Healthcare payroll is anything but simple, and healthcare teams are the backbone of our communities. Wage‑parity mandates, shift‑differentials, blended overtime calculations, and multi‑location compliance create a perfect storm of complexity that traditional payroll tools were never built for.
Salsa’s embedded payroll platform was purpose‑built to turn that chaos into a dependable, one‑click experience - inside your own product. You get to deliver the modern experience your users deserve. We’ll do the heavy lifting.
Why healthcare payroll is harder than it looks
- 24/7 staffing = unusual overtime rules.
Healthcare operates around the clock. Hospitals can elect the 8-and-80 OT framework, where overtime kicks in after 8 hours in a day or 80 hours across 14 days. This isn’t just a preference - it’s a federally permitted option your payroll logic must support. - Shift & hazard premiums that flow into OT.
Night and weekend differentials keep wards staffed, but they must be factored into the employee’s regular rate before you apply overtime multipliers. - Travel & live‑in rules for home‑care.
Home-care teams may be paid for travel time between visits or live on-site for 24 hours at a time. 24‑hour live‑in shifts in NY may be paid as 13 hours - only if rest breaks are genuine. This nuance leads to frequent lawsuits.
Takeaway: If your platform serves scheduling, EMR, or care‑management, payroll isn’t just a payments feature - it’s a regulated infrastructure.
Purpose-built for complex pay scenarios
Our goal is to give vertical SaaS builders future‑proof levers - not rigid workflows. You can shape payroll around your product’s unique workflow as it evolves. The capabilities we’re developing will let your team:
- Handle wages earned across multiple locations (and the jurisdiction‑specific rules that follow)
- Automate shift differentials like night rates and post-midnight premiums
- Maintain wage parity across similar roles, even when regulations change
- Apply complex PTO, OT, and special pay rules without manual intervention
All while keeping the implementation surface small and letting your roadmap – not ours – dictate what goes live first.
We master payroll so you can master patient care
Healthcare providers need a payroll product that is flexible, deeply configurable, and built for complexity. When you embed Salsa, you're not just adding payroll - you're offering a premium product that saves time and builds trust.
With over 300 years of combined payroll experience, Salsa provides you with the tools, the compliance engine, and the expert partnership to launch confidently and grow rapidly.
Let us handle the complexity. You get the credit.
If you're ready to build payroll the right way, visit salsa.dev or contact us at partners@salsa.dev.
