Workforce infrastructure for healthcare

From job post to payday, one system.

ScrubPay is the back office for healthcare organizations: hiring, payroll, PBJ, documents, and analytics on one employee record. Built for specialty clinics and skilled nursing facilities as readily as acute care hospitals, from under 10 employees to over 10,000.

$20 per employee / month Flat fee travel nursing, never a wage multiplier 10 to 10,000+ employees
MR
Marcy Reyes
CNA · Night shift · Hall B
EMP 00412
One record, start to finish

Applied. Marcy filled out Quick Apply from her phone in under a minute.

The problem

Five vendors who have never spoken to each other.

Most facilities run hiring in one place, timekeeping in another, payroll somewhere else, and call an outside agency when the roster runs short, then pay someone to reconcile all of it into a PBJ file every quarter. The data is the same data. It just lives in systems that don't talk, one of which won't even show you its own math.

What most facilities run today

HiringJob board + a spreadsheetretyped
TimePunch clock softwareexported
PayPayroll providerre-keyed
CMSPBJ done by hand45-day clock
TravelOutside staffing agencyopaque markup

A separate vendor, a separate bill, and a margin you can't see

What ScrubPay replaces it with

ScrubPay

One employee record, and one company standing behind it end to end.

  • Hire → the record is created
  • Clock in on your own scheduler → the hours attach to it
  • Run payroll → the check comes from those hours
  • Quarter ends → the PBJ file already exists
  • Need travel coverage → The Staffing Company, same entity, same record
The back office

Six pieces. One record underneath all of them.

Start with whatever hurts today. Turn the rest on when you are ready. Nothing gets migrated twice, because it was never in a second system.

Hiring

A branded careers page on your own domain, with a pipeline built for clinical roles instead of general HR.

  • Quick Apply from a phone in under a minute
  • Full Apply with licenses and documents
  • Remote I-9 with E-Verify, e-signature built in
  • Unlimited admin users, no seat counting
See a sample careers page

Credentials

Licenses and certifications live on the employee record with expiration dates, so nobody finds out at survey time.

  • Expiration tracking with early warnings
  • Identity verification (KYC) at hire
  • Collected once, not re-collected every hire
  • Ready to hand to a surveyor

Works with your scheduling

We don't replace the scheduling and timekeeping system you already run. We tie into it, so approved hours become the input to payroll without a re-key.

  • Connects to the scheduler you already use
  • Approved hours flow straight into payroll
  • Nothing to switch, nothing to retrain staff on

Payroll

Payroll that reads the hours already in the system. Direct deposit, tax filing, W-2s, and a branded app for pay and paystubs, no separate vendor to call.

  • $20 per employee per month, flat
  • Hours flow from the schedule, not a CSV
  • Daily pay, paycards, or direct deposit, worker's choice
  • Federal, state, and local filing handled

PBJ & documents

Your quarterly CMS submission builds itself from payroll you already ran, and every document that fed it stays where you can find it.

  • Job codes mapped on the employee record
  • Validated before you submit, not after
  • Garnishment orders read from a PDF, applied automatically
  • Document storage tied to the person, not a folder

Analytics

Labor cost, agency spend, overtime, turnover, and hours per resident day, read off the same data you pay people with.

  • Staffing hours tracked as the quarter builds
  • Own staff versus contract labor, side by side
  • Numbers that reconcile, because there is one source
Pricing

Move the slider. That is the whole price.

Flat platform rate plus a flat per-employee payroll rate. No seat licenses, no module upgrades, no renegotiation when you hire.

Employees on payroll 92
10400
Careers page & ATSUnlimited admin users $349.00
Payroll92 × $20.00 $1,840.00
PBJ reportingIncluded with payroll $0.00
Per month $2,189.00
Blended cost per employee $23.79
One-time setup

$5,000 to stand up the careers page and ATS

Payroll onboarding is quoted separately and depends on your current provider, headcount, and how much history moves over. We scope it before you commit to anything.

Need a website too?

We build facility websites for $8,000 plus $100 a month, or $10,000 with the careers page built in. Live in under a week or the onboarding fee comes back to you.

Travel nursing is priced separately

Contract labor runs through The Staffing Company on a flat fee you set per role, not a markup on the wage. It is not bundled into your ScrubPay subscription.

