PRACTICE PARTNER CPAs
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Home · Specialties · Chiropractic Practices
Solo · Multi-Provider · Sports Medicine

You align patients. We align practices.

Strategic accounting, tax, and advisory for solo chiropractors, multi-provider clinics, rehab-integrated practices, and sports medicine — built around insurance and cash-pay mixes, treatment-plan economics, and the tax strategies high-volume chiropractors miss.

Book a 30-Min Practice Assessment → See the MSO Platform
The fee-for-service MSO partnership for chiropractic practices owners. Operating leverage of a healthcare MSO platform — financial infrastructure, tax strategy, KPI dashboards, vendor network, advisory presence — without taking equity. No DSO. No consolidation. The practice stays yours.
Chiropractic Practices owner — MSO partnership with Practice Partner CPAs
The Third Option
Your partner in chiropractic practice success.
Built for
Solo · Multi-Provider · Sports Medicine
Typical Practice Revenue
$300K – $10M+
Typical Annual Tax Savings
$25K – $120K+
Live in
30 Days · From $795/mo
Why Owners Choose the Third Way

What every chiropractic practices owner is really choosing between.

Most chiropractic practices owners are stuck between a generalist CPA who doesn't really know the specialty and a PE-backed buyer who wants the equity. Here's the same comparison side‑by‑side — with your specialty in mind.

Option 1
Generalist CPA
Option 2
PE-Backed DSO / MSO
Option 3 · The Third Way
Practice Partner CPAs
Takes equity in your chiropractic practice No Yes · 60–80% No · 0%
Knows your specialty KPIs × ✓ ✓
Monthly close + benchmarks × ✓ ✓
Year-round tax strategy × ~ ✓
You stay the decision-maker Yes No Yes
Investment Hourly 60–80% equity From $795/mo
What It Feels Like

The shift when you finally have someone in your corner.

Most chiropractic practices owners aren't looking for another report — they're looking for someone they can think out loud with. A CPA + MBA who already understands the practice, sees the numbers monthly, and can be a sounding board for every decision that matters. Here's what changes when you stop running your back office alone.

Right now
Pushing cash-pay hoping it's more profitable
With Practice Partner
Knowing it is — and seeing the math monthly
Right now
Treatment plans looking great on paper, falling apart in practice
With Practice Partner
Knowing completion rates — and what's driving them
Right now
Hiring associates and hoping the math works
With Practice Partner
Hiring associates with the production math already proven
Right now
Medicare Active Treatment rule feeling like a black box
With Practice Partner
Forecasting collection impact months in advance
Right now
Wondering what your practice would sell for
With Practice Partner
Tracking your valuation annually — as a benchmark, not just at sale
Right now
Carrying it all alone — care, ops, finances, decisions
With Practice Partner
Carrying patient care. Letting us carry the rest
You shouldn't have to be the clinician, the operator, the negotiator, the tax strategist, and the CFO. Be the leader. We'll handle the rest.
How We Show Up for You

You run the practice. We run the financial side — together.

You shouldn't have to be the clinician, the CFO, the tax strategist, and the operator all at once. The same Principal-level CPA — Ronak Bhatt, CPA, MBA — handles the technical work so you can focus on patients, your team, and the decisions only you can make. Here's what that partnership looks like across three areas.

01
Tax — Planned, Not Just Filed

You'll never feel a March surprise again.

Most chiropractic practices owners learn their tax bill the same week it's due. We turn that on its head — by October, you know your number, you know your plan, and you've already made the moves that lower it. The technical work happens quietly in the background; what you experience is clarity and control.

The kinds of strategies we routinely run for chiropractic practices owners — and what they typically save:

$6K–$12K/yr
S-Corp Reasonable Compensation
Defensible analysis recovers payroll tax that high-volume chiropractors routinely overpay.
$4K–$10K
Equipment Depreciation
Section 179 + bonus depreciation on adjusting tables, decompression units, e-stim, and rehab equipment.
$3K–$8K/yr
CA PTE Election
SALT-cap workaround for S-corp DCs and DC partnerships.
$15K–$60K/yr
Solo 401(k) / Cash Balance Plan
Owner-operator chiropractors often miss substantial retirement tax shelter.
You don't have to chase the strategy. We bring it to you — and tell you exactly what it means for your bottom line.
02
Numbers — Closed Monthly, Translated for You

Open one dashboard and know exactly how the practice is doing.

