What Livica does

Livica GmbH is a German homecare services company headquartered in Merzig, Saarland, and a subsidiary of the U.S.-based JDS Group (The Firm of John Dickinson Schneider Inc.). Founded in 2013 as Publicare-Plus GmbH in Cologne and rebranded to Livica in 2020, the company provides nationwide home-based medical and pharmaceutical supply alongside bundled therapy management and consulting services. Its portfolio spans nine core therapy areas: parenteral nutrition (intravenous), enteral nutrition (tube feeding), ambulatory infusion therapy including APAT and pain therapy, stoma care, wound care, tracheostomy care, incontinence care, pediatric care, and palliative care. Livica primarily serves patients discharged from hospital who require ongoing complex medical therapy at home, with referral-driven acquisition through hospitals, physicians, pharmacies, nursing services, SAPV teams, and statutory and private health insurance contracts.

The operating model combines product supply with hands-on therapy management delivered by a national network of more than 100 specially trained therapy managers, supported by regional managers covering all major German regions and a structured Entlassmanagement discharge coordination process. Livica is ISO 13485:2021 and ISO 9001:2015 certified and holds §126 SGB V prequalification, the mandatory qualification for supplying statutory health insurance patients with medical aids in Germany. Its technology stack is not extensively disclosed but includes internal digital documentation systems for patient records, Microsoft Dynamics NAV/Business Central for ERP operations, and standard website infrastructure. The company runs its own logistics operation from Merzig enabling nationwide delivery within 24 hours and automatic recurring delivery (Dauerbelieferung) for patients on long-term prescriptions. Livica Training functions as an in-house academy for therapy manager continuing education and quality standards development.

Livica's revenue model is anchored in direct billing with statutory health insurers (gesetzliche Krankenkassen, GKV) under §302 and §300 SGB V, and with private health insurers, rather than direct patient payment. This makes German health insurance funds the de facto institutional customers, even though operational delivery is patient-centric. The company offers direct billing administration (Direktabrechnung) for privately insured patients, prescription management, and economic prescribing tools through its partnership with Caresolution/Carenoble. Go-to-market is sales-led via an enterprise field force (Außendienst) of qualified healthcare professionals (examined nurses with additional qualifications), supported by internal sales, customer service, and billing teams. As part of the JDS Group's broader European homecare network, Livica participates in cross-border best-practice sharing while operating as a domestically focused German provider.

Name

Livica

Legal name

Livica GmbH

Website

https://livica.de

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

101–250 employees

Short description

Livica GmbH is a Germany-based homecare provider specializing in complex, consultation-intensive medical therapies including parenteral and enteral nutrition, infusion therapy, wound, stoma, incontinence, tracheostomy, pediatric, and palliative care, serving patients nationwide under statutory and private health insurance reimbursement.

Ownership category

akta.pro rank

Product category

Home Medical Equipment Supply & Homecare Services

NAICS

Home Health Care Services (6216), Home Health Care Services (62161), Home Health Care Services (621610), Home Health Equipment Rental (532283)

SIC

Services-Home Health Care Services (8082), Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Home Infusion Therapy & IV Nursing Services (HLADAFAG)

akta.pro secondary industries

Home Infusion Therapy Providers (HLAFAEAE), Palliative Care (Home-Based) Providers (HLAFAEAD), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL)

Keywords

• Home medical supply
• Clinical nutrition therapy
• Ambulatory infusion therapy
• Wound and stoma care
• Homecare services

Headquarters

HQ city

Merzig

HQ country

Germany

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Medical and pharmaceutical product supply: Livica generates revenue by supplying patients with prescribed medical devices, consumables, and pharmaceutical products required for home-based therapies (parenteral nutrition, enteral nutrition, wound care, stoma care, incontinence, tracheostomy, infusion therapy, pediatric care, palliative care). Billing is handled directly with statutory health insurance funds (gesetzliche Krankenkassen) under §302 SGB V and §300 SGB V, and with private insurers.
2. Consulting and therapy management services: Livica provides bundled consulting, training, and ongoing therapy management services alongside product supply. These include house calls by therapy managers, care coordination, prescription management, and cost-coverage negotiation with health insurers. Services are offered at no direct cost to patients (covered via health insurance frameworks).

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

Livica GmbH is a nationwide German homecare provider that supplies prescribed medical devices, pharmaceutical products, and compounded nutrition/infusion solutions to patients at home across nine therapy areas (parenteral nutrition, enteral nutrition, ambulatory infusion therapy, stoma care, wound care, tracheostomy care, incontinence care, pediatric care, and palliative care). The company bundles these products with ongoing therapy management — including in-home visits by certified therapy managers, patient training, prescription handling, hospital discharge coordination, and direct billing with statutory and private health insurers under §302 and §300 SGB V.

Product overview

Livica GmbH is a nationwide German homecare provider offering a unified service model centered on professional medical supply delivery and continuous patient support. The core portfolio encompasses parenterale Ernährung (intravenous nutrition via three-chamber bags and individually compounded solutions) and enterale Ernährung (tube feeding with Sondennahrung and Compounding), alongside eight specialized care areas: Stoma-, Wund-, Tracheostoma-, Kontinenz-, Kinder-, and Palliativversorgung, plus Infusionstherapie covering APAT and Schmerztherapie. These clinical services are supported by Livica Training (continuing education), digital documentation systems, Versorgungsstandards, and Entlassmanagement. The company operates as a single integrated homecare service rather than a platform with separate modules.

