PC/MSO structure
for digital health.
The compliant PC/MSO structure and multi-state operation a non-clinical company needs to launch care and grow without tripping over the rules.
Your company cannot own the practice. Here’s what actually works.
In most states, the corporate practice of medicine doctrine bars a non-clinical company from owning a medical practice or employing physicians to deliver care. That is not a technicality you can route around with a clever term sheet.
The compliant answer is a physician-owned professional corporation that delivers care, supported by a management services organization that your company owns and operates. Built correctly, it holds up. Built as a control workaround, it’s a liability. We build the version that holds.
Physician-owned PC. Your MSO. Built to hold up.
Physician-owned practice
The clinical entity that delivers care, genuinely owned and led by a physician partner.
Your management company
Operations, technology, staffing support, and management, owned and run by you.
A defensible relationship
The MSA and surrounding documents drafted for the law as it stands now, post-Bonta, with captive-PC exposure engineered out.
Physicians who lead and market — not just sign.
Through our partner Bayan Health Group, you get physician partners who bring clinical leadership, an established network, and the credibility to help grow the service — across every state you enter.
- One build
- A repeatable structure, not fifty custom ones.
- State by state
- Extended cleanly as you expand.
- Coverage
- Physician partners in every market.
- Compliance
- Built by consultants as you scale.
Compliance that scales with software, not headcount.
As you add states and volume, your compliance obligation grows. Ours grows with proven systems, not with a bigger team. Operations run through the platform and are documented by real operators who build the audit log, trail, and documentation as you go.
- Audit-ready
- Log, trail, and documentation exist before an auditor asks.
- Diligence-ready
- Investors and acquirers see structure + record, not a scramble.
- State-specific
- Each state handled to its own rules, not a copy-paste.
Telehealth and digital health questions.
How does a telehealth startup deliver care legally?+
Through a physician-owned professional corporation that delivers care, supported by a management services organization your company owns. We build both sides and connect you with physician partners.
Why do telehealth companies use a PC and MSO?+
Because the corporate practice of medicine doctrine prevents a non-clinical company from owning the practice. The PC/MSO structure is the compliant way to separate the business from the clinical entity.
How do I expand to multiple states?+
We build one repeatable model and extend it state by state, handling each state's corporate practice and licensing rules and providing physician coverage through our network.
Legal on day one. Scalable on day one hundred.
Book a call and we’ll map your structure, your states, and your physician coverage.