Fivoor

What Fivoor does

Fivoor is a Dutch specialized mental healthcare chain providing forensic psychiatric care and intensive treatment for two primary populations: (1) adults and youth aged 12 and above with psychiatric disorders who have come into contact with the justice system or pose a danger to themselves or society, and (2) individuals with mild intellectual disabilities (LVB, IQ 50-85) combined with psychiatric or behavioral problems (the SGLVG-doelgroep). The organization operates more than 30 locations across five Dutch provinces — Zuid-Holland, Noord-Holland, Utrecht, Flevoland, and Noord-Brabant — including 11 secured clinical facilities spanning four forensic security levels, with FPC de Kijvelanden as its highest-security tbs clinic. Service architecture includes Forensisch Psychiatrische Afdelingen (FPA), Forensisch Psychiatrische Klinieken (FPK), Forensische Verslavingsklinieken (FVK), the Wier clinic family for SGLVG clients (Wier Kliniek Gesloten, Wier Kliniek Open, Wier+, Wier de Kei), regional Ambulant Centers delivering FACT/ACT teams, GGZ Reclassering, FHIC crisis-stabilization units, and the Levensloopaanpak for chronically high-risk clients.

Clinically, Fivoor's treatment is grounded in the Risk Needs Responsivity (RNR) Model and the Good Lives Model (GLM), combining pharmacotherapy, psychotherapy (schema therapy, CBT, EMDR), psychomotor therapy, psycho-education, and group therapies; nine ambulant teams hold CCAF quality certification, and the Forensisch FACT model represents a proprietary adaptation of Flexible Assertive Community Treatment for forensic clients. Trainingscentrum Wier, operational since 2001, monetizes the organization's expertise through commercial training programs to external healthcare organizations at €795 per half-day for aggression and safety training.

Revenue flows through three statutory channels: the Zorgverzekeringswet (Zvw) for clinical and ambulatory treatment billed to health insurers under NZa tariffs, the Wet langdurige zorg (Wlz) for SGLVG residential care, and Ministry of Justice funding for tbs and other judicial measures. All admissions are referral-mediated — clients cannot self-refer — with criminal-law trajectories processed through the Ifzo system and Levensloopaanpak assignments routed via Zorg- en Veiligheidshuis. The organization currently faces significant operational headwinds: the Wier+ building was evacuated on 28 January 2025 due to structural defects (32 patients relocated), and three Den Dolder clinics must vacate the Willem Arntsz Hoeve terrain by a January 1, 2027 deadline now considered unrealistic, with no replacement site confirmed as of early 2025.

Name

Fivoor

Legal name

Fivoor

Website

https://fivoor.nl

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Fivoor is a Dutch specialized mental healthcare chain providing forensic psychiatric care and intensive SGLVG (mild intellectual disability with behavioral problems) treatment across 30+ locations in five provinces, funded via statutory health insurance, long-term care, and Ministry of Justice channels under referral-only access.

Ownership category

akta.pro rank

Headquarters

HQ city

Poortugaal

HQ country

Netherlands

HQ region

Europe

Offices15 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Zorgverzekeringswet (Zvw) — Health Insurance Revenue: Fivoor generates revenue primarily through the Dutch health insurance system (Zorgverzekeringswet). Treatment costs are billed to health insurers. For certain treatments, advance authorization (machtiging) from the insurer is required. Revenue is generated through a mix of ambulatory treatment sessions, clinical bed-days, and material-psychiatric service encounters, all reimbursed under the Zvw framework.
2. Wet langdurige zorg (Wlz) — Long-term Care Revenue: For certain client groups — particularly those with mild intellectual disabilities (LVB/IQ 50-85) in combination with psychiatric or behavioral problems (SGLVG) — treatment and residential care are financed under the Wet langdurige zorg (Long-term Care Act). This applies to clients in Wier clinical facilities requiring extended residential treatment.
3. Forensic Justice Revenue (Justitiële Maatregelen): For clients under a forensic judicial measure (tbs, forensische zorg as part of a sentence, or other justitiële maatregel), treatment is funded through the Ministry of Justice and Security (Justitie). Fivoor also receives referrals from the reclassering, which may be funded through the three existing referral pathways.
4. Training and Consultancy Services: Trainingscentrum Wier generates revenue by providing paid training programs to external healthcare organizations. Pricing is set per training module: Basic Aggression & Safety Training at €795 per half-day (VAT applicable), with other courses (LVB, Psychopathology, Moral Case Deliberation, Coaching) priced upon consultation. Training is delivered in-company at client organizations.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels10 records

Core offering

Fivoor is a Dutch mental healthcare chain providing forensic and intensive psychiatric care and treatment for adults and youth (12+) with psychiatric disorders who have come into contact with the justice system or pose a danger to themselves or society, and for people with mild intellectual disabilities (LVB) combined with psychiatric or behavioral problems (SGLVG target group). Services span clinical inpatient care across four security levels (FPA, FPK, FVK, FHIC, FPC de Kijvelanden, Wier+), ambulatory FACT/ACT outreach, GGZ Reclassering reintegration support, the Levensloopaanpak multi-domain approach for chronically high-risk clients, and external professional training via Trainingscentrum Wier. All admissions are referral-based through authorized parties (reclassering, prisons, GGZ, GPs, youth care); no self-referral is permitted.

