Healthcare payroll without the headaches.
Your priority is delivering exceptional care. Ours is giving you the time to do it. Automate payroll for your team, schedule staff effortlessly, deliver competitive benefits, and ensure HIPAA compliance without the hassle. Spend less time on paperwork and more time taking care of your patients.
Automate & streamline operations
Boost efficiency and reduce errors with our intuitive, automated platform—from complex payroll and onboarding paperwork to tax filings and benefits enrollment.
Ensure compliance for your practice
Reduce your risk and lessen your stress with simplified adherence to HIPAA, labor laws, and healthcare regulations, along with fully automated tax compliance.
Attract & retain your dream team
Reduce turnover and take care of your team with competitive benefits, flexible scheduling options, and empowering, people-focused HR tools.
Payroll and time tracking for health practices
Simplify payroll, automate time tracking, and free up your cash.
With custom pay rates, automatic overtime calculations, and clock-in kiosks that sync to payroll, you can automate payroll for diverse staff, from hourly and per diem to percent net collections. Shift scheduling allows admins to create compliant schedules up to six months in advance, and Instant Pay gives you the cashflow flexibility to manage reimbursement delays with eas. Free up cash, ensure patient coverage, and get your team paid on time, every time.
Hiring and compliance
Compliance, hiring, screening, onboarding—all in one place.
We don’t just help you hire team members with ease, we reduce your compliance burden across the board. You can run a background check, onboard a new team member, securely store documents, and offer required compliance training such as HIPAA—all right from within the platform. Plus we’ll help you stay compliant with ever-changing labor laws and healthcare-specific regulations, along with built-in ACA and EEO-1 reporting.
Need a little help? Our certified HR specialists are here for all your compliance needs from ACA to OSHA.
Attract and retain talent
Custom-built benefits tailored for small practices.
We make it easy to offer competitive health, dental, and vision benefits for any budget, including FSAs and HSAs, 401(k)s, wellness and commuter benefits, customized PTO, and tuition reimbursement. Plus, flexible scheduling and employee self-service empower your team to manage their time, PTO, benefits, and more without adding admin. Attract the skilled staff you need to grow while keeping the people at the heart of your practice happy, healthy, and engaged.
Flexible growth
You built a practice, we’ll help you scale it.
Gusto is designed to grow with you, from teams of 5 to 50+. Our intuitive, all-in-one platform eliminates data silos, reduces manual entry, and makes it easy to run a practice without a degree in HR. You can e-hire practitioners, staff, and contractors in minutes, and we’ll take care of the paperwork. And with nearly 150 integrations and custom APIs, we help you leverage the technology you need to grow without adding complexity.
Frequently Asked Questions
A healthcare payroll system helps you to automate and consolidate a collection of time-consuming and error-prone manual tasks like time-tracking, submitting payroll, paying local, state, and federal taxes, and staying up-to-date with healthcare industry compliance. More robust software options like Gusto may also include shift scheduling tools as well as integrated screening, hiring, onboarding, and benefits administration.
Absolutely. Gusto is set up to handle even the most complex clinical payroll needs including hourly and salaried staff, per diem pay, productivity-based incentives, clinical time-clock overrides, profit- and revenue-sharing models including percentage of net collections, and specialist 1099 contractors.
We sure do. Gusto’s flexible shift scheduling allows you to create compliant schedules up to six months in advance. We let you organize staff by role or location, helping to avoid conflicts and ensure patient coverage.
Gusto’s robust suite of time and attendance tools make it easy to automate cumbersome and error-prone time tracking. Employees can clock in via the Gusto Wallet app or tablet-based kiosk with PIN security, and geofenced clock-ins are also available. Overtime calculations are fully automated, and hours sync to payroll with the push of a button.
Staffing and payroll for healthcare employees is highly regulated. Staying compliant means staying on top of hours worked, overtime pay, meals and breaks, staff credentialing, nurse-to-patient ratios, and more—all varying by state and locality. It can get pretty complex, but luckily our team of SHRM and HRCI-certified experts are here to keep you up to date and answer any compliance questions you may have. You can also check out OSHA and the Department of Labor for up-to-date info on healthcare compliance.
*HR specialist support comes included with our Premium plan, or is available as an add-on to our Plus plan for just $8 per employee per month.
Gusto has best-in-class HR and payroll systems for healthcare, tailored specifically to small and growing practices. Our interface is intuitive and easy-to-use while still providing a robust set of tools from time tracking and scheduling, to automating complex pay structures, to managing compliance.
Trusted by 500,000+ businesses and their teams
#1 Highest Satisfaction Software
G2 Review | 2026
#1 Best payroll software
TrustRadius | 2025