Centrale de Services à Domicile du Bassin de Charleroi

What Centrale de Services à Domicile du Bassin de Charleroi does

Centrale de Services à Domicile du Bassin de Charleroi (CSD) is a Belgian non-profit (ASBL) home-care services organization founded on November 24, 1989, affiliated with the Solidaris (Mutualité Socialiste) network and operating two regional headquarters in La Louvière and Charleroi across the Hainaut province of Wallonia. The organization delivers a portfolio of 14 distinct home-care services to elderly, disabled, post-hospitalization, and chronically ill individuals, including home nursing care, family aid, household help, meal delivery, adapted transport (via sister organization Mobilité en Hainaut), handyman services, occupational therapy, sick-child care, and medical equipment sales and rental through its Point Santé retail outlets. A free Coordination Center acts as the central hub connecting beneficiaries to appropriate services, and the Telesurveillance / Assistance Digitale offering provides 24/7 monitoring using connected sensors with automated anomaly detection.

The revenue model is a hybrid of regulated government subsidies (Walloon Region and AViQ), social-economy employment subsidies (Dispositif SINE, currently under reform), beneficiary co-payments on a sliding scale (€0.87-€15/hour depending on service, BIM status, and Solidaris affiliation), and ancillary sales/rentals of medical hardware through Point Santé. Most coordination and many core services are free to beneficiaries at point of use, reflecting the ASBL mission. Distribution is direct-to-consumer via two regional phone lines, online intake, in-home assessments by coordinators, and physical retail points; marketing relies on healthcare-provider referrals, local events, social media, and earned media on regional television.

The underlying technology stack is deliberately modest: connected ambient-activity sensors feeding a 24/7 televigilance monitoring center, supported by phone-based intake and website-driven service requests. There is no public API, SDK, or developer ecosystem. Workforce is reported at 320-400 staff. The principal near-term operational risk is the Walloon SINE reform, which will progressively eliminate the social-employment subsidy mechanism between 2026 and 2029 and directly affects 91 workers across CSD and Mobilité en Hainaut.

Name

Centrale de Services à Domicile du Bassin de Charleroi

Legal name

Centrale de Services à Domicile du Bassin de Charleroi

Website

https://macsd.be

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

251–500 employees

Short description

CSD is a Belgian non-profit (ASBL) home-care provider in Wallonia's Hainaut province, delivering 14 services including nursing, family aid, meal delivery, transport, medical equipment, and remote monitoring to elderly, disabled, and post-hospitalization individuals under government subsidies and Solidaris network affiliation.

Ownership category

akta.pro rank

Product category

Home Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Nursing and Residential Care Facilities (623)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300)

akta.pro primary industry

Private Duty Personal Care Agencies (Non-Medical Home Care Providers) (HLADAGAL)

akta.pro secondary industries

Elderly/Frail & Assisted Living Connected Care (PERS/Fall Detection) (HLACAFAE), Technology Assistance & Digital Support for Seniors (HSABAAAH), Companion Care & Social Support (non-clinical) (HLADAGAB)

Keywords

• Home care services
• Nursing care
• Family aid services
• Medical equipment rental
• Patient transport services

Headquarters

HQ city

La Louvière

HQ country

Belgium

HQ region

Europe

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Subsidized Services: Core services (family aid, nursing care, coordination centers, transport) are regulated and subsidized by the Walloon Region and AViQ according to legal frameworks (CWASS circular, Royal Decree on nursing care, coordination decree, transport decree). Revenue partially derived from government subsidies.
2. Social Economy Employment Subsidies (SINE): Social employment subsidies (Dispositif SINE) supporting workers distant from labor market. Currently undergoing reform threatening 91 workers' positions. Subsidies enabled sustainable employment in transport, accompaniment, meals, and handyman services.
3. Patient Co-payments: Service fees paid by beneficiaries based on income level (BIM status), household composition, and Solidaris affiliation. Sliding scale pricing from €0.87 to €15/hour depending on service type and financial situation.
4. Medical Equipment Sales and Rental: Point Santé service offers medical equipment for sale and rental. Solidaris affiliates receive first 3 months free rental. Equipment includes wheelchairs, beds, walkers, etc.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

CSD delivers coordinated home-based personal care and health services to elderly, disabled, post-hospitalization, and dependent individuals across the Hainaut province in Belgium. Its portfolio spans home nursing care, family aid, household help, meal delivery, handyman services, transport, occupational therapy, 24/7 tele-vigilance, medical equipment sales/rental (Point Santé), and a free coordination center that connects beneficiaries with appropriate providers. A newly added Assistance Digitale service uses connected sensors to passively monitor daily activity and trigger alerts to a 24/7 monitoring center.

