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The cost of turnover can profoundly impact nursing homes and hospital margins which need to be managed through innovative solutions. According to the survey, the average cost of turnover for a bedside RN is $40,038, resulting in the average hospital losing between $3.6m – $6.5m/yr. The RN Recruitment Difficulty Index remains elevated at 89 days on average. Feeling the financial stress, hospitals expressed an interest to decrease reliance on supplemental staffing, particularly given the higher rates being charged due to COVID.