Pay that matches the schedule, every period, without the spreadsheet.
Differentials, on-call, callback, charge pay, and overtime computed from approved time, with a preview before the run closes.
Payroll that understands healthcare pay
Multi-rate staff, shift differentials, on-call, callback, charge pay, and union rules are first-class, not custom formulas someone maintains on the side.
Why teams choose AttuneOps payroll
Healthcare pay rules built in
Differentials, premiums, and multi-rate logic configured once and applied every run.
Previews before payday
Staff and managers see estimated pay before the run closes, so corrections happen before, not after.
Compliance maintained for you
Federal and state tax and wage rules updated continuously, with filings handled end to end.
What AttuneOps payroll can do
Shift differentials
Night, weekend, and holiday premiums by hour.
On-call and callback
Minimums and premiums computed automatically.
Multi-rate employees
Different rates per role, unit, or task.
Multi-state tax
Withholding and filings by work location.
Pay previews
Estimated gross visible before close.
Garnishments and deductions
Benefits, retirement, and orders handled.
Correction tracking
Every adjustment attributed and explained.
Labor cost reporting
By unit, cost center, and pay period.
A clean close, two periods in a row
A post-acute network consolidated three payroll processes onto AttuneOps and tracked corrections and close time across the first quarter.
Trust is earned every pay period. When the number is right the first time, everything downstream gets easier.
Where healthcare payroll fits in your workflow
Hospitals and health systems
Staff every unit, every shift, within budget.
- Union and CBA pay rules
- Charge, preceptor, and on-call premiums
- Cost-center allocation to the GL
- Multi-entity support
Clinics, groups, and post-acute
Full-service payroll without a payroll team.
- Tax filing and year-end forms
- Direct deposit and pay cards
- Benefits deductions sync
- Simple multi-state support
Frequently asked questions
Yes. Federal, state, and local withholding, filings, and year-end forms are handled end to end, with multi-state support by work location.

The workforce operations platform for healthcare
Designed for the moments between a schedule and a paycheck.