How much does ADP cost?

ADP pricing: Custom enterprise pricing.

What does ADP integrate with?

ADP integrates with Thousands of integrations.

Is ADP a good tool for home care agencies?

ADP holds a 4.1/5 rating on G2 based on verified user reviews. Read user reviews and compare alternatives on Carezano to evaluate fit for your agency.

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ADP Review 2026: Pricing, Features & Alternatives | Carezano

ADP

Enterprise payroll and HR platform for large organizations.

Finance Back Office · Payroll Peo

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Quick Facts

1949
Founded: Roseland, NJ
Headquarters: 50000+
Employees: Custom
Price Range: 4.1/5
Rating

Service Lines

Non-Medical Home CareHome Health (Medicare)HospicePediatricPrivate Duty NursingAdult Day CareIDD / DD WaiverBehavioral Health

ADP Pros & Cons

Strengths

Enterprise-grade payroll and HR
HITRUST certified security
Multi-state tax compliance at scale

Considerations

Expensive for small agencies
Not healthcare-specific
Complex implementation

About ADP

Enterprise payroll and HR platform widely used by home care agencies.

Is ADP right for you?

Best fit

Mid-market and enterprise home care agencies (50+ employees) that need a payroll provider scaled to handle complex multi-state rules.
Operators with PEO needs (ADP TotalSource is the PEO offering).
Agencies that already use ADP at the corporate level and want consistency in payroll provider.
Buyers who weight regulatory coverage breadth heavily (ADP handles more jurisdictions than most peers).
Multi-EIN structures where ADP's enterprise products handle complex org charts.

Look elsewhere if

Small agencies (under ~30 employees) where Gusto offers cleaner UX and pricing — ADP RUN is feature-dense and pricier than competitors at small scale.

Services & Capabilities

Referral Management

Intake Workflow

Eligibility Verification

Authorization Tracking

OASIS-E2 Documentation

Plan of Care (485)

Skilled Nursing Visit Notes

Therapy Notes (PT/OT/ST)

Aide Care Notes / ADLs

ADP Pricing

Custom Pricing

Contact Vendor

Real talk on pricing

ADP does not publish per-employee pricing — pricing is custom-quoted by tier (RUN for SMB, Workforce Now for mid-market, Vantage HCM for enterprise) and module mix. Multi-year contracts are typical at the mid-market and enterprise tiers, with renewal escalators. Practical RFP questions: (1) which product tier is being quoted, (2) what is the per-employee cost vs. fixed monthly fee, (3) what does benefits admin / 401(k) / time-and-attendance cost as add-ons, (4) what are renewal-year escalator caps, (5) what does the AMS integration cost — and is the integration certified or custom.

What to expect

Setup & onboarding

ADP implementations are heavier than Gusto-tier modern peers. Plan for: business and tax-jurisdiction setup, employee/contractor data migration, benefits-broker integration, AMS integration (most home care AMSs list ADP integrations but quality varies), training, and parallel-run periods. Multi-state and PEO implementations are more complex.

Support & service

Support quality is the most consistent complaint in independent reviews — long hold times, ticket churn, and varying rep quality. Mitigation: confirm dedicated rep / dedicated team in your contract, response-time SLAs, escalation paths. Higher tiers get better attention. Reference-check with home care customers in your specific size range and state.

Integrations

ADP connects with the following tools and platforms:

Thousands of integrations

Compliance & Security

HIPAA Compliant
SOC 2 Certified
HITRUST Certified
Data Encryption (at rest)
Data Encryption (in transit)
Role-Based Access Control
Audit Trail
BAA Available

Industries Served

Care settings and agency models ADP sells into.

Recent changes

platform-wideContinued AI investment across the suite (ADP DataCloud benchmarking, AI features in Workforce Now and Vantage HCM).
milestone1M+ clients globally (vendor-self-reported).

Frequently Asked Questions

How much does ADP cost?: ADP pricing: Custom enterprise pricing.
What does ADP integrate with?: ADP integrates with Thousands of integrations.
What are the main features of ADP?: Key features include: Referral Management; Intake Workflow; Eligibility Verification; Authorization Tracking; OASIS-E2 Documentation; Plan of Care (485).
Is ADP a good tool for home care agencies?: ADP holds a 4.1/5 rating on G2 based on verified user reviews. Read user reviews and compare alternatives on Carezano to evaluate fit for your agency.