IMAD - institution genevoise de maintien à domicile

What IMAD - institution genevoise de maintien à domicile does

IMAD (Institution genevoise de maintien à domicile) is a public institution of the Canton of Geneva, established on January 1, 2013 under the LOIDS cantonal law, succeeding the private FSASD foundation. It is the cantonal home care authority serving the elderly, adults with disabilities, children and families, and informal caregivers across the entire Canton of Geneva, delivering nursing care, practical aid, occupational therapy, home hospitalization (HAD), palliative care, meal delivery, security alert systems, pediatric services, and mother-and-child health support. IMAD also operates 30 IEPA (supervised housing) buildings and two UATR respite units with 38 beds, and in 2025 assisted 18,300 people at home, delivering 777,760 care hours and 548,380 meals.

The underlying technology stack is built around three operational digital tools: eCarnet (an electronic health record for patients and care teams enabling cross-provider documentation), COMID (an interprofessional coordination platform for IMAD professionals), and an e-learning platform used initially for COVID-19 protocols and now broader training. These are coordination and documentation tools, not AI-driven systems. The institution is linked into the broader Geneva social-health network, with explicit partnerships through HEdS for nursing training (60 Bachelor placements per year) and the Maison de santé de Meinier.

Revenue is not publicly disclosed. IMAD is funded through a combination of LAMal basic health insurance reimbursements (nursing and care are covered at 90%), means-tested client personal contributions priced via the RDU (revenu déterminant unifié) system administered by the State of Geneva, IEPA housing rents (HLM/HBM/free-market), and presumably cantonal subsidies for uncovered operational costs. The institution is the largest ASSC training employer in French-speaking Switzerland, with 1,047 employees, 63 apprentices in 2025, and 70% of workforce receiving annual training. The Cap2030+ strategic plan, launched in 2023, is the current framework for service modernization and organizational transformation.

Name

IMAD - institution genevoise de maintien à domicile

Legal name

IMAD - Institution genevoise de maintien à domicile

Website

https://imad-ge.ch

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

IMAD is the public home care institution of the Canton of Geneva, providing nursing, practical aid, and support services to elderly, disabled, and family clients across the entire canton. It delivered 777,760 care hours to 18,300 people in 2025 under a cantonal mandate.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Hospital-at-Home / Acute Care at Home Programs (HLAFAEAH)

akta.pro secondary industry

Hospice Care Coordination & Interdisciplinary Team (IDT) Case Management (HSABAFAJ)

Keywords

• Home care services
• Nursing care services
• Home hospitalization
• Elderly care services
• Practical home aid

Headquarters

HQ city

Lancy, Geneva

HQ country

Switzerland

HQ region

Europe

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Basic health insurance (LAMal) reimbursements: Nursing and care services are covered at 90% under basic health insurance (assurance maladie de base). Some services may also be partially covered by supplementary insurance.
2. Client personal contribution: Clients contribute personally to care costs. The contribution is calculated per day of intervention based on the client's RDU (revenu déterminant unifié - unified determining income), which may include discounts for eligible beneficiaries. Personal contribution is not reimbursed by health insurers.
3. Means-tested aid (aide pratique, meals, security): Practical aid, meal delivery, and security system services are priced according to the client's RDU, creating a means-tested tariff structure. Clients whose income is not disclosed are assigned a tariff code by the RDU calculation center without IMAD knowing the actual income.
4. IEPA housing services: IMAD provides proximity supervision in IEPA buildings; housing attribution decisions are made by building owners based on age, autonomy level, financial situation, and legal criteria (HLM, HBM, or free-market rents).

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

IMAD is a public institution of the Canton of Geneva that delivers home care services to residents, including nursing care, home hospitalization, practical household aid, occupational therapy, meal delivery, pediatric care, and supervised housing for elderly persons. The institution operates 7 days a week, 24 hours a day, accepting requests from clients, families, physicians, and hospitals, with a professional conducting a needs assessment within 24 hours of request. Services are coordinated by a dedicated situation referent and funded through cantonal contracts, basic health insurance (LAMal), and means-tested client contributions.

Product overview

IMAD is a public institution of the Canton of Geneva providing home care, assistance, and support services. The organization operates as a unified service portfolio rather than a modular platform, offering integrated nursing care, practical assistance, pediatric services, and housing support for elderly persons (IEPA). Digital tools including eCarnet and COMID support service delivery, while the Cap2030+ strategic plan guides innovation and transformation initiatives.

