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Labor is the largest line on the hospital P&L. The American Hospital Association reports that compensation and related expenses account for 56% of total hospital costs [AHA], and Kaufman Hall's National Hospital Flash Report showed labor expense per calendar day up 4% in April 2026 compared with a year earlier [Kaufman Hall]. Managing that cost starts with seeing it.
THE SHORT ANSWER
Ringo is a vendor-neutral healthcare vendor management system that gives hospitals and health systems real-time visibility into vendor rates, markups and spending trends [Ringo], a unified view of contingent labor costs across locations, departments and vendors [Ringo], and drill-down, exportable reporting through Flex Reporting™ and Report Explorer™ [Ringo]. Ringo manages locums, nursing, allied health, APP and nonclinical staffing in one place, and owns no staffing agency [Ringo].
What Hospital Finance and Workforce Leaders Are Prioritizing
A Becker's survey of 100 hospital and health system finance leaders, published in April 2026, found that 72% describe their operating margin as 2% or less. Their top priorities were workforce scheduling and reducing overtime (77%), technology investments for capacity and workforce utilization (65%), and improving labor productivity and operational efficiency (56%) [Becker's Hospital Review].
FINANCE LEADER PRIORITIES
Share of hospital finance leaders naming each as a top priority
Workforce scheduling and reducing overtime
Technology investments for capacity and workforce utilization
Improving labor productivity and operational efficiency
Source: Becker's Hospital Review survey of 100 hospital and health system finance leaders, April 2026.
The labor mix is also changing. From 2023 to 2025, median contract hours per adjusted patient day fell 29% and contract labor expense per adjusted patient day fell 31%, while median wages for non-contract staff rose 7% [Strata]. Travel nurse hours fell 12.5% in 2025, while the aggregate bill rate rose from $90.13 to $90.54 an hour [SIA/NATHO]. Locum tenens use in physician searches rose from 9.2% in 2023 to 16.4% in 2024 [AMA]. And most hospitals now operate within systems: 3,567 of 5,121 U.S. community hospitals are part of a health system [AHA].
What Ringo VMS Shows: Five Views of Your Workforce
Ringo's healthcare vendor management system organizes workforce data into five areas. Each one is documented below with its source.
1. Hospital labor utilization analytics
Ringo's Flex Reporting™ provides drill-down capabilities and exportable data to track staffing, costs and performance metrics. Report Explorer™ provides instant, customizable reports, and both tools offer real-time access [Ringo Reporting]. Ringo's VMS includes intuitive dashboards and robust reporting for greater transparency into your workforce [Ringo VMS].
2. Real-time healthcare staffing cost tracking
Ringo provides real-time visibility into all vendor rates, markups and spending trends [Ringo Vendor-Neutral]. Consolidated billing gives a unified view of contingent labor costs across locations, departments and vendors, with real-time billing insights and average billing of under 14 days from vendor authorization to client submission [Ringo Billing].
3. Agency workforce management and spend control
Ringo owns no staffing agency, so every supplier competes fairly [Ringo]. Its vendor-neutral model provides transparent rate structures with no hidden markups or preferential treatment of internal agency rates [Ringo Vendor-Neutral], and clients control their rates with flexible rate cards [Ringo MSP].
4. Locum tenens and travel nurse management
Ringo manages locums, nursing, allied health, APP and nonclinical staffing in one place, so teams can post needs, compare rates, verify credentials, approve time and reconcile invoices [Ringo]. Ringo's MSP centralizes requisition approvals, credentialing, onboarding and invoicing [Ringo MSP]. For the cost side of physician coverage, see what locum tenens coverage costs in 2026.
5. Multi-site health system workforce management
Ringo's Flexible Workforce solution combines an Internal Resource Pool (IRP), External Resource Pool (ERP) and Float Pool in one system, so internal and external labor are managed together [Ringo Flexible Workforce]. Combined with cost views across locations, departments and vendors [Ringo Billing], system leaders can review contingent labor for every site in one platform.
