CIHL

What CIHL does

CIHL (Comité Interentreprises d'Hygiène du Loiret) is a French inter-company occupational health and prevention service (Service de Prévention et de Santé au Travail interentreprise) operating exclusively within the Loiret department (45) in the Centre-Val de Loire region. Founded in 1945 and structured as a non-profit association under French law (association loi 1901), it serves employers of all sizes who are legally required under the Code du travail to subscribe to an authorized occupational health service. Its offering spans three core pillars: individual health monitoring (medical visits, fitness assessments, teleconsultation), professional risk prevention (DUERP support, workplace studies, ergonomics, metrology), and prevention of professional disengagement (désinsertion professionnelle). The organization employs 51-100 staff and operates from five physical sites (headquarters in Saran, plus Villemandeur, Châteauneuf-sur-Loire, and Pithiviers).

Technically, CIHL runs a web-based employer portal (Espace Adhérent, hosted at portailcihl45.pulseprevention.com) and an employee portal (Espace Salarié) for managing declarations, risk assessments, DUERP completion, medical appointments, and health records retained for 50 years (Dossier Médical de Santé au Travail). It uses the "Mon Document Unique" online software for risk-assessment workshops and integrates the OPPBTP DUERP application for the construction sector. Through its membership in the national Présanse network, it promotes the MaSanTPrev mobile prevention application, which features a third-party AI conversational assistant available in multiple languages.

The business model is membership-based and regulatory-driven rather than sales-led. Employers pay a publicly disclosed base rate of €93.20 per employee per year (excluding VAT), covering all surveillance, prevention services, and portal access, with billing cadence scaling by company size (annual for 1-20 employees, semi-annual for 21-50, quarterly for 51+). Revenue is recurring subscription income (cotisations) from mandatory annual memberships. Customer acquisition is propelled by legal compliance obligations, with engagement channels including the website, workshops, SST training, participation in CSE/CSSCT meetings, open-day prevention events, and LinkedIn.

Name

CIHL

Legal name

Comité Interentreprises d'Hygiène du Loiret (CIHL)

Website

https://cihl45.com

Company type

Private

Founded year

1945

Operating status

Operating

Headcount range

51–100 employees

Short description

CIHL is a French non-profit inter-company occupational health and prevention service in the Loiret department, providing legally mandated medical surveillance, workplace risk assessment (DUERP), and disengagement prevention to member employers of all sizes and their employees.

Ownership category

akta.pro rank

Headquarters

HQ city

Loire

HQ country

France

HQ region

Europe

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Annual Membership Fees (Cotisations): CIHL generates revenue through annual membership fees charged per employee. Employers in the Loiret region pay a base rate of €93.20 per employee per year (excluding VAT). The fee covers all occupational health surveillance, prevention services, and access to the employer and employee portals. Billing frequency scales with company size: annual for 1-20 employees, semi-annual for 21-50 employees, and quarterly for 51+ employees.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels7 records

Core offering

CIHL is a mandated inter-company occupational health service (Service de Prévention et de Santé au Travail) operating exclusively in the Loiret department of France. It delivers individual employee health surveillance through medical visits and teleconsultation, professional risk prevention including DUERP support and workplace studies, and professional desinsertion prevention to maintain workers in employment. The service is funded through annual membership fees paid by employers and is delivered via five physical centers complemented by digital portals and training programs.

Product overview

CIHL (Comité Interentreprises d'Hygiène du Loiret) is an occupational health and safety service (Service de Prévention et de Santé au Travail) serving companies in the Loiret department. The organization offers an integrated portfolio of services comprising three core pillars: (1) Individual health monitoring through medical visits, teleconsultations, and fitness assessments; (2) Professional risk prevention including DUERP support, workplace studies, and ergonomics interventions; and (3) Professional desinsertion prevention for employment maintenance. Digital offerings include the MaSanTPrev mobile prevention app (with AI conversational assistant), the Espace Adhérent employer portal, and the Espace Salarié employee portal. Training programs include SST (Sauveteur Secouriste du Travail) certification. The organization also conducts awareness campaigns and workshops, including specialized DUERP sessions and sector-specific programs for BTP.

Differentiator

Problem solved

Functional benefit

Brands

• MaSanTPrev: A prevention mobile application designed by Présanse that provides personalized information and advice for employees to better preserve their health daily.

