APST18

What APST18 does

APST18 (Prévention et Santé au Travail du Cher, recently rebranded to PST18) is a French non-profit occupational health service (Service de Prévention et de Santé au Travail, SPST) founded in 1971 and headquartered in Bourges. It operates under the French Code du Travail, which requires employers in its jurisdiction to subscribe to a SPST, and serves 5,700+ member companies covering 64,000+ monitored employees across the Cher department in the Centre-Val de Loire region. Its core function is mandated medical surveillance of employees, workplace risk assessment (DUERP — Document Unique d'Évaluation des Risques Professionnels, maintained by 96% of member companies), and preventive advice, supported by 34,076 annual medical visits and interviews conducted by a 51–100 person clinical and administrative team.

The organization's service architecture is organized around four core offerings: the Offre Socle (core mandatory surveillance and prevention), the Offre Spécifique (specialized services for particular workplace risks), the Prévention de la Désinsertion Professionnelle (PDP) program for job retention and return-to-work support, and the Relais de Prévention network of trained workplace prevention liaisons embedded in member companies. Underlying these programs is a Padoa-powered digital portal (apst18.padoa.fr) that provides separate employer and employee login flows for online appointment scheduling and service access, along with downloadable service brochures, an annual report, and an active social media presence on Facebook and Twitter.

APST18 is funded through per-employee contributions from member employers within the regulatory framework for French SPSTs and is affiliated with PRESANSE, the national federation of occupational health services. It is a private, non-profit entity with no parent company, no outside investors, and no disclosed funding activity; its operating perimeter is structurally bounded to the Cher department, with revenue, pricing, and ownership details not publicly disclosed.

Name

APST18

Legal name

APST18 (Prévention et Santé au Travail du Cher)

Website

https://apst18.fr

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

51–100 employees

Short description

APST18 (recently rebranded PST18) is a French non-profit occupational health service in the Cher department, providing mandated medical surveillance, workplace risk prevention, and return-to-work support to 5,700+ member companies and 64,000+ employees under French labor law.

Ownership category

akta.pro rank

Product category

Occupational Health Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Occupational Health Surveillance & Worker Health Monitoring Programs (HLAJAFAL)

akta.pro secondary industries

Occupational Health & Worksite Health Virtual Care (fit-for-duty, RTW) (HLALADAM), Occupational Health & Industrial Hygiene (BPAHAJAD)

Keywords

• Occupational health services
• Workplace risk prevention
• Employee health monitoring
• Medical surveillance services
• Occupational risk assessment

Headquarters

HQ city

Bourges

HQ country

France

HQ region

Europe

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Distribution channels1 record

Marketing channels4 records

Core offering

APST18 (Prévention et Santé au Travail du Cher) is a French occupational health service organization delivering legally mandated medical surveillance, workplace risk prevention, and employee health monitoring to employers and their employees in the Cher department. It conducts occupational medical visits, supports occupational risk assessment (DUERP), and provides professional reintegration support for employees at risk of job desinsertion due to health conditions.

Product overview

APST18 (Prévention et Santé au Travail du Cher) is an occupational health service organization operating in France's Cher department. The organization provides a unified platform of prevention services including: the core service offer (Offre Socle) for standard occupational health monitoring, specialized services (Offre Spécifique) for specific workplace risks, professional reintegration support (Prévention de la Désinsertion Professionnelle), and the Prevention Relay network of workplace liaisons. These services are delivered through both physical centers and digital platforms, serving over 5,700 businesses and 64,000+ monitored employees.

Differentiator

Problem solved

Functional benefit

Products and services

• Offre Socle (Core Service Offer)

Quantifiable outcome

• 96% of member companies maintain a DUERP (Document Unique d'Évaluation des Risques Professionnels)
• +2 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Emerging players

• Modern Health: Modern Health is a global digital workplace mental health platform serving employers. It overlaps with APST18's Prévention de la Désinsertion Professionnelle (PDP) and psychosocial risk prevention offerings, targeting the same employer buyer with a tech-enabled alternative.
• Alan: Alan is a French digital health insurer providing employer-sponsored health coverage, including workplace health services. It competes with traditional SPSTs for employer mindshare on employee health budgets, positioning it as an emerging adjacent peer to APST18's employer customer base.
• Lyra Health: Lyra Health is a US-based employer-sponsored mental health platform delivering virtual therapy, coaching, and EAP services. It is comparable to APST18's PDP and prevention offerings as a digital-first employer-funded workforce wellbeing provider.
• Doctolib: Doctolib is France's leading digital health platform offering online appointment booking and telehealth. While not a direct SPST, it is a partial competitor for employer-funded employee health visits and an emerging alternative channel for occupational health consultations that could disrupt traditional SPST delivery models.

Direct peers

• Medgate: Medgate is a Swiss telehealth and occupational health provider offering 24/7 medical consultations and occupational medicine services to employers and insurers. It is comparable to APST18 as a digitally-enabled OH service operating under a national regulatory framework with employer clients.
• CMIE (Centre Médical Interentreprises Europe): CMIE is a long-standing French inter-company occupational health service in Paris providing surveillance médicale, risk prevention, and reintegration services to member companies. Its operating model, regulatory framework, and service mix closely mirror APST18's SPST activities.
• Santé au Travail BTP (AIST BTP / SIST BTP): AIST BTP is a French SPST dedicated to construction-sector employers, delivering occupational health surveillance, risk prevention, and fitness-for-work assessments. It is comparable to APST18 as a sector- or regionally-bounded SPST operating under the same Code du Travail framework.
• CIAMT (Centre Inter-entreprises d'Action Médico-Sociale du Travail): CIAMT is a French inter-enterprise occupational health service operating in the Île-de-France region. It offers the same mandated SPST portfolio — medical surveillance, workplace risk prevention, and fitness-for-duty assessments — to member employers, making it the closest functional peer to APST18.

Broad incumbents

• PRESANSE: PRESANSE is the national federation of French occupational health services (SPSTs) of which APST18 is a member. It is the umbrella body that defines operational standards and represents SPSTs across France, making it directly comparable as the broader institutional incumbent to APST18's local SPST model.
• SD Worx: SD Worx is a European HR and payroll services provider, including PEO-style employer administration and workforce compliance offerings. It is comparable to APST18 as a broader incumbent bundling employment-administration and workforce-related compliance services for European employers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/apst_18
• Facebookfacebook.com/apst18
• LinkedInlinkedin.com/company/apst-18

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 APST18