This case study describes how Sycamores, a nonprofit mental health and welfare agency serving nearly 17,000 people across six California counties, reduced operational friction caused by legacy communications and heavy manual data entry after expanding telepsychiatry. After moving from a hosted VoIP provider to Microsoft Teams, the agency still faced duplicate data gathering, two-week average timelines to enter patient data into both internal EHR and county systems, and cumbersome Excel-based workflows. Synoptek delivered an end-to-end Microsoft-based modernization under its MxP model, including Azure hosting, Microsoft 365 and Teams UC, a custom HIPAA-aligned Teams SMS app, Power Automate workflow automation, and Power BI dashboards. Reported results included $250K+ savings, 625+ weekly ho

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