Structuring Private Equity Healthcare Management Service Organizations

Corporate Practice of Medicine and Fee-Splitting, Regulatory Compliance

Recording of a 90-minute CLE webinar with Q&A

Conducted on Wednesday, September 18, 2019

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will provide guidance to counsel involved in structuring private equity management service organizations (MSOs) in the healthcare arena. The panel will discuss the nuts and bolts of structuring the transaction, including solutions to the specific risks presented by the corporate practice of medicine and fee-splitting issues. The panel will address regulatory compliance issues unique to the healthcare industry.


Physician practices must be prepared to participate in clinically integrated networks and be better positioned to survive in a value-based payment landscape. MSOs can help private equity firms and physicians achieve this goal while maintaining a certain level of autonomy for physicians where direct ownership of the professional practice and direct employment by the private equity firm is not desirable or possible.

As private equity investment continues to grow in the healthcare sector, MSOs can provide resources and support for healthcare providers. MSOs can also offer private equity firms an alternative means of investing and participating in the healthcare sector where legal and business hurdles present themselves, but the investment is not without risk. Counsel must thoroughly understand the services provided and the critical terms in the MSO agreement.

Counsel must consider several factors unique to healthcare when structuring private equity MSOs, including the corporate practice of medicine and fee-splitting rules and prohibitions, as well as Anti-Kickback Statute and other regulatory compliance requirements.

Listen as our authoritative panel examines the nuts and bolts of structuring healthcare private equity MSOs. The panel will explain considerations for both the private equity group and the physician practice, and the unique compliance risks presented by healthcare MSOs for private equity investors. The panel will outline guidance for counsel to address healthcare regulatory issues in healthcare private equity MSOs.



  1. Factors when considering MSO investment with healthcare providers
    1. For private equity firm
    2. For physician practice
  2. Structuring healthcare MSOs with private equity
    1. Corporate practice of medicine
    2. Fee arrangements
  3. Regulatory issues


The panel will review these and other key issues:

  • What factors contribute to private equity firms and physician practices considering and entering into MSO arrangements?
  • What are the critical factors for counsel in structuring MSOs?
  • What are best practices for counsel to ensure regulatory compliance in a physician practice private equity MSO?


Gomez, Paul
Paul A. Gomez


Mr. Gomez brings a deep understanding of the major forces driving many healthcare transactions, including shifting...  |  Read More

Strode, Roger
Roger D. Strode

Foley & Lardner

Mr. Strode's practice focuses on health care business transactions, including mergers, acquisitions, corporate...  |  Read More

Access Anytime, Anywhere

Strafford will process CLE credit for one person on each recording. All formats include program handouts.

To find out which recorded format will provide the best CLE option, select your state:

CLE On-Demand Video