Medical Direction and PC-MSO Structure, in Every State You Operate
MDside is a physician-led professional corporation and management services organization. We supply the medical director, the licensed provider network, the good faith exams and the compliant structure behind med spas, gyms, IV clinics, weight-loss brands and pharmacies.
Everything Between Your Brand and a Lawful Prescription
Most operators do not have a marketing problem. They have a structure problem — who owns the entity, who is allowed to treat, who signs the order, and what happens when a board asks. MDside builds that layer, staffs it with licensed providers, and keeps it current as state rules change.
Medical Direction, Nationwide
An MD or DO named as your medical director, with the protocols, delegation and supervision your state actually requires.
A Physician Network
Licensed physicians in the states you operate in, issuing orders under their own clinical judgment.
PC-MSO Structure Per State
A professional corporation where the state requires one, and a management agreement written not to split clinical revenue.
Good Faith Exams In-House
Intake, clinical review and e-prescribing on a platform we built and run, so every approval is a documented decision.
Pharmacy, Lab and Tech Partners
503A and 503B pharmacy relationships, in-house and reference lab draws, and HIPAA-aligned infrastructure with BAAs in place.
Find Out What Your Model Requires
A med spa, a gym, an IV lounge, an online weight-loss brand and a pharmacy each answer to different rules. Start with the one that describes you.
What a Medical Director Is Actually Responsible For
Naming a physician is the easy part. The role carries protocol approval, delegation and supervision, chart review, adverse-event response, and personal license exposure when something goes wrong. MDside provides directors who do that work, backed by an organization that keeps the documentation current as the rules move.
Physician-Owned
Compliance-First Operations
Multi-State Compliance Through a PC-MSO Structure
A PC-MSO structure separates the clinical entity from the business that supports it. A professional corporation, owned by a licensed physician, employs the providers and owns the medical decisions. A management services organization handles everything that is not the practice of medicine — technology, marketing, staffing, billing operations. Done properly, it is how one brand operates lawfully in more than one state at a time.
The details are not portable. Florida does not broadly prohibit corporate practice, but it does license clinics through AHCA. Texas requires an MD or DO medical director and written delegation. California tightened the rules on management agreements effective January 2026. New York prohibits percentage-based management fees outright. We build to the state you are in, not to a template.
Start with the plain-English version: what a friendly PC-MSO structure actually is.
Why choose us?
Physician-Owned PC in Each State
Fixed, Fair-Market Fees
Directors Who Do the Work
Competitors
Ownership That Fails Review
Percentage Fees That Split Revenue
A Signature and Nothing Else
Our Services
MDside supplies the parts of a healthcare business that have to be run by clinicians: the medical director, the licensed provider network, the good faith exams, the PC-MSO structure and the technology underneath all of it. You keep the brand, the marketing and the customer relationship.
State-specific professional corporations for clinical services, centralized administration through the management services organization, and a management agreement written to the state you are operating in rather than a national template.
Deliver real-time video consultations and asynchronous care with a 24/7/365 telehealth model designed for patient convenience and accessibility.
A platform built for HIPAA-regulated workflows: encryption in transit and at rest, role-based access, audit logging, and Business Associate Agreements with our vendors. Intake, clinical review, e-prescribing and the record that proves a provider made the decision.
Seamlessly integrate virtual and in-person care with support for onsite services, specialized equipment setup, and operational coordination.
Unlock new revenue streams with direct patient care billing, third-party marketing partnerships, and white-label platform licensing to maximize profitability.
What's it Like Working With Us?
We start by customizing your white-label telemedicine platform, integrating your branding, and configuring the EMR, patient management, and telehealth systems to fit your needs.
Our team establishes your PC-MSO legal framework, ensures state-by-state regulatory compliance, and sets up provider networks, pharmacy integrations, and billing systems.
With everything in place, your telehealth brand goes live. We provide ongoing support, allowing you to scale effortlessly with new features, expanded services, and multiple revenue streams.
Who We Work With
Med spas, IV lounges, gyms and recovery studios, online weight-loss and hormone brands, pharmacies, labs, and established practices adding new states or new services. What they have in common is a clinical layer that has to hold up under review.
Med Spas & Aesthetics
Med spas, aesthetic clinics and injectors who need a medical director, protocols and a lawful path to injectables.
Gyms, Fitness & Recovery
Gyms, studios and recovery brands adding weight management or hormone programs to a membership business.
Pharmacies, Labs & Retail
Pharmacies, compounders, labs and retail brands that need ordering providers, result review and a clinical entity.
Online & DTC Health Brands
Online and direct-to-consumer brands that need licensed providers, good faith exams and coverage in every state they sell into.
Start With the State You’re In
Book a time with our team. Tell us where you operate and what you want to offer, and we will walk you through the structure it requires, the provider coverage available, and what it takes to run.