KED

Thanks for the reply. I realize that there are lots of issues, IRS rulings, etc. I am trying to get a sense, as a practial matter, how various governmental hospitals have been setting this up since it seems fairly commonplace these days.

Hospitals often acquire or operate physician practices through separate subsidiaries. I am looking for information about whether governmental hospitals (e.g., established by a county) usually treat the subsidiaries as governmental as well and include the subsidiary employees in the hospitals' governmental plans or treat the subsidiaries as non-governmental and set up separate plans. Anyone have experience with this issue? Thanks.