CIR

What CIR does

CIR (Clinics in Revalidatie) is a Dutch specialized healthcare provider operating as an expertise center for chronic pain rehabilitation. Founded in 1987, the organization runs 10 outpatient rehabilitation centers across the Netherlands (Alkmaar, Amsterdam, Arnhem, Den Bosch, Deventer, Eindhoven, Groningen, Rotterdam, Zeist, and Zwolle) and treats approximately 3,466 clients annually. Its core offering is a 10-week intensive outpatient pain rehabilitation program delivered twice weekly by an interdisciplinary team of rehabilitation physicians or physician assistants, physiotherapists, psychologists, and coordinators under a unified treatment plan.

The treatment methodology is grounded in the biopsychosocial model, integrating Acceptance and Commitment Therapy (ACT), pain neuroscience education, and graded activity protocols. Patient entry is gated by an ALK Screening (intake assessment using questionnaires, physiotherapy examination, psychological evaluation, and medical consultation) that determines suitability for the rehabilitation trajectory. Supporting offerings include an online self-assessment (Zelftest), free walk-in consultation hours at most locations, the Pijncast podcast, and accredited professional education (Scholing) for referring physicians. A separate employer-funded product line (Perspectief and Perspectief Plus) targets workplace rehabilitation for employees with persistent physical complaints.

CIR's business model is primarily fee-for-service via Dutch basic health insurance (basispakket) reimbursement, with contracts held with all Dutch health insurers and no prior authorization requirements. Patients pay only their standard deductible (eigen risico). A secondary B2B revenue stream consists of individually negotiated employer-funded ALK treatment programs. Distribution relies on healthcare provider referrals via ZorgDomein and direct physician channels. The organization holds a 9.2/10 average patient satisfaction rating on ZorgkaartNederland (2024) and reports wait times of 6-28 days depending on location. The wholly owned subsidiary BeLife was integrated in 2018.

Name

CIR

Legal name

CIR

Website

https://cir.nl

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

101–250 employees

Short description

CIR (Clinics in Revalidatie) is a Dutch expertise center for chronic pain rehabilitation, operating 10 outpatient centers across the Netherlands and delivering a 10-week interdisciplinary biopsychosocial rehabilitation program to approximately 3,466 patients annually, reimbursed via Dutch basic health insurance.

Ownership category

akta.pro rank

Product category

Pain Rehabilitation Services

NAICS

Vocational Rehabilitation Services (62431), Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Nursing and Residential Care Facilities (623)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Inpatient Rehabilitation Facilities (IRF) (HLADAJAA)

akta.pro secondary industries

Inpatient Rehabilitation Hospitals (IRFs) (HLAFAHAG), Inpatient Rehabilitation Facilities (IRF) (HLAFAFAA)

Keywords

• Chronic pain rehabilitation
• Pain management services
• Biopsychosocial treatment
• Outpatient rehabilitation
• Medical specialist rehabilitation

Headquarters

HQ city

Zwolle

HQ country

Netherlands

HQ region

Europe

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Health Insurance Reimbursed Rehabilitation Services: CIR provides medical-specialist rehabilitation treatments that are fully reimbursed from the basic health insurance package (basispakket) for patients with a valid referral. All Dutch health insurers have contracts with CIR. Patients pay only their standard deductible (eigen risico). This represents the primary revenue stream.
2. Employer-Funded ALK Treatment Program: For treatment of persistent physical complaints and chronic fatigue that falls outside health insurance coverage, employers can directly fund treatment. Includes ALK screening, Perspectief, and Perspectief Plus programs. Rates are individually negotiated via [email protected].

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels10 records

Core offering

CIR is a Dutch expertise center for chronic pain that provides a 10-week intensive outpatient interdisciplinary pain rehabilitation program grounded in the biopsychosocial model. Treatment is delivered by a team of rehabilitation physicians, physiotherapists, and psychologists at 10 physical clinic locations across the Netherlands. Services are fully reimbursed by Dutch basic health insurance for patients with a valid referral from a GP, medical specialist, or occupational health physician.

