Health care institutions; key figures, finance and personnel

Health care institutions; key figures, finance and personnel

SIC 2008 Periods Large and medium-sized enterprises Number of enterprises (number) Large and medium-sized enterprises Personnel Jobs (number) Large and medium-sized enterprises Personnel Employees in FTE (number) Large and medium-sized enterprises Personnel Wages (incl. extra’s) (mln euro) Large and medium-sized enterprises Profit/loss account Operating returns Total operating returns (mln euro) Large and medium-sized enterprises Profit/loss account Operating returns Net turnover (mln euro) Large and medium-sized enterprises Profit/loss account Operating returns Other revenues Total other revenues (mln euro) Large and medium-sized enterprises Profit/loss account Operating returns Other revenues Subsidies (mln euro) Large and medium-sized enterprises Profit/loss account Operating returns Other revenues Other revenues not before mentioned (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Total operating costs (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Labour costs Total labour costs (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Labour costs Wages and salaries (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Labour costs Social security contributions (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Remuneration of self empl. Med. Spec. (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Depreciation fixed assets including... (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Other operating costs Total other operating costs (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Other operating costs Other personnel costs (mln euro) Large and medium-sized enterprises Profit/loss account Operating costs Other operating costs Operating costs not before mentioned (mln euro) Large and medium-sized enterprises Profit/loss account Operating results (mln euro) Large and medium-sized enterprises Profit/loss account Operating surplus (mln euro) Large and medium-sized enterprises Profit/loss account Exceptional results (mln euro) Large and medium-sized enterprises Profit/loss account Pre-tax results (mln euro) Large and medium-sized enterprises Balance sheet Assets Total assets (mln euro) Large and medium-sized enterprises Balance sheet Assets Intangible fixed assets (mln euro) Large and medium-sized enterprises Balance sheet Assets Tangible fixed assets (mln euro) Large and medium-sized enterprises Balance sheet Assets Financial assets (mln euro) Large and medium-sized enterprises Balance sheet Assets Stock (mln euro) Large and medium-sized enterprises Balance sheet Assets Short-term claims (mln euro) Large and medium-sized enterprises Balance sheet Assets Securities (mln euro) Large and medium-sized enterprises Balance sheet Assets Liquid assets (mln euro) Large and medium-sized enterprises Balance sheet Liabilities Total liabilities (mln euro) Large and medium-sized enterprises Balance sheet Liabilities Equity (mln euro) Large and medium-sized enterprises Balance sheet Liabilities Provisions (mln euro) Large and medium-sized enterprises Balance sheet Liabilities Long-term loans (mln euro) Large and medium-sized enterprises Balance sheet Liabilities Short-term loans (mln euro) Small enterprises Number of small enterprises (number) Small enterprises Personnel Jobs, small enterprises (number) Small enterprises Personnel Employees in FTE, small ent. (number) Small enterprises Personnel Wages (incl. extra’s), small ent. (mln euro) Small enterprises Self-employed Self-employed workers, small ent. (number) Small enterprises Self-employed Profit self-empl. workers, small ent. (mln euro)
86101 University hospitals 2020* 8 85,900 69,700 4,883 10,134 6,713 3,421 2,765 655 9,974 5,452 4,314 1,139 32 532 3,958 609 3,348 160 -89 71 9,028 146 4,866 231 335 2,254 36 1,160 9,028 3,083 538 2,917 2,490 0
86102 General hospitals 2020* 57 195,600 144,100 8,586 20,401 18,546 1,855 1,161 694 19,809 9,393 7,547 1,846 2,245 1,191 6,980 941 6,039 592 -250 342 16,305 291 10,177 143 571 3,423 4 1,695 16,305 5,092 667 5,836 4,711 0
86103 Specialised hospitals (not mental) 2020* 17 16,600 12,600 818 1,568 1,315 253 177 76 1,541 886 717 169 12 82 561 100 461 28 -13 15 1,393 11 847 5 45 288 11 186 1,393 447 26 410 510 0
86104 Mental health hospitals 2020* 141 88,000 68,550 4,035 6,677 6,106 571 423 148 6,547 4,480 3,609 871 0 230 1,837 598 1,240 130 -49 81 4,752 20 2,304 29 445 1,067 1 885 4,752 1,663 218 1,237 1,634 200 200 150 6 . .
Care for disabled persons 2020* 501 194,500 132,950 6,374 11,509 10,500 1,009 788 222 11,175 7,244 5,771 1,473 0 465 3,465 987 2,479 334 -78 256 8,430 18 5,432 35 23 791 4 2,127 8,430 3,507 331 2,282 2,309 1,950 2,750 1,600 67 . .
87901 Residential care for children 2020* 129 21,150 16,300 919 1,579 1,322 257 171 86 1,554 986 779 207 0 27 540 137 403 25 -5 20 860 4 307 6 5 256 2 280 860 321 42 180 316 1,000 450 250 12 . .
87902 Residential care for other persons 2020* 56 18,200 14,650 796 1,936 971 965 880 84 1,869 870 690 181 0 57 941 201 739 67 -2 64 1,021 5 569 4 3 168 0 273 1,021 297 92 267 365 150 150 100 4 . .
88991 Social work for children 2020* 88 9,950 8,200 497 809 681 128 105 24 801 527 417 110 0 7 267 88 178 7 0 7 261 4 22 0 3 74 0 159 261 80 18 5 158 . . . . . .
Residential and home care 2020* 1,006 454,750 274,100 12,462 21,890 20,126 1,765 1,146 618 21,183 13,834 11,025 2,809 25 819 6,505 2,352 4,153 707 -176 531 15,204 33 9,212 156 87 2,142 11 3,563 15,204 6,028 470 4,838 3,869 24,000 2,700 1,550 69 . .
Source: CBS.
Explanation of symbols

