Gusto vs. HealthStream Learning Management System

I think Gusto is well-suited for any business, big or small, to use for accounting purposes. It makes it easy to keep track of many things, such as pay stubs, benefits, paid time off, and much more. Where I could see it being less useful is maybe for enterprise businesses with way more employees.

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HealthStream is a wonderful tool for assigning assessments and evaluating knowledge. The assessments have a large pool of questions to pull from. The exams are timed and will generate a test report at the end of the exam so the clinical team can see what tests were passed and failed. These are helpful in ensuring we know what the nurse needs extra education on. HealthStream would be less suited for education items that would need to be validated in person...skills such as CPR.

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• New employee/contractor onboarding - all the documents are stored and easily accessible (the same goes for off-boarding).
• A one-click option for syncing hours worked with payroll.
• The option to run payroll on auto-pilot.
• Ensuring I'm tax compliant with the states we have employees in.
• Always having digital records of payroll runs.

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• Reporting. Having the ability to track compliance (and non-compliance) at our fingertips ensures that we are up-to-date with Federal, State, Local and internal policies, requirements and educational initiatives
• Customization. Developing in-house materials, specific to our variable training needs is a huge plus - HealthStream's commitment to SCORM-ready content since 2011 has made it simple for us to connect, engage and interact with all of our staff and providers.
• Integration. Allowing us to interface with our HRM/HRIS systems is invaluable. Keeping up with a dynamic workforce, both in terms of retention and attrition, would not be possible without our current interface structures.

• Digital compliance tools for remote teams
• Gusto upsold us labor law posters, but I later found them available for free online. Since we’re a fully remote team, I had to manually download and distribute them digitally. It would be much more efficient if Gusto offered free, auto-distributed digital posters tailored to remote compliance.
• Benefits setup is unintuitive for startups
• While our rep was helpful, navigating the benefits system felt complex and not tailored to early-stage companies. More guided flows or simplified options for small, remote startups would be a big help.
• Limited dashboard customization for remote workflows
• As a fully online company, we’d benefit from dashboard options that highlight relevant tools for remote operations—like compliance tracking, digital communications, or onboarding checklists.

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• Embedding elearning tutorials into HealthStream can be a bit complicated, and even slow down the site for the end user. In my experience, I found it much easier to just offer a link to the tutorial through the assessment portion.
• Keeping users synced into the most up-to-date user groups can be a bit tricky. If you create your own student groups, and then these students transfer to a different job role or department, you will manually have to make these changes yourself. A more automated process would be great.

Unless they break it, I'm never leaving. It's just too easy. Gusto is also really affordable, and for what I pay, it's worth having the historical record within the system. I like that I can go back and pull up W2's for year's past. This sort of easy access reporting, has been helpful especially when getting reports for PPP loans.

We just can't imagine NOT having HealthStream as it has become such a part of our training system. The per user cost has actually gone down from 3 years ago. However, we are using more courses we have purchased. This allows us to be more efficient with our time and more convenient for the end users. We are considering purchasing other aspects of the system.

Gusto is pretty user-friendly, and the website is easy to navigate overall. They also offer good, responsive customer support and have helpful articles available when needed. So far, I have not had any major issues with the platform and am overall very happy with it.

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Gusto's customer service has really deteriorated lately and they seem to have really changed their focus. It used to be when you called you were routed to an individual who knew about payroll, benefits, reporting, etc. but now you get someone who seems to have not received the correct training. My last call about a dismissal payroll took me over an hour of my time and the person still could not help me and finally transferred me to someone else.

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I only used HealthStream for a short time, but it wasn’t overly user-friendly or pretty. There were some quirks that I didn’t like, like the quiz builder or uploading lists. Whenever you assigned a group it was difficult to tell and confirm that the assignment went out. Overall I like other systems better.

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Reach out to support immediately if you are having trouble setting up Gusto. Rather than being confused and trying to figure it out yourself, it's much better to talk to someone who knows what they are doing. Save yourself time and frustration and reach out to support

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While I never actually got to the point of trying out ADP, I had several conversations with an ADP representative, and it seemed that they would be able to provide the same (if not less) level of service for a significantly higher price

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The interface for HealthStream is 1000x better than My Learning. I still struggle to find my assignments and upcoming in person training on My Learning. It is not intuitive and doesn't have a dashboard when you sign on to see everything at once. HealthStream lets me easily see my assignments, their due dates, and any upcoming dates

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• Time tracking + payroll calculations me 30-60 minutes every time I run payroll.
• Integrated workers' comp, so I didn't have to find an outside carrier and get quotes—it's all taken care of in the same platform.
• Improved employee experience with onboarding.

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• More efficiency. Easy way to implement training to a larger group of people.
• Helps to orientate new hires to our organization quicker.
• Consistency with training messages. We can communicate a method that can be easily adopted and implement across the organization.