What is in here, and what is not. Three kinds of page. Teardowns of public records — decided cases and licensing board publications. Regulatory responses — what a named statutory change actually requires, and by when. And engagement studies — real MDside work, described without naming or identifying the client. We have still not published a named client case study. When we do, it will say so on its face and the client will have approved it in writing. We are explicit about this because the argument this whole site makes is that our competitors publish claims they cannot support, and dressing a teardown or an unnamed engagement up as a client win would be exactly that. There are no testimonials on this site either, for the same reason.
Teardowns
What a failed structure looked like from the outside, what the regulator or the court actually said about it, and what a defensible arrangement does differently. Every fact is sourced and cited; no permission is needed to write these because the records are public.
| Case file | The finding | What it costs |
|---|---|---|
| Allstate v. Northfield Medical Center | NJ Supreme Court, 4 May 2017: a structure a fact-finder could call “little more than a sham” to evade limits on non-physician ownership and control. | ~$4M under the Insurance Fraud Prevention Act — and liability reached the consultancy and the lawyer who promoted it. |
| The $2,000-a-month medical director | NC Medical Board, 30 August 2024: a director paid $2,000/month, told he need not attend, unaware he supervised the NPs and PAs. | Aiding the unlicensed practice of medicine, and unethical fee-splitting — against the physician’s own license. |
Regulatory responses
What a named statute actually requires, which date applies to you, and what has to be rewritten. Dates and section numbers come from the enacted text.
| Case file | The deadline that catches people |
|---|---|
| Vermont H.583 | 1 March 2027 — every health care facility and every MSO files with the Green Mountain Care Board. No private equity? You file an attestation saying so. There is no “not applicable”. |
| Oregon SB 951 | 1 January 2026 for entities formed on or after 9 June 2025; 1 January 2029 for older ones. Form a new entity and you buy the earlier date. Restrictive covenants applied immediately. |
| Texas SB 378 | Vetoed 2 June 2025 — there is no deadline, because it is not law. Vendors still publishing it as current requirements are telling you how they source their content. |
Engagement studies
Real work, with the client not named and nothing in the page identifying them — no name, no location, no ownership, no commercial terms. These are not testimonials and not client case studies; nobody has endorsed us on this site.
| Engagement | What it took |
|---|---|
| Adding TRT and medical weight loss to a California aesthetics practice | A physician-owned PC and a management agreement in the strictest corporate-practice state, three physicians for coverage, and about seven months — almost none of it clinical. |
| Two Alabama locations, one collaborating physician | Ten percent on-site presence, quarterly meetings and twice-annual visits to every remote site — measured and documented, not assumed. |
| A seven-year IV therapy directorship | Protocol revisions as the menu grew, delegation rewritten as staff turned over, and marketing claims pulled back repeatedly. |
| A med spa adds peptides and NAD+ | Sourcing decided per product before pricing, a protocol per addition, and a website rewritten to stop making unsupported claims. |
Why these and not testimonials
Because a testimonial is unfalsifiable and a court record is not. Anyone can publish a quote; almost nobody in this market will publish a structure teardown with a citation, because it requires reading the source. The same discipline produced our 52 jurisdiction pages, and it is why we also publish editorial standards and a corrections policy.
Want your own structure read against these? Book a call — bring the management agreement, the medical director agreement and your service menu. The review is free and you are not obliged to use us.
General information, not legal advice. These pages analyze public records and published statutes and describe no client of MDside. Confirm your position with healthcare counsel licensed where you operate.