Payroll without the headache.
From three-day payroll headaches to a three-hour breeze
Healthcare
The situation
This healthcare service organization was growing fast across multiple states — and their payroll infrastructure wasn't built for any of it.
Visit and care data lived in WellSky. Payroll lived in Paychex. Time tracking lived in spreadsheets and email threads. Nobody owned the connection between them, which meant every payroll cycle started the same way: someone manually pulling data from three places, reconciling mismatches, and hoping nothing fell through before the deadline.
With employees working across state lines, remittance complexity was real and largely invisible. Tax configurations hadn't been updated to reflect where people were actually working. The Director of Operations was the single point of accountability for all of it — no SOPs, no backup, no way to delegate.
At 85 employees it was painful. Heading toward 120 it was going to break.
What was actually broken
- Manual reconciliation between WellSky and Paychex turned every payroll cycle into a 5–6 hour project – plus additional cleanup time between cycles
- Multi-state employees weren't being processed with correct state tax remittance configurations – compliance exposure that had never been formally addressed
- Time tracking lived in spreadsheets and email with no audit trail and no approval workflow
- No SOPs meant payroll couldn't be delegated or shared – one person owned everything with no backup
- Growing headcount across new locations was making every existing problem compound faster
What we built
- Audited the full Paychex configuration – every earnings code, deduction, tax setup, and state remittance rule – and documented the compliance exposure before touching anything
- Mapped and standardized the WellSky data flow so visit and time data landed in payroll cleanly with no manual recoding or reconciliation
- Configured proper multi-state tax remittance rules for employees working across state lines – something that had never been formally set up
- Led the full migration to ADP Workforce Now – consolidating payroll, benefits, and 401(k) into one system of record with rebuilt earnings codes and deduction logic
- Documented every process in a step-by-step SOP library so payroll could be owned, delegated, and audited by the team – not carried by one person indefinitely
What changed
Payroll processing dropped from 5–6 hours of active work per cycle to under 3 hours – with clean data flowing in automatically instead of being manually assembled.
Multi-state remittance is now configured correctly and maintained. The compliance exposure that had been accumulating invisibly is resolved. The Director of Operations reviews clean data, makes targeted adjustments, and wraps payroll in under half a day.
Time tracking is in the system. Approvals are documented. There's an audit trail.
And because the SOPs exist, payroll no longer depends on any single person knowing how it works. The franchise can keep hiring across new locations without the people infrastructure buckling underneath it.
In their words
“It’s unbelievable that I used to block off nearly three days just to get payroll out the door. Now I spend a couple of hours auditing and running it, and I can actually focus on growing the business instead of babysitting payroll.”
– Head of Operations, Anonymous Client
What’s next
Rolling the People Street framework out across new franchise locations as the business scales — with on-call advisory support to manage performance, compliance, and people operations as headcount grows.