Fondation Santé Service

What Fondation Santé Service does

Fondation Santé Service is a French Fondation Reconnue d'Utilité Publique (recognized public utility foundation) founded in 1958 at the initiative of the Ligue nationale contre le cancer, headquartered in Levallois-Perret. It is the leading operator of hospitalisation à domicile (HAD) in France, treating approximately 2,500 patients daily across oncology, palliative care, complex wounds, rehabilitation, perinatality, and geriatrics. The Foundation operates 7 HAD establishments, 6 SSIAD (home nursing) services, 2 ESA (specialized Alzheimer) teams, and 1 PSAD (home health equipment) activity spanning seven French regions, with a major consolidation underway following the 2024 agreement to acquire HAD and SSIAD activities from Groupe Clariane, which would bring the national HAD market share to approximately 13%.

The Foundation's technology backbone is anchored by a newly inaugurated automated Pharmacie à Usage Intérieur (PUI) at Villeneuve-la-Garenne, featuring an AutoStore system with 12,000 storage bins and 25 autonomous robots, processing 1,900 parcels daily with same-day emergency delivery capability. Its digital ecosystem includes the Maison Numérique des Usagers patient portal, a tele-surveillance system for chemotherapy patients, and a pair-aidance platform developed with Tomo for peer support. The Foundation also operates Santé Service Formation (training) and Santé Service Conseil (consulting) subsidiaries.

Revenue is generated almost entirely through the French national health insurance system (Sécurité Sociale) under regulated tariffs: T2A (tarification à l'activité) for HAD services, dotation globale for SSIAD, and product/equipment reimbursement for PSAD. The go-to-market relies on a prescriber-embedded model with HAD coordinator nurses placed in partner hospitals, supplemented by referral networks through liberal nurses, midwives, CPTS, and DAC coordination bodies. Patient acquisition is institutional rather than consumer-marketing driven. The Foundation does not raise venture or private equity capital; it operates as a nonprofit with subsidiary structure and reinvests surpluses into infrastructure, research (via an annual Prix de la Recherche of up to €30,000), and solidarity programs including caregiver respite (baluchonnage) and international solidarity missions.

Name

Fondation Santé Service

Legal name

Fondation Santé Service

Website

https://fondation-santeservice.fr

Company type

Private

Founded year

1958

Operating status

Operating

Short description

Fondation Santé Service is France's leading nonprofit home hospitalization (HAD) operator, treating approximately 2,500 patients daily across oncology, palliative care, and geriatrics through 7 HAD establishments and complementary nursing, equipment, and caregiver support services nationwide.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (62161), Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF)

akta.pro secondary industries

In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), Respite Hospice Care (Short-Term Relief) (HSABAFAD), Dementia & Alzheimer’s Respite Care (HSABAGAF)

Keywords

• Home healthcare services
• Hospitalisation a domicile
• Home nursing care
• Medical equipment provision
• Palliative care at home

Headquarters

HQ city

Levallois-perret

HQ country

France

HQ region

Europe

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Hospitalisation à Domicile (HAD) Reimbursement: The Foundation generates the majority of its revenue through French national health insurance (Sécurité Sociale) reimbursement for hospitalisation à domicile activities. HAD is classified as a hospital activity financed under the T2A (tarification à l'activité) system. Revenue is derived from daily patient care rates negotiated with ARS (regional health agencies).
2. SSIAD and ESA Services: Home nursing care (Soins Infirmiers à Domicile) and Specialized Alzheimer Teams (Equipes Spécialisées Alzheimer) generate revenue through French health insurance global budgeting (dotation globale), covering daily care of elderly and disabled patients.
3. PSAD (Prestataire de Santé à Domicile): Home health equipment provision (medical devices, respiratory equipment, infusion, nutrition) generating revenue through product sales and equipment rental, reimbursed by health insurance.
4. Formation et Conseil: The Foundation operates Santé Service Formation and Santé Service Conseil subsidiaries providing professional training and consulting services to other healthcare structures, generating additional service revenue.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels7 records

Core offering

Fondation Santé Service delivers hospital-level care at patients' homes through Hospitalisation à Domicile (HAD) covering oncology, palliative care, complex wounds, rehabilitation, perinatality, and geriatrics, complemented by home nursing (SSIAD), specialized Alzheimer's teams (ESA), home medical equipment provision (PSAD), and an automated in-house pharmacy (PUI) with chemotherapy preparation. Supporting offerings include professional training (Santé Service Formation), consulting (Santé Service Conseil), and patient/caregiver support services (Maison des Usagers, pair-aidance platform, baluchonnage respite). The foundation operates 7 HAD establishments and 6 SSIAD services across France, treating approximately 2,500 patients daily.

