The Caregiver Squeeze

October 30, 2026 The Caregiver Squeeze | Financial Wellness Think Tank™
Research Report | 2026
Three generations of a family, including a woman in a wheelchair, taking a selfie together
Caregiving and Financial Wellness

The Caregiver Squeeze

How rising financial stress is weighing hardest on employees who care for family, and what employers can do about it

Financial Wellness
Think Tank™
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Key Takeaways

Caregivers carry substantially higher financial stress than their colleagues, but the right guidance can help. These findings draw on 134,144 Financial Finesse users surveyed from January 2024 through September 2026, along with recent external research.1

  • Stress premium
    4 in 10

    About four in ten elder and sandwich-generation caregivers reported high or overwhelming financial stress in 2026, compared with fewer than three in ten employees with no dependents.1

  • Rising stress
    +8 to +10 pts

    High or overwhelming financial stress rose in every group from 2024 to 2026, including increases of 8.0 to 10.0 percentage points among caregivers.1

  • Program outcomes
    59%

    Among caregivers with high or overwhelming stress who engaged with Financial Finesse from 2021 to 2025, 59% or more, depending on the group, moved to some or no stress.1

  • Shared demand
    95%

    Both employees and employers, at 95% each, agree that financial services companies should provide customized financial planning support for caregivers.2

Section One

Caregiving in the American Workforce: A Growing and Uneven Burden

Voya’s 2026 research describes caregiving as a widespread, lasting responsibility that reaches employees at every age and career stage.2 Financial Finesse’s data sorts employees into four groups based on what they report when first surveyed: no dependents, caring for children, caring for elderly parents or other family members, and the sandwich generation, who care for both children and aging parents.1

A Growing Older Population

The Population Reference Bureau describes the growth of the population ages 65 and older as unprecedented in U.S. history.3 It projects that this group will grow from 58 million Americans in 2022 to 82 million by 2050, a 42% increase.3 Over the same period, its share of the population will rise from 17% to 23%.3

Most caregivers expect the responsibility to continue.4 In the 2026 Retirement Confidence Survey, 72% of caregiving workers said they were likely to provide unpaid care in the next five years, compared with 42% of workers who were not caregivers.4

Aging population
82M
Americans ages 65 and older projected by 2050, up 42% from 58 million in 2022
The years ahead
72%
of caregiving workers expect to provide unpaid care in the next five years, compared with 42% of other workers
Sources: Population Reference Bureau; EBRI and Greenwald Research, 2026 Retirement Confidence Survey.3, 4

Caregiving Strain Is Not Only a Matter of Income

A fair question is whether income, rather than caregiving, explains the financial gaps between caregivers and other employees.

Survey data suggests that income does not explain the whole gap.4 In the 2026 Retirement Confidence Survey, caregivers in both the lowest and highest income bands were more likely to lack confidence that they would have enough money to live comfortably in retirement than non-caregivers with similar income.4

Caregivers vs. Non-Caregivers at the Same Income Level
Household income bands from the 2026 Retirement Confidence Survey

Not confident of having enough to live comfortably in retirement

Not confident of having enough to live comfortably in retirement, by caregiver status and income Share not confident of living comfortably in retirement. Under $35,000: caregivers 75%, non-caregivers 55%. $75,000 or more: caregivers 32%, non-caregivers 23%. 0% 25% 50% 75% 100% 75% 55% Under $35,000 32% 23% $75,000 or more
Differences between caregivers and non-caregivers in both income bands are statistically significant. Source: EBRI and Greenwald Research, 2026 Retirement Confidence Survey.4

Section Two

The Financial Toll and Why It Is Getting Worse

Financial stress rose among the employees Financial Finesse surveyed from 2024 to 2026.1 The 2026 Retirement Confidence Survey found that workers’ confidence in a comfortable retirement fell to its lowest level since 2017, and that debt and cost-of-living challenges affected many Americans.4 Financial Finesse’s survey data shows the same pressure: the share of employees reporting high or overwhelming financial stress rose in every group, including employees with no dependents.1

Caregivers took on that increase from an already higher starting point.1 In the first nine months of 2026, 38.0% of employees caring for children reported high or overwhelming financial stress, along with 42.8% of those caring for elderly parents or other family members and 41.5% of the sandwich generation.1 Among employees with no dependents, the share was 28.8%.1

Financial Stress and Wellness by Caregiving Group, 2024 to 2026
Results from users’ first survey, captured before any program engagement. Stress is the share reporting high or overwhelming financial stress. Scores use a 1 to 10 scale.
Caregiving group High or overwhelming stress Financial Wellness Score
202420252026Change 202420252026Change
No dependents22.1%22.6%28.8%▲ 6.7 pts4.904.804.70▼ 0.20
Caring for children28.3%30.6%38.0%▲ 9.7 pts4.804.664.57▼ 0.23
Elderly or parent caregivers32.8%35.4%42.8%▲ 10.0 pts4.604.534.45▼ 0.15
Sandwich generation33.5%37.1%41.5%▲ 8.0 pts4.714.524.45▼ 0.26
Changes compare 2024 with 2026. 2026 figures cover January through September. Source: Financial Finesse Financial Wellness Think Tank, users surveyed in 2024 (n=56,088), 2025 (n=47,426), and January to September 2026 (n=30,630).1