Products and services

• Individual Occupational Health Monitoring (Suivi individuel santé travail) Mandatory medical surveillance service for employees of member companies, including fitness-for-work assessments, periodic and on-demand medical visits, teleconsultations, and follow-up of employee health in relation to their work conditions. Sold to employers in the Loiret department as part of their annual membership.
• Professional Risk Prevention (Prévention des risques professionnels) Workplace risk prevention service comprising DUERP (Document Unique) creation and updates, workplace studies, accident analysis, ergonomics interventions, and metrology services (noise, vibration, atmosphere). Delivered to member employers in Loiret.
• Professional Desinsertion Prevention (Prévention de la Désinsertion Professionnelle) Employment retention service supporting vulnerable workers at risk of professional disengagement, including case coordination with rehabilitation services and tailored follow-up plans.
• MaSanTPrev Mobile Prevention Application Free mobile application developed by Présanse (the national SPSTI network) and promoted by CIHL to employee users, providing personalized prevention advice, an AI conversational assistant in multiple languages, pedagogical content, and a directory of occupational health services.
• CIHL Formation — Sauveteur Secouriste du Travail (SST) Training Paid workplace first-aid training program (SST) qualifying employees as workplace first responders, including initial certification and refresher courses. Sold to employers in Loiret as a standalone training offering.
• Occupational Health Teleconsultation Remote medical consultation service delivered via secure video transmission, used for occupational health visits when physical presence is not required, with employee consent and appropriate equipment. Available to employees of member employers.

Quantifiable outcome

• 466 employees responded to satisfaction surveys following sensitization workshops in 2025, with high satisfaction rates on content and relevance.
• +2 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature4 records

Partnerships

Three partnerships are on record, tiered minor and core.

• CHU d'Angers (Angers University Hospital)minorStrategic or Co-development Partner · 1 April 2025CIHL participates in the IRDP-M study (Amélioration d'un indice de risque de désinsertion professionnelle national), managed by CHU d'Angers. The study aims to develop indicators for identifying risks of professional disengagement using data from multiple occupational health services. CIHL contributes coded employee health and occupational exposure data collected between April 1, 2025 and March 31, 2026 to this research initiative.
• OPPBTP (Organisme Professionnel de Prévention du Bâtiment et des Travaux Publics)coreStrategic or Co-development PartnerOPPBTP is a public professional organization for prevention in the construction sector. CIHL partners with OPPBTP to deliver specialized DUERP workshops for BTP companies, incorporating the OPPBTP DUERP application into the training. The partnership addresses the specific risk prevention needs of construction companies including heat management, falls from height, and co-activity risks.
• PrésansecoreTechnology or IntegrationPrésanse is the national network of inter-company occupational health services (SPSTI). CIHL is a member of this network. Présanse developed the MaSanTPrev mobile application for prevention, which CIHL promotes to its member companies and their employees. The app provides personalized prevention advice, an AI chatbot, and occupational health service directory access.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• CIAMT: Centre Interentreprises d'Action Médico-Sociale et de Traitement, a major inter-company occupational health service in the Île-de-France region. It is a direct peer to CIHL — same legal status as a SPSTI inter-entreprises, same mandatory subscription model, same core service portfolio of medical surveillance, risk prevention, and desinsertion prevention, but operating in a different geography.
• AISMT: Association Interprofessionnelle de Santé et de Médecine du Travail, a regional inter-company occupational health service in France offering the same mandatory subscription-based medical surveillance and risk prevention model as CIHL, serving employers in its own territory.
• SSTRN: Service de Santé au Travail Rhône-Alpes area, a SPSTI operating in the Auvergne-Rhône-Alpes region. It is a direct peer to CIHL with the same inter-company membership model, same regulatory dependency, and same core service offerings, scaled to a larger regional employer base.
• AMETIF: Association Médico-Sociale des Entreprises de l'Industrie et du Tertiaire d'Île-de-France, a SPSTI serving Val-d'Oise and surrounding areas. It is a direct peer to CIHL — comparable legal structure, comparable mandatory subscription model, and comparable service portfolio across health monitoring and risk prevention.
• SIMUP: Société d'Industrie Mutuelle de l'Union Prévention, a mutual occupational health and prevention service for industrial and commercial employers. It is a direct peer to CIHL — comparable inter-company service model, comparable regulatory dependency, and comparable portfolio of medical surveillance and risk prevention services.

Broad incumbents

• Présanse: The national professional network of inter-company occupational health services (SPSTI) in France. CIHL is a member of Présanse, which provides shared infrastructure (including the MaSanTPrev mobile app), collective advocacy, and national coordination — functioning as a broad incumbent that CIHL both draws from and operates alongside.

Emerging players

• OPPBTP: Organisme Professionnel de Prévention du Bâtiment et des Travaux Publics, the public professional organization dedicated to construction sector risk prevention. CIHL already partners with OPPBTP for BTP-specific DUERP workshops, but it is also an adjacent player in occupational risk prevention with overlapping scope in the construction vertical.
• APST BTP: Association de Prévention de Santé au Travail dans le BTP, a SPSTI specialized in the construction sector. It overlaps with CIHL's BTP-specific service offering and member base, representing a sector-focused peer with deeper vertical specialization.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/cihl45
• LinkedInlinkedin.com/company/cihl
• Facebookfacebook.com/cihl45

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 CIHL