How do I reduce total agency spend at my skilled nursing facility?
Reducing total agency spend at a skilled nursing facility requires shifting per diem coverage from agency channels to direct marketplace access. The markup difference alone recovers 20-40 percentage points on every shift - and that compounds significantly at volume.
Calculating your current agency spend exposure
Total all agency spend across all positions and shift types.
Divide total spend by total hours to get your effective all-in rate per hour.
Compare your all-in rate to your base caregiver pay rate to identify your current markup.
Recalculate the same hours at Quinable's 20% facility transaction rate to find your potential savings.
Where the savings go
Savings from reducing agency spend can be reinvested in competitive base caregiver rates - which improves retention and reduces turnover costs - or flow directly to the bottom line. Most facilities find the combination of lower per-shift cost and reduced coordinator overhead from automated marketplace matching produces 3-5 percentage points of margin improvement.
A facility spending $20,000 per month on agency staffing at a 50% markup is paying $6,667 per month in pure markup over base pay. Shifting to a 20% marketplace fee saves $4,000 per month - $48,000 annually on the same staffing volume.
Agency spend reduction is a structural shift from markup-based agency calls to transaction-fee marketplace access. The financial case is straightforward. The operational transition takes 60-90 days of intentional marketplace use to complete.
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