Healthcare Payroll Services in Phoenix

$75 per employee, per month. That's the flat PEO administrative fee for approved Phoenix healthcare employers. Workers' compensation premiums, employee benefit premiums, wages, employer payroll taxes, and any other applicable costs are calculated separately and listed in your proposal before you agree to anything. See full pricing details.

Healthcare payroll built for how Valley care teams work

Phoenix healthcare payroll rarely runs on a 9-to-5 clock. Nurses and aides work 12-hour nights and weekend rotations, caregivers drive between clients from Ahwatukee to north Phoenix in a single shift, and clinics add PRN staff to cover the winter rush. One employee might earn a base rate, a night differential, and a weekend premium in the same week, and every one of those has to land in the overtime math.

The payroll setup you choose should handle that without extra spreadsheets:

• Weekly and biweekly payroll processing, with payroll tax administration
• Night, weekend, and holiday shift differentials, with overtime on the full regular rate
• Part-time and as-needed (PRN) staff, and employees who work more than one role
• Multiple offices and care locations on one payroll
• Timekeeping, scheduling, or EVV connections, depending on provider and arrangement
• Onboarding and human resources help through a PEO arrangement

Your proposal shows which of these are included and which cost extra.

Three ways to set up payroll for your Phoenix team

• Payroll only. Payroll processing and tax filings for your staff, without changing your benefits or how you manage your team. Priced separately from the PEO rate.
• Standalone employee benefits. Medical, dental, vision, retirement, disability, and life insurance options, whether or not you change payroll.
• PEO. A professional employer organization shares certain employer tasks with you, like payroll and benefits administration, for a flat $75 per employee per month once approved. Workers' comp coverage typically comes under the PEO's policy, with the premium billed separately. You still direct patient care and your schedules.

None requires the others. See what each option covers and what you still handle.

Benefits that help you keep good people in a competitive Valley market

Phoenix-area practices and agencies recruit from the same pool of nurses, medical assistants, and caregivers as the Valley's large health systems. Group health, retirement, and paid leave give smaller employers a way to compete for experienced staff and keep the people they've trained. Arizona has been projected to face one of the largest nursing shortages in the country, which makes keeping good staff worth more every year.

Summer heat, long drives, and home care schedules

For home care agencies, Phoenix summers change the workday: visits shift earlier, routes get tighter, and travel time between clients adds up. Travel from one client to the next during the workday is paid time and counts toward the 40-hour week, so it's often what pushes a caregiver into overtime. Mileage reimbursement is separate from wages, but it can't be used to cover minimum wage. How caregiver travel time and mileage work.

Payroll basics for Phoenix employers

General information, not legal or tax advice. Figures checked October 2026; most change each January.

• Minimum wage. Phoenix doesn't set its own minimum wage, so the Arizona statewide rate applies: $15.15 an hour as of January 1, 2026. If your staff work in Flagstaff ($18.35) or Tucson ($15.45), those cities' higher local rates apply to that work.
• Paid sick time. Employees earn at least one hour for every 30 hours worked. Employers with 15 or more employees must allow up to 40 hours a year, and smaller employers up to 24. A.R.S. § 23-372
• Overtime. Time and a half for hours over 40 in a workweek, figured on the regular rate including shift differentials. Hospitals and residential care facilities can use the 8-and-80 system by agreement. Healthcare overtime rules
• State unemployment tax. For 2026, new Arizona employers pay 2.0% on the first $8,000 of each employee's wages. Established employers receive their own assigned rate. Arizona DES
• Workers' compensation. Arizona employers with workers regularly employed in their business generally must carry coverage, with limited exceptions. A PEO arrangement typically includes it under the provider's policy, with the premium billed separately. A.R.S. § 23-902

For the full process, see how to do healthcare payroll, step by step.

Who we work with

Home care and home health agencies, medical and dental practices, senior living and assisted living communities, nursing and rehabilitation facilities, therapy and behavioral health providers, and healthcare staffing companies. See caregiver payroll and staffing agency payroll.

Areas we serve around Phoenix

Phoenix, Scottsdale, Tempe, Paradise Valley, and the rest of Maricopa County. For the suburbs, see our pages for the East Valley (Mesa, Chandler, Gilbert, Queen Creek) and the West Valley (Glendale, Peoria, Surprise, Sun City, Goodyear). Elsewhere in Arizona, see Tucson and Flagstaff.

How it works

1. Tell us about your organization. Your type of care, employee count, and what you need help with. No payroll documents or patient information needed.
2. We review your options. We coordinate with our provider partners on payroll, PEO, workers' compensation, or benefits options that fit.
3. Get a clear breakdown. Review the proposed services and every cost in writing before you decide.

PayMyCareTeam is an independent sales and referral business working with provider partners. We don't process payroll, operate a PEO, underwrite insurance, or issue benefit policies; those come from the providers. More about us.

Phoenix healthcare payroll questions

Do you work with healthcare employers in Phoenix?

Yes. We work with practices, home care and home health agencies, senior living communities, behavioral health providers, and staffing firms across Phoenix and the surrounding Valley. Conversations happen by phone, video, and email, and we reply to quote requests within one business day.

What does healthcare payroll cost in Phoenix?

For an approved PEO arrangement, the administrative fee is a flat $75 per employee per month. Workers' compensation premiums, employee benefit premiums, wages, and employer payroll taxes are calculated separately and shown in your written proposal. Payroll-only and standalone benefits are priced separately.

Does Phoenix have its own minimum wage?

No. Phoenix follows Arizona's statewide minimum wage, which is $15.15 an hour as of January 1, 2026. Flagstaff and Tucson set their own higher rates, which matters if your staff work there.

Can a payroll provider handle night and weekend differentials?

Yes. Differentials, multiple pay rates, and overtime on the full regular rate are standard for healthcare payroll. Ask any provider to show you how a differential flows into the overtime rate before you sign.

Can I get payroll or benefits without a PEO?

Yes. Payroll only, standalone employee benefits, and a PEO are each available on their own. None requires the others.

Information checked October 2026.