Healthcare payroll designed for the realities of 24/7 operations, differentials, premiums, union rules, multi-state tax, and retro corrections handled without manual cleanup.
Everything healthcare teams need to calculate, comply, and close, without corrections.
Handle shift differentials, charge pay, weekend premiums, on-call pay, union rules, and per-diem rates across clinical and non-clinical staff, designed for the calculation complexity generic payroll systems retrofit poorly.
Apply the right rate to every shift worked automatically. From standard OT to double-time, holiday premiums, and bargaining unit rules, every calculation runs against live scheduling and time data.
Scheduled shifts, approved time, and credentialed roles flow directly into payroll. No re-keying, no spreadsheet reconciliations, no end-of-cycle scramble to align three systems.
Handle multi-state withholding, reciprocity rules, FLSA overtime, and state-specific wage and hour requirements with calculations and reporting your finance and compliance teams can defend in any audit.
Late time approvals, missed differentials, schedule changes, and pay rate updates apply cleanly across closed and open pay periods with full audit trails and no manual journal-entry rework.
Staff access pay stubs, W-2s, and direct deposit settings from any device. Finance teams get GL-ready cost center reporting, labor cost breakdowns, and exports for every reporting cycle.
Three connected stages that move every pay cycle from time data to accurate paychecks, without manual cleanup.
Scheduled shifts, approved time, differentials, and credential data flow into payroll automatically. No re-keying, no spreadsheet reconciliations, one source of truth for every cycle.
Wages, overtime tiers, premiums, multi-state tax, and union pay rules calculate against live data. Payroll teams review, adjust, and approve from a single workflow with full audit trails.
Direct deposits and pay stubs go out on schedule. GL-ready labor cost reports, tax filings, and finance exports generate automatically, closing each cycle clean and audit-ready.
Real payroll accuracy and efficiency benchmarks from healthcare organizations on eCareHRMS.
What hospitals, SNFs, and health systems ask before moving to eCareHRMS payroll.
Payroll is a workforce compensation system that calculates, processes, and reports pay across complex healthcare workforces. eCareHRMS handles shift differentials, overtime tiers, multi-state tax, union pay rules, retroactive corrections, and GL-ready reporting, designed for hospitals, health systems, SNFs, and home health agencies running 24/7 operations.
Most healthcare organizations go live in 10 to 14 weeks, depending on workforce size, pay rule complexity, and the number of bargaining agreements and states involved. Implementation includes pay data migration, integrations with scheduling, time, credentialing, and GL systems, role-based training, and parallel payroll runs to validate accuracy before cutover.
Yes. Employee and compensation data is encrypted in transit (TLS 1.3) and at rest (AES-256), with role-based access controls and full audit logging. eCareHRMS is SOC 2 Type II and HITRUST CSF certified, signs BAAs with every healthcare customer, and supports the broader compliance frameworks payroll teams report against including FLSA, IRS, state wage and hour law, and multi-state tax requirements.
eCareHRMS connects to your EHR through pre-built integrations and FHIR/REST APIs where productivity or census data feeds compensation calculations. The integrations that drive payroll day-to-day, however, are with Scheduling, Time and Attendance, Credentialing, HRIS, GL/ERP systems, banks, and tax authorities, so worked shifts, approved time, and credentialed roles flow into pay automatically, and finance receives clean GL exports every cycle.
Every customer gets a dedicated Customer Success Manager, onboarding support through your first complete pay cycles, and ongoing access to a payroll-specialized support team. Enterprise plans include quarterly business reviews, year-end and tax filing support, and a named technical contact.
Pricing is based on the number of employees paid and the modules you need: core payroll processing, tax management, multi-state compliance, GL integrations, or the full suite. Most plans are billed per employee per pay cycle, with volume-based pricing for health systems and multi-site organizations. Talk to our team for a quote tailored to your workforce size.
Book a 30-minute walkthrough with an eCareHRMS solutions architect. We’ll map your current payroll workflow, show how the platform fits, and price the move.
No credit card required. Free data migration included.
Pick a 30-minute slot that works for you.