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MSO Structure & CPOM Compliance

Build a Compliant, Scalable Aesthetic Practice

Strategic consulting for med spas, plastic surgeons, and wellness businesses — the clinical structure, physician oversight, and compliance documentation your practice needs to open and grow with confidence.

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Brands Our Practices Work With
What We Actually Do

The Business Side of Medicine, Set Up Correctly.

Entity & Agreement Structure

Your management company and the professional entity stood up as separate businesses, joined by a Management Services Agreement written for your state.

Compliance Documentation

Protocols, policies, delegation and supervision records, and a compliance checklist — the paperwork that has to exist before a board or auditor asks for it.

Operational Setup

Payroll, LegitScript applications, supply chain, onboarding, and introductions to vetted marketing partners — plus unlimited consulting as you grow.

The Physician Oversight Program

Establish your oversight structure correctly from the start. The upfront work includes analyzing your state's requirements, preparing a compliant Management Services Agreement, aligning protocols and procedures, and making sure the physician leading your practice has the clarity, tools, and regulatory framework to do it safely and legally.

Be cautious of programs that skip the upfront compliance work — or offer “instant” medical director arrangements.

That usually signals a lack of real compliance infrastructure: no protocol review, no documentation pathways, and no meaningful support for the physician of record. Those shortcuts tend to unravel during board reviews, quality audits, or investigations — leaving the clinic exposed rather than protected.

The strongest way to protect a clinic is to properly support its medical director. With clear expectations, structured oversight workflows, and ongoing compliance guidance, the whole practice stays aligned with regulatory standards as it grows.

Every membership is built the right way from day one. Each tier builds on the one before it, so you can choose the level of support that fits the business today and move up as you scale.

Membership Tiers

Four Tiers, Designed to Scale

Silver

Basic Aesthetics
What's Included
  • Rx Skin
  • Dermaplaning
  • Chemical Peels
  • Microneedling
  • Body Sculpting
Discuss Silver

Gold

Basic Aesthetics, Plus Injectables and Laser
What's Included
  • Everything in Silver
  • Neurotoxins
  • Dermal Fillers
  • IV Nutrients
  • Vitamin Injectables
  • Laser Skin Resurfacing
  • Laser Hair Removal
  • IPL
Discuss Gold

Platinum

Full Aesthetics and Injectables, Elevated Service
What's Included
  • Everything in Silver and Gold
  • Medical Weight Loss (Access)
  • Peptides (Access)
Discuss Platinum

Ace

The Complete Program, Aesthetics to Wellness
What's Included
  • Everything in Silver, Gold, and Platinum
  • Hormone Replacement Therapy
Discuss Ace
How Brittany Helps

Pick the Work You Need.

Select a service to see what it covers
One to One

Private Coaching

Standing time with an operator who has run the business side of clinical practices. We work on the decisions in front of you — pricing, staffing, structure, and what to do next.

  • —Recurring one-to-one sessions
  • —Owner and leadership coaching
  • —Decision support between sessions
Talk About This
Physician and clinical team reviewing oversight documentation
Patient First
Physician-Led. Clinic First.
Where Practices Get Exposed

The Structure Is What Holds Up Under Review.

Board reviews, audits, and payment disputes rarely turn on clinical skill — they turn on entity ownership, agreements, delegation records, and whether the oversight was documented. That is the work we do before anyone asks to see it.

CPOM by State

Corporate Practice of Medicine rules shift state by state. We map yours and build the structure that fits it.

Physician Oversight

An introduction to a physician-owned professional corporation, with the supervision relationship properly documented.

Standardized Protocols

Protocols, policies, and procedures for injectables, weight loss, IV, and aesthetics — written for safety and consistency.

Good-Faith Exams

Clear GFE and delegation workflows so every patient is properly evaluated and cleared before treatment.

Nationwide Coverage

Structures Built for All 50 States.

We work with med spas, wellness clinics, virtual practices, IV therapy centers, weight-loss programs, and hormone and peptide practices — building the structure your state's rules actually allow, wherever you operate.

Practices We Serve
Consultation between a practice owner and advisor
What We Cover

Three Places Practices Need Help.

Getting It Right

Oversight Structure

The professional entity, the management company, and the agreement between them — built to the rules of the state you operate in, with supervision documented from day one.

See how it works
Staying Clean

Compliance & Documentation

Protocols, policies, delegation records, good-faith exam workflows, and a compliance checklist — the file you want to already have when a board or auditor asks.

Compare CPOM rules
Building the Business

Operations & Growth

Payroll, LegitScript, supply chain, onboarding, pricing and membership design, plus introductions to marketing partners — with unlimited consulting behind it.

Explore the services

How the Structure Works

Med spa treatment room
01

Consultation & State Review

We start with your state. CPOM rules, supervision and delegation requirements, and scope of service determine which structure is even available to you.

02

Entity & Document Set

Your management entity and the professional entity are set up as separate businesses, with a Management Services Agreement, protocols, policies, and a compliance checklist behind them.

