Specialties We Serve
CPOM compliance requirements vary by business type. Here is how friendly PC owner services apply to the sectors we serve most.
MedSpa & Aesthetics
CPOM applies when medical services are offered. Physician PC required in most states.
Medical spas and aesthetic practices are among the most common use cases for friendly PC owner services. When a medspa or aesthetics practice offers services that require a medical license — injectables, laser treatments, PRP, hormone therapy, weight loss medications — those services must be delivered through a physician-owned entity in CPOM states.
Telehealth Platforms
Multi-state complexity. Each patient location state may require a separate PC.
Telehealth platforms face uniquely complex CPOM requirements because CPOM compliance is determined by where the patient is located, not where the company is headquartered. A telehealth company based in Delaware that serves patients in California, New York, and Texas must comply with CPOM rules in all three states — not just Delaware.
GLP-1 & Weight Loss Clinics
Fast-growing sector under significant regulatory scrutiny. Prescribing requires proper structure.
GLP-1 agonist medications (semaglutide, tirzepatide) have driven explosive growth in weight loss clinic businesses. This growth has attracted significant regulatory attention. Prescribing weight loss medications requires a licensed physician entity and, in CPOM states, a physician-owned PC. The pace of growth in this sector has outpaced compliance infrastructure at many operators.
Behavioral Health
CPOM applies to psychiatric services. Specific rules for NP/LCSW supervision.
Behavioral health — including psychiatry, psychology, licensed clinical social work, and substance abuse treatment — is subject to CPOM in most states for the physician-level services. There are additional complexity factors unique to behavioral health: scope-of-practice rules for non-physician providers, supervision requirements, group practice structures, and state-specific licensing for substance abuse treatment.
PE-Backed Healthcare & MSO Operators
Private equity-backed healthcare companies and MSO operators are among the most sophisticated users of the friendly PC owner structure. CPOM compliance is a standard component of healthcare M&A diligence, and PE investors require clean physician ownership structures before deals close.
We work with PE funds, portfolio companies, and MSO roll-ups to establish compliant physician PC structures across states. Multi-state structures, rapid timelines for deal closings, and ongoing compliance as portfolio companies scale are all within our scope.
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