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Article 42-2

第四十二条の二

A medical corporation that has received authorization from the prefectural governor as falling under the following requirements, pursuant to the provisions of a Cabinet Order (hereinafter referred to as "social medical corporations") may undertake operations as prescribed by the Minister of Health, Labour and Welfare (hereinafter referred to as "profit-making activities"), for the purpose of allocating its proceeds to the administration of a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care established by the relevant social medical corporation, pursuant to the provisions of its articles of incorporation or act of endowment, provided that this does not hinder the operation of the hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care the relevant medical corporation has established (including hospitals, etc. managed by a designated administrator):

医療法人のうち、次に掲げる要件に該当するものとして、政令で定めるところにより都道府県知事の認定を受けたもの(以下「社会医療法人」という。)は、その開設する病院、診療所、介護老人保健施設又は介護医療院(指定管理者として管理する病院等を含む。)の業務に支障のない限り、定款又は寄附行為の定めるところにより、その収益を当該社会医療法人が開設する病院、診療所、介護老人保健施設又は介護医療院の経営に充てることを目的として、厚生労働大臣が定める業務(以下「収益業務」という。)を行うことができる。

no more than one-third of the total number of officers is composed of the officer, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the officer as specified by an Order of the Ministry of Health, Labour and Welfare.;

役員のうちには、各役員について、その役員、その配偶者及び三親等以内の親族その他各役員と厚生労働省令で定める特殊の関係がある者が役員の総数の三分の一を超えて含まれることがないこと。

no more than one-third of the total number of members of an associated medical corporation is composed of the member, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the member as specified by an Order of the Ministry of Health, Labour and Welfare;

社団たる医療法人の社員のうちには、各社員について、その社員、その配偶者及び三親等以内の親族その他各社員と厚生労働省令で定める特殊の関係がある者が社員の総数の三分の一を超えて含まれることがないこと。

no more than one-third of the total number of councillors of an associated medical corporation is composed of the councillor, their spouse, their relatives within the third degree of kinship, or other persons who have a special relationship with the councillor as specified by an Order of the Ministry of Health, Labour and Welfare;

財団たる医療法人の評議員のうちには、各評議員について、その評議員、その配偶者及び三親等以内の親族その他各評議員と厚生労働省令で定める特殊の関係がある者が評議員の総数の三分の一を超えて含まれることがないこと。

it carries out operations related to activities to ensure emergency medical care (limited to those listed in the medical care plan prepared by the prefecture of the hospital or clinic established by the relevant medical corporation; the same applies in the following Article) in the prefecture (in the case of a medical corporation listed in (a) or (b) below, the prefecture specified in (a) or (b) respectively) in which the relevant hospital or clinic is situated;

救急医療等確保事業(当該医療法人が開設する病院又は診療所の所在地の都道府県が作成する医療計画に記載されたものに限る。次条において同じ。)に係る業務を当該病院又は診療所の所在地の都道府県(次のイ又はロに掲げる医療法人にあつては、それぞれイ又はロに定める都道府県)において行つていること。

a medical corporation that establishes hospitals or clinics in two or more prefectures (excluding those listed in (b)):All prefectures where the relevant hospitals or clinics are located; or

二以上の都道府県において病院又は診療所を開設する医療法人(ロに掲げる者を除く。) 当該病院又は診療所の所在地の全ての都道府県

a medical corporation that establishes hospitals in one prefecture and clinics in the area prescribed in Article 30-4, paragraph (2), item (xiv) specified in the medical care plan of the prefecture other than the prefecture where the relevant hospitals are located, which is adjacent to the area prescribed in the same item specified in the medical care plan of the prefecture where the relevant hospitals are located, and medical care in the relevant hospitals and the relevant clinics is provided in an integrated manner in conformity with the standards specified by an Order of the Ministry of Health, Labour and Welfare:The prefecture where the relevant hospitals are located;

一の都道府県において病院を開設し、かつ、当該病院の所在地の都道府県の医療計画において定める第三十条の四第二項第十四号に規定する区域に隣接した当該都道府県以外の都道府県の医療計画において定める同号に規定する区域において診療所を開設する医療法人であつて、当該病院及び当該診療所における医療の提供が一体的に行われているものとして厚生労働省令で定める基準に適合するもの 当該病院の所在地の都道府県

the operations set forth in the preceding item comply with the standards prescribed by the Minister of Health, Labour and Welfare with regard to the following particulars:

前号の業務について、次に掲げる事項に関し厚生労働大臣が定める基準に適合していること。

the buildings and equipment of the hospitals or clinics engaged in the relevant operations;

当該業務を行う病院又は診療所の構造設備

the system by which the relevant operations are undertaken; and

当該業務を行うための体制

the outcome of the relevant operations;

当該業務の実績

beyond what is listed in each of the preceding items, particulars that comply with the requirements set out by an Order of the Ministry of Health, Labour and Welfare with regard to public operations; and

前各号に掲げるもののほか、公的な運営に関する厚生労働省令で定める要件に適合するものであること。

it is stipulated in the articles of incorporation or the act of endowment that any residual assets at the time of dissolution will belong to the national government, local government, or another social medical corporation.

定款又は寄附行為において解散時の残余財産を国、地方公共団体又は他の社会医療法人に帰属させる旨を定めていること。

In granting the authorization set forth in the preceding paragraph, the prefectural governor must hear the opinions of the Prefectural Council on Medical Service Facilities in advance.

都道府県知事は、前項の認定をするに当たつては、あらかじめ、都道府県医療審議会の意見を聴かなければならない。

Accounting for profit-making activities are to be kept separate from accounting for the operation of a hospital, clinic, long-term care health facility, or integrated facility for medical and long-term care established by the relevant social medical corporation (including a hospital, etc. managed by a designated administrator), and from operations listed in each item of the preceding Article, and must be accounted for in a special account.

収益業務に関する会計は、当該社会医療法人が開設する病院、診療所、介護老人保健施設又は介護医療院(指定管理者として管理する病院等を含む。)の業務及び前条各号に掲げる業務に関する会計から区分し、特別の会計として経理しなければならない。

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