Fact4Fysio

What Fact4Fysio does

Fact4Fysio is a Dutch accounting and advisory firm, founded in 2013 and headquartered in Oosterhout, Noord-Brabant, that exclusively serves physiotherapy practices throughout the Netherlands. The firm is a subsidiary of ESJ Holding BV and operates within the PIA Group national network of accounting firms. With a team of approximately 20 employees, Fact4Fysio provides outsourced financial administration, payroll, HR advisory, practice valuation, M&A advisory, and financing support to owner-operated physiotherapy clinics, ranging from solo practitioners to multi-location and franchise operators (e.g., YorBody's 60 franchise locations).

The company's core product is a digital-first subscription accounting service anchored by the Fysiocockpit, a real-time financial dashboard running on Visionplanner that aggregates revenue, cost, and productivity data per employee. The technology stack integrates Twinfield for bookkeeping, Nmbrs for payroll, Fysiomanager and Intramed for practice-management data capture, Storecove for automated invoice ingestion, Daywize for HR automation, and Mollie/Exact Online for billing. A co-branded product, BoekhoudOntzorgd, is offered jointly with Fysiomanager. Fact4Fysio also publishes recurring knowledge products — an annual financial benchmark (11th edition covering 93 practices and €123M turnover), an HR & salary benchmark covering 1,552 employees, free BV and revenue calculators, and an acquisition guide — that function as both lead-generation tools and sector data assets.

Fact4Fysio generates revenue through a modular monthly subscription (configured via online price calculator and cancellable monthly) covering core accounting, payroll and VAT services, supplemented by project-based advisory fees for valuation, M&A and financing work. GTM is sales-led with dedicated relationship managers and content-driven marketing (LinkedIn, knowledge bank, webinars, calculators). Customer concentration is low across 100+ practices, but the entire business is exposed to a single vertical and geography (the Dutch physiotherapy sector).

Name

Fact4Fysio

Legal name

Fact4Fysio

Website

https://fact4fysio.nl

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Fact4Fysio is a Dutch accounting and advisory firm that exclusively serves 100+ physiotherapy practices with a digital-first subscription model, the Fysiocockpit real-time dashboard, payroll/HR, valuation, and M&A services, operating within ESJ Holding BV.

Ownership category

akta.pro rank

Headquarters

HQ city

Oosterhout

HQ country

Netherlands

HQ region

Europe

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Accounting and Administration Services: Core service providing complete financial administration processing for physiotherapy practices. Includes processing purchase and sales invoices, VAT returns, payroll administration, and monthly financial reporting through the Fysiocockpit dashboard. Delivered as a monthly subscription with unlimited administrative support.
2. Salary and HR Advisory: Payroll processing through Nmbrs system combined with HR advisory services including employment contract management, salary structure design, personnel handbook creation, and HR process automation using Daywize. Provided in partnership with ESJ Salaris- en HR-Advies.
3. Practice Valuation: Valuation services for physiotherapy practices ranging from rule-of-thumb indications to rigorous DCF-method valuations. Collaboration with Corpance specialists for complex valuations.
4. Practice Acquisition and Sale Support: Comprehensive support services for buying, selling, or transferring ownership of physiotherapy practices. Includes business valuation, financing arrangement, due diligence support, and transition management.
5. Financing Advisory: Assistance with financing arrangements for growth, equipment purchases, practice acquisitions, or real estate. Includes financial planning, ROI analysis, and connections to appropriate financiers familiar with the physiotherapy sector.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Fact4Fysio is a specialized Dutch accounting and advisory firm exclusively serving physiotherapy practices. Its core offering is a fully digital, outsourced financial administration delivered through a modular monthly subscription, including bookkeeping, VAT returns, payroll processing, and real-time practice performance reporting via the proprietary Fysiocockpit dashboard. Complementary advisory services include practice valuation, M&A and succession support, financing advisory, and HR/salary consulting delivered jointly with parent ESJ Holding BV.

