What Cosmea Pflege does

Cosmea Pflege Holding GmbH is a Mannheim-headquartered group of ambulatory home care services (Pflegedienste) operating across more than 20 locations in six German federal states — Baden-Württemberg, Bayern, Hessen, Nordrhein-Westfalen, Rheinland-Pfalz, and Saarland — with a workforce of approximately 800 employees. Its service portfolio spans core ambulatory care (Pflegeberatung, Grundpflege, Behandlungspflege, Verhinderungspflege, Alltagsbegleitung, Hilfe im Haushalt) and higher-acuity specialized lines including 24-hour Exklusivpflege, Intensivpflege (including pediatric), Kita- und Schulbegleitung, day care (Tagespflege), and Rehabilitation/Teilhabe under SGB IX. Service delivery is local and in-home, organized in regional clusters that retain the brand identity of acquired providers (e.g., Zuhause pflegen, Pflegeperfekt, Pro Vita, Pflegeteam Nord, LebenPlus, QValère, Pflegeteam Bolz).

The group runs an integrated digital operating stack supplied primarily by technology partner euregon AG: mobile point-of-care documentation, automated tour/route planning (SNAP), real-time communication apps, digital billing with insurance funds, management information dashboards, and the MIA duty-scheduling app. Staff training is supported through a partnership with Pflegecampus for online continuing education. Underlying technology is process-automation focused rather than AI-native.

Revenue is generated predominantly through recurring monthly billings to German statutory health insurance funds (Krankenkassen, SGB V) and long-term care insurance funds (Pflegekassen, SGB XI), with private-pay add-ons for non-covered services such as Exklusivpflege. Customers are individual households and patients (primarily elderly, plus children with special needs), acquired via local referral networks, doctors and hospitals, the company website, and location-specific outreach; the company maintains no large enterprise accounts. Since 2019 the group has grown primarily through serial acquisitions of regional Pflegedienste, a strategy supported by a publicly visible "Verkauf und Nachfolge" pipeline and led by CEO Tomas Aubell.

Name

Cosmea Pflege

Legal name

Cosmea Pflege Holding GmbH

Website

https://cosmea-pflege.de

Company type

Private

Founded year

2012

Operating status

Operating

Short description

Cosmea Pflege is a Mannheim-based German group of ambulatory home care services operating 20+ locations across six federal states, providing basic, medical, intensive, pediatric, and 24-hour care to elderly and special-needs patients in their homes, funded mainly via statutory health and long-term care insurance.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home-Based Primary Care / Medical House Call Practices (HLAFAEAI)

akta.pro secondary industries

Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL), Home & Community-Based Services (HCBS) Coordination & Case Management (HSABAIAM)

Keywords

• Home nursing services
• Ambulatory care
• Elderly care
• Intensive home care
• Medical treatment care

Headquarters

HQ city

Mannheim

HQ country

Germany

HQ region

Europe

Offices22 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Ambulatory Care Services (SGB V & SGB XI): Revenue generated through contracts with health insurance funds (Krankenkassen) and long-term care insurance funds (Pflegekassen). Services include basic care, treatment care, and household assistance billed through statutory insurance. Also includes private pay options for services not covered by insurance.
2. Day Care (Tagespflege): Day care services billed through care insurance funds. Provides structure, social contact and professional care for seniors, with transportation services included.
3. Exclusive Care (Exklusivpflege): 24-hour care services with multiple caregivers working shifts. Costs vary by care degree and hours per week. Private pay with possibility for social welfare support.
4. Intensive Care (Intensivpflege): Comprehensive care for people with life-threatening or life-limiting conditions requiring 24-hour care with ventilation or intensive monitoring of vital signs. Billed through health insurance.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

Cosmea Pflege is a German group of ambulatory (outpatient) home care services delivering professional nursing, personal care, medical treatment care, and household support directly to patients in their own homes. Its offering spans basic care (Grundpflege), treatment care (Behandlungspflege), respite care, household help, school/kindergarten accompaniment for children with special needs, day care, exclusive 24-hour care, intensive home care (including ventilation), and rehabilitation/social participation services. The group operates through a network of 20+ regional locations across Baden-Württemberg, Bavaria, Hesse, North Rhine-Westphalia, Rhineland-Palatinate, and Saarland.

