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No Tax on Overtime: The Healthcare Worker's 2026 Filing Guide (PDF)

No Tax on Overtime: The Healthcare Worker's 2026 Filing Guide (PDF)

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Picked up extra shifts this year? Part of that overtime may come back to you at tax time, but only if you claim it correctly.

The new federal overtime deduction lets eligible workers deduct up to $12,500 ($25,000 for joint filers) of qualified overtime. For 2026 the rules got stricter: you can generally only claim what your employer reports on your W-2 in box 12, code TT. If it's missing or too low, you need a corrected W-2 before you file.

This 16-page plain-English guide is written for hourly nurses, lab techs, CNAs, radiology and respiratory techs, phlebotomists, EMTs, and agency and travel staff.

What's inside

  • Who qualifies, and who doesn't (exempt vs non-exempt, 1099s)
  • Why only the "half" of time-and-a-half counts, and how shift differentials raise it
  • Hospital schedules explained: 40-hour weeks, 8/80, 12-hour shifts, on-call and call-back
  • How to read your pay stub, with a worked example
  • A fill-in deduction worksheet
  • The 2026 W-2 code TT rules, and a script to ask payroll for a corrected W-2
  • Income limits and phase-out tables for single and joint filers
  • Whether to update your W-4
  • Filing on Schedule 1-A, step by step
  • State tax table, plus agency, travel and PRN work
  • Three worked examples, a mistakes table and a year-end checklist

Format: 16-page PDF, instant download. Updated November 2026 for 2026 federal returns filed in early 2027.

General information only, not personal tax advice.

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