in scrubber before submission.

The evidence: 6 criteria, 3 penalties (−0.16 points)
9.0
Product Capability & DepthLooked for: We evaluate the software's ability to handle complex healthcare staffing needs, including punch tracking, geo-fencing, and automated payroll coding.Inovalon delivers robust capabilities including iBeacon geo-location for punch verification, automated pay code application for overtime and holidays, and specialized PBJ reporting for skilled nursing facilities.inovalon.cominovalon.cominovalon.com
8.9
Market Credibility & Trust SignalsLooked for: We assess the vendor's reputation, customer base size, and longevity in the healthcare IT market.Inovalon is a major player in healthcare data, serving top provider systems with documented success stories from organizations like Summit Medical Group and Guardian Angels Senior Services.healthcareitnews.cominovalon.cominovalon.com
8.2
Usability & Customer ExperienceLooked for: We analyze user feedback regarding interface design, mobile app performance, and ease of daily workflows.While the desktop interface is praised for ease of use, the mobile application suffers from significant performance complaints, including lag and login failures.apps.apple.cominovalon.com
8.7
Value, Pricing & TransparencyLooked for: We look for clear pricing models, ROI evidence, and contract transparency.The product demonstrates clear ROI through labor cost savings and reduced agency usage, with some public pricing data available ($250/month starting), though contract cancellation can be difficult.getapp.cominovalon.com
8.9
Integrations & Ecosystem StrengthLooked for: We examine how well the product connects with scheduling, payroll, and external agency management systems.Inovalon offers a tightly integrated ecosystem where time, scheduling, and agency management flow seamlessly, reducing manual data entry and ensuring consistency.inovalon.cominovalon.com
9.1
Security, Compliance & Data ProtectionLooked for: We evaluate features specifically designed for healthcare regulatory compliance, such as CMS reporting and HIPAA adherence.The system excels in compliance with built-in PBJ reporting tools that connect directly to the QIES portal and automated rules to flag compliance risks before submission.inovalon.cominovalon.com

Score adjustments−0.16 points in total

−0.07Users consistently report significant performance issues with the mobile application, including lag, crashes, and login failures.apps.apple.com · severity 65/100
−0.04Multiple complaints filed with the BBB cite difficulties in cancelling contracts and strict enforcement of auto-renewal clauses without adequate prior notice.bbb.org · severity 60/100
−0.05A user review on G2 noted a perceived lack of security regarding personnel information, though this appears to be an isolated report.g2.com · severity 45/100
Visit Inovalon ↗ Back to the top of the ranking
6

Paychex

paychex.com · Paychex Time and Attendance · scored Dec 2025

Paychex adds Iris biometric clocks, hides its price

Best forClinics and small businesses already using Paychex payroll

Quote only biometric time clockSOC 2ISO 27001
−0.3 vs #1
Visit Paychex ↗ See the evidence

Time and attendance platform with biometric iris and face clocks, built for deep sync with Paychex payroll.

Standout factPaychex handles payroll for roughly 1 in 11 American private sector employeesforbes.com
Biggest catchTime and attendance is a paid add-on, estimated at $20 a month plus $3 per employee.comparisun.com
1 in 11Private sector employees servedforbes.com
$20/mo + $3/employeeTime tracking add-on estimatecomparisun.com

In their words

“With nearly 800,000 customers, the company says it handles payroll for one out of every 11 American private sector employees”

forbes.com

Compliance

✓ SOC 1 Type 2✓ SOC 2 Type 2✓ ISO 27001

Source: paychex.com

Upside

  • Iris and face biometric time clocks
  • ISO 27001 and SOC 2 certified
  • Deep native Paychex payroll sync

Catch

  • Pricing is quote-only
  • Time tracking is a paid add-on
  • Desktop interface feels dated
Pick it ifClinics and small businesses already using Paychex payroll
Skip it ifHospital systems needing complex physician on-call scheduling
PricingContact for pricing; time tracking add-on est. $20/mo + $3/employee

Editor's takePaychex ranks 6th of 9 in this category at 8.6. Its Iris biometric clocks and payroll-native sync stand out for clinics avoiding double data entry. Opaque pricing and a dated desktop interface are the recurring complaints.

Does Paychex store actual iris images?

