Our services — labor

Labor Cost
Optimization

Reduce overtime and agency spend while improving staffing efficiency and productivity — without compromising care quality or census performance.

Our focus
Labor spend analysis and productivity benchmarking
Scheduling and staffing model optimization
Overtime and agency reduction strategies
Actionable workforce recommendations
Illustrative scenario, not a Ganavyx client result — hypothetical 120-bed skilled nursing facility.
Labor cost breakdown
Staff cost by type — % of total labor
Regular staff38%
Overtime34%
Agency / travel28%
62% of labor costs are overtime & agency — most never benchmarked against peers.
Agency premium above pre-pandemic
28%
above pre-pandemic rates for contract nurses
Source: CLA/CMS FY2024 Final Rule, 2023
Nurse wage growth since 2019
17.3%
compounding cost of every unoptimised shift
Source: AHCA/NCAL, February 2023
Contract staffing: still above pre-COVID baseline
!
Contract staffing levels
Still above pre-COVID baseline
Source: HHS/ASPE, January 2025
What we do
Evaluate staffing models, schedules, and productivity
Labor spend and productivity analysis
Scheduling and staffing optimization
Overtime and agency reduction planning
The impact
Lower labor costs across all staff types
Better shift coverage and reliability
Improved staff productivity metrics
Stronger margins without cutting care
Who this is for
Skilled Nursing Facilities
Senior Living Operators
Multi-site Operators
Management Companies
Data sources
1 CliftonLarsonAllen (CLA) / CMS FY2024 Final Rule, 2023. claconnect.com
2 AHCA/NCAL. State of the Skilled Nursing Facility Industry. February 2023. ahcancal.org
3 U.S. HHS/ASPE. The Use of Contract Staff in Nursing Homes. Issue Brief, January 2025. aspe.hhs.gov

Proud member of leading industry associations

Member
LeadingAge NY
LeadingAge New York — serving New York's aging services community
leadingageny.org →
 Member
hfma
Healthcare Financial Management Association
hfma.org →
 Member
NYSHFA | NYSCAL
New York State Health Facilities Association · New York Center for Assisted Living
nyshfa-nyscal.org →

What to expect

A clear path from labor data to sustainable cost improvement.

Ganavyx structures the engagement to help leadership understand labor cost drivers, identify controllable opportunities, and protect staffing quality while improving financial performance.

Initial alignment

Discovery

We begin by understanding the facility's staffing challenges, workforce priorities, and the labor cost pressures requiring attention.

  • ✓Overtime and premium labor concerns
  • ✓Agency utilization and scheduling issues
  • ✓Recruitment, retention, and coverage priorities
Your involvement
A focused discussion with leadership and relevant operational contacts.
Focused assessment

Labor Review

Ganavyx reviews the available labor and operating information to identify the patterns driving cost and operational pressure.

  • ✓Payroll and overtime trends
  • ✓Agency invoices and utilization
  • ✓Staffing patterns, vacancies, and productivity
Your involvement
Provide requested reports and answer limited follow-up questions.
Decision support

Executive Briefing

Leadership receives a concise, decision-ready package focused on the labor issues that matter most and the actions that should follow.

You receive
Executive SummaryA concise briefing of the highest-priority labor findings.
Labor Opportunity RegisterPrioritized cost and operational opportunities by significance.
Estimated Financial ImpactPotential savings quantified where the available data supports it.
Action RoadmapRecommended priorities, owners, and practical next steps.
As needed

Implementation Support

Ganavyx can remain involved to help leadership move from analysis to practical workforce and labor cost improvements.

  • ✓Prioritization and implementation planning
  • ✓Scheduling and agency reduction initiatives
  • ✓Progress and savings tracking
Flexible scope
Support is tailored to staffing realities and management capacity.

Built for operators managing real staffing constraints.

The engagement is designed to improve labor economics without treating staffing as a simple cost-cutting exercise.

✓Clear communication
✓Respect for care requirements
✓Executive-ready recommendations
✓Practical implementation priorities

Every engagement is tailored to the organization's priorities, available information, and operational objectives.

Optimize your labor spend without compromising care.

Build a smarter staffing strategy that drives sustainable results.

Schedule a Consultation
Integrity·Insight·Growth