Legal Counsel for Healthcare Groups, Dental Practices & MSOs.

Structuring compliant Michigan PLLCs, Management Services Organizations, physician buy-ins, practice acquisitions, and restrictive covenant defense for clinical founders.

Regulated Enterprises & Clinical Practice ยท Lead Counsel: Reese Serra (P74482), Matt Wozniak, JD / CPA

Sector FocusHealthcare, Dental & MSOs
Lead AttorneysReese Serra (P74482) & Matt Wozniak, JD / CPA
Court VenuesOakland, Macomb, Wayne & Federal Courts
Headquarters125 E. 3rd St, Suite 100, Rochester, MI

How does Michigan regulate healthcare practice ownership and MSO structures?

Under the Michigan Limited Liability Company Act (MCL 450.4901 et seq.) and Michigan's corporate practice of medicine doctrine, licensed clinical services must be owned by appropriately licensed practitioners through a Professional LLC or PC, while non-clinical real estate, staffing, billing, and equipment may be operated by a separate Management Services Organization under fair-market-value agreements.

Core legal architecture for healthcare, dental & msos.

Structured entity isolation, commercial contract precision, tax alignment, and courtroom enforcement built for owners and executive teams.

01

PLLC Formation & MSO Separation

Drafting dual-entity PC/PLLC and Management Services Organization structures that isolate non-clinical assets, satisfy Michigan LARA licensing rules, and align management fees with Stark Law and Anti-Kickback safe harbors.

Discuss This Mandate →
02

Practice Acquisitions & Associate Buy-Ins

Representing buyers and selling founders in medical, dental, veterinary, and medspa transactions, including asset purchase agreements, goodwill allocation, earnouts, and associate equity tracks.

Discuss This Mandate →
03

HIPAA Governance & Provider Disputes

Preparing Business Associate Agreements, HIPAA privacy protocols, employment contracts, and litigating departed-provider patient solicitation or partnership deadlock claims in Michigan Business Court.

Discuss This Mandate →

Controlling statutory framework.

Every operating agreement, acquisition, lease, and litigation strategy is anchored to the Michigan and federal authorities governing healthcare, dental & msos.

Statutory & Regulatory Benchmark 01

Michigan Professional LLC Act (MCL 450.4901 to 450.4910)

Statutory & Regulatory Benchmark 02

Michigan Public Health Code Licensing & Fee-Splitting Rules (MCL 333.16221)

Statutory & Regulatory Benchmark 03

Federal Stark Law (42 U.S.C. 1395nn) & Anti-Kickback Safe Harbors (42 C.F.R. 1001.952)

Principal counsel & trial readiness.

Your matter is led directly by senior attorneys who combine entrepreneurial ownership experience, CPA tax fluency, and decades of Michigan courtroom advocacy.

Workforce FICA Tax Reduction for Clinical Staff

Healthcare, dental, and senior care employers with W-2 clinical and administrative staff can pair corporate structuring with compliant IRC Section 125 preventive health programs.

Explore Section 125 Employer Programs →

Frequently asked questions: Healthcare, Dental & MSOs

Direct answers to the structural, transactional, and litigation questions Michigan owners ask most often.

Can a non-physician investor own equity in a Michigan medical or medspa practice?

Direct ownership of a clinical medical practice in Michigan is restricted to licensed physicians under the corporate practice of medicine doctrine and MCL 450.4904. Non-physician investors typically hold equity in a Management Services Organization (MSO) that owns real estate, equipment, and administrative infrastructure under a compliant management agreement.

What happens if a physician or dentist leaves a group practice with a non-compete?

Michigan enforces reasonable post-employment restrictive covenants under MCL 445.774a when tailored in duration, geographic radius, and clinical specialty to protect legitimate patient goodwill and confidential operational records.

How should real estate and clinical operations be separated for a multi-location practice?

Each clinic property should sit in a dedicated single-purpose real estate LLC leasing space at documented fair market value to the operating practice or MSO, preventing premises or lender claims from reaching clinical receivables.

Does The Private Firm handle dental, chiropractic, and veterinary practice sales?

Yes. Our corporate and tax attorneys draft Letters of Intent, Asset Purchase Agreements, transition service agreements, seller financing notes, and tax allocations for both buyers and retiring clinical owners across Michigan.

Request a confidential strategy conversation.

Share a few details about the decision, transaction, or dispute in front of you. Our team runs a conflict check first, then connects you with the right attorney.

Submitting this form starts a conflict check and does not create an attorney-client relationship until a written engagement agreement is signed.

Tell us how we can help

All required fields help us respond faster.

Loading the secure form...

The form could not load. Please call 248.781.4500 or email info@thefirm.net.