Article
2. Health Facilities
5914.
(a)
Any nonprofit corporation that is subject to the public benefit corporation law and is a health facility, as defined in Section 1250 of the Health and Safety Code, or is a facility that provides similar health care, shall be required to provide written notice to, and to obtain the written consent of, the Attorney General prior to entering into any agreement or transaction to do either of the following:
(1)
Sell, transfer, lease, exchange, option, convey, or otherwise dispose of, its assets to a for-profit corporation or entity or to a mutual benefit corporation or entity when a material amount of the assets of the public benefit corporation are involved in the agreement or transaction.
(2)
Transfer control, responsibility, or governance of a material amount of the assets or operations of the nonprofit public benefit corporation to any for-profit corporation or entity or to any mutual benefit corporation or entity.
(b)
The notice to the Attorney General provided for in this section shall include and contain the information the Attorney General determines is required.
(c)
This article shall not apply to a public benefit corporation if the agreement or transaction is in the usual and regular course of its activities or if the Attorney General has given the corporation a written waiver of this article as to the proposed agreement or transaction.
5915.
Within 60 days of the receipt of the written notice required by Section 5914, the Attorney General shall notify the public benefit corporation in writing of the decision to consent to, give conditional consent to, or not consent to the agreement or transaction. The Attorney General may extend this period for one additional 45-day period, provided the extension is necessary to obtain information pursuant to subdivision (a) of Section 5919.
5916.
Prior to issuing any written decision referred to in Section 5915, the Attorney General shall conduct one or more public meetings, one of which shall be in the county in which the facility is located, to hear comments from interested parties. At least 14 days before conducting the public meeting, the Attorney General shall provide written notice of the time and place of the meeting through publication in one or more newspapers of general circulation in the affected community and to the board of supervisors of the county in which the facility is located.
5917.
The Attorney General shall have discretion to consent to, give conditional consent to, or not consent to any such agreement or transaction described in subdivision (a) of Section 5914. In making the determination, the Attorney General shall consider any factors that the Attorney General deems relevant, including, but not limited to, whether any of the following apply:
(a)
The terms and conditions of the agreement or transaction are fair and reasonable to the nonprofit public benefit corporation.
(b)
The agreement or transaction will result in inurement to any private person or entity.
(c)
Any agreement or transaction that is subject to this article is at fair market value. In this regard, “fair market value” means the most likely price that the assets being sold would bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and in their own best interest, and a reasonable time being allowed for exposure in the open market.
(d)
The market value has been manipulated by the actions of the parties in a manner that causes the value of the assets to decrease.
(e)
The proposed use of the proceeds from the agreement or transaction is consistent with the charitable trust on which the assets are held by the health facility or by the affiliated nonprofit health system.
(f)
The agreement or transaction involves or constitutes any breach of trust.
(g)
The Attorney General has been provided, pursuant to Section 5250, with sufficient information and data by the nonprofit public benefit corporation to evaluate adequately the agreement or transaction or the effects thereof on the public.
(h)
The agreement or transaction may create a significant effect on the availability or accessibility of health care services to the affected community.
(i)
The proposed agreement or transaction is in the public interest.
5918.
The Attorney General may adopt regulations implementing this article.
5919.
(a)
Within the time periods designated in Section 5915 and relating to those factors specified in Section 5917, the Attorney General may do the following:
(1)
Contract with, consult, and receive advice from any state agency on those terms and conditions that the Attorney General deems appropriate.
(2)
In his or her sole discretion, contract with experts or consultants to assist in reviewing the proposed agreement or transaction.
(b)
Contract costs shall not exceed an amount that is reasonable and necessary to conduct the review and evaluation. Any contract entered into under this section shall be on a noncompetitive bid basis and shall be exempt from Chapter 2 (commencing with Section 10290) of Part 2 of Division 2 of the Public Contract Code. The nonprofit public benefit corporation, upon request, shall pay the Attorney General promptly for all contract costs.
(c)
The Attorney General shall be entitled to reimbursement from the nonprofit public benefit corporation for all actual, reasonable, direct costs incurred in reviewing, evaluating, and making the determination referred to in this article, including administrative costs. The nonprofit public benefit corporation shall promptly pay the Attorney General, upon request, for all such costs.