Table description


This table includes national statistics on income statements, balance sheet figures and staff of enterprises and groups of enterprises with main activity hospital care, mental residential health care, care for the disabled, nursing home care, home care, residential care for other persons and youth care.
The target population consists of enterprises and groups of enterprises in the following classes of the Standard Industrial Classification 2008 (SIC 2008):
86101 University hospitals;
86102 General hospitals;
86103 Specialised hospitals (not mental);
86104 Mental health hospitals;
8720 and 87301 Care for disabled persons;
8710, 87302 and 88101 Residential and home care;
87902 Social assistance with residential care for other persons;
87901 Social assistance with residential and day care for children;
88991 Social work for children.

From 2015 onwards the population has been altered significantly by including privately financed health care and micro enterprises. Only limited information is published about micro enterprises, but it adds to a complete description of the targeted health care classifications of SIC 2008. Furthermore SIC 86222 Practices of psychiatrists and day-care centres for social health has now been removed from the population as it will be published in statistics of care practices rather than institutions.

In 2020 healthcare professionals received a 1 000 euros net bonus for Covid19 efforts. This was provided by the Ministry of Health to the healthcare providers, which in their turn payed their own employees including their self-employed and temporary workers. The gross amount of this payment by the ministry to the healthcare providers is recorded as 'Subsidies'. The payment of the bonus including tax payment is recorded as 'Labour costs' and the payments to temporary workers as 'Other personnel costs'.

Data available from: 2015

Status of the figures:
Figures for the last year are provisional, previous years are definite.

Changes as of April 22nd 2022:
Provisional figures over 2020 were published for 'Social work for children', 'Social assistance with residential and day care for children' and 'Residential care for other persons'. The same figures for 2019 were updated to definitive figures.

When will new figures be published?
In the first quarter 2023 provisional figures over 2021 will be published. At the same time provisional figures over 2020 will be updated to definitive figures.