Product overview

Fivoor is a healthcare organization specializing in forensic and intensive psychiatric care, operating across more than 30 locations in the Netherlands. The organization operates a platform-based model with three main service pillars: Forensische Zorg (Forensic Care) providing clinical and ambulatory treatment for individuals with psychiatric disorders who have come into contact with the justice system; Intensieve Zorg through Behandelcentrum Wier offering treatment for individuals with mild intellectual disabilities (LVB) combined with psychiatric or behavioral problems (SGLVG); and GGZ Reclassering providing reintegration support. The clinical services include multiple facility types across four security levels: FPA (Forensic Psychiatric Departments) with FHIC crisis units, FPK (Forensic Psychiatric Clinics), FVK (Forensic Addiction Clinics), and FPC de Kijvelanden (tbs clinic). The Wier division operates closed and open clinics (Wier Kliniek Gesloten, Wier Kliniek Open, Wier+) plus Wier de Kei. Ambulatory care is delivered through regional Ambulant Centers. Support services include Materieel Juridische Dienstverlening for financial/legal guidance and Budget en Beheer for budget management. Training Centrum Wier provides external professional training. The organization also coordinates the Levensloopaanpak for long-term high-risk cases.

Differentiator

Problem solved

Functional benefit

Brands

• Behandelcentrum Wier: Treatment center specializing in care for people with mild intellectual disability (LVB) combined with psychiatric disorders and/or behavioral problems (SGLVG target group). Offers both outpatient and clinical care with regional function in Utrecht, Flevoland and North Holland.
• FHIC (Forensisch High & Intensive Care)
• Trainingscentrum Wier

Products and services

• Forensische Zorg (Forensic Care) Specialized forensic psychiatric care for individuals with mental disorders who have committed offenses or pose a danger to society. Services include clinical treatment, ambulatory care, and rehabilitation support. Referred by courts, reclassering, prisons, and GGZ institutions.
• Intensieve Zorg / Behandelcentrum Wier Intensive treatment and care for individuals with mild intellectual disabilities (LVB, IQ 50-85) combined with psychiatric disorders or behavioral problems (SGLVG target group). Includes clinical and ambulatory services through a national/bovenregional center serving Utrecht, Flevoland, and Noord-Holland.
• GGZ Reclassering Reintegration support for individuals who have come into contact with the justice system and have addiction or psychiatric problems. Includes monitoring, care coordination, and reporting to probation authorities.
• Levensloopaanpak (Lifespan Approach) Collaborative multi-domain approach for individuals with unexplained behavior and high ongoing forensic risk who require long-term forensic care involvement, temporary secured intensive clinical care, and coordinated support across justice, social, and care domains.
• FPA - Forensisch Psychiatrische Afdeling (Forensic Psychiatric Department) Forensic Psychiatric Department offering intensive treatment in a secured setting for individuals with psychiatric conditions who have shown or threaten to show dangerous or boundary-crossing behavior.
• FHIC - Forensisch High & Intensive Care High-intensity forensic psychiatric treatment for patients in crisis or at risk of crisis, with a short-stay duration of 5-15 weeks maximum. Hosted at FPA Utrecht, FPA Den Haag, and FPA Rotterdam as part of the FHIC network.
• FPK - Forensisch Psychiatrische Kliniek Forensic psychiatric clinic for patients with complex psychiatric issues who have shown boundary-crossing or dangerous behavior prior to admission. Also treats addiction comorbidities.
• FVK - Forensische Verslavingskliniek Forensic addiction clinic for patients with addiction-related forensic psychiatric needs.
• FPC de Kijvelanden (Forensisch Psychiatrisch Centrum) Highest security forensic psychiatric center (tbs clinic) for patients with psychiatric conditions who have committed serious offenses and have been sentenced to tbs with compulsory treatment.
• Wier+ Secured clinic (security level 2) for individuals with mild intellectual disability (LVB) combined with psychiatric disorders and/or behavioral problems (SGLVG). Temporarily relocated to FPA Utrecht pending a permanent site.
• Wier Kliniek Gesloten Closed clinic (security level 1) for individuals with mild intellectual disability (LVB, IQ 50-85) combined with psychiatric or behavioral problems (SGLVG). Capacity for 27 patients across 2 treatment departments; average stay approximately 18 months.
• Wier Kliniek Open Open clinic for individuals in the final phase of SGLVG treatment, with 28 places. Patients can independently go outside between 7:00 and 22:00. Last step before reintegration into independent or assisted living; average stay approximately 18 months.
• Wier de Kei Open clinic in Utrecht for individuals with LVB and psychiatric/behavioral problems who have issues across almost all life areas. Capacity for 22 clients; includes accommodation support, financial management, and reintegration preparation; average stay approximately 1 year.
• Ambulante Zorg (Ambulatory Care) Ambulatory forensic care where clients visit treatment providers by appointment or receive treatment at home, work, or other locations. Includes poliklinische behandeling, FACT/ACT outreach teams, and outreachende zorg.
• Materieel Juridische Dienstverlening (MJD)

