MSO Consulting & Structuring

MSO structure and build-out consulting
Build It Right From Day One

A Management Services Organization built on solid financial and legal footing

SureHealth Solutions helps physician groups, investors and health systems design, structure and launch a Management Services Organization (MSO) the right way — with a compliant entity structure, a defensible management fee model, and financial systems built to scale from day one.

Whether you're forming a new MSO, restructuring an existing one, or preparing for outside investment, our team brings the same operational discipline we use running MSOs today to the build-out itself — so the structure you launch with is the one that still works at ten locations.

What's Included

From entity formation to financial governance

Every MSO needs to get its legal structure, financial model and governance right before it scales — we cover all three.

Entity Formation & Structuring

MSO/PC structuring, corporate practice of medicine compliance, and the legal framework that keeps clinical and business operations properly separated.

Management & Fee Agreements

Defensible management services agreements and fee structures built to hold up under payer, regulatory and investor scrutiny.

Financial Modeling & Capital Planning

Pro formas, budgets and capital plans built for lenders, investors and your own decision-making — from launch through multi-site growth.

Governance & Compliance

Board and operating agreement structure, compliance programs, and policies aligned with Stark Law, Anti-Kickback Statute and state corporate practice rules.

Growth & Multi-Site Strategy

De novo site planning, M&A support and infrastructure that's ready to add locations without rebuilding your back office each time.

Ongoing Financial Advisory

Recurring financial reporting, benchmarking and board-level advisory, so leadership always has a clear read on performance.

Why Structure Matters

The wrong structure gets expensive later, not now

  • A compliant MSO/PC split that holds up to regulatory and payer review
  • A fee model that's defensible — not just profitable on paper
  • Financials built for the audience that needs them: lenders, investors, partners
  • Governance that scales cleanly from one site to many
Built For
  • Physician groups forming a new MSO
  • Existing MSOs restructuring for growth or investment
  • Investors and health systems evaluating an MSO platform

Building or restructuring an MSO?

Let's talk about the legal, financial and operational foundation your organization needs.

Get a Consultation