helseforetak

Helseforetak are state-owned enterprises in Norway that operate hospitals and deliver specialized health services within the public health system. They are owned by the regional health authorities (RHFs), which coordinate and fund the Norwegian specialist health service. Each helseforetak functions as a separate legal entity with its own board and chief executive officer, responsible for day-to-day operations, staffing, and service delivery in its region. They may run general hospital campuses, specialized clinics, and psychiatric or substance use treatment units, depending on regional needs.

Helseforetak are part of the public sector governance structure. The RHF appoints the boards and oversees performance, while the central government sets overall policy and provides funding through annual budgets. The enterprises must comply with public sector rules, including transparency, accountability, and procurement regulations, and they are subject to audits by the Office of the Auditor General and other monitoring bodies.

The aim of the helseforetak model is to maintain professional, managerial autonomy in clinical operations while ensuring that services are planned and financed at the regional level and aligned with national health policy. Over time, the model has been used to improve efficiency, accountability, and specialization in hospital care.