Healthcare businesses operate within one of the most heavily regulated sectors of the economy. Federal and state laws govern financial relationships, ownership structures, compensation models, and professional practice standards.

Roitman Legal advises healthcare providers, management organizations, and investors on regulatory compliance, transactional structuring, and governance matters specific to the healthcare industry.

Professional Services Agreements & MSO Structures

Healthcare entities frequently rely on carefully structured agreements to separate clinical services from management and administrative functions.

We advise on:

• Physician and provider Professional Services Agreements

• Management Services Organization (MSO) structures

• Friendly PC/MSO arrangements

• Compensation models and fee structures

These arrangements require careful drafting to comply with federal and state restrictions, including corporate practice of medicine doctrines. Agreements must clearly define clinical autonomy, operational responsibilities, and financial terms while maintaining regulatory compliance.

Stark Law & Anti-Kickback Statute Compliance

Financial relationships between healthcare providers and referral sources are subject to strict federal oversight.

We provide counsel regarding compliance with:

• The Physician Self-Referral Law (“Stark Law”)

• The federal Anti-Kickback Statute

• Related federal and state enforcement frameworks

This includes advising on:

• Physician employment agreements

• Compensation methodologies

• Referral arrangements

• Joint ventures and investment structures

Careful structuring of these relationships is essential to mitigate exposure to civil penalties, repayment obligations, and exclusion from federal healthcare programs.

Corporate Practice of Medicine Considerations

Many states impose restrictions on the corporate practice of medicine, limiting who may own or control professional medical entities.

We advise on:

• Formation of professional entities

• Ownership structures

• Management arrangements

• Governance frameworks

Proper structuring is particularly important for multi-state operations, private equity-backed healthcare platforms, and MSO-based models.

Healthcare Regulatory Guidance

Healthcare compliance extends beyond transactional structuring. Ongoing regulatory review may include:

• Evaluation of operational policies

• Review of compensation models

• Analysis of referral relationships

• Assessment of risk exposure under federal and state law

Legal oversight in these areas supports operational stability and reduces enforcement risk.

Conclusion

Healthcare entities operate within a complex regulatory environment requiring careful planning and ongoing oversight. Legal guidance in structuring agreements, ownership models, and compensation arrangements can help align business objectives with regulatory obligations.