Fédération des Centres de Services à Domicile

What Fédération des Centres de Services à Domicile does

Fédération des Centres de Services à Domicile (FCSD) is a Belgian non-profit federation coordinating 15 home care service structures (8 Centrales de Services à Domicile and 7 associated services) that collectively employ more than 3,000 workers across Wallonia and the Brussels-Capital Region. Founded in 1992 by the Mutualités Socialistes (Solidaris) and Femmes Prévoyantes Socialistes to coordinate an initial wave of CSDs originating in 1983, the federation provides centralized advocacy, legal and economic support, and IT coordination to its members while acting as a single point of contact for beneficiaries through its Centre de coordination.

The federation's service portfolio spans 21 distinct home-based offerings organized around a coordination hub, including nursing care (Soins infirmiers), family aid (Aide familiale), social household help, in-home childcare for sick children and sick parents, medical equipment rental and sale, meal delivery, 24/7 televigilance, adapted transport, occupational therapy, psychological support, caregiver respite, and pre/post-natal accompaniment. Technology infrastructure centers on the Centre de coordination, which assesses needs and orchestrates interventions across providers, supplemented by a televigilance system with wearable emergency transmitters and a Danaé operations management platform being rolled out across member services in 2026.

Revenue mechanics combine regulated government-subsidized care (INAMI-conventioned nursing and family aid at EUR 0.87–7.81/hour), subscription-based televigilance (EUR 6–16/month with Solidaris member discounts), medical equipment rental and sales, and membership contributions from member CSDs. Pricing varies materially by service type and beneficiary status, with Solidaris-affiliated mutual members receiving preferential rates across multiple categories. Distribution is exclusively direct-to-consumer through the 15 member organizations' regional offices, supported by an e-health nursing referent and a federation headcount of 9 employees responsible for legal, economic, IT, training, and project management functions.

Name

Fédération des Centres de Services à Domicile

Legal name

Fédération des Centres de Services à Domicile

Website

https://fcsd.be

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1–10 employees

Short description

FCSD is a Belgian non-profit federation coordinating 15 home care service structures employing 3,000+ workers across Wallonia and Brussels, delivering 21 home-based services to 7,000+ beneficiaries and nearly 17,000 clients through centralized coordination, nursing, family aid, televigilance, and medical equipment offerings.

Ownership category

akta.pro rank

Headquarters

HQ city

Charleroi

HQ country

Belgium

HQ region

Europe

Offices18 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government-subsidized care services: Core services funded through government subsidies and regulated tariff frameworks (INAMI for nursing care). Services such as nursing care, family aid, and social home help operate under regulated fee structures with partial reimbursement through mutual health insurance.
2. Fee-for-service home care: Services such as family aid are priced at regulated rates (0.87 to 7.81 EUR/hour) with supplements for travel costs. Some specialized services (childcare for sick parents) charge fixed daily rates.
3. Tele-monitoring subscription: Televigilance service generates monthly subscription revenue (16 EUR/month for non-members; 6-12 EUR/month for Solidaris members depending on BIM status).
4. Medical equipment rental and sales: Rental and sale of medical equipment including beds, wheelchairs, and walking aids. Solidaris covers first 3 months of rental for 13 equipment types for members with supplementary insurance.
5. Support services to member organizations: The federation provides support services to member CSDs including legal, economic, and IT support. These are funded through membership contributions and enable coordinated representation and resource sharing.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

FCSD is a federation of 15 home care service structures (8 CSD and 7 associated services) coordinating a portfolio of 21 home-based care and assistance services for people with reduced autonomy. Core offerings include nursing care, family aid, home help, respite care, childcare for sick children or sick parents, medical equipment rental and sale, meal delivery, 24/7 televigilance, adapted transport, occupational therapy, and psychological support. The Centre de coordination serves as the central entry point that assesses needs and orchestrates multiple service interventions across the network.

