Structure & Collaboration: A Provider Reference

Legacy was built to give exceptional providers a thoughtful, modern home for their work — and to handle the operational and regulatory architecture so you can focus on your craft and your clients.

This reference is here to make that architecture transparent. It explains, in plain language, how Legacy practices are structured within Portrait, how you fit into that structure, and why it is designed the way it is. Our intent is simple: clarity, confidence, and peace of mind for every provider and medical director collaborating with us.

Read it once, keep it close, and share it with the colleagues and counsel who care for you. If anything in here raises a question, we welcome the conversation.

Legacy is a sub-offering of Portrait, and Legacy practices operate within Portrait's established legal framework. That framework follows a two-entity model that is widely used across modern healthcare and aesthetics — a Management Services Organization (MSO) paired with a licensed Professional Corporation (PC).

This structure is the standard, time-tested approach for ensuring that licensed clinical work is performed by licensed entities, while business operations sit with the corporate side. Portrait has invested significantly in getting this right. It’s why provider entities have contracts with Portrait Health Inc and a separate Professional Corporation.

The direction of funds follows the legal structure. Each step is intentional and consistent across every Legacy practice.

Most states — including Texas and California — observe what is known as the Corporate Practice of Medicine doctrine. In broad terms, the doctrine asks that:

• Clinical decisions remain with licensed clinicians.
• Licensed professional entities (not general corporations) employ or contract clinical staff.
• Revenue from clinical services flows through licensed professional entities.

The MSO/PC model exists precisely to honor this. Portrait Health Inc. provides the business infrastructure that makes a modern practice possible. Portrait Health PLLC holds the clinical relationships and revenue that, by law, belong with a licensed professional entity. Together they allow Legacy practices to operate cleanly across multiple states.

Two functions, clearly separated:

• Management services — handled by Portrait Health Inc. This includes operations, technology, finance support, marketing, and the day-to-day infrastructure that runs a modern aesthetics practice.
• Clinical services — handled by Portrait Health PLLC. This is the licensed entity that contracts with providers and Affiliate medical directors and ultimately client services revenue.

This is the same model that the most respected names in healthcare and aesthetics use, for the same reasons.

Portrait Health PLLC is an Arizona PLLC that is foreign-qualified in Texas. Texas treats this registration as the equivalent of a professional corporation, establishing a properly registered business presence in the state.

• Providers and Affiliate medical directors in Texas contract with — and are paid by — the Texas-qualified PLLC.
• Texas-based medical directors are independent contractors of the PLLC.

The same MSO/PC framework applies in California. Portrait completed a detailed review of the California structure in early 2026 with experienced healthcare counsel; no structural changes were required.

• Where a provider operates through their own California professional entity, that entity contracts with Portrait Health Inc. as the MSO; client revenue remains within the practice entity.

If you are a provider or medical director collaborating with Legacy, here is a clear summary of where you sit within the structure.

Portrait’s entity structure has been reviewed by experienced healthcare counsel, and that review has been refreshed periodically as we have grown. The most recent comprehensive review took place in early 2026, including a specific examination of California.

We share this not to impress, but to make a simple point: the framework you are operating within has been built with care and continues to be tested against the evolving healthcare regulatory landscape. We treat compliance as ongoing work, not a one-time project.

Who am I actually contracted with?

Portrait Health PLLC — the licensed professional entity — is the counterparty in your corporate contractor agreement. Where you operate through your own professional entity, that entity contracts with Portrait Health Inc. (the MSO) for management services.

Does Portrait have a registered presence in my state?

Yes, for both the relevant PLLC/PC and for Portrait Health Inc.

Who controls clinical decisions?

Your Medical Director and yourself. The MSO provides administrative, operational, and technology support; it does not direct clinical judgment. Preserving clinician autonomy is one of the central reasons the MSO/PC model exists.

My personal attorney has questions about the structure. What should I do?

Welcome them in. Encourage them to reach out to your Legacy collective contact. We can share the structural overview, answer their questions, and where helpful coordinate a conversation with experienced healthcare counsel. Questions are healthy; we would rather have them surfaced and answered than left unspoken.

• Portrait Health Inc. is the MSO (a C-Corporation). It provides management and operational services.
• Portrait Health PLLC is the licensed professional entity. It contracts with providers and Affiliate medical directors and receives client services revenue.
• Provider and medical director compensation is issued by the licensed professional entity — the PLLC or, where applicable, your own practice entity.
• All client services revenue flows to the licensed professional entity.
• Providers and medical directors are independent contractors, not employees of either entity.
• The structure has been reviewed by experienced healthcare counsel; the most recent review was completed in early 2026.
• Practice locations operating under the Portrait family of brands display “Powered by Portrait” signage where applicable.

Your Legacy collective contact is the best first stop for any question, whether it is about your contract, your state, your compensation flow, or a conversation you are having with outside counsel. We will respond quickly and route you to the right person, every time.

About This Document

This reference is provided for informational purposes only to help Legacy providers and Affiliate medical directors understand how Legacy practices are organized within Portrait’s entity structure. It is not legal, tax, or accounting advice, and it does not modify or replace the terms of any independent contractor agreement, services agreement, or other contract you have signed. Where this document and a signed agreement appear to differ, the signed agreement controls. Providers and medical directors are encouraged to consult their own counsel for advice specific to their circumstances.