No. The Iris Time Clock generates an encrypted digital template instead of storing an actual image of the eye.

Is time and attendance included with Paychex payroll?

No, it is typically a paid add-on, estimated around $20 a month plus $3 per employee.

The evidence: 6 criteria, 3 penalties (−0.18 points)
8.9
Product Capability & DepthLooked for: We evaluate the breadth of time-tracking features, scheduling tools, and payroll integration capabilities.Paychex offers a comprehensive suite including biometric iris/face clocks, mobile geofencing, and deep payroll synchronization, though some users report hardware sync failures.paychex.com360connect.combusinessnewsdaily.com
9.4
Market Credibility & Trust SignalsLooked for: We assess the vendor's market presence, financial stability, and industry certifications.Paychex is a publicly traded industry giant serving approximately 740,000 clients with top-tier security certifications like ISO 27001.americanpayroll.orgpaychex.comforbes.com
8.2
Usability & Customer ExperienceLooked for: We analyze user interface design, ease of navigation, and quality of customer support.While the mobile app is highly rated, the desktop interface is frequently criticized as 'dated' and 'cluttered,' and support quality is inconsistent.hrexecutive.comconnecteam.comjibble.io
7.5
Value, Pricing & TransparencyLooked for: We examine pricing visibility, contract terms, and the presence of hidden fees.Pricing is opaque with a 'quote-only' model for most tiers; time and attendance is often a paid add-on estimated at $20/mo + $3/employee.paychex.comcomparisun.combusiness.com
9.2
Hardware & Biometric IntegrationLooked for: We assess the availability and quality of physical time clocks and biometric authentication options.Paychex offers proprietary hardware including Iris Time Clocks and facial verification kiosks that function offline and in harsh environments.paychex.compaychex.comicontime.com
9.6
Security, Compliance & Data ProtectionLooked for: We evaluate data security measures, encryption standards, and compliance with regulations like GDPR and CCPA.Paychex demonstrates industry-leading security with SOC 2 Type 2, ISO 27001, and advanced biometric encryption that stores templates rather than images.paychex.compaychex.com

Score adjustments−0.18 points in total

−0.05Pricing is not transparent; costs are hidden behind a 'quote-only' model for most plans, and time tracking is a paid add-on.connecteam.com · severity 75/100
−0.07Customer support is cited as a weakness, with reports of long wait times and difficulty reaching knowledgeable staff.jibble.io · severity 65/100
−0.06Users frequently report the desktop interface is 'dated' and 'cluttered,' impacting ease of use.connecteam.com · severity 60/100
Visit Paychex ↗ Back to the top of the ranking
7

Paycor

paycor.com · Paycor Time & Attendance · scored Dec 2025

Paycor's facial recognition stops buddy punching, support gets slammed

Best forMid-sized US healthcare orgs wanting hardware plus payroll

From $19 per user/mo biometric clocksgeofencingpayroll integration
−0.3 vs #1
Visit Paycor ↗ See the evidence

A biometric time and attendance system tightly tied to Paycor payroll, now backed by Paychex.

Standout factPaychex completed its acquisition of Paycor for approximately $4.1 billionpaycor.com
Biggest catchUsers on G2 cite unresponsive, unhelpful support with long wait times as a major drawback.connecteam.com
$4.1BAcquisition value (Paychex)paycor.com
2.7MEmployees supportedrochesterbeacon.com

Standout number

2.7Memployees supported across Paycor's platform

Source: rochesterbeacon.com

In their words

“The app constantly freezes and crashes... The timecard screen constantly grays out... Punches sometimes do not take.”

jibble.io

Upside

  • Facial and fingerprint biometric clocks
  • Automated overtime and break compliance
  • Mobile geofencing restricts clock-ins

Catch

  • Support widely called unresponsive
  • Mobile app freezes and crashes
  • Time module costs extra
Pick it ifMid-sized US healthcare orgs wanting hardware plus payroll
Skip it ifVery small businesses under 10 employees on tight budgets
PricingCustom quote, ~$19-27 PEPM base plus $4-8 for time module

Editor's takePaycor pairs facial-recognition and fingerprint time clocks with geofenced mobile punching to stop buddy punching, and flows hours directly into Paycor Payroll to cut manual entry errors. The $4.1 billion Paychex acquisition adds scale, with the combined platform supporting 2.7 million employees. Support quality is the clear weak point, with G2 reviewers calling it unresponsive, and the mobile app has documented reports of freezing, crashing, and punches failing to register.

