How It Works
Hestia Partners operates as a Management Services Organization — a non-clinical business entity that contracts with clinical practices through a Management Services Agreement (MSA). The MSA defines the scope of operational, administrative, and technological services Hestia provides, and it defines the fee the practice pays for those services.
The management fee can be structured in several ways depending on the practice’s size, complexity, and preferences: as a percentage of collections, a flat monthly fee, a tiered structure that adjusts with volume, or a hybrid combining elements of each. The structure is negotiated, transparent, and documented in the agreement.
This is not an employment arrangement. It is not an acquisition. It is a service contract with a defined scope, a defined fee, and a clear boundary between clinical and non-clinical functions.
Fee Structures
A percentage of practice collections. The fee scales naturally with practice volume, aligning Hestia’s compensation with practice performance.
A fixed monthly fee for a defined scope of services. Predictable for the practice, clear for budgeting, simple to administer.
A fee that adjusts at defined volume thresholds. As the practice grows, the rate shifts to reflect economies of scale.
A combination of structures — for example, a base flat fee plus a percentage above a defined threshold. Built to match the practice’s specific profile.
Why This Matters
When the management fee scales with practice performance, the incentives are aligned by design. Hestia earns more when the practice collects more. The practice collects more when operations run cleanly, claims are filed correctly, credentialing is current, and administrative burden is removed from the clinical team.
This is not a cost center. It is an investment that pays for itself through improved collections, reduced overhead, and infrastructure that scales without proportional headcount growth. The model works because the incentives point in the same direction.
Start a conversation →