Health expenditure; providers and financing

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Providers Financing Health care expenditure (mln euro)
Total health care providers Total financing of residents 113,403
HF1: Government, comp. contr. schemes 94,092
HF11: Government schemes 9,147
HF12: Compulsory contributory schemes 84,945
HF121a: Long-term care insurance 27,768
HF122: Compulsory private insurance 57,177
Voluntary schemes (incl. OOP) 19,311
HF2: Voluntary schemes 5,742
HF21: Voluntary health insurance schemes 4,359
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 1,288
HF3: Household out-of-pocket payments 13,569
HF31: Out-of-pocket excl cost sharing 7,890
HF32: Cost sharing 5,679
HP1: Hospitals Total financing of residents 38,706
HF1: Government, comp. contr. schemes 36,027
HF11: Government schemes 2,721
HF12: Compulsory contributory schemes 33,306
HF121a: Long-term care insurance 1,202
HF122: Compulsory private insurance 32,104
Voluntary schemes (incl. OOP) 2,678
HF2: Voluntary schemes 17
HF21: Voluntary health insurance schemes 17
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,661
HF31: Out-of-pocket excl cost sharing 520
HF32: Cost sharing 2,141
HP11: General and university hospitals Total financing of residents 30,969
HF1: Government, comp. contr. schemes 28,587
HF11: Government schemes 862
HF12: Compulsory contributory schemes 27,725
HF121a: Long-term care insurance 707
HF122: Compulsory private insurance 27,018
Voluntary schemes (incl. OOP) 2,381
HF2: Voluntary schemes 17
HF21: Voluntary health insurance schemes 17
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,364
HF31: Out-of-pocket excl cost sharing 520
HF32: Cost sharing 1,844
HP12: Mental health institutions, Total financing of residents 6,070
HF1: Government, comp. contr. schemes 5,873
HF11: Government schemes 1,733
HF12: Compulsory contributory schemes 4,140
HF121a: Long-term care insurance 494
HF122: Compulsory private insurance 3,646
Voluntary schemes (incl. OOP) 197
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 197
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 197
HP13: Specialised hospitals Total financing of residents 1,667
HF1: Government, comp. contr. schemes 1,567
HF11: Government schemes 126
HF12: Compulsory contributory schemes 1,441
HF121a: Long-term care insurance 1
HF122: Compulsory private insurance 1,440
Voluntary schemes (incl. OOP) 100
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 100
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 100
HP2: Nursing and residential care facil. Total financing of residents 32,086
HF1: Government, comp. contr. schemes 30,043
HF11: Government schemes 595
HF12: Compulsory contributory schemes 29,448
HF121a: Long-term care insurance 24,497
HF122: Compulsory private insurance 4,951
Voluntary schemes (incl. OOP) 2,043
HF2: Voluntary schemes 25
HF21: Voluntary health insurance schemes 25
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,018
HF31: Out-of-pocket excl cost sharing 34
HF32: Cost sharing 1,984
HP21: Nursing care facilities Total financing of residents 22,989
HF1: Government, comp. contr. schemes 21,426
HF11: Government schemes 279
HF12: Compulsory contributory schemes 21,147
HF121a: Long-term care insurance 16,573
HF122: Compulsory private insurance 4,574
Voluntary schemes (incl. OOP) 1,564
HF2: Voluntary schemes 25
HF21: Voluntary health insurance schemes 25
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,539
HF31: Out-of-pocket excl cost sharing 34
HF32: Cost sharing 1,505
HP22-29: Facilities for the disabled Total financing of residents 9,097
HF1: Government, comp. contr. schemes 8,618
HF11: Government schemes 317
HF12: Compulsory contributory schemes 8,301
HF121a: Long-term care insurance 7,924
HF122: Compulsory private insurance 377
Voluntary schemes (incl. OOP) 479
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 479
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 479
HP3: Providers of ambulatory health care Total financing of residents 23,133
HF1: Government, comp. contr. schemes 14,328
HF11: Government schemes 1,986
HF12: Compulsory contributory schemes 12,341
HF121a: Long-term care insurance 1,081
HF122: Compulsory private insurance 11,260
Voluntary schemes (incl. OOP) 8,805
HF2: Voluntary schemes 3,686
HF21: Voluntary health insurance schemes 3,474
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 117
HF3: Household out-of-pocket payments 5,119
HF31: Out-of-pocket excl cost sharing 4,684
HF32: Cost sharing 435
HP31: Medical practices Total financing of residents 4,712
HF1: Government, comp. contr. schemes 4,625
HF11: Government schemes 83
HF12: Compulsory contributory schemes 4,542
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,542
Voluntary schemes (incl. OOP) 88
HF2: Voluntary schemes 9
HF21: Voluntary health insurance schemes 9
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 78