Does Paycor use biometric time clocks?

Yes. The PT800 uses facial recognition and the PT300 uses fingerprint scanning, both designed to prevent buddy punching, per Paycor's own product page.

Is Paycor's customer support reliable?

Reviews say no. Users on G2 report unresponsive and unhelpful support with long wait times, according to a Connecteam review roundup.

The evidence: 6 criteria, 3 penalties (−0.20 points)
8.9
Product Capability & DepthLooked for: We look for versatile time-tracking methods, biometric hardware options, and deep integration with payroll systems suitable for mid-market workforces.Paycor offers a robust suite including physical biometric clocks (PT800 facial recognition, PT300 fingerprint), mobile punching with geofencing, and points-based attendance tracking. The system supports complex overtime rules and integrates seamlessly with Paycor Payroll.paycor.compaycor.compaycor.com
9.3
Market Credibility & Trust SignalsLooked for: We look for established market presence, financial stability, and a large user base to ensure long-term reliability.Paycor is a major industry player serving over 49,000 clients and 2.7 million employees. Its credibility is further bolstered by its acquisition by Paychex, a giant in the HCM space, ensuring significant backing and stability.paycor.comrochesterbeacon.com
8.2
Usability & Customer ExperienceLooked for: We look for intuitive interfaces for end-users and responsive, effective customer support for administrators.While the interface is generally considered user-friendly for employees, the score is significantly impacted by widespread reports of 'horrible' customer support and mobile app stability issues like freezing and crashing.paycor.comconnecteam.comjibble.io
8.1
Value, Pricing & TransparencyLooked for: We look for clear, public pricing structures and competitive rates without hidden fees for essential modules.Pricing is not publicly transparent and requires custom quotes. Research indicates Time & Attendance is often an add-on cost ($4-$8 PEPM) on top of base subscription fees ($19-$27 PEPM), plus hardware setup fees.paycor.comsaasworthy.comoutsail.co
9.0
Compliance & Risk ManagementLooked for: We look for automated features that ensure adherence to labor laws, such as overtime calculations and break enforcement.Paycor excels here with automated monitoring of overtime thresholds, meal breaks, and rest periods. The biometric hardware also provides a strong audit trail to prevent time theft and ensure accurate pay.paycor.compaycor.com
8.8
Hardware & Mobile EcosystemLooked for: We look for a range of physical and digital time-capture methods that work reliably in various environments.Paycor offers a strong hardware lineup (PT800/PT300) and a mobile app with offline capabilities. While the ecosystem is comprehensive, the score is slightly tempered by reports of mobile app instability.paycor.complay.google.compaycor.com

Score adjustments−0.20 points in total

−0.09Numerous users report 'horrible' customer support with long wait times, unhelpful representatives, and unresolved tickets.connecteam.com · severity 80/100
−0.07Documented reports of the mobile app freezing, crashing, and failing to register punches, requiring manual fixes.jibble.io · severity 65/100
−0.04Pricing is not transparent; Time & Attendance is an add-on module with extra per-employee fees rather than being included in base plans.saasworthy.com · severity 50/100
Visit Paycor ↗ Back to the top of the ranking
8

eBillity

ebillity.com · eBillity Time Tracking for Healthcare · scored Dec 2025

eBillity tracks GPS visits well, but is not HIPAA compliant

Best forPrivate practices and home health providers billing patients by time or visit.

From $12 per user/mo GPS trackingnot HIPAA compliantADP integration
−0.4 vs #1
Visit eBillity ↗ See the evidence

A time and attendance tool with GPS tracking and facial recognition kiosks for home health teams.