Product overview

Fédération des Centres de Services à Domicile (FCSD) operates as a federation of 15 home care service structures (8 CSD and 7 associated services) mobilizing over 3,000 collaborators. The organization provides a comprehensive ecosystem of home-based care and assistance services enabling people with reduced autonomy due to age, illness, disability, or accident to remain at home. The service portfolio includes 21 distinct offerings organized around coordination (Centre de coordination), nursing care (Soins infirmiers), daily living support (Aide familiale, Aide ménagère sociale), specialized caregiving (Garde à domicile, Garde répit, Garde d'enfants malades), medical equipment (Location et vente de matériel médical), meal delivery (Livraison de repas), safety monitoring (Télévigilance), transportation (Transport), home modifications (Ergothérapie, Bricodépanneur), social and psychological support (Service social, Service de soutien psychologique), caregiver support (Aidants proches), maternal and child services (Accompagnement pré et post-natal), and coordination with independent partners. The core platform is the Centre de coordination which orchestrates multiple services around individual beneficiaries, with individual services functioning as specialized modules that can be combined according to client needs.

Differentiator

Problem solved

Functional benefit

Products and services

• Centre de coordination Coordinates and integrates multiple home care services by assessing client needs, recommending appropriate services, and managing interventions from various providers to enable autonomous living at home. Targeted at individuals with reduced autonomy and their families.
• Aide familiale Provides assistance with daily living tasks including meal preparation, shopping, laundry, cleaning, personal hygiene, and administrative support for individuals with reduced autonomy.
• Soins infirmiers Delivers nursing care at home including wound care, injections, blood tests, diabetic care, and palliative care services performed by nurses and nursing assistants. Covered under INAMI (National Institute for Health and Disability Insurance) conventions.
• Aide ménagère sociale Provides household maintenance services including cleaning, ironing, and laundry while offering emotional support and companionship to beneficiaries.
• Garde à domicile Offers continuous presence care for individuals who cannot move independently, providing daytime and nighttime support complementing family caregiver relief.
• Garde répit Provides temporary replacement care for informal caregivers of disabled individuals, allowing them to take breaks while ensuring their loved one is properly cared for.
• Garde d'enfants malades Provides childcare by qualified nursery nurses for sick children at home based on medical certificate, with up to 900 EUR/year available for Solidaris supplementary insurance members.
• Garde d'enfant de parent malade Offers childcare by experienced nursery nurses when a parent is ill, caring for children under 13 years old while the parent recovers. Priced at 60 EUR/day (Solidaris) or 75 EUR/day (non-Solidaris) plus 3 EUR travel.
• Location et vente de matériel médical Rents and sells medical equipment including electric beds, wheelchairs, crutches, walking frames, breast pumps, and other assistive devices with home delivery and installation. Solidaris covers first 3 months of rental for 13 equipment types for members with supplementary insurance.
• Livraison de repas Delivers hot or reheatable meals to homes including soup, main course, and dessert, with customization for dietary restrictions and medical requirements.
• Télévigilance Provides 24/7 emergency call system connecting beneficiaries to a monitoring center via wearable transmitter, organizing urgent assistance and contacting emergency services (112) when needed. Priced at 6-12 EUR/month for Solidaris members or 16 EUR/month for non-members.
• Transport Offers adapted transportation services including ambulances, wheelchair-accessible vehicles, light sanitary vehicles, and collective transport for medical and personal appointments.
• Ergothérapie Provides home assessment by occupational therapists who recommend home modifications, assistive devices, and techniques to improve independence and safety in daily activities. Free of charge.
• Bricodépanneur Offers handyman services for home improvements recommended by occupational therapists and everyday tasks like cleaning, minor repairs, and garden maintenance.
• Service social Provides social assistance helping clients understand and exercise their rights regarding health, social, and legal measures through home visits and consultations. Free and open to all.
• Service de soutien psychologique Offers home psychological support through qualified psychologists providing empathetic listening and guidance to help clients gain perspective and find solutions.
• Aidants proches Provides listening hotline and support groups for informal caregivers in partnership with Soralia and Liages, offering emotional support and peer exchange.
• Accompagnement pré et post-natal Provides prenatal and postnatal midwife services including pregnancy monitoring, birth preparation, postnatal mother and baby care, and parental support.
• Alternative de soins Multidisciplinary team of psychologist, occupational therapist, and social nurse providing comprehensive home care support to help clients remain at home.
• Garde d'animaux domestiques Connects pet owners with independent service providers to care for companion animals during hospitalization or absence.
• Partenaires indépendants Coordinates access to independent professionals including physiotherapists, speech therapists, dentists, psychologists, and podiatrists for home-based care.

Quantifiable outcome

• Over 7000 beneficiaries and nearly 17000 clients served
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

14 partnerships are on record, tiered core and minor.

