The financial infrastructure of an MSO. Delivered fee-for-service.
Practice Partner CPAs is the healthcare-only accounting, tax, and advisory firm built for independent practice owners who want operating leverage without selling equity. Four disciplines. One partner-led team. Equity-free.
Built only for healthcare. Engineered to keep you independent.
Practice Partner CPAs is the financial infrastructure of a healthcare MSO — delivered as a flat-fee partnership by a healthcare-trained team. No equity taken. No consolidation. Just the operating leverage practice owners need to grow, save tax, and stay in control of every consequential decision.
- Healthcare-only client base — not a generalist firm with a few practices on the side
- Partner-led engagements — a senior CPA owns your relationship, supported by a healthcare-trained team
- Saves 3–5× the annual fee in year-one tax alone
- 0% equity taken — the practice stays 100% yours, forever
You’ve been pitched two options.
Here’s the third.
Most owners are stuck choosing between a tax-season CPA who doesn’t know the specialty and a DSO that wants the equity. There’s a better way.
Four disciplines. One partnership.
The financial infrastructure of an MSO — delivered fee-for-service. Every engagement includes all four from day one.
Financial Operations
Monthly close by the 10th. GAAP-compliant books. Specialty chart of accounts. Payroll & EHR integration run by the firm’s accounting team.
Practice Health Dashboard
Specialty KPIs in one view. Revenue per provider, payer mix, AR aging, capacity benchmarks. Reviewed with every monthly close.
Year-Round Tax Strategy
S-corp optimization, retirement plan design, PTE election, cost segregation. Saves 3–5× the fee.
Strategic Advisory
A partner-led CPA + MBA in the room. Hiring, expansion, DSO offers, succession. The math done before the conversation.
What year one typically returns.
Practice Partner CPAs clients save 3–5× the annual fee in tax alone — before counting time, better decisions, and avoided mistakes.
$120K+
Built around the operating realities
of your specialty.
Practice Partner CPAs works only with healthcare practices. Within healthcare, the firm goes deep on seven specialties.
Four tiers. One platform.
Every tier includes the MSO Platform — financial close, KPI dashboards, year-round tax strategy, and partner-led advisory. What scales is depth and frequency.
- Monthly close + Practice Health Dashboard
- Annual tax planning + return prep
- Quarterly strategy call with your CPA partner
- Vendor network access
- Everything in Foundation
- Year-round proactive tax strategy
- Multi-state nexus & payroll
- EHR integration & benchmarking
- Monthly strategy access
- Everything in Growth
- M&A & valuation tracking
- Partner buy-in/buy-out modeling
- Real estate & cost segregation
- Bi-weekly strategy cadence
- Everything in Scale
- Embedded fractional CFO
- Board-ready reporting
- Full M&A execution support
- Weekly cadence + on-demand
A healthcare-only firm built for independent practice owners.
Practice Partner CPAs operates as the healthcare MSO division of Milestone Certified Public Accountants, Inc., a registered California CPA firm. Every client engagement is owned by a senior CPA, supported by a healthcare-trained accounting team and dedicated compliance specialists.
The firm was founded on a simple premise: independent healthcare practice owners deserve the same financial and compliance infrastructure that private-equity-backed groups build internally — delivered fee-for-service, without giving up the equity or the decision-making.
The healthcare MSO partnership
that keeps the practice yours.
Start with a free 30-minute consultation with one of our healthcare partners. No pitch. No pressure. Just clarity on what year one would actually look like for your practice.
Real numbers, anonymized.
“The 30 minutes felt like a real diagnostic, not a sales call. They surfaced two tax moves my prior CPA had completely missed.”
“Switching to the MSO model freed up 12+ hours of owner time every month. The CDE renewal package alone was worth the engagement.”
“They caught the S-corp election window we would have missed. The reasonable comp study held up to an IRS notice without a single adjustment.”
Real partners. Real conversations.
When you book with us, you talk to a senior CPA partner — not a junior screener, not a sales rep, not a calendar gatekeeper. Every discovery call is partner-led.
“By minute 28 of the call, you will know whether we are the right MSO partner for your practice. If not, I will tell you directly who is.”
Want the partner-led second opinion — for free?
A 30-min call with a senior CPA partner. No pitch, no obligation. You leave with 1–2 specific tax moves your current CPA may have missed.
Book My Free Call →