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

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Article R6133-21

French Public Health CodeIn force

Updated 31 Oct 2023

I.-In application of the third paragraph of article L. 6133-8, the Director General of the Regional Health Agency decides on the applicable fee scale, after taking note of the option expressed by the group, within one month of receiving it.

To this end, the Director General of the Regional Health Agency assesses the justifications provided by the group on the basis of the following criteria:

1° The legal nature of the majority of members ;

2° The tariff scale of the majority of members;

3° The fee scale applicable to members with a majority shareholding;

4° The scale of charges applicable to members with a majority share of the grouping's operating costs;

5° The fee scale applicable to the majority share of the grouping's forecast activity.

In the event of disagreement with the tariff proposed by the grouping, the Director General of the Regional Health Agency will inform the grouping of the reasons for his disagreement within the time limit mentioned in the first paragraph. The group then has the same period in which to substantiate or modify its choice.

In the absence of an agreement between the group and the Director General of the regional health agency, or in the absence of an option exercised by the group, the Director General of the regional health agency decides on the applicable fee scale on the basis of the criteria mentioned above.

II - The scale of charges set in this way is included in the grouping's founding agreement and is valid for the entire duration of the grouping as a health establishment, unless there are changes to the grouping's membership. Any change to the scale of charges applicable to the grouping is the subject of a decision adopted unanimously by the members and approved by the Director General of the Regional Health Agency in accordance with the procedures defined in this article.

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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