Marschke K
Hosp Health Serv Adm. 1997 Winter;42(4):546-57.
Increasingly, nonprofit hospital have been responding to market pressures by giving up their tax exemption and selling hospital assets to for-profit corporations. In 1995 alone, fifty-nine nonprofit hospital completed full-asset sales or joint ventures. Hospital managers and board members should understand the legal and regulatory environment surrounding hospital conversions. State attorneys general are taking a more active regulatory role. This discussion describes the application of laws governing charitable trusts and nonprofit corporations to hospital conversions, as well as the central role of the attorney general in the enforcement of such laws. The 1996 Michigan circuit court ruling in Kelley v. MAHSI provides an insightful case study, illustrating a strict application of the law to a joint-venture hospital conversion. The implications of this case will be discussed along with the larger implications of more aggressive state regulation of hospital conversions.
越来越多的非营利性医院通过放弃免税地位并将医院资产出售给营利性公司来应对市场压力。仅在1995年，就有59家非营利性医院完成了全部资产出售或合资经营。医院管理人员和董事会成员应该了解医院转型所涉及的法律和监管环境。州检察长正在发挥更积极的监管作用。本讨论描述了适用于慈善信托和非营利性公司的法律在医院转型中的应用，以及检察长在执行此类法律中的核心作用。1996年密歇根巡回法院对凯利诉MAHSI案的裁决提供了一个有见地的案例研究，说明了法律在合资医院转型中的严格适用。将讨论该案例的影响以及州政府对医院转型加强监管的更大影响。