Standout factThe product is not HIPAA compliant, and the vendor recommends using patient ID numbers instead of names.connecteam.com
Biggest catcheBillity is not HIPAA compliant out of the box, requiring a workaround for patient data.connecteam.com
4.4/5, 3,000+ reviewsCapterra ratingsoftwarefinder.com
$16Monthly base feeconnecteam.com

What reviewers say

Capterra
4.4/5 · 3,000+

Source: softwarefinder.com

The thing people get wrong

A healthcare-marketed time tracker is HIPAA compliant

eBillity is not HIPAA compliant. The vendor suggests using patient ID numbers instead of names

Source: connecteam.com

Upside

  • Facial recognition kiosk stops buddy punching
  • Offline mode for mobile tracking
  • Real-time GPS tracking and geofencing

Catch

  • Not HIPAA compliant by default
  • Monthly base fee adds cost
  • Mobile app sync glitches reported
Pick it ifPrivate practices and home health providers billing patients by time or visit.
Skip it ifHospitals needing pure shift attendance or complex union payroll rules.
PricingFrom $12/user/month plus a $16 monthly base fee

Editor's takeeBillity's strength is enforcement. GPS geofencing and a facial recognition kiosk make it hard to fake a shift. The compliance gap is real for healthcare settings. The product is not HIPAA compliant, and the vendor recommends tracking patients by ID number instead of name.

Is eBillity HIPAA compliant?

No. The vendor recommends tracking patients by ID number instead of name to avoid storing protected health information.

What does eBillity cost?

Plans run about $12 per user per month plus a $16 monthly base fee, according to third-party pricing data.

The evidence: 6 criteria, 3 penalties (−0.18 points)
8.7
Product Capability & DepthLooked for: We evaluate features specific to healthcare workflows, such as visit verification, scheduling, and offline capabilities for mobile staff.The platform offers robust GPS tracking, geofencing, and a facial recognition time kiosk to prevent buddy punching, alongside offline mobile tracking capabilities essential for home health visits.ebillity.comebillity.comfitsmallbusiness.com
9.2
Market Credibility & Trust SignalsLooked for: We look for established market presence, high user ratings on reputable platforms, and verified partnerships with major industry players.eBillity holds strong ratings across major review platforms and maintains verified partnerships with industry giants like ADP and Intuit, signaling high reliability.softwarefinder.comd3bql97l1ytoxn.cloudfront.net
8.9
Usability & Customer ExperienceLooked for: We assess the ease of adoption for non-technical staff, quality of customer support, and interface intuitiveness.Users generally find the web interface intuitive and praise the responsive support, though the mobile app experience is marred by occasional sync glitches.ebillity.comebillity.comjibble.io
8.5
Value, Pricing & TransparencyLooked for: We evaluate pricing structures for hidden fees, scalability for small practices, and overall cost-to-value ratio.Pricing is competitive per user, but the mandatory monthly 'base fee' adds a significant cost burden for smaller teams compared to competitors.ebillity.comconnecteam.comsourceforge.net
8.8
Integrations & Ecosystem StrengthLooked for: We examine the breadth of integrations with payroll, accounting, and Electronic Health Record (EHR) systems.Excellent integrations with major payroll and accounting systems (QuickBooks, ADP, Xero) are available, but there is no documented integration with clinical EHR systems.ebillity.comquickbooks.intuit.comebillity.com
7.8
Security, Compliance & Data ProtectionLooked for: We strictly evaluate HIPAA compliance, data encryption standards, and Business Associate Agreement (BAA) availability for healthcare users.Critically, the product is NOT HIPAA compliant by default; the vendor advises using patient numbers instead of names to avoid compliance issues.connecteam.comd3bql97l1ytoxn.cloudfront.net

Score adjustments−0.18 points in total

−0.09The product is explicitly not HIPAA compliant. The vendor recommends using patient ID numbers instead of names to avoid storing Protected Health Information (PHI), which is a significant workaround for healthcare providers.connecteam.com · severity 85/100
−0.06Users have reported technical issues with the mobile application, including slow loading times, glitches, and occasional failures to sync data correctly.jibble.io · severity 60/100
−0.03The pricing structure includes a mandatory monthly 'base fee' in addition to the per-user cost, which increases the effective price per user for smaller teams.connecteam.com · severity 45/100
Visit eBillity ↗ Back to the top of the ranking
9

TimeClock 365

timeclock365.com · TimeClock 365: Healthcare Time Tracking · scored Dec 2025

TimeClock 365 syncs Teams, isn't HIPAA compliant

Best forHome health agencies needing GPS tracking for field staff.