Description topics

Large and medium-sized enterprises
Enterprises or groups of enterprises containing at least one enterprise with more than 10 employees or a total operating return of more than 700.000 euro or assets of more than 350.000 euro. This in contrast to small enterprises of which there many in the health care sector.
On these larger enterprises, or health care institutions, we have more financial data available than we have on small enterprises.
Number of enterprises
The number of (groups of) enterprises having at least one enterprise with more than 10 employees or a total operating return of more than 700.000 euro or assets of more than 350.000 euro. This in contrast to small enterprises of which there many in the health care sector.

The enterprise/group of enterprises is the entity undertaking financial transactions. In operational terms, the enterprise/group of enterprises is defined as the collection of Dutch legal entities on which authority can be practised.


Personnel
Jobs
The average number of jobs in the year under review in large and medium-sized enterprises. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.

As one person can have more than one job the number of jobs is equal or higher than the number of employees.
An employee is a person with an employment contract with an economic unit to carry out labour in return for financial remuneration.




Employees in FTE
Employees in Full Time Equivalents (FTE) in large and medium-sized enterprises. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.

Full-time equivalent (FTE) is a measure for labour volume; all jobs in one year are converted to FTEs.




Wages (incl. extra’s)
Wages of employees in large and medium-sized enterprises. Wages include special rewards, extra salary, incidental salary, compensation for overtime and vacation allowance.
Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.



Profit/loss account
Operating returns
The results from normal business activities, this is the sales of goods and services, the value of stock changes, the activated production for the company, subsidies and damage claims.

Total operating returns
Net turnover
Business returns, excluding VAT (value added taxes) from the selling of goods and services to customers. Turnover is calculated after deduction of discounts, bonuses, returnable deposits and on-charged freight costs

Other revenues
Revenues that are not part of net turnover.

Explanation:
These are: -the value of changes in stock, including work in progress; payments for personnel on loan; activated production for the company; subsidies and export restitutions; compensation for damages.



Total other revenues
Subsidies
Payment by the government or EU institutions to resident producers with the aim to influence production levels, prices, or remuneration of the production factors.

In 2020 healthcare professionals received a 1 000 euros net bonus for Covid19 efforts. This was provided by the Ministry of Health to the healthcare providers, which in their turn payed their own employees including their self-employed and temporary workers. The provided bonus, including compensation for tax payments related to the bonus, is recorded as 'Subsidies'.
Other revenues not before mentioned
Revenues that are not part of net turnover and subsidies.



Operating costs
The costs made to achieve the operating profits, that is the purchase value of the turnover, labour costs, and depreciation on assets, and other business expenditure.


Total operating costs
Labour costs
Total of gross wages and salaries of employees and the social contributions payable by the employers.


Total labour costs
Wages and salaries
The compensation for the employee who has worked in a given period and which is payable by the employer, including the wage tax and social premiums paid by the employer on behalf of the employee.

Includes in 2020 bonus payments for Covid19 efforts.
Social security contributions
The contributions paid by employers to social security. These include imputed and actual social premiums and actual pension premiums.
Remuneration of self empl. Med. Spec.
Remuneration of self-employed medical specialists claiming expenses at hospitals and medical day-care centres.
Depreciation fixed assets including...
Depreciation of durable means of production, e.g. machinery buildings, transport equipment, computers and software due to normal usage and economic obsolescence. Depreciation of intangible assets, e.g. costs of research and development, acquisition of intellectual rights and goodwill.

Other operating costs
Operating costs that are not part of labour costs and depreciation fixed assets. This category includes the costs of energy, housing, machinery and equipment, inventory, etc., transport, sales and promotions, communication, costs of services provided by third parties and other costs not classified elsewhere.


Total other operating costs
Other personnel costs
Personnel costs that are not part of wages and salaries and social security contributions.
This category includes:
- payments for temporary workers and staff on secondment;
- costs of schooling and training;
- recruitment and selection costs;
- canteen costs;
- costs for health and safety provisions;
- costs for work clothes;
- anniversary celebrations, etc.

