OSTIE

What OSTIE does

OSTIE (Organisation Sanitaire Inter-Entreprises Tananarivienne) is a Madagascar-based employer-sponsored healthcare and occupational medicine organization, founded in 1955 and headquartered in Antananarivo. Operating under Madagascar's mandatory SMIE (Service Médical Inter-Entreprises) regime, it serves 4,000+ member companies (adhérents) and 175,000+ covered workers and families (affiliés) across industries including BPO, telecom, textile, banking, hospitality, manufacturing, and retail. Care delivery is anchored by 9 dispensaries in Antananarivo, 56+ antenna clinics embedded within member companies, 24/7 emergency services at three sites, and a workforce of 250+ medical and technical personnel. The organization is ISO 9001 certified across operations.

The technology footprint combines digitalized medical imaging and laboratory infrastructure with a member-facing mobile application and MVOLA mobile-money payment integration. The on-site "antenna" clinic model — placing medical staff inside employer facilities — is a relatively differentiated distribution approach for an African healthcare operator and complements the fixed dispensary network to support both ambulatory and occupational care delivery.

Revenue is generated primarily through mandatory quarterly membership contributions set by Malagasy law: 5% of salary paid by the employer plus 1% paid by the employee under the general regime, and 6% of the minimum wage for domestic workers. The model is subscription-based and recurring, anchored to formal-sector employment, with a direct sales-led GTM executed by a dedicated Adhérents service team. This produces a high-visibility, contractually mandated revenue stream that is largely insulated from discretionary buyer behavior.

Name

OSTIE

Legal name

Organisation Sanitaire Inter-Entreprises Tananarivienne

Website

https://ostie.mg

Company type

Private

Founded year

1955

Operating status

Operating

Headcount range

101–250 employees

Short description

OSTIE is a Madagascar-based occupational health and employer-sponsored healthcare organization, founded 1955, serving 4,000+ member companies and 175,000+ covered workers via 9 dispensaries, 56+ on-site clinics, and digital tools under mandatory SMIE membership.

Ownership category

akta.pro rank

Product category

Occupational Health Services

NAICS

Offices of Other Health Practitioners (6213)

SIC

Services-Health Services (8000)

akta.pro primary industry

Occupational Medicine & Work Injury Urgent Care Clinics (HLAFADAG)

Keywords

• Occupational health services
• Inter-enterprise medical service
• Employer-sponsored healthcare
• Workplace medical examinations
• Family healthcare coverage

Headquarters

HQ city

Antananarivo

HQ country

Madagascar

Offices10 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Employer Membership Contributions (Cotisations): Member companies (adhérents) pay quarterly membership contributions. Contributions are calculated on total salary and salary accessories per social welfare regulations. For the general regime: 5% employer share + 1% employee share. For domestic workers (gens de maison): 6% of the minimum hiring wage (SME) multiplied by 12 (annual). Contributions are declared quarterly via printed forms, electronic DNS Excel files, or magnetic media (CD-ROM/USB) submitted to the Adhérents service.
2. Medical Services Provided to Members: OSTIE provides occupational health and safety services, general medicine, specialized medicine, medical imaging, laboratory analyses, and emergency care. Workers (affiliés) receive a consultation bulletin from their employer to access services at OSTIE facilities. Services are funded through the membership contribution scheme.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels8 records

Core offering

OSTIE provides employer-sponsored occupational health and safety services and broader medical care to workers and their families in Madagascar. Its core offerings include pre-employment and annual medical examinations, specialized occupational health surveillance, general and specialized medicine consultations, medical imaging, laboratory analyses, and 24/7 emergency care. The organization sells these services through mandatory quarterly employer and employee contributions (cotisations) and delivers them across 9 dispensaries, 56+ on-site company antennas, and 3 emergency centers.

