3,000,000+ PTO Hours Exchanged
Healthcare

Almost half of health workers report feeling burned out “often” or “very often”, signaling rising stress among clinical staff. This escalating burnout not only undermines staff well‑being but also threatens patient care quality and organizational stability.
The 2024 NSI National Healthcare Retention & RN Staffing Report states that hospitals experienced an overall turnover rate of 20.7%, with registered nurse turnover at 18.4%, underscoring ongoing workforce churn in clinical settings. An American Hospital Association poll also found that 88% of nurses worry about how staffing shortages affect patient care, and 63% report being assigned to too many patients at once, highlighting the critical need for effective retention and support strategies.
In healthcare settings, PTO liabilities can balloon quickly. For example, at an average unused PTO liability of $7,600 per full‑time employee, a mid‑sized hospital with 800 staff members would carry over $6 million in PTO obligations on its balance sheet. That’s money hospitals could instead reinvest in patient care, staff training, or critical equipment.
In healthcare settings, rigid benefit structures are especially problematic. Aon’s 2024 Benefits Survey of Hospitals revealed that fewer than 15% of hospitals provide any customizable PTO redemption or alternative leave options, underscoring the need for more flexible solutions tailored to the diverse needs of healthcare professionals.
Create Your Personalized PTO Program
PTO Exchange’s menu of options allows you to control and customize everything about your organization’s exchange policy. You’ll be able to easily turn on and off exchange options and create a program that fits exactly your needs. Our exchanges are split into two categories:

Your staff can make pre-tax contributions to 401(k) / 403(b) or post-tax contributions to Roth plans
Employees can pay down student loans, make tuition payments or fund their 529 plans
Enable alternative options for eligible employees to contribute pre-tax for HSA
Deliver choice and flexibility for employees to manage rising inflation or unexpected expenses
Allow employees to use excess PTO for discounted airfare, hotels, car rentals, and more
Increase participation and offer an alternative way to cover the cost of monthly premiums
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
PTO Exchange helped us reduce our PTO liability by over 30% in under 6 months — without adding any cost to the business. It’s one of the most impactful benefits decisions we’ve made.
Partner members of Minnesota Hospital Association (MHA) and New Jersey Hospital Association (NJHA), supporting member hospitals in delivering smarter, more equitable benefits.
Improve engagement, reduce benefit liabilities, or bring innovation while reducing PTO liability on the balance sheet.
By giving employees greater control over how they use their PTO, healthcare orgs can increase satisfaction, build loyalty, and reduce turnover. Benefits become more personalized and meaningful, particularly for younger staff burdened with student debt or more tenured employees planning for retirement.
Unused PTO accruals can create significant balance sheet liabilities. PTO Exchange helps mitigate this issue by offering alternative redemption options, allowing organizations to reduce accruals without forcing employees to “use it or lose it.”
Healthcare professionals are more likely to experience burnout and emotional fatigue. A PTO Exchange program enables converting PTO into wellness resources or shared leave, helping staff feel supported, even during the most stressful times.
Healthcare workers increasingly look for flexibility and purpose in their benefits. Offering a customizable PTO experience gives your organization a unique advantage in attracting new talent in a highly competitive labor market.
PTO Exchange works with your existing HRIS and payroll systems, making implementation smooth, secure, and scalable. Our solution is fully configurable to fit your organization’s policies and compliance requirements.
Given the regulatory complexity healthcare organizations navigate daily, PTO Exchange is built on a patented, IRS-validated framework with SOC II Type 2 certification. The program is legally defensible in all 50 states, so HR and compliance teams can implement it with full confidence.
Discover How PTO Exchange Is Drastically Reducing Employee Turnover
The PTO Exchange platform has helped a number of our clients reduce turnover and save PTO dollars. See how we do it here.