From $5 per user/mo Microsoft Teams clock-inbiometric accessnot HIPAA compliant
−0.4 vs #1
Visit TimeClock 365 ↗ See the evidence

Healthcare time tracking with biometric access control and native Microsoft Teams clock-in.

Standout factISO 27001 certified and GDPR aligned, but Microsoft's certification confirms no HIPAA compliance.learn.microsoft.com
Biggest catchMicrosoft's own app certification states the app does not comply with HIPAA.learn.microsoft.com
$5/user/moStarting priceselecthub.com
~$66/user/yearDoor access add-ontimeclock365.com
ISO 27001Certification heldtimeclock365.com

The thing people get wrong

Software marketed to healthcare is automatically HIPAA compliant

Microsoft's own certification confirms TimeClock 365 does not comply with HIPAA

Source: learn.microsoft.com

Starting price

$5/user/moDoor Access Control adds ~$66/user/year

Upside

  • Clock in directly from Microsoft Teams
  • Biometric and door access control
  • GPS geofencing for field staff

Catch

  • Not HIPAA compliant per Microsoft certification
  • Mobile app reported to crash and lag
  • Privacy policy disclaims full data security
Pick it ifHome health agencies needing GPS tracking for field staff.
Skip it ifEnterprises requiring hospital-grade EHR or HIPAA compliance.
PricingFrom $5/user/mo, door access adds ~$66/user/year

Editor's takeTimeClock 365 ties physical security to digital time tracking, letting staff clock in directly inside Microsoft Teams and pairing that with biometric or door-access hardware. Pricing starts at $5 per user monthly, competitive for the feature set. Despite marketing to healthcare, Microsoft's own app certification confirms it does not comply with HIPAA, a real gap for clinics handling patient-adjacent scheduling data.

Is TimeClock 365 HIPAA compliant?

No. Microsoft's App Certification explicitly states the app does not comply with HIPAA, though it holds ISO 27001 certification and is GDPR aligned.

How much does TimeClock 365 cost?

Basic pricing starts at $5 per user per month, with Door Access Control priced separately at roughly $66 per user per year.

The evidence: 6 criteria, 3 penalties (−0.18 points)
8.9
Product Capability & DepthLooked for: We evaluate features specifically designed for 24/7 healthcare environments, such as shift coverage alerts, biometric security, and cross-department scheduling.TimeClock 365 offers specialized healthcare features including department-based scheduling, automated coverage gap alerts, and biometric access control to secure sensitive areas.timeclock365.comtimeclock365.comtimeclock365.com
8.6
Market Credibility & Trust SignalsLooked for: We look for industry-standard certifications, transparent security policies, and verified presence in major software marketplaces.The platform holds ISO 27001 certification and is GDPR compliant, though its privacy policy contains standard disclaimers regarding the inability to fully warrant data security.timeclock365.comtimeclock365.com
8.5
Usability & Customer ExperienceLooked for: We assess the ease of adoption for non-technical medical staff, mobile app stability, and the quality of administrative dashboards.Users generally praise the intuitive web interface and ease of setup, but there are documented reports of mobile app instability, including crashes and sluggishness.support.google.comg2.com
8.8
Value, Pricing & TransparencyLooked for: We evaluate pricing models for clarity, affordability relative to features, and the presence of hidden costs for healthcare-specific modules.Pricing is competitive starting at $5/user/month with clear tiers, though some specific module costs (like door access) require digging to find the full annual cost structure.selecthub.comtimeclock365.com
9.1
Integrations & Ecosystem StrengthLooked for: We examine the depth of integration with common healthcare and business tools, particularly Microsoft Teams and payroll systems.The product features a deep, certified integration with Microsoft Teams allowing clock-ins directly within the interface, alongside connections to biometric hardware.timeclock365.comtimeclock365.com
8.2
Security, Compliance & Data ProtectionLooked for: We specifically verify HIPAA compliance status and data protection measures critical for handling healthcare staff data.Despite marketing to healthcare, Microsoft's app certification explicitly states the app does not comply with HIPAA, although it maintains ISO 27001 and GDPR standards.learn.microsoft.comtimeclock365.com

Score adjustments−0.18 points in total

−0.08Microsoft App Certification explicitly states the app does not comply with HIPAA, which contradicts the implied suitability for all healthcare environments.learn.microsoft.com · severity 75/100
−0.05Users have reported technical issues with the mobile application, including crashes and sluggish performance.support.google.com · severity 50/100
−0.05The privacy policy includes a disclaimer stating the company cannot fully ensure or warrant the security of personal information.timeclock365.com · severity 45/100
Visit TimeClock 365 ↗ Back to the top of the ranking
02

Side by side

10 features across 9 products. Green is yes, red is no, grey is not published.

