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Ease vs Gusto

Gusto is excellent payroll software. Ease is excellent payroll inside a complete back office.

Ease vs Gusto

Best-in-class payroll.
Or payroll plus everything else.

Gusto is one of the best payroll products in the U.S. small business market. The interface is clean, the support is solid, the compliance work is reliable, and the price is fair. If you only need payroll and benefits, Gusto is a sound choice.

Payroll is one piece of running a practice. Ease handles payroll as one of ten modules, all run by an AI agent that knows your practice. If you want payroll plus everything else in one product, Ease is the better fit.

Gusto
Ease
Best-in-Class Payroll Processing
Reliable Tax Compliance Work
Employee Benefits Management
Clean UI & Solid Support
Integrated Practice Bookkeeping
Native Billing & Payment Processing
End-to-End CPA Tax Filing
Built-in Corporate Governance & Legal Templates
Unified Practice Architecture (10 Modules Run by AI)

Feature Comparison

Feature
Ease
Gusto
Built for doctors and clinicians
Yes.
No. General small business.
AI agent does the work
Yes. Ease Agent.
No.
Bookkeeping
Included.
Not offered. Integrations with bookkeeping tools.
Payroll
Included. All 50 states.
Yes. Core product. All 50 states.
Bill pay and vendor management
Included.
Limited. Contractor payments only.
Patient payments
Included. Ease Pay.
Not offered.
Entity formation and registered agent
Included.
Not offered.
Legal, contracts, and compliance
Included as a paid skill.
Not offered.
HR and team management
Included.
Yes on Plus and Premium tiers.
Health and retirement benefits
Available.
Yes. Core feature.
Tax filing
$1,000 to $2,500. Included in Full Service.
Payroll tax filings included. Income tax filing not offered.
Starting price
$299/mo. $99/mo for first 3 months.
$49/mo plus $6/employee (Simple). $80/mo plus $12/employee (Plus).
Human support included
Yes on $499 and above.
Phone, email, chat support.

Who Should Pick What

Pick Gusto if...

Gusto

You only need payroll and strong benefits.

Pick Gusto if you only need payroll, you want strong benefits administration (medical, dental, vision, 401(k), HSA), and the rest of your back office is handled elsewhere. Gusto's benefits broker work is genuinely strong and pricing for small teams is among the best in the market. If you already have a CPA, a bookkeeper, a lawyer, and a payment processor you trust, Gusto is the right tool to add.

Pick Ease if…

Heard

You want payroll as part of a complete back office.

Pick Ease if you do not want to maintain a stack of separate tools. Ease handles payroll as one of ten things the agent does for you. Pick Ease if you want clinical context in your payroll (W-2 vs 1099, reasonable salary for physician S Corps, multi-state telehealth). Pick Ease if you want to run payroll over chat. "Ease, run payroll Friday" is the experience.

Pricing Compared

What you actually pay

Gusto

$49 – $80/mo + per employee

Simple is $49/mo plus $6/employee. Plus is $80/mo plus $12/employee. Premium is custom. Contractor-only plans run $35/mo plus $6 per contractor per month.

Ease

$299/mo

Platform and agent. $99/mo for the first 3 months for the first 250 verified clinicians. Additional team members are $10/mo each for payroll plus $5/mo each for HR.

SWITCHING

Switching from Gusto in Three Simple Steps

Switching Steps
1

Bring your payroll history.

Ease imports your prior year's payroll runs, employee records, and tax filings from Gusto.

2

Connect your bank and tax accounts.

State and federal tax registrations move over. Direct deposit flows continue without interruption.

3

Run payroll through the agent.

Your first payroll run on Ease takes a single message to the agent. The work happens behind the scenes.

Frequently Asked Questions

Does Ease handle multi-state payroll?
Yes. All 50 states. Common for telehealth practices and groups operating across state lines.
Does Ease offer health benefits like Gusto?
Health benefits administration is available through partner brokers. Gusto's in-house benefits product is more mature today. If benefits is your top priority, that is worth weighing.
Will my employees notice the switch?
Direct deposits continue without interruption. Pay stubs change in format. W-2s at year-end are issued by Ease for the period after the switch.
Can I keep Gusto for payroll and use Ease for everything else?
Yes. Ease integrates with external payroll tools if you prefer to keep Gusto. Most practices eventually consolidate, but it is not required.

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