*1.2.4 Change in funding system*

In recent years there have been significant changes in the Netherlands in the how healthcare institutions must fund their real estate. Until 2012, the capital costs (interest and repayment) were funded under the Admission of Care Institutions Act (WTZi) and therefore real estate was funded entirely by the government. The healthcare institution received on a post-calculation basis the actual costs incurred for housing. This


#### **Figure 1.**

*Healthcare real estate by segments, size range 2000-100,000 m [11].*


**Figure 2.**

*Care real estate in large cities, size class 2000–100,000 m2 . Source: BAG, EIB in Elp 2015 in care real estate barometer 2015 [12].* 
