Emprunts toxiques dans les hôpitaux publics

Les effets désastreux à long terme de la crise financière, puis économique de 2008 n’en finissent pas de se faire ressentir. Un exemple récent en témoigne : le député-maire de la commune de Saint-Maur-des-Fossés (Val de Marne) , Monsieur Henri PLAGNOL, a annoncé qu’il entendait soumettre à la délibération de son conseil municipal l’autorisation de porter plainte contre plusieurs établissements bancaires, sans que l’on sache au demeurant s’il s’agirait d’actionner la voie pénale ou la voie civile.

Les exemples les plus spectaculaires concernent les collectivités territoriales. Mais qu’en est-il des hôpitaux ?

L’encours de la dette de certains centres hospitaliers peut comprendre une part plus ou moins importante d’emprunts à taux dits « structurés ». La Cour des comptes a consacré de précieuses analyses à cette situation dans ses rapports publics annuels 2009 et 2010.

Aussi, en complément d’une charte de bonne conduite en date du 7 décembre 2009, a été prise une circulaire interministérielle n°IOCB1015077C du 25 juin 2010 consacrée aux produits financiers offers aux collectivités territoriales et à leurs établissements publics, elle-même précisée par l’instruction n°10-019-M0 du 3 août 2010 de la Direction générale des finances publiques.

L’intérêt d’un produit structuré réside dans le fait d’obtenir un taux d’intérêt moins élevé que le taux du marché proposé. Ce taux bonifié demeure stable tant que les conditions de marchés contractuellement définies au départ sont remplies. Il peut toutefois évoluer en défaveur d’une des parties au contrat si les conditions du marché ne sont plus identiques, ni propices au maintien de la formule définie initialement (taux de change entre deux monnaies qui évoluent, indice monétaire qui augmente, etc.).

Au départ, il s’agit pour les collectivités territoriales et les établissements hospitaliers d’un outil intéressant pour réaliser une gestion active de leur dette, jusqu’au jour où les conditions initiales ne sont plus réunies.

Le travail des Chambres régionales des comptes va notamment consister à mesurer la part d’emprunts structurés dans l’encours global de la dette. La moyenne nationale considérée comme un maximum a été fixée à 20% ((B. Fleury, Le contrôle des produits structurés par les chambres régionales des comptes : entre rappels à l’ordre et pédagogie, JCP A n°13, 28 mars 2011, 2106.)). Les rapports d’observations définitives tirent donc la sonnette d’alarme au-delà de ce seuil, et généralement quand il dépasse 50% de l’encours, ce qui est le cas par exemple du centre hospitalier Pôle Santé Sarthe et Loir, dont l’encours de la dette comprend 68,7% d’emprunts structurés, ce qui fait peser sur l’établissement des risques significatifs et durables, « éloignés de sa vocation et peu compatibles avec l’origine de ses financements. » ((CRC Pays de la Loire, 31 août 2010, p.2.))

Les magistrats financiers invitent généralement les organismes placés dans une telle situation à engager un processus d’apurement, d’assainissement par voie de renégociation, ce que les banques n’accepte pas facilement.

Pour aller plus loin, vous pouvez vous reporter au site de la revue Finances Hospitalières.

This Post Has 305 Comments

  1. My brother recommended I would possibly like this website.

  2. abogado dit :

    New program in prelaunch, set to begin paying DAILY on the 10th. Get in on the ground floor and be one of the first to start earning big. That means one week to build your team and make a huge payday on launch day! Double rotator guarantees success!

  3. Usually My spouse and i don at send ahead web sites, on the contrary I may possibly wish to claim that this particular supply in fact forced us to solve this. Fantastically sunny submit!

  4. I value the post. Really Cool.

  5. Good post. I learn something totally new and
    challenging on websites I stumbleupon everyday. It will always be useful to read
    through articles from other writers and practice something from other websites.

  6. the time to study or check out the material or web-sites we’ve linked to beneath the

  7. Thanks so much for the blog.Really looking forward to read more. Cool.

  8. Well I sincerely enjoyed reading it. This subject procured by you is very constructive for accurate planning.

  9. we came across a cool web-site which you may well delight in. Take a appear should you want

  10. Thanks-a-mundo for the article post. Awesome.

  11. Thank You For Your Info. I like to browse in various places on the internet, often I will go to Stumble Upon and read and check stuff out

  12. Very informative blog article.

  13. very handful of web sites that transpire to become in depth beneath, from our point of view are undoubtedly nicely worth checking out

  14. You have a very good layout for your blog i want it to use on my web page too

  15. A big thank you for your article.Really looking forward to read more. Will read on…

  16. Thanks again for the blog post.Really thank you! Cool.

  17. the glades dit :

    A round of applause for your article. Awesome.

