Companies without a program had an average turnover rate of two to three years, while those who offered tuition assistance saw the average employment period lengthen to five or more years. Tuition reimbursement fosters loyalty to the employer and increases overall job satisfaction. In addition to strengthening the retention rate, tuition reimbursement programs allow employers to promote within the company rather than hiring outsiders. When companies are hiring from within it increases worker morale and loyalty. It also decreases the costs of hiring and training new candidates. Training for advancement is particularly beneficial in high-need areas, especially in medical fields like nursing.