UKG runs payroll. Untether runs your clinical workforce.
UKG is horizontal HR and payroll built for traditional shift work. Untether is AI-first workforce management built for the flexible, multi-license clinical teams UKG forces into spreadsheets.
UKG (formerly Kronos and Ultimate Software) is a multi-billion-dollar horizontal HR, payroll, and workforce management vendor. It runs traditional shift work well. It was not built for a flexible clinical workforce — and the gap shows up as manual work.
Built for shift work, not clinical complexity
UKG Dimensions schedules fixed shifts with manager-configured rules. Multi-license, multi-region, multi-skill clinical teams — with FTE, part-time, contractor, and agency staff — fall outside that model, so operations teams compensate with spreadsheets and bolt-on tools.
Rules and reports, not execution
Time off, on-call, swaps, and data entry stay manual or require additional software. Untether's AI executes that work end to end and auto-builds schedules to hit patient SLAs and provider preferences.
We replaced UKG with a fraction of the footprint
We replaced UKG at Dialogue, Canada's leading hybrid care provider, with one AI-first system — automating scheduling, time off, and payroll submission across 13 regions, and upleveling the operations team instead of expanding it.
Pick the workforce management software that fits how your care team works.
UKG
UKG can be the right call if horizontal HR is the priority.
- You need one system for HR, payroll, and benefits across a large, mostly non-clinical workforce.
- Your scheduling is traditional fixed-shift work without heavy license or credential complexity.
- You're standardizing on a single enterprise HR vendor.
Untether
Untether fits if scheduling your clinical teams is the hard part.
- You run a flexible, multi-license, multi-region clinical workforce across FTE, part-time, contractor, and agency staff.
- You want AI to build and run schedules end to end instead of configuring rules and fixing spreadsheets.
- You measure success in provider utilization, patient SLAs, and margin.
FAQ
UKG is the better fit for horizontal HR and payroll across a large, mostly non-clinical workforce; Untether is better when scheduling a flexible, multi-license clinical team is the hard part.
Untether is the AI-first, healthcare-specific alternative to UKG — built to auto-schedule clinical teams and execute the operational work end to end.
No — we import your roles, licenses, rules, and pay policies from UKG and your HRIS, so you start from your real setup, not a blank slate.
We map your stack, run Untether in parallel with UKG to validate coverage, then cut over region by region with on-site support — typically in weeks.
Untether models licenses, credentials, skills, regions, and FTE, part-time, contractor, and agency staff natively, and its AI builds schedules to patient SLAs and provider preferences.
AI auto-scheduling, demand forecasting, open-shift fills, on-call, swaps, and weekly utilization reporting — the clinical work UKG leaves to spreadsheets and bolt-ons.