Ze:ro Practices

What Ze:ro Practices does

Ze:ro Practices (ze:roPRAXEN) is a physician-led ambulatory healthcare network headquartered in Schwetzingen, Germany, operating as the largest outpatient healthcare provider in the Rhein-Neckar metropolitan region. Founded in 2000 with the acquisition of a single dialysis practice, the company has grown into a network of more than 30 medical care centers (Medizinische Versorgungszentren / MVZs) and 11 dialysis centers spanning the German states of Baden-Württemberg, Rheinland-Pfalz, and Hessen. With approximately 600 employees, the network serves around 200,000 patients annually across general medicine, nephrology and dialysis (including transplantation preparation in cooperation with Heidelberg and Mannheim university hospitals), cardiology, pneumology, angiology, oncology, rheumatology, physiotherapy, and child/adolescent psychotherapy.

The core operating platform consists of wholly-owned subsidiary legal entities — each MVZ or specialty center is held through a dedicated GmbH or GmbH & Co. KG, all consolidated under ze:roPRAXEN GmbH & Co. eGbR. Underlying technology includes Doctolib for online appointment booking and KBV-certified video consultations, the electronic patient file (ePA), the E-Rezept electronic prescription system, and a Telemedicine Center (Telemedizinzentrum) launched in cooperation with SHL Telemedizin Gruppe for remote monitoring of heart failure patients. The proprietary digital channel 'ze:roPRAXEN Online' allows patients to book video consultations with regional specialists.

The business model is reimbursement-driven under the German statutory health insurance (GKV) system for core medical services, supplemented by private insurance and self-pay revenue streams (notably physiotherapy and wellness). Growth is executed through a programmatic physician-succession and practice-integration model (Praxisabgabe/Praxisintegration), whereby retiring or independent physicians are absorbed into the network — visible in a steady cadence of acquisitions from 2020 through 2024. The organization is privately held with no disclosed institutional investor; leadership transitioned in April 2024 when founder Prof. Dr. Peter Rohmeiß moved to the supervisory board and Dr. Christian Kuhn was appointed Managing Director alongside existing deputies Dr. Peter Salbach and Dr. Manfred Schmitt.

Name

Ze:ro Practices

Legal name

ze:roPRAXEN GmbH & Co. eGbR

Website

https://zero-praxen.de

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

101–250 employees

Short description

Ze:ro Practices (ze:roPRAXEN) is the largest ambulatory healthcare provider in Germany's Rhein-Neckar region, operating 30+ medical care centers and 11 dialysis centers serving roughly 200,000 patients annually via general medicine and nine specialties.

Ownership category

akta.pro rank

Product category

Ambulatory Healthcare Services

NAICS

Kidney Dialysis Centers (621492), Offices of Physicians (6211), Ambulatory Health Care Services (621), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

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

akta.pro primary industry

Outpatient Dialysis & Kidney Care Centers (HLAFABAE)

akta.pro secondary industries

Hypertension & Kidney-Related Blood Pressure Clinics (HLAKAHAF), Chronic Care & Complex Care Management (HSABAIAD)

Keywords

• Outpatient healthcare services
• Dialysis treatment
• Nephrology care
• Telemedicine consultations
• Ambulatory medical care

Headquarters

HQ city

Schwetzingen

HQ country

Germany

HQ region

Europe

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Statutory Health Insurance (GKV) Reimbursement: Outpatient medical services billed through the German statutory health insurance system (GKV) for primary and specialist care including nephrology, dialysis, cardiology, and general medicine.
2. Private Medical Services: Services for privately insured patients and self-paying services such as physiotherapy and wellness treatments.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Ze:ro Practices operates a network of more than 30 medical care centers (MVZs) and 11 dialysis centers providing outpatient primary and specialty healthcare to patients in the Rhein-Neckar metropolitan region. Services span general medicine, nephrology and dialysis, cardiology, pneumology, angiology, oncology, rheumatology, physiotherapy, and child and adolescent psychotherapy. The network is complemented by digital services including video consultations via ze:roPRAXEN Online, telemedicine monitoring for heart failure patients, and online appointment booking.

