SHT-THOON

What SHT-THOON does

SHT-THOON is a Dutch cooperative (coöperatie) of and for general practitioners in the Twente region, formed from the merger of Spoedzorg Huisartsen Twente (SHT) and Twentse Huisartsen Onderneming Oost Nederland (THOON). It supports approximately 190 GPs across Enschede, Hengelo, and surrounding areas, providing out-of-hours emergency care at two huisartsenposten, structured chronic care programs (diabetes DM2, COPD, asthma, CVRM, atrial fibrillation, osteoporosis, and GGZ), practice support services (HR, housing, purchasing, training), and innovation projects such as ophthalmology substitution via optometrists and the regional Heel Twente Stopt smoking cessation program.

The underlying technology is a 'chain-supporting system' (ketenondersteunend systeem) that enables electronic data exchange across affiliated GPs, dietitians, optometrists, and hospital specialists (MST, ZGT) to coordinate chronic care; supporting platforms include Corpio for continuing education and Inkoop XL for group procurement. Revenue is generated via quarterly capitation-style fees from Dutch health insurers per enrolled patient in care programs, plus transaction-fee revenue through group purchasing with average 20% ICT savings.

A pending merger with FEA/CHPA, approved by members on 2 October and effective 1 January 2026, will fold the two organizations into HuisartsenZorg Twente (HZT), a unified regional GP entity serving ~300 GPs and 600,000 patients, with three emergency posts rebranded as Spoedposten HuisartsenZorg Twente (SHZT). The new entity will operate under chair Marieke Nijhof and co-directors Janke Snel and Guus Bruins, with approximately 265 employees.

Name

SHT-THOON

Legal name

SHT-THOON

Website

https://sht-thoon.nl

Company type

Private

Operating status

Operating

Short description

SHT-THOON is a Dutch GP-owned cooperative in Twente supporting ~190 affiliated general practitioners with emergency out-of-hours care, structured chronic care programs, shared services, and group purchasing; it will merge with FEA/CHPA on 1 January 2026 into HuisartsenZorg Twente, serving ~300 GPs and 600,000 patients under capitation contracts with Dutch health insurers.

Ownership category

akta.pro rank

Headquarters

HQ city

Hengelo

HQ country

Netherlands

HQ region

Europe

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Chronic Care Program Fees: SHT-THOON receives quarterly capitation-style payments from health insurers for coordinating chronic care programs (DM2, COPD, CVRM, asthma, osteoporosis, GGZ). These are paid per enrolled patient per quarter regardless of individual visit frequency.
2. GP Practice Support Services: Fees for staffing, facilities, information, and resources to support GP practices. Declared quarterly per enrolled patient.
3. Group Purchasing (Inkoop XL): SHT-THOON participates in Inkoop XL, a purchasing cooperative for GPs offering discounted medical instruments, disposables, practice equipment, lab tests, office supplies, and ICT services with average savings of 20%.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels3 records

Core offering

SHT-THOON is a cooperative of general practitioners (GPs) in the Twente region of the Netherlands that coordinates out-of-hours emergency GP care, structured chronic disease management programs (diabetes, COPD, CVRM, asthma, osteoporosis, GGZ), and shared practice support services for approximately 190 member GPs. It pools demand for procurement, training, HR, and IT, and acts as the contractual counterparty for Dutch health insurers under regional capitation arrangements.

Product overview

SHT-THOON is a GP enterprise (huisartsenonderneming) formed by the merger of Spoedzorg Huisartsen Twente (SHT) and Twentse Huisartsen Onderneming Oost Nederland (THOON), operating as a cooperative owned by GPs for GPs in the Twente region of the Netherlands. The organization provides a comprehensive portfolio of healthcare services organized around three pillars: (1) Emergency GP care through out-of-hours posts in Enschede and Hengelo, (2) Chronic care coordination through structured programs for diabetes (DM2), COPD, asthma, cardiovascular risk (CVRM), atrial fibrillation, osteoporosis, and mental health, and (3) Healthcare innovation and support services including eye care coordination, wound care, smoking cessation (Heel Twente Stopt), lifestyle interventions, practice management support, and professional education. Supporting platforms include Corpio for training scheduling and Inkoop XL for group procurement. The organization supports approximately 190 GPs and is part of HuisartsenZorg Twente (HZT), a new regional structure launching January 2026.

