business areas » with a greater autonomy;Replacement of the budget by a statement of estimates of revenues and expenditures Establishment of procedures in case of financial problems. 2009 reform : Modification of the governance of public health care institutions by setting up a director with a board of directors and a supervisory board;No more executive council. Administrative organization: The Director is the legal representative of the public health care institution. He has important responsibilities and is mainly responsible for the day-to-day management of the hospital, under the supervision of the supervisory board; The board of directors is chaired by the director. There are between 7 and 9 members. It advises the director and must be consulted on certain decisions; The supervisory board, with only 9 members, supervises the activity of the institution and adopts certain decisions; The « Medical Board » is the body representing the medical and pharmaceutical staff of the institution. It is consulted on the principal projects and plays an evaluation role; The « technical committee » is the body of representing of the non-medical staff; The « Health, safety and working conditions » committee. In 2020, with the coronavirus crisis, we can see a health crisis. Indeed, between 2006 and 2016, 64 000 beds had been removed. There was also a « wage freeze » and budgetary constraints. It has been a problem during the coronavirus crisis because public hospitals have been needed more than ever, with not enough beds to cope with the huge number of sick people. University-affiliated hospital (CHU in French) : It is a public hospital that is working with a university. Their purpose is to teach medicine to students, and to practice research. They have been created in 1958 in France. The creation of university hospital centres has led to the emergence of a mixed hospital and university status for employees (doctors, ...). They are attached to a hospital department and a university department, usually within a research laboratory. Among this staff, there are : professors, university lecturers, doctors, clinic managers, ... According to the World Health Organization, in 2014, total expenditure on health reached 11.5% of GDP, i.e. $4,508 per capita. Germany German healthcare system consists of public hospitals (55 percent of total hospitals), voluntary charitable hospitals (38 percent of total hospitals) and private hospitals (7 percent of total hospitals). In Germany, public hospitals are run by local or federal