Managing payroll in healthcare demands a lot more than issuing paychecks twice a month. It goes without saying, the process is complex, as it requires dealing with various regulatory authorities depending on where your practice is located.
What makes it worse? Payroll errors. Often a result of manual processing, these issues frustrate employees, besides affecting the quality of care patients receive. And that is where dedicated healthcare payroll software fits in. With features tailored to the healthcare industry, these platforms automate the entire process, leaving little to no room for errors and discrepancies.
This in-depth guide covers the top 9 payroll software tailored to meet the requirements of the healthcare industry.
Software | Our Rating | Trial Info | Best For | Features | Pricing |
|---|---|---|---|---|---|
3.9 | Health systems and senior living providers |
| Custom pricing | ||
4.2/5 | Free trial not available | Education, healthcare, retail |
| Custom pricing | |
5/5 | Free trial not available | Healthcare, education, retail |
| Custom pricing | |
4.4/5 | Free trial not available | Healthcare, manufacturing, retail |
| Custom pricing | |
4.6/5 | Free trial not available | HR, finance, IT |
| Price ranges from $25-$36/employee/month | |
4.1/5 | 30-day free trial | Large hotel chains and resorts |
| Custom pricing | |
5/5 | 3 months free trial | Manufacturing, construction, retail |
| Custom pricing | |
4.5/5 | Free trial available | Small to mid-sized restaurants and hotels |
| Pricing starts at $49/month | |
4.9/5 | 14-day free trial | Multi-location restaurants and hotel chains |
| Pricing starts at $8/user/month |
UKG provides payroll, workforce management, and human capital management (HCM) solutions designed specifically for healthcare organizations. The platform serves hospitals, health systems, post-acute and senior living facilities, and other non-acute care settings. It helps healthcare providers manage payroll, staffing, scheduling, compliance, and employee engagement through a unified platform.
UKG also supports healthcare organizations with labor forecasting, compliance reporting, mobile self-service, and integrations with HR and clinical systems, helping organizations improve workforce visibility and control labor costs.
Key Features
- Healthcare Payroll: Streamlines payroll processing while helping healthcare organizations manage compliance, improve payroll accuracy, and reduce payroll corrections.
- Scheduling And Time: Automates staff scheduling by matching employee skills, availability, and patient demand. It also supports time and attendance tracking to help control labor costs and reduce scheduling gaps.
- Workforce Analytics: Provides reporting and workforce insights to help healthcare leaders monitor staffing levels, labor expenses, compliance, and workforce trends for better planning and decision-making.
Pricing
UKG offers four pricing tiers for small and medium-sized business (SMBs) at custom pricing. These include:
- Start
- Core
- Plus
- Advanced
Disclaimer: The pricing is subject to change.
Pros And Cons
Paylocity HR & Payroll is a complete HR and payroll solution built for healthcare. It helps reduce administrative burden and error, particularly in an environment with variable shifts, overtime rules, and strict regulatory requirements. Its scheduling tools highlight staffing gaps and allow staff to claim or swap shifts via mobile, while its compliance dashboards monitor things like Fair Labor Standards Act (FLSA), break rules, and credential expirations.
For healthcare providers, the platform delivers tangible benefits. For instance, it provides workforce analytics to monitor turnover, overtime costs, and retention trends that help in better workforce decisions. Having said that, Paylocity works as a tailored solution for managing the payroll and challenges of an industry defined by regulations and round-the-clock operations.
Key Features
- Improve Time Allocation: With advanced scheduling tools, you can stay on top of shifts, reduce missed workdays, keep track of tardiness, and manage shift differentials across your team.
- Simplify Payroll: The platform lets you go fully paperless by handling payroll and compensation digitally.
- Train And Certify: A built-in training and certification system keeps employee credentials organized and compliance requirements easy to track.
Pricing
Paylocity structures its pricing around three modules: HR, Finance, and IT. Payroll is bundled within the HR module and is billed at a custom rate.
Disclaimer: The pricing is subject to change.
Pros And Cons
Netchex is a cloud-based Human Capital Management (HCM) platform that brings payroll, HR, benefits, and employee management into one system. Designed for growing businesses across industries, including healthcare, it streamlines staff payments, scheduling, and compliance management in a single, easy-to-use solution.