Product overview

Cosmea Pflege is a group of ambulatory home care services operating across more than 20 locations in Germany, serving clients of all ages. The core offering is a unified home care service comprising fundamental care modules (Pflegeberatung, Grundpflege, Behandlungspflege, Verhinderungspflege, Alltagsbegleitung, Hilfe im Haushalt) alongside specialized services (Kita- und Schulbegleitung, Tagespflege, Exklusivpflege/24-Stunden-Pflege, Intensivpflege, Rehabilitation und Teilhabe, and Kinder-Intensivpflege). Some services such as Tagespflege and Kinder-Intensivpflege are available only at specific locations. The group operates through a network of regional ambulatory care services coordinated under a central holding company in Mannheim, having grown substantially through acquisitions of regional providers.

Differentiator

Problem solved

Functional benefit

Products and services

• Pflegeberatung (Care Consultation) Advisory service guiding clients through care assessments, insurance benefits, application procedures, and care planning, including mandatory consultation visits under §37 Abs. 3 SGB XI. Target customers are care recipients and their families needing help navigating German long-term care insurance.
• Grundpflege (Basic Care) Basic care services covering body hygiene, continence management, nutrition, and mobility support including small and large basic care routines performed at home. Target customers are elderly and care-dependent individuals who need help with daily living activities, billed through long-term care insurance.
• Behandlungspflege (Treatment Care) Medical treatment care services including diabetes management, medication administration, wound care, decubitus treatment, catheter care, injections, compression stockings, and stoma care, performed by qualified nursing staff under physician orders and billed through health insurance under SGB V.
• Verhinderungspflege (Respite Care) Respite care services allowing primary family caregivers to be temporarily replaced during illness, vacation, or other absences while maintaining continuous care provision for the care recipient.
• Alltagsbegleitung (Everyday Companionship) Everyday companionship services including shopping, household tasks, laundry, social interaction, and appointment accompaniment to support independent living for elderly and care-dependent individuals.
• Hilfe im Haushalt (Household Help) Household assistance including apartment cleaning, laundry care and ironing, shopping, meal preparation, waste disposal, and social companionship for seniors and care-dependent individuals.
• Kita- und Schulbegleitung (Kindergarten and School Accompaniment) Kindergarten and school accompaniment for children and youth with special needs, supporting inclusion, daily structure, mobility, and social integration at educational facilities in the Bavarian Schwaben and Rosenheim regions.
• Tagespflege (Day Care) Day care facilities offering structured daily programs, meals, social activities, cognitive and motor skill promotion, and transportation services for seniors, available at locations in Untersteinach, Langweid am Lech, and Friedrichsthal (Saar). Billed through long-term care insurance funds.
• Exklusivpflege / 24-Stunden-Pflege (Exclusive 24-Hour Care) Intensive around-the-clock home care service providing continuous support for individuals with high care needs, involving multiple trained caregivers working shifts in compliance with German labor law. Private pay with possibility for social welfare (Sozialamt) support; costs vary by care degree and weekly hours.
• Intensivpflege (Intensive Care) Intensive care for individuals with life-threatening or life-limiting conditions requiring 24-hour monitoring, ventilation, or intensive vital sign surveillance, delivered in the patient's own home and billed through health insurance.
• Rehabilitation und Teilhabe (Rehabilitation and Participation) Rehabilitation and social participation support under SGB IX, including counseling, assistance with applications, care and support, therapy accompaniment, daily assistance, and housing adaptation advice for people with disabilities.
• Kinder-Intensivpflege (Children's Intensive Care, Schwaben) Specialized intensive pediatric home care for children with severe medical conditions including ventilation, administered at locations in Augsburg and Dachau in the Bavarian Schwaben region.

Quantifiable outcome

• More than 800 employees serving customers across 20+ locations
• +2 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Nine partnerships are on record, tiered minor and core.

