Comparison

Zivian Health alternatives for a friendly PC owner

You need a licensed physician to own your professional corporation. See how Zivian describes its PC Owner program, how other providers differ, and what to ask before you sign.

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By Matthew Milford, Founder, Foundry PC · Last reviewed 2 November 2026 · Company names used only to identify them.

Direct answer

Zivian Health alternatives are other ways to get a licensed physician to own the professional corporation behind your MSO. Zivian presents itself as an NP and PA compliance platform with a collaborating physician marketplace, and it runs a PC Owner program as one of its services. Foundry PC is the alternative when the PC is the whole job: your MSO-PC formed for the states you treat at a published $15,000, and a named friendly PC owner at a published $3,000/mo.

What Zivian says it offers

This summary comes from the public Zivian Health homepage and its PC ownership page as we read them on 2 November 2026. Check their site for the current version.

A platform for NP and PA compliance: compliance tracking, AI chart review, regulatory intelligence, and license management.
A marketplace that matches NPs and PAs with collaborating physicians, plus medical directorship.
A PC Owner program that matches a vetted physician licensed in the states you serve and supports PC registration, MSAs, and collaboration or oversight agreements.
Its FAQ says a physician match usually takes 3 to 5 days, a new PC typically takes 3 to 5 months, there is no initiation fee beyond the service agreement, and it will replace a PC owner at no expense.
No prices on the PC ownership page. Fees are set in a service agreement.

That is a fit for an enterprise running a large NP and PA workforce that wants software, collaborating physicians, and PC ownership from one vendor. If what you need is the entities formed and a named owner on the stock ledger at a known price, compare the options below.

How the options compare

Provider	What the public site offers	When Foundry is the better fit
Foundry PC	MSO-PC formation for the states you treat ($15,000 one-time) and a matched friendly or physician PC owner ($3,000/mo). Free CPOM 50-state guide with a deep page for every state plus D.C.	You want published prices, your own PC, and a named owner.
Zivian Health	NP and PA compliance software, collaborating physicians, medical directors, and a PC Owner program (zivianhealth.com).	The PC is the main job and you want the price before the first call ends.
FriendlyPCOwner	Physician PC owner services for MSOs, with MSA, operating agreement, and stock-restriction work with counsel (friendlypcowner.com).	You want the formation scoped and priced in one place. See FriendlyPCOwner alternatives.
Permit Health	MSO-PC formation, PC owner matching, collaborating physicians, and an option to plug into an existing multi-state PC (permithealth.com).	You want your own PC, not a shared one. See Foundry vs Permit Health.

Each row describes the provider's public site in plain terms. For their current services and prices, check their sites directly.

Collaborating physician or PC owner: which do you need?

NP-led companies often mix these up. A collaborating physician satisfies a state's NP or PA collaboration rule. A PC owner owns the professional corporation that employs your clinicians and holds the payer contracts. In a strict CPOM state, having a collaborating physician does not make a lay-owned company a lawful medical practice. You need the PC, the owner, and a fair-market-value MSA. Run the MSA red-flag audit before you sign.

Five questions to ask any PC owner provider

Will the physician own shares in my PC, by name? Ask to see the stock ledger after formation, not a roster.
Is the physician licensed in every state I treat? Check each state on the CPOM 50-state guide. Utah patients need a Utah-formed entity.
Is the price published and fixed? Know the formation fee and the monthly owner fee before you sign.
Is it my PC or a shared one? A PC that many companies share is a different product. Read why Foundry does not sell a Super PC.
What happens if the physician leaves? The stock transfer restriction should name a process to move shares to another licensed physician. See how to switch PC owner providers.

Pricing

MSO-PC formation

$15,000

One-time. Scoped to the states you treat. See MSO-PC formation.

Friendly PC owner

$3,000/mo

A licensed physician who owns your professional corporation.

Zivian Health alternatives FAQ

What is Zivian Health?

Zivian Health describes itself as compliance infrastructure for NP and PA workforces. Its site lists compliance tracking software, AI chart review, license management, a marketplace for collaborating physicians, medical directorship, and a PC Owner program that matches companies with vetted physician PC owners. We saw no prices on its PC ownership page when we reviewed it on 2 November 2026.

What is the best Zivian Health alternative?

It depends on the job. If you need NP and PA collaboration software and collaborating physicians across many states, compare platforms built for that. If you need your own MSO-PC formed and a named physician owner at a published price, Foundry PC forms the structure for $15,000 one-time and matches a friendly PC owner for $3,000/mo.

Is a collaborating physician the same as a PC owner?

No. A collaborating physician meets a state's NP or PA collaboration rule. A PC owner holds the shares of the professional corporation that employs the clinicians and bills for care. Many companies need both, and they are separate roles with separate agreements.

Does Foundry sell NP and PA compliance software?

No. Foundry forms the MSO-PC, matches the physician owner, and helps you set up the MSA. If you need chart review software or a collaboration marketplace, use a provider built for that alongside your PC.

Want your PC formed at a set price?

Book a free 20-minute call. Formation is $15,000. A friendly PC owner is $3,000/mo.