Helped Clients Recover Over $25 Billion. Since 1979.

Helped Clients Recover Over $25 Billion. Since 1979.

Med Spa Business Advisory:
Legal Guidance for California Aesthetic Practices

A medical spa sits on the line between a retail beauty business and a medical practice, and California law takes that line seriously. Who owns the business, who supervises treatments, and how money moves between the owners are all shaped by rules that don’t apply to an ordinary small business. The Schenk Law Firm builds the entities, ownership documents, and contracts a California med spa runs on.

Why California Med Spa Owners Need a Business Attorney

Because a med spa delivers medical treatments, California’s Corporate Practice of Medicine doctrine applies to it. In plain terms, a business corporation or a non-licensed investor can’t own or control the entity that provides the medical services. California also doesn’t allow a licensed medical practice to operate as an LLC. Getting the structure wrong at the start is expensive to unwind, because fixing it usually means re-forming entities, re-papering contracts, and renegotiating with partners who have already put money in. The Schenk Law Firm sets up the ownership structure and the agreements that sit on top of it, working alongside your accountant and, where a question calls for it, healthcare regulatory counsel.

Why Work With The Schenk Law Firm

California Business Law Since 2005

The Schenk Law Firm’s business practice has operated out of North Park in San Diego since 2005. We form entities, draft and negotiate the agreements between owners, and handle the contracts a business signs with everyone else. A med spa needs all of that, plus a structure that respects California’s limits on who may own a medical practice.

Ownership and Management Documents

We draft professional corporation formation documents, shareholder and buy-sell agreements, and the management services agreement that connects a management company to the professional corporation. These are the documents that decide who controls what, how the money is split, and what happens when an owner wants out.

Trademark Protection for Your Brand

David Lizerbram, Of Counsel to The Schenk Law Firm, has more than two decades of trademark practice and over 850 trademark filings. A med spa’s name is one of its most valuable assets. We handle clearance searches, federal registration, and enforcement against copycats.

Litigation and Transactions Under One Roof

Most of this work exists to keep you out of court. When a partner dispute, a vendor fight, or a lease problem does turn into litigation, the firm has trial lawyers in the building, so you aren’t starting over somewhere else.

Legal Services for California Med Spas

Entity Formation and Ownership StructureCalifornia doesn’t permit a medical practice to be organized as an LLC, and it doesn’t permit a non-licensee to own the entity that provides medical services. For most med spas, that means a professional corporation owned by an eligible licensed professional, usually paired with a separate management company owned by the business partners. Which licenses qualify to own the professional corporation depends on the services you plan to offer, so the answer changes with the treatment menu. We form both entities, draft the ownership documents, and put the agreement between them in writing before the doors open.

Med Spa Ownership Structures Compared

Professional Corporation (PC) Sole Proprietorship General Partnership
Liability Protection Limited (business debts and contracts; does not shield individual malpractice) None (personal assets at risk) None (each partner liable for all partnership debts)
Tax Treatment C-Corp or S-Corp election available Pass-through (Schedule C) Pass-through (Form 1065)
Ownership Requirements 51%+ must be licensed physicians; remaining may be certain other licensed professionals Single physician Two or more physicians
Formation Complexity Moderate (articles, bylaws, Medical Board filings, shareholder agreement) Minimal (business license only) Low (partnership agreement recommended but not legally required)
Governance Requirements Annual meetings, corporate minutes, board resolutions None Per partnership agreement
Transferability Shares transferable to qualified licensees per shareholder agreement Not transferable Per partnership agreement terms
Best Suited For Group practices, practices seeking liability protection, practices planning for growth or eventual sale Solo physicians with minimal risk exposure Two-physician practices in early stages

Partnership and Shareholder Agreements for Med Spa Owners

When two or more people go into a med spa together, whether that’s two physicians, a physician and an investor, or a licensed injector and a business partner, the shareholder agreement decides what happens when things change. It should cover how profits are split, who makes which decisions, what a departing owner’s interest is worth and how it gets paid, and what happens if an owner loses a license, gets divorced, or simply stops showing up. California sharply limits non-compete agreements, so restrictions that work in other states often won’t work here. The Schenk Law Firm drafts and negotiates these agreements, and we’d much rather do it before a disagreement than after one.

Management Services Organizations and Management Agreements

A management services organization, or MSO, is a non-medical company that handles the parts of a med spa that aren’t clinical: marketing, scheduling, non-clinical staffing, equipment, the lease, bookkeeping, and back office. It contracts with the professional corporation through a management services agreement. This is the structure that lets non-licensed owners and outside investors participate in the economics of a med spa without owning the medical entity. The management fee and the division of authority are the provisions that decide whether the arrangement holds together, and they need to be drafted deliberately rather than copied from a template. The Schenk Law Firm drafts and negotiates these agreements and the ownership documents that go with them.

