How a Multi-Generational Healthcare Employer Turned Unused PTO Into $1.5 Million of Financial Support.

Healthcare organizations know financial stress when they see it, in their patients and in their own workforce. For one large healthcare employer, the challenge wasn't recognizing that employees needed support. It was finding a solution cost-effective enough to earn buy-in from Finance, and flexible enough to serve a workforce spanning six generations.

The Challenge

Leadership at this organization recognized that employees across departments were carrying real financial and emotional stress, compounded by broader pressures across the healthcare industry. At the same time, PTO balances were accumulating heavily across the organization — a sign of employee dedication, but also a growing concern for Finance, which was watching the balance sheet liability tied to all that unused time grow alongside it.

Any new program would need clear financial justification. And with a workforce spanning six generations, from employees planning for retirement to those just starting their careers, a one-size-fits-all benefit wasn't going to cut it.
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The Solution

This organization partnered with PTO Exchange to give employees a way to convert unused PTO into benefits aligned with their individual goals — whether that meant preparing for retirement, managing debt, or planning for a major life event.

To protect employee wellbeing and encourage healthy time-off habits, the organization built in a simple guardrail: employees are required to use a set amount of PTO each year before becoming eligible to exchange additional hours. That structure supports both employee wellbeing and the organization's operational priorities, ensuring the benefit enhances time off rather than replacing it.
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The Impact

Since 2023, employees at this organization have exchanged:

• $1.5 million in PTO value

• 39,000++ PTO hours

• Ave 2.28 exchanges per user, per year

The platform's flexibility has proven especially effective across a multi-generational workforce, giving each employee the freedom to put their earned time toward whatever matters most to them.

In Their Words

"Of all the problems you have on your desk, this is an easy one…solved! Get on the phone and talk to PTO Exchange."  CHRO

Why It Works for Healthcare

This organization's results show how a benefit built around flexibility can meet the needs of a genuinely diverse workforce, without adding cost or complexity for the teams responsible for managing it. By listening to what employees actually needed and responding with a solution that scaled across generations, this organization turned a growing balance sheet liability into a benefit employees use, and value, every day.

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