Hospitals and health services in Belgium

41 public buyers declaring "Health" as their main activity in their TED notices, with at least ten supply contract award notices since November 2023. The most notices first.

In proportion

General government spending on goods, services and investment for health in Belgium came to €42.3 billion in 2024 (Eurostat, COFOG). How much of it reaches suppliers through tenders depends on how the country organises the sector — for example whether statutory health insurance is classified in government.

Source: Eurostat, government finance statistics (gov_10a_main, gov_10a_exp) and GDP (nama_10_gdp), retrieved 9 November 2026.

The market in numbers

Public supply contracts in Belgium: award notices published on TED from 2023-11 to 2026-11, by publication year.

Contracts awarded
4.4K
in 1.5K award notices
Awarded value
€2.4B
from 80% of awards with a published value
Suppliers
753
with at least one award
Public buyers
141
in this sector
Contracts awarded by year
Contracts awarded by yearNov–Dec 2023: 127127Nov–Dec 20232024: 1,2671,26720242025: 1,6501,65020252026: 1,3181,3182026
Table view
Contracts awarded by year
Nov–Dec 2023127
20241,267
20251,650
20261,318
Awarded value by year (EUR)
Awarded value by year (EUR)Nov–Dec 2023: €72.2M€72.2MNov–Dec 20232024: €680.3M€680.3M20242025: €928.4M€928.4M20252026: €679.4M€679.4M2026
Table view
Awarded value by year (EUR)
Nov–Dec 2023€72.2M
2024€680.3M
2025€928.4M
2026€679.4M
What they buy: contracts by product category
  1. Medical equipments: 1,680
  2. Pharmaceutical products: 1,191
  3. Miscellaneous food products: 265
  4. Medical equipments, pharmaceuticals and personal care products: 264
  5. Beverages, tobacco and related products: 104
  6. Animal products, meat and meat products: 94
  7. Personal care products: 91
  8. Computer equipment and supplies: 75
  9. Other1,220
    Other: 1,220
Table view
What they buy: contracts by product category
Medical equipments1,680
Pharmaceutical products1,191
Miscellaneous food products265
Medical equipments, pharmaceuticals and personal care products264
Beverages, tobacco and related products104
Animal products, meat and meat products94
Personal care products91
Computer equipment and supplies75
Other1,220
Where the buyers are (NUTS 2 region)
  1. Prov. Oost-Vlaanderen743
    BE23
    Prov. Oost-Vlaanderen: 743
  2. Prov. Limburg (BE)693
    BE22
    Prov. Limburg (BE): 693
  3. Prov. West-Vlaanderen652
    BE25
    Prov. West-Vlaanderen: 652
  4. Région de Bruxelles-Capitale/Brussels Hoofdstedelijk Gewest523
    BE10
    Région de Bruxelles-Capitale/Brussels Hoofdstedelijk Gewest: 523
  5. Prov. Hainaut498
    BE32
    Prov. Hainaut: 498
  6. Prov. Liège349
    BE33
    Prov. Liège: 349
  7. Prov. Antwerpen297
    BE21
    Prov. Antwerpen: 297
  8. Prov. Namur271
    BE35
    Prov. Namur: 271
Table view
Where the buyers are (NUTS 2 region)
Prov. Oost-Vlaanderen743
Prov. Limburg (BE)693
Prov. West-Vlaanderen652
Région de Bruxelles-Capitale/Brussels Hoofdstedelijk Gewest523
Prov. Hainaut498
Prov. Liège349
Prov. Antwerpen297
Prov. Namur271
Who wins, by company size as declared in the notice
Who wins, by company size as declared in the notice: Large companies 35.8%, Medium-sized 7.1%, Small 3.8%, Micro 0.7%, SME (size not stated) 12.4%, Size not stated 40.1%Large companies: 1,563 (35.8%)36%Medium-sized: 308 (7.1%)Small: 167 (3.8%)Micro: 30 (0.7%)SME (size not stated): 543 (12.4%)12%Size not stated: 1,751 (40.1%)40%
  • Large companies
  • Medium-sized
  • Small
  • Micro
  • SME (size not stated)
  • Size not stated
Table view
Who wins, by company size as declared in the notice
Large companies1,563 · 35.8%
Medium-sized308 · 7.1%
Small167 · 3.8%
Micro30 · 0.7%
SME (size not stated)543 · 12.4%
Size not stated1,751 · 40.1%
Foreign winners: where they are registered
  1. Netherlands169
    Netherlands: 169
  2. France56
    France: 56
  3. Germany13
    Germany: 13
  4. United Kingdom12
    United Kingdom: 12
  5. Spain12
    Spain: 12
  6. United States5
    United States: 5
Table view
Foreign winners: where they are registered
Netherlands169
France56
Germany13
United Kingdom12
Spain12
United States5
Where the buyers are (city)
  1. Diepenbeek535
    Diepenbeek: 535
  2. Gent501
    Gent: 501
  3. Brugge282
    Brugge: 282
  4. Roeselare252
    Roeselare: 252
  5. Charleroi241
    Charleroi: 241
  6. Saint-Gilles237
    Saint-Gilles: 237
  7. Bastogne220
    Bastogne: 220
  8. Erpent208
    Erpent: 208
Table view
Where the buyers are (city)
Diepenbeek535
Gent501
Brugge282
Roeselare252
Charleroi241
Saint-Gilles237
Bastogne220
Erpent208