HF31: Out-of-pocket excl cost sharing 39
HF32: Cost sharing 39
HP32: Dental practices Total financing of residents 3,464
HF1: Government, comp. contr. schemes 902
HF11: Government schemes 0
HF12: Compulsory contributory schemes 902
HF121a: Long-term care insurance 129
HF122: Compulsory private insurance 773
Voluntary schemes (incl. OOP) 2,562
HF2: Voluntary schemes 1,761
HF21: Voluntary health insurance schemes 1,761
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 801
HF31: Out-of-pocket excl cost sharing 700
HF32: Cost sharing 101
HP33 : Other health care practitioners Total financing of residents 7,587
HF1: Government, comp. contr. schemes 2,957
HF11: Government schemes 799
HF12: Compulsory contributory schemes 2,158
HF121a: Long-term care insurance 51
HF122: Compulsory private insurance 2,107
Voluntary schemes (incl. OOP) 4,630
HF2: Voluntary schemes 1,666
HF21: Voluntary health insurance schemes 1,666
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,964
HF31: Out-of-pocket excl cost sharing 2,861
HF32: Cost sharing 103
HP34: Ambulatory health care centres Total financing of residents 6,048
HF1: Government, comp. contr. schemes 4,567
HF11: Government schemes 1,105
HF12: Compulsory contributory schemes 3,462
HF121a: Long-term care insurance 140
HF122: Compulsory private insurance 3,322
Voluntary schemes (incl. OOP) 1,480
HF2: Voluntary schemes 245
HF21: Voluntary health insurance schemes 33
HF22: Financing schemes NPISH 95
HF23: Enterprise financing schemes 117
HF3: Household out-of-pocket payments 1,235
HF31: Out-of-pocket excl cost sharing 1,084
HF32: Cost sharing 152
HP35: Providers home healthcare services Total financing of residents 1,322
HF1: Government, comp. contr. schemes 1,277
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,277
HF121a: Long-term care insurance 761
HF122: Compulsory private insurance 516
Voluntary schemes (incl. OOP) 45
HF2: Voluntary schemes 4
HF21: Voluntary health insurance schemes 4
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 41
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 41
HP4: Providers of ancillary services Total financing of residents 954
HF1: Government, comp. contr. schemes 910
HF11: Government schemes 0
HF12: Compulsory contributory schemes 910
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 910
Voluntary schemes (incl. OOP) 45
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 45
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 45
HP41: Patient transportation, emergency Total financing of residents 635
HF1: Government, comp. contr. schemes 611
HF11: Government schemes 0
HF12: Compulsory contributory schemes 611
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 611
Voluntary schemes (incl. OOP) 24
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 24
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 24
HP42-49: Laboratories, other anc. serv. Total financing of residents 320
HF1: Government, comp. contr. schemes 299
HF11: Government schemes 0
HF12: Compulsory contributory schemes 299
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 299
Voluntary schemes (incl. OOP) 21
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 21
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 21
HP5: Retailers of medical goods Total financing of residents 8,522
HF1: Government, comp. contr. schemes 5,793
HF11: Government schemes 0
HF12: Compulsory contributory schemes 5,793
HF121a: Long-term care insurance 239
HF122: Compulsory private insurance 5,554
Voluntary schemes (incl. OOP) 2,729
HF2: Voluntary schemes 220
HF21: Voluntary health insurance schemes 220
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,509
HF31: Out-of-pocket excl cost sharing 1,504
HF32: Cost sharing 1,005
HP51: Pharmacies Total financing of residents 4,981
HF1: Government, comp. contr. schemes 3,914
HF11: Government schemes 0
HF12: Compulsory contributory schemes 3,914
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 3,914
Voluntary schemes (incl. OOP) 1,067
HF2: Voluntary schemes 29
HF21: Voluntary health insurance schemes 29
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,038
HF31: Out-of-pocket excl cost sharing 307
HF32: Cost sharing 731
HP52-59 : Suppl. med. appliances, other Total financing of residents 3,541
HF1: Government, comp. contr. schemes 1,879
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,879
HF121a: Long-term care insurance 239
HF122: Compulsory private insurance 1,640
Voluntary schemes (incl. OOP) 1,662
HF2: Voluntary schemes 191
HF21: Voluntary health insurance schemes 191
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,471
HF31: Out-of-pocket excl cost sharing 1,197
HF32: Cost sharing 274
HP6: Providers of preventive care Total financing of residents 3,092
HF1: Government, comp. contr. schemes 2,161
HF11: Government schemes 1,949
HF12: Compulsory contributory schemes 212
HF121a: Long-term care insurance 6
HF122: Compulsory private insurance 206