Med Spa Lease Review and Negotiation

A med spa lease is not a standard retail lease. Treatment rooms need plumbing, dedicated power, and ventilation that most shell spaces don’t have, and the tenant improvement allowance rarely covers what the buildout actually costs. Beyond the buildout, the provisions that matter most are the permitted use clause, the personal guarantee and whether it burns off over time, operating expense caps, the right to assign the lease if you sell the business, exclusivity against a competing med spa in the same center, and signage. Landlord forms are written for the landlord. The Schenk Law Firm reviews and negotiates these leases before you sign one.

Trademark Registration for Med Spa Names

Picking a name someone else already owns can cost you your signage, your website, and your search rankings. A clearance search before launch tells you whether the name is usable. Federal registration with the United States Patent and Trademark Office then gives you nationwide rights, the ® symbol, and a real basis to stop a competitor from opening under a confusingly similar name. Signature treatment names, package names, and logos can be registered as well. David Lizerbram has filed more than 850 trademark applications and handles clearance, registration, and enforcement for the firm’s clients.

Vendor, Device, and Software Contracts

Med spas sign a lot of paper with vendors: laser and device purchase or lease agreements, practice management and records software, payment processing, patient financing programs, and marketing agencies. The provisions worth reading closely are auto-renewal clauses that lock you into another full term, one-sided indemnification, unilateral price increases, mandatory arbitration in the vendor’s home state, and equipment liens that complicate a future sale. The Schenk Law Firm reviews these contracts and negotiates the terms that matter before you’re bound by them.

Medical Director and Supervising Physician Agreements

Most med spas need a physician in a medical director or supervising role. That relationship belongs in a written agreement covering the scope of oversight, availability and response expectations, who approves treatment protocols, compensation, insurance, indemnification, records access, and how either side ends it. Compensation deserves particular attention, because tying a medical director’s pay to the volume of medical services raises problems under healthcare payment rules. The Schenk Law Firm drafts and negotiates these agreements for med spa owners and for physicians who’ve been asked to serve as medical director. Where an arrangement raises a question that needs a healthcare regulatory specialist, we say so and help you find one.

Corporate Governance and Recordkeeping

A professional corporation has to act like one. That means annual shareholder and director meetings, written minutes, board resolutions for significant decisions, current officer and director records, and Statement of Information filings with the California Secretary of State. Letting these slide is one of the easiest ways to weaken the liability protection you formed the entity to get, and missing records surface at the worst possible moment, in the middle of a sale or a financing. The Schenk Law Firm handles ongoing governance so the corporate record matches the decisions the business actually made.

Buy-Sell Agreements and Exit Planning

Every med spa ends in a sale, a transfer to a partner, a wind-down, or a fight. A buy-sell agreement decides which one, years in advance. It sets the events that trigger a buyout, how the interest is valued, how the payout is funded, and who has the right to buy first. Because the medical entity can only be held by an eligible licensee, a med spa buy-sell also has to answer what happens if the only qualified owner dies, retires, or loses a license. The Schenk Law Firm drafts these agreements and updates them when the ownership changes.

Buying or Selling a Med Spa

Buying or selling a med spa raises questions a plain business sale doesn’t. The buyer has to be able to hold the medical entity or bring in someone who can, which narrows the buyer pool. Medical director agreements, device leases, software contracts, and the premises lease all have to be checked for whether they can be assigned at all. Patient records have to be handled under the privacy rules that apply to them. Whether the deal is structured as an asset sale or an equity sale changes most of those answers. The Schenk Law Firm represents buyers and sellers from letter of intent through closing, and brings in specialist counsel where a deal calls for it.

Outside Investment in a Med Spa

Outside investment is where the structure matters most. An investor who isn’t a licensed professional can’t own the medical entity, so the investment normally goes into the management company and the returns travel through the management services agreement. The documents all have to tell the same story: the investor’s rights, the management fee, the control provisions, and the ownership of the medical entity. California also imposes notice requirements on certain healthcare transactions above a size threshold, so a larger deal needs that checked before anyone signs. The Schenk Law Firm structures and documents these investments and flags where a transaction needs specialist review.

Employment and Independent Contractor Agreements

Med spas run on a mix of licensed clinicians, aestheticians, front desk staff, and outside contractors. The paperwork should match what people actually do: written offer letters or employment agreements, a defensible call on employee versus independent contractor under California’s strict test, confidentiality and trade secret protection, and client list provisions that stay enforceable given California’s limits on non-competes. Commission and bonus structures for treatment providers need care, because pay tied to selling medical services raises different questions than pay tied to selling retail products. The Schenk Law Firm drafts the agreements between a med spa and the people who work in it, and brings in employment counsel where a classification or wage question calls for one.

Adding Locations and Growing a Med Spa Group

Growth changes the legal picture. A second location may need its own entity, its own lease, and its own supervising clinician, and a management agreement written for one site usually doesn’t scale to three. Bringing on a partner at the new location means reopening the ownership documents. Licensing your brand to an operator you don’t control can cross the line into franchising, which is a separate regulatory regime with its own registration and disclosure requirements, and we’ll tell you plainly when what you’re describing is a franchise. The Schenk Law Firm handles the entity work, the agreements between locations, and the trademark licensing that goes with putting your name on a business you don’t fully own.

