Operator deep page (statute cites, PC vs MSO table, Foundry formation CTA): Alabama CPOM on the CPOM 50-state guide. Pair it with CPOM compliance and MSO-PC formation ($15,000). A friendly PC owner is $3,000/mo.
Alabama is Limited, not a no-rules state. Official Ala. Code § 10A-4-3.01 lets a domestic professional corporation issue shares only to qualified persons. Official Ala. Admin. Code r. 540-X-9-.06(5) says a medical LLC may render professional services in Alabama only through individuals licensed by the Medical Licensure Commission, and that a physician’s medical judgment shall not be subject to the control of an unlicensed person.
Do not skip the Board filing
Official r. 540-X-9-.01 requires a medical professional corporation to file articles, a certificate of authority if applicable, and a complete list of shareholders with the Alabama State Board of Medical Examiners. Foreign medical PCs that actually treat Alabama patients still need Alabama-licensed physician shareholders under r. 540-X-9-.01(7)(a). It is not a digital-health startup waiver. Birmingham diligence still wants a physician-owned PC plus an FMV MSA.
What Birmingham founders should do
- Form an Alabama professional corporation owned by an Alabama-licensed MD or DO.
- File articles and the shareholder list with the Board of Medical Examiners under 540-X-9-.01.
- Pay the MSO a fixed or FMV-supported admin fee, not a percentage of collections.
- If you also treat Georgia, Florida, Tennessee, or Louisiana patients, open those deep pages. Alabama’s Limited label does not control them.
Full operator file: Alabama CPOM. Doctrine map: CPOM 50-state guide. Last reviewed 21 September 2026.