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Updated October 2026 · 5 PEOs

The best PEOs for healthcare practices in 2026

Medical practices compete for clinical staff on benefits. These PEOs list healthcare as a focus.

Reviewed by the TopPEOs Research TeamChecked Oct 27, 2026Get free quotes

Quick picks

The short answer for each situation, with price, certification and minimum headcount.

Best forPEOPricePricingCertifiedMinimum
Built for independent medical practicesStitch PEOQuote onlyQuote onlyCPEO: Not confirmedESAC: Not confirmedNot published
Best service for practices with a brokerExtensisHR~$40–$200/employee/moEstimateCPEOESAC10 employees
Best compliance depthEngage PEO~$40–$160/employee/moEstimateCPEOESACNot published
Best hands-on HR teamInsperity~$150–$210/employee/moEstimateCPEOESAC5 employees
Best for life sciencesTriNet~$80–$150/employee/moEstimateCPEOESACNot published

Compare prices

Compare peos for healthcare side by side

Filter by certification, headcount and contract terms. Tick up to three to compare them in columns.

5 of 5 PEOs

PEO admin fee, per employee per month

Bars span the low-to-high range; a dot is a single published price. Admin fees only: benefits, workers' comp and state taxes are extra. Click a row to compare.

Published by the PEOThird-party estimateQuote onlyNo public figure
Engage PEO~$40–$160
ExtensisHR~$40–$200
TriNet~$80–$150
Insperity~$150–$210
Stitch PEOQuote only—
$0$50$100$150$200$250

Rippling PEO adds a platform fee (about $35 plus $8 per user). Insperity reports an onboarding fee of about $500–$2,000.

Comparing 3
Stitch PEO
ExtensisHR
Engage PEO
Price
Quote onlyQuote
~$40–$200/employee/moQuote (sold through brokers)
~$40–$160/employee/moQuote
Pricing
Quote only
Estimate
Estimate
Certification
CPEO: Not confirmedESAC: Not confirmed
CPEO: YesESAC: Yes
CPEO: YesESAC: Yes
Minimum
Not published
10 employees
Not published
Best fit
5–100 employees
10–250 employees
5–200 employees
Contract
Not published
Annual
Annual
Coverage
Not published
New Jersey-based, expanding in TX and CA
All 50 states
Industries
Healthcare practices
Healthcare practices, Professional services
Healthcare practices, Professional services
Strengths
Built for medical practices
93% client renewal rate (company-reported) · Long CPEO and ESAC history
HR consultants are licensed employment attorneys · CPEO and ESAC
Watch out for
Young company · Pricing and certification not published
Pricing hard to see without a broker
Smaller footprint than the national PEOs
Details

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The list

PEOs for healthcare, reviewed

Who each PEO suits, who should skip it, and what we could verify about price and certification.

Built for independent medical practices

1.Stitch PEO

A newer PEO built for independent medical practices, backed by an $8.75M seed round.

Who it's for: Independent physician and specialty practices.

Skip it if: Buyers who want an established provider with a long track record.

Pros

  • Built for medical practices

Cons

  • Young company
  • Pricing and certification not published
Stitch PEO reviewStitch PEO pricing

Best service for practices with a broker

2.ExtensisHR

A service-led PEO from New Jersey, usually sold through benefits brokers, with a 93% reported renewal rate.

Who it's for: Companies of 10–250 that work with a benefits broker and value service.

Skip it if: Buyers who want to see pricing without a broker.

Pros

  • 93% client renewal rate (company-reported)
  • Long CPEO and ESAC history

Cons

  • Pricing hard to see without a broker
ExtensisHR reviewExtensisHR pricing

Best compliance depth

3.Engage PEO

A boutique PEO whose HR consultants are all licensed employment attorneys.

Who it's for: Small and mid-size businesses that want attorney-level HR compliance help.

Skip it if: Buyers who want the scale of a national brand.

Pros

  • HR consultants are licensed employment attorneys
  • CPEO and ESAC

Cons

  • Smaller footprint than the national PEOs
Engage PEO reviewEngage PEO pricing

Best hands-on HR team

4.Insperity

A high-touch, consultative PEO with a dedicated HR team and a new Workday-based tier, HRScale.

Who it's for: Companies of 20–200 that want an HR team they can call, not just software.

Skip it if: Cost-first buyers: Insperity is priced as a premium service.

Pros

  • Dedicated HR specialists
  • Deep training content
  • HRScale (Workday) for the mid-market

Cons

  • Premium price
  • Price increase reported in January 2026
Insperity reviewInsperity pricing

Best for life sciences

5.TriNet

A PEO organized around industry verticals: tech, life sciences, financial services, nonprofits and more.

Who it's for: Companies of 10–500 that want benefits and compliance built for their industry.

Skip it if: Buyers who need a price before a sales call.

Pros

  • Industry-specific compliance and benefits
  • Flat per-employee admin fee
  • CPEO and ESAC

Cons

  • No public rate card
  • Several features rely on partners
TriNet reviewTriNet pricing

How we built this list

  1. Every PEO we can verify. Inclusion never depends on referral fees or partnerships.
  2. Certification checked against the IRS list. CPEO status comes from the IRS active list dated Aug 7, 2026.
  3. Prices labeled. Published prices are marked; everything else is a third-party estimate or “quote only.”
  4. Order is editorial. We order by fit for the situation in the title, and say why.

Full methodology

Considered, not included

  • Profiles marked “limited” have little public pricing or certification data. We include them so you know they exist, and update them as facts become verifiable.

Questions buyers ask

Is there a PEO just for medical practices?

Stitch PEO is built for independent medical practices. ExtensisHR and Engage PEO both list healthcare as a focus vertical.

Changelog. Oct 27, 2026: list published; CPEO status checked against the IRS list dated Aug 7, 2026.

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