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Payroll

Healthcare Payroll.
Accurate. Timely. Scalable.

Accurate, scalable payroll processing for per-diem, contract, and permanent healthcare staff with multi-state tax compliance and automated funding cycles.

98%
Compliance Rate
24/7
Operations Support
5+
Years of Excellence
100%
HIPAA Aligned
Service Overview

End-to-End Payroll Processing for Healthcare Workforce

Payroll is one of the most operationally complex functions in healthcare staffing — involving multi-state tax compliance, blended pay rates, overtime management, per diem allowances, and shift differentials. Sure Staff simplifies this complexity.

Our payroll operations team handles the full cycle: timesheet collection and verification, pay rate calculations, tax withholding, direct deposit funding, payroll reporting, and garnishment management — all with accuracy-first processes and multi-layer review.

Whether you run a 20-person per diem operation or a multi-state staffing platform with thousands of clinicians, our scalable payroll infrastructure delivers consistent, error-free results every pay cycle.

99.9%
Payroll Accuracy
50+
States Processed
100%
On-Time Delivery
24hr
Processing Turnaround
Key Features

What's Included

Every aspect of our service is designed with precision, compliance, and scalability in mind.

Multi-State Payroll Processing
Compliant payroll execution across all 50 US states with correct state income tax, SUI, and local tax calculations automatically applied.
Per Diem & Blended Rate Management
Accurate calculation of taxable wages, non-taxable per diem allowances, housing, and meals & incidentals per IRS guidelines.
Shift Differential & Overtime
Automated application of shift differentials, holiday pay, on-call rates, and FLSA overtime calculations for all pay types.
Timesheet Verification
Review and reconciliation of submitted timesheets against scheduled shifts before payroll processing to prevent errors and disputes.
Tax Filing & Compliance
Federal, state, and local payroll tax filings including W-2, 1099, 940, and 941 management with full compliance tracking.
Direct Deposit & Pay Distribution
ACH direct deposit, pay card, and check issuance options with funding cycle management and positive pay banking integration.
Garnishment Administration
Processing and remittance of court-ordered garnishments, child support, tax levies, and creditor garnishments with compliance documentation.
Payroll Reporting & Analytics
Detailed payroll reports, labor cost analysis, and workforce cost dashboards for finance and operations leadership.
Benefits

Why It Matters

The measurable outcomes that make Sure Staff the preferred offshore partner.

Zero-Error Payroll

Multi-layer verification protocols and automated calculation engines deliver near-perfect accuracy every pay cycle.

⏱️

On-Time Every Time

Structured processing calendars ensure payroll is funded and distributed on the exact day clinicians expect payment.

💰

Cost Reduction

Offshore payroll processing delivers 50–65% cost savings compared to domestic payroll providers or in-house teams.

📊

Spend Visibility

Real-time labor cost reporting and payroll analytics give finance leaders complete visibility into workforce spend.

🔐

Tax Risk Mitigation

Stay ahead of multi-state payroll tax complexity with our dedicated compliance team monitoring regulatory changes.

📱

Scalable Capacity

Process payroll for 10 or 10,000 workers with the same accuracy and SLA commitment — built to scale with your growth.

Process Workflow

How We Deliver

A structured, transparent delivery process designed for consistency and scale.

01

Setup & Configuration

We configure your payroll system with pay codes, state tax settings, pay rate tables, and compliance rules aligned with your contracts and operations.

02

Timesheet Collection

Timesheets are collected through your preferred platform (VMS, ATS, or direct submission), reviewed for completeness, and reconciled against schedules.

03

Payroll Calculation

Gross wages, taxes, deductions, per diem, differentials, and overtime are calculated using verified pay rules and IRS/state guidelines.

04

Review & Approval

Payroll registers are reviewed by our QA team and submitted for client approval before funding is initiated.

05

Funding & Distribution

Payroll is funded via ACH with timely direct deposits, pay cards, or checks issued to clinicians on the scheduled pay date.

06

Reporting & Filing

Post-payroll reports, GL entries, and tax filing data are delivered, with quarterly and annual tax filings managed on schedule.

Industries Served

Who We Serve

Our workforce operations expertise spans across healthcare and related sectors globally.

Travel Nurse Staffing
Per-Diem Staffing Agencies
Allied Health Staffing
Locum Tenens
Home Health Agencies
Correctional Healthcare
Hospital Systems
School Health Programs
Behavioral Health Staffing
Telehealth Platforms
Why Choose Us

Why Sure Staff

We combine deep domain expertise with platform-enabled delivery to give you the operational edge.

Healthcare-Only FocusDeep expertise in healthcare staffing workflows, compliance, and workforce operations — not a generalist provider.
Technology-Enabled DeliveryPlatform-integrated operations that connect credentialing, payroll, scheduling, and compliance in one ecosystem.
24/7 Operational CoverageRound-the-clock execution support ensuring your workforce operations never pause regardless of time zone.
Offshore Center of ExcellenceA purpose-built delivery center in Hyderabad, India, staffed with trained healthcare workforce specialists.
Compliance-First ArchitectureEvery process designed around regulatory standards — HIPAA, multi-state compliance, and industry best practices.
Part of Care Career GroupBacked by the Care Career group's global healthcare staffing network, giving you marketplace reach and operational depth.

Ready to Automate and Scale Your Payroll Operations?

Let Sure Staff handle the operational complexity so your team can focus on delivering quality care. Contact us today to schedule a free consultation.

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