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Healthcare

Your partner in healthcare

The healthcare sector is under significant pressure: demand for care is rising, staffing shortages are acute, and regulatory, accountability and NIS2 requirements are becoming more demanding. You want to continue delivering high-quality care while keeping your organisation healthy and secure.

Baker Tilly is your partner at the moments that matter. Our healthcare specialists understand the sector and speak the language of funding, compliance, governance, HR and IT. They bring policy, financials and processes together, so you can present a coherent story to stakeholders about how you are keeping your organisation in balance.

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Gilbert den Brok

Partner Audit

Who we support

Baker Tilly supports healthcare organisations across the Netherlands with challenges around transition and growth, including those listed here. We can help you to get a firmer grip on regional plans, investments, capacity, rates and partnerships, and translate these into a realistic course for your organisation.

As a board member or director of a youth care provider, you are under pressure from rising demand, tight contract rates, fluctuating volumes per municipality, and stricter requirements regarding compliance, quality and data security. You want to safeguard continuity of care while also keeping your organisation sustainably healthy.

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As a board member or CFO of a hospital, you are navigating regional plans, IZA agreements and a full investment agenda, while staffing is scarce and pressure on quality and accessibility continues to rise. Especially when you need to make decisions about departments, portfolio, real estate, ICT and digital care, you do not need yet another report, but one clear story in which figures, scenarios and substance come together.

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In elderly care and home care, demand is growing while staffing, real estate and funding are coming under increasing strain. You want to continue providing good care to vulnerable clients, but you are dealing with waiting lists, outdated locations, rising costs and additional requirements around accountability and sustainability. Especially when you need to make decisions about capacity, care housing concepts or neighbourhood collaboration, you need clarity in both the numbers and the scenarios.

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In mental healthcare and primary care, pressure on accessibility and waiting times is high, while regulations, funding and contracting change regularly. You want clients and patients to receive the right care on time, but practitioners and GPs are reaching their limits, and regional collaboration and digital care are requiring more and more time and attention.

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Your healthcare challenges, our practical solutions

Healthcare is facing major reforms, with IZA agreements, regional plans, the Youth Reform Agenda, new funding models and ongoing digitalisation, while staffing shortages and investment pressure remain high.

Baker Tilly helps you distil these developments into clear decision points: which services will you continue to provide, what role will you play in the region, how much can you invest, and how will you keep your organisation financially healthy? We provide the information you need to explain, with confidence and evidence, what you are doing and what this means for clients, employees and funders.

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Regional plans, collaboration and governance

Healthcare is increasingly shifting towards regional networks and cross-domain collaboration, in which hospitals, elderly care providers, mental healthcare organisations, youth care providers, GPs, municipalities and social organisations work together on shared plans. You need a clear view of your role in the region, the consequences for volumes, resources and governance, and how to organise accountability and monitoring.

Baker Tilly helps with scenarios, governance structures and reporting that align with your control framework. This enables you to take a proactive seat at the table rather than simply responding to decisions made by others.

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Data quality, information security and NIS2

Healthcare organisations are becoming increasingly data-driven, with indications, treatment plans, production data, claims and quality indicators moving through different systems. At the same time, requirements for information security, privacy and cybersecurity are increasing, including through NIS2 and healthcare-specific standards.

You want to demonstrate that data is secure, that appropriate measures are in place, and that the management board and supervisory board are properly informed about digital risks. Baker Tilly helps strengthen processes, data quality, IT security and governance in an integrated way, so that data-driven management and accountability work in day-to-day practice.

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Managing staff shortages and workload

Across all healthcare segments, labour shortages are being felt: vacancies are difficult to fill, external hiring is expensive, and absenteeism is putting pressure on teams and results. You want to continue providing sufficient care with limited staff, while being able to explain your choices around waiting lists, intake and care provision in a transparent way.

To do this, you need insight into workforce structure, productivity, use of flexible staff, scheduling pressure and absenteeism. With that management information, you can make well- informed decisions about task allocation, digitalisation and collaboration.

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Demand for care and real estate

Demand for care is increasing due to an ageing population, more complex care needs and more severe cases, while catch-up investment is needed in real estate, IT and digital care. You want to know how much room there is to invest, which locations are future-proof, what sustainability measures require, and how to finance real estate transitions and digital care step by step.

This requires alignment between multi-year projections, business cases per location, scenarios and financing options. As a result, investments align with your strategic direction, and figures, business cases and financing advice form one consistent narrative for the management board, supervisory board and funders.

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Rates, cost prices and realistic funding

New rules on realistic rates, particularly in youth care, are making cost prices and funding even more important. At the same time, contracts with municipalities, health insurers and other funders are becoming more complex, with conditions differing by region.

You need clear insight into cost prices by type of care, margins by contract and the impact of new funding models, so you can have informed discussions about rates and forms of collaboration, and prevent growth from coming at the expense of financial health.

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How can Baker Tilly help?

We are Baker Tilly Healthcare, working alongside executives, supervisors and managers as they make decisions on regional plans, investments, rates, workforce and digitalisation. We combine assurance services, including statutory audits, production and grant reporting, and WNT compliance, with advisory expertise from Business Advisory, Corporate Finance, ESG, IT and HR to create one integrated view.

This gives you clarity on where you stand, which scenarios are realistic, and how to explain them with confidence to supervisory boards, funders and other stakeholders.

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