Health expenditure; providers and financing

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Providers Financing Health care expenditure (mln euro)
Total health care providers Total financing of residents 120,201
HF1: Government, comp. contr. schemes 99,894
HF11: Government schemes 9,568
HF12: Compulsory contributory schemes 90,326
HF121a: Long-term care insurance 29,851
HF122: Compulsory private insurance 60,475
Voluntary schemes (incl. OOP) 20,307
HF2: Voluntary schemes 5,984
HF21: Voluntary health insurance schemes 4,469
HF22: Financing schemes NPISH 75
HF23: Enterprise financing schemes 1,439
HF3: Household out-of-pocket payments 14,323
HF31: Out-of-pocket excl cost sharing 8,382
HF32: Cost sharing 5,941
HP1: Hospitals Total financing of residents 40,796
HF1: Government, comp. contr. schemes 37,982
HF11: Government schemes 2,777
HF12: Compulsory contributory schemes 35,204
HF121a: Long-term care insurance 1,204
HF122: Compulsory private insurance 34,000
Voluntary schemes (incl. OOP) 2,814
HF2: Voluntary schemes 16
HF21: Voluntary health insurance schemes 16
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,798
HF31: Out-of-pocket excl cost sharing 603
HF32: Cost sharing 2,195
HP11: General and university hospitals Total financing of residents 32,578
HF1: Government, comp. contr. schemes 30,062
HF11: Government schemes 727
HF12: Compulsory contributory schemes 29,335
HF121a: Long-term care insurance 756
HF122: Compulsory private insurance 28,579
Voluntary schemes (incl. OOP) 2,516
HF2: Voluntary schemes 16
HF21: Voluntary health insurance schemes 16
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,500
HF31: Out-of-pocket excl cost sharing 603
HF32: Cost sharing 1,897
HP12: Mental health institutions, Total financing of residents 6,434
HF1: Government, comp. contr. schemes 6,236
HF11: Government schemes 1,867
HF12: Compulsory contributory schemes 4,368
HF121a: Long-term care insurance 448
HF122: Compulsory private insurance 3,920
Voluntary schemes (incl. OOP) 198
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 198
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 198
HP13: Specialised hospitals Total financing of residents 1,784
HF1: Government, comp. contr. schemes 1,684
HF11: Government schemes 183
HF12: Compulsory contributory schemes 1,501
HF121a: Long-term care insurance 1
HF122: Compulsory private insurance 1,501
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 34,109
HF1: Government, comp. contr. schemes 31,887
HF11: Government schemes 544
HF12: Compulsory contributory schemes 31,343
HF121a: Long-term care insurance 26,330
HF122: Compulsory private insurance 5,013
Voluntary schemes (incl. OOP) 2,223
HF2: Voluntary schemes 26
HF21: Voluntary health insurance schemes 26
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,197
HF31: Out-of-pocket excl cost sharing 35
HF32: Cost sharing 2,163
HP21: Nursing care facilities Total financing of residents 24,140
HF1: Government, comp. contr. schemes 22,444
HF11: Government schemes 217
HF12: Compulsory contributory schemes 22,227
HF121a: Long-term care insurance 17,607
HF122: Compulsory private insurance 4,620
Voluntary schemes (incl. OOP) 1,696
HF2: Voluntary schemes 26
HF21: Voluntary health insurance schemes 26
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,670
HF31: Out-of-pocket excl cost sharing 35
HF32: Cost sharing 1,636
HP22-29: Facilities for the disabled Total financing of residents 9,970
HF1: Government, comp. contr. schemes 9,443
HF11: Government schemes 327
HF12: Compulsory contributory schemes 9,116
HF121a: Long-term care insurance 8,722
HF122: Compulsory private insurance 394
Voluntary schemes (incl. OOP) 527
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 527
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 527
HP3: Providers of ambulatory health care Total financing of residents 24,749
HF1: Government, comp. contr. schemes 15,595
HF11: Government schemes 2,273
HF12: Compulsory contributory schemes 13,323
HF121a: Long-term care insurance 1,223
HF122: Compulsory private insurance 12,099
Voluntary schemes (incl. OOP) 9,154
HF2: Voluntary schemes 3,785
HF21: Voluntary health insurance schemes 3,582
HF22: Financing schemes NPISH 75
HF23: Enterprise financing schemes 127
HF3: Household out-of-pocket payments 5,369
HF31: Out-of-pocket excl cost sharing 4,900
HF32: Cost sharing 469
HP31: Medical practices Total financing of residents 4,994
HF1: Government, comp. contr. schemes 4,902
