Bethesda Family Practice Center

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital. As an unincorporated division of the hospital, the center does not maintain its own governing body. Instead, the center is overseen by the governing body of the hospital as it is viewed as part of it.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital. As an unincorporated division of the hospital, the center does not maintain its own governing body. Instead, the center is overseen by the governing body of the hospital as it is viewed as part of it. As such, all decisions are subject to the governing body of the hospital.”

“Members of the board of bethesda hospital, inc. (the organization's sole member) are provided an electronic copy of this form 990 prior to filing after review by the finance and audit committee of the board, along with the committee's summary of the form 990. Subsequent to presentation to the board, the organization files the return making any non-substantive changes necessary to effect e-filing. Any such non-substantive changes are not submitted to the board.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital. As an unincorporated division of the hospital, the center does not maintain its own governing body. Instead, the center is overseen by the governing body of the hospital as it is viewed as part of it. However, bethesda hospital, inc. Has the following process: all board members are required to annually disclose certain financial interests and fiduciary relationships. The executive committee and corporate counsel review responses, conduct further investigation (if necessary), and determine when a conflict exists with respect to a certain transaction. If a conflict exists, the transaction is not to be entered into unless alternatives are fully investigated, and in their absence, the board, without the participation of the interested member(s), determines that the transaction is in the best interest of the organization. Plans to manage the conflict during the relationship are implemented. All discussions are appropriately documented. All directors and managers, which include officers and key employees, are required to annually disclose any circumstances, including family and business relationships, that may create a conflict of interest for the organization. These responses are reviewed and acted upon by a conflict of interest committee.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". As such, no governing documents are available to provide upon request. Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital. As an unincorporated division of the hospital, the center does not maintain its own standalone financial statements and as such they are not available upon request. However, as mentioned above the center is treated as an unincorporated division of the hospital, bethesda hospital, inc.'s governing documents, conflicts of interest policy and financial statements are available upon request.”

“The officers and directors for the bethesda family practice center, by virtue of it being an unincorporated division of bethesda hospital, inc., that show at least 60 hours per week provide services to trihealth, inc. (a related organization who paid the individuals) and its subsidiaries/affiliates ("trihealth") as an entire system. Hours worked, including their duties as officers and directors of the filing organization, are not tracked on an entity by entity basis, thus the average hours per week disclosed are estimates to show that the time spent by these individuals relate to them fulfilling their duties as full-time, 60 hours-per-week employees of trihealth versus their duties as officers and directors of the filing organization. In addition, the compensation reported on form 990, part vii was paid to these individuals in fulfillment of their duties as employees of trihealth. Directors (as noted with a "med staff pres" reference) of the bethesda family practice center, by virtue of it being an unincorporated division of bethesda hospital, inc., serve on the board in their capacity as medical staff president for either bethesda hospital, inc. Or the good samaritan hospital of cincinnati, ohio. In addition, these individuals provide services as employees of various related entities for which they receive compensation. None of the compensation shown is for serving as a director.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association whose sole member and supported organization is bethesda hospital, inc. ("hospital"). As the center constitutes an integral part of the operations of hospital, it is treated as an unincorporated division of hospital and not as a separate entity. As such, the center does not maintain its own standalone financial statements but rather the financial statements are included with hospital and all financial information generally reported on form 990, part viii is reported on the form 990 of hospital (ein 31-0537122) and not separately on this return.”