What makes Netchex stand out is its balance of simplicity and depth. Businesses value its intuitive design alongside powerful automation and reporting. This reduces administrative workload and gives leaders more time to focus on people and strategy instead of manual tasks.
Key Features
- Learning Management: With this feature, healthcare staff can access training programs, complete continuing education, and stay up to date with certifications.
- Performance Management: This tool simplifies employee reviews, goal setting, and performance tracking across different roles.
- Employee Self-Service Portals: These portals allow staff to view schedules, request time off, access pay information, and manage benefits from their devices.
Pricing
Netchex offers custom pricing based on organization size and required features. These include:
- Core
- All-In
- Flex
Disclaimer: The pricing is subject to change.
Pros And Cons
Paycor software is a cloud-based payroll and HR platform. It helps healthcare organizations manage complex workforce needs. These include shift-based scheduling, time tracking, and payroll compliance. It automates payroll processing, tax filing, and benefits administration, while also offering employee self-service tools so staff can access pay stubs, schedules, and time-off requests anytime, anywhere.
Since Paycor streamlines workforce management while keeping compliance at the forefront, it’s a great choice for healthcare providers. Its scheduling, reporting, and payroll features reduce administrative work, and its mobile access ensures ease for staff.
Key Features
- OnDemand Pay (EWA): This feature allows employees to access their earned wages whenever needed. It also includes budgeting tools and free financial guidance to help improve financial well-being.
- Scheduling: Managers can copy and move shifts across days or weeks, ensuring the right nurses with the appropriate certifications are always assigned.
- Reporting + Compliance: Employers can easily complete and review federal and state forms, such as I-9s and W-4s, online. It also supports long-term care providers by streamlining PBJ reporting.
Pricing
Paycor offers the following pricing plans:
Below 50 Employees:
- Basic
- Essential
- Core
- Complete + ASO
It also offers a custom pricing plan for organizations with 50+ employees, which includes a one-month trial.
Disclaimer: The pricing is subject to change.
Pros And Cons
Paycom sets itself apart in the healthcare payroll field through its strong focus on security, automation, and compliance. Recognized as an American Hospital Association’s Preferred Cybersecurity Provider Program, Paycom gives healthcare organizations confidence in protecting sensitive employee and patient data.
Unlike many systems, Paycom uses a single-database architecture, ensuring all payroll, HR, scheduling, and compliance data flows without duplication or errors. Its standout tool, Beti®, allows employees to verify and correct their own payroll information before submission.
The software deals with scheduling, compensation schemes, and compliance requirements across various departments and across geographic locations.
Key Features
- Vault: A Visa®-based payroll card that allows employees to receive part or all of their wages on a digital payroll card instead of a traditional paper check.
- Everyday®: Enables employees to access their earned wages daily by depositing funds onto their Vault Visa® Payroll Card instead of waiting for the regular payday.
- Paycom Pay®: Issues employee paychecks directly from Paycom’s account, eliminating the need to reconcile multiple individual checks from your business account.
Pricing
The vendor’s pricing depends on business needs and typically ranges from $25 to $36/employee/month.
Disclaimer: The pricing has been sourced from third-party websites and is subject to change.
Pros And Cons
Workday HCM provides a payroll system as a part of its broader HCM suite. It automates calculations, deductions, and tax filings while integrating directly with HR and time-tracking data. For healthcare providers, this means payroll updates (overtime, shift differentials, or benefits changes) flow automatically.
What makes it stand out is its real-time recalculation and flexibility, where any pay or benefits changes reflect instantly without batch processing. As payroll data connects with finance, HR, and scheduling in one system, managers can clearly see the financial impact of staffing decisions across units or departments.
Key Features
- Payroll Management: Automates complex payroll processes, reducing manual work and improving payroll accuracy.
- Global Payroll Integration: Enables healthcare organizations to manage payroll across multiple locations while maintaining compliance with regional regulations.
- Reporting And Analytics: Provides real-time insights into workforce costs, helping healthcare leaders make informed staffing and budgeting decisions.
