Sleutelnet

What Sleutelnet does

Sleutelnet is a Dutch non-profit Regional Cooperation Organization (RSO) that coordinates digital healthcare communication and data exchange for 37+ healthcare provider organizations across 13 municipalities in the Zuid-Holland Noord region. Operating from Leiden and founded in 2008, the organization acts as a neutral regional aggregator and reseller for digital health platforms rather than building its own software. It delivers services including Zivver (NTA 7516 secure email), ZorgMail (HL7/EDIFACT/XML structured messaging via Enovation), POINT (digital care transfers to post-care institutions), Zorgportaal (Topicus-powered provider portal with UZI-pas/Digipass authentication), LSP connectivity (national health record exchange via VZVZ), Babyconnect (birth care viewer via HINQ), ZorgDomein (referrals), Passguard (dark web credential monitoring), and Zorgapp ZHN (regional contact directory by MDL App Solutions), supplemented by advisory services (FG-team for GDPR/DPO compliance and an IT architect team for regional architecture). It is one of 12 RSOs in the national RSO Nederland network and is slated to merge with Transmuralis.

The underlying technology is an integration-and-orchestration layer rather than a proprietary stack. The planned Regiohub central architecture routes data using HL7 FHIR with Zibs, XDS, Koppeltaal, and connections to national facilities (LSP, MedMij, MITZ, Twiin), with a Regiogateway translating legacy source-system data models into HL7 FHIR messages for organizations not yet on standards-based exchange. Sleutelnet coordinates standardized national message exchange (24 NICTIZ message standards in the Acute Zorg project) and runs programs including VIPP Babyconnect, MDO Support via the Vitaly platform for the OncoWest oncology network of six hospitals, and VIPLive Netwerkzorg for community care coordination.

Sleutelnet monetizes through tiered annual participant contributions (minimum €125, scaling from €9,375 base for €0-10M revenue participants up to €31,250 base for €200-500M revenue, with incremental per-million charges), subscription fees for individual services (e.g., Zivver €1.86-2.57/provider/month with discounts for participants), one-time onboarding fees (e.g., €107.50 plus €25/practitioner for Zivver), and collective procurement that yields better unit economics than individual negotiation. Go-to-market is direct-to-provider with self-serve sign-up forms on sleutelnet.nl, servicedesk support, and dedicated account/relationship management, complemented by quarterly CIO meetings, an annual Participant Council, and bi-monthly FG knowledge-sharing sessions. Any surplus is explicitly reinvested as lower tariffs for participants.

Name

Sleutelnet

Legal name

Sleutelnet B.V.

Website

https://sleutelnet.nl

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

11–50 employees

Short description

Sleutelnet is a Dutch non-profit Regional Cooperation Organization that aggregates demand from 37+ healthcare providers across 13 municipalities in Zuid-Holland Noord, coordinating secure messaging, care transfers, national LSP connectivity, and digital health data exchange.

Ownership category

akta.pro rank

Product category

Regional Healthcare Collaboration Services

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Management Services (8741)

akta.pro primary industry

Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)

akta.pro secondary industry

Privacy Management (Consent, DSAR, RoPA) (HDADAFAH)

Keywords

• Regional healthcare cooperation
• Healthcare data exchange
• Secure healthcare communication
• Digital health services
• Healthcare interoperability

