Healthcare Overtime Calculator
Hospital payroll is the only place in the private sector where overtime can start at 8 hours a day by federal choice rather than state law. Enter your shifts and differential and we will show both the 40-hour result and the 8/80 result so you can check which one your employer used.
Your Healthcare Week
Healthcare Overtime Rules at a Glance
| Federal default | 1.5× after 40 hours in the workweek |
|---|---|
| 8/80 option (7(j)) | 1.5× after 8 in a day or 80 in 14 days |
| Differentials | Must be blended into the regular rate |
| On-call | Paid if you are restricted or must respond fast |
| Report / handoff | Compensable working time |
Where Healthcare Overtime Goes Wrong
Overtime at 1.5× base while a differential was paid
Night, weekend, charge, and preceptor premiums are nondiscretionary pay for hours worked, so overtime must be 1.5× the blended regular rate — not 1.5× your base rate.
Automatic 30-minute lunch deductions
If you covered patients through the meal period, that time is hours worked. Auto-deduct policies are one of the most litigated hospital wage issues.
8/80 applied without an agreement
An employer may only use 8/80 for hospitals and residential care facilities and only with an agreement reached before the work period. Otherwise the 40-hour rule governs.
Rules and Terms That Apply to nurses, aides, and hospital staff
Healthcare Overtime FAQ
Other Industry Overtime Calculators
Start from the workforce management hub, or map your whole schedule with the time tracking hub.
Calculate Overtime by State
Select your state for accurate 2026 overtime calculations