Automating payroll and back-office operations across a virtual care network

• $131K+

  Margin / utilization

  Annual savings from automation (illustrative, pending sign-off)

• 2,000+

  Reduction in manual labor

  Manual taps eliminated per month

Results at a glance

• Payroll automated end to end
• $131K+* in annual savings from automation
• Surge, scale-down, and onboarding work runs without manual reshuffling
• 2,000+ manual taps a month eliminated

About Dialogue

Dialogue is Canada's leading virtual care platform, running primary care, mental health, and EAP across a blended Care Team of full-time, part-time, contractor, and on-demand clinicians.

The pain

The back office ran on manual labor. Payroll corrections, employee changes, and follow-ups were all done by hand — repetitive work that quietly eats margin.

Every event meant a scramble. A volume spike, a new customer, or a region scaling down all triggered manual reshuffling.

Each handoff added cost. Work bouncing between scheduling, HRIS, and payroll added labor to every unit of care Dialogue delivered.

2,000+ manual taps a month just to keep operations running — not one of them patient care.

The challenge

Dialogue's cost of service carried the weight of back-office work that grew right alongside the business.

The solution

Untether runs the back office automatically: payroll processes end to end, employee changes flow through on their own, and operational events — a surge when volume spikes, a scale-down when a region needs fewer hands — run to completion with the right people notified.

The impact

Payroll is automated, 2,000+ monthly manual taps are gone, and automation drove an estimated $131K+* in annual savings — cost taken straight out of the care Dialogue delivers.

*Illustrative figure pending final customer sign-off.