See it before you buy it

This is what a ScrubPay careers page looks like to an applicant — six sample openings, real pay and shift details, one-tap apply.

See the sample careers page
The part nobody else solves

Your PBJ file should already exist.

Every skilled nursing facility owes CMS a Payroll-Based Journal submission each quarter, due 45 days after the quarter closes. Most facilities rebuild it by hand from payroll reports, because payroll and reporting were never the same system. In ScrubPay they are.

  • SourceBuilt from the payroll you already ran, not a re-entered copy of it.
  • CodesCMS job codes sit on the employee record, so a CNA is a CNA in every quarter.
  • CheckValidation runs before submission, so errors surface while you can still fix them.
  • EffortReview the summary, confirm, and download the file.
pbj_q3_cedarridge.xml Not generated
// Press Generate to build the quarter from payroll data.
Q3 · 92 employees · ready
Compliance built in

The paperwork you'd otherwise chase down by hand.

Employment and payroll regulation changes constantly, and it's different in every state. Our payroll infrastructure runs on a dedicated compliance engine that stays current across federal, state, and local rules, so it's built into every hire and every check instead of living in a binder.

Hiring & credentialing

Every hire clears the same checklist, whether it's your first employee or your five-hundredth.

  • Remote I-9 with E-Verify
  • E-signature on every form
  • Identity verification (KYC)
  • Tax withholding forms
  • License & certification tracking
  • New hire state reporting
  • Labor law poster compliance
  • Benefits enrollment forms

Documents and requirements update on their own when a rule changes, instead of waiting for someone to notice.

Payroll & pay

Every check clears the same rules, across every state and locality you operate in.

  • Multi-location & multi-state taxes
  • Digital paystubs
  • Unemployment insurance filing
  • Workers' comp administration
  • Garnishments & deductions
  • Overtime & minimum wage
  • Time-off accrual tracking
  • Year-end filing, W-2s & 1099s

Garnishment orders can be uploaded as a PDF. We read it, apply it to the right person, and add the deduction, no manual entry.

Bank-grade, SOC 2-certified payroll infrastructure Tax and compliance engine covering federal, state, and local rules
Travel nursing & contingent labor

Percentage markup punishes you for paying people well.

The industry standard is a multiplier on the clinician's wage. Raise a traveler's pay by a dollar and your bill rate goes up by a dollar and a half, because the agency's cut rides on top of the wage. So facilities hold wages down to hold costs down, clinicians see less than the market would pay them, and nobody can find out what the split actually was.

We flipped who sets the numbers.

Through our travel partner, you post the role with two numbers you choose: what the clinician earns, and what the recruiter earns for filling it. Your bill is those two numbers plus the employer payroll liabilities at cost and a flat $5 an hour for the platform. Four lines, all of them visible, none of them moving with the wage.

Where the margin actually hides

Taxable hourly wage Non-taxable per diem

A travel package is not all wages. Roughly half is typically paid as non-taxable per diem reimbursements: a lodging allowance and a meals and incidental expenses (M&IE) allowance, paid under an accountable plan and capped at the GSA per diem rate for that locality.

Employer FICA, FUTA, SUTA, and workers' comp only attach to the taxable half. So the real payroll liability on a travel contract runs closer to 8% of the total package than the 15% or so you would owe on a staff nurse. That saving is real money, every hour, on every contract.

Under a multiplier, that saving is invisible to you and stays with the agency. We put it on your invoice as a line item and bill it at cost.

Per diem treatment depends on the clinician maintaining a tax home and duplicating living expenses while on assignment. Where a clinician does not qualify, the full package is taxable, the liability line goes up, and your bill reflects that instead of hiding it.

  • Percentage markup Flat fee, open market
  • The agency sets the bill rate You set the bill rate
  • The agency decides the clinician's wage You set the clinician's wage
  • The margin is whatever is left over You set the recruiter's fee
  • Payroll taxes are buried in the multiplier Payroll liabilities billed at cost, itemized
  • The agency keeps the per diem tax saving The per diem saving comes off your bill
  • One agency's bench of candidates Every independent recruiter and agency
  • A raise costs you the multiplier A raise costs you the raise plus its real tax

Because only half the package is taxable, 16% on taxable wages lands at 8.0% of what you actually pay the clinician. These are conservative starting estimates, not quotes: markups swing with specialty and state, GSA per diem caps move by locality, and workers' comp varies by class code. Drag every slider to your own numbers. The comparison either holds up against them or it doesn't.