Differentiator

Problem solved

Functional benefit

Brands

• Livica Training: Internal training academy responsible for continuing education, quality assurance, and development of digital documentation systems for Livica GmbH.

Products and services

• Parenterale Ernährung (Parenteral Nutrition Therapy) Ambulatory intravenous nutrition therapy providing essential macronutrients and micronutrients — amino acids, lipids, glucose, electrolytes, vitamins, and trace elements — directly into the bloodstream for patients unable to absorb nutrients enterally. Covers three-chamber bags, individually compounded nutrient solutions, and special pediatric and dialysis provisions.
• Enterale Ernährungstherapie (Enteral Nutrition Therapy) Food intake via the digestive tract including tube feeding (Sondennahrung), individually compounded nutrient solutions (Compounding), special feeding situations, and related equipment such as PEG/PEJ/Button/Gastrotube, nasogastric tubes, nutrition pumps, and gravity delivery systems.
• Ambulante Infusionstherapie (Ambulatory Infusion Therapy) Ambulatory infusion therapies including APAT (Ambulante Parenterale Antiinfektivatherapie), pain therapy particularly in palliative care settings, immunoglobulin therapy, desferal therapy for iron storage diseases, and general fluid substitution.
• Stomaversorgung (Stoma Care) Comprehensive stoma care including consultation on stoma systems, modern comfortable and discreet products, patient training, and long-term support. Covers colostomy, ileostomy, and urostomy supplies including ileum conduit and ureterocutaneostomy.
• Wundversorgung (Wound Care) Professional wound care including treatment of chronic wounds (decubitus, ulcus cruris, diabetic foot syndrome), wound dressings, bandages, consultation, training, process accompaniment, quality assurance, and cost coverage support.
• Tracheostomaversorgung (Tracheostomy Care) Tracheostomy care including tracheal cannulas (cuffed, uncuffed, with inner cannula, with fenestration), surgical and percutaneous dilatational tracheostomy supplies, and home care support.
• Kontinenzversorgung (Incontinence Care) Incontinence care covering urinary incontinence (stress, urge, mixed, reflex, overflow, extraurethral) and fecal incontinence, including causes, treatment options, and product supplies.
• Kinderversorgung (Pediatric Care) Specialized pediatric care for children requiring medical supply services, delivered by qualified children's nurses and specialized staff with continuous training in pediatric medical developments.
• Palliativversorgung (Palliative Care) Palliative care services including ambulatory pain therapy, support for SAPV teams (Specialized Ambulante Palliative Care), and comprehensive support for terminally ill patients in their home environment.
• Entlassmanagement (Hospital Discharge Management) Structured discharge management supporting patient transition from hospital to outpatient or home care, including coordination of all involved parties and ensuring seamless care continuity.
• Automatische Dauerbelieferung (Automatic Standing-Order Supply) Automatic regular supply service delivering medical aids and supplies at scheduled intervals based on long-term prescriptions, eliminating the need for repeated orders.
• Direktabrechnung bei Privatkunden (Direct Billing for Privately Insured Patients) Direct billing service for privately insured patients, handling invoicing with insurance providers to eliminate upfront payments.

Quantifiable outcome

• Delivery within 24 hours nationwide
• +4 more outcomes

Named customers2 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eleven partnerships are on record, tiered minor and core.

