ComplyWell next to BambooHR, Gusto and Rippling

Feature by feature

Where they are better, it says so. Prices and features were checked in September 2026 against each vendor’s own published material; BambooHR and Rippling do not publish a full rate card, so their figures come from current reported pricing.

	BambooHR	Gusto	Rippling	ComplyWell
Does it know what the regulation requires?
Checks against the Medicare Conditions of Participation	NoNo clinical rulebook	NoNo clinical rulebook	NoNo clinical rulebook	Yes61 rules across hospice, home health, skilled nursing, dialysis and opioid treatment
OIG exclusion screening every month	NoNot offered	NoNot offered	NoNot offered	YesEvery member of staff, every month, against the full list
Licence verified against the issuing state board	NoStores a date you type	NoStores a date you type	NoStores a date you type	YesThe right board and lookup per licence and state, with what it showed and the re-check date
Survey readiness scored against the CFR	NoNot offered	NoNot offered	NoNot offered	YesWeekly, with the gap named
Tells the person who owes the work, every morning	PartlyReminders you configure	PartlyReminders you configure	PartlyWorkflows you build	YesOne brief a day, routed by rule, with the citation
The staff paperwork itself
Form I-9 with the three-business-day clock	PartlyStores the form; no deadline logic	PartlyCollects it with onboarding	PartlyCollects it with onboarding	YesSection 2 deadline, reverification and the retention date computed
E-Verify submission to the government	YesIncluded	YesIncluded	YesIncluded	NoWe track the I-9 dates. Submission stays with you.
Compliance training with real course content	PartlyCourses are a paid add-on	PartlyLimited library	PartlyLearning is a paid module	YesTwelve courses written from the rule each cites, with a knowledge check and an attestation
Labor law posters per location	NoNot offered	YesPoster service included on paid plans	PartlyThrough a partner	YesFrom the official federal and state sources, confirmed on the wall and chased
Background checks	YesThrough Checkr	YesThrough Checkr	YesThrough Checkr	YesThrough Checkr, on your own account, billed to you at Checkr’s price
The adverse action steps after a report	NoNot tracked	NoNot tracked	NoNot tracked	YesPre-adverse notice, waiting period, dispute and final notice, in order, and it refuses an early final notice
State new-hire reporting	PartlyWith their payroll add-on	YesFiled with payroll	YesFiled with payroll	PartlyReport and deadline prepared and chased; you submit on the state portal
Employee handbook	YesTemplate builder	YesTemplate builder	YesTemplate builder	YesBuilt for your state and service line, for your counsel to approve
Meal and rest period checks as time is entered	NoTime tracking is an add-on	PartlyRecords time; no break rules	PartlyRecords time; rules you configure	YesCalifornia meal and rest periods checked on every entry as it is saved
What they are built to do
Runs payroll and files the taxes	NoAdd-on, through a partner	YesThis is the core product	YesA paid module	NoWe never move money. Keep the payroll you have.
Benefits enrolment with carriers	NoAdd-on	YesBroker and carriers built in	YesA paid module	NoBelongs with your broker
Holds employee records and documents	YesThe core product	YesIncluded	YesIncluded	YesRoster, dates and evidence, fed by your export
Employee self-service	YesWeb and mobile app	YesWeb and mobile app	YesWeb and mobile app	PartlyIn the portal, built for a phone. No separate app.
What it costs
How it is priced	NoPer employee, per month	NoBase fee plus per employee	NoPer employee, per module	YesFlat per facility. Hiring does not change the bill.
Published rate card	NoQuote only	YesPublished	NoMostly quote only	YesPublished, on one page

What HR Workforce costs next to them, at 25, 50 and 100 employees

A month, at list price, before add-ons. This is the part that decides it for most agencies: every one of them charges by headcount, and we do not.

Plan	25 staff	50 staff	100 staff
ComplyWell HR Workforce Flat per facility, the same at any headcount. $249 a month billed annually, or $299 month to month.	$249 $299 month to month	$249 $299 month to month	$249 $299 month to month
BambooHR Core $10 per employee a month, with a flat minimum from $250 for 25 or fewer	$250	$500	$1,000
BambooHR Pro $17 per employee a month	$425	$850	$1,700
Gusto Simple $49 a month plus $6 per person	$199	$349	$649
Gusto Plus $80 a month plus $12 per person	$380	$680	$1,280
Rippling, core HR only From $8 per employee a month plus a platform fee of about $38	$238	$438	$838
Rippling, as most buy it $20 to $35 per employee a month once the modules people actually need are added, taken here at $25	$625	$1,250	$2,500

Read it honestly. At 25 people, Gusto Simple and Rippling, core HR only cost less than HR Workforce, and BambooHR Core does too if you pay us month to month. Gusto Simple also runs your payroll, which we do not. What none of them does is check a single Condition of Participation, screen anybody against the exclusion list, or notice that an aide’s licence expired last Tuesday. At 50 and at 100 people, HR Workforce costs less than every plan on this table whichever way you pay, and the gap widens every time you hire.

Most agencies end up with both

And that is the right answer, not a concession.

Keep your payroll

Gusto, Rippling, Paychex, ADP or a bookkeeper. Whatever runs payroll today keeps running it. Schedule one export to one address and we read what it already produces.

Add the part that is missing

The clinical rulebook, the exclusion screening, the licence verification, the survey readiness and the morning brief. None of it exists in an HR platform, because an HR platform is not written against 42 CFR.

Pay once, not per head

$249 a month billed annually, or $299 month to month, for a facility, whether it has eleven people or a hundred and eleven. Growth stops being a line item.