Franciscus Tech Stack

Teaching hospital in Rotterdam with 5 locations across the region

Hospitals and Health Care Rotterdam, Zuid Holland 1,001–5,000 employees Nonprofit

Franciscus is a 4,700-person nonprofit teaching hospital operating across Rotterdam and surrounding cities, built on a merged entity (Sint Franciscus Gasthuis + Vlietland). The stack—AFAS, HL7/FHIR, PACS/DICOM, SQL Server—reflects standard healthcare ERP and clinical imaging infrastructure. Hiring momentum is decelerating despite 99 open roles; the department mix (85 healthcare, 2 engineering, 2 support) signals operational staffing pressure rather than tech transformation. Active projects cluster around physical expansion (women & children center, CCU) and workflow scaling, while pain points center on staffing gaps and capacity constraints—typical of Dutch hospital consolidation.

Tech Stack 18 technologies

Core StackWindows Server SQL Server iPad EMC AFAS HL7 FHIR Public Key Infrastructure SSL IIS PACS DICOM Microsoft Office Outlook Word PowerPoint Excel TOPdesk

What Franciscus Is Building

◆Challenges

High turnover
Staffing gap due to maternity leave
Staffing capacity constraints
Gmp compliance
Expanding women & child center
Pilot testing of workflow platform
Scaling new workflow across hospitals
Expanding ccu capacity
Staffing gap for chief
Quality improvement of nursing care

▲Active Projects

Women & children center
Vrouw & kind centrum
Pilot on operating rooms
New operation & intervention center
New ccu construction
Green team sustainability initiatives
Rollout to other departments
Scientific research projects
Transpulmonary pressure measurement
New treatment strategy implementation

Hiring Activity

Decelerating100 roles · 25 in 30d

Department

Healthcare

Cardiology

Engineering

Support

Ops

Radiology

Research

Seniority

Mid

Junior

Senior

Intern

Manager

Director

Staff

Notable leadership hires: Chief Anesthesiologist, Chief Internal Medicine, Chief Oncology

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About Franciscus

Franciscus operates as a teaching hospital (Topklinisch Opleidingsziekenhuis) across 5 locations: two main hospital campuses in Rotterdam (Gasthuis) and Schiedam (Vlietland), plus three outpatient clinics. The organization traces its identity back over 100 years and employs approximately 4,700 staff, 340 physicians, and 150 volunteers. The hospital serves general and specialist care with notable departments in internal medicine, anesthesiology, oncology, and cardiology. Current capital projects include construction of a new women and children center, expansion of the critical care unit, and a new operating and intervention center. The organization is piloting workflow platform changes across departments and pursuing scientific research initiatives.

HeadquartersRotterdam, Zuid Holland

Company Size1,001–5,000 employees

Hiring MarketsNetherlands

Frequently Asked Questions

What tech stack does Franciscus hospital use?

Franciscus uses AFAS (ERP), HL7/FHIR (interoperability), PACS/DICOM (medical imaging), SQL Server (database), and standard Microsoft Office infrastructure. TOPdesk handles IT service management.

What expansion projects is Franciscus working on?

Franciscus is constructing a new women and children center, expanding its critical care unit (CCU), and building a new operating and intervention center. The hospital is also piloting and rolling out new workflow platforms across departments.