A healthcare-only CPA 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. The firm exists for one reason: deliver the financial and compliance infrastructure of a private-equity-backed MSO to independent practice owners — fee-for-service, equity-free, year-round.
The third way for healthcare practice owners.
Independent practice owners have historically had two options. A generalist CPA — affordable, but a tax-season vendor who doesn’t know the specialty. Or a private-equity-backed DSO or MSO — deep operations, but the price is 60–80% of the equity.
The firm was founded on a simple premise: those aren’t the only options. Healthcare practice owners deserve the same financial and compliance infrastructure that private-equity-backed groups build internally — without giving up equity, control, or upside. So we built it as a flat-fee partnership, healthcare-only, partner-led on every engagement.
Practice Partner CPAs operates as the healthcare MSO division of Milestone Certified Public Accountants, Inc., a registered California CPA firm with multi-state coverage. Every client engagement is owned by a senior CPA, supported by a healthcare-trained accounting team and dedicated compliance specialists.
The firm serves seven healthcare specialties: medical, dental, therapy (PT/OT/SLP), mental health, optometry, veterinary, and California Nurse Practitioner Autonomous practices. Within each specialty, the firm operates with playbooks built from the actual operating realities of that practice type — not a generic small-business template.
Three principles every engagement is built on.
Healthcare only.
The firm doesn’t take engagements outside healthcare. Every senior CPA, accountant, and compliance specialist works exclusively with healthcare practice owners. Specialty playbooks are built from operating reality, not adapted from generic templates.
Partner-led, always.
Every client engagement is owned by a senior CPA. Not a queue. Not a junior. The partner owns the relationship, runs the monthly close oversight, and is the person in the room for every consequential decision. Supported by a healthcare-trained team behind them.
Equity-free, forever.
Flat monthly fee. 0% equity taken. Ever. The firm exists specifically for practice owners who refuse to sell. The financial and compliance infrastructure of an MSO — delivered as a service, without the consolidation, without the equity stake, without losing control.
Who you actually work with.
Every engagement is partner-led and supported by a healthcare-trained team. Here’s what that means in practice.
Senior CPA Partner
Owns your engagement end to end. Year-round tax strategy, quarterly planning, strategic advisory. The person in the room for every consequential decision.
Accounting Team
Runs the monthly close, KPI dashboards, payroll administration, EHR/PMS integration. Healthcare-trained, specialty chart of accounts, GAAP-basis books.
Compliance Specialists
HIPAA, OSHA, OIG policy development. Credential tracking, internal compliance audits, OIG/SAM exclusion screening, HIPAA Risk Assessment + Security Rule documentation.
Milestone CPA Bench
Parent-firm resources for specialized tax matters, audit defense, multi-state nexus, and IRS correspondence. Available to the firm and its clients as needed.
Ronak Bhatt, CPA, MBA — Founding Principal.
Practice Partner CPAs was founded by Ronak Bhatt, a CPA and MBA with deep experience advising healthcare practice owners through hiring decisions, expansion, partner buy-ins, DSO offers, and succession planning. The firm exists in its current form because most healthcare practice owners are stuck choosing between a generalist CPA who doesn’t know the specialty and a DSO that wants the equity — and there is a better way.
Ronak remains the founding principal and is one of the senior CPAs who owns client engagements directly. The firm scales by adding partner-led CPAs to the bench — not by routing clients to junior staff or generic queues.
The healthcare MSO partnership that keeps the practice yours.
Book 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.
If you are a California healthcare practice owner, I want 30 minutes of your time.
No screeners. No nurture sequence. I personally take every discovery call. By minute 28 you will know if we are the right MSO partner for your practice — and 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 →