In Maryland, may a non-clinical owner or manager be paid a share of revenue?

Ownership · part of The Practice Perimeter

Short answer
The cited rules do not settle this — Maryland's self-referral law only bars a health care practitioner from referring patients to an entity they own or have a compensation arrangement with; it says nothing about paying a non-clinical owner or manager.

Under Maryland’s self-referral law, a health care practitioner may not refer a patient, or direct an employee of or person under contract with the health care practitioner to refer a patient to a health care entity: (1) In which the health care practitioner or the practitioner in combination with the practitioner’s immediate family owns a beneficial interest; (2) In which the practitioner’s immediate family owns a beneficial interest of 3 percent or greater; or (3) With which the health care practitioner, the practitioner’s immediate family, or the practitioner in combination with the practitioner’s immediate family has a compensation arrangement. The section opens with an exception clause: “Except as provided in subsection (d) of this section”.

Md. Code, Health Occ. §1-302(a) (Referrals by health care practitioners — prohibited) · verified Sep 7, 2026 · regulatory monitoring, not legal advice

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