Groups: DMC sale violates
law
By PATRICIA ANSTETT
DETROIT FREE PRESS MEDICAL WRITER
The sale of the Detroit Medical Center to a for-
profit Nashville company violates state law and
raises issues about whether poor patients who
depend on the DMC will be assured of care for
years to come, three nonprofit Michigan
organizations said today.
Marjorie Mitchell, executive director of Michigan
Universal Health Care Network, said the
organizations e-mailed today a three-page list
of concerns about the sale to Michigan Attorney
General Mike Cox.
Mitchell testified briefly today at the Detroit
City Council about the issue and distributed the
letter. The two other nonprofit organizations
signing the letter were Metropolitan Organizing
Strategy Enabling Strength, or Moses, an
organization of community and religious leaders
active on health issues, and Michigan Legal
Services, a Detroit legal aid organization. The
three groups called themselves the Coalition to
Protect Detroit Health Care.
The groups objected to the proposed agreement
announced March 19 by the DMC to be
purchased by Vanguard Health Systems, a for-
profit firm with 15 hospitals in Arizona, Texas,
Illinois and Massachusetts.
DMC said the sale will bring $850 million for
needed improvements and pay off past pension
and bond debts, in all a $1.5-billion deal in a city
eager for new investments.
Citing a provision in state law, the letter said
Michigan law is clear that nonprofit companies
should not “permit assets … to be used,
conveyed or distributed for non-charitable
purposes.”
The DMC sale has national significance, at a time
when health care leaders wonder if more
struggling nonprofit hospitals will convert to
for-profit status. In Boston, the Caritas Health
System, the state’s second-largest hospital
group, also announced plans this month to be
bought, by New York private equity firm
Cerberus Capital Management, in an $830-
million deal that hospital officials say will allow
the chain to shed debt and make major
improvements.
The DMC sale must be approved by Cox and
hinges on the DMC getting status as a
Renaissance Zone, which gives state and local tax
breaks to companies and residents in exchange
for developments in blighted communities.
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The Wayne County Board of Commissioners is
scheduled to discuss the Renaissance Zone plan
for the DMC Wednesday. “The county’s initial
due diligence indicates such a transaction can
occur in Michigan,” said Wayne County
Executive Robert Ficano in a statement. Ficano
said he is “sure the Attorney General will review
this $1.5-billion investment objectively.”
Vanguard officials pledge to honor for 10 years
charity care policies of the DMC — Michigan’s
largest provider of safety net care to poor and
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uninsured people — and to not close DMC’s six
acute-care hospitals without board approval.
Mitchell’s organization is one of the state’s most
active groups backing health reforms. She also
was involved in a 1997 Lansing protest that
blocked the sale of a Lansing hospital system to
another for-profit company, a case cited several
times recently as one relevant to the DMC
purchase.
“The mission of a for-profit is to serve the
stockholders,” the letter to Cox said. The letter
said it is the opinion of the three groups that the
purchase by Vanguard of the DMC “violates
Michigan’s nonprofit corporation statute.”
The three organizations asked Cox to hold
public meetings to answer questions about the
impact of the proposed sale on the health of
Detroiters, particularly uninsured people.
The groups also have questions about how the
DMC’s $140-million charitable assets will be
used as well as concerns that use of state
Renaissance Zone money would benefit a for-
profit company.
Mike Duggan, CEO of the DMC, said they have
studied the 1997 case similar to the DMC’s
proposed sale and concluded that, “we did this in
the proper way.”
Duggan said that although the 1977 sale was
blocked, the judge ruled that conversions of
nonprofit hospitals to for-profit could be legal
as long as the nonprofit got the right market
value from the sale. Duggan said he’s confident
the DMC will be able to answer all the questions
raised by the nonprofit organizations.
In a news statement, Cox’s office said: “Under
Michigan law, the Attorney General has a
statutory obligation to review the sale of
charitable assets. To fulfill that responsibility,
the Attorney General’s office has initiated
preparations for a formal review of the sale of
the non-profit Detroit Medical Center. We plan
to examine the transaction carefully and openly,
in order to assess whether Michigan citizens are
receiving their money’s worth.”
Contact PATRICIA ANSTETT: 313-222-5021 or
panstett@freepress.com.
Staff writer John Wisely contributed to this
report.