🎙️ Watch Now: See Through the $900B Black Box
Watch

From Fragmented Tools to a Unified View

How a large multi-state health system expanded its workforce management program while cutting agency spend by half
Products used:
Flexible Workforce
The problem

As its flexible workforce expanded across 90+ hospitals, this multi-state health system needed a more scalable way to manage internal and contingent talent. Existing manual processes made it increasingly difficult to contain labor and operational costs while meeting staffing needs. The organization needed a more efficient approach that could support continued growth. 

Key challenges

Serving 30 million people across 22 states through 90+ hospitals, the health system saw its flexible workforce grow from 350 to more than 1,400 internal and contingent clinicians in just two years. At the same time, the organization was supporting more than 3,200 resources across 15 regional float pools. 

As the program expanded, nearly two dozen tracking lists and manual workflows became difficult to maintain. Managing open needs required significant administrative effort, and the organization needed a solution that could scale with its growing workforce. 

Trinity Case Study

Why Hallmark

The organization’s previous approach to managing open staffing needs had become too labor- and time-intensive. Manual processes, duplicate effort, and the inability to effectively manage both internal and contingent resources made it clear a new approach was needed. With no plans to add administrative staff, the health system sought a platform that would help its existing team work more efficiently. 

“We knew we weren't going to get more FTEs as far as administrative support to do this type of work, so we needed a better tool that would allow us to be more efficient with our current staff.”
Director, Float Pool Program

The solution

The organization implemented Hallmark’s Internal Resource Pool (IRP) to manage float pool scheduling before expanding to the Vendor Management System (VMS) to source and manage agency-supplied contract nurses. 

Working together, the two solutions enabled the health system to prioritize internal resources before engaging external agencies. They automated sourcing and staffing, integrated with the organization’s core software, and provided the reporting and insights needed to support more informed decision-making. 

What was delivered

Hallmark helped the organization: 

  • Prioritize internal resources before engaging external agencies 
  • Streamline scheduling and workforce management across 90+ hospitals 
  • Add hours back into administrators’ day by reducing manual work 
  • Improve relationships with agencies through direct engagement 
  • Enable the existing team to support a rapidly expanding workforce 
“The only way that we've been able to effectively handle larger volumes of staff and to be able to manage them is with Hallmark, which allowed us to accommodate that massive growth.”

Outcomes

Reduced agency spend by 50%, representing $80+ million in annual contingent labor cost savings
Lowered first-year nurse turnover by 25%
Achieved a  98% fill rate
Maintained agency  rates 13–15% below national benchmarks
Reduced average  time-to-fill to 20 days
“With Hallmark, we get back more time in our day. We can reallocate those hours that were spent just entering data and managing open needs. I would not be able to have a central staffing function if I didn't have a tool like Hallmark.”

Supporting future growth

Hallmark helped position the health system for continued growth with a more scalable workforce management approach. With the right technology in place, the organization is well positioned to expand its workforce management program while managing operations more effectively. 

Trinity Case Study
Copyright © 2026 Hallmark Health Care Solutions, Inc.
All rights reserved.
Logo Hallmark

How would you like to sign in?

Select the profile you would like to use to access the platform.
(Formerly Einstein II)
(Formerly Heisenberg II)