In late 2010, the Detroit Medical Center (DMC), a Michigan charitable, nonprofit hospital system, transferred substantially all its hospital facilities to Vanguard Health Systems Inc.  The terms of this complex transaction included Vanguard's commitments to continue providing charity care, to make substantial capital investments in projects at DMC's main campus, and to assume responsibility for DMC's heavy debt obligations.  The Attorney General's Office closely reviewed the proposal and approved the sale, subject to several conditions, which are explained in the Attorney General's Report on the Proposed Sale of DMC to Vanguard.