Headquarters

HQ city

Leiden

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Participant contributions: Annual membership fees paid by participant organizations. The contribution is calculated based on the participant's annual revenue, using a tiered scale. The minimum participant contribution is €125. Categories range from €0-10M revenue (€125 base) up to €200-500M revenue (€31,250 base), with incremental charges per million above the lower bound.
2. Service fees (Zivver, ZorgMail, Zorgapp ZHN, and others): Fees charged for individual services offered to participants and non-participants. Zivver is offered on a subscription basis (monthly per healthcare provider). ZorgMail charges an annual subscription. Zorgapp ZHN charges annual fees per user tier. Participants receive discounts on services compared to non-participants.
3. One-time setup fees: One-time onboarding/setup fees are charged for certain services. For Zivver, new customers pay a one-time fee of €107.50 plus €25 per HA/APO/TA/PARA practitioner. ZorgMail charges implementation costs of €99 for reinstallations.
4. Collective procurement facilitation: Sleutelnet aggregates demand from 37+ participant organizations to collectively procure digital health services and negotiate favourable terms. While Sleutelnet itself is non-profit, the collective purchasing power creates value for participants.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Sleutelnet is a Regional Cooperation Organization (RSO) for the Zuid-Holland Noord region of the Netherlands that aggregates demand from 37+ healthcare participant organizations to facilitate digital collaboration between care providers. It offers a portfolio of healthcare communication and data exchange services including secure email (Zivver), structured electronic messaging (ZorgMail), patient referrals (ZorgDomein), care transfer (POINT), portal access (Zorgportaal), maternity care data exchange (Babyconnect), LSP connectivity, cybersecurity monitoring (Passguard), and data protection officer (FG-team) services. As a non-profit cooperative, it negotiates favorable terms with technology partners and reinvests surplus into lower tariffs for participants.

Product overview

Sleutelnet is a Regional Healthcare Collaboration Organization (RSO) for Zuid-Holland Noord operating as a platform-plus-services model. The organization facilitates digital cooperation between healthcare providers through a portfolio of interconnected services and platforms. Core services include secure communication solutions (Zivver for secure email, ZorgMail for structured HL7/EDIFACT/XML messaging, POINT for care transfer coordination), information exchange infrastructure (LSP national health record exchange, Babyconnect for maternity care data sharing, ZorgDomein for referrals), access portals (Zorgportaal via Topicus), cybersecurity (Passguard dark web monitoring), and professional services (FG-team data protection officers, IT architectenteam). Strategic projects include VIPLive Netwerkzorg for neighborhood care coordination, Acute Zorg data availability, MDO Support for oncology meetings, and VIPP Babyconnect for birth care. The organization also operates platforms for architecture governance, CIO collaboration, privacy & security coordination, and national RSO networking, with a future Regiohub planned for regional data integration connecting to national facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Babyconnect Digital data exchange platform for maternity/birth care enabling healthcare providers (midwives, maternity care, hospital departments, sonographers, and Youth Health Care) to securely view and share important pregnant women's data through a birth care viewer (geboortezorg viewer) from HINQ.
• Passguard Cybersecurity monitoring service that continuously scans the dark web for stolen credentials from infostealer infections, providing organizations insight into cyber threats affecting their devices and access points. Sleutelnet's team analyzes and validates findings regionally.
• IT architectenteam IT architecture consulting team providing support to participants in shaping future-proof information architecture, mapping application landscapes, and ensuring alignment with regional IT principles and organizational strategy.
• LSP (Landelijk Schakelpunt) Facilitation service for connecting general practitioner practices and pharmacies in Zuid-Holland Noord to the national Health Information Exchange (LSP), enabling secure 24/7 sharing of essential medical patient data between healthcare providers.
• POINT Digital collaboration platform from Enovation for patient transfers and care transitions from hospitals to post-care institutions such as nursing homes, rehabilitation centers, or home care, facilitating finding the right aftercare location and ensuring timely, complete information transfer.
• Zorgportaal Healthcare portal provided in collaboration with Topicus, serving as a central access point for healthcare providers to access various healthcare applications including Alrijne Zorgverlenersportaal, LUMC Zorgverlenersportaal, and HAP Mijn Patiënten via UZI-pas, Digipass, or Topicus Zorg Account authentication.
• Zivver Secure email and file sharing service compliant with NTA 7516, ISO 27001, and NEN 7510, enabling healthcare institutions and government agencies to safely share privacy-sensitive information with patients, colleagues, and external parties. Features include large file transfers up to 5TB and classification-based security warnings.
• Zorgapp ZHN Mobile app and website from MDL App Solutions providing access to regional transmural work agreements, contact information of healthcare professionals, organizational contact details, and training opportunities in Zuid-Holland Noord.
• ZorgDomein Digital platform connecting healthcare providers for patient referrals, diagnostic requests, specialist consultations, and online patient discussions, enabling referring healthcare professionals to view care offerings and patients to receive better information about referrals.
• ZorgMail Electronic message exchange service from Enovation supporting structured healthcare communication formats including HL7, EDIFACT, and XML messages for electronic prescriptions, specialist letters, and laboratory results between healthcare providers.
• FG-team (Functionaris Gegevensbescherming) Data Protection Officer (DPO) team providing support to participant organizations in achieving AVG (GDPR) compliance, including advisory services, supervision of compliance, DPIA advice and execution, and cooperation with the Dutch Data Protection Authority (AP).
• Regiohub (Doelarchitectuur) Regional hub concept for healthcare data availability and exchange in the Zuid-Holland Noord region. The hub integrates with national facilities (LSP, MedMij, Koppeltaal, MITZ, Twiin), supports standard data formats (HL7 FHIR, Zib's), and connects via the Regiogateway for organizations with non-standard source systems.