Differentiator

Problem solved

Functional benefit

Products and services

• Spoedzorg Huisartsen Twente (Emergency GP Care) Out-of-hours emergency general practitioner care delivered through huisartsenposten in Enschede and Hengelo for residents of the Twente region during evenings, nights, and weekends.
• Chronic Care Programs (Diabetes, COPD, CVRM, Asthma, Osteoporosis, GGZ) Coordinated multidisciplinary care programs for diabetes mellitus type 2 (DM2), COPD, cardiovascular risk management (CVRM), asthma, osteoporosis, atrial fibrillation, and mental health (GGZ) connecting GPs with specialists and allied providers across the Twente network.
• Eye Care (Ophthalmology Substitution) Collaborative project routing non-complex eye complaints from GPs to optometrists instead of hospital ophthalmology, providing care closer to home and reducing unnecessary referrals.
• Heel Twente Stopt (Smoking Cessation Program) Regional smoking cessation program that coordinates support from GPs, medical specialists, pharmacists, midwives, GGD Twente, SineFuma, and Tactus to help patients quit smoking.
• Wound Care (Wondzorg) Specialized wound care services and support for GP practices across the Twente region.
• Combined Lifestyle Intervention (Gecombineerde Leefstijl Interventie) Program combining dietary, exercise, and behavioral interventions for patients with lifestyle-related health conditions.
• GGZ Course Offerings (Mental Health Courses) Range of mental health courses including Better Sleep, Mindfulness, Stress Management, Voluit Leven (Living Fully), Running Therapy, and Singing as Medicine, accessible via GP/POH-GGZ referral or self-registration.
• Personeelszorg (Staff Care / HR Support) Human resources support services for member GP practices, covering staffing, contracts, and personnel matters.
• Praktijkhuisvesting (Practice Housing) Support services for GP practice facilities, real estate, and housing-related matters.
• Continuity of GP Care (Continuïteit Huisartsenzorg) Services ensuring continuous availability and accessibility of GP care across the Twente region, including coverage support.
• Research & Development (thO&On) Research coordination through THOON Onderzoek en Ontwikkeling, partnering with universities and medical institutions on studies including PReferral, low back pain, COPD adaptive testing, elderly care, POH-GGZ, COPD triple therapy, EVA D-dimer POCT, and telehealth in palliative care.

Quantifiable outcome

• 78% of patients with non-complex eye conditions can be treated by optometrists and do not need referral to an ophthalmologist (ophthalmology substitution project)
• +2 more outcomes

Named customers2 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

Partnerships

14 partnerships are on record, tiered core and minor.

• FEA/CHPAcoreStrategic or Co-development Partner · 2 October 2024FEA/CHPA (a second Twentse huisartsenorganisatie based in Almelo) is merging with SHT-THOON. The combined entity, HuisartsenZorg Twente (HZT), will start on 1 January 2026. The merger creates a single regional GP organization for all of Twente, supporting ~300 GPs and 600,000 patients. The three current emergency GP posts (Almelo, Enschede, Hengelo) will operate under the shared name Spoedposten HuisartsenZorg Twente (SHZT).
• ZGT (Ziekenhuisgroep Twente)coreStrategic or Co-development PartnerZGT specialists (internists and cardiologists) participate in SHT-THOON's chain care programs (DM2, COPD, CVRM) through the KOS consultation system. ZGT eye doctors collaborated with SHT-THOON on the ophthalmology substitution project with optometrists.
• MST (Medisch Spectrum Twente)coreStrategic or Co-development PartnerMST specialists (internists, vascular surgeons, pulmonologists) participate in SHT-THOON's chain care programs (DM2, COPD, CVRM) through the KOS consultation system. MST eye doctors collaborated on the ophthalmology substitution project with optometrists. MST Stoppoli provides specialized smoking cessation support.
• HuisartsenZorg Twente (HZT)coreStrategic or Co-development PartnerThe post-fusion combined organization of SHT-THOON and FEA/CHPA, effective 1 January 2026. Led by current directors Janke Snel and Guus Bruins, with chair Marieke Nijhof. Approximately 265 employees supporting ~300 GPs serving 600,000 patients.
• GGD TwenteminorStrategic or Co-development PartnerGGD Twente is listed as a partner in the 'Heel Twente Stopt' smoking cessation initiative. GGD provides an overview of available smoking cessation information and resources in Twente for referral to patients.
• SineFumaminorStrategic or Co-development PartnerSineFuma is a specialized smoking cessation organization with very good results, providing individual and group coaching and telephone coaching for pregnant women. Patients are referred by GPs or self-refer. SHT-THOON participates in the Heel Twente Stopt regional smoking cessation program with SineFuma.
• TactusminorStrategic or Co-development PartnerTactus is a specialized addiction care provider suitable for patients with dual addiction (e.g., smoking plus other substances). Referral from GP or medical specialist required. Part of the Heel Twente Stopt smoking cessation network.
• Inkoop XLminorChannel Partner/ Reseller/ DistributorInkoop XL is an internet purchasing portal for GPs offering discounted medical instruments, disposables, practice equipment, lab tests, office supplies, and insurance. ICT service savings average 20%. Available to SHT-THOON member GPs.
• University of Twente (UT)minorStrategic or Co-development PartnerUT researchers collaborate with SHT-THOON and FEA/CHPA through thO&On (Twents Netwerk Huisartsgeneeskunde) on various scientific studies including PReferral (chronic pain decision support), low back pain, COPD adaptive testing, elderly care, and others.
• Trimbos InstituteminorStrategic or Co-development PartnerTrimbos Institute collaborated on the POH-GGZ research project studying the effectiveness and efficiency of mental health nurse practitioners (POH-GGZ) in general practice, including publications on organization, patient satisfaction, and effectiveness.
• Julius Center (UMC Utrecht)minorStrategic or Co-development PartnerJulius Center researchers collaborated on COPD triple therapy study and the EVA study on D-dimer POCT, testing new diagnostic tools in general practice settings in the Twente region.
• Saxion HogeschoolminorStrategic or Co-development PartnerSaxion University of Applied Sciences collaborated on the telehealth in palliative care study, exploring technology use in end-of-life home care.
• MenziscoreOthersMenzis is one of the health insurers with which SHT-THOON makes annual financial and care delivery agreements. SHT-THOON declares care program fees on behalf of all insured persons registered with member GPs.
• Health Insurers (CZ, VGZ, Achmea, Zilveren Kruis, etc.)coreOthersSHT-THOON makes annual (financial) agreements with health insurers regarding care activities supported for GPs. The organization declares quarterly fees per insured person to these insurers. Listed partners include Menzis, Anderzorg, DSW, Achmea, De Friesland, VGZ, CZ (including Delta Lloyd, Ohra), Zorg en Zekerheid, ONVZ, Eno, FBTO, and Zilveren Kruis.

