The short version: in most states only a physician can own a medical practice. A PC-MSO (or "friendly PC") structure solves that — a physician-owned Professional Corporation (PC) owns the clinical care, and your Management Services Organization (MSO) owns the business and provides everything non-clinical under a Management Services Agreement (MSA). TrueEval forms the PC, provides the physician owner and medical director, and structures the MSA — so you can operate compliantly in all 50 states.
CPOM keeps medicine owned by clinicians. The PC-MSO model satisfies that while letting a non-physician founder build, own, and scale the business.
A physician-owned Professional Corporation employs the providers and owns all clinical care and decisions. This is the entity CPOM requires a doctor to own.
Your Management Services Organization — you own it, it can hold investors — provides every non-clinical service: tech, marketing, scheduling, billing, HR, operations.
The Management Services Agreement binds the two: it defines the services and a management fee that must avoid fee-splitting and never hand the MSO control of clinical decisions.
Strictness varies by state (CA, NY, TX, NJ, IL are strictest). The structure is built to the strictest state you serve and kept current as rules change.
Take the assessment — tell us your specialty + target states and we'll map your gaps and what onboarding looks like for you.
Regulatory Information Disclaimer
The telehealth compliance information presented on this page is provided for general informational purposes only and should not be construed as legal advice. The telehealth regulatory landscape is evolving rapidly, with state legislatures, medical boards, and federal agencies frequently updating rules, guidance, and enforcement priorities. While TrueEval makes every effort to keep this information current and accurate, we cannot guarantee that all details reflect the very latest regulatory changes at the time of your visit.
We strongly recommend consulting with a qualified healthcare attorney or compliance professional before making business decisions based on this information. For the most current regulatory requirements, refer directly to your state medical board and relevant licensing authorities. Last reviewed: February 2026.
Take the assessment — tell us your specialty + target states and we'll map your gaps and what onboarding looks like for you.