• Pflegeteam Bolz (Heinsberg)minorStrategic or Co-development Partner · 2 February 2026Established ambulatory care service in Heinsberg, North Rhine-Westphalia with 17 employees serving approximately 100 customers. Founding family remains in leadership.
• Respekto PflegedienstminorStrategic or Co-development Partner · 1 January 2026Ambulatory care service that joined the Cosmea group in 2026. Partnership announcement welcomed Respekto to the Cosmea family.
• QValère Mittelpunkt Pflege GmbH (Freigericht)minorStrategic or Co-development Partner · 7 April 2025Leading ambulatory care provider in Freigericht-Altenmittlau, Hesse. Serves more than 300 patients through nearly 40 employees. Represents Cosmea's entry into the Hesse market.
• Pro Vita - Pflege mit Herz (Hürth)minorStrategic or Co-development Partner · 1 August 2024Ambulatory care service in Hürth acquired by Cosmea in August 2024. Acquisition strengthens presence in Rhein-Erft-Kreis and expands specialized services.
• Pflegeteam Nord (Langweid am Lech)minorStrategic or Co-development Partner · 3 June 2024Established ambulatory care service operating for over 25 years, acquired by Cosmea in June 2024. Serves communities of Langweid, Gersthofen, Gablingen, Biberbach and surrounding areas near Augsburg.
• Zuhause pflegen (Annweiler)minorStrategic or Co-development Partner · 1 May 2022Ambulatory care service founded by Naima Essaoudi 10 years prior, joined Cosmea in May 2022. Fills geographic gap between existing locations in Landau and Hauenstein.
• Pflegeperfekt (Dachau)minorStrategic or Co-development Partner · 1 September 2021Ambulatory care service in Dachau, Bavaria that joined the Cosmea group in September 2021. Represents acquisition/partnership for group expansion in Bavaria.
• euregon AGcoreTechnology or IntegrationTechnology partnership for digital care documentation and tour planning solutions. euregon AG provides software solutions that enable Cosmea's nursing staff to document services digitally at patients' homes and optimize routing for reduced travel time.
• PflegecampuscoreTechnology or IntegrationTraining partner providing digital continuing education for nursing staff. Enables location-independent and time-flexible learning for Cosmea employees through online courses and training programs.

Scale indicators5 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Malteser Deutschland: Large German non-profit care and social services organization operating outpatient home care alongside broader medical transport, hospice, and community services. Comparable in ambulatory care delivery model and geographic spread.
• Korian Deutschland: One of the largest care providers in Germany (part of Clariane/Emeis), operating nursing homes, assisted living, and outpatient services at national scale. A broad incumbent whose ambulatory care business overlaps with Cosmea's offerings.
• Alloheim: Major German care group primarily focused on residential care but also offering outpatient and home care services. Larger, more diversified competitor with broader care continuum.
• compassio (formerly Senecura Deutschland): Large German residential and outpatient care operator. Provides overlapping ambulatory and home care services as part of a broader care portfolio across multiple federal states.
• Diakonie Pflege: Widespread German faith-based non-profit network delivering ambulatory home care, family support, and care consulting. Operates as a broad incumbent in the same home care service categories as Cosmea.

Direct peers

• Bonitas Pflegedienst: Ambulant care group operating multiple locations across Germany offering similar services (Grundpflege, Behandlungspflege, Intensivpflege). Comparable mid-size private ambulatory peer.
• Cura Ambulante Pflege: Mid-size ambulatory care group in Germany offering similar Grundpflege, Behandlungspflege, and intensive home care services. Comparable multi-location private peer.
• Home Instead (Germany): Major franchise network for senior home care services in Germany. Competes directly with Cosmea's basic home care, household help, and companionship offerings in overlapping geographies.
• Advita Pflegedienst: Mid-size German ambulatory home care operator with multi-state coverage including intensive care. Overlaps with Cosmea in service mix and home-based care delivery model.
• DEUTSCHEFACHPFLEGE: One of Germany's largest outpatient intensive and home care providers, particularly strong in clinical home care (Intensivpflege, ventilation). Direct competitor to Cosmea's ambulatory and intensive home care services across multiple German states.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/cosmeapflege
• LinkedInlinkedin.com/company/cosmea-pflege
• Instagraminstagram.com/cosmeapflege

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries9 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 Cosmea Pflege