The MSO & friendly PC —
contracts and setup checklist.
The professional corporation holds the clinical side. The management company holds everything else. These are the agreements that connect the two — and what has to be in place before the PC sees a patient.
- Free 30-min consult
- No obligation
- 24-hour response
- 200+ practices built
- All 50 states
- Full contract stack (MSA, PSA, provider, MD, BAA, licenses)
- PC standup checklist — entity, money flow, clinical
- California-specific drafting warnings
- Systems checklist for day-one operations
Six agreements that hold the structure together.
The backbone. Defines the non-clinical services the MSO provides, the term, and a fee set at fair market value and kept separate from clinical decision-making.
Sits between the physician owner and the PC. Governs what happens to the shares on death, disability, or loss of license. The MSO is not a party.
Every treating clinician contracts with the PC, not the MSO. Scope of practice, supervision, compensation, and post-term restrictions.
Separate from ownership. Names who signs off on protocols, quality review, and clinical oversight — and what they're paid for that time.
Required the moment the MSO touches scheduling, billing, or records. Mirror it down to every downstream vendor.
Brand and IP license, sublease of space and equipment, and any working-capital note from the MSO to the PC. Written, priced, and signed.
Regulators are scrutinizing provisions that leave the physician owner in name only. Three to keep out of your documents:
- An MSO option to remove or swap the physician owner
- MSO approval rights over share transfers
- Termination of the MSA triggering a transfer of equity
What has to be in place before day one.
- Articles filed with the correct professional purpose
- Bylaws, initial consents, stock ledger, certificates issued
- Professional entity registration or fictitious name permit
- EIN and a bank account in the PC's name only
- Malpractice coverage written to the PC
- Type 2 NPI for the PC
- CAQH, payor enrollment, and credentialing underway
- Clearinghouse and billing configured
- Collections land in the PC account first, then the fee is paid
- Fee schedule, invoicing cadence, and valuation support on file
- Clinician licenses in every state you treat in
- Supervision or collaboration agreements where required
- Protocols and standing orders signed by the medical director
- HIPAA policies, security risk assessment, workforce training
- Telehealth consent and patient-facing disclosures
Operating it is the work.
That's what we do.
Camino builds and manages PC/MSO infrastructure for healthcare founders, digital-health companies, and independent clinicians.
- Free 30-min consult
- No obligation
- 24-hour response
- 200+ practices built
- All 50 states
Educational reference only. Not legal advice and not a substitute for counsel licensed in your state.