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

Non-physicians may own via MSO; physician involvement required for injectable services Lenient; non-physician ownership permitted via MSO/management structure

Hawaii · Moderate

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

Non-physicians may own via MSO; physician involvement required for injectable services

Corporate Practice of Medicine

Lenient; non-physician ownership permitted via MSO/management structure

The medical-director angle

Required; physician must supervise delegated injectable services Ownership and the medical-director requirement are usually two sides of the same compliance coin.

What to verify in Hawaii

Verify current RN delegation scope with Hawaii Medical Board and ensure physician supervision agreements are in writing.

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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