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High Cost of Turnover - White Paper

The High Cost of Turnover in the Canadian Healthcare System

A Financial and Leadership Blind Spot

White Paper by: Raelynn Douglas

This white paper is archived with a DOI and can be cited in research, policy, and academic work.

Citation: Douglas, R. (2026). The High Cost of Turnover in Canada’s Healthcare System: A Financial and Leadership Blind Spot.

https://doi.org/10.5281/zenodo.18966154

Healthcare in Canada is losing billions of dollars every year - because of something quiet, invisible and preventable - staff turnover.

This paper explains how retention may be the most powerful solution to improve patient outcomes, workforce stability and financial sustainability.

In this white paper, Raelynn Douglas draws on real-world healthcare leadership experience and Canadian data to expose the true financial and human cost of turnover - costs that are Infrequently measured, rarely owned, and often dismissed as “the cost of doing business.”

Using conservative estimates and a detailed Ontario case study, this paper shows how turnover quietly drains healthcare budgets, erodes continuity of care, and fuels a cycle of burnout and churn - all while remaining largely invisible in boardrooms and executive dashboards.

The paper makes a clear case for reframing retention as:

  • A financial strategy
  • A leadership responsibility
  • An urgent priority that can be addressed immediately

Most importantly, it argues that meaningful change does not require massive new funding - it begins with awareness, better questions, shared accountability, and upstream leadership action.

About the Author - Raelynn Douglas, Founder & CEO, Raesoleil

Rae Cultivator

Raelynn Douglas, MBA, CHE, brings over 30 years of leadership experience in healthcare and the public sector. She has led large, complex teams and systems, developing a deep understanding of workforce dynamics, retention challenges, and the leadership decisions that shape organizational sustainability.

Rae is the author of the upcoming book:

The Billion Dollar Blindspot: The Hidden Cost of Healthcare Turnover in Canada.