MEDIANE

What MEDIANE does

ÉLAP (formerly MEDIANE) is a French software publisher founded in 1982 and headquartered in Brignoles, France, specializing in integrated administrative and management software for French public healthcare establishments, ESPIC facilities, and social/medico-social organizations. The company has served the French public health sector for 40 years with an integrated modular suite covering patient/resident admission and billing (GAP-FACTU, PMSI), financial management (FINANCE, COMPTA-ANA, GED dematerialization), HR and payroll (GRH-PAIE, PLANNING), protected adults management (TUT), and decision support (PILOTAGE / Tableaux de Bord). The technology stack spans .NET/C#, Java JEE (Spring), SQL Server, PostgreSQL, Oracle, Windev, and Angular 8+, with native integrations to PES V2, Chorus Pro, and DPI systems, certified against French public accounting standards (M9-1, M9-5) and ISO 9001:2015.

The business operates on a software licensing/subscription model with annual fees for the Élap suite, complemented by implementation services, a training catalog of approximately 150 sessions per year, and recurring technical support delivered by 20 technicians. Go-to-market is direct enterprise field sales targeting CH, CHU, CHR, CHS, GHT, and EHPAD establishments through public procurement tenders. The company employs approximately 110 people (including ~40 developers) across offices in Brignoles, Clermont-Ferrand, Paris, and Villeneuve-d'Ascq, and serves roughly 800 clients across France. Capital was restructured in 2017 with institutional investors (Turenne Santé, BPI France, Malakoff, BNP Paribas Développement, BRED Perspectives), and the entity rebranded from MEDIANE-ADMILIA to ÉLAP in December 2020, consolidating the legacy MEDIANE, AXEGE, and ADMILIA brands following the 2017 Axège acquisition and 2018 Admilia merger.

Name

MEDIANE

Legal name

ÉLAP – Éditeur de Logiciels pour les Administrations Publiques

Website

https://mediane.tm.fr

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

101–250 employees

Short description

ÉLAP (formerly MEDIANE) is a French software publisher providing integrated administrative, financial, HR/payroll, and decision-support software to approximately 800 French public healthcare and medico-social establishments, operating through annual subscriptions and direct enterprise sales.

Ownership category

akta.pro rank

Product category

Healthcare Administrative Software

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Patient Access, Registration & Intake (Front-End RCM) (HLACACAE)

Keywords

• Healthcare administrative software
• Hospital management systems
• Public sector software
• Medical billing software
• Payroll management software

Headquarters

HQ city

Brignoles

HQ country

France

HQ region

Europe

Offices4 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Licensing and Subscriptions: Annual licensing fees for the Élap software suite covering administrative management, financial management, HR/payroll, planning, and decision support modules for public health establishments. Revenue generated from software subscriptions and maintenance contracts.
2. Implementation and Training Services: Professional services including system audit, deployment, configuration, and training. The company offers a catalog of nearly 150 training sessions annually.
3. Technical Support: Technical and functional support services with response time commitments. 20 technicians provide assistance to clients.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

MEDIANE/Élap develops and licenses an integrated suite of administrative and management software for French public healthcare, ESPIC, and medico-social establishments. The suite covers patient/resident admission and billing (GAP-FACTU), PMSI medical information, economic and financial management (FINANCE), HR/payroll (GRH-PAIE), staff planning, protected adults management (TUT), and decision-support dashboards (PILOTAGE). Revenue is generated through software subscriptions, implementation services, training, and ongoing technical support.

Product overview

Élap (formerly MEDIANE) is a software publisher offering an integrated suite of administrative and management software for public health establishments, ESPIC facilities, and social/medico-social organizations. The Élap software suite comprises multiple integrated modules organized around five core domains: (1) Admission and Invoicing with GAP-FACTU and PMSI; (2) Finance and Accounting with FINANCE, COMPTA-ANA, and GED for dematerialization; (3) Human Resources and Payroll with GRH-PAIE and PLANNING; (4) Protected Adults Management with TUT; and (5) Performance Management with PILOTAGE/TABLEAUX DE BORD dashboards. The suite is designed to be modular and interconnectable, serving both sanitary (hospitals, CH, CHU, CHS, CHR, GHT) and medico-social establishments (EHPAD, SSIAD, SAMSAH, care homes). The company also maintains AxègeSanté, acquired through the Axège merger, which provides hospital decision support and business intelligence capabilities.

Differentiator

Problem solved

Functional benefit

Brands

• Élap GAP-FACTU: Administrative patient/user management and billing software
• Élap PMSI
• Élap FINANCE
• Élap GRH-PAIE
• Élap PLANNING
• Élap TUT
• Élap PILOTAGE / TABLEAUX DE BORD
• Élap COMPTA-ANA
• Élap GED