Product overview

CIR (Clinics in Revalidatie) is an expertise center for chronic pain, operating across 10 locations in the Netherlands. Its core offering is a 10-week intensive outpatient pain rehabilitation program (Revalidatiebehandeling) grounded in the biopsychosocial model, combining group and individual sessions delivered by an interdisciplinary team. The program is preceded by an ALK Screening to assess patient fit. CIR complements its rehabilitation program with an ACT-based psychological approach, structured pain education, a free online self-assessment test (Zelftest), and walk-in consultation hours (Inloopuurtjes) across most locations. For employers, CIR offers the Perspectief and Perspectief Plus work-rehabilitation tracks, which are employer-funded and focus on sustainable employability. Beyond direct patient care, CIR produces the Pijncast podcast and accredited professional education (Scholing) to support referring healthcare professionals. A dedicated section provides support resources for relatives of chronic pain patients (Voor Naasten). Together these offerings form a cohesive pain rehabilitation ecosystem spanning screening, treatment, employer services, professional education, and patient/family support.

Differentiator

Problem solved

Functional benefit

Products and services

• Revalidatiebehandeling (Pain Rehabilitation Treatment) A 10-week intensive outpatient pain rehabilitation program based on the biopsychosocial model. Delivered twice weekly in day sessions by an interdisciplinary team (rehabilitation physician/physician assistant, physiotherapist, psychologist, coordinator). Combines group and individual sessions. Focuses on behavioral change, self-management, and restoring participation in daily life rather than pain elimination. Fully reimbursed by Dutch basic health insurance with valid referral.
• ALK Screening (Screening Aanhoudende Lichamelijke Klachten) A comprehensive intake screening conducted before treatment initiation. Consists of multiple questionnaires, physiotherapeutic examination, psychological assessment, and a medical consultation with a rehabilitation physician or physician assistant. Uses a biopsychosocial analysis to determine whether a CIR treatment trajectory is appropriate or if an alternative recommendation is better suited to the patient's situation.
• Zelftest (Self-Assessment Test) An online questionnaire designed to help prospective patients assess whether the CIR pain rehabilitation trajectory aligns with their personal situation. Provides an indication of fit; does not replace medical assessment or guarantee admission. Results are monitored anonymously.
• Inloopuurtjes (Walk-in Consultation Hours) Free, no-appointment walk-in consultation sessions offered at various CIR locations on a recurring monthly schedule. Prospective patients can ask questions about the treatment trajectory and receive personal advice about whether CIR fits their needs. Free of charge, no referral needed.
• Perspectief and Perspectief Plus Treatment Programs Two variants of the employer-referred treatment trajectory. Perspectief and Perspectief Plus emphasize work rehabilitation, sustainable employability, behavioral change, and self-reliance. The employer is informed and involved throughout the trajectory. These programs are paid for by the employer rather than health insurance.

