Health expenditure: national and international figures compared; financing

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Functions Financing Health and social care expenditure (mln euro)
Total expenditure on health and care Total financ schemes health,social care 154,373
Total financing of residents 154,117
HF1: Government, comp. contr. schemes 129,491
HF11: Government schemes 36,119
HF12: Compulsory contributory schemes 93,372
HF121a: Long-term care insurance 34,081
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 59,291
Voluntary schemes (incl. OOP) 24,626
HF2: Voluntary schemes 6,946
HF21: Voluntary health insurance schemes 4,419
HF22: Financing schemes NPISH 482
HF23: Enterprise financing schemes 2,045
HF3: Household out-of-pocket payments 17,680
HF31: Out-of-pocket excl cost sharing 11,614
HF32: Cost sharing 6,067
Rest of the world; exports 256
Social work and child day care Total financ schemes health,social care 23,383
Total financing of residents 23,383
HF1: Government, comp. contr. schemes 18,745
HF11: Government schemes 18,745
HF12: Compulsory contributory schemes 0
HF121a: Long-term care insurance 0
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 4,637
HF2: Voluntary schemes 810
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 241
HF23: Enterprise financing schemes 568
HF3: Household out-of-pocket payments 3,827
HF31: Out-of-pocket excl cost sharing 3,827
HF32: Cost sharing 0
Rest of the world; exports 0
Education, R&D, other services Total financ schemes health,social care 3,579
Total financing of residents 3,456
HF1: Government, comp. contr. schemes 3,110
HF11: Government schemes 1,145
HF12: Compulsory contributory schemes 1,965
HF121a: Long-term care insurance 25
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 1,940
Voluntary schemes (incl. OOP) 346
HF2: Voluntary schemes 346
HF21: Voluntary health insurance schemes 0
HF22: Financing schemes NPISH 172
HF23: Enterprise financing schemes 175
HF3: Household out-of-pocket payments 0
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 0
Rest of the world; exports 123
Health expenditure Total financ schemes health,social care 113,413
Total financing of residents 113,281
HF1: Government, comp. contr. schemes 94,065
HF11: Government schemes 8,970
HF12: Compulsory contributory schemes 85,095
HF121a: Long-term care insurance 27,744
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 57,351
Voluntary schemes (incl. OOP) 19,216
HF2: Voluntary schemes 5,789
HF21: Voluntary health insurance schemes 4,419
HF22: Financing schemes NPISH 69
HF23: Enterprise financing schemes 1,302
HF3: Household out-of-pocket payments 13,427
HF31: Out-of-pocket excl cost sharing 7,786
HF32: Cost sharing 5,640
Rest of the world; exports 133
Total health related expenditure Total financ schemes health,social care 13,997
Total financing of residents 13,997
HF1: Government, comp. contr. schemes 13,571
HF11: Government schemes 7,259
HF12: Compulsory contributory schemes 6,312
HF121a: Long-term care insurance 6,312
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 426
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 426
HF31: Out-of-pocket excl cost sharing 0
HF32: Cost sharing 426
Rest of the world; exports 0
HCR1: Long-term care (social) Total financ schemes health,social care 13,997
Total financing of residents 13,997
HF1: Government, comp. contr. schemes 13,571
HF11: Government schemes 7,259
HF12: Compulsory contributory schemes 6,312
HF121a: Long-term care insurance 6,312
HF121b: Health Insurance Fund
HF122: Compulsory private insurance 0
Voluntary schemes (incl. OOP) 426
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 426
HF31: Out-of-pocket excl cost sharing 0
Source: CBS.
Explanation of symbols

Table explanation


This table shows how health(care) expenditure according to the international definition and health and social care expenditure used by Statistics Netherlands are related. Financing has been chosen as the starting point.
Healthcare is delineated according to the international definition of the System of Health Accounts. All healthcare activities count, regardless of whether they take place inside or outside the healthcare sector. Only resident health expenditure counts.
Health and social care expenditure covers all care activities, including welfare and childcare, regardless of whether these activities take place as a main or secondary activity. Care can be for residents or non-residents. Care provided in the Netherlands for non-residents (such as tourists) is included in the export of services.

In brief:
Health and social care expenditure
-/- health-related expenditure, such as domestic care within care for the elderly
-/- expenditure on other care and welfare, such as childcare
-/- expenditure on education, research and development, other services
-/- export, foreign-paid activities
= Total current expenditure on health

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 25 June 2026:
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, provisional figures for 2025 will be published.

Description topics

Health and social care expenditure
Final consumption expenditure in current prices on health and social care goods and services used by or for residents in one year; care includes health care, social care, youth care, child care.