Quantifiable outcome

• Digital referral from GP post to dispatch center operational since May 2025, replacing telephone-based communication and providing direct patient data visibility in the dispatch system.
• +2 more outcomes

Named customers20 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration19 records

Feature5 records

Partnerships

14 partnerships are on record, tiered core and strategic.

• VZVZ (Vereniging van Zorgaanbieders voor Zorgcommunicatie)coreTechnology or IntegrationVZVZ manages the national LSP (Landelijk Schakelpunt), the ICT infrastructure hub for healthcare data exchange in the Netherlands. Sleutelnet serves as the facilitating regional organization for LSP implementation in Zuid-Holland Noord, communicating developments to pharmacies and GPs, supporting the connection process, and offering guidance to improve opt-in rates and LSP usage.
• EnovationcoreTechnology or IntegrationEnovation provides the ZorgMail platform for structured electronic message exchange in healthcare. Sleutelnet is the regional partner (regiopartner) of Enovation and the contact point for all healthcare providers in Zuid-Holland Noord.
• ZivvercoreTechnology or IntegrationZivver is the secure email and file exchange platform offered by Sleutelnet to healthcare providers. After a thorough selection process, Sleutelnet chose Zivver in 2021 as the replacement for Sleutel-mail. Zivver is NTA 7516, ISO 27001, and NEN 7510 certified. Sleutelnet acts as the regional reseller and account manager for Zivver services.
• TopicuscoreTechnology or IntegrationTopicus provides the Zorgportaal platform (in partnership with Sleutelnet) and the VIPLive system for network care. VIPLive Netwerkzorg is an extension of Topicus's VIPLive system used by GPs for benchmarks, care chains, and reporting. Sleutelnet facilitates regional deployment of Topicus solutions.
• MDL App SolutionscoreTechnology or IntegrationMDL App Solutions developed the Zorgapp ZHN (Zorgapp Zuid-Holland Noord), an app and website launched in 2018 that provides a regional contact directory, work agreements, and training information for healthcare professionals in the region.
• HINQcoreTechnology or IntegrationHINQ provides the birth care viewer (geboortezorg viewer) for Babyconnect, enabling healthcare providers to view and share pregnancy-related data across care settings. HINQ handles the technical infrastructure for the viewer, while Sleutelnet coordinates regional implementation and support.
• VitalystrategicTechnology or IntegrationVitaly was selected as the digital MDO (Multidisciplinary Team Oncology) platform for the OncoWest network of 6 hospitals in west Netherlands. The platform streamlines multidisciplinary oncology consultations, replacing PDF-based information sharing with a central data and imaging platform. Sleutelnet provides project management for the regional implementation.
• ROAZ-WestcoreStrategic or Co-development PartnerROAZ-West leads the Zorgcoördinatie (Care Coordination) programme, of which Sleutelnet's Acute Zorg project (Databeschikbaarheid in de Acute Zorg) is part. Sleutelnet collaborates closely with ROAZ-West on regional acute care data availability initiatives.
• Netwerk Acute Zorg West (NAZW)strategicStrategic or Co-development PartnerNAZW is the network for acute care in west Netherlands. Sleutelnet's acute care project aligns with NAZW's target architecture, and the Regiohub is designed to connect with NAZW's infrastructure.
• OncoWest (Ziekenhuisnetwerk West-Nederland)coreStrategic or Co-development PartnerOncoWest is the oncology collaboration network of 6 hospitals in west Netherlands. Sleutelnet provides project management for the Vitaly MDO platform implementation across the OncoWest hospitals (LUMC, Alrijne, Haga, HMC, Reinier de Graaf, Groene Hart).
• RSO NederlandcoreStrategic or Co-development PartnerRSO Nederland is the national network of 12 RSOs (Regional Cooperation Organizations) across the Netherlands, working to improve digital data exchange in healthcare. Sleutelnet is one of the 12 RSOs. The network organizes regular RSO days to share knowledge and develop joint positions on national digital health policy.
• BLINKZstrategicStrategic or Co-development PartnerBLINKZ is the national coordination body for birth care digital exchange post-VIPP Babyconnect (after the programme ended 31 December 2025). BLINKZ will organize supplier management and quality assurance of digital data exchange through the XIS certificate, and manage the development agenda for the birth care viewer.
• Zorgverzekeraars Nederland (ZN)strategicStrategic or Co-development PartnerZN (Zorgverzekeraars Nederland) supported the search for a digital MDO platform for the OncoWest region and provided funding for the Vitaly implementation project.
• PassguardcoreTechnology or IntegrationPassguard is a Dutch cybersecurity specialist in infostealer monitoring. Sleutelnet offers Passguard's infostealer monitoring service as a managed service to its participants. Passguard monitors the dark web for stolen credentials, and Sleutelnet's team analyzes and validates findings regionally. Passguard is ethically sourced and GDPR-compliant.

