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No tax on overtime for nurses

Most hourly nurses qualify. Here's how hospital 8/80 schedules, shift differentials and salaried roles fit the rules.

By Rogger Taipe · Updated October 12, 2026 · Tax years 2025 and 2026 · Based on IRS guidance

Nurses are among the biggest winners of the overtime deduction, because many work long, overtime-heavy schedules and are paid by the hour. The deduction covers the FLSA overtime premium (the half in time-and-a-half), up to $12,500 ($25,000 joint).

SituationQualifies?
Hourly RN or LPN paid time-and-a-half over 40 hours a weekYes, the premium part
Hospital using the FLSA 8/80 system (over 8 hours a day or 80 in 14 days)Yes. 8/80 overtime is part of FLSA section 7
Overtime required only by a union contract or state lawNo, only the FLSA-required part
Salaried RN who meets the learned-professional exemptionGenerally no
Per-diem or agency nurse paid hourly as an employeeYes, for FLSA overtime
Travel nurse stipendsNo; stipends aren't overtime

Shift differentials raise your premium

Night, weekend and charge differentials are part of your “regular rate”. Under the FLSA, overtime is figured on the regular rate including those differentials, so your qualified premium may be higher than base rate × 0.5.

Example

An RN earning $40 an hour works about 210 overtime hours in 2026, so the FLSA premium is about $4,200. Single, with $98,000 of income, the deduction saves about $924 of federal income tax (22% bracket). The exact amount is the figure in box 12, code TT of the W-2.

Calculate yours in the overtime calculator.

Common questions

Do nurses get no tax on overtime?

Most hourly nurses do, for the FLSA overtime premium. Salaried nurses who are exempt professionals generally don't.

Does 8/80 overtime qualify?

Yes. The 8/80 system for hospitals is part of FLSA section 7, so the premium it requires qualifies.

Sources

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