What Alexianer does

Alexianer GmbH is a privately held, Catholic non-profit healthcare group headquartered in Münster, Germany, with origins traceable to religious orders founded in 1200 and formal modern incorporation in 2009. Operating across federal states including North Rhine-Westphalia, Berlin, Brandenburg, Saxony-Anhalt, Hesse, and Rhineland-Palatinate, the group runs 29 psychiatric and somatic hospitals with approximately 7,250 beds and over 10,000 elderly and outpatient care places. The portfolio spans four business fields — Somatics, Psychiatry and Psychosomatics, Integration and Youth Welfare, and Elderly Care — organized into five regional networks (Verbünde): Rheinland, Westfalen, BBS (Berlin Brandenburg Sachsen-Anhalt), AEP Westfalen, and AEP Rheinland.

Revenue of €2.5 billion in 2025 (up from €2.3 billion in 2024) is generated through direct service provision via owned facilities rather than third-party distribution. The go-to-market model is fundamentally B2C: patients and care recipients access services through hospitals, medical care centers (MVZ), psychiatric and psychosomatic clinics, rehabilitation centers, and care homes. Pricing is regulatory — the DRG system governs hospital reimbursement while care insurance rates apply to elderly and outpatient care — and individual service pricing is not publicly disclosed. Subsidiary entities including Alexianer IT GmbH (centralized IT services from a Münster data center), Alexianer Agamus GmbH (~1,400 employees, building/technical/catering), Alexianer Service GmbH (HR and finance), Alexianer Personal Service GmbH, Alexianer START GmbH (vocational rehabilitation), and Katharina Kasper Gruppe (3,000+ employees across 25+ senior care sites) handle internal shared services. With 35,000 employees across approximately 200 professions, Alexianer is among the largest Catholic healthcare providers in Germany, operating under church framework (KDG) governance and reinvesting surplus into charitable healthcare provision rather than distributing profit.

Name

Alexianer

Legal name

Alexianer GmbH

Website

https://alexianer.de

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Alexianer is a Catholic non-profit healthcare group headquartered in Münster, Germany, operating 29 hospitals, over 10,000 care places, and a 35,000-employee workforce across multiple German federal states, delivering acute hospital, psychiatric, elderly, and disability services under church-governed, DRG-reimbursed pricing.

Ownership category

akta.pro rank

Product category

Hospital and Elderly Care Services

NAICS

Psychiatric and Substance Abuse Hospitals (6222), Other Individual and Family Services (624190), Nursing and Residential Care Facilities (623), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000)

akta.pro primary industry

Inpatient Psychiatric Hospitals & Units (HLAFACAB)

akta.pro secondary industries

Outpatient Mental Health & Counseling Clinics (HLAFABAC), Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA), Residential Mental Health Treatment Centers (HLAFACAC), Chronic Care & Complex Care Management (HSABAIAD)

Keywords

• Hospital healthcare services
• Psychiatric and psychosomatic care
• Elderly care facilities
• Vocational rehabilitation services
• Medical care centers

Headquarters

HQ city

Münster

HQ country

Germany

HQ region

Europe

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Revenue generated from operating 29 psychiatric and somatic hospitals with approximately 7,250 beds, medical care centers (MVZ), psychiatric and psychosomatic clinics, rehabilitation facilities, and forensic psychiatry treatment places.
2. Care and Support Services Revenue: Revenue from elderly care facilities, outpatient care, integration assistance, children and youth welfare services providing over 10,000 care places including workshop jobs and kindergarten places.
3. Infrastructure Services: Services provided to external healthcare facilities including medical technology, catering, building cleaning, logistics, technical services, occupational safety, fire and environmental protection, hygiene and quality management.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Alexianer GmbH is a Catholic non-profit healthcare group operating 29 psychiatric and somatic hospitals with approximately 7,250 beds, plus more than 10,000 care places in elderly care, outpatient care, integration assistance, and children and youth welfare services across Germany. The group is structured into five regional networks (Rheinland, Westfalen, BBS, AEP Westfalen, AEP Rheinland) and four business fields: Somatics, Psychiatry, Integration and Youth Welfare, and Elderly Care. Wholly-owned service subsidiaries deliver internal IT, facility management, catering, HR, and finance functions, while research activities are conducted through the Alexianer Institut für Psychotraumatologie.