Product overview

Fact4Fysio is a specialized accounting and advisory firm exclusively serving Dutch physiotherapy practices, powered by PIA Group. The core offering is a fully digitized, outsourced financial administration delivered through a modular subscription model. At the center of the service is the Fysiocockpit — a real-time financial dashboard running on Visionplanner — which aggregates data from integrated tools including Twinfield (accounting), Nmbrs (payroll), Fysiomanager and Intramed (physiotherapy practice management systems), and Storecove (invoice automation). Supporting the core administration are ancillary services: payroll and HR advisory (with Daywize HR automation), practice valuation (via partner Corpance), acquisition and disposal advisory, and financing support. Fact4Fysio also publishes free sector tools including the annual Benchmarktool (financial benchmarking), the BV Ja of Nee Rekentool (BV tax optimization calculator), the Potentiële Omzet Rekentool (revenue potential calculator), and the HR & Salarisbenchmark (salary benchmarking). All services are delivered in Dutch with deep physiotherapy sector expertise.

Differentiator

Problem solved

Functional benefit

Brands

• Fysiocockpit: Online financial dashboard providing real-time insight into practice performance metrics
• BoekhoudOntzorgd

Products and services

• Fysiocockpit Real-time financial dashboard (online cockpit) integrated with Visionplanner that provides physiotherapy practice owners with live insight into revenue, costs, and productivity per employee, forming the core reporting layer across all client engagements.
• Administratie (Financiële Administratie) Fully outsourced bookkeeping and financial administration service for Dutch physiotherapy practices, delivered digitally; clients scan and email invoices, and Fact4Fysio processes them, handles VAT returns, and produces monthly financial reporting via the Fysiocockpit.
• Salaris & HR Payroll administration and HR advisory services including salary processing via Nmbrs, employment contract management, salary structure design, HR process automation using Daywize, and salary benchmarking; delivered jointly with ESJ Salaris- en HR-Advies.
• Praktijkwaardering Practice valuation services using DCF methods and rule-of-thumb indicators, conducted in partnership with Corpance, providing clear and reliable valuations for physiotherapy practice owners.
• Begeleiding bij Aan- en Verkoop M&A advisory and succession planning services for physiotherapy practices covering preparation, search, negotiation, deal structuring, financing, due diligence, and signed agreements for practice acquisitions, disposals and partner entries/exits.
• Financiering Financing advisory for growth, equipment purchases, practice acquisitions or real estate, including business plans, financial justifications, ROI analysis, and introductions to lenders familiar with the physiotherapy sector.
• Benchmarktool Fysiopraktijk Annual financial benchmarking tool for Dutch physiotherapy practices; practices input their own figures to compare EBITDA, revenue composition, staffing costs and other KPIs against sector peers; now in its 11th edition (2024 data).
• BV Ja of Nee Rekentool Free Excel-based calculator for physiotherapy practice owners to determine whether operating through a BV corporate structure is more tax-efficient than a sole proprietorship, VOF or maatschap, comparing tax burden over a 5-year period.
• Rekentool Potentiële Omzet Free Excel-based revenue potential calculator for physiotherapy practices that maps potential 2026 revenue and calculates added value per therapist, with plan-versus-actual tracking throughout the year.
• HR- & Salarisbenchmark Fysiotherapie Annual HR and salary benchmark for Dutch physiotherapy practices, produced jointly with ESJ HR & Salarisadvies, based on salary data from 1,552 employees and covering salary ranges by function, specialization premiums and part-time/full-time trends.

Quantifiable outcome

• Benchmark practices achieved average EBITDA improvement of 21% in 2023 (from 7.1% to 8.6%) and additional 4.7% in 2024 (to 9.0%)
• +3 more outcomes