Quantifiable outcome

• 3,466 clients treated in 2025
• +4 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature5 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• All Dutch Health InsurerscoreOthersCIR has contracts with all Dutch health insurers for reimbursement of rehabilitation treatment from the basic health insurance package. This partnership enables patient access without prior authorization requirements. Insurers include all major providers in the Netherlands.
• ZorgkaartNederlandminorGTM or Marketing PartnerCIR is listed and rated on ZorgkaartNederland, the leading Dutch healthcare review platform operated by Patiëntenfederatie Nederland. The platform enables patients to search, find, and rate healthcare providers. CIR maintains a 9.2/10 average rating.
• ZKN (Zelfstandige Klinieken Nederland)minorOthersCIR is affiliated with ZKN, the branch association of independent clinics in the Netherlands. The association represents independent medical clinics and promotes quality and accessibility of specialized healthcare.
• NALK (Netwerk Aanhoudende Lichamelijke Klachten)minorStrategic or Co-development PartnerCIR rehabilitation physician Drs. René Oosterwijk holds a position on the national board of NALK (Network for Persistent Physical Symptoms). NALK works to improve care for patients with persistent physical complaints.
• LPO (Landelijke Pijnorganisatie)minorStrategic or Co-development PartnerCIR collaborates with the Landelijke Pijnorganisatie (National Pain Organization), which aims to bring pain patients and caregivers closer together and create a safety net for pain patients through the digital 'Pijnstad' platform containing reliable information, experience stories, and self-management options.
• PA!N (Pijn Alliantie Nederland)minorStrategic or Co-development PartnerCIR works with PA!N (Pain Alliance Netherlands), founded in 2017, consisting of representatives from medical, paramedical, and nursing professional groups and patients. PA!N aims to improve care for patients with pain. Prof. Dr. Rob Smeets collaborates with PA!N and featured in their podcast.
• Dutch Hospitals and Medical SpecialistscoreChannel Partner/ Reseller/ DistributorCIR works with various hospitals and medical specialists for collaborative care. Anesthesiologists refer patients to CIR when biomedical treatment is no longer effective or appropriate. CIR supports the IZA (Integraal Zorgakkoord) goals for appropriate, efficient, accessible, and affordable care.
• Primary Care Providers (Eerste Lijns Zorg)coreChannel Partner/ Reseller/ DistributorCIR collaborates with primary care providers including physiotherapists, exercise therapists, and psychologists. These providers refer patients who have not responded adequately to first-line treatment for potential CIR rehabilitation programs.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Tolbrug Specialistische Revalidatie: Tolbrug is a specialist rehabilitation center affiliated with Jeroen Bosch Ziekenhuis in 's-Hertogenbosch offering chronic pain rehabilitation programs. It directly overlaps with CIR's Den Bosch and surrounding Brabant catchment area, competing for the same referring physicians and patient population.
• Sint Maartenskliniek: Sint Maartenskliniek in Nijmegen is a leading Dutch specialty hospital focused on orthopedics, rheumatology, and rehabilitation including chronic pain programs. It competes with CIR as one of the major Dutch providers of specialist pain rehabilitation with similar interdisciplinary team approaches.
• Reade: Reade is an Amsterdam-based rehabilitation center specializing in rheumatic and chronic pain conditions, providing interdisciplinary pain rehabilitation with a strong research focus. It directly competes with CIR in the Dutch chronic pain rehabilitation segment, particularly in the Amsterdam region.
• Libra Revalidatie & Audiologie: Libra is a multi-location Dutch rehabilitation provider offering chronic pain, orthopedic, and neurological rehabilitation across multiple regions. It competes with CIR for specialist pain rehabilitation referrals and serves overlapping patient populations in regions where CIR also operates.
• Adelante Zorggroep: Adelante is a Dutch rehabilitation group with multiple locations offering adult pain rehabilitation, neurology, and orthopedic programs. It is comparable to CIR as a multi-site specialist rehabilitation provider targeting chronic pain patients with interdisciplinary teams.
• Basalt Revalidatie: Basalt is a multi-location Dutch rehabilitation organization in the greater The Hague and Leiden area offering chronic pain and orthopedic rehabilitation. It competes with CIR for specialist referrals in South Holland, complementing CIR's Rotterdam presence.

Emerging players

• Dimence Groep: Dimence is a Dutch mental health and chronic pain care provider offering specialized somatic symptom and chronic pain programs in eastern Netherlands. It is comparable as a chronic pain treatment provider but operates more from a mental health foundation than CIR's rehabilitation focus.

Broad incumbents

• Maastricht UMC+ Revalidatie: Maastricht UMC+ is an academic medical center whose rehabilitation department provides chronic pain programs and is where Prof. Dr. Rob Smeets holds his professorship. It is comparable as a Dutch rehabilitation provider but operates within a broader academic hospital portfolio rather than as a specialty-only clinic.
• Erasmus MC Revalidatie: Erasmus MC is a major Dutch academic hospital providing chronic pain rehabilitation as part of its broader portfolio. It is comparable to CIR in patient population and methodology but competes as a hospital-embedded program rather than an independent specialty clinic.
• UMCG Revalidatiegeneeskunde: UMCG is the academic hospital in Groningen with a rehabilitation medicine department treating chronic pain patients. It is comparable in patient focus to CIR's Groningen location but operates as part of a broader university hospital rather than an independent specialty clinic.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@CIR-BV
• Facebookfacebook.com/CIRrevalidatie
• LinkedInlinkedin.com/company/cir-bv
• Xx.com/cir_revalidatie

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

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 CIR