If you are a California physician, here are four important things you should know before you open your own practice.

1.         You may incorporate as a California Professional Medical Corporation.

Under California law, you cannot operate your medical practice as any type of corporation other than a California Professional Medical Corporation. That is, you cannot use a standard c-corporation, s-corp, or a limited liability company. California professional corporations were created in 1968 via the enactment of the Moscone-Knox Professional Corporation Act (the “Moscone-Knox Act” or the “Act”). See Cal. Corp. Code, §13400 et seq. The Act gives professionals, such as physicians, the ability to protect their personal and family assets from being seized by creditors to pay business-related lawsuit judgments, debts, or other business liabilities. Prior to the Act, most professionals were organized as general partnerships or sole proprietorships. Neither of those business forms protected personal and family assets from being seized. The Moscone-Knox Act solved that problem for licensed professionals. San Diego Corporate Law highly recommends incorporating as a California Professional Medical Corporation before you open your medical practice. The corporate shield will protect against many types of judgments if you get sued. It is essential to have an experienced San Diego corporate attorney provide advice and assistance with setting up your practice.

2.         Only certain licensed professionals may be owners of your California Professional Medical Corporation.

Under the provisions of the Moscone-Knox Act, there are certain rules and restrictions with respect to who may be shareholders of your California Professional Medical Corporation. Essentially, all of the owners must be licensed persons and at least 51% must be licensed physicians (and the number of physicians must be greater than or equal to the number of other licensed persons). California Corporations Code Section 13401.5(a) limits the other 49% to the following list of licensed persons:

(1) Licensed doctors of podiatric medicine.

(2) Licensed psychologists.

(3) Registered nurses.

(4) Licensed optometrists.

(5) Licensed marriage and family therapists.

(6) Licensed clinical social workers.

(7) Licensed physician assistants.

(8) Licensed chiropractors.

(9) Licensed acupuncturists.

(10) Naturopathic doctors.

(11) Licensed professional clinical counselors.

(12) Licensed physical therapists.

(13) Licensed pharmacists.

(14) Licensed midwives.

(15) Licensed occupational therapists.

Licensure is required, meaning that if any of your owners lose their license, they must be removed as an owner. For this reason and others, it is important to have a Buy-Sell Agreement that sets out the mechanisms for removing an owner and dealing with the process, timing, payment, and other matters. Here again, an experienced San Diego corporate attorney can help by drafting a Buy-Sell Agreement.

3.         There are similar restrictions for directors and senior management.

In a similar manner, the Moscone-Knox Act limits who may serve on the board of directors and who may be hired as the CEO, President, CFO, Treasurer, and other officers of a California Professional Medical Corporation. Only the listed professionals can serve on the board of directors and only licensed physicians can be hired in certain officer positions. The policy reasons are straightforward; only trained and licensed professionals should be in charge of a California Medical Professional Corporation. Of course, other types of non-licensed employees can be hired as long as they are not engaged in providing medical services.

4.         Your California Professional Corporation must be properly named.

All corporations, including California professional corporations, must file articles of incorporation with the California Secretary of State’s office. When doing so, all corporations must comply with various rules with respect to corporation names. First, the name must be unique and not already taken by someone else. Second, for a California Professional Medical Corporation, the name must include a proper designation that the entity is a corporation. Finally, a California Professional Medical Corporation must have a name that includes only the name or surname of the physician followed by Medical Doctor, M.D., Medical Corporation, or Medical Corp., to comply with California Business and Professions Code Section 2285 without maintaining a fictitious name permit with the Medical Board of California pursuant to California Business and Professions Code Section 2415.