Shift differentials
Hospitals pay extra for evening, night, weekend and holiday shifts. The differential is either a flat dollar amount per hour or a percentage. Differentials count for FLSA overtime: a 12-hour night shift with a $4 differential has overtime calculated at 1.5 times (base + $4), not 1.5 times base.
Mandatory overtime
Some states (CA, NY, NJ, IL, MN, OR, PA, RI, WV) restrict mandatory overtime for nurses. Voluntary overtime is paid at FLSA-required rate (1.5x weighted regular rate above 40 per week, plus state daily-OT rules where applicable).
Travel nurse stipends
Travel nurses often earn a low taxable hourly rate plus tax-free stipends for housing, meals and incidentals. The IRS allows tax-free stipends only if the nurse maintains a separate tax home and the assignment is genuinely temporary (under 12 months). Misuse triggers audit risk. Talk to a CPA before structuring travel nurse pay.
Common stub lines
- Base hourly times hours.
- Shift differential times qualifying hours.
- Weekend differential.
- Holiday pay (often 1.5x or 2x).
- Overtime calculated on the weighted regular rate.
- On-call or call-back pay (varies).
- Tax-free stipends (travel only).