Health expenditure; providers and financing

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Providers Financing Health care expenditure (mln euro)
Total health care providers Total financing of residents 113,474
HF1: Government, comp. contr. schemes 94,379
HF11: Government schemes 9,113
HF12: Compulsory contributory schemes 85,266
HF121a: Long-term care insurance 28,024
HF122: Compulsory private insurance 57,242
Voluntary schemes (incl. OOP) 19,095
HF2: Voluntary schemes 5,719
HF21: Voluntary health insurance schemes 4,359
HF22: Financing schemes NPISH 54
HF23: Enterprise financing schemes 1,307
HF3: Household out-of-pocket payments 13,376
HF31: Out-of-pocket excl cost sharing 7,692
HF32: Cost sharing 5,684
HP1: Hospitals Total financing of residents 38,720
HF1: Government, comp. contr. schemes 36,020
HF11: Government schemes 2,674
HF12: Compulsory contributory schemes 33,346
HF121a: Long-term care insurance 1,199
HF122: Compulsory private insurance 32,147
Voluntary schemes (incl. OOP) 2,700
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 2,682
HF31: Out-of-pocket excl cost sharing 535
HF32: Cost sharing 2,147
HP11: General and university hospitals Total financing of residents 31,044
HF1: Government, comp. contr. schemes 28,641
HF11: Government schemes 859
HF12: Compulsory contributory schemes 27,782
HF121a: Long-term care insurance 710
HF122: Compulsory private insurance 27,072
Voluntary schemes (incl. OOP) 2,402
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 2,385
HF31: Out-of-pocket excl cost sharing 535
HF32: Cost sharing 1,850
HP12: Mental health institutions, Total financing of residents 6,006
HF1: Government, comp. contr. schemes 5,809
HF11: Government schemes 1,690
HF12: Compulsory contributory schemes 4,119
HF121a: Long-term care insurance 488
HF122: Compulsory private insurance 3,631
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 1,670
HF1: Government, comp. contr. schemes 1,570
HF11: Government schemes 126
HF12: Compulsory contributory schemes 1,444
HF121a: Long-term care insurance 1
HF122: Compulsory private insurance 1,443
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 32,266
HF1: Government, comp. contr. schemes 30,216
HF11: Government schemes 581
HF12: Compulsory contributory schemes 29,635
HF121a: Long-term care insurance 24,652
HF122: Compulsory private insurance 4,983
Voluntary schemes (incl. OOP) 2,050
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 2,025
HF31: Out-of-pocket excl cost sharing 34
HF32: Cost sharing 1,992
HP21: Nursing care facilities Total financing of residents 23,098
HF1: Government, comp. contr. schemes 21,529
HF11: Government schemes 277
HF12: Compulsory contributory schemes 21,252
HF121a: Long-term care insurance 16,647
HF122: Compulsory private insurance 4,604
Voluntary schemes (incl. OOP) 1,569
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 1,545
HF31: Out-of-pocket excl cost sharing 34
HF32: Cost sharing 1,511
HP22-29: Facilities for the disabled Total financing of residents 9,168
HF1: Government, comp. contr. schemes 8,688
HF11: Government schemes 305
HF12: Compulsory contributory schemes 8,383
HF121a: Long-term care insurance 8,005
HF122: Compulsory private insurance 378
Voluntary schemes (incl. OOP) 481
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 481
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 481
HP3: Providers of ambulatory health care Total financing of residents 22,385
HF1: Government, comp. contr. schemes 13,908
HF11: Government schemes 1,737
HF12: Compulsory contributory schemes 12,171
HF121a: Long-term care insurance 985
HF122: Compulsory private insurance 11,186
Voluntary schemes (incl. OOP) 8,477
HF2: Voluntary schemes 3,652
HF21: Voluntary health insurance schemes 3,475
HF22: Financing schemes NPISH 54
HF23: Enterprise financing schemes 123
HF3: Household out-of-pocket payments 4,825
HF31: Out-of-pocket excl cost sharing 4,397
HF32: Cost sharing 429
HP31: Medical practices Total financing of residents 4,774
HF1: Government, comp. contr. schemes 4,687
HF11: Government schemes 83
HF12: Compulsory contributory schemes 4,604
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 4,604
Voluntary schemes (incl. OOP) 87
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 77
HF31: Out-of-pocket excl cost sharing 39
HF32: Cost sharing 39
HP32: Dental practices Total financing of residents 3,486
HF1: Government, comp. contr. schemes 914
HF11: Government schemes 0
HF12: Compulsory contributory schemes 914
HF121a: Long-term care insurance 135
HF122: Compulsory private insurance 779
Voluntary schemes (incl. OOP) 2,572
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 810
HF31: Out-of-pocket excl cost sharing 708
HF32: Cost sharing 102
HP33 : Other health care practitioners Total financing of residents 6,917
HF1: Government, comp. contr. schemes 2,566
HF11: Government schemes 416
HF12: Compulsory contributory schemes 2,150
HF121a: Long-term care insurance 51
HF122: Compulsory private insurance 2,099
Voluntary schemes (incl. OOP) 4,351
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 2,685
HF31: Out-of-pocket excl cost sharing 2,582
HF32: Cost sharing 103
HP34: Ambulatory health care centres Total financing of residents 5,988
HF1: Government, comp. contr. schemes 4,560
HF11: Government schemes 1,239
HF12: Compulsory contributory schemes 3,322
HF121a: Long-term care insurance 139
HF122: Compulsory private insurance 3,183
Voluntary schemes (incl. OOP) 1,427
HF2: Voluntary schemes 210
HF21: Voluntary health insurance schemes 33
HF22: Financing schemes NPISH 54
HF23: Enterprise financing schemes 123
HF3: Household out-of-pocket payments 1,217
HF31: Out-of-pocket excl cost sharing 1,068
HF32: Cost sharing 149
