What Precede does

Precede Occupational Health Services is a privately held Canadian occupational health provider founded in 2005 by Kevin Balaneski and headquartered in Calgary, Alberta. The company delivers workplace health and safety services to employers across Canada and the United States, with a focus on high-risk industries such as oil and gas, construction, manufacturing, mining, professional sport, and DOT-regulated transportation. Service categories span occupational health testing (drug and alcohol screening, audiometric testing, spirometry, mask fit testing, medical fit-to-work assessments, pre-employment medicals), disability and injury management (case management for WCB and STD/LTD claims, return-to-work programs, independent medical evaluations), and ancillary programs including physical demands analysis, employee health surveillance, and workplace flu clinics. All clinical assessments are reviewed by Canadian Certified Occupational Health Nurses (COHN(C)).

The company's technology infrastructure centers on two proprietary assets. First Call Telehealth is a HIPAA/PIPEDA-compliant video platform that connects employees with Industrial Injury Prevention Specialists within 15 minutes for real-time injury assessment, with reported outcomes including a 5:1 average ROI, 93% of injury cases resolved without a clinic visit, 59% of musculoskeletal cases closed the same day, and a 30-50% decrease in injury recordability in the first year of implementation. The Velocity Results System is an internally developed booking, results, and reporting portal that gives employer clients access to historical test data, queries, and workforce health statistics. Distribution is hybrid: six owned clinics in Alberta (Calgary headquarters plus Grande Prairie, Medicine Hat, Nisku, and Red Deer) are combined with an affiliate network of over 2,400 partner clinic locations across North America, supported by mobile on-site testing and 24/7 telehealth availability.

The business model combines fee-for-service occupational health testing (professional services), subscription/recurring revenue from telehealth programs, and managed services revenue from disability case management and DOT consortium administration. Go-to-market is direct B2B enterprise sales with dedicated account management and client portals; pricing is not publicly disclosed and is negotiated per contract. The company is privately held with no institutional investors or external funding rounds disclosed, with ownership concentrated among founding partners and management. Over 20 years of operation, Precede has served more than 100,000 patients and built a leadership team with 60+ years of combined healthcare experience, including eight named executives and specialists across operations, clinical leadership, and WCB case management.

Name

Precede

Legal name

Precede Occupational Health Services

Website

https://precedeohs.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

11–50 employees

Short description

Precede is a privately held Calgary-based occupational health provider founded in 2005, delivering workplace testing, telehealth injury assessment, and disability management services to employers across Canada and the United States, with a focus on high-risk industries.

Ownership category

akta.pro rank

Product category

Occupational Health Services

NAICS

Offices of Physicians (6211), Testing Laboratories and Services (541380), Ambulatory Health Care Services (621), Offices of Other Health Practitioners (6213)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Testing Laboratories (8734), Services-Health Services (8000)

akta.pro primary industry

Occupational Medicine & Work Injury Urgent Care Clinics (HLAFADAG)

akta.pro secondary industries

Occupational Health & Worksite Health Virtual Care (fit-for-duty, RTW) (HLALADAM), Occupational Health & Pre-Employment Diagnostic Testing Centers (HLAFAKAM), Drug & Alcohol Testing Coordination (BPACALAE)

Keywords

• Occupational health services
• Drug and alcohol testing
• Workplace injury management
• Telehealth injury assessment
• Disability management services

Headquarters

HQ city

Calgary

HQ country

Canada

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Occupational Health Testing Services: Fee-for-service occupational health testing including drug and alcohol testing, audiometric testing, spirometry, medical fit-to-work assessments, and mask fit testing. Both on-site and at clinic locations.
2. First Call Telehealth Services: Telehealth injury assessment and triage services for employers, providing real-time employee injury management to prevent unnecessary claims and costs.
3. Disability Management Program: Case management services for workplace injuries including WCB claims, STD/LTD, and non-occupational cases. Coordinates return-to-work plans.
4. DOT Consortium Management: Random testing consortium management for DOT compliance, including SAMHSA approved laboratory testing services.

Go-to-market motion3 records

Distribution channels5 records

Marketing channels5 records

Core offering

Precede Occupational Health Services delivers a comprehensive suite of occupational health services to employers across Canada and the United States. The company's portfolio centers on drug and alcohol testing, pre-employment and fit-to-work medical assessments, audiometric and spirometry testing, mask fit testing, disability and return-to-work case management, and telehealth injury assessment through its First Call Telehealth and RN Connect programs. Services are delivered via six owned clinics in Alberta, an affiliate network of over 2,400 locations across North America, on-site mobile testing, and a proprietary Velocity Results System client portal.

Product overview

Precede Occupational Health Services offers a comprehensive suite of occupational health services across Canada and the United States. The company's portfolio centers on three core service pillars: First Call Telehealth (real-time injury assessment via video platform), Occupational Health Testing Services (audiometric, spirometry, mask fit, drug/alcohol, medical fit-to-work, and pre-employment testing), and Disability Management (return-to-work programs, case management, and IME services). Supporting these core offerings are the Velocity Results System portal for reporting and data management, Physical Demands Analysis for job requirements documentation, Employee Health Surveillance programs, and mobile Remote Workplace Testing Services. All services are delivered by certified healthcare professionals including Registered Nurses, Occupational Therapists, Kinesiologists, and physicians, with reviews by Canadian Certified Occupational Health Nurses COHN(C).

