You Can't Fix the Workforce Problem You Can't See.
The Retention Vital Signs™ Assessment identifies the hidden operational conditions driving turnover, disengagement, burnout, and workforce instability—before they become million-dollar problems.
TRUSTED BY LEADERS FROM
The Cost of Not Knowing
No executive wakes up intending to lose their best people.
They lose them because operational risk accumulates quietyly–until turnover, absenteeism, burnout, and
declining performance become visible on a balance sheet.
AVERAGE RN REPLACEMENT COST
$60,090
Per bedside RN
AVERAGE RN TURNOVER COST PER HOSPITAL
$4.2M – $6.2M
Average annual loss per hospital from RN turnover and premium contract labor (travelers/agency).**
THE 1% RULE
$295K – $380K
For an average hospital, every 1% change in RN turnover costs (or saves) approximately this amount per year.**
HIGH -ACUITY IMPACT ANNUAL BLEED
LOSING 100 BEDIDE RNs AT 22% TURNOVER***
$6.1 M – $9.0M
INDUSTRY AVERAGE
Estimated annual financial impact for hospitals experiencing significant bedside RN turnover.
$ Turnover isn’t just a people problem–it’s a multi-million-dollar operating risk. Measure it. Manage it. Stop the bleed.
* NSI Nursing Solutions. (2023). National Health Care Retention & RN Staffing Report. Average cost to replace one bedside RN is $60,090 (range $65,000 – $200,000 with additional costs).
** NSI Nursing Solutions. (2023). National Health Care Retention & RN Staffing Report. Average hospital loses $4.2M – $6.2M annually due to RN turnover and premium contract labor. Every 1% change in RN turnover costs (or saves) $295,000 – $380,000 per year.
*** Based on average hospital size with 100+ bedside RNs at a 22% turnover rate.
THE RETENTION VITAL SIGNS ASSESSMENT
IDENTIFY
Reveal hidden operational risks affecting workforce reliability.
1. DATA
Structured and unstructured workforce data from across the organization.
2. OPERATIONAL ANALYSIS
We analyze patterns, trends, and operational signals.
3. HUMAN INFRASTRUCTURE™ RISK SCORE
Our proprietary model quantifies your organization’s workforce reliability risk.
4. EXECUTIVE REPORT
Clear insights, risk drivers, and benchmarking delivered in an executive-ready report.
5. PRIORITY ROADMAP
Prioritized recommendations designed to improve workforce reliability and organizational resilience.
MEASURE
Quantify organizational risk with a Human Infrastructure™ Risk Score.
PRIORITIZE
Receive an executive roadmap identifying the highest-impact opportunities.
Know exactly where your workforce is vulnerable—and why.
Three Steps. One Clear Path Forward.
From hidden risk to executive clarity in 72 hours.
STEP 1. IDENTIFY
Reveal hidden operational risks across your workforce that threaten reliability and patient care.
STEP 2. MEASURE
Quantify organizational risk with our proprietary Human Infrastructure™ Risk Score.
STEP 3. PRIORITIZE
Receive an executive roadmap identfiying the highest-impact opportunities that drie measureable results.
Why organizations trust our methodology
Human Infrastructure™
Looks beyond engagement surveys to identify operational drivers.
Executive-focused
Designed for leaders making financial and operational decisions.
Actionable
Every finding includes prioritized next steps—not generic recommendations.
Founded by Tabitha Christopher, Legacy Impact Co. exists to help healthcare organizations strengthen workforce reliability through objective operational assessment.
Your workforce is already telling a story.
The question is whether you’ll hear it before it becomes expensive.
Legacy Impact Co.
Human Infrastructure™ Intelligence for Healthcare Leaders
© 2026 Legacy Impact Co. All Rights Reserved.
Retention Vital Signs Assessment™, Human Infrastructure™, and Human Infrastructure™ Risk Score™ are proprietary intellectual property of Legacy Impact Co.