Legal Deep Dive

What Protects You. What Courts Have Said.

Your contractual protections and the case law behind structures like ours. This is the page you send to your attorney.

← Start with How It Works

13

Factors courts evaluate

4

Contractual protections

You

Control your own outcome

What Keeps You Safe

The Four Paths. Compared Honestly.

Path 01

Solo Practice

Own and run everything. Revenue is yours and so is every operational burden, compliance obligation, HR headache, and 2 AM billing problem. Full autonomy, full weight. For retiring owners the weight won. For new graduates the barrier to entry is 6-figures and years of learning by fire.

Path 02

Hospital Employment

Guaranteed salary with benefits and infrastructure. The trade is that you become an employee. Administrators set your schedule and your support staff reports to someone else. Clinical autonomy exists on paper but erodes over time. You trade ownership for security and spend a decade wondering if it was worth it.

Path 03

Private Equity

The pitch sounds great because they promise liquidity, back office support, and growth capital. Then the management fees climb, staff gets cut, and the non-compete locks you in. The debt loaded onto the practice squeezes margins until nothing looks like what was built. Within 3 years the practice is unrecognizable and within 5 they flip it to the next fund.

Path 04

The Verdira Model

The physician owns the clinical entity and makes every clinical decision. Verdira handles billing, marketing, staffing, technology, compliance, and everything else that isn't medicine. The management fee is fixed monthly with no revenue share, exit timeline, or flip. This is the fourth option and it didn't exist until we built it.

Stepping In

What You Walk Into on Day One.

You're not building from scratch. You're stepping into an established, cash-flowing practice with patients, staff, contracts, and revenue already in place.

A Practice That Already Works

Existing patients. Active insurance contracts. Trained staff. Functioning systems. A brand the community already trusts. The revenue is real. The practice has been operating for years.

A Practice That Already Works

Existing patients. Active insurance contracts. Trained staff. Functioning systems. A brand the community already trusts. The revenue is real. The practice has been operating for years.

Your Own Professional Corporation

A brand new entity you own. Properly organized under New York law. No legacy liabilities from the prior owner. No inherited billing exposure. No tax issues you did not create. Clean from day one.

Your Own Professional Corporation

A brand new entity you own. Properly organized under New York law. No legacy liabilities from the prior owner. No inherited billing exposure. No tax issues you did not create. Clean from day one.

A Practice Already Cash-Flowing

You're not building from scratch or waiting for patients to show up. The practice has existing revenue, active patients, and trained staff. Revenue flows through your PC from day one. The seller stays through the transition to ensure continuity.

A Practice Already Cash-Flowing

You're not building from scratch or waiting for patients to show up. The practice has existing revenue, active patients, and trained staff. Revenue flows through your PC from day one. The seller stays through the transition to ensure continuity.

Zero Capital Required. Period.

You're not writing a check, taking a loan, or carrying any debt to Verdira. The MSO pays the seller directly for all non-clinical assets. You own the PC at zero cost, hold a profits interest in the MSO, and walk into a practice with revenue hitting your PC from day one.

Zero Capital Required. Period.

You're not writing a check, taking a loan, or carrying any debt to Verdira. The MSO pays the seller directly for all non-clinical assets. You own the PC at zero cost, hold a profits interest in the MSO, and walk into a practice with revenue hitting your PC from day one.

72%

Of physicians report declining autonomy under corporate ownership structures

Physicians Foundation, 2024

72%

Of physicians report declining autonomy under corporate ownership structures

Physicians Foundation, 2024

19.6%

Drop in sight-saving surgeries at practices acquired by private equity

JAMA Ophthalmology, 2023

19.6%

Drop in sight-saving surgeries at practices acquired by private equity

JAMA Ophthalmology, 2023

The Economics

How Money Flows. You Get Paid First.

Revenue from your practice flows into an account you control and disbursements follow a clear priority. The MSO gets paid last.

01

You Stay in Control of Medicine. We Handle the Business.

Clinical authority stays with the physician. We handle operations, billing, staffing, marketing, and compliance so you can focus on patient care from day one.

01

You Stay in Control of Medicine. We Handle the Business.

Clinical authority stays with the physician. We handle operations, billing, staffing, marketing, and compliance so you can focus on patient care from day one.

02

The Structure Protects You From Day One.

Your PC is a clean entity with no legacy liabilities. The MSA is fixed-fee with no revenue share or volume triggers. Every document is built for CPOM and AKS compliance and your attorney can review the full stack before you sign anything.

02

The Structure Protects You From Day One.

Your PC is a clean entity with no legacy liabilities. The MSA is fixed-fee with no revenue share or volume triggers. Every document is built for CPOM and AKS compliance and your attorney can review the full stack before you sign anything.

03

This Is a Permanent Hold. Not a Flip.

There's no fund behind this with a 3-to-5 year exit clock. The practice stays intact, the patients stay with you, and the equity you build is in something permanent.

03

This Is a Permanent Hold. Not a Flip.

There's no fund behind this with a 3-to-5 year exit clock. The practice stays intact, the patients stay with you, and the equity you build is in something permanent.

Your Practice Deserves Better Than a PE Playbook.

Let's talk.