Pricing
Workday offers custom pricing tailored to each organization’s size, needs, and chosen modules.
Disclaimer: The pricing is subject to change.
Pros And Cons
RUN Powered By ADP is a cloud-based payroll and HR platform built to automate tasks such as wage calculation, tax filing, and benefit deductions. It integrates with time and attendance systems so that hours worked flow directly into payroll. This is especially helpful in healthcare, where staff often work variable shifts, overtime, or on-call hours.
Its compliance support and adaptability for organizations with multiple locations and regulatory requirements make it stand out. The software’s automatic updates and alerts help payroll teams stay aligned with current regulations. This is particularly true for healthcare, where labor laws, tax rules, and benefit structures can vary widely.
Key Features
- Compensation Management: Helps healthcare organizations manage multiple pay structures, including different pay rates and shift differentials.
- Integrated Payroll Control: Combines payroll with time and attendance tracking while supporting direct deposit and mobile payroll.
- Personalized Payment Options: Gives employees flexible payment methods, including paperless payroll options through Wisely®.
Pricing
The vendor offers multiple pricing plans, with a 3-month free payroll trial. The plans include:
- Essential Payroll
- Enhanced Payroll
- Complete Payroll & HR+
- HR Pro Payroll & HR
Disclaimer: The pricing is subject to change.
Pros And Cons
Gusto offers payroll, benefits, and HR in one cloud-based solution, built with small to mid-size organizations in mind. It handles payroll processing across multiple pay schedules, supports both hourly and salaried staff, and lets employers set up multiple pay rates or off-cycle payrolls.
It also automatically calculates, files, and remits all relevant federal, state, and local payroll taxes. For healthcare settings, this means it can deal with things like per-diem staff, shift premiums, and syncing hours from time-tracking tools so payroll reflects actual worked time with fewer manual corrections.
Key Features
- Payroll Taxes: Automatically calculates, files, and pays payroll taxes with the appropriate government agencies every payroll cycle at no additional cost.
- Instant and Same-Day Pay: Offers 24/7 payroll processing, allowing employees to receive their wages instantly or on the same day.
- Pay-As-You-Go Workers’ Compensation: Enables businesses to manage workers’ compensation online by paying premiums incrementally instead of as a single lump sum.
Pricing
The platform offers three pricing plans, covering payroll, HR, and benefits in one place. These include:
- Simple: $49/month + $6/user/month
- Plus: $80/month + $12/user/month
- Premium: $180/month + $22/user/month
Disclaimer: The pricing is subject to change.
Pros And Cons
Rippling HR is part of Rippling’s unified platform that ties HR, IT, benefits, and finance data together in a single system. Hence, payroll draws from a ‘single source of truth’ for employee information rather than siloed spreadsheets.
Because it’s tightly linked with time-tracking, benefits, and HR modules, any changes in roles, hours, or compensation immediately reflect in payroll without needing separate imports.
These connected models help reduce errors when staff move between units, take shifts in different specialties, or adjust work hours, since all upstream HR and scheduling changes flow into payroll continuously.
Key Features
- Employer of Record (EOR): Manages the legal and compliance aspects of employment, allowing healthcare organizations to hire internationally without establishing local entities.
- Contractor of Record: Handles contractor compliance, payments, and tax reporting to ensure workers are properly classified and paid on time.
- Global Payroll Service: Enables healthcare organizations to pay employees in multiple countries in local currencies while maintaining compliance with local employment laws.
Pricing
Rippling offers modular pricing, starting at $8/user/month, with an additional $40 monthly base fee.
- Rippling Platform
- Rippling HCM
- Rippling IT
- Rippling Spend
Disclaimer: The pricing is subject to change.
Pros And Cons
As healthcare organizations grow, handling payroll can get complicated with shift work, compliance rules, and large teams. The right payroll software makes this easier by automating tasks, reducing errors, and ensuring compliance. When choosing, focus on tools that are simple to use, flexible, and able to grow with your needs.
Each of the options we’ve listed has features built for healthcare. Explore them to find the payroll solution that saves time, reduces stress, and lets you focus more on patient care.