Payroll Software
Best Payroll Software for Healthcare
Healthcare payroll covers round-the-clock shifts, staff who work several roles at different rates, shift differentials and, in hospitals and residential care, an optional fourteen-day overtime period. The right system computes each of these from the hours your scheduling and time tools send.
- products that fit
- 13
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Top 7 by LeadChange Scoreof 13 that fit · 5 not scored yet · scored for healthcare (reweighted)
OnPay7.9 out of 10, Medium confidence
Paychex Flex7.3 out of 10, Medium confidence
Paycor6.9 out of 10, Medium confidence
Rippling6.2 out of 10, High confidence
Paylocity6.1 out of 10, Medium confidence
Paycom5.9 out of 10, Medium confidence
Netchex5.6 out of 10, Medium confidence
Workday HCMNot scored yet
JustworksNot scored yet
NamelyNot scored yet
See all 13 rankedHighMedium confidence
Payroll software for healthcare, ranked
Ranked by LeadChange Score from verified facts; products with too few verified facts are not scored yet and come last. Prices are list prices as published by each vendor.
Filter by verified facts
Patriot Payroll
Patriot Payroll suits small US employers that want simple, inexpensive payroll with published prices and US-based support. Basic Payroll is $17 a month plus $4 per worker paid, and Full Service, which files federal, state and local taxes, is $37 plus $5 per worker. Payroll runs, direct deposit and setup help are free.
From $17/mo + $4/employee/mo (you file taxes)1
Doesn’t file payroll taxes
Patriot Payroll plans and pricesOnPay
OnPay suits US small businesses that want full-service payroll at one published price: $49 a month plus $6 per worker, with federal, state and local tax filings, W-2s, 1099s, multi-state payroll and unlimited pay runs included. Setup and data migration are free, and support is by phone, chat and email.
Paychex Flex
Paychex Flex suits US small and mid-sized employers that want unlimited payroll runs, automated multi-state tax filing and room to add HR, time tracking and benefits from one vendor. Paychex was founded in 1971 and is a public company.
- Pricing model
- Base fee + per employee5
Show all 13 products
- Paycor6.9/10 · Medium confidencePaycor plans and prices
- Rippling6.2/10 · High confidenceWhat Rippling costs
- Paylocity6.1/10 · Medium confidenceWhat Paylocity costs
- Paycom5.9/10 · Medium confidencePaycom pricing
- Netchex5.6/10 · Medium confidenceNetchex pricing
- Workday HCMNot scored yet (13 of 26 facts verified)What Workday HCM costs
- JustworksNot scored yet (12 of 26 facts verified)Justworks plans and prices
- NamelyNot scored yet (12 of 26 facts verified)Namely pricing
- UKG ProNot scored yet (9 of 26 facts verified)UKG Pro plans and prices
- isolved People CloudNot scored yet (8 of 26 facts verified)What isolved People Cloud costs
LeadChange Score: editorial assessment based on public information.
What matters for healthcare
Fourteen-day overtime period
Hospitals and residential care facilities may compute overtime over a fixed fourteen-day period instead of the workweek, with daily overtime as well, if staff agree in advance. Check that the system supports both periods side by side.
Differentials in the regular rate
Night, weekend and on-call premiums usually change the regular rate used for overtime. Ask the vendor to run a week with a night differential and overtime.
Weighted rates for multiple roles
A nurse who also works as a charge nurse at another rate needs a weighted average rate for overtime. The system should calculate it automatically.
Integration with scheduling and time clocks
Shifts change at short notice. Hours, swaps and call-ins should flow into payroll without manual entry.
Labor cost by unit
Reports by unit, department and cost center help managers track staffing cost against patient volume.
More tools for healthcare
- Applicant Tracking SystemsApplicant tracking systems for healthcare
- ASO ServicesASO services for healthcare
- Background Check ServicesBackground check services for healthcare
- Benefits AdministrationBenefits administration for healthcare
- COBRA AdministrationCOBRA administration for healthcare
- Corporate LMSCorporate LMS for healthcare
- Earned Wage AccessEarned wage access for healthcare
- Employee Discount ProgramsEmployee discount programs for healthcare
- Employee Engagement SoftwareEmployee engagement software for healthcare
- Employee Recognition SoftwareEmployee recognition software for healthcare
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- Payroll Software comparison table
Every product side by side: score, price and verified features.
