Medical Practice Payroll Services — Simple, Accurate, Hands-Off

Payroll that just works—so you don’t have to think about it.

medical payroll

Our medical payroll services make running payroll simple and hassle- free.

Our medical payroll services are built to save you time, reduce stress, and keep your team happy. We partner with Gusto to bring you a seamless, all-in-one payroll experience—set up and managed entirely by us.

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Manage onboarding
All-in-one place

New hire paperwork, direct deposit, benefits enrollment, and tax withholding all happen inside Gusto — no separate systems, no manual handoffs. When someone new joins, onboarding takes minutes, not days.

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Offer attractive
employee benefits

Gusto connects health, dental, vision, and retirement benefits directly into payroll — so benefits administration runs automatically alongside every pay cycle, no separate process required.

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Track Time-Off
& Sick Leave

Time-off requests, approvals, balances, and accruals are tracked inside Gusto and visible to both managers and employees. No spreadsheets, no back-and-forth emails, no end-of-year reconciliation surprises — leave balances stay accurate in real time.

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Avoid sticky
cash flow issues

Running payroll on the wrong day can create unnecessary cash pressure. We align your payroll schedule with your practice's cash flow cycle — so you're never caught short on payday.

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Automate payroll
tax payments

Every payroll tax obligation — federal and state deposits, quarterly 941s, annual 940s, W-2s, and 1099s — is handled, filed accurately, and paid on time. IRS penalties for late payroll taxes are common and entirely avoidable. We make sure you never face one.

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Easy direct debit for employees & contractors

Employees get direct deposit on a consistent schedule. Contractors receive digital payments with automatic 1099 tracking — no paper checks, no manual transfers, no end-of-year scramble. Everyone gets paid correctly, on time, every time.

Complimentary Gusto Software for Every MedTax Tax Client

Every MedTax client gets a complimentary Gusto subscription included in their plan—no extra charge. As part of our comprehensive Tax Planning, we’ll handle the full setup and transition, so there’s zero disruption and no learning curve for you.

medical payroll services
Medical Payroll Gusto

Medical payroll is included in every Tax Support Plan

That means more than just medical payroll services. You’ll also get expert tax services, hassle-free bookkeeping, and monthly financial check-ins, all in one easy-to-manage relationship.

Take the Hassle Out of Your Medical Practice Payroll

You didn’t become a doctor to run payroll. Let MedTax handle it, so you can focus on your patients.

medical payroll for doctors