Product overview

Ze:ro Practices operates as a network of primary and specialty care medical practices in the Rhein-Neckar metropolitan region, comprising over 30 medical care centers (MVZ) and eleven dialysis centers. The offering is structured as a multi-specialty ambulatory healthcare platform with the digital service 'ze:roPRAXEN Online' enabling video consultations. Core services include primary care (Allgemeinmedizin), specialty care (Nephrology/Dialysis, Cardiology, Pneumology, Angiology, Oncology, Rheumatology), Physiotherapy, and Child & Adolescent Psychotherapy. The network serves approximately 200,000 patients annually with around 600 employees across locations in Baden-Württemberg, Rheinland-Pfalz, and Hessen.

Differentiator

Problem solved

Functional benefit

Brands

• ze:roPRAXEN Online: Digital platform for patients to book video consultation appointments with doctors from the region.

Products and services

• Medizinisches Versorgungszentrum (MVZ) - Hausärztlich (Primary Care) Primary care medical centers providing general medicine, preventive care, vaccinations, diabetes management, and ultrasound examinations for local residents in the Rhein-Neckar region.
• Nephrologie/Dialyse (Nephrology and Dialysis) Kidney disease treatment including hemodialysis, peritoneal dialysis, kidney transplantation preparation, hypertension management, and autoimmune disease care across eleven dialysis centers.
• Kardiologie (Cardiology) Heart disease diagnosis and treatment including heart attacks, arrhythmias, arteriosclerosis, ECG, echocardiography, stress testing, pacemaker checks, and lipid management.
• Pneumologie (Pulmonology) Lung disease treatment including asthma, COPD, chronic cough, allergies, sleep-related breathing disorders, and pulmonary function diagnostics.
• Angiologie (Angiology/Vascular Medicine) Vascular disease treatment including circulatory disorders, venous thrombosis, varicose veins, and vascular ultrasound diagnostics, with cooperation on angiology continuing medical education through BBT-Häuser Mannheim.
• Onkologie (Oncology) Cancer treatment including tumor diseases, chemotherapy, and interdisciplinary care coordination.
• Rheumatologie (Rheumatology) Treatment of rheumatic diseases, autoimmune disorders, infections, and metabolic disorders.
• Physiotherapie (Physical Therapy) Physical therapy services including exercise therapy, manual therapy, lymphatic drainage, and PNF (Proprioceptive Neuromuscular Facilitation) at the Hockenheim location, covering orthopaedic, neurological, and oncological indications.
• Kinder- und Jugendlichenpsychotherapie (Child and Adolescent Psychotherapy) Child and adolescent psychotherapy in Schwetzingen offering behavioral therapy for ages kindergarten to 21, treating anxiety disorders, depression, obsessive-compulsive disorders, and behavioral problems.
• Tagesklinik (Day Clinic) Day clinic facilities providing outpatient treatment programs as part of the Ze:roPRAXEN network.
• ze:roPRAXEN Online (Video Consultation Platform) Digital platform enabling patients to book video consultation appointments with physicians from the region for medical advice on conditions, medications, or medical findings, accessible via PC, laptop, tablet, or smartphone.
• Telemedizinzentrum (Telemedicine Center) Digital care center for heart failure patients operated in cooperation with SHL Telemedizin Gruppe, providing remote patient management for cardiac insufficiency cases.