HP35: Providers home healthcare services Total financing of residents 1,221
HF1: Government, comp. contr. schemes 1,181
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,181
HF121a: Long-term care insurance 660
HF122: Compulsory private insurance 521
Voluntary schemes (incl. OOP) 40
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 36
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 36
HP4: Providers of ancillary services Total financing of residents 948
HF1: Government, comp. contr. schemes 903
HF11: Government schemes 0
HF12: Compulsory contributory schemes 903
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 903
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 628
HF1: Government, comp. contr. schemes 604
HF11: Government schemes 0
HF12: Compulsory contributory schemes 604
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 604
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 8,559
HF1: Government, comp. contr. schemes 5,842
HF11: Government schemes 0
HF12: Compulsory contributory schemes 5,842
HF121a: Long-term care insurance 275
HF122: Compulsory private insurance 5,567
Voluntary schemes (incl. OOP) 2,717
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 2,497
HF31: Out-of-pocket excl cost sharing 1,499
HF32: Cost sharing 999
HP51: Pharmacies Total financing of residents 4,976
HF1: Government, comp. contr. schemes 3,918
HF11: Government schemes 0
HF12: Compulsory contributory schemes 3,918
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 3,918
Voluntary schemes (incl. OOP) 1,059
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 1,030
HF31: Out-of-pocket excl cost sharing 306
HF32: Cost sharing 724
HP52-59 : Suppl. med. appliances, other Total financing of residents 3,583
HF1: Government, comp. contr. schemes 1,924
HF11: Government schemes 0
HF12: Compulsory contributory schemes 1,924
HF121a: Long-term care insurance 275
HF122: Compulsory private insurance 1,649
Voluntary schemes (incl. OOP) 1,659
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 1,468
HF31: Out-of-pocket excl cost sharing 1,193
HF32: Cost sharing 275
HP6: Providers of preventive care Total financing of residents 3,682
HF1: Government, comp. contr. schemes 2,667
HF11: Government schemes 2,395
HF12: Compulsory contributory schemes 272
HF121a: Long-term care insurance 8
HF122: Compulsory private insurance 264
Voluntary schemes (incl. OOP) 1,015
HF2: Voluntary schemes 897
HF21: Voluntary health insurance schemes 1
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 896
HF3: Household out-of-pocket payments 118
HF31: Out-of-pocket excl cost sharing 103
HF32: Cost sharing 15
HP7: Healthcare adm. and financ. Total financing of residents 3,471
HF1: Government, comp. contr. schemes 2,983
HF11: Government schemes 1,246
HF12: Compulsory contributory schemes 1,737
HF121a: Long-term care insurance 520
HF122: Compulsory private insurance 1,217
Voluntary schemes (incl. OOP) 488
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 1
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 1
HP71: Government health administration Total financing of residents 853
HF1: Government, comp. contr. schemes 853
HF11: Government schemes 853
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 2,084
HF1: Government, comp. contr. schemes 2,084
HF11: Government schemes 393
HF12: Compulsory contributory schemes 1,691
HF121a: Long-term care insurance 482
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 47
HF1: Government, comp. contr. schemes 46
HF11: Government schemes 0
HF12: Compulsory contributory schemes 46
HF121a: Long-term care insurance 38
HF122: Compulsory private insurance 8
Voluntary schemes (incl. OOP) 1
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 1
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 1
HP8: Rest of economy Total financing of residents 2,833
HF1: Government, comp. contr. schemes 1,474
HF11: Government schemes 480
HF12: Compulsory contributory schemes 994
HF121a: Long-term care insurance 382
HF122: Compulsory private insurance 612
Voluntary schemes (incl. OOP) 1,359
HF2: Voluntary schemes 354
HF21: Voluntary health insurance schemes 67
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 288
HF3: Household out-of-pocket payments 1,005
HF31: Out-of-pocket excl cost sharing 975
HF32: Cost sharing 30
HP81: Households prov. home health care Total financing of residents 134
HF1: Government, comp. contr. schemes 134
HF11: Government schemes 0
HF12: Compulsory contributory schemes 134
HF121a: Long-term care insurance 0
HF122: Compulsory private insurance 134
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 2,699
HF1: Government, comp. contr. schemes 1,340
HF11: Government schemes 480
HF12: Compulsory contributory schemes 860
HF121a: Long-term care insurance 382
HF122: Compulsory private insurance 478
Voluntary schemes (incl. OOP) 1,359
HF2: Voluntary schemes 354
HF21: Voluntary health insurance schemes 67
HF22: Financing schemes NPISH 0
HF23: Enterprise financing schemes 288
HF3: Household out-of-pocket payments 1,005
HF31: Out-of-pocket excl cost sharing 975
HF32: Cost sharing 30
HP9: Rest of the world Total financing of residents 610
HF1: Government, comp. contr. schemes 366
HF11: Government schemes 0
HF12: Compulsory contributory schemes 366
HF121a: Long-term care insurance 3
HF122: Compulsory private insurance 363
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 2024 are provisional. The figures for 2021-2023 are revised provisional.

Changes as of 27 May 2025:
The provisional figures for 2024 have been added and the provisional figures for 2021-2023 have been adjusted to revised provisional figures.

When will new figures be published?
At the end of 2025 revised figures for 2021-2024 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.