Healthcare Leader Sees Strong Usage Through Integrated Solution

“My gut feeling was that this benefit was going to be beneficial, but it's amazing to see how strong of an impact it really is."
A Typical Challenge
A leading healthcare company came to Tapcheck looking for an on-demand pay solution. What they found was an EWA provider their employees used and that seriously helped retention.
Skilled Nursing
AlliancePay
7,000+
A Financial Lifeline That Keeps Talent Close
For a leading skilled nursing organization operating more than 60 facilities across five states, staffing challenges aren’t new—but the stakes have never been higher. With over 7,000 employees supporting some of the most vulnerable populations in healthcare, this provider had to find new ways to remain competitive in a market where turnover is costly and stability is everything.
“We manage skilled nursing facilities across five states,” said Alfredo Murillo, Director of Payroll Services. “Especially during the pandemic and shortly after, it was tough to compete with staffing agencies. They could offer higher pay—and instant access to it.”
When paychecks are spaced out twice a month, even a couple of extra days can put pressure on hourly workers. Employees were increasingly asking for paycheck advances, but the payroll team wasn’t set up to process them consistently.
“We’re on a semi-monthly schedule, not every other Friday. It might not sound like a big difference, but to our workforce, those two or three extra days can mean everything,” Alfredo said. “We were getting requests for advances, but we couldn’t support them.”
To address these challenges and provide meaningful support to its workforce, the company implemented Tapcheck’s Earned Wage Access (EWA) platform—giving employees on-demand access to the wages they’ve already earned.
A Smooth Rollout With Some Lessons Along the Way
When Tapcheck launched, Alfredo had just returned from paternity leave. By the time he joined the initiative, employees were already signing up and using the benefit—but behind the scenes, the Tapcheck team was navigating the integration with their existing system.
Despite the initial setup time, the payroll team saw the potential. Adoption rates were high from the start, signaling that this was a solution the workforce truly valued.
“Most of our locations are using it—and in high numbers. That was really the moment I realized, okay, this is worth the effort,” he said.
To make the process more seamless, Tapcheck and Alfredo’s team added an extra layer of review to their payroll process to make sure all the deductions were properly captured.
“Now, things are smooth. We haven’t seen missed deductions since."

Adoption, Impact, and a Culture Shift
Since launching Tapcheck, over a third of employees have registered for the platform—significantly higher than the industry average. But the real story is in the numbers behind the scenes.
- 34% of employees registered
- $28M+ in early wage access provided
- Registered employees were 29% more likely to stay
- Regular users were 49% more likely to stay
“My gut feeling was that this was going to be beneficial, but that’s amazing to see how strong of an impact it really is,” Alfredo said.
What started as a financial wellness tool has become part of the organization’s retention strategy. The team even uses Tapcheck as a talking point during recruitment and onboarding.
“We now talk about it as something we offer—a differentiator. Tapcheck has become a verb in our locations.”
A Personal and Practical Benefit
Beyond business outcomes, the emotional impact of the program is undeniable. Alfredo occasionally receives personal messages from employees who’ve used Tapcheck to get through tough times.
“I’ll get notes that say, ‘Thank you for having this available to me—I was able to pay my rent.’ That means something.”
The fact that the tool requires little to no day-to-day management also makes it an easy win for his team.
“For me, the most compelling part was the hands-off side of it, but also how much it helps our employees. A lot of our team lives paycheck to paycheck. Any help we can provide—it’s impactful.”
A Partnership That Delivers
Alfredo also credits the Tapcheck team for strong communication and support throughout the process. He highlighted a recent example where a Tapcheck representative joined one of their regular payroll meetings to speak directly with newly acquired facilities.
“Grant jumped on our biweekly payroll call and talked to the teams at the new facilities. That kind of direct support goes a long way.”
Even when occasional issues arise, the response is prompt and effective.
“When we do have variances, the team is quick to respond. You’ve got a good team out there. Having a direct person to go to makes a big difference.”
Final Word: “This Is a Must-Have”
For Alfredo and his team, Tapcheck has become more than just a financial tool—it’s a strategic asset.
“This is definitely becoming a must-have,” he said. “The pros outweigh the cons. The impact we’re able to provide our employees outweighs any growing pains we had in the beginning. It’s a new process, but just keep an open mind—this is a huge thing for our employees.”
Ready to support your team’s financial and mental well-being?
Learn how Tapcheck’s earned wage access solution helps businesses reduce turnover, increase engagement, and foster healthier, more resilient teams. Schedule a demo or contact us to learn more.