In its meeting of April 5, 2023, the management of the Louis-Constant Fleming hospital center presented to the Supervisory Board its budget proposal for 2023 as well as a 6-year projection of the evolution of expenses and income.
The entire hospital community has been put to the test for more than 2 years. Once again, we must thank the staff for their dedication and involvement. After the years linked to the health crisis, the establishment has been operating more serenely since the beginning of 2022. All services have resumed normal activity in the service of the population. The trend started at the end of 2022, the stabilization of the workforce and the arrival of new doctors and surgeons make it possible to envisage an increase in activity that always responds, and better and better, to the needs of and on the territory. It is the coverage of these needs that is expressed through the provisional budget. For 2023, it amounts to just over €52 million, it is up by €1,862 million or 3,71%. Since 2019, €6,150 million has therefore been injected to improve the operation of the establishment, i.e. a little over 13,4%.
Staff costs represent 62% of the budget. They will increase in 2023 by just over €1,1 million. They are progressing faster than other expenses since they have increased by 16% in 4 years, or almost €5,5 million.
However, medical expenses (drugs and medical devices) are not left out, increasing by 5,3% for the year 2023 alone and by 37% over 4 years.
This strong increase is linked to the increase in the establishment's activity, to new services such as the new chemotherapy activity, but also to the renewal of markets for more efficient medical devices.
Unfortunately, the establishment also suffers the consequences of inflation, particularly on hotel and general expenses. Insularity has important consequences on this chapter of expenditure. As a percentage, it is higher than in metropolitan establishments due to the cost of shipments and the need to have large stocks, particularly in anticipation of the hurricane season.
Thanks to the efficiency of its services and management, the establishment is on the way to a financial recovery that allows it to look to the future with optimism. Indeed, the deficit which was €5,4 million in 2018, i.e. nearly 12% of the budget, is announced in 2023 at €2,3 million, i.e. a reduction of more than half, with a prospect of a return to equilibrium. in 2026 linked in particular to the extension of the hospital and the new services planned there. These forecasts are very cautious and if the establishment continues its momentum, it is very likely that this result will improve further.
If the hospital budget is almost entirely financed by social security, it is thanks to this virtuous tendency that the establishment can continue to make projects. It is indeed these good results that establish the confidence of our partners and guardians and that enable it to obtain support and funding from the STATE, the ERDF and banking and financial organisations.
And thanks to this support, this year, more than €8 million in investment is planned, including €2,7 million for the start of extension work, but also the continuation of the renewal of current equipment, the replacement of the oxygen plant, the replacement of sterilization autoclaves, the reorganization of the emergency department, etc.
It is on the basis of these good prospects that the Supervisory Board, chaired by Chairman Louis Mussington, unanimously adopted the 2023 budget.
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