AGESTRA

What AGESTRA does

AGESTRA (Agir Ensemble pour la Santé Au Travail) is a French non-profit occupational health and prevention service organization (Service de Prévention et de Santé au Travail Interentreprises, SPSTI) headquartered in Metz, France, founded in 1946 and governed by the local law of April 19, 1908. Under French labor law, employers in the Moselle department are legally required to subscribe to an SPSTI, and AGESTRA serves as the mandated provider for its territory. The organization operates a network of medical centers across Moselle (Dieuze, Fameck, Fontoy, Hagondange, Insming, Jouy-aux-Arches/Actisud, Jury, Longeville-lès-Metz, Maizières-lès-Metz, Metz Coislin, Metz Gare, Metz Technopole, Phalsbourg, Sarrebourg, Sarreguemines, Thionville, Woippy, Yutz — with Bitche closed in 2023 and consolidated into Sarreguemines), delivering individual employee health monitoring visits, workplace risk analyses, ergonomic interventions, and collective prevention actions.

The service portfolio is structured around three tiers: 'Offre socle' (core services bundled into the annual membership fee), 'Offre complémentaire' (additional paid services), and 'Offre spécifique' (specialized offering for self-employed workers and business leaders, including the Amarok self-assessment tool). Supporting services include the Cellule PDP (Prévention de la Désinsertion Professionnelle, a multidisciplinary unit focused on maintaining employees in employment), the Padoa online portal (employee and employer dashboards for appointment scheduling and health record access), virtual-reality-based sensitization tools (Escape Game EPI for PPE, Escape Game TMS-RPS for musculoskeletal and psychosocial risks), teleconsultation, audiometric screening, and a calendar of webinars and in-person sensitization events. Service delivery is staffed by a multidisciplinary team of occupational physicians, nurses, prevention specialists, ergonomists, occupational psychologists, toxicologists, and prevention technicians.

AGESTRA's business model is subscription-based: employers pay an annual cotisation (membership fee) tied to the core 'Offre socle', with supplementary services billed separately under multi-year arrangements. Revenue is non-disclosed, and the organization is funded entirely through these membership contributions, with no external investors, parent company, or institutional shareholders. The GTM motion combines direct employer outreach and membership enrollment with a hybrid physical/digital service layer (medical centers plus Padoa portal and teleconsultation). AGESTRA operates within the institutional SPSTI ecosystem through membership in the national PRESANSE federation and the regional GEST association, and partners with entities including CARSAT Alsace-Moselle, DREETS Grand Est, ANACT/ARACT, INRS, OPPBTP, CAP EMPLOI 57, and the Fonds de Dotation Mercy.

Name

AGESTRA

Legal name

Agir Ensemble pour la Santé Au Travail (AGESTRA)

Website

https://agestra.org

Company type

Private

Founded year

1946

Operating status

Operating

Headcount range

101–250 employees

Short description

AGESTRA is a French non-profit occupational health and prevention service (SPSTI) operating 18 medical centers across the Moselle department, delivering mandatory employee health monitoring, workplace risk prevention, and multidisciplinary prevention services to member employers and their employees.

Ownership category

akta.pro rank

Headquarters

HQ city

Metz

HQ country

France

HQ region

Europe

Offices20 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Annual Membership Subscription (Cotisation): AGESTRA operates as a nonprofit association (association loi 1908) funded primarily through annual membership fees paid by employers in Moselle. The membership fee (cotisation) is a fixed annual subscription that covers the core service offer (offre socle), including the multidisciplinary team, individual health monitoring visits, workplace actions, collective awareness sessions, and the PDP (Prevention de la Désinsertion Professionnelle) cell. Complementary paid services (Offre complémentaire) are available beyond the base subscription.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels8 records

Core offering

AGESTRA provides statutory occupational health and prevention services to employers in the Moselle department of France through a network of 19 medical centers. Its core offering covers individual health monitoring visits (pre-employment, periodic, return-to-work, mid-career), workplace risk analysis, ergonomic studies, collective prevention actions, and specialized support through the Prevention de la Désinsertion Professionnelle (PDP) cell to maintain employees in work despite health conditions.

Product overview

AGESTRA is a Service de Prévention et de Santé au Travail Interentreprises (Inter-Enterprise Occupational Health and Prevention Service) operating in Moselle, France. The organization operates as a unified platform combining core membership services with specialized modules. The main offering is the 'Offre socle' (core offering), which provides essential occupational health services including individual health monitoring, prevention actions, and multidisciplinary team support. Additional services include the 'Offre complémentaire' for extended needs, 'Offre spécifique' for independent workers, and specialized units like the Cellule PDP for professional desinsertion prevention. AGESTRA also provides interactive training tools (Escape Games for EPI and TMS-RPS), health assessment tools (Amarok), preventive hearing tests (audiogrammes), and online member/employee portals powered by Padoa. The organization maintains 18 medical centers across the region staffed with occupational physicians, nurses, prevention specialists, and medical assistants.

