From our beginnings in Germany to becoming a pan-European leader, MEDIAN Group’s growth has been underpinned by a clear strategy: to deliver patient-centred, outcome-driven care at scale, while shaping the future of rehabilitation and mental health:

Our Beginnings

• 2011 – By integrating RHM clinics (1,850 bed across 26 sites), MEDIAN positioned itself as a national leader in rehabilitation, psychiatry and sociotherapy and established the foundation of our long-term strategic focus
• 2015 – Expansion into a network of 120 clinics in Germany made MEDIAN the largest rehabilitation provider, allowing us to deliver consistent quality nationwide and ensuring patients remain at the heart of everything we do
• 2021 – MEDIAN took a significant step towards internationalisation by merging with Priory, the UK’s leading private provider for mental health and adult social care (280 sites)
• 2023 – MEDIAN Group acquired Hestia Alliance (now Hestia Health), the 4^th largest private mental health and social medical provider in Spain

Today

• MEDIAN Group operates 400 across Europe, with 31,000 employees caring for over 323,000 patients annually
• Guided by MEDIAN Group Lab, we’re leading Europe in digital health innovation. Programmes such as Germany’s first national digital aftercare service MyMEDIAN@Home are already supporting thousands of patients
• Our vision for the future is to set the benchmark for mental health and rehabilitation across Europe. By harnessing the power of innovation, digital technology, collaboration and knowledge-exchange, MEDIAN Group is setting the standards for the care of tomorrow.

At MEDIAN Group, we understand that high-quality, scalable care can only be delivered with strong partnerships.

Working as a team with healthcare providers, technology innovators, commissioners and research institutions, we co-create solutions that improve outcomes for patients, strengthen health systems and drive sustainable innovation across Europe.

Partnering with MEDIAN Group means

• Scale and reach: As one of Europe’s largest providers of rehabilitation and mental health care, we offer proven expertise across multiple specialities and care settings
• Innovation: Digital healthcare and innovation are at the heart of our work and strategy. The MEDIAN Group Lab provides a platform for piloting, validating and scaling digital health solutions
• Evidence-based practice: Everything we do is underscored by rigorous evaluation to ensure measurable outcomes
• Trusted clinical leadership: with decades of experience across specialities and countries, MEDIAN Group is a trusted partner in Europe

Waterland

Since Waterland became a shareholder in 2011, MEDIAN Group has completed over 25 acquisitions across Germany, the UK and Spain. With Waterland’s support, our 2023 strategy is focused on organic growth to broaden and deepen its service offering, while continuing to lead digital transformation across its care pathways.

MEDIAN Group delivers measurable financial growth and proven social impact, combining scale, quality and innovation to create long-term value for patients, partners and health systems.

Performance and impact in 2024

• €2.3 billion revenue: +11% year-on-year growth (CAGR >2x since 2015)

• EBITDA margin: 8.9% (2023A)
• 400 facilities and 25,000+ beds
• 31,000 employees across Germany, the UK and Spain
• 323,000 patients annually
• Digital reach: 40,000 patients supported through MYMEDIAN@Home digital aftercare since 2023, with 7,000 daily users and 270,000 app downloads
• €23 billion projected net economic benefit from rehabilitation by 2025 (Prognosis study)

Measured outcomes

Quality ratings:

• Over 86% of Priory UK sites rated ‘good’ or better by the CQC
• In Germany, MEDIAN’s clinics consistently exceed national quality benchmarks with scores of 97/100 across 60 indicators

Readmission prevention:

• Independent studies show our rehabilitation programmes significantly reduce readmission rates and comorbidities and lower health system costs

Return to work:

• Thousands of patients annually return to or remain in employment following treatment, reinforcing MEDIAN Group’s role in socio-economic productivity and sustainability

Patient-reported outcomes:

• We systematically track condition-specific results and patient feedback across the Group, ensuring continuous improvement and transparency

What do these outcomes mean?

• Relieving system pressure: By reducing readmissions, improving independence and supporting complex needs, we create measurable capacity for public health systems

• Enabling independence: Our integrated model supports people in living independently, reintegrating into communities and contributing socially and economically

• Harnessing digital innovation: From AI-supported aftercare to data-driven clinical pathways, our innovation pipeline increases efficiency and scalability, setting new standards in European care delivery

As Europe faces an unprecedented mental health and care challenge, MEDIAN Group offers the scale, innovation and proven outcomes needed to deliver sustainable solutions.

Our vision is to be Europe’s leading provider of high-quality mental health and rehabilitation services driven by growth, digitalisation and innovation.

