Last Updated: 19 January 2020

For acute hospitals, funding is essentially based on patient-related activity: a “justified activity”For acute hospitals, funding is essentially based on patient-related activity: a “justified activity”is determined, hospital by hospital. The activity of each hospital is therefore defined according tothe number and type of admissions for a reference year. Each person admitted is granted a lengthof stay justified according to their pathology. The total number of justified hospital days is dividedby a normative occupancy rate multiplied by 365 to obtain a justified number of hospital beds.

Last Updated: 19 January 2020

The financing of a hospital through the financial resources budget comes from the individual distribution among all hospitals of the overall hospital budget¹. In July 2019, this overall budget was set at a maximum amount of € 6,251,249,619 for general hospitals².

The FRB has three main components: an infrastructure and materials budget (PART A), an operatingcosts budget (PART B) and a budget for the regularisation of post-financing of the various parts ofthe FRB (PART C). Hospital financing is mainly based on lump sums, real costs or fee-for-serviceservices.  

_{[1] The allocation is made on the basis of the procedures laid down in the Royal Decree of 25 April 2002 on the fixing and settlementThe allocation is made on the basis of the procedures laid down in the Royal Decree of 25 April 2002 on the fixing and settlementof the budget for the financial resources of hospitals.}

_{[2] We notice that the competence concerning the financing of infrastructure (A1 and A3) has been transferred to the federated entities by the sixth state reform. Therefore the categories A1 and A3 are excluded.}