HF11: Government schemes 104
HF12: Compulsory contributory schemes 4,797
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,797
Voluntary schemes (incl. OOP) 92
HF2: Voluntary schemes 10
HF21: Voluntary health insurance schemes 10
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 82
HF31: Out-of-pocket excl cost sharing 41
HF32: Cost sharing 41
HP32: Dental practices Total financing of residents 3,688
HF1: Government, comp. contr. schemes 996
HF11: Government schemes 0
HF12: Compulsory contributory schemes 996
HF121a: Long-term care insurance 148
HF122: Compulsory private insurance 848
Voluntary schemes (incl. OOP) 2,692
HF2: Voluntary schemes 1,819
HF21: Voluntary health insurance schemes 1,819
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 873
HF31: Out-of-pocket excl cost sharing 758
HF32: Cost sharing 116
HP33 : Other health care practitioners Total financing of residents 8,191
HF1: Government, comp. contr. schemes 3,318
HF11: Government schemes 918
HF12: Compulsory contributory schemes 2,399
HF121a: Long-term care insurance 60
HF122: Compulsory private insurance 2,339
Voluntary schemes (incl. OOP) 4,873
HF2: Voluntary schemes 1,731
HF21: Voluntary health insurance schemes 1,731
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 3,143
HF31: Out-of-pocket excl cost sharing 3,037
HF32: Cost sharing 106
HP34: Ambulatory health care centres Total financing of residents 6,431
HF1: Government, comp. contr. schemes 4,984
HF11: Government schemes 1,250
HF12: Compulsory contributory schemes 3,734
HF121a: Long-term care insurance 154
HF122: Compulsory private insurance 3,580
Voluntary schemes (incl. OOP) 1,448
HF2: Voluntary schemes 221
HF21: Voluntary health insurance schemes 18
HF22: Financing schemes NPISH 75
HF23: Enterprise financing schemes 127
HF3: Household out-of-pocket payments 1,227
HF31: Out-of-pocket excl cost sharing 1,064
HF32: Cost sharing 162
HP35: Providers home healthcare services Total financing of residents 1,445
HF1: Government, comp. contr. schemes 1,396
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,396
HF121a: Long-term care insurance 861
HF122: Compulsory private insurance 535
Voluntary schemes (incl. OOP) 49
HF2: Voluntary schemes 5
HF21: Voluntary health insurance schemes 5
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 44
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 44
HP4: Providers of ancillary services Total financing of residents 1,021
HF1: Government, comp. contr. schemes 978
HF11: Government schemes 0
HF12: Compulsory contributory schemes 978
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 978
Voluntary schemes (incl. OOP) 43
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 43
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 43
HP41: Patient transportation, emergency Total financing of residents 694
HF1: Government, comp. contr. schemes 671
HF11: Government schemes 0
HF12: Compulsory contributory schemes 671
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 671
Voluntary schemes (incl. OOP) 23
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 23
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 23
HP42-49: Laboratories, other anc. serv. Total financing of residents 327
HF1: Government, comp. contr. schemes 307
HF11: Government schemes 0
HF12: Compulsory contributory schemes 307
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 307
Voluntary schemes (incl. OOP) 20
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 20
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 20
HP5: Retailers of medical goods Total financing of residents 9,064
HF1: Government, comp. contr. schemes 6,179
HF11: Government schemes 0
HF12: Compulsory contributory schemes 6,179
HF121a: Long-term care insurance 263
HF122: Compulsory private insurance 5,916
Voluntary schemes (incl. OOP) 2,885
HF2: Voluntary schemes 215
HF21: Voluntary health insurance schemes 215
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 2,671
HF31: Out-of-pocket excl cost sharing 1,672
HF32: Cost sharing 998
HP51: Pharmacies Total financing of residents 5,371
HF1: Government, comp. contr. schemes 4,192
HF11: Government schemes 0
HF12: Compulsory contributory schemes 4,192
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,192
Voluntary schemes (incl. OOP) 1,179
HF2: Voluntary schemes 33
HF21: Voluntary health insurance schemes 33
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,145
HF31: Out-of-pocket excl cost sharing 382
HF32: Cost sharing 763
