The structure your counsel designed, run every cycle
Split, invoice, move, and prove it. One login for every entity.
One processor often collects for several entities in an MSO-PC group. Lemma splits it by your data, generates the intercompany invoices, moves the money, and logs every step.
How the money moves
Step 1
Processor settlement, Oct 14
$84,210.00
Collection account •• 2210
Step 2
Split by entity
PC California $38,640.00
PC New York $27,180.00
PC Texas $15,750.00
Holding $2,640.00
Step 3
INV-2026-0912
Northside MSO → PC California
$123,870.00
Due Oct 5 · Scheduled
Step 4
PC California → Northside MSO
$123,870.00
Oct 5 · Logged
Each PC owns its own revenue on paper, but the bank sees one lump sum from one processor. Someone still has to decide whose it is, document the fee, and move the money by hand.
Lemma closes that gap automatically, every cycle.
Split logic, invoice creation, invoice automation, and money movement, run together on every deposit that lands.
Decide whose money it is, from data, not guesses.
Write the rule once, by NPI, location, payer, or CPT. Lemma allocates every deposit line by line, every day, and parks anything it can’t place in a holding account.See Revenue Routing.
Rule set: Shared processor •• 2210
Today’s split
Every intercompany obligation gets a real invoice.
Management fees and cost allocations between the MSO and each PC become real invoices, with line items, the MSA attached, and the math shown.
INV-2026-0912
Northside MSO → PC California
Management services, Sep 2026
Generated from the numbers, on the schedule, with approvals.
Set the fee formula once. Lemma computes each invoice from actual collections, routes it for approval, and schedules payment on the due date.
Management fee · PC California → Northside MSO
Every entity its own account. Every move tagged and logged.
Each PC and the MSO has its own account. Intercompany transfers settle instantly and carry the invoice they pay, and external payments go out by free ACH, RTP, or FedNow.
Transfer log
| Transfer | Amount | Tag | Status |
|---|---|---|---|
| PC California → Northside MSOOct 5 | $123,870.00 | INV-2026-0912 | Settled |
| PC New York → Northside MSOOct 5 | $81,540.00 | INV-2026-0913 | Settled |
| Northside MSO → PC TexasOct 6 | $25,000.00 | Sweep: target balance | Settled |
| PC Texas → Summit Implants LLCOct 6 | $42,180.00 | Vendor ACH | Settled |
Every allocation, invoice, and transfer ties back to where it came from. When an auditor asks how money moved between entities, the answer is a report, not a reconstruction.
Intercompany log
GeneratedEntity reconciliation
GeneratedProof of funds
GeneratedAllocation basis
GeneratedShared processor, multiple PCs
One merchant account collects for every location. Revenue has to be split daily and swept to the PC that earned it.
MSO management fees
The MSO bills each PC a fee per the MSA. The fee has to be computed from real collections, invoiced, approved, and paid, every month.
Multi-state and friendly-PC structures
Different PCs in different states, each with its own owner, each needing its own account, statements, and paper trail.
MSO-PC Banking
An account per entity, opened in five minutes.
Revenue Routing
Split shared deposits across every PC, daily.
Provider Payouts
Pay every 1099 provider from one file, with 1099s filed.
Remittance Reconciliation
Deposits matched to remittance automatically.
Lemma API
Read and move healthcare money from your own software.
Free MSO-PC Wiki
A free guide to structuring and running an MSO-PC group.
(opens in new tab)Processor settlement reports, PM or EHR exports, clearinghouse 835s down to the CPT line, or any file you send on a schedule. API, SFTP, or upload.
However your MSA says. Percentage of collections, fixed amount, cost plus, or a combination. Lemma computes it from the actual allocated collections for the period.
They don't have to, but they should. Lemma lets every transfer carry an invoice or a category so the intercompany log explains itself.
Yes. Roles are scoped per entity. A PC owner sees their PC. The MSO sees the consolidated view.
Lemma is not a law firm. We run the allocation, invoicing, and transfers your counsel designed, on schedule, with the record to prove it.
Multi-entity banking is included at $50 per entity per month. Split logic and invoice automation are configured with our team during onboarding.