FeatureEcoTimeQGendasymplrFareclockInovalonPaychexPaycoreBillityTimeClock 365
Has Mobile App — — — ✓ — ✓ ✓ ✓ ✓
Has Free Plan ✗ ✗ ✗ ✓ ✗ ✗ ✗ ✗ ✗
Has Free Trial ✗ — — ✗ — — — — ✓
Integrates With Zapier — — — — — ✓ — ✓ —
Has Public API — — — — — — — — —
Live Chat Support — — — — — — — — —
SOC 2 or ISO Certified — — — — — — — — —
Popular Integrations — — — — — Slack, Salesforce, Google Workspace — QuickBooks, Xero, Salesforce —
Supports SSO — — — — — — — — —
Starting Price Contact for pricing $500 per month $6,500 per year $19 per month $250 per month Contact for pricing $19 per user/mo $12 per user/mo $5 per user/mo
03

How we chose

Four fixed criteria for every product, plus two chosen for Time & Attendance Software for Healthcare & Clinics, weighted and reduced by documented penalties.

Full methodology
Criteria set for this categoryProduct Capability & Depth, Market Credibility & Trust Signals, Usability & Customer Experience, Value, Pricing & Transparency, Security, Compliance & Data Protection, Integrations & Ecosystem Strength
Evidence, then a scoreDocumentation, pricing pages, security pages and third-party reviews. Each criterion records what was found and links its sources.
Penalties, then a rankDocumented problems pull the score down with their evidence attached. Rank follows the score. Sponsored rows, where present, are labelled.
iIn selecting and ranking time and attendance software specifically for healthcare and clinics, key factors evaluated include essential features such as scheduling flexibility, integration capabilities with other healthcare systems, compliance with regulatory standards, and ease of use for both administrators and staff.
Albert Richer
Albert RicherFounder · Memphis, TN

Sets the criteria and reviews the evidence before a ranking publishes. Email him if something here looks wrong.

04

Questions people ask

Does EcoTime handle FMLA compliance?

Yes. A dedicated module tracks FMLA requests, checks employee eligibility, and manages approval steps automatically.

Can organizations pay for EcoTime monthly?

No. All EcoTime subscriptions are billed annually, with no monthly payment option currently offered.

How much does QGenda cost?

Pricing is not public. Third-party estimates put costs starting around $500 to $1,000 per month, with a custom quote required.

Is QGenda approved for government use?

Yes. It holds FedRAMP Authorization and an agency-wide Authority to Operate from the Department of Veterans Affairs.

How accurate is symplr's predictive scheduling?

The vendor claims 96% accuracy forecasting staffing needs up to 120 days in advance. It can also automate filling up to 75% of open shift hours early.

Is symplr's mobile app well rated?

No. It holds a 2.3 out of 5 rating on the Apple App Store from nearly 1,900 reviews. Users cite login loops and Face ID failures after recent updates.

Is Fareclock HIPAA compliant?

Public documentation does not explicitly confirm HIPAA compliance or the availability of a Business Associate Agreement, despite Fareclock marketing specifically to healthcare providers. Organizations with strict HIPAA requirements should confirm this directly with Fareclock before signing up.

Is Fareclock free?

Yes, the Basic plan is free for up to 5 users. Paid plans start at $19.25 a month for Pro and $29.50 a month for Premium, with pricing varying by payment frequency.

How is the best Time & Attendance Software for Healthcare & Clinics decided?

Every product is scored on six criteria for this category, with cited evidence and documented penalties. Rank follows the overall score. Vendors cannot pay for a position.

How often is this ranking updated?

Products are re-scored when pricing, features or evidence change. This ranking was last updated August 1, 2026.

05

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