I. – Public health institutions whose total income from the main profit and loss account, as recorded at the time of approval of the financial account, is equal to or greater than one hundred million euros for three consecutive financial years, are subject to certification of their accounts.
Certification applies to the accounts for the financial year following approval of the financial account for the last of these three financial years.
II. – When the accounts of an institution subject to certification show total income from the main profit and loss account of less than one hundred million euros during the third, fourth and fifth years of the mandate of the body responsible for certification, the institution is no longer subject to the obligation to certify its accounts at the end of the six-year period provided for in article R. 6145-61-2.