The reason of existence for health care systems is the achievement of objectives. And the success of such depends on the performance of individual employees. When a job is assigned to the employee and they reach their goal, the objective is fulfilled. But in order to know whether they have been successful or not, it is implicit to investigate the extent of effectivity of an employee. Usually, the data gets evaluated at the end of the year, and the employee’s performance can be investigated. Without evaluation, the management remains clueless about weaknesses regarding the work force. It is also important to praise and reward employees in the process. It is important that planning (objectives, performance standards and behavior) is accompanied by communication, counseling, coaching, motivation and feedback. The research is based on Primary data and secondary data. The purpose of this study is to investigate the employee performance appraisal systems and processes based on hospitals.