What is a friendly PC-MSO?

Two companies: an MSO the founder owns that provides non-clinical services, and a professional corporation owned by a licensed physician that provides care. A management services agreement connects them and keeps clinical decisions with the PC.

Do I need a PC-MSO in my state?

In states with a corporate practice of medicine doctrine, usually yes. Some states allow lay ownership, but multi-state telehealth brands often use one structure everywhere. Our 50-state CPOM guide covers each state.

Can you provide the physician owner?

Yes. MyOrbitHealth matches you with a licensed physician PC owner in the states you serve.

Do I own the structure?

If you choose the own-your-structure engagement, yes. If you launch on MyOrbitHealth's existing structure, you own your brand, patients and data, and MyOrbitHealth's licensed providers deliver care.

How much does PC-MSO formation cost and how long does it take?

Fees and timing depend on the number of states and the services you need, and are confirmed in your agreement. Book a structure call for a scoped quote.

Is this legal advice?

No. We work with healthcare counsel, and your own attorney should review the agreements.

Practice structure · PC-MSO formation

Friendly PC-MSO formation for clinics, med spas and telehealth brands

Most states restrict who can own a medical practice. If you are not a physician, a friendly PC-MSO structure is how you own the business legally: your management services organization (MSO) owns the brand, technology and operations; a physician-owned professional corporation (PC) delivers care.

Book a structure call Check your state's CPOM rules

Illustration of a planet inside a protective ring

Chapter 01 · Safe orbit

Compliance is the atmosphere that protects the mission.

MyOrbitHealth sets up the structure for you, alongside healthcare counsel, and can run the clinical, pharmacy and technology layer on top of it.

Part 01

What's included

Entity formation

The MSO and the professional entity (PC or PLLC) formed and registered in the states you will serve, under each state's professional-corporation rules.

Physician PC owner

A licensed physician owner matched to your service line and states.

Agreement set

Management services agreement, stock transfer restriction (succession) agreement, physician owner agreement and BAA, drafted to keep every clinical decision with the PC.

Fee structure review

A management fee designed around fair market value and each state's fee-splitting rules.

State filings and registrations

Professional entity filings, foreign registrations and the licensure path for providers in each state.

Ongoing compliance

Renewals, physician-owner continuity, and recurring reviews as states change their rules.

Part 02

Two ways to engage

Own your structure

We form a PC-MSO you own, in the states you choose.

Best for brands that plan to raise institutional capital or sell the practice.

Launch on ours

Skip formation and launch on MyOrbitHealth's existing MSO / friendly-PC structure with 2,400+ board-certified providers in all 50 states.

Best for brands that want to be live fast.

Part 03

How it works

Structure call

Your service lines, states, and whether you already have providers.

State plan

Which states need a PC, which allow other models, and where NPs or PAs can practice independently.

Formation and agreements

Entities and agreements, reviewed with healthcare counsel.

Physician owner onboarding

Physician owner onboarding and provider credentialing.

Launch

Launch on the MyOrbitHealth platform, or on your own stack.

Part 04

Who it's for

Who it's for
Non-physician founders	Own the business through the MSO while a physician-owned PC delivers care.
Med spas	Adding medical services under a compliant ownership structure.
NPs and PAs	Building a practice in states that require physician ownership.
Telehealth brands	Expanding into strong-CPOM states such as California, Texas and New York.
Investors	Structuring a healthcare acquisition.

Frequently asked questions

What is a friendly PC-MSO?: Two companies: an MSO the founder owns that provides non-clinical services, and a professional corporation owned by a licensed physician that provides care. A management services agreement connects them and keeps clinical decisions with the PC.
Do I need a PC-MSO in my state?: In states with a corporate practice of medicine doctrine, usually yes. Some states allow lay ownership, but multi-state telehealth brands often use one structure everywhere. Our 50-state CPOM guide covers each state.
Can you provide the physician owner?: Yes. MyOrbitHealth matches you with a licensed physician PC owner in the states you serve.
Do I own the structure?: If you choose the own-your-structure engagement, yes. If you launch on MyOrbitHealth's existing structure, you own your brand, patients and data, and MyOrbitHealth's licensed providers deliver care.
How much does PC-MSO formation cost and how long does it take?: Fees and timing depend on the number of states and the services you need, and are confirmed in your agreement. Book a structure call for a scoped quote.
Is this legal advice?: No. We work with healthcare counsel, and your own attorney should review the agreements.

Go deeper: the 50-state CPOM guide, the friendly PC-MSO model, the management services agreement guide, and MSO management fees and fair market value.

This page is general information, not legal or medical advice.

Plan your practice structure

Tell us your service lines and states, and we will map the structure that fits.

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Services, software access, state coverage, fees and timing are confirmed in your agreement. Clinical ownership and decisions remain with the licensed medical entity. State-specific legal requirements should be reviewed with your counsel.