Title IV: Public health establishments

The establishment’s multi-annual global financing plan, drawn up by the Director, defines the multi-annual financial guidelines for the establishment. It sets out all of the establishment’s projected expenditure and revenue for a minimum period of five years, both in terms of operations and investment, and presents the projected changes in the establishment’s gross margin, cash flow, working capital, working capital requirements and cash position over the period for which it…

The multi-annual global financing plan is revised each year and sent to the Director General of the Regional Health Agency for approval at the same time as the budget. The plan is updated as necessary during the financial year, when a new operation is included in the investment programme or when the revenue and expenditure forecasts are substantially modified. The updated plan is sent to the Director General of the…

In the event of a decision to make a capital contribution to the companies mentioned in article R. 6145-74, the amount of which exceeds a threshold set by order of the ministers responsible for health and the budget, the chief executive officer of the university hospital centre shall revise the multi-year global financing plan and submit the revised plan to the chief executive officer of the regional health agency for…

The revised multiannual global financing plan for the year is deemed to be approved if the Director General of the Regional Health Agency has not objected within thirty days of receipt. The Director General of the Regional Health Agency may object to the draft multiannual global financing plan on one or more of the following grounds: 1° The projected results for the last financial year of the plan show a…

The Director General of the Regional Health Agency may also object to the draft multiannual global financing plan when the financial contributions to the companies mentioned in article R. 6145-74 of a university hospital centre present a financial risk that is clearly incompatible with maintaining or improving the institution’s financial situation.

To assess changes in results and the levels of investment and debt referred to in 1° and 2° of Article D. 6145-67, the Director General of the Regional Health Agency takes into account the structure of the balance sheet, the apparent duration of debt, cash flow and its contribution to the financing of investments, as well as changes in results, gross margin, off-balance sheet commitments and the renewal of fixed…

Where the Director General of the Regional Health Agency has objected to the multi-annual global financing plan, the director of the institution shall draw up a new plan which takes account of the reasons for the objection of the Director General of the Regional Health Agency, within a period set by the latter which may not exceed three months. The Agency’s Director General then has one month to examine the…