A medical project to sustain healthcare services
The clinique de l’Espérance rises from the ashes of the former hôpital Sainte-Marguerite.
Following the fire at the hôpital Sainte-Marguerite, the Almaviva Santé group has relaunched operations under the name clinique de l'Espérance. Nearly two years after the fire that destroyed its premises and led to its closure, the former private hospital Toulon Hyères Sainte-Marguerite is writing a new chapter in its history. Acquired by the Almaviva Santé group, the establishment, now named "clinique de l'Espérance", has obtained authorization from the Agence Régionale de Santé (ARS) to restart its activities and rebuild an essential healthcare offering for the local Hyères population.
110 JOBS The fire, which occurred during the night of May 24 to 25, 2024, had led to the complete cessation of activity, the suspension of authorizations, and receivership proceedings. On May 7, 2025, the tribunal de commerce de Toulon validated the recovery plan in favor of the Almaviva Santé group, conditional on obtaining new authorizations from the ARS. This acquisition project has also preserved 110 jobs, a major social achievement for the region.
As a result, the ARS Provence-Alpes-Côte d'Azur issued several strategic authorizations throughout 2025. As early as April 28, decisions confirmed the resumption of chronic kidney failure treatment by hemodialysis, as well as adult medicine and surgery services. An additional authorization, dated December 3, 2025, approved the new location of the hemodialysis center on the very site of the clinique de l'Espérance.
The core of the new clinic relies on an extensive surgical offering, both in full hospitalization and outpatient care. The authorized specialties cover a wide spectrum of needs: maxillofacial surgery, stomatology, and oral surgery; vascular and endovascular; visceral and digestive; gynecology (excluding childbirth); ophthalmology; otorhinolaryngology (ENT); urology; orthopedic and trauma surgery; and finally, plastic and reconstructive surgery. The facility is also authorized to perform specific technical procedures, notably the insertion of suburethral slings to treat female urinary incontinence and the placement of implants for pelvic organ prolapse, in accordance with the provisions of the Code de la santé publique.
During the ramp-up phase, the clinic will deploy a significant capacity. The medical project plans for a medicine ward of about 20 beds, a full surgery ward of 20 to 30 beds, and a continuous monitoring unit of 15 beds. For shorter interventions, an outpatient surgery and endoscopy service will offer 30 places.
The dialysis center, although temporarily relocated to Toulon, will eventually have 25 stations, including an emergency bay. All hospitalization services will be distributed between the second and third floors of the renovated building.
The clinic will not operate in isolation. To guarantee comprehensive and seamless patient care, it has established agreements with key players in the local healthcare landscape. A partnership has been set up with the Centre Hospitalier Intercommunal de Toulon-La Seyne-sur-Mer (CHITS) for access to adult critical care units.
Other agreements ensure access to medical imaging (IMASUD), medical biology (Cerballiance), pathology (Médipath), and blood product supply (EFS). By integrating into the local emergency network and developing ties with community healthcare services such as the Dispositifs d'Appui à la Coordination (DAC) and the Communautés Professionnelles Territoriales de Santé (CPTS), the clinic will strengthen the vital link between the hospital and community medicine.
Photos: Philippe OLIVIER.