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How does this compare/contrast with Gusto? We use Gusto for all our remote employees and it works very well.

Gusto works well for out-of-state employees. But it doesn't work for employees outside of the U.S. :) RemoteHR does.

I'm confused by your comment. We used Gusto for employees in Europe (NL and UK). It worked fine.

See other comment, but I don't think we're talking about the same thing.