The gap between caregivers and their colleagues is large and has persisted across all three years.1 In 2026, the share of elder caregivers reporting high or overwhelming stress was 14.0 percentage points higher than among employees with no dependents.1 The gap was 12.7 points for the sandwich generation and 9.2 points for employees caring for children.1 Financial Wellness Scores declined for every group over the same period.1

Sources of Financial Pressure

The rise in stress follows several years of sharp increases in the price of paid care.5 An AARP Public Policy Institute analysis found that private-pay costs for home health care and assisted living rose by almost 50% from 2019 to 2024.5 Over the same period, the median income of households headed by someone 65 or older rose 22%.5 EBRI found that sandwich-generation workers, who live with both their parents and their children, were more likely to see their financial assets shrink.6 From 2020 to 2022, 39% of them saw a decrease, compared with 29% of other workers who lived with their parents.6

How Caregiving Workers Absorb the Cost
Share of caregiving workers who have taken each action as a result of being an unpaid caregiver
Financial support
34%
gave money or financial support to the person they care for
Borrowing
24%
borrowed money from family or friends
New debt
20%
took on new or additional debt
Retirement savings
19%
reduced contributions to a retirement savings plan
Source: EBRI and Greenwald Research, 2026 Retirement Confidence Survey, caregiving workers (n=701).4

Caregiving also reaches into the workday.2 In the 2026 Voya survey, 73% of employed caregivers had used their own sick, vacation, or personal leave to provide care, and 48% had cut back on work hours.2 Caregivers also pay for care out of their own pockets, according to AARP’s 2021 study, which tracked these costs through a survey and a week of expense records.7 Among caregivers who reported such costs, the average was $7,242 a year, most of it for a loved one’s housing and medical needs.7 Those costs rise with work disruption: caregivers whose jobs were disrupted in two or more ways spent an average of $10,525 a year, almost twice as much as those with one or no disruption.7

Annual Out-of-Pocket Caregiving Costs
Average amount family caregivers spent from their own money on caregiving in a year, AARP Caregiving Out-of-Pocket Costs Study, 2021
All caregivers with costs
$7,242
All family caregivers who spent their own money on caregiving, whether or not they were working
Source: AARP Research, survey and one-week expense tracking of nearly 2,400 family caregivers, fielded March 15 to April 25, 2021.7

The effects can last beyond the working years: in the 2026 Retirement Confidence Survey, 56% of retired caregivers had retired earlier than planned, compared with 44% of retirees who were not caregivers.4

Most employers do not yet offer elder care services or caregiving education, though many plan to add them.8 In EBRI’s 2025 employer survey, fewer than four in ten employers offered either benefit, and nearly half planned to add each.8

Elder care services
46%
of employers plan to add elder care services or programs, while 38% offer them today
Caregiving education
47%
of employers plan to add programs or education around caregiving, while 37% offer them today
Source: EBRI, 2025 Financial Wellbeing Employer Survey (N=406), presented at the 2025 Financial Wellbeing Symposium.8

Section Three

Financial Wellness Programs Work for Every Caregiving Group

From 2021 to 2025, employees in all four groups who engaged with their employer’s financial wellness program reduced their financial stress and raised their Financial Wellness Scores.1 The groups started from different baselines but improved at similar rates.1

Stress Reduction After Program Engagement
Share of employees who initially reported high or overwhelming stress and later reported some or no stress
No dependents
61%
Caring for children
59%
Elderly or parent caregivers
65%
Sandwich generation
60%
Source: Financial Finesse Financial Wellness Think Tank, employees who engaged with their employer’s financial wellness program after they were first surveyed, 2021 to 2025.1
Financial Wellness Score Before and After Program Engagement
Initial score compared with most recent score among engaged employees, on a 1 to 10 scale
Caregiving groupInitialAfter engagementGain
No dependents4.815.41+0.60
Caring for children4.695.36+0.67
Elderly or parent caregivers4.535.19+0.66
Sandwich generation4.595.24+0.65
Source: Financial Finesse Financial Wellness Think Tank, engaged employees, 2021 to 2025.1
What Real-World Progress Looks Like

In Financial Finesse’s scoring methodology, raising a Financial Wellness Score from the 4s into the 5s means taking real-world action. These are several of the milestones employees may work through along the way.1

  • Getting the full company retirement match
  • Creating a regular monthly surplus
  • Emergency savings of $1,000 or more
  • A debt payoff strategy in place

Score gains ranged from 0.60 to 0.67 points.1 For benefits leaders, this means caregiving employees respond to financial wellness programs as well as their colleagues do, so the main challenge is reaching them.1 Outreach timed to the moments when caregiving responsibilities surface can connect caregivers with help as their financial pressure rises. Examples include Medicare’s annual open enrollment period, for employees helping a parent choose coverage; a W-4 update or benefits change that adds a dependent; and a request for caregiver leave or a more flexible schedule.