Quantifiable outcome

• Wier Kliniek Gesloten: average stay of approximately 18 months
• +5 more outcomes

Named customers1 record

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

14 partnerships are on record, tiered core and minor.

• FHIC Network (17 institutions)coreStrategic or Co-development PartnerFivoor participates in the national Forensisch High & Intensive Care (FHIC) development network, which includes 17 institutions across all security levels. The FHIC provides short-stay crisis stabilization (5-15 weeks) to prevent further escalation and criminal justice involvement. Fivoor's FPA Utrecht, FPA Den Haag, and FPA Rotterdam each host an FHIC unit. The network shares best practices and develops standardized FHIC protocols across the Dutch forensic mental health sector.
• Levensloopaanpak partners (Zorg- en Veiligheidshuis, Reclassering, gemeenten)coreStrategic or Co-development PartnerThe Levensloopaanpak is a multi-domain collaboration for clients with unexplained behavior and high ongoing forensic risk. It requires coordinated involvement of the justice, social, and care domains. Partners include the Zorg- en Veiligheidshuis (which evaluates and assigns clients), municipalities, reclassering, and other care providers. Fivoor contributes forensic FACT care as the long-term care component.
• CCAF (Centrum voor Consultatie en Arbitrage voor de Forensische Sector)coreOthersCCAF is the quality certification body for forensic FACT teams in the Netherlands. Nine Fivoor Ambulant teams have obtained or are working toward CCAF certification, which validates adherence to quality standards for responsible forensic care delivery. The certification is based on the Forensic FACT model and provides external quality assurance.
• Gemeente ZeistcoreStrategic or Co-development PartnerGemeente Zeist is the municipality in which Fivoor's Den Dolder clinics are located. Following the 2024 decision to require independent research into relocation options, the municipality has been working with Fivoor, Altrecht, and advisory firm Rebel Group to find replacement locations. The municipality also participates in community liaison structures (Klankbordgroep, Veiligheidsoverleg) and has appointed an independent investigation into Fivoor's relocation efforts.
• AltrechtcoreStrategic or Co-development PartnerAltrecht is the owner of the Willem Arntsz Hoeve (WA Hoeve) terrain in Den Dolder, which it has decided to sell. Fivoor leases clinical buildings on this terrain. Altrecht and Fivoor are jointly seeking replacement locations for the three Fivoor clinics. Altrecht also co-hosts community events such as Burendag on the WA Hoeve.
• Gemeente De BiltminorStrategic or Co-development PartnerGemeente De Bilt has decided to exclude new forensic care institutions from its municipality, complicating Fivoor's search for replacement locations in the Midden-Nederland region.
• PolitiecoreStrategic or Co-development PartnerPolice collaborate with Fivoor in multiple structures: the Veldtafeloverleg (field table discussion group), Veiligheidsoverleg (safety meeting), wijkagenten (community police officers) who hold weekly consultation hours in Den Dolder, and protocols for reporting clients who are 'ongeoorloofd afwezig' (unlawfully absent). Police contact details are shared on Fivoor's neighborhood pages.
• Stichting Familievertrouwenspersonen (FVP)minorStrategic or Co-development PartnerStichting Familievertrouwenspersonen supports family members and relatives of people with serious mental health problems. Two foundations serve different client groups: Stichting Familievertrouwenspersonen Wvggz (for clients under compulsory care measures) and Stichting Familievertrouwenspersonen Plus (for voluntarily treated clients). Fivoor links to these services on its website and works with FVP contacts in the Rijnmond, Utrecht, Haaglanden, and Tilburg & Breda regions.
• BUurtcoaches teamcoreStrategic or Co-development PartnerFivoor's buurtcoaches (neighborhood coaches) operate within Team Veilig, a joint safety structure on the WA Hoeve terrain. They coordinate with the municipality, police, local businesses, and residents' associations to maintain neighborhood safety and livability around the Den Dolder clinics.
• Lokale belangenverenigingen Den DolderminorStrategic or Co-development PartnerFivoor participates in various consultations with local residents' associations in Den Dolder, including the Klankbordgroep and Veldtafeloverleg, to address community concerns and maintain good neighbor relations.
• ReinaerdeminorStrategic or Co-development PartnerReinaerde is a care organization located on the same WA Hoeve terrain in Den Dolder. Together with Fivoor and Altrecht, Reinaerde participates in community events, information sharing, and neighborhood safety structures. The three organizations collectively accommodate approximately 400 clients on the terrain.
• Good Lives Model (GLM) — knowledge networkminorStrategic or Co-development PartnerFivoor bases part of its treatment methodology on the Good Lives Model (GLM), a scientifically researched theory on treating criminal behavior developed by Tony Ward. The model is published and disseminated through the Expertisecentrum Forensische Psychologie (EFP), which Fivoor references as a knowledge partner.
• BPD (Bouwfonds Gebiedsontwikkeling)minorOthersBPD is the project developer that has purchased part of the WA Hoeve terrain from Altrecht for residential development. Fivoor is in dialogue with BPD as part of the relocation process, as the sale of the terrain is the driver for Fivoor needing to vacate.
• Den Dolder Bruist (local initiative)minorStrategic or Co-development PartnerDen Dolder Bruist is a local initiative bringing together parties on the WA Hoeve terrain and from the village to develop joint activities that contribute to the connection between the WA Hoeve and the village. Fivoor actively participates in this initiative.