Scale indicators4 records

Recent moves7 records

Expansion highlights7 records

Direct peers

• ZorgDomein: ZorgDomein is a Dutch digital platform for patient referrals, diagnostic requests, and specialist consultations between healthcare providers. Sleutelnet offers ZorgDomein as one of its core referral services to participants, and ZorgDomein serves the same Dutch healthcare provider market with similar referral workflow focus.
• RSO Nederland: RSO Nederland is the national network of 12 Regional Cooperation Organizations across the Netherlands, of which Sleutelnet is a member. It coordinates knowledge sharing and joint positions on national digital health policy, and represents the broader peer group of which Sleutelnet is one node.
• Transmuralis: Transmuralis is the Regional Cooperation Organization (RSO) for the Haaglanden region in the Netherlands, operating as a non-profit cooperative of healthcare providers focused on regional digital collaboration and data exchange. It is the confirmed merger partner of Sleutelnet, sharing the same director (Veronique Bekendam), making it the most directly comparable peer.

Broad incumbents

• Nictiz: Nictiz is the Dutch national knowledge center for health IT, responsible for developing and maintaining HL7 FHIR, Zib clinical information standards, and other interoperability specifications. Sleutelnet implements these standards regionally via the Regiohub, making Nictiz the upstream standards body whose work enables Sleutelnet's services.
• VZVZ: VZVZ (Vereniging van Zorgaanbieders voor Zorgcommunicatie) manages the national LSP (Landelijk Schakelpunt), the central healthcare information exchange infrastructure in the Netherlands. Sleutelnet operates as a regional facilitator for VZVZ's national infrastructure, making VZVZ a broader incumbent whose infrastructure Sleutelnet depends on.
• Topicus: Topicus is a Dutch healthcare software provider whose Zorgportaal and VIPLive Netwerkzorg products are deployed by Sleutelnet for portal access and network care coordination. Topicus serves similar healthcare IT needs nationally, making it a broader incumbent with overlapping market and capabilities.
• Enovation: Enovation is a Dutch healthcare communications platform provider whose ZorgMail and POINT products power Sleutelnet's core messaging and care transfer services. As both technology partner and broader market player serving healthcare communication needs across the Netherlands, Enovation is a comparable incumbent with overlapping value proposition.

Emerging players

• Zivver: Zivver is a Dutch secure email and file sharing specialist (NTA 7516, ISO 27001, NEN 7510 certified) whose platform Sleutelnet resells regionally. As a focused player in healthcare secure communications, Zivver represents an emerging partner with overlapping secure messaging capabilities.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/sleutelnet
• Xx.com/sleutelnet

Compliance10 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 Sleutelnet