Updated 15 September 2026: the full CPOM 50-state guide covers all 50 states plus D.C. Below is how to put it to work for your footprint. Pair it with CPOM compliance. New state deep dives: Connecticut and Missouri.
Open the CPOM 50-state guide →You reach for a CPOM 50-state guide when you are about to treat patients in a new state and need a map, not a slogan. Foundry’s matrix at /cpom/ gives you the doctrine posture, typical structure, and fee-splitting risk for every state, with deep pages where the rules need more room.
A CPOM 50-state guide explains Corporate Practice of Medicine rules across the U.S. Foundry’s version is a 50-state + D.C. matrix (doctrine posture, typical structure, fee-splitting note) plus deep pages for key states. It is a map for forming in the states you treat, not a rented national PC.
Pair the matrix with CPOM compliance. Doctrine without funds flow is a brochure. Funds flow without state doctrine is a California template dropped on Oregon.
What the CPOM 50-state guide is, and is not
It is an educational matrix. Commentators disagree on several labels (Georgia, Ohio, Florida, D.C.). Classifications are founder summaries, not a formal legal taxonomy. Confirm each state with counsel.
It is not a fake 50-state plug-in PC network. Foundry does not drop clients into a shared Super PC. When multi-state coverage is required, Foundry matches a 50-state licensed physician as the PC owner for the states you operate. Formation is $15,000 one-time. Matching is $3,000 per month.
Deep pages exist only where there is real substance: California, Texas, New York, New Jersey, Oregon, Illinois, Florida, Colorado, Georgia, Massachusetts, Pennsylvania, Nevada, North Carolina, Washington, and Arizona. Every other state has a full row on the matrix with its posture, structure, and fee-splitting note.
How to use the CPOM 50-state guide
- List the states where patients sit. CPOM follows the patient, not your Delaware HQ.
- Filter the matrix. Read posture, typical structure, and the fee-splitting note.
- Open every deep page in that footprint, including Connecticut, Missouri, and the earlier pages for Florida, Illinois, Washington, and Arizona.
- Run the operational checklist on CPOM compliance. Download the CPOM compliance checklist PDF.
- Form for those states. Do not rent a national shell. See why not a Super PC.
What the columns mean
| Column | Operator use |
|---|---|
| Doctrine posture | Strict / moderate / nuanced / limited. A starting map, not a waiver |
| Typical structure | Usually physician PC + FMV MSA even in “flexible” states |
| Fee-splitting note | Whether a % of collections MSA is the high-risk pattern |
| Foundry depth | Deep page, blog post, or a dash when the matrix row covers it |
If a cell says “confirm with counsel,” that is honesty. If a cell says “deep page,” read it before you recycle a California MSA into that state. Oregon SB 951 and California SB 351 / AB 1415 are the 2026 examples of why templates rot.
CPOM compliance sits next to the guide
CPOM compliance is the operating test: physician-owned PC, MSO paid fair market value, no lay de facto control, clinical-compliance infrastructure, and a mistakes table for lockboxes and percentage fees. The CPOM 50-state guide is which statute and board you are answering. Use both. Then form via MSO-PC structure ($15,000) and match a friendly PC owner ($3,000/mo).
Author: Matthew Milford, Founder, Foundry PC (Catalyze Care LLC). Not a law firm. Last reviewed 11 September 2026.