Abstract This study investigates the relevant planning & control components for hospitals’ management while the Dutch Healthcare sector is in the transition from not-for profit to (regulated) market competition. For this purpose a conceptual framework focussing on management based on integral results is developed. Subsequently, this model is tested through interviews and meetings with hospitals and other experts in the field. The results indicated that the model principally holds in the selected settings. However, innovative and appropriate components or critical success factors could not be found, suggesting that this thesis, relating to current practice, might still be one bridge too far.