Differentiator

Problem solved

Functional benefit

Products and services

• Soins infirmiers (Nursing care) Nursing care services delivered at home, including evaluation, coordination, and medical care according to physician prescriptions, for residents of the Canton of Geneva.
• Hospitalisation à domicile (HAD) Home hospitalization service providing 24/7 medical care as an alternative to traditional hospital admission, for residents of the Canton of Geneva requiring intensive care at home.
• Aide pratique (Practical aid) Practical household assistance including cleaning, laundry, shopping, meal accompaniment, and mobility support to medical appointments, billed as a package of 1 hour 50 minutes per visit.
• IEPA - Immeubles avec encadrement pour personnes âgées Housing with supervised care for elderly persons, providing proximity support and daily supervision in 30 dedicated buildings across the Canton of Geneva, with night-time on-call coverage.
• Ergothérapie (Occupational therapy) Occupational therapy services delivered at home to help persons with disabilities maintain independence and adapt their living environment, requiring medical prescription.
• Repas à domicile (Home meal delivery) Home meal delivery service providing nutritious meals for persons unable to prepare their own food, with pricing set according to the client's RDU (means-tested tariff).
• Soins pédiatriques et Répit aux familles Paediatric nursing care and family respite services supporting families with seriously ill children, including respite for parents and care for children in the family home.
• Soins de la mère et de l'enfant (Mother and child healthcare) Mother and child healthcare services supporting families during pregnancy and early childhood, including maternal and child health promotion.
• Soutien aux parents (Parent support) Parent support services assisting families in their daily education and protection roles, particularly in difficult medical situations that affect family dynamics.
• UATR - Unité d'accueil temporaire de répit Temporary reception and respite units providing short-term care for elderly persons when natural caregivers are temporarily unable to assist, including 38 medicalized beds operating 24 hours per day.
• Système d'appel à l'aide (Emergency call system) Emergency call system providing security and 24/7 emergency response for persons living at home, with means-tested pricing based on client RDU.
• Soutien aux proches aidants (Caregiver support) Support services for informal caregivers including advice, respite, and dedicated resources to help caregivers maintain their role and avoid burnout.

Quantifiable outcome

• 18,300 people assisted at home daily (2025)
• +9 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered core and minor.

• FondimadcoreOthersFondimad is the private foundation of IMAD. It is referenced as 'La fondation privée de l'IMAD' and is linked from the main website as a key supporter of the institution. The foundation appears to provide supplementary funding or support for IMAD's mission.
• Geneva social-health network (Réseau santé-social genevois)coreStrategic or Co-development PartnerIMAD collaborates extensively with the Geneva social-health network including hospitals, treating physicians, municipalities, and other care providers. The institution is positioned as a cornerstone (pierre angulaire) of this network, working on interdisciplinary projects for care coordination, prevention, oncology, palliative care, rehabilitation, and mental health support.
• Maison de santé de MeinierminorStrategic or Co-development PartnerIMAD contributed to the opening of the Maison de santé de Meinier in 2023 as part of its new prevention and health promotion services. This represents a new model of care coordination outside traditional hospital settings.
• HEdS - Haute école de santécoreOthersIMAD provides 60 training placement positions per year for students in the Bachelor of Nursing degree programme at HEdS (Haute école de santé). This is the largest ASSC (assistant en soins et santé communautaire) training employer in French-speaking Switzerland.

Scale indicators21 records

Recent moves7 records

Expansion highlights6 records

Regional players

• La Fondation La Grange: Geneva-based foundation delivering home support and elderly services in the same canton as IMAD; partial overlap on aide pratique and senior care in the Lake Geneva region.

Others

• Genève - HUG (Hôpitaux Universitaires de Genève): Cantonal public hospital system that refers into IMAD's HAD and home-care services and is IMAD's principal coordination partner within the Réseau santé-social genevois. Not a competitor but the system counterparty that anchors IMAD's positioning.
• Fondation pour l'Aide et les Soins à Domicile (predecessor FSASD): IMAD's own predecessor organization (private foundation until 2013) — referenced to illustrate institutional lineage and the historical structure of cantonal home-care governance in Geneva.

Direct peers

• Spitex Vaud: Cantonal home-care federation in Vaud coordinating publicly mandated aide et soins à domicile; analogous organizational form and LAMal-funded service portfolio.
• Spitex Bern: Cantonal home-care provider in Bern offering nursing, aide pratique, and palliative services under a public mandate — directly comparable service mix and regulatory setting to IMAD.
• Spitex Zürich: Public-mandated home-care organization serving the Canton of Zürich with a similar portfolio (nursing, practical aid, meals) — the closest geographic and structural analogue to IMAD at cantonal scale.
• Spitex Schweiz: National umbrella association of Swiss home-care providers, including cantonal Spitex organizations in other cantons. Most directly comparable as a non-profit, publicly mandated home-care delivery model analogous to IMAD's role in Geneva.

Broad incumbents

• Senevita: Major Swiss operator of residential and home-care services for the elderly, including its own care-at-home offering. Comparable on elderly-care vertical and Swiss scale but primarily residential rather than home-based.
• Tertianum: Swiss provider of senior living, care, and home services across multiple cantons. Comparable elderly-care clientele and integrated service model, though predominantly real-estate-led.
• Home Instead Suisse: Largest private franchised home-care provider in Switzerland offering companionship, personal care, and dementia support. Comparable on service categories but operates commercially without IMAD's cantonal mandate.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xtwitter.com/imad_geneve
• Facebookfacebook.com/imad.geneve
• LinkedInlinkedin.com/company/imad-geneve
• Instagraminstagram.com/imad_geneve

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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