Product overview

CSD Centre, Soignies et Charleroi operates as a unified home care and assistance services platform offering 14 distinct services organized around helping elderly, disabled, and dependent individuals remain living independently at home. The core service portfolio includes nursing care, medical equipment rental/sales (Point Santé), family aid, household help, handyman services, meal delivery, transportation, occupational therapy, and 24/7 remote monitoring (Télévigilance). The platform also offers specialized care alternatives with multidisciplinary teams, sick child care, and home companions for continuous support. A notable recent addition is Assistance Digitale, a smart connected-sensor system that automates activity monitoring for fall detection and safety alerts. The Coordination Center acts as the central hub, connecting beneficiaries with appropriate services. Services are accessible regardless of mutual insurance affiliation, with pricing tiers for Solidaris members and BIM (BIM = Belgian Integrated modules) beneficiaries.

Differentiator

Problem solved

Functional benefit

Products and services

• Soins infirmiers (Nursing Care) Personalized home nursing services including wound care, blood tests, injections, post-operative care, and specialized services in diabetes, palliative care, and hospitalization at home, delivered to individuals recovering from illness, surgery, or accident.
• Point Santé: Vente et location de matériel médical Sale and rental of medical equipment including wheelchairs, electric beds, walking aids, pressure relief mattresses, and other mobility and hygiene equipment for home use, with delivery and installation services. Solidaris affiliates receive first 3 months free rental.
• Aide familiale (Family Aid) Active presence and daily support services assisting elderly, disabled, or dependent individuals with personal care, meals, shopping, administrative tasks, and maintaining autonomy, with prices ranging from €0.87 to €7.81/hour based on household income and composition plus 10% travel costs.
• Alternatives de soins (Care Alternatives) Multidisciplinary team including psychologist, occupational therapist, and social nurse providing psychological and social support for people aged 60+ who are frail, dependent, or living with dementia, including fall prevention programs and memory aids.
• Brico-dépannage (Handyman Services) Small repair and maintenance work inside and outside the home including lawn mowing, hedge trimming, plumbing, electrical repairs, painting, and home modifications for accessibility, supporting independent living.
• Garde à domicile (Home Companions) Continuous presence care for people with health conditions or disabilities who cannot move independently, providing safety, medication monitoring, meal preparation, and moral support. Pricing ranges from €8 to €15/hour depending on beneficiary status.
• Garde d'enfants malades (Sick Child Care) Childcare services for children under 13 with acute or chronic illness when parents must work, provided by experienced childcare specialists during weekdays. Solidaris members pay €1/hour remainder after €8 subsidy; public price €9/hour + €5/day travel. Maximum 15 days/year.
• Ergothérapie (Occupational Therapy) Home assessments and recommendations for home modifications, assistive devices, and daily activity adaptations to improve safety, independence, and autonomy for elderly and disabled individuals.
• Repas (Meal Delivery) Balanced meal delivery service offering classic and gourmet menus, soups, and desserts, with dietary adaptations available for classic meals. Prices range from €7.39 to €13.60 per meal depending on type and BIM status, delivered fresh in refrigerated vehicles.
• Centre de coordination (Coordination Center) Free coordination service helping individuals organize home care by connecting beneficiaries with healthcare providers, hospitals, and various home services for comprehensive care management, entirely free and subsidized by Walloon Region and AViQ.
• Télévigilance (Remote Monitoring) 24/7 emergency alert system connecting users via pendant or bracelet to a monitoring center for immediate assistance in case of falls, illness, or security concerns, providing peace of mind to users and family members.
• Transport (Transportation) Collective and individual transport services for medical appointments, leisure activities, and family visits, with vehicles equipped for wheelchair users in the Centre, Soignies, and Charleroi regions, including transport to dialysis, chemotherapy, and radiotherapy.
• Aide ménagère (Household Help) Home cleaning and maintenance services for living spaces including vacuuming, floor cleaning, window washing, laundry, and ironing for elderly, disabled, or convalescent individuals.
• Assistance Digitale (Digital Assistance) Smart connected sensor system monitoring daily activities and habits of people with loss of autonomy, automatically detecting abnormal situations and alerting the 24/7 tele-vigilance monitoring center without requiring user action, available to autonomy-loss individuals aged 65+ receiving APA benefits or family aid services.
• Mobilité en Hainaut (Adapted Transport) Adapted transport service using minibus with elevator and wheelchair spaces, covering Charleroi and South Hainaut for medical institutions and leisure services, operating Monday to Saturday from 6:30 to 20h.

