Case Study: Medical Benevolence Foundation

Background

The Medical Benevolence Foundation (MBF) works with international partners with the responsibility of overseeing mission hospitals, clinics, and nursing schools. They provide these medical ministries with the necessary support to enhance healthcare services within their communities and lay the foundation for sustainable growth, ultimately enabling individuals to break free from the cycle of poverty. MBF is based in Texas but have approximately 15 employees working internationally in Africa and Haiti.

MBF had been doing all HR in-house for decades but realized they needed to get professional assistance to manage labor issues, provide talent acquisition and legal termination assistance, and bring their employee handbook into compliance.

Finding a Solution

MBF needed HR consulting services that could:

• Help with recruiting and offboarding
• Update their employee handbook and ensure compliance
• Assist with employee training and a senior leadership transition

A Better Way: HR Consulting from GTM Payroll & HR

GTM’s HR consulting services met MBF’s needs and more.

GTM was initially hired to help with terminating an employee and recruiting their replacement. MBF was so happy with the results they then continued using GTM’s HR services for regulatory compliance, employee issues, and organizational advice.

The Solution
In 2022, MBF brought GTM on to assist with the offboarding of an employee and hire their replacement. During 2024, Gregory Nikkel, then-CFO, asked GTM to update their employee handbook and provide training to their workers. In 2025, as MBF’s then-CEO retired and Nikkel became the interim CEO, GTM assisted with employee concerns about the leadership transition.

“GTM brought a high level of HR professionalism to MBF when we needed it most,” said Nikkel. “They became an integral part of our organizational growth and success.”

An extraordinarily different experience

Outsourcing all or part of your HR functions to experts is an increasingly attractive and time-saving option as organizations, like MBF, try to manage the complexities of an ever-changing legal compliance landscape, manage and retain talent, and implement HR best practices that align employees with business goals.

Smaller businesses may have little or no human resources infrastructure and may not be able to justify an HR member on staff. Mid-sized companies may need additional HR resources and assistance to free up time for their team without hiring another full-time HR professional.

By utilizing GTM’s HR consultants, employers can quickly effect changes through targeted human resources support solutions tailored to their needs. GTM’s HR clients improve infrastructure by implementing better payroll technology and best practices in HR processes, freeing up valuable time and resources.

“GTM approached every situation—whether complex or delicate—with grace, steadiness, and professionalism,” said Nikkel. “They have been a trusted partner and an invaluable resource.”

HR Services

From 2022-2025, GTM managed a broad range of responsibilities, including overseeing MBF’s performance review process, recruiting and onboarding new team members, addressing employee performance and engagement issues, and managing sensitive and confidential HR matters.

“GTM engaged deeply with both our leadership team and our staff, earning trust and respect across the organization,” said Nikkel.

HR Compliance Support
MBF needed an employee handbook that was current and compliant with federal, state, and local laws, as well as keeping it updated when laws were amended or new regulations were added.

“GTM led the updating and strengthening of our Employee Personnel Manual, ensuring that our policies reflected both compliance and care,” said Nikkel.

Transitional Support
In 2025, when MBF’s CEO left the company, they relied on GTM’s HR expertise to help manage the transition in leadership.

“I could always count on GTM—no matter the challenge,” said Nikkel.

Conclusion
With GTM Payroll & HR, organizations like MBF work with experienced, accomplished professionals who deliver expert solutions, including HR consulting and employee handbook services. By developing HR strategies that align with business goals by leveraging their experience, knowledge, and tools, GTM delivers value beyond expectations.

“MBF is a stronger and more effective organization because of GTM’s expertise, dedication, and partnership,” said Nikkel.