• Gesundheitscampus MerzigminorStrategic or Co-development Partner · 1 January 2015Livica GmbH is a founding member of the Gesundheitscampus Merzig, established in 2015 as a regional network initiative bringing together healthcare stakeholders in the Saarland region to improve coordinated care delivery.
• Caresolution (Carenoble)coreStrategic or Co-development PartnerLivica is a 'Premium Partner' (Vertrauenspartner) of Caresolution/Carenoble, a platform providing economic calculation tools for parenteral nutrition prescribing. As a Caresolution partner, Livica offers cooperating physicians support with economic calculations for parenteral nutrition to ensure budget security and compliance with prescribing economics requirements (Wirtschaftlichkeitsgebot).
• BVMED (Bundesverband Medizintechnologie)minorStrategic or Co-development PartnerLivica is affiliated with BVMED, the German Medical Technology Association, which represents the interests of medical technology companies and provides industry standards, regulatory guidance, and professional networking.
• PICC-Netzwerk (PICC Line Network)minorStrategic or Co-development PartnerLivica participates in the PICC-Netzwerk, a professional network focused on PICC (peripherally inserted central catheter) line management and best practices in infusion therapy.
• FGSKW (Deutschsprachige Gesellschaft für Klinische Ernährung und Stoffwechsel)minorStrategic or Co-development PartnerLivica is affiliated with FGSKW, the German-speaking society for clinical nutrition and metabolism, which develops guidelines and standards for enteral and parenteral nutrition therapies.
• DGEM (Deutsche Gesellschaft für Ernährungsmedizin)minorStrategic or Co-development PartnerLivica references the DGEM S-3 guidelines as the basis for its enteral and parenteral nutrition therapy standards. This affiliation indicates alignment with the leading German medical nutrition society.
• AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften)minorStrategic or Co-development PartnerLivica references AWMF guidelines (Portal der wissenschaftlichen Medizin) as part of its evidence-based approach to therapy standards, ensuring alignment with broadly recognized German medical society guidelines.
• SAPV Teams (Specialized Outpatient Palliative Care Teams)coreOthersLivica works closely with SAPV teams across Germany for the coordination of palliative care patients receiving homecare. SAPV teams are a statutory care structure (§37b SGB V) for patients with life-limiting illness requiring complex home-based palliative care.
• Cooperation Pharmacies (Kooperationsapotheken)coreChannel Partner/ Reseller/ DistributorLivica operates a nationwide network of cooperating pharmacies for the supply of infusion solutions, parenteral nutrition, and other medications required for home infusion therapies. This pharmacy network enables the company's home-based infusion therapy services.
• Nursing Services and Care Facilities (Pflegedienste, Intensiv-WGs, stationäre Pflegeeinrichtungen)coreStrategic or Co-development PartnerLivica partners with nursing services (ambulatory), intensive-care group homes (Intensiv-WGs), and stationary care facilities to coordinate the delivery of complex homecare therapies. The company provides product supply, staff training, and therapy management support in these partnerships.
• ICW (Initiative Chronische Wunden)minorStrategic or Co-development PartnerLivica employs ICW-certified wound experts (Wundexperten) as part of its therapy manager team. ICW is a leading German certification body for chronic wound care, and its guidelines inform Livica's wound care standards.

Scale indicators7 records

Recent moves9 records

Expansion highlights6 records

Direct peers

• GHD GesundHeits GmbH Deutschland: GHD is one of Germany's largest home medical supply (Homecare) providers, supplying aids and devices for stoma, wound, incontinence, and enteral/parenteral nutrition directly to patients at home. It is the closest direct peer to Livica given overlapping product categories, nationwide field sales, statutory health insurance contracting, and ISO certifications.
• Renafan GmbH: Renafan is a German homecare services group providing ambulatory nursing, intensive care group homes (Intensiv-WGs), and home medical supply. It overlaps with Livica's Pflegeeinrichtungen and Intensiv-WG partnership channel and competes in the same complex-home-therapy coordination niche.
• PubliCare GmbH: PubliCare is a Cologne-based German homecare medical device supplier specializing in stoma, continence, wound care, and enteral/parenteral nutrition with nationwide delivery. It directly competes with Livica in the same statutory-insurance-billed home medical supply categories and uses a similar manufacturer-neutral advisory model.
• MediServ GmbH & Co. KG: MediServ is a German home medical supply and care provider focused on aids, devices, and therapy management for home patients. It shares Livica's §126 SGB V contracting model and bundled product-plus-service approach in stoma, wound, and continence categories.
• Aposan GmbH: Aposan is a German specialty pharmacy and home infusion provider focused on parenteral nutrition, anti-infective home infusion (APAT), and complex pharmaceutical homecare. Its infusion-focused model directly overlaps with Livica's Infusionstherapie and Parenterale Ernährung lines and its SAPV-Team partnerships.

Broad incumbents

• Amedisys, Inc. Amedisys is a major U.S. home health and hospice provider offering skilled nursing, infusion, and palliative care in the home. While U.S.-focused and broader in scope, it provides a useful strategic benchmark for the long-term value of a scaled, regulation-driven home therapy provider serving complex patients.
• Fresenius SE & Co. KGaA (Fresenius Kabi): Fresenius Kabi is one of the largest global suppliers of clinical nutrition, infusion therapy, and generic IV drugs, with a dedicated homecare channel. As a broad incumbent with deep manufacturer-side scale, it competes with Livica at the product-supply layer in enteral/parenteral nutrition and ambulatory infusion.
• B. Braun Melsungen AG: B. Braun is a global medical device and pharmaceutical company whose B. Braun Avitum and Homecare divisions supply infusion solutions, parenteral nutrition, and home dialysis products. While operating as a broad incumbent across the full hospital-to-home continuum, its homecare portfolio competes head-to-head with Livica in infusion and nutrition.
• Nutricia GmbH (Danone Specialized Nutrition): Nutricia is the European market leader in medical nutrition, supplying enteral tube feeds, oral nutritional supplements, and disease-specific formulas. It competes with Livica's Enterale Ernährungstherapie line at the upstream product-manufacturer level while Livica operates as the home-delivery and care coordination layer.

Emerging players

• Option Care Health: Option Care Health is the largest independent U.S. provider of home and alternate-site infusion services, including home parenteral nutrition, anti-infective therapy, and immunoglobulin therapy. It is a strong functional comparable to Livica's ambulatory infusion and parenteral nutrition lines, demonstrating the market potential of pure-play home infusion at scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/LivicaGmbH
• LinkedInde.linkedin.com/company/livica
• Instagraminstagram.com/livicagmbh

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 Livica