Voluntary schemes (incl. OOP) 931
HF2: Voluntary schemes 896
HF21: Voluntary health insurance schemes 1
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 895
HF3: Household out-of-pocket payments 35
HF31: Out-of-pocket excl cost sharing 23
HF32: Cost sharing 11
HP7: Healthcare adm. and financ. Total financing of residents 3,436
HF1: Government, comp. contr. schemes 2,949
HF11: Government schemes 1,413
HF12: Compulsory contributory schemes 1,537
HF121a: Long-term care insurance 328
HF122: Compulsory private insurance 1,209
Voluntary schemes (incl. OOP) 487
HF2: Voluntary schemes 487
HF21: Voluntary health insurance schemes 487
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP71: Government health administration Total financing of residents 871
HF1: Government, comp. contr. schemes 871
HF11: Government schemes 871
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP72: Social health insurance agencies Total financing of residents 2,078
HF1: Government, comp. contr. schemes 2,078
HF11: Government schemes 541
HF12: Compulsory contributory schemes 1,537
HF121a: Long-term care insurance 328
HF122: Compulsory private insurance 1,209
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP73: Providers of health insurance Total financing of residents 487
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 487
HF2: Voluntary schemes 487
HF21: Voluntary health insurance schemes 487
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP79: Other administration agencies Total financing of residents 0
HF1: Government, comp. contr. schemes 0
HF11: Government schemes 0
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP8: Rest of economy Total financing of residents 2,861
HF1: Government, comp. contr. schemes 1,512
HF11: Government schemes 482
HF12: Compulsory contributory schemes 1,030
HF121a: Long-term care insurance 413
HF122: Compulsory private insurance 617
Voluntary schemes (incl. OOP) 1,349
HF2: Voluntary schemes 344
HF21: Voluntary health insurance schemes 67
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 277
HF3: Household out-of-pocket payments 1,005
HF31: Out-of-pocket excl cost sharing 975
HF32: Cost sharing 31
HP81: Households prov. home health care Total financing of residents 132
HF1: Government, comp. contr. schemes 132
HF11: Government schemes 0
HF12: Compulsory contributory schemes 132
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 132
Voluntary schemes (incl. OOP) 0
HF2: Voluntary schemes 0
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
HP82: Secondary providers of health care Total financing of residents 2,729
HF1: Government, comp. contr. schemes 1,380
HF11: Government schemes 482
HF12: Compulsory contributory schemes 897
HF121a: Long-term care insurance 413
HF122: Compulsory private insurance 484
Voluntary schemes (incl. OOP) 1,349
HF2: Voluntary schemes 344
HF21: Voluntary health insurance schemes 67
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 277
HF3: Household out-of-pocket payments 1,005
HF31: Out-of-pocket excl cost sharing 975
HF32: Cost sharing 31
HP9: Rest of the world Total financing of residents 612
HF1: Government, comp. contr. schemes 368
HF11: Government schemes 0
HF12: Compulsory contributory schemes 368
HF121a: Long-term care insurance 3
HF122: Compulsory private insurance 366
Voluntary schemes (incl. OOP) 244
HF2: Voluntary schemes 68
HF21: Voluntary health insurance schemes 68
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 176
HF31: Out-of-pocket excl cost sharing 150
HF32: Cost sharing 26
Source: CBS.
Explanation of symbols

Table explanation


This table presents health(care) expenditure used by residents of the Netherlands in a year. Healthcare is delineated according to the international definition of the System of Health Accounts. The figures are thus internationally comparable with Eurostat, OECD and WHO publications. All healthcare activities count, regardless of whether they take place inside or outside the healthcare sector.
The figures are derived from the care accounts, which include more activities such as youth care, welfare work, social services and child care. The care accounts also include exports (expenditure on and by non-residents).

Data available from: 2021

Status of the figures:
The figures for 2022-2024 are revised provisional. The figures for 2021 are final.

Changes as of 8 October 2025:
The figures for 2021–2024 have been partly adjusted, based on the most up-to-date data from various sources, including data from the National Health Care Institute and the CBS business and economic statistics on health care.

When will new figures be published?
In spring 2026, provisional figures for 2025 and revised figures for 2022–2023 will be published.

Description topics

Health care expenditure
Final consumption expenditure in current prices on health care goods and services used by or for residents in one year.