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HEALTH CARE FACILITY LICENSING AND CERTIFICATION​​​​​​​

General Acute Care Hospitals and Acute Psychiatric Hospitals

Chang​​e of Stock Transfer/Indirect Ownership

Required Documents

Online Application PDF Form

  • Embedded and generated by online system

Stock Purchase Information 

  • ​Stock Purchase Agreement that is signed by the buyer and seller

Construction/Other Documentation

  • Organizational chart displaying the following information: applicant’s owners, directors, board members, corporate officers, LLC members/managers, and partners 

    • The organizational chart needs to include all entities that have 5% or more direct and indirect ownership.

  • Purchase Agreement

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