You stop guessing. You stop waiting for a CPA to "get back to you." Your books close by the 10th of every month, and we translate the numbers into the few metrics that actually matter for chiropractic practices owners — so when you make a hiring, pricing, or expansion call, the math is already done.

What you'll see in your monthly Practice Health Dashboard:

Visits / DC / Week
Productivity benchmarks
Avg. Visit Value
Cash vs. insurance
Plan Completion %
Patient retention proxy
Cash-Pay Mix
vs. insurance mix
See what's included at each Suite tier →
03
Advisory — Someone to Think Out Loud With

A CPA + MBA in your corner for every decision that matters.

Associate hiring models, treatment-plan pricing analysis, second-location ROI, integrated rehab service-line analysis, and quarterly strategy.

Every business leader needs someone to bounce ideas off — somebody who knows the numbers, knows the industry, and is in the conversation before the decision gets made. Hiring an associate. Adding a location. Buying the building. Bringing on a partner. Selling to a DSO or a group. You don't have to figure those out alone, and you don't have to wait until tax season to talk about them.

  • Benchmarks that actually fit you — your numbers compared against chiropractic practices owners in your exact specialty, not "small business" averages
  • A network you can borrow — vetted attorneys, bankers, retirement plan administrators, M&A advisors who already know healthcare
  • Regulatory clarity — CMS rules, state filing changes, reimbursement updates translated into financial impact before they hit your practice
  • A real sounding board — a CPA + MBA in the room when you're making the call, not just reading about it after
What Working Together Looks Like

From signed contract to live partnership in 30 days.

No drawn-out "implementation." No team being trained on your dime. A direct, principal-led onboarding that puts the financial infrastructure of your chiropractic practice into place fast — and starts producing wins before you've stopped thinking about whether this was the right move.

01
Days 1–15

Onboarding & Migration

  • Books migrated · chart of accounts rebuilt for chiropractic practices
  • Payroll, EHR, and tech stack connected
  • Prior-year tax position assessed · gaps surfaced
02
Days 16–30

Dashboard Live & First Close

  • Practice Health Dashboard live with your specialty KPIs
  • First monthly close completed and walked through with you
  • Tax planning kickoff · year-end strategies identified
03
Days 31–60

Monthly Cadence in Motion

  • Books closed by the 10th every month
  • First major tax move executed · PTE/S-corp/depreciation
  • Strategy questions you'd been carrying alone get answered
04
Day 90+

Compounding the Wins

  • Quarterly strategy call · benchmarks reviewed
  • Vendor introductions matched to what you actually need
  • The partnership becomes the operating rhythm of the practice
"
Ronak segmented our cash-pay and insurance revenue so we finally know which patients actually make us money. Restructured our plan pricing and saved $18K in tax year one.
TG
Dr. Tom Garcia, DC
Owner, Foundation Chiropractic
Common Questions

What chiropractic practices owners ask first.

Do you understand the cash-pay vs. insurance mix?
Yes. Cash-pay chiropractic has different revenue recognition and tax characterization than insurance-billed practice. We segment so you know which mix actually pays you after collections and time-per-visit.
Can you help with treatment-plan pricing?
Yes — we benchmark your cash plan pricing against regional and specialty data, and model the lifetime value of different plan structures.
Do you handle integrated rehab + chiro practices?
Yes. PT, massage, decompression, and ancillary services are tracked separately so you know which lines pay and which subsidize.
What about Medicare's Active Treatment requirement?
We track the Active Treatment standard and forecast its impact on AR and collections for Medicare-mix practices. Documentation and ABN issuance are also reviewed.
Can you handle associate DC comp models?
Yes. Production-based, collection-based, and hybrid associate comp structures — modeled so you can hire competitively without crushing margin.
Do you handle multi-state and multi-location practices?
Yes. Cross-state payroll, nexus analysis, and licensing coordination — included from Growth tier onward.

Your partner in chiropractic practice success.

30-minute call directly with Ronak. Direct CPA access. 24-hour response.

Schedule a Consultation 925.320.0309