GLOSSARY · BUSINESS SETUP

Corporate practice of medicine, why a company cannot own a medical practice.

The corporate practice of medicine is a legal doctrine that bars companies not owned by licensed physicians from practicing medicine or employing doctors to do it.

01

What it means

The doctrine is state law, so it varies. Some states enforce it strictly, including California, Texas, and New York; others barely enforce it or allow broad exceptions. Its purpose is to keep business owners from steering clinical judgment for profit. Where it applies, a company owned by non-physicians cannot own a medical practice, employ physicians to treat patients, or control clinical decisions.

The standard way to comply is a two-entity structure. A professional corporation owned by a licensed physician holds the medical practice, and a management services organization owned by the business runs everything non-clinical under a services contract.

02

Why it matters to a brand operator

Any brand that is not owned by a doctor and wants to treat patients in more than a handful of states runs into this doctrine. A national clinic has to satisfy the strictest states it serves, which in practice means structuring properly everywhere.

Getting it wrong has real costs: contracts a court may refuse to enforce, fee arrangements that count as illegal fee-splitting, and a regulator's finding that the company was practicing medicine without a license. Investors and acquirers check the structure in diligence, so a weak one also lowers what the company is worth.

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How Tessic Health handles it

Tessic Health drafts and maintains an MSO and friendly-PC structure for each client's ownership. Licensed clinicians own and run the medical practice, and the client's company owns the business and the brand, so the client does not need a medical license to own a Tessic Health clinic.

See the published terms