Built for multi-entity healthcare groups

Undocumented MSO/PC transactions are a compliance risk.

Lemma Intercompany structures, documents, and executes every payment between your MSO and affiliated PCs — management fees, loans, distributions, and true-ups — so nothing is a liability waiting to surface in an audit or diligence. No change to your existing banking required.

Every entity balance, in one place

See exactly what the MSO owes or is owed by each affiliated PC, updated as transactions settle.

Total receivable

$339,000

Total payable

$0

Active loans

2

IDFrom → ToStatus
TXN-1042MSO → Sunrise Family MedicineSettled
TXN-1041MSO → Coastal OrthopedicsSettled
TXN-1038Coastal Orthopedics → MSOScheduled

MSO/PC transactions create compliance risk

Every fee, loan, and distribution that isn't properly documented is exposure waiting to surface — in an audit, a payer investigation, or diligence.

Undocumented obligations are a liability

Promissory notes and fee agreements get drafted late, inconsistently, or not at all, a liability the moment an auditor or regulator asks for them.

No clean answer when someone asks

When an examiner asks what the MSO owes each PC, scattered bank statements, spreadsheets, and someone's memory aren't an acceptable answer.

Manual execution multiplies risk

Structuring a transaction, drafting the document, and initiating payment are three disconnected steps, each one a chance for error and drift to creep in.

A guided workflow, from wizard to ledger

Four things happen once you structure a transaction in Lemma Intercompany, and stay true across every entity pair in your structure.

01 · Structure

A guided wizard for every transaction type

Pick the entities, choose from fee, loan, distribution, reconciliation, or wind-down categories, and Lemma Intercompany prompts for exactly the terms that transaction type requires.

34
Management feeMarketing feeIT/EHR licensingBilling/RCM feeWorking capital loanTax distribution

02 · Organize

Every agreement, linked to its transaction

Promissory notes, fee agreements, distribution memos, and true-up memos, whether drafted by counsel or already executed, live in one library, linked directly to the transaction they cover.

Promissory note

Lender: MSO

Borrower: Coastal Orthopedics PC

Principal: $250,000

Linked to TXN-1041 · Working capital loan · $238,000 remaining

03 · Track

Live balances between every entity pair

See exactly what the MSO is owed and what it owes each PC, with every open obligation and its remaining balance in view, and get flagged before a loan matures or a fee drifts out of date — the kind of drift that turns into a finding.

Working capital loan matures in 58 days

TXN-1041 · $238,000 remaining

IT/EHR licensing fee payment failed

TXN-1036 · retry pending

Management fee auto-executes in 5 days

TXN-1038 · $22,000

04 · Year-end

Skip the year-end scramble with your CPA and lawyer

Every fee, loan, and distribution already flows into your accounting system as it settles, so December isn't spent reconstructing a year of intercompany activity from statements and memory.

12/12

Months reconciled, year to date

Management fees

Booked

Working capital loans

Booked

Tax distributions

Booked

4

Transaction categories covered

100%

Transactions with a linked document

1

Place to see every entity balance

Minutes

From structuring to execution

Join the waitlist

Lemma Intercompany is in early access. Leave your details and we'll reach out as we onboard new MSO/PC groups.

Common questions

Lemma Intercompany is a single place to structure, organize, and track every payment between your MSO and its affiliated PCs, including management fees, loans, distributions, and true-ups, with the supporting documentation attached to each transaction.

No. Lemma Intercompany runs on top of your existing bank accounts. You keep your current banking relationship — Lemma handles the structuring, documentation, and execution between entities.

No. Upload whatever your counsel already drafted, promissory notes, fee agreements, distribution memos, and Lemma Intercompany links it directly to the transaction it covers. You keep your existing documents; Lemma Intercompany just stops them from getting lost.

Yes. Lemma Intercompany shows net position by entity pair, so you can see what the MSO is owed or owes each individual PC, as well as a rolled-up view across your whole structure.

You define the calculation basis and recurrence once when you structure the fee, and Lemma Intercompany keeps executing and tracking it on schedule, flagging it if the underlying terms drift out of date.

Lemma Intercompany proactively alerts you ahead of a loan's maturity date so payoff or renewal can be handled on time, instead of surfacing as a surprise during close or diligence.

No. Lemma Intercompany sits alongside your accounting system as the system of record for intercompany structuring, documentation, and execution, then gives you a clean audit export for your books, auditors, or diligence requests.

Undocumented MSO/PC transactions are a risk you can eliminate today

Without changing your bank.

Book a demo