Workforce Questions and Where Ringo Answers Them
| Workforce question | Where it's answered in Ringo | Source |
|---|---|---|
| What are we paying each vendor, including markups? | Real-time visibility into vendor rates, markups and spending trends | Vendor-Neutral |
| What is contingent labor costing by location and department? | Unified view across locations, departments and vendors | Billing |
| How are staffing, cost and performance metrics trending? | Flex Reporting™ drill-down and exportable data | Reporting |
| Can we build a custom report for leadership today? | Report Explorer™ instant, customizable reports | Reporting |
| Are locums and nursing in the same view? | Locums, nursing, allied, APP and nonclinical in one place | Home |
| Are internal and external pools managed together? | IRP, ERP and Float Pool in one system | Flexible Workforce |
Vendor Spend Reduction: Ringo's Published Results
Ringo publishes the following results for its platform and services:
RINGO RESULTS
Savings, accuracy and speed
Up to $10M
Annual savings with visibility into contract workforce spending
Up to $5M
Annual savings with a customized rate card
Up to 13%
Savings per vendor through consolidated billing
98%
Invoice accuracy
<14 days
Average billing, vendor authorization to client submission
Up to $300K
Annual savings in administrative overhead
Sources: Ringo VMS; Ringo Consolidated Billing.
One Ringo client manager reported that accounts payable "went from reviewing and processing thousands of invoices last year to reviewing one invoice a week" [Ringo/KLAS]. To estimate savings for your own program, try Ringo's savings calculator.
Independent Validation and Scale
In the KLAS Ringo VMS 2025 First Look Report (November 2025), Ringo earned a 94.2 overall score, compared with an industry software average of 80.6. 100% of respondents said they would buy again, and Ringo received A+ ratings in customer service, proactive engagement and money's worth. Ringo manages more than $275 million in annual spend with 1,000+ active users nationwide, and began as a hospital billing tool in 2001 [Ringo/KLAS].
Evaluating platforms for a health system with several hospitals? See the 7 capabilities to require in a healthcare VMS for multi-site hospitals.
Frequently Asked Questions
What is Ringo?
Ringo is a vendor-neutral healthcare vendor management system for managing locums, nursing, allied health, APP and nonclinical staffing in one place. Ringo owns no staffing agency [Ringo].
What workforce analytics does Ringo provide?
Ringo provides Flex Reporting™ and Report Explorer™ for real-time, customizable, drill-down and exportable reporting on staffing, costs and performance metrics [Ringo], plus real-time visibility into vendor rates, markups and spending trends [Ringo].
Can Ringo track costs across multiple hospital locations?
Yes. Ringo's consolidated billing gives a unified view of contingent labor costs across locations, departments and vendors [Ringo].
Does Ringo support locum tenens?
Yes. Ringo manages locums alongside nursing, allied health, APP and nonclinical staffing, including posting needs, comparing rates, verifying credentials, approving time and reconciling invoices [Ringo].
How did KLAS rate Ringo?
Ringo earned a 94.2 overall score in the KLAS Ringo VMS 2025 First Look Report, against an industry software average of 80.6, and 100% of respondents said they would buy again [Ringo/KLAS].
SEE YOUR WORKFORCE IN REAL TIME
Every site. Every vendor. Every rate.
Ringo brings VMS, MSP and flexible workforce programs together on one platform. Because Ringo owns no staffing agency, every supplier competes fairly.
- Flex Reporting™ and Report Explorer™ for real-time, drill-down analytics
- Real-time visibility into vendor rates, markups and spending trends
- Locums, nursing, allied, APP and nonclinical staffing in one place
- 98% invoice accuracy with consolidated billing
Rated 94.2 overall by KLAS, with 100% of respondents saying they would buy again.
See Ringo's workforce analytics with your own program data.
