Find out in 60 seconds. The TrueEval MSO Structural Audit grades your Professional Corporation + Management Services Organization arrangement against the 15 structural signals state attorneys general, federal regulators, and healthcare counsel cite in 2024-2026 enforcement actions and M&A diligence. Free. No login. Your data stays yours.
PC ownership, MSO separation, multi-state Friendly PC structure, fee-splitting
Scope, FMV pricing, who controls clinical decisions, clinician employment
State-specific CPOM compliance, anti-kickback analysis, board minutes, AG enforcement risk
No email required to see your score. Optional email gate for the downloadable PDF report.
Where the grades come from. The 15 questions and their weights are derived from publicly available state medical board disciplinary orders, state pharmacy board enforcement actions, DEA bulletins, FDA guidance, and current statutes. We track these continuously through our regulatory intelligence system and consolidate them into one place so operators don't have to read 50 state board newsletters to know where the risk is.
The role AI plays. AI helps us summarize and condense the source material into usable assessment questions. The scoring itself is deterministic — same inputs always produce the same score, and the rubric is published below in the questions you'll see. There is no AI black box deciding your grade.
What this is not. TrueEval is not a law firm or an accounting firm. This tool is informational; it is not legal, accounting, or medical advice, and it does not create an attorney-client, accountant-client, or provider-patient relationship. If your results surface material gaps, consult qualified healthcare counsel licensed in your state before making business decisions.
Healthcare operators using a Professional Corporation (PC) + Management Services Organization (MSO) structure — typically PE-backed practices, multi-state telehealth platforms, medical group consolidators, or founder-led practices raising non-clinician capital. If your business has non-physician investors and clinical operations in any strict-CPOM state (CA, NJ, NY, TX, IL, etc.), this audit is for you.
Improperly structured MSO arrangements have triggered: state attorney general enforcement (NY, CA, NJ have been active in 2024-2026), federal anti-kickback claims, fee-splitting prosecutions, and license actions against participating physicians. In M&A diligence, structural defects can kill a deal or compress valuation by 30-50% pending remediation. Pre-existing structures don't get grandfathered.
A 'Friendly PC' is a colloquial term for a PC owned by a licensed clinician who is friendly to (or contractually aligned with) the MSO's investors. The structure is legitimate when properly constructed — independent clinical governance, fair-market-value MSA fees, no fee-splitting, no profit-sharing with non-clinicians. The structure becomes a 'sham PC' when the PC has no real independent existence and the MSO controls clinical decisions in substance. State AGs are increasingly attacking sham PCs.
If the PC or any affiliated clinician is part of any federal healthcare program (Medicare, Medicaid, VA, TRICARE), the federal anti-kickback statute and (for physician self-referral) the Stark law apply to the MSA and any referral relationships. Fair-market-value documentation, commercially-reasonable terms, and a written agreement are baseline requirements. Cash-pay-only operations face state anti-kickback equivalents in many states.
No. This audit surfaces structural signals that frequently appear in enforcement actions. It is informational and is not legal advice. Any operator scoring C or below should work with qualified healthcare counsel licensed in their state before making structural changes, expanding, or going through transaction diligence.