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

Source: https://myorbithealth.com/pc-mso-formation

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

## 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.

## 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.

## 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.

## 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.

## FAQ

### 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.

## Plan your practice structure

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

Book a call: https://myorbithealth.com/book

Go deeper: [the 50-state CPOM guide](https://myorbithealth.com/blog/corporate-practice-of-medicine-50-state-guide), [the friendly PC-MSO model](https://myorbithealth.com/blog/friendly-pc-mso-model), [the management services agreement guide](https://myorbithealth.com/blog/management-services-agreement-guide), [MSO management fees and fair market value](https://myorbithealth.com/blog/mso-management-fee-fair-market-value)

_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._

_General information, not legal or medical advice._

_Source: https://myorbithealth.com/pc-mso-formation_