Fegems

What Fegems does

Fegems is a non-profit employers' federation (association faîtière) headquartered in Geneva, Switzerland, founded in 1998. It serves as the principal representative body for medical-social establishments (EMS, Établissements Médico-Sociaux) serving senior residents across the canton of Geneva. The federation coordinates a network of 40 EMS with more than 2,600 beds, complemented by 8 day/night centers. Following a 2022 statutes reform, Fegems broadened its scope to encompass "structures d'accompagnement pour seniors," and in 2023 five Pro Senectute day centers joined as members, extending its footprint into ambulatory senior services.

The organization's core deliverables span four areas: (i) negotiation and administration of sector-wide agreements including the CCT-EMS collective labor agreement (April 2025); (ii) member services covering training, legal and ethics advisory, and economic benchmarking across institutions; (iii) advocacy with cantonal authorities and partner organizations; and (iv) public-facing digital infrastructure, including a member extranet and a Leaflet/OpenStreetMap-based facility finder to help seniors and families locate appropriate care options. The federation also operates a pilot program for proximity reception units (Unité d'accueil de proximité) launched in 2025, and in October 2025 secured recognition for a new Auxiliaire d'accompagnement diploma to professionalize the caregiver workforce.

Fegems operates as a membership-funded non-profit. Revenue is derived from member dues paid by the 40 EMS and day/night centers, supplemented by cantonal support (the État de Genève is listed as a sponsor) and project-specific funding. Governance is exercised through an elected presidency and member-driven committees; Raffaele Fraomene was elected president in March 2026. The organization's footprint is intentionally constrained to the single canton of Geneva, and its strategic posture is principally defensive-coordinative (sector advocacy, labor terms) rather than growth-oriented.

Name

Fegems

Legal name

Fédération genevoise des établissements médico-sociaux

Website

https://fegems.ch

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

11–50 employees

Short description

Fegems is a Geneva-based non-profit employers' federation founded in 1998, representing 40 medical-social establishments and 8 day/night centers for seniors. It coordinates collective labor agreements, training, legal advisory, benchmarking, and sector advocacy across the canton.

Ownership category

akta.pro rank

Product category

Senior Care Services (Elder Care Federation)

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233)

SIC

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

akta.pro industry

PRIMARYHLADAIAA

Medical Adult Day Health Centers (ADHC)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Adult Day Health Care & Senior Day Care

SECONDARYHLADAIAK

Transportation-Integrated Adult Day Programs (Day Program + Non-Emergency Transport)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Adult Day Health Care & Senior Day Care

SECONDARYHLADAGAL

Private Duty Personal Care Agencies (Non-Medical Home Care Providers)

Healthcare & Life Sciences/Elder Care & Long-Term Care/Non-Medical In-Home Care & Personal Care

Keywords

• Senior care services
• Elder care federation
• Nursing home coordination
• Healthcare employer association
• Continuing care training

Headquarters

HQ city

Carouge

HQ country

Switzerland

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Membership dues: Fegems is a non-profit employers' association funded through membership fees from its 40 EMS and 8 day care center members. Revenue supports the federation's coordination, training, legal, economic, and political missions.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Fegems is a non-profit federation of medical-social establishments (EMS) for seniors in the canton of Geneva, coordinating 40 EMS with over 2,600 beds and 8 day/night care centers. It delivers federating services to its member institutions, including training, legal advice, economic benchmarking, ethics counsel, and political representation, and operates an occupational therapy center enabling health insurance billing for member EMS. Member institutions directly provide long-term residential care, temporary accommodation, day care, adapted housing, and senior day centers to elderly residents across Geneva.

Product overview

Fegems is a federation providing a coordinated portfolio of senior care services across the Geneva region. The core offering consists of EMS (nursing homes) with approximately 40 member establishments offering over 2,600 beds, complemented by temporary reception units (UATR) for caregiver respite and transitions, day care services within EMS, eight day centers (foyers de jour) including one specialized in cognitive disorders, adapted housing (HEPS) for semi-independent seniors, and an occupational therapy center enabling health insurance billing for paramedical services. Supporting services include continuing education and professional development programs, a member extranet, and advocacy representing member institutions at cantonal and national levels.

