For those of you who were in London at the HBI conference: I hope you had a great time and wish that I could have attended. In this update on private healthcare in the Netherlands we cover:

• Orpea enters Dutch elderly care market through acquisition of Dagelijks Leven, a chain of 29 elderly care locations with 580 beds. Will other international elderly care companies now also enter this market?
• Government clarifies requirements for promised extra financing of nursing homes. Will the requirements stifle innovation in the sector?
• In our snapshot we give an overview of Dagelijks Leven, the elderly care chain acquired by Orpea.

In a separate email I am attaching the presentation I have made for my roundtable discussion on investment opportunities in the Dutch healthcare market at the HBI conference last week in London. Please take a look. If you have any specific questions related to the presentation or this week’s update do not hesitate to get in touch with me directly.

In my previous update I said that I was looking forward to meeting you at the Healthcare Business International conference in London this week where I was to host a roundtable discussion on investment opportunities in the Dutch healthcare market.

Unfortunately, at the moment I am quite limited in my mobility due to an accident that has resulted in a couple of fractures. Due to this, I will not be able to make it to London this time. If you are going, I hope that you have a useful and nice time at the conference.

I will send you the presentation I was planning to use at the Roundtable discussion at a later date. If you have any immediate questions regarding the Dutch healthcare sector, do not hesitate to get in touch.

Welcome to the newest update on private healthcare in the Netherlands. In this update we cover:

• Unilabs acquisition of Medlon is finalized after acceptance by authorities. Is this the start of the consolidation of the Dutch diagnostics sector?
• Careyn, troubled Dutch healthcare conglomerate, sells maternity care business to Naviva. Is this the first step in a further portfolio restructuring for Careyn?
• Rumors on the street say that Bergman Clinics are preparing themselves for a sale. Is this an interesting target for an international chain of clinics?
• In our snapshot we give an overview of Zorg voor de Zaak, a privately-owned group of companies providing a wide range of health-care related services.

Welcome to the newest update on private healthcare in the Netherlands. In this update we cover:

• Siza, a non-profit provider of long-term care in the disabled sector has acquired part of the know-how and staff of Top Care. Will this be the starting point for more innovation in the long-term care sector?
• Purchasers of long-term care see improvements in purchase process with insurance companies. Is this good news for new commercial entrants?
• The government has committed to provide the nursing home sector with €2.1 billion extra per year. What are the cost consequences of the additional money?
• In our snapshot we give an overview of Zorgroep De Laren, an organization focusing on high-end nursing homes that is rumored to be in financial problems.

2018 has had a relatively quiet start in the Dutch healthcare sector, therefore this is the first update in the new year. In this update we cover:

• Ongoing discussion related to growing use of non-contracted healthcare services. Will this make it more difficult for innovative new healthcare organizations?
• Private Clinic bankrupt for the second time in three years. Carelessness or structural problems?
• Average stay in Dutch nursing homes is stable. Good news for nursing home operators?
• In our snapshot we give an overview of Martha Flora, an organization focusing on long term care for elderly patients with dementia.

I am back from a fantastic time in Sri Lanka. Definitely a place that is worth visiting.

Welcome to the newest update on private healthcare in the Netherlands. This will be the last update for 2018, but I will be back again in January. In this update we cover:

• NPM Capital lets chain specializing in complex pain treatment go bankrupt after fraudulent declarations to insurance companies. Is fraud an overlooked risk in investing in the healthcare sector?
• OECD report shows interesting comparisons between Dutch healthcare and healthcare in other countries. Is long-term care the most interesting sector in the Netherlands?
• In our snapshot we give an overview of SAOW (Samen Aangenaam Ouder Worden), an organization that has ambitious growth targets in the elderly care sector

Welcome to the newest update on private healthcare in the Netherlands. It has been quiet the last few weeks, so not much news this time:

• Two new ministers for health in the new coalition government. What will their likely influence on the Dutch healthcare sector be?
• In our snapshot we give an overview of Thomashuizen / De Drie Notenboomen an organization that provides long-term care in the disabled and elderly-care sector.

Welcome to the newest update on private healthcare in the Netherlands. In this newsletter we cover the following news and issues:

• Coalition manifesto from new government is presented giving mixed messages for the Dutch healthcare sector. What does it mean for potential international entrants?
• One of the most interesting financing forms in the long-term care in the Netherlands are Personal Budgets (PGB). How does this work?
• In our snapshot we give an overview of NoviCare, an organization that provides medical care to the patients of Dutch elderly care operators.