• AVIQ (Agence pour une Vie de Qualité)coreStrategic or Co-development Partner · 1 January 2024Partnership with AVIQ for the Vie en Autonomie project funded by the European Social Fund (FSE). AVIQ is the Walloon agency for quality of life, handling disability recognition in Wallonia.
• FASD (Fédération des Aide et Soins à Domicile)coreStrategic or Co-development PartnerPartner in the Vie en Autonomie FSE project. FASD is the federation of home help and care services.
• Solidaris MutualitécoreStrategic or Co-development PartnerAffiliated mutual health insurance organization. Solidaris members receive preferential pricing on multiple services including televigilance, medical equipment rental, and childcare services. FCSD shares infrastructure and branding with Solidaris.
• SoraliaminorStrategic or Co-development PartnerPartner in providing support services for informal caregivers (aidants proches) in collaboration with Liages du Brabant wallon.
• Liages du Brabant wallonminorStrategic or Co-development PartnerPartner in providing support services for informal caregivers in Brabant wallon region.
• PHAREminorStrategic or Co-development PartnerBrussels-Capital Region disability recognition agency for respite care eligibility.
• ONE (Office de la Naissance et de l'Enfance)minorStrategic or Co-development PartnerChildcare recognition agency. CSD du Brabant wallon is recognized by ONE, enabling tax deduction attestations for childcare services.
• WalloniacoreStrategic or Co-development PartnerWith the support of Wallonia (funding and recognition of the sector's importance).
• Independent healthcare professionalsminorChannel Partner/ Reseller/ DistributorNetwork of independent physiotherapists, speech therapists, dentists, psychologists, hairdressers, podiatrists, dietitians, and beauticians working with member services to meet home care needs.
• Latitude JeunesminorOthersPartner organization listed in footer menu.
• SofeliaminorOthersPartner organization listed in footer menu.
• DrivemutminorOthersSolidaris Liège drive service partner listed in footer.
• ESENCAminorOthersPartner organization listed in footer menu.
• UPDI (now un-pass)minorOthersPartner organization (now un-pass) listed in footer menu.

Scale indicators5 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Aide et Soins à Domicile (ASD): ASD is one of Belgium's largest home-care federations providing nursing, family aid, and household help across multiple regions; it competes directly with FCSD for the same beneficiary pool and operates under comparable INAMI-regulated frameworks.
• Soralia: Soralia is a Walloon social-services federation partnering with FCSD on informal-caregiver support; it operates comparable home-help and personal-assistance services for elderly and disabled populations in overlapping geographies.
• FASD (Fédération des Aide et Soins à Domicile): FASD is the federation of home help and care services explicitly named as FCSD's partner in the Vie en Autonomie FSE project; it offers directly comparable home-care coordination and service delivery across francophone Belgium.
• Liages: Liages du Brabant wallon is a regional social-services network partnering with FCSD on caregiver support; it provides adjacent home-help and family-aid services within a shared catchment area.

Broad incumbents

• Croix-Rouge de Belgique: The Belgian Red Cross operates broad humanitarian and home-support services including elderly assistance and equipment loans; it overlaps with FCSD on several service lines but does not specialise in the Wallonia/Brussels coordinated home-care niche.
• Senior Living Group: Senior Living Group operates residential and assisted-living facilities across Belgium; it is an incumbent in the broader elder-care space but its model is facility-based rather than FCSD's home-delivery model.
• Curaviva Belgium: Curaviva is the Belgian federation of care-sector employers and providers; it represents residential and care organisations with overlapping mission areas but does not directly deliver FCSD-style home services.

Regional players

• Familiehulp: Familiehulp is Flanders' largest home-care and family-help provider; it operates a directly comparable service portfolio (household help, family aid, childcare) but is geographically separated, serving the Dutch-speaking market.
• Wit-Gele Kruis: Wit-Gele Kruis is the leading Flemish home-nursing organisation; it competes in the same nursing-care category but is structurally focused on Flanders rather than Wallonia/Brussels.

Others

• Solidaris Mutualité: Solidaris is the mutual health-insurance partner from which FCSD originates and with which it shares branding, contacts and preferential pricing; it is an ecosystem enabler rather than a direct home-care competitor but its strategic decisions shape FCSD's go-to-market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/100696465009084
• LinkedInlinkedin.com/company/f%C3%A9d%C3%A9ration-des-centres-de-services-%C3%A0-domicile

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fédération des Centres de Services à Domicile