Scale indicators4 records

Recent moves8 records

Expansion highlights4 records

Emerging players

• Centivo: Centivo is a US health plan provider partnering with primary care groups to deliver capitated care to self-funded employers. Overlaps with SHT-THOON in the capitated-care coordination model and focus on primary care as the core delivery layer, though Centivo is a payer and technology platform rather than a GP-owned cooperative.
• Agilon Health: Agilon Health is a US value-based primary care platform partnering with PCP groups to take global capitation risk from Medicare Advantage plans. Mirrors the capitated, chain-style care coordination model SHT-THOON runs with Dutch health insurers, though serving a different (Medicare) population.

Direct peers

• Stichting Huisartsenposten Amsterdam: Stichting Huisartsenposten Amsterdam operates the emergency GP posts (huisartsenposten) in Amsterdam, providing out-of-hours primary care to the Amsterdam population. Direct comparable to SHT-THOON's Spoedzorg Huisartsen Twente service in Enschede and Hengelo.
• Huisartsen Eemland: Huisartsen Eemland is a regional GP organization supporting GPs in the Eemland region (Amersfoort area) with chronic care programs, practice support, and organizational services. Comparable Dutch regional GP cooperative with similar capitation-funded service model.
• Cohesie: Cohesie is a regional primary care organization in Zeeland and West-Nederland providing chronic care programs (DM2, COPD, CVRM) and chain care coordination to affiliated GPs. Uses the same Dutch RHO/ketenzorg model and capitated funding from health insurers.
• ZIO (Zorg in Ontwikkeling): ZIO is a regional primary care support organization in the South-East Netherlands, providing chain care programs, GP practice support, and shared services to affiliated GP practices. Operates the same ketenzorg model with health insurer capitation.
• Meditta: Meditta is a regional GP cooperative in Limburg, Netherlands, providing emergency GP services, chronic care programs, and practice support to affiliated GPs using the same capitation and cooperative governance model. Comparable in scale, organizational structure, and revenue model.
• FEA/CHPA: FEA/CHPA is the merger partner of SHT-THOON, another regional GP cooperative based in Almelo serving Twente. Operates an emergency GP post (Centrale Huisartsenpost Almelo) and chronic care programs with the same Dutch insurer capitation model. Will become part of HuisartsenZorg Twente (HZT) on 1 January 2026.

Broad incumbents

• Modality Partnership: Modality Partnership is the UK's largest GP super-partnership, operating dozens of GP practices and providing shared back-office, clinical, and emergency services. Analogous model to SHT-THOON's 'by and for GPs' cooperative but at much larger scale and with NHS funding instead of Dutch insurer capitation.
• Privia Health Group: Privia Health is a US physician enablement company building ACOs and medical groups with value-based care contracts. Comparable in operating at the intersection of primary care groups, payer contracts, and shared infrastructure, though Privia operates in a multi-payer US environment rather than a Dutch regulated system.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/sht-thoon

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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 SHT-THOON