- Payroll Software pricing guide
Published list prices, cost by headcount and fees to ask about.
- Payroll software for small business
The ranking reweighted for small business.
- Payroll software for mid-sized companies
The ranking reweighted for mid-sized companies.
- Payroll software for retail
The ranking reweighted for retail.
- Payroll software for manufacturing
The ranking reweighted for manufacturing.
Frequently asked questions
What is the 8 and 80 overtime rule in healthcare?
It is a federal option for hospitals and residential care facilities. Instead of the usual workweek, the employer may use a fixed fourteen-day work period and pay time and a half for hours over eight in a day and over eighty in the period. Staff must agree to it before the work is performed. Healthcare payroll software should let you assign the rule to the right employees and compute both daily and period overtime.
What payroll features matter most for healthcare employers?
Overtime rules for round-the-clock shifts, including the optional fourteen-day period in hospitals and residential care; differentials for nights, weekends and on-call time counted in the regular rate; weighted rates for staff who work more than one role; and hours imported from scheduling and time clocks. Ask the vendor to run a two-week sample with a night differential and a role change.
What is the best payroll software for healthcare?
On the LeadChange Score weighted for healthcare, the highest-scoring of the 8 products with a published score are Patriot Payroll (9.1/10), OnPay (7.9), and Paychex Flex (7.3).
Which payroll platforms for healthcare offer a free trial?
OnPay, Patriot Payroll, and Rippling list a free trial, according to their vendors: 3 of the 13 products for healthcare.
Which payroll platforms for healthcare integrate with QuickBooks Online?
QuickBooks Online, listed by 4 of the 13 payroll platforms for healthcare: Justworks, Netchex, OnPay, and Patriot Payroll.
Which payroll platforms for healthcare have a mobile app?
isolved People Cloud, Justworks, Namely, Netchex, Patriot Payroll, and 7 more confirm a mobile app; 1 of the 13 products for healthcare does not document one.
Which payroll platforms for healthcare are built for enterprises?
isolved People Cloud, Netchex, Paycom, Paycor, Paylocity, and 3 more list enterprises among the company sizes they serve.
Which payroll platforms for healthcare support single sign-on?
Paycom, Paycor, Paylocity, Rippling, UKG Pro, and Workday HCM document single sign-on; 7 of the 13 products for healthcare do not.
How we research
This ranking of payroll software for healthcare reweights the LeadChange Score: capability coverage 35%, pricing transparency & value 15%, integrations & API 10%, security & compliance 15%, fit & support 15%, and data confidence 10%. Only products with a verified fact showing they serve this segment are listed.
How this page was made
What it is built from
52 verified facts, each checked against the vendor's own pages or another primary source, most recently on Oct 24, 2026.
Method
Scored and compared with the LeadChange methodology, version 1.3. Read the methodology
Independent review
Not reviewed yet by our independent reviewer. How we review
Hands-on testing
We have not tested these products hands-on: this page uses public information only.
Who made it
The LeadChange Research Team, following a written research process. No named expert has reviewed this page. About us
Independence and errors
Who pays us never changes a score or a rank. If something here is wrong, tell us and we correct it publicly. Request a correction
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Sources
The 5 pages this page's facts come from, with the day we last checked each one. The numbers beside the figures above link here.
Quotes from the sources
- Patriot Software patriotsoftware.com/pricing“If you use Patriot’s payroll software, you will be charged $4 (Basic) or $5 (Full Service) per worker you pay during the month.” “Our payroll is a flat monthly fee + per worker paid fee. Run as many payrolls as you need. We'll bill you in arrears each month.”
- Patriot Software patriotsoftware.com/about“As a SOC 2 Type II compliant organization, we follow rigorous data protection standards and adhere to all required federal privacy, anti-fraud, and security regulations.”
- OnPay onpay.com/payroll/software/costs-pricing“Payroll Essentials $49 base + $6/worker per month” “Get started at just $49 base + $6/worker per month. No hidden fees, ever.”
- OnPay onpay.com/security“Third-party Certification: OnPay holds third-party auditor certification with the AICPA’s SOC program and is SOC 2 Type II compliant.”
- Paychex paychex.com/payroll/paychex-flex-essentials“Our most affordable option: Only $39/mo. + $5 per employee”