Paragraph 3: Groupement de coopération sanitaire (healthcare cooperation group) set up as a healthcare establishment

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Article R6133-18

French Public Health CodeIn force

Updated 31 Oct 2023

I - When the Director General of the Regional Health Agency grants a healthcare activity authorisation to a private health cooperation grouping, the private health establishment resulting from the grouping continues to be governed by the rules governing health cooperation groupings and is required, in addition, to comply with the rules applicable to private health establishments.

II - When the Director General of the Regional Health Agency grants a healthcare activity authorisation to a public health cooperation grouping, the public health establishment resulting from the grouping replaces the latter in all its rights and obligations and sets up the bodies mentioned in article L. 6133-7. It is subject to the budgetary, financial and accounting rules defined by the provisions of Chapter V of Title IV of Book I of this Part. A director is appointed under the conditions set out in article L. 6143-7-2.

By way of derogation from article R. 6144-3, the establishment medical commission of this public health establishment includes, in addition to the members mentioned in this article, representatives of self-employed or salaried medical professionals from member health establishments or services, who carry out all or part of their activity within it. The distribution and number of seats on the commission are determined in accordance with article R. 6144-3-2.

The transformation of the accounting and budgetary rules of the public law health cooperation grouping into a public health establishment takes effect on 1st January of the year following the decision of the Director General of the Regional Health Agency mentioned in the first paragraph.

Mariela Petrova

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Working with a corporate lawyer in France — Q&A

Any time a strategic decision changes how the company is owned, governed or contractually bound — incorporation, fundraising, M&A, restructuring, shareholder agreements, or major commercial contracts. Earlier engagement always costs less than later remediation.

A notary (notaire) is a public officer who authenticates specific deeds (mainly real-estate transfers and certain family-law acts). A corporate lawyer (avocat) advises on strategy, negotiates and drafts company documents, and represents you in disputes. The two roles complement rather than overlap.

Yes — most of our clients are foreign suppliers, investors or holding entities. We bridge the gap between French law and your home jurisdiction's expectations and deliver everything bilingually.

The SAS (Société par Actions Simplifiée) is the default choice for most international structures: flexible governance, single shareholder allowed, no minimum capital, and works cleanly with foreign holding entities. We assess SARL, SA, SCI on the merits when the situation calls for it.

Yes — communications with a French avocat are protected by the secret professionnel (Article 66-5 of the Law of 31 December 1971). This protection is broader than the common-law attorney-client privilege and applies to written and oral exchanges.

We work on fixed fees for clearly scoped engagements (incorporation, contract drafting, audits) and on monthly retainers for ongoing advisory. Hourly billing is the exception, not the default. You always know the cost before work starts.

Typical timeline is 2–3 weeks from KYC kick-off to RCS registration, assuming standard documentation. Holding-company structures, foreign-shareholder identification or in-kind contributions can extend this — we flag the gating items at the first meeting.

Absolutely. We routinely coordinate with your in-house counsel, expert-comptable or notaire — pragmatic collaboration is the norm, not the exception. We send them everything they need to do their part without duplicating work.

Mariela Petrova

Mariela Petrova

Avocate au Barreau de Paris

Toque #C2396

15+ Years In Corporate Practice

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Communications protected by professional secrecy — secret professionnel de l'avocat, Article 66-5 of the Law of 31 December 1971.

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