Operating costs not before mentioned
Operating costs that are not part of labour costs, depreciation fixed assets and other personnel costs.

Includes costs of maintenance and energy, equipment costs, costs of food and living, client and resident related costs etc.


Operating results
Operating returns minus operating costs.



Operating surplus
The financial revenues minus the financial expenditure. The revenues come from interest, investment income, participations, dividends and other financial revenues. The expenditure consists of interest paid, loans, loss in participations and investments.

Exceptional results
The result of the exceptional income minus the exceptional expenses. Exceptional income includes profits that do not come out of regular business transactions. For instance differences in exchange rates, positive results from participations, foreign holdings, investments etc. Exceptional expenses are losses that do not come out of regular business transactions. For instance differences in exchange rates, negative results from participations, foreign holdings, investments etc. reorganisation costs.


Pre-tax results
The sum of the operating results, the operating surplus and exceptional results.
Balance sheet
Assets
Total assets on the 31th of December in the year under review.
A summary of a sector's assets, liabilities, and net worth. The assets include machinery, buildings and non-produced assets such as land and mineral reserves, accounts receivable and shares. The liabilities include debts and own funds.


Total assets
Intangible fixed assets
An identifiable non-monetary asset without physical substance that are used in the production process for longer than one year.

For instance goodwill, intellectual capital and intellectual property.


Tangible fixed assets
Tangible assets and property that are used in the production process for longer than one year.

For instance buildings and machines.


Financial assets
Near-cash assets such as traded shares, bonds, some kinds of loans, and accounts receivable.


Stock
Assets consisting of goods and services produced in the current or earlier period which are kept on for sales, use in the production process or another future use.


Short-term claims
Amounts that can be claimed within a year.
Securities
Investments that are easily converted into cash.
Liquid assets
The total of assets which a company can use immediately to make payments. In general they include cash on hand, in bank, on post office current account, marketable securities and commercial papers.

Liabilities
Total liabilities on the 31th of December in the year under review.
Consists of total of equity plus financial capital.


Total liabilities
Equity
Total liabilities minus financial capital.
Provisions
A provision is a liability of uncertain timing or amount.


Long-term loans
Loans with a maturity of at least 1 year.


Short-term loans
Loans with a maturity of less than 1 year.



Small enterprises
Small enterprises are defined having no more than 10 employees or a total operating return of more than 700.000 euro or assets of more than 350.000 euro. This in contrast to the larger (groups of) enterprises or health care institutions.

There are less data available for small enterprises as they are not obliged to deposit digital annual reports. Figures on jobs and wages are based on annual data from the Social Statistics Database (SSD) containing the income tax registry. For self-employed persons their number and profit are available.



Number of small enterprises
The number of small enterprises and self-employed persons. These small enterprises are defined by having no more than 10 employees or a total operating return of more than 700.000 euro or assets of more than 350.000 euro. This in contrast to the larger (groups of) enterprises or health care institutions.
Personnel
Jobs, small enterprises
The average number of jobs in small enterprises in of the year under review. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.

As one person can have more than one job the number of jobs is equal or higher than the number of employees.
An employee is a person with an employment contract with an economic unit to carry out labour in return for financial remuneration.



Employees in FTE, small ent.
Employees in Full Time Equivalents (FTE), in small enterprises. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.

Full-time equivalent (FTE) is a measure for labour volume; all jobs in one year are converted to FTEs.


Wages (incl. extra’s), small ent.
Wages of employees in small enterprises. Wages include special rewards, extra salary, incidental salary, compensation for overtime and vacation allowance.
Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.



Self-employed
Self-employed workers, small ent.
The number of self-employed persons among the small enterprises. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.




Profit self-empl. workers, small ent.
The profits of self-employed persons among the small enterprises. Figures are based on annual data from the Social Statistics Database (SSD) containing the income tax registry.