Differentiator

Problem solved

Functional benefit

Brands

• AGESTRA Amarok: Evaluation tool for assessing the overall health state of business leaders and self-employed workers.
• Cellule PDP
• Escape Game EPI
• Escape Game TMS-RPS

Products and services

• Offre socle (Core Membership Service Package) Core membership service package included in the annual employer subscription, providing statutory occupational health visits, multidisciplinary team support, workplace risk analysis, prevention actions, awareness sessions, and the PDP cell.
• Offre complémentaire (Complementary Service Package) Additional paid service tier beyond the core offering, providing employers with extended prevention, health, and workplace support services billed separately from the annual cotisation.
• Offre spécifique (Specific Offering for Independent Workers) Specialized service offering dedicated to self-employed workers (travailleurs indépendants) and business leaders, including access to the Amarok health evaluation tool.
• Cellule PDP (Prevention of Professional Disinsertion Unit) Multidisciplinary team unit providing coordinated support to maintain employees in employment when health conditions threaten job retention; supports both employees and businesses facing health-related work difficulties.
• Escape Game EPI Immersive gamified training experience designed to educate employees about workplace Personal Protective Equipment (EPI) usage through an escape game format, deployable at events and on company premises.
• Escape Game TMS-RPS Virtual reality and gamified training tool addressing musculoskeletal disorders (TMS) and psychosocial risks (RPS) in the workplace, used to raise employee awareness and promote prevention.
• Amarok Health Assessment Tool Self-assessment tool designed for business leaders and self-employed workers to evaluate their overall health status and occupational wellness as part of AGESTRA's specific offer.
• Audiogrammes de prévention (Preventive Hearing Tests) Preventive hearing screening service offered to member companies and their employees, including audiometric testing to detect and prevent occupational hearing loss.
• Suivi individuel de l'état de santé (Individual Health Monitoring) Statutory individual health monitoring service covering pre-employment visits, periodic check-ups, return-to-work visits, and mid-career health assessments for employees based on occupational risk exposure.
• Vaccination Services COVID-19 vaccination services offered to business leaders and employees at AGESTRA medical centers, including initial doses, second doses, and booster shots.
• Webinaires (Awareness Webinars) Online webinar training sessions covering occupational health topics such as COVID-19, telework ergonomics, mental health, and prevention strategies, with replays available on demand.

Quantifiable outcome

• 934 TPE-PME business leaders surveyed in COVID-19 health study (spring 2021), revealing significant health degradation — 38% reported poorer perceived health after first lockdown, rising to nearly 50% after third lockdown

Named customers1 record

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Eleven partnerships are on record, tiered minor and core.

• SPSTi BTP LorraineminorOthers · 1 January 2026SPSTi BTP Lorraine (Service de Prévention et de Santé au Travail Interentreprises du BTP Lorraine) partners with AGESTRA on the 'Santé des dirigeants' event in Metz, supported by the Mercy Endowment Fund.
• PRESANSE (Prévention Santé Travail)coreOthersPRESANSE is the national federation of occupational health services in France. AGESTRA is a member of this network, participating in national prevention initiatives, shared resources, and the 'Rencontres Santé-Travail' program. PRESANSE represents over 100 occupational health services nationwide.
• GEST (Grand Est Santé Travail)coreStrategic or Co-development PartnerGEST is the regional association of occupational health services in the Grand Est region, of which AGESTRA is a member. GEST organizes regional webinars, training, and awareness events (such as PREVENTICA Strasbourg). AGESTRA actively participates in GEST-organized activities, webcasts, and prevention campaigns.
• ANACT / ARACT Grand EstminorOthersANACT (Agence Nationale pour l'Amélioration des Conditions de Travail) and its regional counterpart ARACT Grand Est are listed as useful links on AGESTRA's website, indicating a working relationship in the field of occupational health and working condition improvement.
• CARSAT Alsace-MoselleminorOthersCARSAT (Caisse d'Assurance Retraite et de la Santé au Travail) Alsace-Moselle is listed as a partner on AGESTRA's website. CARSAT provides health and retirement insurance services and collaborates on occupational health and prevention initiatives in the Alsace-Moselle region.
• DREETS Grand EstminorOthersDREETS (Direction Régionale de l'Économie, de l'Emploi, du Travail et des Solidarités) Grand Est is the regional authority overseeing labor and employment. AGESTRA participates in DREETS-led programs such as the experimental 'Santé des femmes au travail' device.
• INRS (Institut National de Recherche et de Sécurité)minorOthersINRS is listed as a useful link on AGESTRA's website. It is the national institute for research and safety in occupational health, providing guidelines, tools, and resources that AGESTRA uses and references.
• OPPBTP (Organisme Professionnel de Prévention du Bâtiment et des Travaux Publics)minorOthersOPPBTP is listed as a useful link on AGESTRA's website and referenced in webinars on UV protection in construction. OPPBTP provides prevention resources specific to the construction sector.
• Fonds de Dotation MercyminorOthersThe Mercy Endowment Fund supports the 'Santé des dirigeants' (Health of Business Leaders) event organized by AGESTRA in Metz. The event addresses the impact of entrepreneurship on health.
• CAP EMPLOI 57minorOthersCAP EMPLOI 57 is a specialized organization supporting employment of people with disabilities in Moselle. AGESTRA collaborates with CAP EMPLOI on maintaining employees in employment when health conditions threaten job retention.
• PadoacoreTechnology or IntegrationPadoa provides the digital employee portal (agestra.padoa.fr/employee) used by AGESTRA for online appointment scheduling, employee health record access, and member-employer dashboards. This is a technology integration partner enabling AGESTRA's digital service delivery.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Emerging players

