House Bill 4087 amends the charter for the Highlands County Hospital District by establishing new requirements for the Board of Commissioners concerning lease or management agreements with both not-for-profit and for-profit corporations. The bill mandates that the board conduct a public evaluation to assess the benefits of leasing or selling the hospital's assets, ensuring that any agreement serves the community's best interests. This evaluation process includes contracting independent entities for assessments, publishing relevant documents on the hospital district's website, and holding public meetings for community input. Additionally, the board must disclose any conflicts of interest and publish all agreements and supporting documents for public review prior to voting on any proposed agreements.

The bill also introduces specific requirements for the sale of hospitals, requiring the board to make a written determination to accept a proposal after considering all options and negotiating with a qualified purchaser. This determination must include detailed findings and must be approved in a public meeting by a majority vote. If the sale is approved, the agreement must be filed with the Department of Commerce within ten days, and the board must notify the department of the sale within thirty days after the transfer of assets and liabilities. The legislation allows interested parties to seek judicial review of the board's decisions, focusing on procedural compliance, and aims to enhance accountability and public engagement in the management of the Highlands County Hospital District.