Differentiator

Problem solved

Functional benefit

Products and services

• EMS (Établissements Médico-Sociaux) Long-term residential nursing homes for elderly people in loss of autonomy, operated by 40 member establishments across Geneva providing over 2,600 beds. Services include medical care, daily assistance, meals, animation activities, and personalized accommodation.
• Accueil en EMS durant la journée (Day Care in EMS) Day care services in EMS facilities offering activities and meals for seniors living at home who need temporary support or whose caregivers need respite. Available in morning half-day (CHF 8), midday meal (CHF 18), afternoon half-day (CHF 12), and full day (CHF 35) formats.
• Accueil temporaire (UATR) Temporary accommodation units providing respite for caregivers, hospital-to-home transitions, EMS discovery stays, and temporary housing for 5-45 days maximum per year. Pricing includes CHF 105.15/day pension plus CHF 8/day care participation.
• Foyers de jour (Day Centers) Day care centers for elderly people (65+) experiencing loss of autonomy, offering psycho-social support and health monitoring. Includes seven generalist centers (CHF 52/day) and one specialized center, Butini Terrasse, for cognitive disorders (CHF 54/day; half-day CHF 12; evening CHF 25; overnight CHF 50; transport CHF 7/trip).
• Logement adapté (HEPS) Adapted housing for seniors offering two-room apartments with adapted services that evolve according to residents' health status, maintaining independence while providing access to support services.
• Centre d'ergothérapie de la Fegems Association of occupational therapists working in member EMS and organizations serving elderly people, enabling health insurance billing for occupational therapy services covering autonomy optimization, pain management, fall prevention, and cognitive stimulation.
• Formation continue (Continuing Education) Continuing education programs for EMS staff including care practices, management, pedagogy, delegated acts, animation, hospitality, and administration training. Includes the Auxiliaire d'accompagnement certification program now officially recognized by the canton. EduQua-certified.

Quantifiable outcome

• 2,600+ beds covered across 40 EMS and 8 day care centers — representing the majority of Geneva's senior care capacity.
• +2 more outcomes

Named customers3 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

Partnerships

23 partnerships are on record, tiered minor and core.

• IVF HARTMANN AGminorOthers · 18 February 2026Fegems signed an annual contract with IVF HARTMANN AG, a medical supply company, to provide supplies to member EMS institutions.
• Pro Senectute GenèvecoreStrategic or Co-development Partner · 29 June 2023Pro Senectute Genève affiliated its five day care centers to Fegems, strengthening coordination throughout the care journey of beneficiaries — from home care to EMS and intermediate structures.
• CURAVIVA / ARTISETcoreOthersAt the national level, Fegems is a member of CURAVIVA, the industry association for service providers for the elderly, which in turn is part of the ARTISET federation. This affiliation provides Fegems with a national voice and access to branch-wide standards and resources.
• OrTra Santé-Social GenèvecoreOthersFegems is a member of the OrTra (Organisations du monde du travail) santé-social Genève, the industry skills organization for the health-social sector in Geneva. Fegems is also a member of OrTra Intendance Genève.
• Plateforme des associations d'aînés de GenèvecoreStrategic or Co-development Partner
• Hospice généralcoreStrategic or Co-development PartnerFegems collaborates with the Hospice général on training programs, particularly the Auxiliaire d'accompagnement device and workforce insertion. The Hospice général also hosts the CAD (Centre d'animation pour retraite) and partners on the dispositif d'insertion.
• Office cantonal de l'emploi (OCE)coreStrategic or Co-development PartnerOCE co-developed and co-delivers the Auxiliaire d'accompagnement training and professional insertion program with Fegems and Hospice général, targeting unqualified job seekers.
• Service du Réseau de soins (DGS)coreOthersFegems is part of the care network (réseau de soins) and holds a seat on the Commission de coordination du réseau de soins et du maintien à domicile (CCRS), governed by the Direction générale de la santé.
• ADEPAGminorOthersAssociation of directors and managers of establishments for elderly people in Geneva.
• AGICminorOthersAssociation of head nurses of Geneva EMS.
• APIminorOthersProfessional association of EMS administrators/managers in Geneva.
• MEPAG'sminorOthersAssociation of physicians working in elderly care establishments in Geneva.
• ARODEMSminorOthersAssociation romande et tessinoise des directeurs d'EMS — broader regional association of EMS directors.
• IMAD (Institution genevoise de maintien à domicile)coreStrategic or Co-development PartnerFegems collaborates with IMAD, the Geneva institution for home-based care, particularly on temporary reception units (UATR) and home care coordination.
• Cité des métiersminorGTM or Marketing PartnerFegems participates in the Cité des métiers career fair on the OrTra santé-social stand to promote careers in the EMS sector.
• HEDS / HETS (Haute école de santé / Haute école de travail social)minorOthersGeneva higher education institutions collaborating on training and continuing education for care and social work professionals.
• HUG (Hôpitaux Universitaires de Genève) — Centre de formation et de compétencesminorStrategic or Co-development PartnerGeneva university hospital's training center, collaborating on continuing education for health professionals including EMS staff.
• Pro InfirmisminorOthersNational organization providing support and care for people with disabilities, operating in Geneva's health-social network.
• Association Alzheimer GenèveminorOthersLocal section of Alzheimer Switzerland, collaborating on dementia care in EMS.
• Fondation pour la Formation professionnelle et continue (FFPC)minorOthersFFPC Canton de Genève is a sponsor of Fegems, supporting vocational and continuing education programs.
• Qualibroker Swiss Risk & CareminorOthersA sponsor of Fegems providing risk management and care insurance solutions.
• InfomaniakminorOthersSponsor of Fegems providing ethical cloud hosting services.
• État de GenèvecoreOthersThe Canton of Geneva is a sponsor of Fegems and a key institutional partner, providing subsidies to member EMS through the LGEPA law.