Product overview

Fondation Santé Service operates as a unified healthcare service offering centered on home-based care. The core portfolio includes Hospitalisation à domicile (HAD) — providing hospital-level care at patients' homes across oncology, palliative care, complex wounds, rehabilitation, perinatality, and geriatrics — complemented by Soins infirmiers à domicile (SSIAD) for elderly care, Équipes Spécialisées Alzheimer (ESA) for dementia support, and Prestataire de santé à domicile (PSAD) for medical equipment. Supporting services include Santé Service Formation (professional training), Santé Service Conseil (consulting), Maison des Usagers (patient resource center), and Bus Santé (mobile screening unit). Infrastructure includes an automated Pharmacie à Usage Intérieur (PUI) pharmacy and the recent Unité Thérapeutique Oncologie for specialized oncology care. Digital engagement includes podcasts and the Maison numérique des usagers platform. With 7 HAD establishments and 6 SSIAD services across France, the foundation serves approximately 2,500 patients daily.

Differentiator

Problem solved

Functional benefit

Brands

• Santé Service Formation: Training services for healthcare professionals
• Santé Service Conseil
• HAD Santé Service
• SSIAD Santé Service
• PSAD Santé Service

Products and services

• Hospitalisation à domicile (HAD) Hospital-level care delivered in patients' homes, covering oncology (including home chemotherapy with tele-surveillance), palliative care, complex wound care, rehabilitation, perinatality, and geriatrics. Operated through 7 HAD establishments across France, treating approximately 2,500 patients daily.
• Soins infirmiers à domicile (SSIAD)

Quantifiable outcome

• ~2,500 patients treated daily at home, reducing hospital bed occupancy
• +5 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

22 partnerships are on record, tiered core, major and minor.

• Haute Autorité de Santé (HAS)coreOthers · 10 October 2024HAS certified the Foundation's HAD activity for four years following a comprehensive evaluation, confirming quality of care delivery across patient, care team, and establishment dimensions.
• Groupe ClarianecoreStrategic or Co-development Partner · 13 May 2024The Foundation signed an exclusive agreement to acquire Clariane group's HAD and SSIAD activities: 8 HAD establishments in 5 regions (Grand-Est, Occitanie, Auvergne-Rhône-Alpes, Ile-de-France, Centre-Val-de-Loire) and 3 SSIAD services. This acquisition would make the Foundation the national leader with ~13% market share and ~2,500 daily patients.
• Ligue contre le CancercoreStrategic or Co-development PartnerFounded at the initiative of Ligue nationale contre le cancer in 1958. The Foundation maintains an ongoing partnership with Ligue contre le Cancer committees (including Comité 93, Comité du Val-d'Oise) for cancer screening, prevention, and patient support activities.
• Gustave RoussycoreStrategic or Co-development PartnerLong-standing institutional partner. The Foundation participates annually in fundraising events (Odyssea race) supporting cancer research at Gustave Roussy, contributing over €2,000 through 80 race bibs.
• Institut CuriecoreStrategic or Co-development PartnerAnnual partner in connected challenges. Over 200 Foundation employees participated in a week-long challenge, walking/running 5,165 km, with the Foundation donating an equal amount to Institut Curie's cancer research.
• Institut Mutualiste MontsourismajorStrategic or Co-development PartnerPartner in the ARS Île-de-France pair-aidance project (2024), collaborating with Hôpital Foch and Tomo on a digital peer-support platform for patients and caregivers.
• Hôpital FochmajorStrategic or Co-development PartnerPartner in the ARS Île-de-France pair-aidance project (2024), collaborating with Institut Mutualiste Montsouris and Tomo on a digital peer-support platform for patients and caregivers.
• TomomajorTechnology or IntegrationDigital health partner providing the peer-aidance platform technology enabling secure and anonymous connections between patients/caregivers and trained peer supporters via video, phone, or in-person.
• Siel BleumajorStrategic or Co-development PartnerPartnership to deliver Adapted Physical Activity (APA) well-being programs for elderly patients in HAD/SSIAD/ESA care, and for caregivers. Siel Bleu is a non-profit association promoting health through physical activity.
• Belle & BienminorStrategic or Co-development PartnerAssociation of socio-esthetic volunteers providing beauty and well-being workshops for female chemotherapy patients at home, organized through the Foundation's social work service.
• Association Les Cahutes de LouiseminorStrategic or Co-development PartnerPartnership providing respite stays for young patients in HAD care, offering escape and well-being experiences for children and young adults. The Foundation is the principal partner of this association.
• DomArtminorStrategic or Co-development PartnerPartner providing art therapy sessions as part of the Foundation's caregiver support initiatives, complementing socio-aesthetic and physical activity programs.
• LifeTime ProjectsminorStrategic or Co-development PartnerInternational solidarity association that partnered with the Foundation to organize its first international solidarity mission to Yaoundé, Cameroon (March 2023), supporting 5 local structures including 3 orphanages, 1 mother-child center, and 1 street children facility.
• Pharmacie Humanitaire Internationale (PHI)minorStrategic or Co-development PartnerThe Foundation donated €50,000 to PHI to support medical supplies, medications, and hygiene products for Ukrainian refugees, in the context of the Ukraine crisis (March 2022).
• GÉROND'IF (Gérontopôle d'Île-de-France)majorStrategic or Co-development PartnerThe Foundation awarded its 2022 Prix de la Recherche (€20,000) to GÉROND'IF for a project on wounds and cognitive disorders at home. GÉROND'IF also collaborated on the Foundation's Innovation Days with presentations on humanoid robots in geriatric care.
• Fédération Nationale des Etablissements d'Hospitalisation à Domicile (FNEHAD)majorStrategic or Co-development PartnerThe Foundation collaborates with FNEHAD for industry representation, standard-setting, and expertise-sharing, including during international delegation visits (Netherlands, Singapore).
• KPMGminorImplementation/ SI/ Consulting PartnerKPMG Insights Center facilitated a co-construction workshop with Foundation teams, technology vendors, and integrators for the new PUI project (October 2022), covering SI deployment and automation planning.
• Groupe Pasteur MutualitéminorStrategic or Co-development PartnerPartner providing the 'boxe à l'hôpital' program enabling cardio-boxing sessions for Foundation employees, supporting staff well-being and quality of life at work.
• Vivre FM (93.9)minorGTM or Marketing PartnerRadio partnership for the Foundation's podcast 'Mon domicile, l'hôpital de demain,' produced with Vivre FM to raise awareness about home hospital care among the general public and healthcare professionals.
• Réseau Auxi'lifeminorStrategic or Co-development PartnerNetwork providing baluchonnage professionals (trained caregivers) for the Foundation's respite program, enabling family caregivers to take breaks while their loved ones are cared for at home.
• Hôpital La Porte Verte (Versailles)minorStrategic or Co-development PartnerThe Foundation and Hôpital La Porte Verte launched a cooperation on care pathways for heart failure patients, coordinating hospital-to-home transitions.
• Direction Générale de la Cohésion Sociale (DGCS)coreOthersThe Foundation participates in a national experimentation of baluchonnage (respite care) in partnership with DGCS, as part of its public utility mission to support caregivers.