03

Physician Oversight in Place

Through the membership you are introduced to a physician-owned professional medical corporation. The physician holds clinical authority and decides whether to engage — you interview, they decide, and the relationship is documented.

04

Operate & Scale

Payroll, LegitScript, supply chain, and onboarding get set up, and unlimited consulting keeps the structure current as you add services or move up a tier.

Flow of Funds

Where the Money Actually Moves

In a CPOM state, clinical revenue and business revenue are not the same pocket. Getting that separation right — and documenting it — is most of the work.

Step One

Patient Pays the Professional Entity

Clinical services are billed and collected by the physician-owned medical corporation — not by the management company.

Step Two

A Management Fee Is Paid

Under the MSA, the professional entity pays your management company a fair-market fee for non-clinical services. Fee structure matters — fee-splitting rules live here.

Step Three

The MSO Runs the Business

Rent, non-clinical staff, marketing, equipment, supplies, and systems are the management company's side of the house — and its expenses.

Step Four

Clinical Stays Clinical

The physician is compensated by the professional entity and keeps authority over protocols, good-faith exams, delegation, and clinical judgment.

Locations

MSO & CPOM Guidance in All 50 States.

Ownership rules, supervision and delegation standards, and good-faith exam expectations are set state by state. Choose your state to see what we review and build there.

All 50 States

Ask About Yours
California · Med Spa & Wellness

MSO Structure & Compliance in California

Opening or restructuring an aesthetic, injectable, weight-loss, or wellness practice in California? We start from that state’s rules on who may own a clinical entity, how supervision and delegation must be documented, and what has to be in the file before a board, payer, or auditor asks — then build the entity structure, agreements, and operating systems to match.

What We Review Here
  • —Whether California is treated as a Corporate Practice of Medicine state, and what that means for ownership
  • —Professional entity formation and the management company that supports it
  • —A Management Services Agreement and fee structure prepared for California’s requirements
  • —Supervision, delegation, and good-faith exam workflows for your service lines
  • —LegitScript, payroll, supply chain, and onboarding setup for a California practice
Talk About California

General information only, not legal advice. Requirements change and vary by service line — we confirm current rules for your state alongside your own counsel.

Getting Started

Program Setup

This gets your practice on the right foot from day one — structure, documentation, and oversight in place before you open the doors.

  • 01Introduction to a professional medical corporation owned by a physician, to ensure proper supervision
  • 02A Management Services Agreement (MSA) template, prepared to align with your state's Corporate Practice of Medicine (CPOM) requirements
  • 03A compliance checklist to help guide the setup of your practice
  • 04Protocols, policies, and procedures
  • 05Payroll setup and support
  • 06LegitScript application support
  • 07Supply chain and onboarding support
  • 08Unlimited business consulting and 24/7 support

Disclaimer: HOST Medical Consulting, PC is not a law firm and does not provide legal advice.

Marketing & Growth

Found However Your Future Clients Are Searching

Beyond clinical and compliance support, we can introduce you to trusted marketing partners who build websites for both SEO (Search Engine Optimization) and AEO (Answer Engine Optimization) — positioning your practice to be found through traditional search as well as AI-powered assistants.

Our partners know this world inside and out, and they’ll get you there — vetted vendors and specialists, ready when you are.

Meet Our Partners
Aesthetic treatment room with equipment
What Clients Say

Worth Every Penny.

Above and beyond. Knowledgeable, friendly, and genuinely went the extra mile. I’d recommend Brittany to anyone looking for real expertise.

LK Lauren K.

Smooth from start to finish. Brittany was responsive and patient with my millions of questions — I came away far more confident, and much better informed. Worth every penny.

LS Leah S.

She held my hand from start to finish and answered every question, text, and email without hesitation. They didn’t leave me to figure it out alone after setup — I now have the courage to scale.

JA Janice A.

We researched firms specializing in CPOM compliance and it was hard to tell who fit. Brittany allayed every concern and showed commitment well beyond closing the sale.

HA Holger A.

Brittany turned my dream of opening a med spa into a reality, working through the countless details behind the scenes. Novae Med Lounge is up and running smoothly.

RV Racheal V.
Brittany Bati
Who You're Working With

Meet Brittany Bati.

Brittany brings more than 10 years in the med spa and aesthetics industry to every engagement. She has helped build hundreds of practices — hands-on across every part of the business, from setting up entity structure and operations to connecting owners with medical directors and forming the partnerships that grew her own brand into what it is today.

As COO of HOST Medical Consulting, PC, Brittany works with med spa, aesthetic, and wellness owners on the part of the business most people avoid — entity structure, agreements, documentation, and the operational systems that let a practice grow without putting its license at risk.

Practical, direct, and hands-on: you get an operator who has built these structures before, not a template and a hand-off.

Brittany BatiChief Operating Officer, HOST Medical Consulting, PC
Book Time With Brittany

Let's Find the Tier That Fits Your Practice

Tell me where your practice stands today and we'll talk through the structure, the compliance path, and the right level of support.

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Wide view of a med spa clinic interior