Overview
- BDO’s 2024 analysis reports a mixed but concerning picture, with many hospitals under pressure from rising personnel expenses and investment backlogs that threaten continuity of care.
- Flevoziekenhuis scored 3 and ranked 56th of 59, while St Jansdal scored 4 and ranked 55th after a sharp drop from last year’s 7; Antonius remained steady at a 6 and rank 32.
- Operational outcomes highlight financing hurdles: sector average was 7.5%, versus 5.7% at Flevoziekenhuis and 4.8% at St Jansdal, below lenders’ commonly cited ~6.5% threshold; St Jansdal’s result margin was −0.7% and Flevoziekenhuis posted +0.8%.
- Outdated real estate heightens risk—Flevoziekenhuis’ asset age was 42.5%—and BDO notes banks are wary when hospitals miss norms and defer investment, with 39 of 59 facilities flagged for aging buildings and lagging IT and AI upgrades.
- Performance diverges across the sector: Isala improved from a 4 to a 7 and rose to 12th, Albert Schweitzer and Erasmus MC scored 9s, two UMCs in Nijmegen and Amsterdam received insufficient marks, and St Jansdal reported a €2 million loss for 2024 but expects a positive 2025; an ICU professor says patients see no immediate effect yet urges boards to act.