Healthcare Payroll & HCM shouldn't be a Code Blue.

Stop losing hours to manual shift calculations and compliance stress. EarnHCM delivers a unified, audit-ready platform designed for the complexity of 2026 healthcare, at a fraction of the cost of legacy providers.

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Why Healthcare businesses are moving to EarnHCM.

Automated Shift Differentials: No more spreadsheets. Whether it’s night shift premiums or multi-role overtime, our system calculates it perfectly, every time.

CA-State Compliance, Solved: From travel nurses to per-diem specialists, we handle the tax complexity of a mobile workforce built strong in CA.

Give Your Heroes On-Demand Access: Boost retention by offering mobile Access. Let your staff access their wages, schedule, and earnings right from their device.

Audit-Ready, Always: SOC-compliant data security and automated record-keeping mean you’re always prepared for state labor audits and new 2026 transparency laws.

We save businesses an average of 30%-70% of monthly HCM costs.

Simple, Easy, and Affordable Payroll & HCM. Customize your solution to your unique business needs and upgrade at any time.

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Workforce solutions built to scale for healthcare Facilities.

We designed the EarnHCM platform to solve the complex labor, time tracking, HR, and compliance challenges faced by healthcare businesses, one of the most regulated industries. Whether you manage multiple facilities, track complex labor costs, or handle employee benefits, our unified HCM solution delivers reliable, audit-ready compliance at a fraction of the cost.

If you are managing teams in a hospital, hospice, home care, or medical facility, you are constantly being asked to adapt and scale. And in this highly scrutinized space, a single compliance slip-up can cost you your operating license.

Medical Office

Home Care

Hospitals

Transport

Long Term Care

Nurse Staffing

Laboratory

Hospice

Dental Office

So simple your staff will thank you!

Stop the workforce complexities. Our system automates the 'hard stuff,' making people management simpler so you can focus on what truly matters, getting growing your business.

Stopwatch with a check mark, indicating quick completion or approval

Track time from anywhere. No manual spreadsheets, no hassle.

Gear with a checkmark inside, surrounded by circular arrows indicating a cycle or process.

Peace of mind with automatic calculations, overtime, breaks, and custom attestation questions.

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Get your clients employees paid fast & easy with payroll integrations.

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Effortless compliance, a gift that keeps on giving

Healthcare workers often work across multiple facilities or departments with different cost centers, credentials, and pay rates. Manually tracking this leads to massive overpayments or payroll tax penalties.

Our platform utilizes Labor Distribution Tracking. As staff members clock in, they select their current department or facility. The system automatically applies the correct GL code and pay rate, ensuring your QuickBooks or ERP stays perfectly synced without manual entry.

An expired RN license or BLS certification isn't just a HR lapse…it's a massive compliance violation that can lead to immediate facility shutdowns or lawsuits.

Our Unified HCM tracks certifications. Both the employee and the manager receive automated notifications 90, 60, and 30 days before a credential expires. You can even set the system to prevent an employee from clocking in if their mandatory credentials are out of date.

Need better management? Get ready for a big relief.

Running a healthcare business can be challenging, and when you're ready to leave behind complexity or limitations, we make the move seamless. Our specialized transition support focuses on minimal downtime and maximum accuracy. We handle the critical task of pulling your historical data from your old system, ensuring you transition quickly from frustration to flawless execution. Best part is, we will help you migrate your data so the transition is seamless!

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"Transitioning to EarnHCM saved our clinic 15 hours of admin work per week. We finally have a system that handles our rotating shifts and per-diem staff without the usual errors."
— Practice Manager, Regional Surgery Center

Better tools let your team feel truly appreciated.

Loved by employees for its intuitive design, our mobile employee self-service app (ESS) transforms how your team works and keeps everyone happy.

✓ Easy PTO request process for employees

✓ View sick & vacation benefits in real time

✓ Employees get Benefits and PTO access online 24/7

✓ View scheduled shifts & worked hours

Monitor your transport with Geotracking & Geofencing

Healthcare businesses can significantly optimize their transportation operations by leveraging our geotracking and geofencing features to gain granular control over their field workforce. By creating virtual boundaries around drop zones and medical facilities, geofencing regulates time-clocking for drivers, ensuring that labor costs are accurately tied to actual time spent on the clock rather than manual estimates.

Beyond simple attendance, these tools provide a robust layer of expense management by monitoring routes and unauthorized stops, which directly reduces fuel waste and vehicle wear-and-tear. This real-time visibility not only streamlines labor tracking but also provides the digital audit trail necessary to maintain state compliance and ensure product security during transit.

Save yourself a massive headache on potential penalties & fines

We have long seen the industry suffer from supply chain and inventory management issues. So we solved the "Data Integrity Gap". You have the data for sales, cultivation, manufacturing, and logistics but struggle to accurately map that labor to General Ledger for federal reporting purposes."

Frequently asked questions

If you have other questions that aren’t addressed here, please feel free to contact us and speak with one of our experts!

Yes, if you choose our Full Service plan. We file federal, state, and local payroll taxes for you.
Absolutely! You can pay both employees and 1099 contractors with EarnHCM.
You bet! Our team will help migrate your data and walk you through onboarding.
Yes, of course! Our best in class time & attendance solution is an easy add-on for a low monthly price.
Nope! Nada, Zilch, Nothing. We make sure our pricing is transparent so you know exactly what to expect.

Switch and save to get simplicity & flexibility.

Pro

$30/mo

+ $5 per employee

Full Service Payroll

Pay employees in minutes, access reports easily, and get state & federal payroll taxes filed and deposited automatically.

✓ Run payroll in minutes

✓ NEXT day direct deposit

✓ Unlimited payroll runs

✓ W-2 employees & 1099

✓ Payroll taxes filed & deposited

✓ FREE onboarding assistance!

Basic

$20/mo

+ $4 per employee

No tax filing

Same features but you’re responsible for filing and depositing all payroll taxes.

Starting with any payroll package, you can seamlessly upgrade powerful add-ons such as advanced employee time tracking, efficient digital onboarding, and robust Human Resources functionalities, designed to optimize and streamline your business.

Need a Human?

We have those! Our dedicated support team is available by phone to answer your questions. For after-hours inquiries, we'll promptly return your call the next business day.