Frequently Asked Questions About California Med Spas

Can a non-physician own a med spa in California?

Not the medical side of it. California’s Corporate Practice of Medicine doctrine reserves ownership of the entity that provides medical services to eligible licensed professionals. A non-licensee can own a separate management company that provides everything else, and that company contracts with the medical entity through a management services agreement. That is the structure an investor-backed med spa normally takes. It only works if it is documented properly, which is the work we do.

Can a med spa be an LLC in California?

Not the entity that provides medical services. California doesn’t allow professional medical services to be delivered through an LLC, so the medical entity is normally a professional corporation. A management company that does no clinical work can often be an LLC, which is why the structure usually takes two entities rather than one. We form both and paper the relationship between them.

What is an MSO and does my med spa need one?

An MSO, or management services organization, is a non-medical company that handles the business side of a med spa: marketing, scheduling, equipment, the lease, non-clinical staffing, and back office. It gets paid by the medical entity under a management services agreement. You need one if an owner or investor isn’t eligible to own the medical entity. If a single qualified licensee owns the whole thing, you may not need a second entity at all. We can tell you which situation you’re in before you spend money on structure you don’t need.

I’m a nurse practitioner. Can I own a med spa?

It depends on the services offered and how the entity is structured. California limits who may hold ownership in a professional entity, and the answer shifts with the license and the scope of practice involved. Some arrangements work and others don’t. Settle it before you sign a lease or start a buildout. Send us the plan and we’ll tell you what structure it supports.

What should a med spa medical director agreement include?

Scope of oversight, availability and how quickly the director responds, who writes and approves treatment protocols, compensation and how it’s calculated, malpractice insurance, indemnification, records access, and termination. Compensation is the provision to watch, because pay tied to the volume of medical services raises problems under healthcare payment rules. A handshake medical director arrangement protects nobody: it leaves the owner exposed and the physician exposed. We draft these for owners and for the physicians on the other side of them.

What should I get right before opening a med spa?

Form the right number of entities, which for most med spas is two. Negotiate the lease instead of signing the landlord’s form, particularly the buildout, the personal guarantee, and the right to assign it when you sell. Put the ownership documents in place before investor money arrives. Have the medical director agreement drafted for your arrangement rather than pulled off the internet. Clear the name before the signage goes up. Each one is cheaper to do now than to fix later. We can review the whole structure before you commit.

How do I protect my med spa’s name?

Start with a clearance search to find out whether the name is actually available, before the signage and the website. Then file a federal trademark application with the United States Patent and Trademark Office. Registration gives you nationwide rights and a real basis to stop a competitor from opening under a confusingly similar name. Signature treatment names, package names, and logos can be registered too. David Lizerbram has filed more than 850 trademark applications and handles this work for the firm’s clients.

What should I look for in a med spa lease?

Whether the permitted use covers every service you intend to offer. The tenant improvement allowance measured against what treatment rooms actually cost to build. The scope of your personal guarantee and whether it burns off over time. Operating expense caps. The right to assign the lease to a buyer, because a lease you can’t transfer can kill a sale. Exclusivity against a competing med spa in the same center. Signage. Almost all of it is negotiable, and almost none of it is offered.

Can I take private equity or outside investment in my med spa?

Yes, with the right structure. The investor takes an interest in the management company rather than the medical entity, and the economics travel through the management services agreement. The documents have to be consistent with each other: the investor’s rights, the management fee, and who controls clinical decisions. California also imposes notice requirements on certain healthcare transactions above a size threshold, so a larger deal needs that checked before signing. We structure and document the investment and flag where specialist review is needed.

What happens when I want to sell my med spa?

The buyer has to be able to hold the medical entity or bring in someone who can, which narrows the buyer pool. Your medical director agreement, device leases, software contracts, and premises lease all get reviewed for whether they can be assigned. Patient records get handled under the privacy rules that apply to them. Whether the deal is an asset sale or an equity sale changes most of the answers. The Schenk Law Firm represents both buyers and sellers, from letter of intent through closing.

Schedule a Consultation About Your Med Spa

Whether you’re opening a first location, restructuring an existing one, bringing in an investor, or planning your exit, we can look at what you have and tell you where the exposure sits. The Schenk Law Firm’s business practice is based in North Park, San Diego, and we work with med spa owners throughout California.

Call us at (858) 424-4444 or contact us online to schedule your free consultation.

Attorney advertising. This page is general information about California business law and is not legal advice. Reading it, or contacting The Schenk Law Firm through this website, does not create an attorney-client relationship. Med spa ownership rules are fact-specific and turn on the services offered and the licenses involved. Talk to a licensed California attorney before making decisions about your structure, your contracts, or your obligations.

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