With over 30% of all operational expenses, purchased services can be a revealing spend category for healthcare systems. Why? Purchased services often act as a litmus test for how well an organization systematizes its operations, communicates across departments, and optimizes their resources.
Ultimately over the next decade, the health systems that fine-tune their purchased services management process will thrive, while everyone else falls behind.
Purchased services include any and all services that are performed by a third-party vendor rather than done by the health system itself. Examples include landscaping services, credit card processing, and transcription.
Health systems across the nation spend over $300,000,000,000 per year on purchased services. A figure that is certain to go up in the coming years as organizations move toward cloud-based, digital health solutions.
All health systems require purchased services, though few have adopted a proactive and comprehensive approach to optimizing them.
Purchased Services Quick Facts:
Purchased Services Program: What You Get from TAG
TAG offers more than just tips – we offer a working purchased-services model that encompasses data, controls, and governance. TAG’s program lets your team see the spend, enforce the price, and resolve exceptions quickly.
Fragmented needs across facilities and departments
Localized services with inconsistent terms (snow removal vs. landscaping, etc.)
Many vendor types and contract formats
Limited staffing and unclear ownership
No “receipt” step for services → invoice exceptions
Little to benchmark against
The problems we fix
Purchases-to-Payment Data File (Services-Ready)
Unified ERP/AP/PO + contract/GPO + vendor statement feeds; service dates and acceptance steps captured for matching.
Standardized Rate & Terms
Post-M&A rate consolidation; system-wide catalog with contract price, UOM, alternates, and effective dates.
Controls for Services
PO routing for services, required service dates, named approver/acceptance, and exception reasons.
Process Map & Playbooks
Request → sourcing → contract → PO → acceptance → invoice match → pay, with documented exceptions and how to resolve them.
Benchmarks & Priorities
Peer/GPO comparisons by category, a sequenced remediation plan, and milestones to target savings.
Dashboards & Issue Lists
Role-based views (CFO, AP, Supply Chain, Clinical/Pharmacy) plus weekly lists for: duplicate/near-duplicate payments, price variance, unapplied credits, and off-contract buys.
What you get (core deliverables)
Take Back Control from Your Vendors
When departments like radiology, facilities, or food services manage vendors independently, visibility and control are lost. Vendors often work directly with department heads instead of through supply chain or centralized management, creating silos and inconsistencies. Without unified oversight, hospitals risk paying for services outside contract terms and no longer under contract, missing opportunities to leverage system-wide pricing, and losing track of what services are actually performed.
In short, a vendor-centric approach shifts control away from the health system—driving inefficiency, unnecessary costs, and compliance risk.
The strongest organizations are proactive in taking back control from their vendors. This means increased interdepartmental communication, defined processes specific to each area of purchased services, accurate data capture, and careful contract creation and management.
TAG Inc. Vendor Communication Model
The TAG Inc. Vendor Communication Model illustrates the difference between vendor-centric communication and system-controlled communication. In a vendor-centric model, each department (Supply Chain, Accounts Payable, End-User) interacts independently with the vendor, leading to inefficiency and lack of control. In a system-controlled model, communication flows through a structured, interconnected network across departments, ensuring alignment, transparency, and improved vendor oversight.
Duplicate-payment and unapplied-credit cleanup
Normalize vendors, classify items (UNSPSC/GTIN), align to contract terms and UOM.
High-variance category recovery and rate standardization
Normalize vendors, classify items (UNSPSC/GTIN), align to contract terms and UOM.
Operate
Weekly refresh, exception queues with owners and due dates, month-end reconciliation.
Why it Matters
Fewer overpayments and price errors, cleaner AP throughput, and a repeatable way to keep purchased-services on contract and on price—without adding busywork.