  18. Well I definitely enjoyed studying it. This subject offered by you is very effective for correct planning.

  19. ZaidaKHice dit :

    Good means of telling, and pleasant paragraph to get information about my presentation subject matter, which i am going to
    deliver in college.

  20. MitchPDeraps dit :

    This paragraph offers clear idea in favor of the new visitors of blogging, that truly the way to do running a blog.

  21. Thanks so much for the article post.Really looking forward to read more. Will read on

  22. Jane dit :

    I’ll right away grasp your rss feed as I can not to find your e-mail subscription hyperlink or newsletter
    service. Do you have any? Kindly allow me recognize in order that I could subscribe.

    Thanks.

  23. very couple of websites that transpire to become in depth below, from our point of view are undoubtedly effectively really worth checking out

  24. Tax Attorney dit :

    Hi are using WordPress for your blog platform? I’m new to the blog
    world but I’m trying to get started and set up my own. Do
    you need any html coding knowledge to make your own blog?
    Any help would be greatly appreciated!

  25. Very informative article.Thanks Again. Want more.

  26. Really appreciate you sharing this blog.Really thank you! Fantastic.

  27. Savieo.com dit :

    Thank you ever so for you post.Really thank you! Fantastic.

  28. very handful of websites that transpire to become in depth below, from our point of view are undoubtedly effectively really worth checking out

  29. jobs in uae dit :

    Wow, great article.Really thank you! Great.

  30. nipple porn dit :

    Wow, great article post.Really looking forward to read more. Keep writing.

  31. Thank you ever so for you blog article.Really thank you! Fantastic.

  32. Here is a great Blog You might Uncover Interesting that we Encourage You

  33. Im obliged for the blog article.Much thanks again. Great.

  34. Saved as a favorite, I like your web site!

  35. This very blog is definitely awesome as well as diverting. I have found helluva interesting advices out of this blog. I ad love to go back every once in a while. Thanks a lot!

  36. that may be the end of this post. Here you will find some websites that we assume you will appreciate, just click the hyperlinks over

  37. Very nice post. I just stumbled upon your blog and wished to say that I ave really enjoyed surfing around your blog posts. After all I all be subscribing to your feed and I hope you write again soon!

  38. Adam and Eve dit :

    Here are some of the web sites we recommend for our visitors

  39. Very interesting information!Perfect just what I was looking for! аАТ’аЂа‹I have great faith in fools аАа’аАТ‚б‚Т€Т self confidence my friends call it.аАТ’аЂа› by Edgar Allan Poe.

  40. Sites of interest we’ve a link to

  41. Really informative article.Thanks Again. Will read on…

  42. exitcom.ru dit :

    My spouse and I stumbled over here coming from a
    different web page and thought I might as well check thikngs out.

    I like what I see so i am just following you. Look forward too looking
    into your web page yet again.

  43. I really liked your article.Thanks Again. Want more.

  44. Baler Manufacturers

    […]usually posts some extremely interesting stuff like this. If you’re new to this site[…]

  45. I savor, result in I found exactly what I used to be having a look for. You have ended my four day long hunt! God Bless you man. Have a great day. Bye

  46. escorts in uk dit :

    Your style is unique compared to other folks I have read stuff from. I appreciate you for posting when you have the opportunity, Guess I will just book mark this site.

  47. please go to the websites we adhere to, which includes this one particular, as it represents our picks from the web

  48. the time to read or visit the material or internet sites we’ve linked to below the

  49. You have made some decent points there. I checked on the internet for more information about the issue and found most people will go along with your views on this web site.

  50. You need to be a part of a contest for one of the most useful sites online. I am going to recommend this blog!

  51. Here are some of the web pages we suggest for our visitors

  52. that it appears they might be able to do that. We have, as

  53. TomWPadovani dit :

    I’ve been browsing online more than 2 hours today,
    yet I never found any interesting article like yours. It is actually
    pretty worth enough for me personally. Inside my view, if all web owners and bloggers made
    good content while you did, the net will likely be considerably more useful than previously.

  54. Thank you for your blog.Really thank you! Awesome.

  55. Your chosen article writing is pleasant.

  56. sex toy 2015 dit :

    please go to the internet sites we comply with, like this 1, because it represents our picks in the web

  57. You have made some really good points there. I checked on the net to learn more about the issue and found most people will go along with your views on this site.

  58. srs travels dit :

    to me. Nonetheless, I am definitely happy I came

  59. It is best to take part in a contest for among the best blogs on the web. I all recommend this site!

  60. always a huge fan of linking to bloggers that I really like but do not get a whole lot of link adore from

  61. Major thankies for the post.Really looking forward to read more.

  62. Today, I went to the beach front with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!

  63. Ridiculous quest there. What happened after? Take care!

  64. You, my friend, ROCK! I found exactly the info I already searched all over the place and simply could not find it. What a great web site.