HP52-59 : Suppl. med. appliances, other Total financing of residents 3,694
HF1: Government, comp. contr. schemes 1,987
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,987
HF121a: Long-term care insurance 263
HF122: Compulsory private insurance 1,724
Voluntary schemes (incl. OOP) 1,707
HF2: Voluntary schemes 181
HF21: Voluntary health insurance schemes 181
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 1,525
HF31: Out-of-pocket excl cost sharing 1,290
HF32: Cost sharing 235
HP6: Providers of preventive care Total financing of residents 3,307
HF1: Government, comp. contr. schemes 2,268
HF11: Government schemes 2,040
HF12: Compulsory contributory schemes 228
HF121a: Long-term care insurance 7
HF122: Compulsory private insurance 221
Voluntary schemes (incl. OOP) 1,039
HF2: Voluntary schemes 1,003
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 1,003
HF3: Household out-of-pocket payments 36
HF31: Out-of-pocket excl cost sharing 25
HF32: Cost sharing 11
HP7: Healthcare adm. and financ. Total financing of residents 3,549
HF1: Government, comp. contr. schemes 3,047
HF11: Government schemes 1,420
HF12: Compulsory contributory schemes 1,627
HF121a: Long-term care insurance 356
HF122: Compulsory private insurance 1,271
Voluntary schemes (incl. OOP) 502
HF2: Voluntary schemes 502
HF21: Voluntary health insurance schemes 502
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 863
HF1: Government, comp. contr. schemes 863
HF11: Government schemes 863
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 2,183
HF1: Government, comp. contr. schemes 2,183
HF11: Government schemes 557
HF12: Compulsory contributory schemes 1,627
HF121a: Long-term care insurance 356
HF122: Compulsory private insurance 1,271
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 502
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) 502
HF2: Voluntary schemes 502
HF21: Voluntary health insurance schemes 502
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 2,997
HF1: Government, comp. contr. schemes 1,592
HF11: Government schemes 514
HF12: Compulsory contributory schemes 1,078
HF121a: Long-term care insurance 468
HF122: Compulsory private insurance 611
Voluntary schemes (incl. OOP) 1,405
HF2: Voluntary schemes 374
HF21: Voluntary health insurance schemes 65
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 309
HF3: Household out-of-pocket payments 1,031
HF31: Out-of-pocket excl cost sharing 997
HF32: Cost sharing 34
HP81: Households prov. home health care Total financing of residents 120
HF1: Government, comp. contr. schemes 120
HF11: Government schemes 0
HF12: Compulsory contributory schemes 120
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 120
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 2,877
HF1: Government, comp. contr. schemes 1,472
HF11: Government schemes 514
HF12: Compulsory contributory schemes 959
HF121a: Long-term care insurance 468
HF122: Compulsory private insurance 491
Voluntary schemes (incl. OOP) 1,405
HF2: Voluntary schemes 374
HF21: Voluntary health insurance schemes 65
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 309
HF3: Household out-of-pocket payments 1,031
HF31: Out-of-pocket excl cost sharing 997
HF32: Cost sharing 34
HP9: Rest of the world Total financing of residents 607
HF1: Government, comp. contr. schemes 366
HF11: Government schemes 0
HF12: Compulsory contributory schemes 366
HF121a: Long-term care insurance 1
HF122: Compulsory private insurance 366
Voluntary schemes (incl. OOP) 241
HF2: Voluntary schemes 63
HF21: Voluntary health insurance schemes 63
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 0
HF3: Household out-of-pocket payments 178
HF31: Out-of-pocket excl cost sharing 150
HF32: Cost sharing 28
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 2025 are provisional. The figures for 2022–2024 are revised provisional. The figures for 2021 are final.

Changes as of 25 June 2026:
The provisional figures for 2025 have been added. The figures for 2022–2024 have been revised in parts based on the most recent data from various sources, including claims data from the Health Insurance Act (Zorgverzekeringswet) and the Long-term Care Act (Wet langdurige zorg), figures from the Healthcare Institute (Zorginstituut) and the CBS business economics health statistics.

When will new figures be available?
At the end of 2026, the figures for 2022–2025 will be revised. In early 2027, provisional figures for 2026 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.