Scale indicators10 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Parnassia Groep: The largest mental health and addiction care provider in the Netherlands, operating across multiple regions and including Antes as its forensic arm. Comparable to Fivoor because it delivers the full continuum of GGZ plus specialized forensic services to a similar statutory and judicial clientele, but at significantly greater scale and geographic breadth.

Direct peers

• Altrecht: Utrecht-based GGZ provider that owns the Willem Arntsz Hoeve terrain where Fivoor's Den Dolder clinics operate. Directly comparable to Fivoor in the Dutch specialist GGZ market, sharing both clinical overlap and physical co-location, and is currently Fivoor's landlord and joint relocation partner.
• Reinier van Arkel: Dutch forensic psychiatric center ('s-Hertogenbosch region) operating tbs clinics and ambulatory forensic care. Directly comparable to Fivoor in clinical model and patient population, and notably where Fivoor's former Director of Operations departed to in September 2026, indicating close labor market and service overlap.
• Antes (Parnassia): Rotterdam-based forensic and addiction mental health provider, part of Parnassia Groep. Directly comparable to Fivoor's Rotterdam operations (FPA, FPK, FVK, MJD, F-RIBW) given overlapping forensic and addiction services in the same Rijnmond region.
• Mondriaan: Mental health provider in Limburg offering forensic and intensive psychiatric care alongside general GGZ. Comparable to Fivoor in operating a multi-site chain combining regular GGZ with forensic specialization, including FPC Roermond equivalents.
• GGZ inGeest: Amsterdam-area specialist GGZ provider (part of Parnassia Groep). Comparable to Fivoor's ambulatory and clinical GGZ offering in North Holland, including forensic services and ambulatory FACT-style teams.
• Lentis: GGZ provider in Groningen/Drenthe offering general mental health, forensic care, and addiction services across multiple security levels. Comparable to Fivoor in its multi-region chain model and forensic specialization.
• Trajectum: Dutch provider of forensic and youth care for individuals with LVB (mild intellectual disability) and severe behavioral problems. Directly comparable to Fivoor's Behandelcentrum Wier given shared LVB/SGLVG patient population, though Trajectum is more youth-focused.
• Dimence: Overijssel-based GGZ provider with forensic and addiction services. Comparable to Fivoor as a regional Dutch GGZ chain delivering statutory-funded specialist mental health across ambulatory, clinical, and forensic settings.
• Tactus: Dutch addiction care provider with forensic addiction services, comparable to Fivoor's FVK Rotterdam and broader addiction/forensic intersection. Both organizations serve justice-involved clients with co-occurring addiction and psychiatric disorders.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/Fivoor
• YouTubeyoutube.com/channel/UC4El8wrOKH3eWj_mpfZVlYA
• Facebookfacebook.com/fivoor
• LinkedInlinkedin.com/company/fivoor

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fivoor