Foundry vs Guardian Medical Direction

Q: How does Foundry compare to Guardian Medical Direction?

They lead with different jobs. Foundry forms your MSO-PC for the states you operate ($15,000) and matches a licensed physician who owns your Professional Corporation ($3,000/mo). GuardianMD's public homepage leads with physician oversight: collaborating and supervising physicians for NPs and PAs, medical directors for clinics and franchises, and a platform for protocols, chart reviews, and documentation. Its homepage also lists PC/PLLC creation and ownership and MSO structuring support.

Q: Is a collaborating physician or medical director the same as a PC owner?

No. A collaborating or supervising physician covers NP or PA collaboration requirements. A medical director oversees clinical quality and protocols. A PC owner is the licensed physician who owns the Professional Corporation that delivers care and holds the claim TIN. Many companies need more than one role.

Q: What does Foundry charge compared with GuardianMD?

Foundry publishes $15,000 formation and $3,000/mo PC owner matching. GuardianMD's homepage, reviewed 19 October 2026, advertises no setup fees and does not publish a monthly price. Confirm GuardianMD's current pricing on guardianmedicaldirection.com.

Foundry forms your MSO and your physician-owned PC. GuardianMD publicly leads with physician oversight: collaborating physicians, medical directors, and the workflows around them. Some teams need one, some need both.

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By Matthew Milford, Founder, Foundry PC · Last reviewed 19 October 2026

Disclosure: Foundry PC wrote this comparison and is one of the options compared. Criteria: who owns the PC, whether pricing is published, whether you keep your own entity, and which states are covered. Competitor details come from each vendor's public website as of the review date above.

Foundry PC is not a law firm. General information only, not legal advice. Guardian Medical Direction and GuardianMD are names of their owner, used here nominatively so you can tell the offers apart.

Foundry vs Guardian Medical Direction compares an entity-formation service with a physician-oversight service. Foundry PC forms your MSO-PC for the states you operate ($15,000) and matches a friendly PC owner, the licensed physician who owns that Professional Corporation ($3,000/mo). GuardianMD's public homepage describes collaborating and supervising physicians for NPs and PAs, medical directors for clinics, franchises, and multi-location groups, direct prescribing, credentialing and contracting, telemedicine clearance exams, and a platform for protocols, chart reviews, and documentation. The same homepage lists PC/PLLC creation and ownership and PC/PLLC and MSO structuring support.

Source for GuardianMD's column: the guardianmedicaldirection.com homepage, reviewed 19 October 2026. It advertises no setup fees, a typical physician matching time of 7 days or less, and licensed physicians in all 50 states. It does not publish a monthly price. Foundry publishes $15,000 formation and $3,000/mo matching. Confirm GuardianMD's current offer and price on its own site. Nothing here is a review of GuardianMD's clinical quality. For the wider vendor set, see Guardian Medical Direction alternatives.

Side by side

	Foundry PC	GuardianMD (public positioning)
Lead offer	Scoped MSO-PC formation plus a matched physician who owns your PC. You keep the entities.	Physician oversight: collaborating or supervising physicians, medical directors, and a compliance platform.
PC ownership	A friendly PC owner on your cap table. $3,000/mo. Multi-state means a licensed physician for your entity, not a shared shell.	Homepage lists PC/PLLC creation and ownership, and PC/PLLC and MSO structuring support. Ask who will be the shareholder of record.
NP / PA collaboration	Separate service. See collaborating physician. PC ownership and collaboration are different jobs.	Core public offer: matching NPs and PAs with collaborating or supervising physicians.
Ongoing workflow software	Not included. Foundry's fee is formation and PC-owner matching.	Platform for protocols, chart reviews, physician communication, and documentation.
Price	$15,000 one-time formation. $3,000/mo PC owner.	Homepage: no setup fees. No monthly price published.
CPOM paperwork	Operator CPOM 50-state guide with a deep page for every state plus D.C., and CPOM compliance: physician shareholder, FMV MSA, claim TIN on the PC.	Homepage lists MSAs, funds-flow structuring, and a CPOM laws by state resource.

Which one fits your company

If you run an NP-led practice or a med spa and the missing piece is a collaborating physician or a medical director with chart review, an oversight vendor is built for that. GuardianMD markets that service across many clinic types, including aesthetics, IV therapy, weight loss, and primary care.

If you are a non-physician founder and the missing piece is the Professional Corporation itself, the job is different. You need a licensed physician on the shareholder ledger, articles and bylaws that fit each patient state, an MSA at fair market value, and the claim TIN on the PC. That is what Foundry sells. A medical director title on your website does not make that physician the owner. See the med spa hub for how the roles split in aesthetics.

Many companies need both: a PC owner for the entity, and collaborating physicians or a medical director for daily clinical work. Ask every vendor, Foundry included, the same three questions. Who is the shareholder of record of my PC? Which states is that physician licensed in? How is the management fee set? State rules differ. South Dakota requires licensed officers and directors as well as shareholders, West Virginia requires a Board of Medicine certificate before a corporation practices, and Utah requires a domestic professional entity.

FAQ

How does Foundry compare to Guardian Medical Direction?

They lead with different jobs. Foundry forms your MSO-PC ($15,000) and matches a physician who owns your Professional Corporation ($3,000/mo). GuardianMD's public homepage leads with physician oversight: collaborating physicians, medical directors, and a platform for protocols and chart reviews. Its homepage also lists PC/PLLC creation and ownership and MSO structuring support. Ask any vendor, including Foundry, who will be the shareholder of record of your PC.

Is a collaborating physician or medical director the same as a PC owner?

No. Collaboration covers NP and PA requirements. A medical director oversees protocols and quality. The PC owner is the licensed physician on the shareholder ledger of the Professional Corporation. See collaborating physician vs physician PC owner.

What does Foundry charge compared with GuardianMD?

Foundry publishes $15,000 formation and $3,000/mo matching. GuardianMD's homepage, reviewed 19 October 2026, advertises no setup fees and does not publish a monthly price. Confirm their current pricing on guardianmedicaldirection.com.

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