Public hospitals in excessive debt France

In 2020, nearly a third of public hospitals in France were overly indebted. Moreover, excessive debt within the French public hospital sector has increased since 2015. In 2018, a record 38 percent of public hospitals in France were excessively indebted. Excessive debt refers to the hospital's financial independence and the length and extent of its debt.

Share of over-indebted public hospitals in France from 2005 to 2020

Characteristic	Share of excessively indebteded hospitals
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Release date

September 2022

More information

Region

France

Survey time period

2005 to 2020

Number of respondents

826 respondents

Special properties

public hospitals

Supplementary notes

Includes Saint-Martin and Saint-Barthélemy
Excludes Army Health Services (SSA)

Excessive debt refers to three criteria, as defined in article D.6145-70 of the Public Health Code: a financial independence ratio, reporting the outstanding debt term to permanent capital, which exceeds 50%; an apparent duration of the debt that exceeds ten years; an exceptional debt relative to the institution's revenue, all activities combined, greater than 30%. The combination of at least two criteria defines a situation of over-indebtedness.

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