Product overview

OSTIE (Organisation Sanitaire Inter-Entreprises Tananarivienne) is a healthcare organization providing occupational health and safety services to workers and their families in Madagascar since 1955. The organization operates as a unified healthcare service with multiple facilities including 9 dispensaries, 56 antennas, and 3 emergency centers. The core offerings include Occupational Safety and Health services, General Medicine, Specialized Medicine (cardiology, neurology, ophthalmology, ENT, gynecology, pediatrics, allergology, dermatology), and Medical Imaging & Laboratory services. The services are delivered through a network of dispensaries and company-based antennas, with emergency care available 24/7 at designated locations.

Differentiator

Problem solved

Functional benefit

Products and services

• Sécurité et Santé au Travail (Occupational Health and Safety) Statutorily required occupational health services for member companies, including pre-employment medical examinations, annual systematic visits, reinforced specific medical visits for certain job categories, work resumption visits, counter-visits for job fitness re-qualification, and specific medical visits for early retirement. For member companies (adhérents) and their workers (affiliés).
• Médecine Générale (General Medicine) General medicine consultations, follow-up care, care coordination, treatments, and pharmacy services for workers and their families. Provides initial patient care and appropriate referrals to specialists based on diagnoses.
• Médecine Spécialisée (Specialized Medicine) Specialty medical consultations covering cardiology, neurology, ophthalmology, ENT, gynecology, pediatrics, allergology, and dermatology. Specialists redirect patients based on initial diagnoses from general medicine.
• Imagerie médicale & Laboratoires d'analyses (Medical Imaging & Laboratory Analyses) Digitalized medical imaging services and base laboratories available across numerous dispensaries and antenna locations. Supports occupational health surveillance and broader medical diagnostics for members and their families.
• OSTIE 24 - Service d'Urgence (24/7 Emergency Service) 24/7 emergency medical services available at Andranomena, Tanjombato, and Ambohimanarina centers, handling urgent cases during weekdays from 17h to 7h, weekends and public holidays from 12h to 7h. Available to covered workers and their families.

Quantifiable outcome

• 175,000+ affiliés (workers and family members covered)
• +2 more outcomes

Named customers55 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators7 records

Direct peers

• Marathon Health: Employer-sponsored healthcare provider offering occupational health, primary care, and wellness services — directly comparable to OSTIE's employer-membership subscription model.
• Concentra: Operates occupational health and urgent care clinics serving employer customers with pre-employment exams, injury care, and workplace health services — directly analogous to OSTIE's SMIE model.
• Premise Health: Delivers on-site and near-site employer-sponsored primary care, occupational health, and wellness programs — closely comparable to OSTIE's dispensary and on-site antenna model.
• International SOS: Provides employer-sponsored occupational health, medical assistance, and emergency services to multinational workforces globally, sharing OSTIE's B2B employer health and emergency-care DNA.
• Medcor: Provides occupational health services and 24/7 telehealth triage to employers and worksites, mirroring OSTIE's combination of dispensary-based care and 24/7 emergency coverage.

Broad incumbents

• One Medical (Amazon One Medical): Employer-sponsored primary care platform offering workplace health programs and on-site services — comparable to OSTIE on the B2B employer health axis but operating in developed markets.
• Evernorth Health Services: Broad employer health services portfolio including pharmacy, care, and behavioral health — overlaps with OSTIE's managed-care and corporate-health positioning but at vastly larger scale.

Emerging players

• MedAire: Provides occupational and remote medical services for maritime, aviation, and remote workforce clients — overlaps with OSTIE's 24/7 emergency and remote-worker health coverage.
• Crossover Health: Tech-enabled employer-sponsored primary care and occupational health provider — overlaps with OSTIE on the B2B health services model but with a digital-first delivery approach.
• OccuMed: Occupational health provider delivering pre-placement exams, surveillance, and injury management to employers — narrower than OSTIE but directly comparable on core occupational medicine.

Market position

Strengths5 records

Weaknesses5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@ostie-1527
• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/ostie

Compliance1 record

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 OSTIE