Products and services

• Élap GAP-FACTU Sanitaire Administrative Patient Management software handling patient admission and invoicing for public health establishments and ESPIC facilities in the sanitary sector.
• Élap GAP-FACTU Médico-Social Administrative Resident Management software handling admission and invoicing for EHPAD, SSIAD, SAMSAH, and other medico-social establishments.
• Élap PMSI Sanitaire PMSI medical information data entry and valorization system for recording and processing medical information required by French health authorities in sanitary establishments.
• Élap FINANCE Sanitaire Economic and Financial Management software (M-GEF) for budget control, accounting, and financial management of public health establishments, compliant with M9-1 and M9-5 accounting instructions.
• Élap FINANCE Médico-Social Economic and Financial Management software for budget control and accounting of medico-social establishments.
• Élap GRH-PAIE Sanitaire Human Resources and Payroll management software covering career management, salary processing, leave tracking, and Social Code declarations for healthcare establishments.
• Élap GRH-PAIE Médico-Social Human Resources and Payroll management software for medico-social establishments, covering career management, payroll, and reporting.
• Élap PLANNING Sanitaire Staff scheduling and planning solution managing work cycles, counters, and workforce scheduling for public health establishments.
• Élap PLANNING Médico-Social Staff scheduling and planning solution for medico-social establishments, managing work cycles and counters.
• Élap TUT Sanitaire Protected Adults Management software (Tutelles) for handling judicial protection of major persons in sanitary establishments.
• Élap TUT Médico-Social Protected Adults Management software for handling judicial protection of major persons in medico-social establishments.
• Élap PILOTAGE / TABLEAUX DE BORD Decision Support and Dashboard system providing performance measurement, business intelligence, and analytics including TAC, RTC, CréA, ENC, Base d'Angers, and TCCM Créo for strategic hospital management.
• Élap COMPTA-ANA Analytical Accounting module for cost accounting, TAC, RTC, CréA, ENC, Base d'Angers, and TCCM calculations.
• Élap GED (Dématérialisation de la facturation) Electronic Document Management and invoice dematerialization module supporting PES V2 and Chorus Pro integration for paperless billing workflows in public healthcare establishments.
• AxègeSanté (SID Hospitalier) Hospital Decision Support System providing cross-functional data harmonization, balanced scorecard dashboards, care pathway studies, and cost accounting (TAC, RTC, CréA, ENC, Base d'Angers, TCCM Créo) for hospitals.

Quantifiable outcome

• Assisted CH de Bapaume in becoming first establishment in Pas-de-Calais to deploy PES V2 dematerialization
• +2 more outcomes

Named customers17 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature9 records

Partnerships

Four partnerships are on record, tiered minor and core.

• Diapason Project ConsortiumminorStrategic or Co-development Partner · 7 March 2017Médiane registered as editor for the Diapason project pilot phase - deferred payment solution for hospital patients. Project launched by DGOS in collaboration with DGFiP and banking consortium, coordinated through CAIH.
• French Public Sector (Chorus Pro/PES ASAP ecosystem)coreTechnology or Integration · 6 December 2016Médiane was one of seven certified editors operational for PES ASAP electronic invoicing to Chorus Pro portal. Required for mandatory electronic invoicing between public entities from January 2017.
• CerigminorStrategic or Co-development Partner · 15 January 2013Partnership with Cerig for the SILPC M-GEF solution development. Cerig developed the module for accounting operations (agent comptable) while Médiane contributed the ordonnateur module for budgetary and analytical accounting aspects.
• SILPC (Syndicat Interhospitalier Limousin Poitou-Charentes)minorStrategic or Co-development Partner · 15 January 2013SILPC selected Médiane and Cerig to develop an automated management solution for 220 member establishments, compliant with M9-1 and M9-5 accounting instructions for GCS and GIP structures.

Scale indicators14 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Logitud: French software editor dedicated to home-care and medico-social establishments (SSIAD, SAD, EHPAD). Competes head-to-head in the Médico-Social Gamme against ÉLAP's GAP/Finance/GRH/Planning modules.
• Dedalus: European health IT leader that acquired Maincare and Softway Medical, dominating French public-hospital information systems. Direct overlap with ÉLAP on hospital admin, billing, finance, HR/payroll and EHR-adjacent suites targeting CH/CHU/GHT accounts.
• Equasens (formerly Equaspharma / DBV technologies affiliates): French healthcare-software vendor focused on payroll, accounting and management solutions for health establishments and pharmacies. Closely comparable niche to ÉLAP's FINANCE and GRH-PAIE modules.

Emerging players

• Xelya: French editor of HR, payroll and workforce-management software with a healthcare/accounting practice. Provides partial overlap with ÉLAP's GRH-PAIE and Planning offerings, primarily for mid-sized healthcare customers.

Broad incumbents

• Sage France: Major European ERP/accounting and HR/payroll vendor with a healthcare-vertical offering. Competes with ÉLAP's FINANCE and GRH-PAIE modules, especially at smaller public-sector establishments.
• Cegedim Healthcare: French healthcare-IT and pharmacy-software vendor with broad offerings including HR, practice management and electronic patient record. Overlaps with ÉLAP in HR/payroll and admin management for healthcare and medico-social customers.
• Berger-Levrault: Major French public-sector software publisher serving municipalities, hospitals and state agencies. Overlaps with ÉLAP on HR/payroll, financial management (M9-1/M9-5) and public-sector compliance, but with a much broader non-health footprint.
• CompuGroup Medical France: German-headquartered healthcare-IT vendor with a French practice covering physician, hospital and lab information systems. Adjacent broad-incumbent competitor for hospital-administration and billing suites.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/mediane-axege

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries2 records

Funding overview

Funding rounds3 records

Investors5 records

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 MEDIANE