hospital was a safety net hospital, as defined pursuant to § 5-5e.1 of the Illinois Public Aid Code, at the time the Review Board approved the closure of the previously discontinued general acute care hospital, or had a Medicaid inpatient utilization rate in excess of 40% as determined by the Department of Healthcare and Family Services in the last rate year prior to the time the Review Board approved the closure of the previously discontinued general acute care hospital;

hospital surrendered its general acute care hospital license to the Department of Public Health between January 1, 2019 and December 31, 2020;

re-establish the same number of total authorized beds as were previously authorized by the Department of Public Health at the previously discontinued general acute care hospital;

discontinued general acute care hospital commits to spend at least $20,000,000 to re-establish the previously discontinued general acute care hospital, which would include the cost of land acquisition, building acquisition, new construction, and new equipment;

discontinued general acute care hospital will adopt and maintain for at least a period of 2 years a charity care policy that is no less restrictive than was in place at the previously discontinued general acute care hospital;

discontinued general acute care hospital will accept Medicaid and Medicaid managed care patients; and

discontinued general acute care hospital will agree to maintain ownership of the re-established general acute care hospital for no less than 5 years after the re-established general acute care hospital has been issued a new general acute care hospital license from the Department of Public Health.