..a fs'INMESSE I RM I NIONFMRE Ig i,
ZO I R Onr. 4W
PARTNER page 3
One difference between the
1990 debacle and the current ef-
fort, Mr. Schaengold said, is that
the hospital is in a better finan-
cial position. The hospital has
posted profits: $8.5 million in
1992, $13 million in 1993, $3.5
million in 1994, $9.1 million in
1995. The 1996 figures will not
be available until September.
Although patient admissions
are down from 21,295 in fiscal
year 1995 to 20,413 in fiscal year
1996 (which ended in June), they
are still higher than the 18,000
admissions in 1991.
Another difference is the in-
volvement of the hospital's med-
ical staff in the merger process.
In 1990, doctors revolted when
the process was taking place; this
time, they are represented on the
committee overseeing the merg-
er plans. Headed by Dr. Sam In-
denbaum, the staff is taking an
active role by leading the over-
sight committee.
"Medical staff leadership is be-
ing sought at the early stages,"
Mr. Schaengold said. "Whatever
takes place in this process, the
medical staff leadership will be
involved."
•
❑
COURT page 3
tattgett%°
Ford-Sinai had envisioned a
200-bed West Bloomfield Hospi-
tal near 14 Mile and Inkster
roads; Mercy Health Services-St.
Joseph Mercy Hospital planned
a 200-bed hospital at 14 Mile and
Haggerty roads; Detroit Medical
Centers-Huron Valley envisioned
a 150-bed addition to its existing
153-bed facility at Williams Lake
and Cooley Lake roads in Com-
merce Township; Pontiac Osteo-
pathic Hospital planned a
112-bed hospital in Clarkston;
and William Beaumont Hospital
wanted to build a 160-bed hospi-
tal.
In the years it took for the case
to wind through the courts,
Beaumont withdrew its petition
and Pontiac Osteopathic built a
replacement hospital in down-
town Pontiac. Sinai is awaiting
site-plan approval from the city
of Novi to build a huge ambula-
tory care facility at Meadowbrook
and 12 Mile roads. It would be
the hospital's largest facility in
Oakland County.
Sinai CEO and President
Phillip Schaengold said it is un-
clear what the hospital will do in
light of the Supreme Court rul-
ing.
"The question that Ford and
Sinai have to answer for them-
selves is, do we want to spend
any more time and resources on
this issue? That decision has not
been made by either party, nor
do I know what the other parties
have decided," Mr. Schaengold
said.
While Pontiac Osteopathic
would still like to provide services
to patients in Clarkston, said
Chief Operating Officer Pat Lam-
berti, building another new hos-
pital is not in the cards. However,
hospital officials have not yet de-
cided on whether to proceed with
the court case, he said.
Similarly, Mercy Health Ser-
vices has not decided on its next
move in the wake of the ruling,
said a company spokesperson.
But St. Joseph Mercy and Pon-
tiac Osteopathic are in negotia-
tions to form a joint operating
agreement that would enable
them to remain independent but
share administrative functions.
Shari Cohen, a spokesperson
for Detroit Medical Centers, said
DMC will continue to pursue the
case in the Michigan Court of Ap-
peals. But she acknowledged that
times have changed since the
hospital petitioned the state to
allow it to build an addition. In
1983, managed care organiza-
tions had not yet taken hold in
the state and shifted the em-
phasis away from inpatient to
outpatient care.
DMC acquired Huron Valley,
its only Oakland County hospi-
tal, in 1988. Huron Valley Hos-
pital recently received state
approval to expand its outpatient
facilities, but not to add new beds.
Providence Hospital has its
own lawsuit pending against the
state, which denied its petition
five or six years ago to move 200
beds out of its Southfield location
to its Novi campus. The public
health department's position was
that additional beds are unnec-
essary in Oakland County.
However, Providence's request
differs from the other hospitals'
because it proposes moving, not
adding, beds, said Frank Brock,
vice president of government af-
fairs for Providence and Mission
Health. The Novi campus hous-
es outpatient and birthing ser-
vices but has no acute-care beds.
Moving beds to northwest
Oakland County "means being
able to serve a population we are
already servicing much more con-
veniently to their homes. I don't
think there is any question that
southeast Michigan has too
many hospital beds, but we have
a maldistribution of those beds.
Mr. Schaengold said an inpa-
tient facility for Sinai "is impor-
tant from the standpoint that we
have 35 other points of service in
Oakland County and it would've
been advantageous in competing
with Beaumont and Providence."
But, "not having those beds,
we still get almost half our ad-
missions from the suburbs, so it's
been an obstacle we've worked
hard to overcome."
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