MSO & Corporate Structure
Ownership, control, and operational architecture for physician-owned healthcare businesses.
This is where the business is structured to function correctly — not just on paper, but in reality.
Control Is Where Most Structures Fail
Most healthcare businesses are not built incorrectly at the entity level.
They fail at the control level.
Problems arise when:
-
non-physician parties exercise operational authority without proper structure
-
physician ownership exists on paper but not in practice
-
management companies influence clinical or financial decisions improperly
-
payment systems and bank control do not align with ownership
These issues are rarely obvious at formation.
They develop through how the business actually operates.
What This Covers
Entity & Ownership Structure
Design and evaluation of physician and non-physician ownership roles, including control, governance, and participation.
MSO & Management Structure
Structuring management service organizations and operational relationships where non-clinical entities are involved.
Physician Authority & Control Systems
Ensuring physician ownership is reflected in actual decision-making authority and operational control.
Management Agreements & Operational Boundaries
Review and structuring of management agreements to properly define roles, limitations, and responsibilities.
Money Flow & Financial Control
Analysis and structuring of revenue flow, merchant accounts, and banking control to align with ownership and authority.
Governance & Decision-Making Structure
Design of voting rights, approval authority, and operational decision frameworks.
How This Differs From Traditional Structuring
Most structuring work focuses on entity formation and documentation.
This work focuses on:
-
how control is actually exercised
-
who makes decisions in practice
-
how money moves through the business
-
whether operations match the legal structure
A structure that works on paper but not in operation creates exposure.
This engagement aligns both.
Who This is For
-
Physician + non-physician partnerships
-
Investor-backed or capital-involved healthcare businesses
-
Practices utilizing management companies or MSO models
-
Founders structuring complex ownership arrangements
-
Existing businesses with unclear control or authority lines
What You Avoid
-
loss of physician control
-
improper non-physician influence over operations
-
misaligned ownership and financial authority
-
management structures that create regulatory exposure
-
internal disputes over decision-making and control
Outcome
Clients leave with:
-
a clearly defined ownership and control structure
-
aligned physician authority and operational systems
-
properly structured management relationships
-
defensible financial and operational control mechanisms
-
a structure that functions correctly in practice
Next Step
The risk in healthcare structure is not what is written —
it is how the business actually operates.
Schedule a consultation to determine whether your structure is aligned with how your business functions.
Schedule a Strategic Consultation
Let’s Build Something Exceptional.
No Attorney-Client Relationship.
Submitting an inquiry or requesting a consultation does not create an attorney-client relationship. Legal services are provided only pursuant to a written engagement agreement signed by both the client and Janssen Private Counsel.