Strategic Healthcare MSO · Practice Ownership Partnership

The healthcare MSO partnership that keeps the practice yours.

MSO-grade infrastructure. Independent ownership. A real partner at the table.

The DSOs are calling. The PE-backed MSOs are circling. Your CPA does taxes once a year and disappears. You built something real — and the people offering to "help" all seem to want a piece of it. There's a third way. Practice Partner CPAs is the fee-for-service MSO partnership for healthcare practice owners who refuse to sell.

Book a 30-Min Practice Assessment → See the MSO Platform

A registered California CPA firm. Healthcare-specialty MSO partnership across 9 specialties, serving practice owners in 50 states. Principal-led engagements with Ronak Bhatt, CPA, MBA. No equity taken. Ever.

Healthcare practice owner reviewing financial strategy with advisor

The Third Option

Operating leverage without the equity ask.

The Practice Owner's Dilemma

You've been pitched two options. Neither one is good.

Most healthcare practice owners are stuck choosing between two bad options. Both reduce your independence. Both leave you under-supported. There's a third way — and most owners didn't know it existed.

Option 1

The Generalist CPA

Files annual taxes
Maybe does monthly books
Doesn't understand your specialty's KPIs
Calls you back in 3 days, if at all
Charges by the hour. Feels arbitrary.

You're under-supported. Your practice grows in spite of them — not because of them.

Option 2

The PE-Backed DSO / MSO

Buys 60–80% of your practice
Pays a premium up front
Puts you on a salary
Takes operating control
Decides hiring, pricing, vendors

You get the check. You lose the practice.

Option 3

Practice Partner CPAs

Fee-for-service MSO partnership
Specialty-deep financial infrastructure
Monthly cadence with KPI dashboards
A real CPA + MBA in the room for every decision
Vendor network, benchmarks, regulatory tracking

You stay the owner. You stay in control. You get the platform.

Start the Conversation

Three ways to see if the partnership is right for your practice.

You don't need to commit to a partnership to learn whether it would actually serve you. Each takes 10–30 minutes and gives you real value whether you ever engage us or not.

Free PDF 10 MIN

MSO Readiness Checklist

A 12-question self-assessment that scores your practice across financial visibility, tax position, operational leverage, and strategic readiness. You'll know in 10 minutes whether an MSO partnership would fit your stage.

PDF DownloadSpecialty benchmarks

Get the Checklist

Free PDF 15 MIN

5 Tax Strategies You're Leaving on the Table

A walkthrough of 5 specific strategies — S-corp optimization, cost segregation, retirement plan stacking, PTE election, equipment timing — with typical savings ranges by specialty and the qualifying tests for each.

PDF Download$25K–$120K typical savings

Get the Guide

Direct With Ronak 30 MIN

Free Practice Assessment

A focused 30-minute conversation directly with Ronak Bhatt, CPA, MBA. You share your situation. Ronak surfaces 2–3 specific things he can see. You leave with at least one thing you can do for your practice — regardless of whether we ever work together.

Phone or VideoNo pitch. No pressure.

Book a Time

“

We were getting DSO offers every month. Ronak walked us through what was real, what was inflated, and what the math actually said. We decided to stay independent — but we wouldn't have made that decision well without him in the room. The Practice Partner team also rebuilt our books, restructured to an S-corp, and saved us $42K in tax our first year. That's the partnership we'd been looking for.

Dental practice owner

3-location group · Pacific region

The MSO Platform

Eight operating functions. One integrated partnership.

A traditional MSO consolidates the back-office of multiple practices to deliver operating leverage. Practice Partner CPAs delivers the same leverage as a fee-for-service partnership. Here's what's included from day one.

Financial Operations

Monthly close by the 10th. GAAP-compliant books. Cash flow forecasting. Quarterly review.

Practice Health Dashboard

Specialty-specific KPIs updated monthly. Revenue per provider, payer mix profitability, AR aging, capacity utilization.

Tax Strategy & Compliance

Year-round tax planning. S-corp, retirement plan design, cost segregation, PTE elections. Returns prepared and filed.

Capital Allocation & Comp

Hiring decisions, associate comp structures, partner buy-in math, owner draw optimization. Math done before the conversation.

Vendor & Real Estate

Vetted introductions to healthcare-specialized attorneys, bankers, plan administrators, M&A advisors, brokers, insurance specialists.

Regulatory Tracking

CMS updates, payer policy changes, state filing requirements — tracked by us, translated into financial impact before they affect your bottom line.

Strategic Advisory & M&A

Practice valuation tracked annually. DSO offer evaluation. Multi-location expansion planning. Succession structure.

Direct CPA Access

Ronak Bhatt, CPA, MBA — your principal partner. Not a junior associate. Not a gatekept email queue. In the room for every consequential decision.

See the Full MSO Platform → View Partnership Tiers

Common Questions

What healthcare practice owners ask first.

How is Practice Partner CPAs different from a regular CPA firm?

A regular CPA firm sells tax returns and bookkeeping by the hour. We sell a partnership — the financial and strategic operating platform of an MSO, delivered on a flat monthly fee. Different category, different price, different cadence. Most importantly: we work only with healthcare practices, and we're in the operating rhythm of your business every month.

How is this different from selling to a DSO or PE-backed MSO?

A DSO buys equity. We don't. A DSO takes operating control. We don't. A DSO puts you on a salary. We don't. We deliver the same operating leverage as a fee-for-service partnership. Your practice stays 100% yours. Your equity stays 100% yours. Your operating decisions stay 100% yours.

What does it actually cost?

Partnership tiers start at $795/month (Foundation), $1,500/month (Growth), $3,000/month (Scale), and custom for full-CFO engagements. There's a one-time onboarding fee matching the first month. All tiers include the platform — financial close, dashboards, tax planning, vendor introductions, advisory access.

How quickly can I get started?

30-day onboarding from contract signing. Books migrated, dashboard live, tax position assessed, first strategy session held — all within 30 days. We've done this enough times to make it routine.

Do you work with practices outside California?

Yes. We work with healthcare practices nationwide. Multi-state expansion is one of the areas where the MSO-style partnership delivers the most leverage — we handle multi-state payroll, nexus analysis, regulatory tracking, and entity structuring across state lines.

Who am I actually talking to?

Ronak Bhatt, CPA, MBA — principal of Practice Partner CPAs. You'll have direct access to Ronak as your principal partner. No gatekept email queues. No junior associates relaying messages.