Welcome to the newest update on private healthcare in the Netherlands. In the last few weeks there have been several interesting things happening in the Dutch market. In this newsletter we cover the following news and issues:

• Merger of two chains creates largest provider of elective surgery in the Netherlands. Is this the starting point for more mergers in the sector?
• In announcing the 2018 budgets the caretaker government has promised significant and structural increases in payments to elderly care sector. Will this help improve both quality and profitability in the sector?
• Profitability and investments in hospital sector at new low. How can Dutch hospitals become more profitable?
• In our snapshot we give an overview of Stepping Stones, an organization that operates a chain of elderly care locations throughout the Netherlands.

Welcome to the newest update on private healthcare in the Netherlands. I assume that everybody is now back from well-earned holidays and is looking for new market opportunities. In this newsletter we cover the following news and issues:

• Payments models for the psychiatric care sector to be changed to the “English model”. Will this make the Dutch psychiatric care market more attractive for foreign investors?
• The profitability of the handicap care sector is reasonable, especially among smaller organizations. Are there interesting acquisition targets?
• In our snapshot we give an overview of ViaSana, a clinic specializing in orthopedic care

Welcome to the newest update on private healthcare in the Netherlands. In this newsletter we cover the following news and issues:

• Discussions related to the participants in the new government have started up after a summer break. What will be the consequences of the new government for the attractiveness of the Dutch healthcare sector for foreign investors?
• Contracts between municipalities and healthcare service providers must be cost based? Is this positive or negative for the service providers?
• The profitability of the psychiatric care sector in 2016 was halved in comparison to 2015, but small focused organizations did well. Are there “pearls” to be found?
• In our snapshot, we give an overview of HSK, a private provider of psychiatric care.

Welcome to the newest update on private healthcare in The Netherlands .In this newsletter we cover the following news and issues :

• Bergman Clinics gets its debts refinanced by Intermediate Capital Group (ICG). Will the more traditional Dutch healthcare organizations also start look at innovative financing possibilities?
• Elderly care sector was loss-making in 2016 and investments are 30% lower than four years ago. Can international operators help turn the sector around?
• In our snapshot, we give an overview of WoonZorgNet, a private provider of long-term psychiatric care. 

Welcome to the newest update on private healthcare in The Netherlands. It is clearly summertime, so not so much news this time:

• The Dutch government has announced extra financing for elderly care. Will this make the Dutch elderly care market even more attractive for the large international groups?
• In our snapshot, we give an overview of U-Center, a private psychiatric treatment center that will be up for sale soon. Will the buyer be an international group looking for a foothold in the Dutch market for psychiatric care?

Welcome to the newest update on private healthcare in The Netherlands. In this newsletter, the focus is very much on weak financial results 2016 for Dutch healthcare organizations:

• Deloitte has published an overview of the financial results of the Dutch healthcare sector. Do the weak results give a reason for entering the Dutch market or are they a warning signal?
• Hospital Group Twente expects losses for 2017 and see the need to reduce costs with €10-15 million. Why is this hospital not able to make returns in line with the industry average?
• Careyn (€500 million revenues mostly from elderly care) faces a combination of financial losses and a position on the public “black list” for low quality. Can it manage a turn-around on its own?
• Welzorg, supplier of wheelchairs and other material for the elderly has made cumulative losses of €50 million since 2013. Can it be saved?
• In our Snapshot we give an overview of Buurtzorg, the best-known Dutch care organizations.

Welcome to the newest update on private healthcare in The Netherlands. In this newsletter we cover the following news and issues:

• In the previous update we talked about the entrance of Acibadem Healthcare Group in the Dutch market with a new general hospital. Since then yet another Turkish group has entered the Dutch market. Will other follow?
• Tandvitaal, the Dutch dentistry chain with 185 locations in The Netherlands, Germany, and Belgium is being sold. Who will use this opportunity to enter the European dentistry market?
• None of the large European elderly care operators are currently operating in The Netherlands. Is Orpea now entering the Dutch market?
• Most Dutch health care operators are non-profit foundations. How can these be acquired?
• In our Snapshot we give an overview of Bergman Clinics, an operators of private clinics.