Our goals for 2030

• Achieve €3 billion revenue
• Support 500,000 patients annually
• Build on our success in digital healthcare and deliver digital aftercare to 160,000 patients
• Continue our strong M&A track record (10+ transactions; >25x sales since 2011)
• Be in the top quartile for measured outcomes for all our services

Our Strategy

• Accelerating organic growth through broader, deeper service offering
• Leadership in digital transformation across care pathways
• Achieving ongoing efficiency improvements
• Select M&A that adds value

We reduce our carbon footprint and minimise our environmental impact by

• Implementing energy-efficient practices and renewable energy solutions
• Reducing consumption, limiting waste and conserving water
• Applying sustainable procurement practices, fair trade and the use of local suppliers
• Supporting biodiversity and greener facility operations
• Continuously reviewing and optimising sustainability practices and strategies

Green projects

• All MEDIAN facilities and clinics use LED bulbs, saving 90% electricity
• MEDIAN facilities and clinics are equipped with block-type thermal power stations to supplement classic oil and gas heating systems
• In 2021, MEDIAN began testing electric cars in practical use with the goal to convert the MEDIAN carpool to electric vehicles by 2028
• 100% of electricity at Priory is from renewable sources
• Investing €30 million to equip 130 facilities across UK, Germany and Spain with photovoltaic (PV) technology, reducing CO₂ and energy costs
• Reducing CO₂ emissions 

We ensure the safety and wellbeing of our staff and those in our care by  

• Improving outcomes and experiences for our patients and residents
• Fostering an inclusive and diverse workforce
• Promoting equal opportunities
• Prioritising the health and wellbeing of our colleagues
• Providing training and development opportunities

Social commitments

• MEDIAN Group raises funds for various causes, including refuges and charities like Mind
• Women made up 71.2% of the workforce in 2023, Priory and Hestia have female CEOs
• MEDIAN Klinken placed 13^th among top employers for social impact in 2023
• MEDIAN Germany signed the Diversity Charter “Charta der Vielfalt” and has incorporated ‘belonging’ to its core corporate values
• Priory UK has 9 networks offering peer support and safe spaces
• Priory UK has partnered with the charity Chasing the Stigma to improve equitable access to mental health support by connecting people to over 14,000 services

We uphold transparent, accountable governance built on the highest ethical standards in decision-making, compliance and financial management. Robust governance and effective risk management earn and sustain the trust of our stakeholders.

Our governance framework includes:  

A comprehensive and supportive structure

• Centralised processes and dedicated support teams enable frontline staff to focus on patient care

• Specialised medical boards and expert committees standardise pathways and share expertise

• Systematic, increasingly digital quality measurement drives continuous improvement, transparency and innovation

Compliance oversight across Europe

• UK: Care Quality Commission (CQC, England), Healthcare Improvement Scotland (HIS), Health Inspectorate Wales (HIW)
• Germany: Ministries of Health and Social Affairs, German Pension Fund (DRV)
• Spain: CatSalu (Catalonia), SERMAS (Madrid), SERGAS (Galicia)

As a leading provider of rehabilitation and mental health in Germany, the UK and Spain, MEDIAN Group continues to place its primary focus on delivering the highest quality of care for the people we support.

Through combining clinical rigor, digital transparency, structured governance and independent oversight, we deliver consistently high-quality, person-centred care that earns both stakeholder confidence and measurable outcomes.

Highest standards of care and outcome-driven excellence

• To ensure consistently optimal outcomes, therapy is delivered at the right time and in the right combination by skilled professionals

• We use condition-specific parameters and robust patient-reported data to assess treatment success both clinically and from the patient’s perspective and reinforce our clinical quality

Expertise-driven clinical governance

• Specialist medical boards (medical, nursing, hygiene, nutrition) share knowledge, standardise care pathways and drive quality improvements across all sites
• Our central quality team works with on-site managers to develop best practices and ensure compliance with certifications and audits
• We have developed our own business intelligence (BI) system to track quality assurance results in real time to ensure transparency and continuous improvement
• All facilities across MEDIAN Group are certified under recognised quality standards, including QMS Reha, FVS/DEGEMED and CQC, while DIN EN ISO 9001 has been voluntarily applied across the Group

Systematic compliance for safe, consistent care

• We undergo regular external inspections across all jurisdictions

• Board-level quality and compliance oversight ensuring best practice cascades across the organisation

• Clear reporting lines, internal audits, certification reviews and annual transparent quality reports

• Patient feedback channels and ongoing staff training support a culture of continuous improvement

• Our partners and suppliers are carefully selected based on their sustainability practices, ethical standards and positive social impact

Annual quality reports

At MEDIAN Group, we publish comprehensive quality reports every year to ensure data transparency