Hospital 8 and 80 Overtime Calculator
Some US hospitals and residential care employers pay overtime over 8 hours a day and 80 hours in a 14-day period, instead of 40 hours a week. Enter your rate and your hours to see the pay under the 8 and 80 system.
The currency only changes the symbol. No exchange rates are applied.
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How it works
Under the 8 and 80 system, an employer in a hospital or residential care establishment uses a fixed 14-day work period. Overtime hours are the hours worked over 8 in a day and the hours over 80 in the 14 days. Both employer and employees must have agreed to the system beforehand.
Daily overtime premium pay can be credited toward the overtime owed for hours over 80, so an hour is not paid twice. In practice the overtime hours are the greater of the daily overtime total and the hours over 80. Every hour is paid at your rate, and overtime hours get an extra half of the rate.
The regular rate can be higher than your base rate if you receive shift differentials or non-discretionary bonuses. This calculator uses the single rate you enter.
Source: U.S. Department of Labor, Fact Sheet #54: The Health Care Industry and Calculating Overtime Pay (revised 2009). Rules change and have exceptions, so check the current official guidance.
Overtime hours = the greater of (hours over 8 in a day, added up) and (total hours - 80)
Total pay = Rate x Total hours + 0.5 x Rate x Overtime hoursExample
At 35 per hour with 88 hours in 14 days, of which 4 are over 8 in a day: the hours over 80 are 8, which is more than 4, so there are 8 overtime hours. Total pay is 35 x 88 + 0.5 x 35 x 8 = 3,080 + 140 = 3,220.
Frequently asked questions
What is the 8 and 80 overtime system?
It is an option under federal law for hospitals and residential care establishments. Overtime applies to hours over 8 in a day and over 80 in a fixed 14-day period, instead of over 40 in a week. An agreement with the employees is needed beforehand.
Does every healthcare employer use 8 and 80?
No. It only applies to hospitals and residential care establishments that have an agreement. Other employers use the standard rule of overtime after 40 hours in a workweek.
Can I be on 8 and 80 and the 40-hour rule at once?
No. An employer can use 8 and 80 for some employees and the 40-hour week for others, but not both for the same employee.
Are nurses always paid overtime?
Not always. Some professional and managerial roles are exempt, and it depends on job duties and pay. Check with your employer or the Department of Labor.
Does the regular rate include shift differentials?
Yes. Shift differentials and non-discretionary bonuses are part of the regular rate, so your overtime rate can be higher than your base rate.
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This calculator gives estimates for information only. It is not financial, tax or legal advice, and real-world results depend on your local rules, contract and circumstances.