  65. Sites of interest we have a link to

  66. 3 Vibrators dit :

    Sites of interest we have a link to

  67. very couple of sites that occur to be comprehensive beneath, from our point of view are undoubtedly properly really worth checking out

  68. If I issue my articles to my school document are they copyrighted or else do I have several ownership greater than them?

  69. Hi there! I know this is somewhat off-topic but I needed to ask. Does running a well-established website like yours take a large amount of work? I am brand new to writing a blog but I do write in my diary every day. I’d like to start a blog so I will be able to share my experience and views online. Please let me know if you have any kind of ideas or tips for brand new aspiring bloggers. Thankyou!

  70. Jake dit :

    FDA-approved testosterone formulations contain solution,
    gels, skin patch, intramuscular injection, pellets implanted under the
    skin, and a buccal system applied to the upper gum or
    internal cheek.

  71. Pretty nice post. I just stumbled upon your weblog and wished to say that I’ve truly enjoyed surfing around your blog posts. After all I’ll be subscribing to your feed and I hope you write again soon!|

  72. dim sum dit :

    we came across a cool site which you could possibly enjoy. Take a search if you want

  73. tickle dit :

    Oh my goodness! Amazing article dude! Thanks, However
    I am encountering issues with your RSS. I don’t know the reason why I
    can’t join it. Is there anyone else getting identical RSS issues?
    Anyone that knows the solution will you kindly respond?

    Thanks!!

  74. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three emails with the same comment. Is there any way you can remove me from that service? Many thanks!

  75. The information and facts mentioned within the write-up are several of the top obtainable

  76. kala jadoo dit :

    check beneath, are some absolutely unrelated web sites to ours, however, they may be most trustworthy sources that we use

  77. BLOG dit :

    For some, acne is such a big trouble, that they think of skipping institution or college.

  78. Google dit :

    Every as soon as in a whilst we pick out blogs that we read. Listed beneath are the most up-to-date sites that we decide on.

  79. AikoDEastern dit :

    Good post. I learn something totally new and challenging
    on websites I stumbleupon every day. It’s always useful to
    read content from other authors and practice a little something from their web sites.

  80. below youll discover the link to some web-sites that we assume you should visit

  81. Hi, the whole thing is going nicely here and ofcourse every one is sharing
    data, that’s genuinely excellent, keep up writing.

  82. Hi friends, pleasant post and fastidious arguments commented here, I am actually enjoying by these.

  83. please go to the internet sites we stick to, including this 1, as it represents our picks in the web

  84. Greetings! I know this is kinda off topic nevertheless I’d figured I’d ask.
    Would you be interested in exchanging links or maybe guest writing a blog post or vice-versa?
    My site covers a lot of the same topics as yours
    and I believe we could greatly benefit from each other. If you happen to be interested feel free
    to send me an email. I look forward to hearing from you!
    Awesome blog by the way!

  85. Excellent post! We will be linking to this great article on our website.
    Keep up the good writing.

  86. Wow, this paragraph is pleasant, my sister is analyzing
    these kinds of things, thus I am going to convey her.

  87. Its such as you read my thoughts! You seem to understand so much approximately this, like you wrote the e-book in it or something.
    I feel that you could do with some p.c. to force the message
    house a bit, however instead of that, this is magnificent blog.

    A fantastic read. I will definitely be back.

  88. Hey There. I found your weblog the use of msn. This is an extremely smartly written article.
    I’ll be sure to bookmark it and return to learn extra of
    your useful information. Thanks for the post. I will certainly return.

  89. LucilleUMaza dit :

    Hi! I’m at work surfing around your blog from my new apple iphone!
    Just wanted to say I love reading through your blog and look forward to all your posts!
    Carry on the outstanding work!

  90. Pretty nice post. I just stumbled upon your weblog
    and wished to mention that I’ve really loved surfing around your blog posts.
    In any case I will be subscribing to your
    rss feed and I am hoping you write once more soon!

  91. I am regular reader, how are you everybody? This paragraph posted at this site is
    in fact fastidious.

  92. Thanks , I have recently been searching for info about this topic for ages and yours is the greatest I’ve found out so far.
    But, what in regards to the bottom line? Are you positive concerning the source?

  93. always a major fan of linking to bloggers that I really like but dont get a whole lot of link appreciate from

  94. Every as soon as inside a although we pick blogs that we study. Listed below are the most up-to-date web sites that we choose

  95. Albertina dit :

    Unlike men,women have a naturally occurring increaswe in their testosterone
    levels, which normally happens after a hysterectomy, or during and after
    menopause.

  96. hey dit :

    I visited several websites but the audio quality for audio songs present at this web page is genuinely wonderful.|

  97. the time to study or check out the content material or internet sites we have linked to beneath the

  98. Jaguar dit :

    Here is a superb Weblog You may Obtain Exciting that we Encourage You

Leave A Reply