Quantifiable outcome

• 200,000 patients treated annually across the network
• +1 more outcomes

Named customers1 record

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• SHL Telemedizin GruppecoreStrategic or Co-development Partner · 1 October 2022Since late 2022, ze:roPRAXEN operates a Telemedicine Center (Telemedizinzentrum) in cooperation with SHL Telemedizin Gruppe for digital monitoring of heart failure patients. The center provides remote patient management for cardiac insufficiency cases.
• GRN-Klinik Schwetzingen (Shunt Reference Center)coreStrategic or Co-development Partner · 1 January 2021Interdisciplinary certified center for dialysis access (Shunt-Referenzzentrum) at GRN-Klinik Schwetzingen. Provides optimal care for kidney patients through collaboration with vascular surgeons. Focuses on dialysis shunts and peritoneal dialysis catheters.
• Doctolib GmbHcoreTechnology or IntegrationDoctolib provides the appointment management system and KBV-certified video consultation platform used across all ze:roPRAXEN practices for online booking and telemedicine services.
• Universitätsklinik HeidelbergcoreStrategic or Co-development PartnerCollaboration with transplant centers at University Medical Center Heidelberg for preparing and following up with dialysis patients for kidney transplantation.
• Universitätsklinik MannheimcoreStrategic or Co-development PartnerPartnership with transplant center at University Medical Center Mannheim for kidney transplantation support and cardiac catheterization services.
• BBT-Häuser MannheimminorStrategic or Co-development PartnerCooperation for continuing medical education (Weiterbildung) in the field of angiology. Multi-site, interdisciplinary vascular medical center.

Scale indicators5 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• Helios (Fresenius Helios): Largest private hospital operator in Germany with a growing outpatient/MVZ footprint; competes for specialist referrals, physician recruitment, and succession-driven practice acquisitions across the same regions as ze:roPRAXEN.
• Asklepios Kliniken: Major German private hospital group operating clinics and associated MVZ structures; relevant comparable for ze:roPRAXEN's hospital-affiliated partnerships and specialist outpatient capacity expansion strategy.
• DaVita Deutschland: Subsidiary of US-listed DaVita Inc., one of the world's largest dialysis providers, operating German dialysis centers and competing nationally with ze:roPRAXEN's nephrology footprint; broader international incumbent versus ze:roPRAXEN's regional focus.
• MediClin: Operator of hospitals, rehabilitation clinics, and outpatient care facilities in Germany, providing a comparable specialty-outpatient model and competing for the same physician and patient pools in southwestern Germany.
• Synlab Germany: European medical diagnostics leader with an extensive German MVZ/laboratory network; comparable multi-site ambulatory operator that has pursued physician-succession acquisitions similar to ze:roPRAXEN's growth approach.

Regional players

• MVZ Portal / Deutsche Fachpflege Gruppe: German operator of outpatient intensive care, ventilation, and home-care services with regional concentration; comparable ambulatory, multi-site physician/network model competing for the same GKV contracts and medical staff in parts of southern Germany.

Direct peers

• amedes Group: Privately held German MVZ operator with a multi-specialty ambulatory network (lab medicine, gynecology, oncology, internal medicine) following the same hub-and-spoke MVZ consolidation model as ze:roPRAXEN across multiple German regions.
• KfH Kuratorium für Dialyse und Nierentransplantation: Non-profit operator of one of Germany's largest dialysis center networks with strong ties to transplant centers, structurally comparable to ze:roPRAXEN's nephrology/dialysis platform and its partnerships with Heidelberg and Mannheim university hospitals.
• PHV (Patienten-Heimversorgung): Germany-wide dialysis provider running a comparable outpatient nephrology model; competes for the same patient base, nephrologists, and statutory reimbursement contracts as ze:roPRAXEN's dialysis division.
• Nephrocare (Fresenius Medical Care): Operates Germany's largest network of dialysis centers under Fresenius Medical Care, directly competing with ze:roPRAXEN's 11 dialysis centers and nephrology MVZs in patient acquisition, nephrologist staffing, and GKV contract negotiations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCk8z3FEgHFMRXij0oU9cLeg
• Facebookfacebook.com/zeropraxen
• Instagraminstagram.com/zeropraxen
• LinkedInlinkedin.com/company/zero-praxen

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries20 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 Ze:ro Practices