Product overview

Alexianer ist ein katholisches Gesundheitsunternehmen mit einer verteilten Plattform-Struktur bestehend aus vier Geschäftsfeldern: Somatik (29 Krankenhäuser), Psychiatrie und Psychosomatik, Eingliederungs- und Jugendhilfe sowie Altenhilfe und außerklinische Pflege. Das Unternehmen ist in fünf Verbünden organisiert (Rheinland, Westfalen, BBS, AEP Westfalen, AEP Rheinland). Die Kernprodukte umfassen Krankenhäuser mit rund 7.250 Betten und über 10.000 Betreuungsplätze. Unterstützende Dienstleistungen werden durch Tochtergesellschaften erbracht: Alexianer IT GmbH (IT-Services mit eigenem Rechenzentrum), Alexianer Agamus GmbH (Bau, Technik, Service, Verpflegung), Alexianer Service GmbH (Personal/Finanzen), Alexianer Personal Service GmbH und Alexianer START GmbH (berufliche Rehabilitation). Zusätzlich bietet das Alexianer Institut für Psychotraumatologie Forschungskapazitäten.

Differentiator

Problem solved

Functional benefit

Brands

• Alexianerwelt: Online magazine showcasing stories from the Alexianer world, featuring behind-the-scenes content about people and moments within the organization.
• Alexianer IT GmbH
• Alexianer Agamus GmbH
• Alexianer Institut für Psychotraumatologie
• Katharina Kasper Gruppe
• Alexianer START GmbH

Products and services

• Alexianer Krankenhäuser (29 Hospitals — Somatic and Psychiatric)
• Medizinische Versorgungszentren (MVZ)
• Altenhilfe und außerklinische Pflege
• Eingliederungshilfe, Kinder- und Jugendhilfe
• Alexianer START GmbH (Vocational Rehabilitation)
• Alexianer Institut für Psychotraumatologie
• Alexianer Agamus GmbH (Infrastructure Services)
• Alexianer IT GmbH (Centralized IT Services)
• Alexianer Service GmbH (HR and Finance)
• Alexianer Personal Service GmbH
• Katharina Kasper Gruppe (Senior Care)

Named customers7 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

One partnership is on record.

• Katharina Kasper GruppecoreStrategic or Co-development PartnerMajor subsidiary group of Alexianer with over 3,000 employees across more than 25 locations in Hesse, Rhineland-Palatinate, and North Rhine-Westphalia. Provides elderly care and senior living services. The group operates under the Alexianer GmbH umbrella as a main shareholder.

Scale indicators7 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Sana Kliniken: Private hospital group with ~60 facilities in Germany, jointly owned by private insurers. Comparable in operating psychiatric and somatic inpatient hospitals plus outpatient MVZs and rehabilitation centers under similar regulatory frameworks.
• Asklepios Kliniken: One of Germany's largest private hospital operators with ~170 facilities nationwide. Directly comparable to Alexianer in operating psychiatric and somatic hospitals, MVZs, and post-acute care under regulated DRG pricing — the principal for-profit counterpart to Alexianer's non-profit model.
• Agaplesion: Non-profit Protestant hospital group operating ~100 facilities across Germany including acute hospitals, elderly care homes, and outpatient services. Closely comparable to Alexianer in non-profit faith-based model, multi-state footprint, and integrated elderly/acute care portfolio.
• Helios (Fresenius): Fresenius-owned hospital group operating ~90 hospitals in Germany across acute, psychiatric, and rehabilitation care. Direct peer in scale, inpatient mix, and DRG exposure; differs in being for-profit and corporate-owned versus Alexianer's non-profit structure.
• Schoen Klinik: German private hospital group specializing in psychosomatic, orthopedic, and psychiatric inpatient care. Directly comparable to Alexianer's psychiatric and psychosomatic focus and its premium, quality-positioned brand model.

Broad incumbents

• Diakonie Deutschland: Federation of Protestant-affiliated social and healthcare providers operating hospitals, elderly care, and integration assistance across Germany. Direct peer in faith-based non-profit healthcare delivery and elderly/integration services, but Protestant rather than Catholic.
• Caritas (German Caritas Association): Germany's largest Catholic welfare organization operating thousands of elderly care, disability, and youth welfare facilities. Closest peer in mission, non-profit church affiliation, and elderly/integration care services; much broader social-services scope than Alexianer.

Emerging players

• BG Kliniken: Network of 14 German statutory accident insurance hospitals specializing in trauma, rehabilitation, and severe injury care. Comparable as a non-profit hospital system operating regulated inpatient and rehabilitation capacity, though narrower specialty focus than Alexianer.
• Mediqor / Median Kliniken: One of Germany's largest rehabilitation clinic groups with facilities across multiple states. Comparable to Alexianer's rehabilitation and post-acute care capacity as well as its elderly/integration service breadth.

Regional players

• Vivantes: Berlin's municipal hospital network operating the largest municipal clinic group in Germany with strong psychiatric and somatic services. Comparable in operating psychiatric hospitals and MVZs but state-owned and concentrated in Berlin-Brandenburg versus Alexianer's national spread.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries6 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 Alexianer