Payactiv for Healthcare
Stabilize care teams with financial wellness
Payactiv gives clinicians and frontline staff access to earned wage that aligns with shift-based work. Hospitals and health systems use it to strengthen retention, reduce call-outs, and ease premium labor pressure while keeping payroll unchanged.
Healthcare staffing bleeding margins
Turnover is rising, hiring takes months, and replacing nurses costs tens of thousands, staffing gaps aren’t just operational, they’re financial.
55
%
Staff are considering leaving within a year
26
%
Annual turnover across key hospital roles
109
Days to fill a single registered nurse role
$
46
K
Cost to replace one registered nurse
Sources: Harris Poll, NSI, Beckers Hospital Review
Turn financial stability into better care delivery
When employees can access what they have earned, financial stress drops and attendance and retention improve. Payactiv data shows 36% improvement in turnover and 16+ hours productivity gain.
Improve retention in critical roles
Help workers handle unexpected costs without disrupting payroll.
Reduce absenteeism and call-outs
Stabilize staffing with reliable card-based pay that eliminates paper checks, speeds wage access, reduces stress, and cuts overtime.
Ease overtime and staff burnout
Reduce last-minute overtime by keeping shifts reliably staffed.
Trusted by frontline employees
EWA powered financial wellness built around workforce retention
Earned Wage Access
Give nurses and frontline staff access to earned wages between shifts, helping reduce call-offs, improve attendance, and support teams working long, irregular hours.
Financial Counseling and Learning
Provide caregivers with tools and guidance to manage income variability, overtime cycles, and financial stress, so they can stay focused on patient care.
Off-Cycle and Termination Pay
Support immediate payments for terminations, corrections, or special cases where compliance and timing matter.
Tips and Mileage Disbursement
Streamline payments for home health, hospice, and field staff, ensuring mileage and reimbursements don’t become retention risks.
Payroll Card
Enable faster onboarding and payment for contingent workers helping you stay competitive in a tight labor market.
RHA Health Services introduced Payactiv to give frontline employees meaningful financial support without adding complexity for HR or payroll. With a seamless Workday integration, the program launched in just six weeks and quickly became part of RHA’s broader talent strategy. Today, 48% of employees are enrolled, active users show 26% higher retention, and employees rate the experience 4.5 out of 5.
• 26% Higher Retention
• 48% Employee Enrollment
• 4.5/5 Employee Satisfaction
With 48% enrollment and retention gains we can see in the data, Payactiv has become a core part of how we talk about our benefits package, internally and to candidates.
– Gwendolyn Peeples-Scott, Director of Total Rewards
Edgewood Healthcare wanted to give employees greater financial flexibility while strengthening its total rewards package—without changing existing payroll processes. Payactiv provided Earned Wage Access with no disruption to pay cycles, no added payroll complexity, and no increase in employer cost. The result: stronger retention, meaningful employee adoption, and a benefit employees value when unexpected expenses arise.
• 22% Stronger Retention
• 1 in 5 Employees Active
• 4.5/5 Employee Satisfaction
Payactiv has become a valuable extension of our total rewards strategy by offering employees greater financial flexibility. The integration was seamless, allowing us to maintain our existing payroll processes.
– Stacie Platfers, Payroll Manager
Across more than 200 locations, Surgery Partners needed a way to reduce employee financial stress without creating another administrative burden. Payactiv integrated directly into its UKG ecosystem with no payroll disruption, system overhaul, or employer cost. Employees using Payactiv now show 34% higher retention, while the program supports greater shift reliability and workforce stability.
• 34% Higher Retention
• 200+ Locations Supported
• 4.7/5 Employee Satisfaction
Our administrators report constant use and grateful teams. It spreads by word of mouth.
– Alex Carpenter, VP of HR Operations
After employees identified financial stress as a major challenge, Norman Regional Health System turned to Payactiv to support its 3,800-person workforce. Employees were able to register quickly with minimal assistance, and adoption exceeded expectations after launch. The program has since become part of NRHS’s recruitment and employee wellness strategy, helping employees manage everyday expenses while reinforcing a culture of support.
• 3,800 Employees Supported
• Seamless Employee Adoption
• Supports Recruitment & Retention
The level of gratitude we’ve received from our employees for helping them address their financial worries has been overwhelming.
– Brittni McGill, Chief Nursing Officer & Co-Chair, Recruitment and Retention Committee
"With 48% enrollment and retention gains we can see in the data, Payactiv has become a core part of how we talk about our benefits package, internally and to candidates."
- Gwendolyn Peeples-Scott, Director of Total Rewards
The level of gratitude we've received from our employees for helping them address their financial worries has been overwhelming. But for us, the best thing is knowing that our people are now in a place where they can function at their best both personally and professionally.
- Brittni McGill, Chief Nursing Officer & Co-Chair, Recruitment and Retention Committee
"Payactiv clearly knows the healthcare industry well. They had an understanding of our setup before they were even on site and came fully prepared to help with implementation. They also integrated their system with ours with utter ease — directly linked to Workday, our HCM solution."
- Sr. Project Specialist
"Payactiv has become a valuable extension of our total rewards strategy by offering employees greater financial flexibility. The integration was seamless, allowing us to maintain our existing payroll processes."
- Stacie Platfers, Payroll Manager
"We weren’t in the market for Earned Wage Access, but once we saw the impact it could have on our workforce, it became a no-brainer."
- Alex Carpenter, VP of HR Operations
Frequently asked questions
How does Payactiv help healthcare employers reduce turnover and call-outs?
Payactiv gives clinicians and frontline staff responsible access to earned wages that aligns with shift-based work. By helping workers handle unexpected costs between paychecks, it reduces financially driven call-outs, eases premium-labor and overtime pressure, and improves retention in critical roles — all while keeping payroll unchanged.
Which Payactiv products support healthcare teams?
Healthcare employers use Earned Wage Access for nurses and frontline staff, financial counseling for caregivers, off-cycle and termination pay for compliant final payments, tips and mileage disbursement for home-health and field staff, and payroll cards for faster onboarding of contingent workers.
Does Payactiv work with healthcare workforce systems like OnShift?
Yes. Payactiv integrates with workforce platforms used in healthcare and senior care, including OnShift, so eligible employees can access earned wages within existing scheduling and payroll systems.
Is Payactiv HIPAA-compliant?
Payactiv maintains an enterprise Information Security Program aligned to PCI DSS, SOC 1, and ISO controls, and publicly lists ISO 27001, SOC 2, PCI DSS, and CCPA-aligned practices.
Make Earned Wage Access part of your staffing strategy
See how Payactiv fits your payroll and supports retention in hospitals, healthcare, and home health.
