When healthcare payroll systems can’t afford to be broken

Hümi Healthcare manages 1,700+ employees with variable compensation structures that operate on different timelines. When their fragmented payroll system began to crack under the weight, they knew they had to unify their operations entirely.

“Having that double-check or the compliance protection [with OneSource Virtual] there was extremely helpful.”

Jonathan Gallagher, Assistant Director for Payroll

The problem with patchwork systems

Hümi Healthcare, the management services organization supporting ENT & Allergy Associates’ operations, was running on a legacy payroll system that appeared unified at first but operated as four separate platforms beneath the surface. When Jonathan Gallagher, assistant director for payroll, tried to troubleshoot a tax issue, the vendor’s support team had no visibility into what payroll or benefits was experiencing. System crashes, employee access failures, and state regulation changes all belonged to a separate silo with no connection to the others.

Jonathan built workarounds, and his team learned to live with the constraints. But healthcare workforce management this way wasn’t sustainable. They were processing 1,700+ ACH transactions every two weeks, while also handling variable physician compensation, audiologist commissions for hearing aids, and RVU-based bonuses across four states with different tax codes. When the infrastructure started cracking, Jonathan knew the answer wasn’t another workaround. Hümi needed a single system with real control, visibility, and a partner who could genuinely respond when something broke.

When one system matters

Jonathan tested the capabilities among the best payroll companies and kept coming back to one criterion: ownership of the workflow. OSV’s in-tenant architecture meant Hümi could see everything inside Workday, adjust as needed, and maintain control over timing and settlements.

Traditional feed-based payroll solutions operate entirely outside HRIS systems. If the feed breaks, tax payments and employee deposits can fail — and the company has no way to fix it. “The reason why we chose OSV over ADP, and I can say that, is because of that in-tenant piece,” Jonathan explains. With OSV, specialists can access Hümi’s tenant to rectify any issue that arises, and when necessary, manually pull what’s needed to keep paychecks processing. Instead of logging onto our separate platforms, Jonathan now operates from two logins — and often just one. Real-time visibility means he catches payroll errors before they pile up. One year in, Jonathan doesn’t dread payday anymore. The question changed from “What if something breaks?” to “If something breaks, somebody’s already there to fix it.”