Graubünden: hospitals' finances return to service (cross-border guide)

Context

In a nutshell

• Growing profits for many health facilities in Grisons in 2025
• Operational improvement thanks to new efficiency strategies
• Samedan inaugurates the new Sanadura management body after months of uncertainty
• Future investments secured by solid balance sheets in different centres

Key facts

• What: Financial statement 2025 of Grison hospitals
• When: Accounting year ended 31 December 2025
• Where: Canton of Graubünden
• Who: Cantonal Hospital of Chur, CSVP, Bregaglia Health Centre and other facilities
• Amount: CHF 8.7 million profit for the Cantonal Hospital of Chur

The health panorama of the Canton of Graubünden has experienced a 2025 marked by economic stabilisation. After a previous year characterized by widespread budgetary difficulties, most of the local hospitals and health centers have managed to reverse course, returning to generate profits or significantly reducing historical deficits. The Cantonal Hospital of Graubünden, the reference health facility for the entire territory, closed the year with a profit of CHF 8.7 million. Management attributed this positive outcome to a rigorous improvement of operational processes and more efficient management of internal resources. This is a significant leap in quality compared to 2024, when the structure had closed with a slight deficit of 339,000francs, despite an operating turnover of 543.4 million francs.

Dynamics

Operational details

Analysis of Management Scenarios

The financial recovery observed in the Grigioni is not uniform, but the result of targeted management strategies. While some structures have benefited from extraordinary public interventions, others have had to implement drastic cost containment measures. The case of the Savognin healthcare center is emblematic: the operating result of nearly 2.4 million Swiss francs was achieved thanks to public contributions and a review of performance. Starting from next year, a new performance agreement will come into effect, which provides for an annual payment of 500,000 Swiss francs by the municipality of Surses, subject to maintaining a liquidity of less than 2.5 million Swiss francs. This safeguard clause represents an interesting model of risk management for local Swiss administrations.

Challenges and Restructurings

Not all structures have had a linear path. The Samedan hospital has faced an extremely complex situation, marked by the failure of two distinct rescue plans. The situation was only resolved after a favorable vote in February, which led to the creation of the 'Sanadura' management entity, active since last April. The system now relies on performance agreements totaling 19.5 million Swiss francs, involving the hospital, the nursing home, and the Spitex service. The dynamics in Alta Engadina demonstrate how the fragmentation of healthcare services can threaten sustainability, requiring consolidation processes such as the integration into the Spital Oberengadin society, linked to the group of the Coira Canton Hospital.

…

Key points

How to interpret the health accounts for citizens and patients in Ticino

For residents in Ticino, the financial stability of a hospital is a key indicator of the quality and continuity of the services it offers. When a facility like the CSVP holds a capital stake of 77%, it ensures a greater ability to invest in technological upgrades and new infrastructure, such as the expansion of the San Sisto Hospital. The transparency of annual reports is essential to understand whether the management is focusing on operational efficiency or an excessive dependence on state subsidies. The monitoring procedure of the accounts, which often involves local communities and cantonal authorities, ensures that resources allocated to LAMal/KVG are used optimally.

Steps to monitor local health

If you want to delve deeper into the situation of the hospital in your region, you can consult the annual reports published on the official websites of individual healthcare centers or through the portals of the local communities. For those involved in financial planning or assessing the impact of public contributions on tax pressure, it is useful to analyze the aggregated data provided by the federal statistics office. In Switzerland, the management of hospitals is subject to strict regulations that ensure a balance between the right to health and economic sustainability. It is also possible to use the calculator to understand how the tax burden, which indirectly supports the healthcare system through cantonal taxes, affects your net income.

…