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Israeli Healthcare Payroll

Verified91/100
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Explains how a payslip in Israel's public-healthcare system is actually built, which is nothing like private-sector pay. The salary is set by collective agreements and by wage grade (dirug): nurses, three separate allied-health grades (occupational therapy, physiotherapy, and the para-medical grade for dietitians and speech clinicians), pharmacists in the academic grade, and doctors under the IMA agreement. The skill identifies the right grade, reads the combined salary by rank and seniority, adds healthcare-specific supplements like the nurses' tosefet achayot, the banded allied-health training supplement, and doctors' on-call and duty pay valued in workdays, and shows how gross becomes net. Useful for nurses, allied-health workers, doctors, hospital payroll staff, and anyone reading a healthcare payslip. Do NOT use for standard private-sector payroll, teachers' pay, or employing a home caregiver.

Trust score 91/100 (Verified) · 2 GitHub contributors · MIT license

The Problem

Israeli public-healthcare workers are not paid like private-sector employees. A nurse, a physiotherapist, or a hospital doctor is paid under a collective agreement: the base is a combined-salary cell of grade by seniority, with healthcare-specific allowances on top, and for doctors on-call paid in workday equivalents that are not even part of base salary. A generic calculator gets this wrong. The skill encodes the structure so an agent can read a healthcare payslip and estimate a gross from the right track.

skills-ilskills-ilAccounting
1.1.0MITGitHub
0installs12views
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How to use this skill

Not sure how? Read the guide
  1. 1. Click "Download ZIP" to download the skill files.
  2. 2. Open Claude Desktop and go to Customize > Skills.
  3. 3. Click "+" and select "Upload a skill", then upload the ZIP file.
  4. 4. Start a new conversation. The skill will activate automatically when relevant.
A new version released? How to update your installed skill
Developers? Install via command line (CLI)
npx skills-il add skills-il/accounting@v1.1.0-israeli-healthcare-payroll --skill israeli-healthcare-payroll -a claude-code

When to Apply

  • When you need to read or sanity-check a nurse, allied-health, pharmacist, or doctor payslip in the public system
  • When you want to know which wage grade (dirug) a healthcare worker falls under
  • When a doctor slip has on-call (kononut) and duty (toranut) lines to interpret
  • When you need to separate the collective-agreement base from healthcare tosafot and statutory deductions
  • When estimating a gross salary from the right healthcare wage track

Try These Prompts

Read a nurse payslip

Help me understand my payslip as a certified nurse at a government hospital. Which dirug applies to me, what is the combined salary, and which nurse-specific supplements should appear?

Doctor on-call pay

I am a specialist doctor and did several on-call and duty shifts this month. Explain the difference between them and how each is paid in workday equivalents.

Physiotherapist salary

I am a physiotherapist with 10 years of allied-health seniority. How is my gross built, and which training-supplement band applies to my seniority?

Frequently Asked Questions

Changelog

v1.1.0

Deepened doctor coverage: separate toranut and kononut tables (section 42 vs 49), resident grades, shortage-specialty and periphery premiums, and day-value (erech yom).

Jul 15, 2026

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