Overview

• BDO’s latest review, based on 2024 figures, finds over one-third of Dutch hospitals have a weak financial base as wage costs rise.
• The sector’s average operational result is 7.5%, while lenders commonly look for at least 6.5%, which tightens access to borrowing for equipment and building projects.
• Flevoziekenhuis ranks 56th with a score of 3 and a 5.7% operational result; St Jansdal ranks 55th with a 4, reports 4.8% and a -0.7% margin, and confirms a €2 million loss in 2024 but expects a positive 2025.
• BDO reports 39 of 59 hospitals face aging real estate and lag in AI, IT and data investment, a mix that makes banks wary of financing.
• Outcomes diverge: Albert Schweitzer and Erasmus MC score 9 at the top, Isala jumps to 12th after stronger results, Treant improves yet still fails, and two UMCs in Nijmegen and Amsterdam receive insufficient marks.