Scale indicators10 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• Ramsay Santé: Leading French private hospital group with growing home hospitalisation and ambulatory services. Comparable as a large, diversified healthcare operator in France that increasingly competes in HAD and post-acute home care alongside Fondation Santé Service's footprint.
• Orpea (Emeis): Large French/European residential and home care group with significant nursing home and home care exposure. Comparable because it operates adjacent long-term care and home care services serving similar elderly and chronic-condition populations across France.
• Clariane (Korian): Major French/European elder care, nursing home, and home hospitalisation group. Directly comparable because it operated the HAD and SSIAD activities that Fondation Santé Service signed an exclusive agreement to acquire in May 2024 — making it both a transaction counterpart and the most relevant strategic benchmark for national HAD/SSIAD scale.
• Elsan: Major French private hospital and clinics operator pursuing HAD and home-care adjacency. Comparable because it competes for the same ARS authorisations and prescriber relationships that drive French HAD referrals, even though its core is inpatient care.

Emerging players

• LVL Médical (Agir à Dom): French home healthcare provider focused on respiratory care, sleep therapy, and home medical services. Comparable as a regional/niche PSAD-style player competing for parts of the home medical equipment and chronic care market that the Foundation addresses through PSAD and HAD.

Direct peers

• DomusVi: French residential and home care operator with significant SSIAD and elderly home-care services. Comparable because it serves similar elderly and dependent populations across France with overlapping SSIAD-style services.
• Santé Cie (HAD): French home hospitalisation (HAD) operator with multi-region coverage. Comparable because it is one of the principal national competitors of Fondation Santé Service in the regulated HAD market, competing for the same ARS authorisations and prescriber volume.
• Air Liquide Healthcare: Global home healthcare division of Air Liquide providing respiratory, infusion, and home medical equipment services, with strong French presence. Comparable because it competes directly in French PSAD/home medical equipment and increasingly in home hospital-adjacent services.
• Bastide Médical: French home medical equipment and home healthcare services provider with PSAD and respiratory/home infusion activities. Comparable because it directly competes in the home health equipment and respiratory/infusion services that complement Fondation Santé Service's PSAD activity.
• SOS Oxygène: French home respiratory care and medical equipment provider (PSAD). Comparable because it directly competes in the home respiratory, infusion, and medical equipment delivery services that form Fondation Santé Service's PSAD activity.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCu8u5cSErCiu_zMMsQiOK0g
• Facebookfacebook.com/FondationSanteService
• LinkedInlinkedin.com/company/fondation-santeservice
• Instagraminstagram.com/fondation_santeservice

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries12 records

Funding overview

Funding rounds

Investors

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M&A

Investments1 record

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Frequently asked questions about Fondation Santé Service