One problem.Six industrysolutions.
Whether managing 24/7 nurse shifts or high-billable consultant hours, unused PTO is an unfunded debt sitting on your balance sheet. We provide a cost-neutral way to amortize that debt.
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Trusted by Leading Organizations
Resources for Organizations 
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Healthcare

Fix nursing burnout 
and 403(b) gaps.
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Financial Services
Audit-ready compliance 
for elite talent.
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Nonprofit

Compete for talent with 
zero salary spend.
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Manufacturing
Reward production without operational downtime.
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Professional Services
Convert billable time into 
premium rewards.
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Higher Education
Modernize faculty benefits and 403(b) growth.
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Integrated and Livein 90 Days
Our managed implementation process ensures zero disruption to your core operations, regardless of industry complexity.

Ready to Add a Benefit That Costs Your Organization Nothing?

Talk to our team about how PTO Exchange fits your organization's size, payroll infrastructure, and Total Rewards strategy. Most implementations are complete in weeks — and paying for themselves from day one.

Frequently Asked Question

01

Does PTO Exchange work for shift-based clinical staff?

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  • Yes. PTO Exchange works with all employee types including hourly and shift-based workers. Eligibility, exchange limits, and protected balances are fully configurable to your organization’s specific policies.

02

Can healthcare systems with union workforces use PTO Exchange?

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  • Outside of a nominal one-time implementation fee, there is no ongoing cost to the employer for PTO Exchange. The platform is funded entirely through an IRS-required service charge paid by

03

How does PTO Exchange help with nursing retention specifically?

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  • Outside of a nominal one-time implementation fee, there is no ongoing cost to the employer for PTO Exchange. The platform is funded entirely through an IRS-required service charge paid by