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Not legal advice. These documents are exactly what you pay a healthcare attorney to draft. This page is your term-sheet checklist for that meeting.
Solo owners can run on default rules for a while. The moment there are two owners, or a friendly-physician structure, the agreements are the business.

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The core document

PLLC: an operating agreement. PC: bylaws plus a shareholder agreement. Either way it should answer, in writing, before the first disagreement:

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The buy-sell terms (the part people skip)

Every agreement needs the triggers (death, disability, license loss, retirement, voluntary exit, termination for cause), a valuation method agreed now (formula, appraisal process, or scheduled value updated annually; “we’ll figure it out” is how practices end up in litigation), payment terms (buyouts paid over 3-5 years with interest, so the practice survives writing the check), and insurance funding (life and disability policies sized to the buyout, so the money exists when the trigger fires).

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Healthcare-specific clauses

Ownership must stay licensed: shares transfer only to licensed clinicians in CPOM states, which is also the mechanism behind stock transfer restriction agreements in MSO models. Add what happens to payer contracts and the practice’s TIN on an exit, and whether departing owners can compete (state rules on physician non-competes changed a lot recently, get current advice).