Caliber Health Intelligence

Workforce economics research on U.S. skilled nursing.

Contract nurse hours as a share of all nurse hours, U.S. skilled nursing.

Sector signal · from PBJ

The agency bubble

2.1%

2017 Q1

10.5%

Peak · 2022 Q4

5.3%

Now · 2026 Q1

National nurse agency reliance. Contract hours divided by total nurse hours, all facilities.

2.16.310.52017 Q12018 Q42020 Q32022 Q22024 Q12026 Q1

Source: CMS Payroll-Based Journal, hours summed nationally.

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