Awards to companies registered in Belgium

93.5%

Awards to companies registered in Belgium: 93.5%

284 awards went to companies registered elsewhere.

Share of the 5 biggest winners

13.4%

Share of the 5 biggest winners: 13.4%

Of all awards; a high share means a concentrated market.

Lots with a single bid

22.3%

Lots with a single bid: 22.3%

Among 3.5K awards whose notice states the number of tenders.

How we count: one award per procedure, lot and winning company, from live contract award notices; a joint procurement counts on every buyer's market. Values are the awarded amounts published in the notice (framework ceilings and estimates are never added), converted to euro at the ECB yearly average. Company size is the SME flag of the notice (eForms BT-165). Read the methodology.

The buyers, the most award notices first

BuyerNotices
Association iris-AchatsSaint-Gilles86
Universiteit GentGent84
VivaliaBastogne67
AZ Sint-Jan Brugge AVBrugge63
HUmani SCCharleroi57
AZ Delta vzwRoeselare55
Hospilim VZWDiepenbeek50
Cliniques universitaires Saint LucBruxelles45
VZW VITAZSint-Niklaas45
MercurHosp ASBLErpent40
ASBL CHU HELORAMONS34
Het Ziekenhuisnetwerk Antwerpen (ZNA) vzwAntwerpen33
vzw Jan Yperman ZiekenhuisIeper33
Centrale de Négociation pour les Achats HospitaliersErpent31
Intercommunale de Soins Spécialisés de LiègeLiège30
Centre Hospitalier Bois de l'Abbayeliege29
Ziekenhuis Oost-LimburgGenk27
AZ Sint-Lucas Brugge vzwBrugge26
EMMAUS VZWMechelen25
Koopkoepel vzwRoeselare25
Vzw AZ Sint-Lucas & VolkskliniekGent25
vzw Jessa ZiekenhuisHasselt24
AZ Groeninge vzwKortrijk22
Algemeen Ziekenhuis Sint-Maria vzwHalle21
Universitair Ziekenhuis AntwerpenEdegem19
CHwapiTournai18
Centre Hospitalier Régional de HuyHuy18
Grand Hôpital de CharleroiGilly17
CHIRECBruxelles (Auderghem)16
Institut National des radioélémentsFleurus16
AZ Maria MiddelaresGent15
Le Centre Hospitalier Régional de la CitadelleLiège15
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth - UCL NamurYvoir14
Universitair Ziekenhuis GentGent14
Onze Lieve Vrouw Van Troost v.z.w.Dendermonde13
AZ AlmaEeklo12
Algemeen Ziekenhuis Jan Palfijn Gent AVGent12
CHR VerviersVerviers12
CRP "Les Marronniers"Tournai12
AZ OostendeOostende11
AZORG vzwAalst10

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