“In 1987, the bethesda family medicine residency program ("program") was started by bethesda hospital, inc., an organization recognized by the internal revenue service as exempt from federal income tax under internal revenue code section 501(c)(3). The program provides medical residents with valuable general medical practice experience. Bethesda family practice center ("the center") is an integral part of the program as it provides a significant portion of the clinical training along with bethesda north hospital. Just 12 miles away from bethesda north hospital, the center is a state-of-the-art facility located near norwood, ohio (a suburb of cincinnati). It functions as a private family medical practice that provides primary care to members of the local community from all socio-economic backgrounds and the residents are trained in population health and other emerging models of care. Its staff includes attending physicians, medical residents, medical assistants, nurses, office manager and various other office personnel. There are 16 exam rooms, on site are x-ray equipment and a surgical room used to perform minor surgical procedures. Medical residents complete the program's family medicine residence curriculum through primary care treatment of their patients at the center, with the guidance of the attending physicians. There are three teams at the center. Each team has two attending physicians, six residents (two residents from each pgy year), and two medical assistants. There are also two sports medicine fellows. In general, first-year residents are assigned to the center one half-day per week, second-year residents are assigned two half-days per week, and third-year residents are assigned three half-days per week. Continuity of care is encouraged and expected in office patient assignments. The residents are taught to facilitate partnerships with their patients, providing personal acute, chronic, and preventative services that are comprehensive, continuous, evidence-based, accessible, and affordable. See form 990, schedule a, part vi-supplemental information for additional information. The center is a state of ohio unincorporated association whose sole member and supported organization is bethesda hospital, inc. As it constitutes an integral part of the operations of bethesda hospital, inc., the center is treated as an unincorporated division of the member and not as a separate entity. As such, all financial information, generally reported on form 990, part viii, part ix, part x and part xi, is reported on the form 990 of bethesda hospital, inc. (ein: 31-0537122) and not separately on this return. In addition, due to this treatment, the center does not maintain its own governing body rather, its activities are overseen by the board of directors of bethesda hospital, inc.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association whose sole member and supported organization is bethesda hospital, inc. ("hospital"). As the center constitutes an integral part of the operations of hospital, it is treated as an unincorporated division of hospital and not as a separate entity. As such, the center does not maintain its own standalone financial statements but rather the financial statements are included with hospital and all financial information generally reported on form 990, part ix is reported on the form 990 of hospital (ein 31-0537122) and not separately on this return.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association whose sole member and supported organization is bethesda hospital, inc. ("hospital"). As the center constitutes an integral part of the operations of hospital, it is treated as an unincorporated division of hospital and not as a separate entity. As such, the center does not maintain its own standalone financial statements but rather the financial statements are included with hospital and all financial information generally reported on form 990, part x is reported on the form 990 of hospital (ein 31-0537122) and not separately on this return.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association as defined in ohio revised code section 1745.05(m) and as such it is not required to register with the ohio secretary of state nor is it required to have articles of incorporation or similar governing documents. However, the center does have governing principles which are defined in ohio revised code section 1745.05(d) as "agreements, whether oral, in a record, or implied from its established practices, or any combination of them, that govern the purpose or operation of an unincorporated nonprofit association and the rights and obligations of its members and managers,". As such, no governing documents are available to provide upon request. Under these governing principles, bethesda hospital, inc. ("hospital") is designated as its sole member and the center is treated as an unincorporated division of the hospital as it constitutes an integral part of the operations of the hospital. As an unincorporated division of the hospital, the center does not maintain its own standalone financial statements but rather the financial statements are included with the hospital. However, the financial statements of hospital are audited as part of trihealth, inc. And its subsidiaries and affiliates ("trihealth"). Trihealth has a committee that assumes the responsibility for oversight of the audit of both its and its subsidiaries and affiliates financial statements as well as the selection of the independent auditor. In addition, hospital's financial statements are audited with bethesda, inc., the parent organization of hospital. Bethesda, inc. Has a committee that assumes the responsibility for oversight of the audit of both its and its subsidiaries financial statements as well as the selection of the independent auditor. During the tax year, there was not a change in the process of audit oversight and/or selection of an independent auditor by either trihealth or bethesda, inc.”

“Bethesda family practice center ("the center") is a state of ohio unincorporated association whose sole member and supported organization is bethesda hospital, inc. ("hospital"). As the center constitutes an integral part of the operations of hospital, it is treated as an unincorporated division of hospital and not as a separate entity. As such, the center does not maintain its own standalone financial statements but rather the financial statements are included with hospital and all financial information generally reported on form 990, part xi is reported on the form 990 of hospital (ein 31-0537122) and not separately on this return.”