Can a nurse, investor, or non-physician own a medical spa in Hawaii?

Physician-owned or physician-controlled MSO; non-physician ownership not permitted Strict; physician ownership or MSO with physician control required

Hawaii · Strict

Can a Non-Physician Own a Med Spa in Hawaii?

Med-spa ownership in Hawaii is governed by the Corporate Practice of Medicine doctrine and the state's ownership rules. Get this wrong and the whole structure can be unlawful — here's where Hawaii lands.

By Evan at Inside MedSpa

Ownership rules

Physician-owned or physician-controlled MSO; non-physician ownership not permitted

Corporate Practice of Medicine

Strict; physician ownership or MSO with physician control required

The medical-director angle

Required; physician must directly supervise all aesthetic procedures Ownership and the medical-director requirement are usually two sides of the same compliance coin.

What to verify in Hawaii

Verify that your medical spa is physician-owned or physician-controlled, and ensure only MDs or DOs perform all injections; do not delegate injectables to RNs, NPs, or PAs.

Primary source: Hawaii Medical Board

General business information for Hawaii medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Hawaii board (and your own counsel) before you act.

See the full Hawaii regulation profile →

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