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We connect you with experienced PC Owners, simplify legal structuring, and provide the support you need to launch and grow your business.

What Is the Corporate Practice of Medicine?

The Corporate Practice of Medicine (CPOM) doctrine prohibits non-physicians and corporations from owning or controlling medical practices, ensuring that clinical decisions remain under the independent judgment of licensed physicians.

To stay compliant, many organizations use a Professional Corporation–Management Services Organization (PC–MSO) model.

In this structure, the Professional Corporation (PC), owned by a physician licensed in each state of operation, oversees all medical services. The Management Services Organization (MSO), which may be owned by a business operator or non-physician clinician such as a nurse or APP, handles administrative and operational functions like staffing, billing, and technology. Both parties sign a Management Services Agreement (MSA), which governs the relationship between the PC and MSO.

This separation keeps medical control with licensed physicians while allowing the business to manage operations and scale care compliantly across states.

Frequently Asked Questions

Everything you need to know about Zivian Health

What are the benefits of working with Zivian Health for PC Ownership?

• Experience: The choice of physician PC Owner can be very impactful to the business in both good and bad ways. Zivian provides a network of several thousand physicians with experience and familiarity with these types of roles, ensuring they are lubricants to the business and not obstructionists.
• Quality: Zivian vets all physician candidates in advance and on an ongoing basis to ensure clean licensure and records, mitigating the risk of something impacting your ability to operate.
• Certainty: Should you want to change your PC Owner to a different physician for any reason, Zivian will replace the PC Owner at no expense to you.
• Speed: Zivian health can identify a physician PC Owner for your business in days and have necessary paperwork set up within a week.
• Knowledge: Zivian hosts monthly advisory meetings with all PC Owners, allowing them an opportunity to share best practices and stay ahead of an evolving compliance landscape.

What is the prohibition against the Corporate Practice of Medicine (CPOM) doctrine?

The state-by-state rule that requires the practice of medicine should be governed by individuals with clinical expertise rather than commercial or corporate entities.

How is CPOM practically implemented with non-medical owners?

The operating business (also known as a Management Services Organization, or MSO) partners with a Professional Corporation (often referred to as a “friendly PC”) that administers the clinical care. This entity is wholly owned by a physician licensed in that state, who offers important medical oversight, expertise, and operational support to the PC and the MSO.

What are PC Ownership responsibilities?

• Regulatory Compliance: The primary purpose of the PC Owner is to help a healthcare business operate in a manner that complies with CPOM laws.
• Medical Oversight: The PC Owner is responsible for overseeing the medical aspects of the business.
• Business Structure: The PC Owner helps structure a business in a way that aligns with legal requirements.
• Strategic Direction: The PC Owner may contribute to the strategic planning and overall direction of the business.

Do physician PC Owners go through any credentialing or verification process?

Yes, all physicians are thoroughly vetted, verified, and credentialed by Zivian Health prior to being enrolled in our network.

How quickly can Zivian Health find a PC Owner for my organization, and how long does it take to create a new PC?

We can find a physician match within most requested timeframes. Turnaround times can be impacted by your specific circumstances. However, we can usually match you with a physician in 3 to 5 days if needed.