Built exclusively for healthcare payroll

Your night-shift nurse's overtime
already handled.

The payroll engine that understands split-shift differentials, union rules, and multi-state per diem — without a Monday morning correction call.

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See how your current payroll stacks up. · No login required.

2,400+
Hospital facilities
$0
Audit penalties (last 18 mo.)
99.97%
Payroll accuracy rate
6 min
Avg. correction time
Night-Shift Differential AutomationUnion Contract Rule EnforcementMulti-State Per Diem ComplianceFLSA Overtime CalculationJoint Commission Audit-Ready ReportsTraveling Clinician Pay CodesSplit-Shift Department AllocationBiweekly → Semi-Monthly MigrationCMS Wage Index CompliancePRN Staff Scheduling IntegrationNight-Shift Differential AutomationUnion Contract Rule EnforcementMulti-State Per Diem ComplianceFLSA Overtime CalculationJoint Commission Audit-Ready ReportsTraveling Clinician Pay CodesSplit-Shift Department AllocationBiweekly → Semi-Monthly MigrationCMS Wage Index CompliancePRN Staff Scheduling Integration
The Stack-Up

Your current state, row by row.

Every row below is a Monday morning your team doesn't get back. Expand any row to read the real story.

Category
Your Current State
With HospitalPayroll
Impact
200-bed community hospital, rural Ohio

The situation: Payroll coordinator was manually pulling shift logs for 340 nurses every two weeks, cross-referencing four differential rate tables.

What happened: After implementation, the entire differential calculation runs in 8 seconds. She uses Friday afternoons for process improvement now.

Pediatric clinic group, 6 sites, Pacific Northwest

The situation: SEIU Local 49 contract had 22 distinct pay provisions. HR Director kept a printed copy highlighted in four colors.

What happened: All 22 provisions now live in the rule engine. The last grievance was filed 19 months ago. The union rep calls it "boring now — in a good way."

Multi-site physician group, 3 states

The situation: A traveling orthopedic surgeon worked across TX, NM, and CO in a single month. Payroll processed the same flat rate for all three.

What happened: The platform detected the state crossings from credentialing data. Correct per diem applied automatically. The surgeon noticed on the first paycheck.

Regional health network, Southeast

The situation: CFO inherited an open audit finding from the previous payroll vendor. Remediation required reconstructing 26 months of pay records.

What happened: The platform rebuilt the wage index report from imported historical data. The finding closed at the next CMS review. The CFO sent a handwritten thank-you note.

Behavioral health network, 8 facilities

The situation: A psychiatric nurse worked half her shift in inpatient, half in outpatient. Finance re-coded 200+ split-shift records every other Monday.

What happened: The integration pulls scheduling data at 6 AM Monday. By the time Finance arrives, the allocation report is in their inbox — correct.

Rural critical access hospital, Great Plains

The situation: The hospital ran three separate payroll processes: full-time W-2, PRN pool, and locum physicians. Each had its own spreadsheet.

What happened: All three populations now run in one process. The HR Director described it as "the first Monday in four years I didn't come in to a full inbox."

Recognize any of these rows?

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The Network

Porch lights turning on down the street.

Hospital systems already on the platform — each dot a payroll team that stopped staying late on Mondays.

2,400+
Facilities connected
38
States covered
840K+
Employees on platform
< 0.03%
Error rate (industry avg: 2.1%)
Built for Healthcare Compliance

The audit trail your CFO can sleep on.

Every compliance standard your auditors will ask about — built in, not bolted on.

SOC 2 Type II

Annual third-party audit. Controls verified. Data protected.

HIPAA Compliant

BAA executed. PHI handling audited quarterly.

IRS Compliant Payroll

Real-time tax table updates. 941 and W-2 generation built in.

CMS Wage Index Ready

Reports export in exact CMS format. Audit findings closed faster.

Union Contract Engine

Encode any CBA. Rule violations flagged before processing.

99.97% On-Time Pay

Verified across 840K+ employees. SLA-backed guarantee.

The audit finding that had been open for 14 months closed in six weeks. I sent the implementation team a bottle of scotch.

Dr. Marcus Webb

CFO, Regional Health Network · Southeast

1,200 employees

I used to come in every other Monday to a full inbox of payroll corrections. That stopped on day one of go-live.

Priya Nandakumar

HR Director, Rural Critical Access Hospital · Kansas

180 employees

Our SEIU rep called the last contract audit "boring." I have never been so happy to hear that word.

Colleen Maguire

Practice Manager, Multi-Site Physician Group · Pacific NW

6 sites, 340 staff
Two Paths Forward

Ready when you are.

Start with a free payroll audit or take the compliance checklist — either way, tomorrow's already handled.

Run My Payroll Audit

Free · 15-minute review call

No credit card. No sales pitch. 15 minutes, your payroll gaps mapped.

Healthcare Payroll Compliance Checklist

Free PDF · 42-point audit checklist

FLSA overtime calculation by employee class
Union differential rule documentation
Multi-state nexus and per diem compliance
CMS wage index reporting accuracy
PRN and locum payment classification
Payroll record retention (7-year requirement)
+ 36 more items...

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