Healthcare Business Guides

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 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 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 — 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.