Percentage markup 1.48× the pay package $96.20/hr
Clinician pay Everything else, not itemized

Payroll taxes, workers' comp, and margin are all inside the multiplier. You are quoted one number and never learn what the stipend split saved.

Flat fee, open market every line itemized $80.20/hr
Clinician pay Payroll liabilities Recruiter fee Platform $5.00

Employer FICA, FUTA, SUTA, and workers' comp, charged only on the taxable half of the package and billed at cost. The per diem saving comes off your bill instead of into someone's margin.

Share of your dollar you can actually see 68%100%
Goes to the clinician and their payroll taxes not disclosed88%
One 13-week contract, 36 hours a week $45,022 vs $37,534
What you keep, per contract $7,488

The part that compounds: what a raise actually costs you.

Give that traveler one more dollar an hour. Under a multiplier, the agency's cut rides on the package, so you pay the raise and a share of the raise on top. Under a flat fee you pay the raise and the actual payroll tax on the taxable part of it, at cost, while the recruiter fee and platform fee do not move at all. That gap is why percentage markup quietly holds clinician pay down: every facility doing the math on its own decides the raise is too expensive.

$1.48
what a $1.00 raise costs you under a multiplier
$1.08
what a $1.00 raise costs you under a flat fee, payroll tax included
Payroll as a revenue line

Someone earns money moving your payroll. It can be you.

Every time payroll goes out, there's interest on funds waiting to be spent and interchange when a card gets swiped. Most payroll vendors keep that. If your staff use ScrubPay's branded paycard and digital wallet instead of a plain direct deposit, that revenue comes back to your facility.

Interchange revenueEarned when staff spend on their paycard $828
Digital wallet yieldEarned on balances held before spending $276
Instant pay fee shareYour cut when staff choose to get paid early $460
Estimated per year $1,564

Illustrative planning estimates, not a quote. Actual revenue depends on card adoption, spend behavior, and program terms, and we'll model your real numbers before you commit to anything.

How we're organized

Two names, because they are two different jobs.

ScrubPay is the back office your facility runs on. The Staffing Company is the open market you reach into when the roster runs short.

ScrubPay

Your back office

The system of record for the people you employ. Everything that has to be true about a staff member lives here: how they were hired, what they are licensed to do, what they worked, what they were paid, and what you told CMS about it.

  • Careers page and applicant tracking
  • Credential and license tracking
  • Scheduling and timekeeping
  • Payroll, tax filing, and W-2s
  • Quarterly PBJ submission
  • Document storage and labor analytics
  • Facility website buildouts

The Staffing Company

Your travel nursing market

Our travel nursing and contingent labor partner. Not an agency with a bench, but access to the open market of independent recruiters and agencies, all working the role you posted at the two rates you set.

  • You set the clinician wage
  • You set the recruiter's flat fee
  • Payroll liabilities billed at cost, itemized
  • Per diem tax savings passed back, not pocketed
  • Flat $5 per hour platform fee
  • Independent recruiters and agencies both compete
  • No percentage markup on anyone's wage
  • Consolidated invoicing, one bill instead of many

The traveler lands in the same record as everyone else. A clinician placed through The Staffing Company shows up on your ScrubPay schedule with licenses already verified, their contract hours flow into your PBJ file under the right job code, and your labor analytics show own staff and contract labor in one number instead of two spreadsheets that disagree.

Where we are

We're in Lincoln, and we'll drive to you.

ScrubPay is built by two brothers in Nebraska. We work with specialty clinics, skilled nursing and assisted living communities, critical access hospitals, and acute care systems alike, and for the ones in our region, we would rather sit at your table than send you a deck.

Under a week
Website live, or the onboarding fee is refunded in full
$20
Per employee, per month, for payroll. That is the whole number.
Unlimited
Admin users. We do not charge you for adding an HR or payroll admin.
45 days
Your PBJ deadline after each quarter. We would like you to stop thinking about it.
Next step

Show us your last quarter's costs. We'll show you what they'd have been with us.

Thirty minutes, your real numbers, no slide deck. If ScrubPay is not a fit for how your facility runs, we will tell you that on the call.