• Doctolib: Doctolib is France's leading digital health platform, rapidly expanding into teleconsultation and employer-facing occupational health workflows. While it does not yet operate physical medical centers, its scale, employer relationships, and teleconsultation capabilities position it as an emerging adjacent/disintermediation threat to traditional SPSTI service delivery.

Direct peers

• ALIANSANTE: ALIANSANTE is a SPSTI serving the Provence-Alpes-Côte d'Azur region, delivering employer-subscribed occupational health monitoring and prevention via a center-based network. It is a regional peer with an analogous service portfolio (offre socle, multidisciplinary team, PDP-type services) to AGESTRA's Moselle operations.
• AST 67 (Santé au Travail 67): AST 67 is the SPSTI serving the Bas-Rhin department (Strasbourg area) within the Grand Est region. As a neighboring departmental SPSTI and fellow GEST member, it operates an identical subscription model, medical-center network, and multidisciplinary service offer, making it the closest geographic peer to AGESTRA.
• Medicover: Medicover operates healthcare, diagnostic and occupational health services across Central and Eastern Europe. Its workplace health and prevention business lines — employer-subscribed health checks, occupational assessments, and prevention programs — are structurally comparable to AGESTRA's multidisciplinary employer offering.
• CIAMT: CIAMT (Centre Inter-entreprises d'Action Médico-Sociale) is a major French inter-company occupational health service operating in the Paris region. It runs the same subscription-based, employer-mandated model with medical centers, physician visits, and prevention services as AGESTRA.
• ACMS: ACMS is one of the largest French Services de Prévention et de Santé au Travail Interentreprises, operating across the Île-de-France region under the same SPSTI legal framework as AGESTRA. It serves member employers with multidisciplinary occupational health teams, individual health monitoring, and workplace prevention — making it a directly comparable regional SPSTI peer.
• SPSTI BTP Lorraine: SPSTI BTP Lorraine is a sectoral SPSTI dedicated to the construction industry in Lorraine, listed as an AGESTRA partner. It runs the same legal SPSTI framework with employer subscriptions, multidisciplinary teams and worksite prevention, but scoped to the BTP sector — making it a directly comparable yet specialized peer.

Others

• PRESANSE: PRESANSE is the national federation of more than 100 French occupational health services, of which AGESTRA is a member. It is not a direct competitor but rather an enabling ecosystem body — providing national representation, shared programs (Rencontres Santé-Travail), and regulatory coordination for SPSTIs including AGESTRA.

Broad incumbents

• Concentra: Concentra is the largest U.S. occupational health and urgent care provider, serving tens of thousands of employers with workplace injury care, surveillance exams, and prevention services. While operating in a non-mandatory, employer-paid market rather than France's regulated SPSTI model, it is the broadest international incumbent reference point for AGESTRA's core activity.
• Ramsay Santé: Ramsay Santé is France's largest private hospital and healthcare group, operating a broad network of facilities and clinics. Although focused on acute care, its employer-facing health services, telehealth capabilities and physical footprint make it a broader-incumbent reference for occupational and preventive health services in France.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCnLrZC4SsEQZYEtfLlVcLbg
• LinkedInlinkedin.com/company/agestra

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 AGESTRA