> ## Documentation Index
> Fetch the complete documentation index at: https://www.practiceownersguide.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Multi-entity money

> Running money across PCs and an MSO: account layout, intercompany flows, and the discipline that keeps the structure legally real.

The moment there are two entities, one location's habits become a liability.
Money must move by rule, on paper, between accounts that match the org chart.

```mermaid theme={null}
%%{init: {'themeVariables':{'fontFamily':'inherit','fontSize':'14px'}}}%%
flowchart TD
    P1[PC Texas<br/>payer + patient revenue] -->|management fee| M[MSO<br/>operating account]
    P2[PC California<br/>payer + patient revenue] -->|management fee| M
    M -->|payroll: business staff| S1[MSO payroll]
    P1 -->|payroll: clinicians| S2[PC TX payroll]
    P2 -->|payroll: clinicians| S3[PC CA payroll]
    M -->|rent, vendors, equipment| V[Vendors]
```

## The rules

**Revenue lands where it's earned.** Payer EFTs and patient payments belong to
the PC that delivered the care; every payer enrollment names that PC's account
([directory](/reference/payers)). **The fee moves by invoice.** The MSO bills
its management fee per the MSA, monthly, and the PC actually pays it,
sweeping "whatever's left" is what regulators and
[fee-splitting rules](/guides/own-a-practice-without-a-license) punish.
**Nothing crosses without paper.** If the MSO covers a PC expense, book it as
an intercompany payable and settle it. **Payroll follows employment.**
Clinicians in the PC, business staff in the MSO, separate payroll runs
([setup](/guides/payroll-benefits-retirement)).

## The layout

Per PC: operating (deposits) and payroll. MSO: operating, payroll, tax
reserve, and any capex account. Extend the
[single-practice structure](/concepts/practice-banking-structure) per entity
rather than inventing a new scheme, and close each entity's books monthly
([month-end close](/guides/month-end-close)) with a consolidated view for
you.

The audit test to hold yourself to: a stranger reading only the bank
statements should be able to reconstruct the org chart.

## Related

* [Become an MSO](/guides/become-an-mso)
* [How to structure your bank accounts](/concepts/practice-banking-structure)
* [Month-end close for a practice](/guides/month-end-close)
* [Expand out of state](/guides/expand-out-of-state)
* [Payer EFT/ERA enrollment directory](/reference/payer-enrollment-directory)