Question 12177 — health establishments

Summary

Mrs. Hélène Laporte alerts the Minister of Health, Families, Autonomy and People with Disabilities to the critical financial situation of the Marmande-Tonneins intercommunal hospital center (CHIMT). Between 2021 and 2025, the deficit in the accounting result excluding financial aid of the establishment tripled, going from 4 to 12 million euros and from 5.83% to 16.82% (probably exceeding 17% as of December 31, 2025) of its products. To the closing of the 2024 financial year, the CHIMT deficit thus constituted the largest in the Nouvelle-Aquitaine region in rate and the third largest in absolute value. For 2025, the CHIMT should present the second deficit, both in rate and in absolute value, behind the Villeneuvois health center. The gross margin rate excluding aid amounted to -9% in 2024 and should reach -14.5% in 2025. Thus, the operation The hospital's current operations are clearly in deficit. Cash flow support (amounting to 9.6 million euros in 2025, making CHIMT the most supported hospital center in the region) is no longer enough to compensate for a deficit that has entered into an irreversible upward trend. In this context, the management of the hospital center finds itself in the need to request the placement of the structure under provisional administration in order to to clean up its accounts. This prospect naturally raises serious concerns both among hospital staff and the population of the Marmandais and Toninquais basins, already faced with a situation of constant deterioration in access to care. While the hospital's activity in medicine, surgery and obstetrics has been stable since 2020, around 13,000 stays per year, the pursuit of a financial recovery objective makes fear a reduction in the number of beds, the number of nursing staff and places within the training institute for health professionals. The inevitable result of such a development would be a further deterioration in access to care, within the limits of tolerability, not only for the population of the Marmandais and Toninquais basins, but for the whole of Lot-et-Garonne. In this context, she questions him about the decisions that it intends to take to guarantee the continuation of the healthcare offer in Marmande and Tonneins despite the critical situation of the hospital center and to enable the financial viability of such a structure which constitutes the reference health center for a population area of ​​85,000 inhabitants.

Machine translation from French. The official text remains authoritative.

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