As the MSO performs, you share in the upside, a second income stream on top of your PC distributions.
Your capital investment. The MSO pays the seller directly. No loan, debt, or buy in for the PC.
You own the Professional Corporation (PC). Verdira provides management services through an MSA. You pay the MSA fee from practice revenue. Everything left after MSA fees and your PC operating expenses is yours.
You also hold a profits interest in the MSO. This is a second economic layer. Your profits interest in the MSO that manages your practice means your economics are aligned with Verdira through the same operating agreement. The PC distributions are your practice income, the profits interest is your MSO income and PE gives you neither.
What the MSA fee covers: All non-clinical staff and payroll, marketing and patient acquisition, billing and collections, compliance, technology and EHR, financial oversight, facility lease, equipment leasing, and business insurance. Your only job is patient care.
Zero capital required. The MSO pays the seller directly for all non-clinical assets. You own the PC at zero cost. No loan, no debt, no financial obligation to Verdira.
The Breakdown
Component
What It Is
Range
Practice Revenue
Total collections
$1.2M to $6M
MSA Fee
All non-clinical operations
38% to 50%
PC Expenses
Malpractice, supplies, comp
20% to 35%
Your PC Take-Home
Revenue − MSA − PC
25% to 37%
+ MSO Profits Interest
MSO distributions
Grows with MSO
MSA fee varies by scope of services, market, and subspecialty. Higher percentages reflect comprehensive turnkey operations. For retina practices, anti-VEGF drug costs are pass-through expenses. MSO profits interest distributions are variable and depend on MSO performance.
Methodology
PE Salary
Medscape Ophthalmology 2025; MGMA Ophthalmology 2025; Doximity 2025
Physicians Thrive Ophthalmology 2024; AMN Healthcare
Verdira internal modeling; J. Pinto; Jackson LLP; FTI Consulting
AAO/AAOE Academetrics; BSM Consulting; FTI April 2024
FTI Consulting; BSM Consulting; MGMA 2025
AAMC 2025 ($215K median); Grad PLUS 8.94%
This calculator is for informational purposes only and does not constitute financial, legal, tax, or investment advice. Actual income depends on practice performance, payer mix, geography, and MSA terms. All estimates are conservative to base case. MSA fee is a fixed amount at fair market value, CPOM/AKS compliant. MSO profits interest distributions are variable, depend on MSO performance, and are not guaranteed. The profits interest has zero value at grant and participates only in future MSO profits above the grant date baseline. The profits interest is subject to vesting, clawback, and the terms of the MSO Operating Agreement. Consult your own tax and legal advisors regarding all tax implications. Contact info@verdira.com for more information.
You’ve run the numbers. Now run them against your offer letter.
Disclosures
The content of this site is for general informational purposes only and is not intended to constitute an offer to sell or a solicitation to buy any security or other asset, or a promise to undertake or solicit business, and may not be relied upon in connection with any offer or sale of securities or other assets.
The content of this site is for general informational purposes only and is not intended to constitute an offer to sell or a solicitation to buy any security or other asset, or a promise to undertake or solicit business, and may not be relied upon in connection with any offer or sale of securities or other assets.
The content of this site is for general informational purposes only and is not intended to constitute an offer to sell or a solicitation to buy any security or other asset, or a promise to undertake or solicit business, and may not be relied upon in connection with any offer or sale of securities or other assets.
A long-term home for
ophthalmology practices.
info@verdira.com
307-381-3734
Sheridan, WY 82801
Intended for physicians and practice owners.
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