斯图加特综合诊所（Klinikum Stuttgart）是巴登-符腾堡州州府最大的医院，拥有床位2000张，员工7000人，年营业额6亿5000万欧元。

经过审计和调查后，每年治疗5500例患者的国际部已被关闭。新高管层已被任命。该医院仍将接待国际病人，但取消了与医疗旅游代理商、外国大使馆、海外医院和政府的交易。

国际部引发的财务问题导致亏损。在2014年，总损失24.563百万欧元，2015年损失27.6百万欧元。

审计员仍在理顺2016年的数据。早期的调查结果表明，利比亚患者支付了2840万欧元，账单到账总额为1900万欧元——利比亚仍然欠900万欧元。

对于一份科威特合同到期的710万也只有540万进账。目前还不清楚利比亚和科威特的数据是否只是2016年抑或是更早几年。

审计人员仍在试图理清细节为什么会有1340万欧元用于患者指导、酒店费用，零花钱和食物。

一份与科威特卫生部签署的，旨在提高拉齐医院（Razi Hospital）提供的整形外科医疗服务的国际合同。审计人员对合同不满意，因为科威特是司法管辖权的法院，合同是用阿拉伯语起草的，没有进行招标的磋商。

国际医院的教训是，要小心海外政府合同，这样你的收入就不会比你支出的多，确保你能被按时付款。

GERMAN HOSPITAL CLOSES INTERNATIONAL UNIT

Losses on international patients lead to closure of international unit at top German hospital.

Klinikum Stuttgart is one of the largest hospitals in the state capital, with 2000 beds, 7,000 employees and an annual turnover of 650 million euros. 

After audits and investigations, the international unit that treated 5,500 patients a year has been closed down. New top management has been appointed. The hospital will still take international patients but it has cancelled deals with medical tourism agents, foreign embassies, overseas hospitals and governments.

Financial problems caused by the international unit led to losses. In 2014, a total loss of 24.563 million euros was generated, and 2015 saw losses of 27.6 million euros.

Auditors are still untangling the 2016 figures. Early findings suggests that for Libyan patients the unit has paid out 28.4 million euros and the bills due total 19 million - and Libya still owes 9 million. For a Kuwaiti contract the unit was due 7.1 million and has only had 5.4 million. It is not yet clear if the Libya and Kuwait figures are just for 2016 or for earlier years too. The auditors are still trying to untangle the details of why there is an amount of 13.4 million euros spent on directing, hotel costs, pocket money and food for patients.

One international contract was with the Kuwait Health Ministry to improve the medical services provided by the Razi Hospital for Orthopaedics. Auditors are unhappy about the contract as Kuwait is the court of jurisdiction, the contract is drawn up in Arabic and consultations were made without a call for tenders.

The lesson for international hospitals is to be careful on overseas government contracts that you will not get less income than you spend, and ensure that you will be paid on time.