Healthcare professionals in New York face a uniquely complex regulatory environment when forming professional entities. Unlike standard business formation in most states, New York mandates a dual-regulatory approval process involving both the New York State Education Department (NYSED) Office of the Professions and the Department of State (DOS). This guide walks you through the formation requirements, ongoing compliance obligations, and strategic considerations for Professional Corporations (PCs) and Professional Limited Liability Companies (PLLCs).
New York strictly enforces the Corporate Practice of Medicine doctrine, prohibiting unlicensed individuals or general business entities from practicing medicine or employing licensed healthcare professionals to provide medical services. This means healthcare providers cannot simply form standard LLCs or corporations to operate medical practices.
The state permits two primary entity structures for healthcare professionals:
Both structures ensure licensed professionals retain control over clinical decision-making while providing liability protection for non-clinical business activities.
New York requires a mandatory two-step approval process: NY Education Department Office of the Professions authorization (obtained first) followed by Department of State filing. Here are the complete formation requirements:
The NY Department of State fee schedule provides current filing fees for all business entity transactions.
Beyond the periodic statements outlined above, professional entities must maintain active compliance with both agencies.
Professional licensing coordination
The entity must notify NYSED within 30 days of any changes to ownership, management, or licensed status of members. If a professional loses their license, they must divest their ownership interest within a timeframe specified by the licensing board. Failure to report changes can result in revocation of the entity's Certificate of Authority.
Registered agent requirements
Every professional entity must maintain a registered agent with a New York address to receive service of process and official correspondence. Discern provides registered agent services across all jurisdictions, ensuring you never miss critical compliance deadlines.
Effective August 1, 2023, healthcare entities must provide 30 days advance notice to the Department of Health for material transactions involving New York healthcare entities valued at $25 million or more. This includes mergers, acquisitions, and significant asset sales. The law aims to ensure regulatory oversight of transactions that could affect healthcare access and quality in New York communities. Healthcare organizations planning significant transactions should factor this notice period into their deal timelines.
Healthcare organizations expanding into New York from other states must navigate additional requirements. Foreign PLLCs and PCs must obtain a Certificate of Authority from both NYSED and DOS before providing services in New York. Understanding when to foreign register your healthcare entity prevents compliance gaps that could jeopardize your ability to practice.
Can a healthcare PC or PLLC practice multiple professions? PLLCs and PCs may practice multiple related design professions (engineering, architecture, land surveying, geology, landscape architecture). However, healthcare professions including medicine, dentistry, veterinary medicine, licensed clinical social work, mental health counseling, psychoanalysis, creative arts therapy, marriage and family therapy, and applied behavior analysis cannot be combined with other professions in a single entity.
What happens if a member loses their professional license? The member must divest their ownership interest according to procedures outlined in your operating agreement or bylaws. NYSED must be notified within 30 days, and failure to properly handle disqualification can result in administrative action against the entity.
Are there annual report requirements separate from franchise taxes? Yes. DOS requires biennial statements ($9), and PCs must also file triennial statements with NYSED. These are separate from franchise tax filings with the Department of Taxation and Finance.
How long does the dual-agency formation process take? NYSED review typically takes 4-6 weeks, followed by DOS processing of 7-10 business days. PLLCs must then complete publication within 120 days. Plan for 2-3 months total from initial filing to full operational status.
Discern automates compliance tracking for healthcare entities, managing biennial statement deadlines, registered agent services across all jurisdictions, and filing requirements from a single dashboard. Our platform ensures you maintain good standing with both NYSED and DOS without the administrative burden.
Ready to simplify your New York healthcare entity compliance? Book a demo to see how Discern handles multi-agency requirements across all states where you operate.
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