The MSO built for
California school-based speech NPAs.
CDE-certified Nonpublic Agencies serving LEAs and SELPAs run on ISA-driven revenue, 45–90 day reimbursement lags, and an Oct 31 renewal deadline that doesn’t move. We handle the back office so your SLPs and SLPAs can stay in front of students.
Three financial-operations gaps every SLP NPA hits.
Generalist CPAs do not understand ISAs, Master Contracts, or the way LEA reimbursement actually flows. We do — exclusively.
Revenue is per-student, per-unit
ISA-authorized service units drive every dollar. Without unit-level reconciliation, revenue leakage compounds month over month.
Cash lags 45–90+ days
LEA reimbursement cycles strangle payroll if you do not run a rolling 13-week forecast tied to ISA invoicing.
CDE renewal is non-negotiable
Certification fee + financial statements due Oct 31. Miss it and you cannot bill any LEA — period.
Three tiers. Locked 12-month retainers.
Pick the tier that matches where your NPA is today. Move up when you scale to additional districts, SELPAs, or clinicians.
Project work that layers onto any tier.
Flat-fee engagements for the events that don’t fit a monthly retainer.
Plus onsite-monitoring representation, QuickBooks NPA setup, annual budget models, and fractional CFO sprints — see the full menu on the Pricing page.
Three positioning guardrails — every engagement, every tier.
NPA owners need a back-office partner that respects the line between business administration and clinical practice. Here is where we draw it.
Administrative scope only
The MSO does not own, direct, or share clinical fees. We deliver financial, payroll, billing-oversight, and compliance-calendar services — never clinical decisions.
The CDE certification is yours
Certification belongs to the NPA, not to us. We prepare the renewal financials and meet the Oct 31 deadline — but the NPA owns the relationship with CDE.
The ISA is the revenue atom
We reconcile delivered service units against ISA-authorized units monthly, catching revenue leakage at the source — where the IEP-specified frequency and duration are defined.
You work with a senior partner. Always.
Healthcare practice owners need a CPA who actually understands the practice — not a generalist running through a checklist. Every engagement is partner-led from discovery through ongoing advisory.
That is why our discovery calls run 30 minutes (not 15). It is why we cap our practice at the number of owners a senior partner can directly know. And it is why our client retention runs 4–7 years per practice.
An MSO partner that speaks ISA, SELPA, and CDE.
A 30-minute conversation with a senior CPA partner. We will tell you exactly which tier fits your NPA today and what year one would look like.
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 →