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Payroll, HR, and tax for healthcare

Track and pay every clinician

Bring on nurses, aides, and travel staff. Track licenses across states, and pay them all correctly, stipends and withholding included.

Capterra rating 425+ healthcare companies served
Layered-paper healthcare shift hub with a nurses' station, two clinical staff, privacy curtain, and rolling clinical cart
  • Bear River Health Department
  • Exceed Physical Therapy
  • Alphapointe
  • SW Virginia Community Health Systems
  • Rockwood Retirement
  • Family Healthcare
  • GCCMH

Built for care team payroll

Accurate pay for every shift, license, and worker type

Tax

Multi-location tax, sorted

Withhold the right amount no matter how many facilities, counties, or states your staff move between, including reciprocity agreements and SUI. Federal and state returns are filed and paid after a single approval.
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Payroll

Process unique pay types

Shift differentials, blended overtime, per-diem, and 8/80 rules calculate automatically, whether staff are salaried, hourly, or PRN.

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COMPLIANCE

Automated ACA compliance

Track eligibility automatically as hours fluctuate across different staff types, then generate 1095-Cs before a coverage gap becomes a filing problem.
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Year-end

File W-2s and 1099s with ease

File W-2s and 1099s for employed and contract clinical staff in one platform, with SSN verification before you file and delivery by digital access, print, or mail.

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How it works

Workforce management built for healthcare's complexity

  1. Before day one

    Onboard and credential

    New hires complete I-9, W-4, and direct deposit before their first shift, with credential and license numbers captured in the same workflow.

  2. EVERY PAY PERIOD

    Run every schedule, in parallel

    Weekly, biweekly, or monthly schedules run side by side for as many staff groups as you need — at no added cost.

  3. ONGOING

    Scope access by facility and department

    Limit access by facility, department, or employee group, so each administrator sees only what applies to their part of the organization.

  4. AFTER PAYROLL

    Post straight to your GL

    General ledger batches generate after each run and map directly to your ERP, with dimensional accounting and cost splits by facility or department.

Healthcare team working

Employee Access

Give your care team one place for pay and HR

Move routine HR tasks online so staff on the floor, in the field, or between facilities can get what they need without calling the office.

  • Onboarding and credential uploads
  • PTO requests and time-off balances
  • Pay stubs and year-end tax documents
  • Benefits enrollment and plan documents
0 hours

saved per month for Rockwood Retirement

0%

Greenshades filing success rate

Good to know

Questions healthcare teams ask

Yes. Healthcare staff routinely work across facilities, shifts, and sometimes state lines. Greenshades tracks pay rules by location and role, so nurses, techs, and administrative staff are paid correctly no matter where they clock in.

Greenshades uses a collaborative implementation process — your team works directly with a dedicated implementation specialist rather than following a self-serve setup. Timelines vary based on your configuration needs, but you'll have support throughout and U.S.-based customer service after going live.

Yes. Greenshades connects scheduling data directly to payroll, so hours worked flow into pay runs without re-entry. Scheduling in, paychecks out, books in sync.

Ready when you are

Manage your care team workforce with confidence

See how Greenshades runs payroll, tax, and compliance for healthcare organizations.