From behavioral health to rehab therapy, we understand the payer mixes, clinician comp models, and compliance realities that make each practice different.

Solo and group psychiatry, psychology, and counseling practices with W-2/1099 clinician mixes.
Talk to us →Multi-clinician therapy groups scaling clinicians, locations, and supervision structures.
Talk to us →Outpatient, ortho, and sports PT clinics balancing insurance, cash-pay, and cash flow.
Talk to us →Pediatric and adult OT practices managing authorizations and multi-payer billing.
Talk to us →SLP practices and teletherapy providers with contract and private-pay revenue.
Talk to us →ABA providers navigating RBT payroll, credentialing, and rapid multi-site growth.
Talk to us →Agencies contracting with districts and LEAs under fee-for-service and prevailing-wage rules.
Talk to us →Groups consolidating back offices across locations, entities, and provider partners.
Talk to us →Primary care and specialty medicine reconciling payer deposits, denials, and provider productivity.
Talk to us →General and specialty dentistry measuring production against collections and overhead against benchmarks.
Talk to us →Aesthetics practices tracking injectable COGS, membership deferred revenue, and retail sales tax.
Talk to us →Companion animal and specialty hospitals separating pharmacy margin from professional services.
Talk to us →Nonpublic agencies tracking ISA revenue, reconciling LEA contracts, and staying CDE audit-ready.
Talk to us →The moves that protect your margin and keep you compliant are specific to how therapy practices earn and staff. A generalist rarely sees them.
W-2 vs. 1099 and California’s ABC test are a top audit trigger in behavioral health and ABA. We classify RBTs, contract therapists, and supervisors defensibly — before the EDD ever asks.
Psychiatry, PT, and other professional corporations need a defensible owner salary that balances payroll tax against distributions. We run the study and document it.
Insurance, private-pay, and school-district contracts each hit cash flow differently. We model the mix so slow public-sector payers never catch you short.
School-based and Nonpublic Agency work triggers certified payroll (DIR/eCPR) and CDE requirements a generalist will miss. We keep you audit-ready.
“MSO” simply means management services organization — one company that runs everything on the business side of your practice. Instead of a bookkeeper here, a tax preparer there, a payroll app, and you tying it together at night, it all lives with one accountable team. And as you add clinicians, locations, or entities, nothing fragments — you still get one set of books, one tax strategy, and one dashboard across the whole practice.
Book a free, no-pressure practice assessment. We'll review your books, entity structure, and tax posture and show you exactly where we'd add value.