Transforming frontline caregiver engagement into action with real-time recognition, healthy competition, and personal connections, Gratia ties daily actions into outcomes that matter, from patient experience to nurse sensitive outcomes.


Nursing turnover costs health systems $4 - 7M every year
Most of that cost is preventable. Research consistently shows that caregivers who feel seen, connected, and part of a team stay, and outcomes improve. That culture doesn’t build itself on a busy floor.
Gratia gives teams a place to connect, celebrate each other, and grow - every shift, without any extra work landing on leaders. The culture builds itself. Leaders see the results.
$60K
Average cost per RN departure
3-4x
Premium cost of travel nurses
vs staff nurses
19x
Years nurses have been
America's most trusted profession

Caregivers drive it.
Leaders see the difference.
Gratia lives on the floor, not in a dashboard. Caregivers engage with it because it’s genuinely enjoyable- the recognition, the games, the connections. The outcomes for leadership follow naturally.
Your team recognizes each other and celebrates milestones in real-time. Peer bonds are built through daily-micro moments within gratia.
Unit challenges, recognition streaks, and badge achievements make engagement something teams look forward to, not just another engagement survey.
See participation, recognition patterns in real-time. Track your culture's health over time. Apply that data to your designation documentation or share with your system leadership.
Many recognition platforms are built and retrofitted for healthcare. Gratia was designed from day one for the healthcare workforce.
See Gratia GamesCo-founded by Laura Fleischfresser, MBA, RN, an experienced nurse leader who built Gratia because she lived the problem and believed the floor could feel different.
"Gratia has helped us elevate something that already exists in strong teams – recognizing the everyday moments that often go unnoticed. Their approach encourages people to pause and acknowledge the small things colleagues do each day to support one another and care for patients."
"ScionHealth’s purpose is to empower the hands that heal to do what they do best. An essential part of what we do is providing caregivers with opportunities to help them reach their goals – ultimately, creating careers that are satisfying and sustainable. We’ve done that with Gratia Health."
"Our partnership with Gratia has propelled innovation and technology to the forefront and has assisted with contract-labor reduction by promoting a shared responsibility model to care for our patient population."
Going live with Gratia doesn’t require an IT project or a change management plan. Gratia is a mobile web-based app. Your team creates an account, and starts connecting the same day.
Our team partners with you on game set up, team eligibility, and roster loading. You tell us your goals. We do the rest so your leaders spend minimal time on implementation.
Branded collateral, a virtual support center, and everything your team needs to get started. Created by us, ready for your team before launch day.
An in-person site launch gets every team member onboard in a single day. By the end of the first week, your team members are already recognizing each other and achieving game badges.
