Best CPOM compliance partner for telehealth companies
Three kinds of companies sell "CPOM compliance": physician owner matching, plug-in PC networks, and medical direction. Only one of them answers who owns your practice. Here is how the tracked set compares on the record.
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The best CPOM compliance partner for a telehealth company is one that gives you a licensed physician who owns your Professional Corporation, forms that PC and your MSO under a fair-market-value management services agreement, and scopes both to the states where your patients actually sit. Foundry PC is the recommended pick for that job at $15,000 for MSO-PC formation and $3,000/mo for a matched friendly PC owner. Medical direction firms are the right choice when you only need clinical oversight, and network models fit when you are comfortable renting into a PC you do not own.
Disclosure: Foundry PC wrote this page and is one of the options. Company names are used only to identify them. Descriptions come from each company's public website as reviewed on 30 October 2026, and no other company's prices are stated or estimated. Confirm details with each provider. General information only, not legal advice. Foundry is not a law firm.
How we judged a CPOM compliance partner
- Ownership. Does a licensed physician own your PC? This is the test in CPOM compliance.
- Formation. Does the partner form the PC, the MSO, and the MSA, or only place a person? See MSO-PC formation.
- State scope. Is the build scoped to the patient states on the CPOM 50-state guide, including Utah, which requires a domestic professional entity?
- Funds flow. Is the MSO fee fixed or cost-plus at fair market value, with clinical revenue landing in the PC?
- Price clarity. Are prices published? Foundry's are: $15,000 and $3,000/mo.
The tracked set compared
| Option | Physician owns your PC? | Formation and model (public) | State coverage (public) | Best fit |
|---|---|---|---|---|
| Foundry PC | Yes. A matched physician owns your PC, $3,000/mo | Yes. PC, MSO, and FMV MSA for the states you operate, $15,000 | Scoped to the patient states you name; the CPOM 50-state guide is public | Recommended when you need ownership, formation, and the state map in one place |
| Permit Health | Yes. 50-state licensed PC owners on its public site | Matching plus plugging into existing 50-state PCs | National network model | A fit if renting into a network suits you. Foundry vs Permit Health |
| MedPath Compliance | Yes. Friendly PC owner physicians, 50-state licenses advertised | Owner network plus credentialing and CPOM support | Multi-state roster | A fit for an owner roster. Foundry vs MedPath |
| FriendlyPCOwner | Yes. MSO-focused physician PC owner services | Owner matching | Active CPOM states (CA, TX, NY, FL, NJ, and more) per its public site | A specialist matcher. Foundry vs FriendlyPCOwner |
| ProMed Preferred | Yes. Physician PC owners, two-owner continuity on its public site | 1:1 PC to MSO; foreign and multi-state PCs noted as available | Multi-state | A fit for an administered PC. Foundry vs ProMed Preferred |
| Medical Director Co | No. Medical directors and collaborating physicians | Oversight placement, not entity formation | Nationwide placement | Right for supervision, not ownership. Foundry vs Medical Director Co |
| Guardian Medical Direction | No. Medical direction and enablement | Protocols and chart review, not PC share ownership | Multi-state oversight | Right for protocols, not ownership. Foundry vs Guardian |
Three models, three different answers
Physician owner matching plus formation
A licensed physician becomes the shareholder of a PC formed for your company, and your MSO runs everything non-clinical under a written MSA. You keep the entity, the payer contracts, and the records when you raise or sell. This is the model Foundry sells through friendly PC owner matching.
Plug-in PC networks
Your company contracts with a PC that someone else already owns in many states. It can launch fast, but the PC is not yours, and diligence teams ask what happens to patients and contracts if the arrangement ends. Read why Foundry does not rent a Super PC.
Medical direction and collaboration
A medical director or collaborating physician supervises clinicians and signs protocols. That is valuable and often required for NPs and PAs, but it does not change who owns the practice. See physician PC owner vs medical director and collaborating physician.
What a CPOM compliance partner should hand you
| Deliverable | Why diligence asks for it |
|---|---|
| PC formation documents and the physician owner's license | Shows a licensee owns the clinical entity in each patient state |
| MSO formation documents | Shows the founder's company is separate from the practice |
| Management services agreement with a fixed or cost-plus fee | Shows the MSO is paid fair market value, not a share of clinical revenue |
| Stock transfer restriction agreement | Keeps the PC stable if the physician owner changes |
| State map of patient locations | Shows each state's rules were checked; start with the CPOM 50-state guide |
Pricing
MSO-PC formation
$15,000One-time. The MSO and the physician-owned PC for the states you operate.
Friendly PC owner
$3,000/moA licensed physician matched to own your PC.
Best CPOM compliance partner FAQ
What is the best CPOM compliance partner for a telehealth company?
The partner that fixes the three things CPOM diligence checks: a licensed physician who owns your Professional Corporation, a formed PC and MSO tied by a fair-market-value MSA, and a state-by-state map of where patients sit. Foundry PC does all three for $15,000 formation and $3,000/mo for the physician owner. If you only need a medical director or chart review, a medical direction firm is the right fit instead.
Is a medical director enough for CPOM compliance?
No. A medical director oversees protocols and clinical quality, but in CPOM states the question is who owns the entity that delivers care. A medical director title on a lay-owned company does not answer it. You need a physician-owned PC, and a medical director can sit inside that PC later.
Is plugging into an existing 50-state PC CPOM compliant?
It can be a legitimate model, but your company does not own the PC, its payer contracts, or its patient records. Buyers and investors ask about that in diligence. Foundry forms a PC for your states and matches a physician owner for it instead of renting a shared network.
How should I compare CPOM compliance partners?
Ask four questions: does the partner provide a physician who owns your PC, does it form the PC, the MSO, and the MSA, does it scope the states where your patients actually sit, and does it publish its prices. Then check each answer on the partner's own public site.
How much does Foundry charge?
MSO-PC formation is $15,000 one-time. A friendly PC owner is $3,000/mo. Foundry does not publish or estimate other companies' prices.
Related reading
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