Caregivers Are Asking for This Support

Caregivers are looking for personalized financial help.2, 4 In the 2026 Retirement Confidence Survey, caregivers were more likely than non-caregivers to turn to family, friends, and their own online research for retirement planning.4 Among workers offered a retirement plan, more personalized financial guidance was the only one of caregivers’ six most-valued plan improvements that they named more often than non-caregivers.4 Emotional stress can get in the way: in the Voya survey, 41% of caregivers cited it as a barrier to seeking financial planning support, compared with 25% of the general population.2

Employers have their own reasons to act.2 According to Voya, 64% of employers are concerned about reduced productivity among caregivers, up from 57% in 2018.2 Voya also found that 95% of employers agree financial services companies should provide customized financial planning support for caregivers.2

Shared agreement
95%
of employees and of employers agree financial services companies should provide customized financial planning support for caregivers
Barriers to planning
41%
of caregivers cite emotional stress as a barrier when seeking financial planning support, compared with 25% of the general population
Employer concern
64%
of employers are concerned about reduced productivity among caregivers, up from 57% in 2018
Source: Voya Cares, Caregivers at Work: Progress Made, Pressures Persist, 2026.2
Conclusion

A Growing Burden With a Workable Response

Financial stress rose among the employees Financial Finesse surveyed from 2024 to 2026, and caregivers took on that increase from an already higher starting point.1 In the first nine months of 2026, about four in ten elder caregivers and about four in ten sandwich-generation caregivers reported high or overwhelming financial stress.1 Among employees with no dependents, the share was fewer than three in ten.1

The same data shows that the right guidance can help.1 Caregiving employees who engaged with a financial wellness program reduced their stress and raised their scores at rates similar to their colleagues without dependents, even though they started from a harder position.1 Caregivers and employers agree on the need: 95% of each say financial services companies should provide customized financial planning support for caregivers.2 For employers, the opportunity is to make sure that support reaches caregivers as their responsibilities change, before the strain compounds.

References

Financial Finesse data in this report is drawn from 134,144 users surveyed from January 2024 through September 2026, all American employees across industries and income levels who reported their caregiving status: 56,088 in 2024, 47,426 in 2025, and 30,630 from January through September 2026. Financial Wellness Scores and stress levels are captured when users are first surveyed, before any program engagement. Improvement data covers 2021 to 2025 and reflects employees who subsequently engaged with their employer’s financial wellness program. Caregiving groups are mutually exclusive and based on employee self-report. Changes in stress described in this report are statistically significant at the 95% confidence level.
  1. 1Financial Finesse. Financial Wellness Think Tank analysis of user survey data, 2021–2026. El Segundo, CA: Financial Finesse, 2026.PROPRIETARY RESEARCH
  2. 2Voya Financial. Caregivers at Work: Progress Made, Pressures Persist. Voya Cares, 2026. Survey of 666 employees and 306 employers, fielded February 3–17, 2026. Accessed September 24, 2026.
  3. 3Mather, Mark, and Paola Scommegna. “Fact Sheet: Aging in the United States.” Washington, DC: Population Reference Bureau, January 9, 2024. Accessed September 24, 2026.
  4. 4Copeland, Craig, and Lisa Greenwald. “Caregivers and Retirement: Findings From the 2026 Retirement Confidence Survey.” EBRI Issue Brief, no. 661. Washington, DC: Employee Benefit Research Institute, July 22, 2026. Accessed September 24, 2026.
  5. 5Houser, Ari. Long-Term Services and Supports Are Becoming Even More Unaffordable for Middle-Class Americans. Washington, DC: AARP Public Policy Institute, March 12, 2026. Accessed September 24, 2026.
  6. 6Thephasit, Samita. “Home Together: Assessing the Financial Impact of Living With Parents.” EBRI Issue Brief, no. 652. Washington, DC: Employee Benefit Research Institute, February 19, 2026. Accessed September 24, 2026.
  7. 7Skufca, Laura, and Chuck Rainville. Caregiving Out-of-Pocket Costs Study 2021. Washington, DC: AARP Research, June 2021. Accessed September 24, 2026.
  8. 8Employee Benefit Research Institute. “2025 EBRI Financial Wellbeing Employer Survey.” Presented at the 2025 Financial Wellbeing Symposium, December 11, 2025. Survey funded in part by Financial Finesse.

About Financial Finesse

Financial Finesse is the leading independent global provider of unbiased financial coaching as an employee benefit, driving measurable improvements in employee financial wellness and proven employer ROI. Employees receive unlimited access to certified financial coaches (CFP® professionals or in-country equivalents) and AI-powered guidance that expands reach and personalization with trusted human oversight at every step.

Serving more than 20,000 organizations and reaching millions of employees worldwide through a single integrated platform, Financial Finesse delivers localized experiences tailored to each employee’s country, language, culture, financial system, and benefits. The result: reduced financial stress, seamless scalability for employers, and a benefit employees trust, value, and actively use.

The Financial Wellness Think Tank™ publishes original research on the state of financial wellness in America, drawing on millions of employee interactions each year.

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