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 2021* 7 88,000 70,850 5,104 10,551 6,982 3,569 2,873 696 10,380 5,706 4,518 1,188 33 556 4,085 562 3,523 172 -68 104 9,320 133 4,897 179 323 2,427 33 1,328 9,320 3,192 542 2,887 2,699 0
86102 General hospitals 2021* 57 201,100 147,600 8,797 20,955 19,331 1,624 967 656 20,354 9,563 7,735 1,828 2,299 1,193 7,300 969 6,331 601 -221 380 16,766 281 10,182 143 736 3,917 5 1,503 16,766 5,498 692 5,653 4,924 0
86103 Specialised hospitals (not mental) 2021* 17 16,900 12,900 840 1,626 1,365 262 171 90 1,597 921 744 176 12 85 579 91 488 30 -12 17 1,423 16 829 5 54 353 12 153 1,423 465 29 380 549 0
86104 Mental health hospitals 2021* 142 90,200 70,300 4,343 6,970 6,442 528 362 166 6,751 4,610 3,711 899 0 230 1,911 632 1,279 219 -46 173 4,934 18 2,233 30 5 1,517 0 1,131 4,934 1,825 219 1,255 1,635 250 150 100 5 . .
Care for disabled persons 2021* 521 196,250 134,650 6,653 11,736 10,991 745 532 213 11,384 7,270 5,837 1,433 0 479 3,635 1,082 2,553 351 -78 274 8,542 13 5,474 36 13 754 3 2,248 8,542 3,771 346 2,225 2,200 2,050 3,100 1,850 78 . .
87901 Residential care for children 2021* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
87902 Residential care for other persons 2021* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
88991 Social work for children 2021* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Residential and home care 2021* 1,063 460,650 278,200 13,012 22,412 21,230 1,182 613 569 21,750 14,128 11,361 2,767 26 842 6,754 2,416 4,338 662 -167 495 15,780 27 9,334 163 109 2,285 14 3,849 15,780 6,539 722 4,627 3,893 26,450 3,050 1,800 83 . .
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'.
In 2021 healthcare professionals received a 385 euros net bonus for Covid19 efforts.

Data available from: 2015

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

Changes as of December 1st 2022:
Provisional figures over 2021 were published except for 'Social work for children', 'Social assistance with residential and day care for children' and 'Residential care for other persons'. The same figures for 2020 were updated to definitive figures. Numbers and profits of self employed workers for 2020 are still unknown and will be updated in the first quarter 2023.

When will new figures be published?
In the first quarter 2023 provisional figures over 2021 will be published for 'Social work for children', 'Social assistance with residential and day care for children' and 'Residential care for other persons' and the corresponding provisional figures over 2020 will be updated to definitive figures.
Also the numbers and profits of self employed workers for 2020 will be updated.
In the first quarter 2024 provisional figures over 2022 will be published and 2021 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.
In 2021 healthcare professionals received a 385 euros net bonus for Covid19 efforts.
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 and 2021 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.

In 2020 and 2021 including tax payments related to the bonus for Covid19 efforts.
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.