CPOM compliance for healthcare founders.
Clinical care through a physician-owned PC and an MSO at fair market value. No lay-owned practice of medicine. No de facto clinical control.
Book a CallWhat CPOM compliance is
Corporate Practice of Medicine rules limit who can own and control a medical practice. CPOM compliance means clinical care runs through a physician-owned Professional Corporation, the management company (MSO) is paid at fair market value for non-clinical services, and non-physicians do not own the practice of medicine or exercise de facto control over clinical decisions.
That is different from a medical-director title on paper while lay owners still dictate care. Auditors, payers, and buyers look for real clinical ownership, clean MSAs, and separate corporate formalities.
Operational checklist
- PC ownership: a licensed physician (MD/DO in strict states) owns the Professional Corporation that delivers care.
- MSA at FMV: the management services agreement pays the MSO fair market value for admin, tech, and operations — not a share of clinical fees dressed up as rent.
- Separate bank and EIN: the PC and MSO keep separate accounts, tax IDs, and books.
- Clinical protocols owned by the PC: protocols, credentialing, and clinical policies sit with the physician-owned entity.
- Collaboration agreements where required: NP/PA supervision or collaboration is documented under state rules, separate from PC ownership.
How Foundry helps
Foundry forms the MSO-PC for the states you actually need (MSO-PC formation, $15,000 one-time) and matches a friendly PC owner ($3,000/mo). When multi-state coverage is required, that can be a 50-state licensed physician as the PC owner — not a rented plug-in PC network.
We are Catalyze Care LLC d/b/a Foundry PC. Not a law firm. Document customization and attorney sign-off are handled by independent healthcare counsel you engage directly.
Frequently asked questions
What is CPOM compliance?
CPOM compliance means clinical care runs through a physician-owned PC, the MSO is paid at fair market value, and lay owners do not practice medicine or exercise de facto clinical control. See the CPOM 50-state guide for state detail.
Does Foundry provide legal advice?
No. Foundry PC is not a law firm. This page is general information. Independent healthcare counsel customizes and signs off on documents.
How much does Foundry charge for CPOM-related work?
MSO-PC formation is $15,000 one-time. Friendly PC owner matching is $3,000 per month. Book a call to scope states and timeline.
Further reading
Foundry PC is not a law firm. This guide is general information, not legal advice.
Need a CPOM-ready structure?
Book a free 20-minute call. We will map formation and PC owner matching for the states you need.
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