Management Services Organization

How the best practices stay independent.

CHS runs the whole business of your practice — billing, finance, people, technology, growth — so you can compete and win without selling to private equity or a health system. The modern alternative to the traditional MSO.

Built and run to the highest standard
HIPAA HITECH CMIA Aligned BAA-Governed MSO–PC Structured
Why CHS Exists

You shouldn't have to sell your practice just to keep it running well.

For years, independent practices had two options. Stay independent and carry the whole operational load yourself — billing, staffing, contracts, technology, compliance — or sell to private equity or a hospital and let someone else run it, along with everything else they take.

We built CHS for a third option. We run the business side of your practice the way a large platform would — the same scale, the same discipline, the same buying power — except you keep ownership, you keep control, and every claim is still billed under your name.

That's the difference between an old-school MSO that wants a piece of you and the way we work. We don't take equity. We don't touch a clinical decision. We just run the business so you don't have to sell it.

The Platform

Everything it takes to run the business of a practice.

A practice isn't one thing that needs fixing. It's a whole business — and CHS runs all of it as one coordinated operation, not a pile of separate vendors you have to manage yourself.

Run by CHS Coordinated by CHS
Revenue Cycle
Billing, coding, claims, posting, AR, and denials — run end to end, so the money comes in clean and on time.
Finance & Accounting
Accounting, reporting, and the financial picture leadership needs to actually see where the practice stands.
Human Resources
Staffing, payroll support, training, and benefits — keeping the practice fully staffed and the team supported.
Credentialing & Contracting
Provider and group credentialing, enrollment, and payer contracting — with real leverage at the table.
Technology & Analytics
PM/EHR setup and optimization, reporting, and the analytics that turn your data into decisions.
Marketing, Brand & Growth
Building the practice's name and bringing in patients — not just keeping the books, but helping you grow.
Compliance & Risk
HIPAA, regulatory, and risk oversight — keeping the practice protected as the rules keep changing.
Vendor & Group Purchasing
Better pricing on supplies, software, and services — the buying power of a big group, passed to you.
CHS runs its core services directly and coordinates the rest through a vetted partner network — so you get one accountable relationship across the whole business, not a dozen contracts to juggle. See the full platform

All the value of scale.
None of the strings.

Independent practices lose ground because they're buying, hiring, and negotiating alone. CHS gives you the pricing, the talent, and the leverage of a large platform — while you stay every bit as independent as you are today.

The Landscape

A generation of independent practices was told there were only two roads: sell, or struggle. The data says there's a better one.

70%+
of physicians are now employed by hospitals or corporate entities — but a growing number of specialty groups are choosing to stay independent instead.
25–30%
of practice revenue now goes to administrative cost — the weight that pushes owners toward selling, and the weight an operating partner takes off.
$960
lower cost per patient over a year when independent groups gained scale through an MSO — while joining an insurer-owned platform raised costs instead.

Figures reflect widely reported industry data on independent practice economics and are provided as general context, not CHS performance guarantees. Individual results vary by practice.

Let's Talk

Let's talk about your practice.

Tell us where things stand and what's weighing on you. We'll tell you straight where an operating partner would actually help — and where it wouldn't.

Start a conversation

We'll reply personally. No call centers, no auto-sequences.