Named customers18 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

Feature4 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• FysiomanagercoreTechnology or Integration · 1 January 2015Fysiomanager practice management software partnership offering 'BoekhoudOntzorgd' (Accounting Outsourcing) product. Fact4Fysio automatically extracts necessary accounting information from Fysiomanager, eliminating manual data entry for physiotherapy clients.
• CorpancecoreImplementation/ SI/ Consulting PartnerFact4Fysio partners with Corpance specialists for complex practice valuations requiring DCF-method analysis. For standard valuations, Fact4Fysio provides rule-of-thumb indications internally, while Corpance handles comprehensive business valuations.
• ESJ Salaris- en HR-AdviescoreStrategic or Co-development PartnerESJ Salaris- en HR-Advies provides specialized HR and salary advisory services to Fact4Fysio clients. ESJ and Fact4Fysio have formed a winning team supporting physiotherapy practices with tax and personnel advisory services. ESJ HR professionals help create learning environments and support SLIM subsidy applications.
• TwinfieldcoreTechnology or IntegrationTwinfield is the primary accounting software used by Fact4Fysio for client bookkeeping, invoice management, and financial reporting. The firm provides instructional videos for Twinfield functionalities.
• Ignite Group (formerly De Breed & Partners)minorImplementation/ SI/ Consulting PartnerIgnite Group subsidy specialists collaborate with Fact4Fysio and ESJ on SLIM subsidy applications for physiotherapy practices, providing expertise in subsidy application processes.
• NmbrscoreTechnology or IntegrationNmbrs is used for payroll administration, with clients having their own login for payslips and leave requests. Integrated HR and payroll services for physiotherapy practices.
• IntramedcoreTechnology or IntegrationSmart integration with Intramed physiotherapy practice management software enables automatic data capture for accounting processing, eliminating manual invoice entry.
• StorecovecoreTechnology or IntegrationStorecove automated invoice processing platform enables automatic invoice capture from suppliers by establishing connections between suppliers and the online administration system.
• VisionplannercoreTechnology or IntegrationVisionplanner provides the Fysiocockpit financial dashboard functionality, enabling real-time financial reporting and benchmarking for physiotherapy practice clients.
• PIA GroupcoreStrategic or Co-development PartnerPIA Group is the parent organization behind Fact4Fysio, a national network of collaborating accounting and advisory firms. This partnership provides Fact4Fysio with combined knowledge, expertise, and organizational scale while maintaining personal, specialized service.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Moore DRV: Dutch mid-tier accounting firm (formerly DRV) within the Moore Global network with healthcare practice and similar professional registrations to Fact4Fysio. Serves Dutch SMBs including healthcare providers and competes in adjacent verticals.
• BDO Nederland: Global accounting network with an established Dutch healthcare practice group serving medical and allied-health professionals. Competes for healthcare accounting and advisory mandates across the Netherlands and offers a broader service portfolio that may appeal to larger physiotherapy groups.
• Grant Thornton Netherlands: Global mid-tier accounting firm with Dutch healthcare practice serving provider organizations. Overlaps with Fact4Fysio on healthcare accounting and M&A advisory mandates and competes for mid-market physiotherapy and allied-health clients.
• Baker Tilly Netherlands: Dutch mid-tier accounting firm with a healthcare practice serving medical specialists and allied health professionals. Comparable target customer type to Fact4Fysio, though broader in vertical scope and without Fact4Fysio's physiotherapy specialization.
• Deloitte Nederland: Big 4 firm with Dutch healthcare practice serving larger healthcare providers and complex advisory needs. Represents competitive overlap for upper-tier physiotherapy groups, large franchise networks, and complex M&A or financing mandates that exceed Fact4Fysio's typical scope.
• Accon AVM: Dutch mid-tier accounting and advisory firm serving various SMB verticals including healthcare-adjacent segments. Provides a comparable subscription-style accounting offering with broader vertical coverage than Fact4Fysio's physiotherapy-only focus.
• Flynth: Largest Dutch mid-tier accounting and advisory firm serving healthcare practices among many other verticals. Provides the broader competitive context that Fact4Fysio operates against for Dutch accounting mandates and represents a potential acquirer or consolidator in the fragmented Dutch accounting market.
• PwC Nederland: Big 4 firm with Dutch healthcare practice covering audit, tax, and advisory for healthcare providers. Overlaps with Fact4Fysio on complex valuation, transaction, and financing work for larger physiotherapy groups and consolidators.
• HLB Nederland: Dutch member firm of HLB International accounting network providing accounting and advisory services to Dutch SMBs including healthcare. Comparable mid-market positioning to Fact4Fysio with broader industry coverage.

Direct peers

• Countus: Dutch accounting and advisory firm specialized in the agricultural sector (dairy farming, livestock, horticulture). Replicates the same vertical-specialization, subscription-based model that Fact4Fysio uses for physiotherapy, making it the closest direct analog in terms of business model and target customer profile.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights3 records

Customer concentration

• LinkedInlinkedin.com/company/fact4fysio-esj

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles22 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 Fact4Fysio