Case Study: Cortex Health rapidly scales to 500+ employees across 40 states with Gusto

Gusto People Platform Helps Cortex Scale and Support Massive Employee Growth

Cortex Health, a Lehi, Utah–based home health care company that conducts HIPAA‑compliant follow‑up calls, grew from about 10 employees to over 500 across 40 states during the COVID‑19 surge. That rapid, remote expansion created major challenges: fast onboarding at scale, multi‑state tax and registration compliance, and preserving company culture and employee satisfaction without a dedicated HR team.

Using Gusto’s payroll, benefits, 401(k), onboarding automation and tax‑filing services, Cortex automated hiring and multi‑state compliance, tracked onboarding for audits, and gathered employee feedback through monthly surveys. The outcome was faster, paper‑light onboarding with an estimated 5–10 hours of HR time saved per week, reliable state and federal filings, rollout of benefits like 401(k) matching and Cash Accounts, and sustained employee satisfaction scores around 90% as the company scaled.

Cortex Health

Josh Albrechtsen

President and Co-Founder