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In the context of a social market economy, one of the aspects of managing the economyof a health establishment is the analysis of its costs — from the point of view of production and saleof the product of the institution.The problem of efficient use of available resources and optimization of financial results ofhospitals due to their chronic lack of financial resources is currently relevant.One of the leading characteristics of a social market economy is that it connects the creativeforces of the free market with the protective measures of social legislation.The purpose of this study is to analyze the dynamics of the costs for the activity of the hospitalsof Municipal multi-profile hospitals for active treatment of the public health system in the Republicof Bulgaria in the conditions of social market economy.Municipal hospitals are the only sustainable healthcare facilities with significant capacity toprovide affordable healthcare.

DYNAMICS OF EXPENDITURE ON THE ACTIVITY OF MUNICIPAL MULTIPROFILE HOSPITALS