Differentiator

Problem solved

Functional benefit

Brands

• First Call Telehealth: Real-time telehealth injury assessment service connecting employers and employees with Industrial Injury Prevention Specialists for prompt injury evaluation, early self-management guidance, and customized reports.
• Velocity Results System

Products and services

• First Call Telehealth Real-time telehealth injury assessment platform connecting employees with Industrial Injury Prevention Specialists within 15 minutes, providing HIPAA/PIPEDA compliant video evaluations, early self-management guidance, and customized reports for employer clients.
• RN Connect Telehealth Real-time telehealth triage program connecting employees with qualified healthcare professionals (RN, EMT, or Kinesiologist) for evidence-based injury recommendations and directives.
• Occupational Health Testing Services Comprehensive occupational health screening including audiometric testing, spirometry/lung health testing, mask fit testing, medical fit-to-work testing, and pre-employment assessments reviewed by Canadian Certified Occupational Health Nurses COHN(C).
• Drug and Alcohol Testing Services Workplace drug testing program offering pre-employment, on-site, post-incident, and random alcohol and drug testing with 24/7 availability and immediate results, including 10-panel and 12-panel drug screens, DOT consortium management, and SAMHSA-approved laboratory testing.
• Disability Management Program Workplace disability management and return-to-work program including Independent Medical Exams (IME), injury management triage, and case management for WCB claims, STD/LTD, and non-occupational cases.
• Physical Demands Analysis (PDA) Physical demands analysis reports outlining essential job tasks and physical requirements, completed by regulated clinicians (physiotherapists, occupational therapists, or kinesiologists) for injury prevention and return-to-work planning.
• Non-Emergent Injury Assessment Program Minor workplace injury assessment program providing fast, effective medical care by Registered Occupational Health Nurses to prevent unnecessary urgent care visits and WCB claims.
• Velocity Results System (Occupational Health Service Portal) Proprietary Results and Reporting Software Portal providing employers access to current and historical results, search functionality, queries, and statistics for workforce health data management.
• Audiometric Testing Workplace hearing exams evaluating worker ability to hear and identifying impairment from job-related activities, including pre-employment testing, follow-up examinations, and hearing conservation program support.
• Mask Fit Testing Respirator workplace mask fit testing services ensuring masks securely fit employees and comply with Occupational Health and Safety Act requirements for various mask brands including 3M, North, MSA, and Scott.
• Medical Fit-to-Work Testing Fit for duty assessments ensuring worker abilities match job requirements, including full medical history, head-to-toe physical assessments, and customized evaluations based on organizational PDA requirements.
• Spirometry/Lung Health Testing Pulmonary function tests measuring lung capacity and function for employees exposed to workplace contaminants, supporting mandatory health surveillance programs under Occupational Health and Safety legislation.
• Employee Health Surveillance Continual health evaluations and assessments throughout employment to monitor individual health and catch potential work-related injuries and illnesses before they happen.
• Independent Medical Evaluations (IME) Objective, impartial assessments of individual diagnoses, prognosis, and treatment recommendations conducted by physicians and registered nurses not previously involved in the employee's care.
• Remote Workplace Testing Services On-site occupational health testing services where Registered Nurses or Technicians meet clients at their place of business or project worksite, providing flexible scheduling and mobile testing capabilities.
• Flu Clinics On-site and off-site workplace flu vaccination services including immunization-trained Registered Nurses, coordination, registration, setup, and flexible billing options.

Quantifiable outcome

• 5:1 average return on investment for First Call Telehealth
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• TELUS Health: Canadian virtual care and employer health services arm of TELUS, offering telehealth, employee assistance programs, and occupational health-adjacent services. Comparable on telehealth delivery and Canadian employer contracts, though broader in scope.
• CBI Health Group: One of Canada's largest community healthcare services networks, including occupational health, rehabilitation, and return-to-work programs. Comparable in Canadian employer health delivery but operates at much larger scale across broader service categories.

Direct peers

• DriverCheck: Canadian provider specializing in DOT-regulated and workplace drug and alcohol testing, medical assessments, and occupational health services — directly overlapping Precede's testing and consortium management offerings.
• Medcor: US occupational health and 24/7 telehealth triage provider serving employers with injury management, on-site clinics, and telephonic nurse triage — nearly identical service mix to Precede's First Call Telehealth plus clinical services.
• Concentra: Largest US occupational health provider (owned by Select Medical), offering employer-focused injury care, drug testing, physicals, and telehealth triage. Directly comparable as a B2B occupational health platform with employer contracts and clinic networks.
• WorkCare: US-based occupational health services company delivering injury care, drug testing, employment physicals, and 24/7 incident triage to employer clients across industrial and safety-sensitive industries.

Emerging players

• Kinetik Health Services: Canadian occupational health services provider focused on employer health programs in Western Canada, including drug testing, injury management, and return-to-work services — partial overlap with Precede's Alberta-anchored occupational health offerings.

Regional players

• LifeLabs: Canada's largest medical laboratory network, offering employer drug and alcohol testing and health surveillance. Comparable on the occupational testing/employee health surveillance services Precede provides, primarily competing in Canada.
• Dynacare: Major Canadian medical laboratory and occupational testing provider serving employers with drug screening, health surveillance, and diagnostic testing. Comparable on the lab/testing side of Precede's service mix and primarily Canadian in geography.

Others

• St. John Ambulance (Alberta): Canadian health and safety training and occupational first-aid provider; adjacent ecosystem player rather than direct competitor — comparable on the workplace safety/regulatory training side that often accompanies occupational health contracts.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Precede_OHS
• Facebookfacebook.com/PrecedeOHS
• LinkedInlinkedin.com/company/precede-occupational-health-services
• Instagraminstagram.com/precedeohs

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Precede