Quantifiable outcome

• All services accessible regardless of mutual affiliation - key accessibility differentiator

Named customers5 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

AI capability3 records

Feature3 records

Partnerships

Ten partnerships are on record, tiered minor and core.

• InitiativES (Fédération d'Économie Sociale)minorOthers · 27 March 2026Federation representing social economy organizations. Has launched awareness campaign regarding SINE reform impacts on social employment and insertion programs across Wallonia. CSD and MEH affiliated.
• Solidaris Mutualité / Fédération des Mutualités SocialistescoreStrategic or Co-development PartnerCSD is part of the Solidaris network of socialist mutualities. Solidaris provides preferential pricing for affiliates across all services, subsidizes first 3 months of Point Santé equipment rental, covers €8/hour for sick child care, and provides co-payment support for home sitting services. The mutual's branding and referral network support CSD's customer acquisition.
• AViQ (Agence pour une Vie de Qualité)coreOthersWalloon government agency responsible for quality of life. Provides regulatory oversight, official licensing (agrément), and subsidies for coordination center services and digital assistance pilot program. CSD holds official agréments regulated by AViQ.
• Région Wallonne (Walloon Region Government)coreOthersPrimary government funder for home care services. Subsidizes family aid services, coordination centers, transport services, and co-finances digital assistance pilot with EU funds. Issues regulatory framework including CWASS circular, transport and coordination decrees.
• Mobilité en Hainaut (MEH)coreStrategic or Co-development PartnerSister organization within Solidaris network providing adapted transport services. Operating at Rue Santos-Dumont 3, 6041 Charleroi. Serving Charleroi and South Hainaut with collective and individual transport for medical appointments. Shares customer base and coordinates care transitions.
• Point SantécoreStrategic or Co-development PartnerPartnership for medical equipment sales and rental service. Point Santé operates retail locations in La Louvière and Charleroi. Offers wide range of equipment (wheelchairs, beds, walkers, etc.) with delivery, installation, and troubleshooting services. Solidaris affiliates receive first 3 months free rental.
• SoraliaminorOthersPartner organization within the Solidaris ecosystem, sharing social values and potentially coordinating on healthcare and social services in Wallonia.
• EsencaminorOthersPartner organization within the Solidaris ecosystem focused on health and social services in Wallonia.
• Espace SeniorsminorOthersPartner organization serving senior citizens, sharing similar mission of supporting elderly autonomy and quality of life in the Hainaut region.
• Optique Point de MireminorOthersOptical services partner within the Solidaris network ecosystem, providing vision care services complementary to overall health and wellbeing.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Croix-Rouge de Belgique: Belgian Red Cross unit providing home care, family aid (aide familiale), medical equipment rental and teleassistance through its physical storefronts across Belgium — overlapping services and similar cross-subsidized non-profit economics.
• i-mens: Largest mutualist home-care and family-aid organization in Belgium, delivering family aid, household help, nursing and coordination services across Flanders and Brussels — directly comparable in service mix and non-profit/mutualist operating model to CSD Charleroi, Centre & Soignies.
• Espace Seniors: Hainaut-based senior services network that combines help at home, transport and coordination services for elderly residents; directly comparable in target population and regional geography.
• Soralia: Wallonia-based Solidaris-network organization coordinating senior well-being, family aid and elderly services across the region; aligns as an ecosystem peer given the strategic alliance already disclosed.

Broad incumbents

• Home Instead Senior Care: Global franchise network offering personal care, companionship and home support for seniors, including in Belgium; analogous core services (companion care, ADL support) but operates a private-pay franchise model rather than a subsidized ASBL.

Regional players

• Familiehulp: Major Flemish mutualist organization providing family aid, household help and elderly home support; comparable service portfolio but serves Flanders rather than Wallonia.

Others

• Mutualité Chrétienne: Largest Belgian health insurance mutualist network, providing payment support and supplementary benefits that interact with home-care providers; competing mutual with comparable beneficiary integration and subsidies for member services.
• AViQ (Agence pour une Vie de Qualité): Walloon government agency that licenses, funds and regulates CSD's coordination center and other home-care services — a regulator/funder rather than competitor, but a critical counterpart to the operating model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/CSD.Charleroi.Centre.et.Soignies
• LinkedInlinkedin.com/company/csd-charleroi-centre-soignies/mycompany/?viewAsMember=true

Revenue estimate

Valuation estimate

Number of profiles

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 Centrale de Services à Domicile du Bassin de Charleroi