Scale indicators5 records

Recent moves8 records

Expansion highlights6 records

Emerging players

• Spitex Schweiz: National association of Swiss home-care providers. Operates in a complementary segment to Fegems' institutional EMS network, addressing elderly care at home — relevant as the canton pushes more "maintien à domicile" and Fegems' ambulatory scope expands.
• INSOS Schweiz: National association of providers of services for people with disabilities. A sibling sector association to CURAVIVA within ARTISET, with a parallel employers' association and federation structure; relevant as Fegems broadens into ambulatory/intermediate care.

Regional players

• AFAS Fribourg (Association Fribourgeoise d'Action Sociale): Cantonal association for social and medico-social institutions in the canton of Fribourg. Structural peer to Fegems in a neighboring French-speaking canton, operating a similar federating role for EMS and care institutions.
• Hospice général: Geneva public institution addressing social hardship across populations. Active partner of Fegems on the Auxiliaire d'accompagnement training and workforce insertion, with overlapping policy and training agendas in Geneva.
• IMAD (Institution genevoise de maintien à domicile): Geneva's public home-care institution and a strategic partner of Fegems for UATR and home-care coordination. Operates exclusively in Geneva, addressing the same elderly population but in the home-based rather than institutional setting.

Broad incumbents

• H+ Les Hôpitaux de Suisse: National association of Swiss public and private hospitals. Operates at the institutional health-system level alongside Fegems, with overlapping political and labor-relations stakes (training, billing, cantonal negotiations).
• ARTISET: Umbrella federation that hosts CURAVIVA and INSOS as sector associations. Acts as the broader national coordinating body of which Fegems is indirectly a member via CURAVIVA; comparable in its role but with a wider portfolio beyond elderly care.
• Pro Senectute Switzerland: National foundation delivering services for older adults across Switzerland. Pro Senectute Genève already partnered with Fegems in 2023 by affiliating its five day centers, making it both a peer and a strategic partner in the elder-care ecosystem.

Direct peers

• CURAVIVA Switzerland: National industry association for Swiss providers of services to the elderly, of which Fegems is a member. Direct analog operating at the national level, representing EMS and senior care institutions across cantons with parallel lobbying, benchmarking, and workforce-development roles.
• AVDEMS (Association Vaudoise des Établissements Médico-Sociaux): Cantonal EMS federation for Vaud, the closest structural peer to Fegems. Operates an analogous employers' association model for medical-social institutions in a neighboring canton, with similar coordination, training, and collective bargaining mandates.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/federation-genevoise-des-ems

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Fegems