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From Fragmented Tools To A Unified View

Community Health System changed the way it staffs, plans, and partners—all with an eye to the future.
Products used:
Flexible Workforce
Community Health System
The problem

Before Hallmark, Community Health System managed contract labor in a decentralized way, with departments staffing facilities individually and limited enterprise-wide visibility into rates, time-to-fill, and workforce needs. As demand surged, the organization moved from managing roughly 80 travelers to managing 10x that, while relying on an MSP model that gave leadership less control over rates, agency relationships, and who was entering the system. 

Like many health systems, Community Health System was trying to make workforce decisions across fragmented processes rather than through a unified operating layer. The result was a more reactive staffing model at a time when cost pressures, operational complexity, and patient care demands were only increasing. 

“You’ve got nursing, operations, finance, and legal, and they all speak different languages. There are a million ways to count a bean. Finance wants to know how much a traveler costs, while operations wants to know how many travelers we have and how that equates to full-time employees. Nursing needs information about many people we have for them. Hallmark gave us the ability to pull that data quickly and translate it into different departments’ languages.”
Key challenges
  • Staffing decisions were managed locally, limiting system-wide visibility
  • Leaders had limited control over bill rates, agency relationships, and contract labor governance under the MSP model
  • The organization needed to move from reactive fulfillment to more proactive workforce planning across departments
  • Different functions needed workforce data presented in different ways, making coordination across nursing, operations, finance, and legal more difficult
  • Open staffing needs affected not only labor costs, but also patient access, bed availability, and workforce burnout
Community Health System 2

Why Hallmark

Community Health System wanted more than a staffing tool. They wanted a partner that could help them design a Centralized Staffing Office, create the right governance model, and give leaders a clearer view of workforce demand, cost, and deployment across the organization.  

"We weren’t centralized. The teams staffed their facilities individually. If they needed a travel nurse, they would call a staffing agency, but no one was looking at things like rates and time-to-fill globally. It was kind of the Wild West."
Jon Stabbe, Director of Workforce Staffing, Scheduling, and Timekeeping

The solution

Hallmark partnered with Community Health System to centralize workforce operations using the Flexible Workforce solution of Healthcare’s Workforce Operating System. With a mix of intelligent technology and a dedicated services team, the Centralized Staffing Office was created and was able to serve departments across the organization through one connected approach to contract labor, staffing workflows, and reporting.  

"With more direct control over staffing agencies and better visibility into system-wide needs, Community Health System was able to reduce contract labor dependence, plan ahead more effectively, and redirect dollars toward recruitment and sign-on bonuses that helped convert travelers into permanent team members. We were able to hit our goal of creating a one-stop shop."
Community Health System 3
What was delivered
  • Design support for Community Health System’s Centralized Staffing Office and governance model 
  • Configuration of department-specific staffing requirements within Hallmark’s technology 
  • Centralized management of agencies and contract staff across travel nurses, allied professionals, international nurses, interim managers, and temporary administrative staff 
  • A global view of staffing needs to support more proactive planning, including advance planning for seasonal demand patterns 
  • Reporting that made workforce data usable across nursing, operations, finance, and legal 
  • Compliance and licensure visibility for travel nurses 
  • A competitive marketplace that enabled direct agency relationships, faster order fulfillment, and greater rate control 
“You’ve got nursing, operations, finance, and legal, and they all speak different languages. There are a million ways to count a bean. Finance wants to know how much a traveler costs, while operations wants to know how many travelers we have and how that equates to full-time employees. Nursing needs information about many people we have for them. Hallmark gave us the ability to pull that data quickly and translate it into different departments’ languages.”
“Our Hallmark team understood the system itself, and its configurations—and they also knew the clinical side so they could help us input all of those requirements into the system. It was quite an undertaking but it was a smooth process, and I felt supported the entire way.”

Hallmark’s impact on Community Health System

By centralizing staffing and shifting to Hallmark, Community Health System improved visibility, strengthened control over contract labor, and created a more proactive workforce model.
21%
Reduction in average nurse bill rate
41%
Reduction in time-to-fill rate
100%
Fill rate
25
Travel nurses converted to employees
With more direct control over staffing agencies and better visibility into system-wide needs, Community Health System was able to reduce contract labor dependence, plan ahead more effectively, and redirect dollars toward recruitment and sign-on bonuses that helped convert travelers into permanent team members.
"We were able to hit our goal of creating a one-stop shop."

Building a stronger foundation for what comes next

By connecting staffing demand, agency management, reporting, compliance, and planning into a more unified operating model, Community Health System moved from reactive contract labor management toward a more coordinated workforce strategy. 

That shift has positioned the organization not only to control costs and fill needs faster, but also to adapt to a workforce that increasingly values flexibility. As Community Health System continues to test new staffing models, Hallmark remains part of how they plan for a more resilient workforce and stronger patient care delivery over time. 

"The workforce has changed. And we can accommodate that now and in the future."
Community Health System 4
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