Neurosurgeon Jayant Jagannathan conducts morning rounds several times a week on his patients at Garden City Hospital with Amy Tittle, a surgical nurse practitioner who assists with patients and surgeries. But this time was different. He was with a Crain’s reporter who had permission to take notes of doctor-patient interactions and later that day witnessed a spinal fusion surgery on Angela French, a school librarian who traveled with her husband, Dave, from the Michigan Thumb to have her painful back surgically repaired. Jagannathan is one of two neurosurgeons at Garden City, a for-profit hospital owned by Prime Healthcare of California. The other is Y.S. Mohan, who also is on staff at eight-hospital Beaumont Health. A third doctor, orthopedic surgeon Stanley Lee in West Bloomfield Township, also performs back surgeries at the hospital. “Last October, (Angela) began having severe pain. She had physical therapy and shots, but it wasn’t helping. She works at a school and is on her feet constantly. It got worse. There was too much pain, so she asked me to do surgery,” said Jagannathan, who has had an on-call contract at Garden City since 2015. Jagannathan do...