HNSM

What HNSM does

SAAS (Servei Andorrà d'Atenció Sanitària) is the public healthcare service of the Government of Andorra, operating the Principality's sole hospital, Hospital Nostra Senyora de Meritxell (HNSM), a 180-bed facility with seven medical services plus central support units. Established as a national system and active since at least 2009 (with HNSM founded in 1986), SAAS delivers the full continuum of public healthcare for all citizens and residents of Andorra, including acute hospital care, primary care through parish-level CAPs, emergency services (SUM 116), mental health and addictions treatment, geriatric care, palliative care, dialysis, rehabilitation, and preventive screening programs for breast and colorectal cancer.

The service runs a digital health infrastructure comprising the Andorra Salut mobile application (iOS and Android, secured by Andorran electronic certificates), a web-based Cita Online appointment system, the Història Clínica Compartida shared electronic health record accessible across providers, an internal Professional Portal backed by Microsoft Azure authentication, and a Moodle-based online training platform for staff. Distribution is entirely direct to residents: a single central hospital, multiple parish-level primary care centers, the Centre Sociosanitari El Cedre for residential elderly and disabled care, the UCA addiction unit, and specialized ambulatory units including chronic pain, palliative care, and hemodialysis (16 stations).

The business model is publicly funded universal healthcare: revenue is derived from mandatory CASS (Caixa Andorrana de Seguretat Social) social security contributions and direct government budget allocations, with possible co-payments depending on service type and patient category. There are no private equity, venture capital, or third-party ownership interests. In 2024, SAAS recorded approximately 8,555 hospital admissions, 117,891 external consultations, 42,507 emergency visits at HNSM, 5,380 surgical interventions, 103,459 clinical laboratory requests, 53,464 diagnostic imaging examinations, 428 births, and 81.4% conventional bed occupancy. The system is led by Director General Meritxell Cosan and operates under oversight of the Ministry of Health.

Name

HNSM

Legal name

Servei Andorrà d'Atenció Sanitària

Website

https://saas.ad

Company type

Public

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

SAAS (Servei Andorrà d'Atenciò Sanitària) is the public healthcare service of Andorra, operating the country's only hospital (HNSM), parish-level primary care centers, and specialized units to deliver universal healthcare to all citizens and residents via CASS social security funding.

Ownership category

akta.pro rank

Product category

Public Hospital and Healthcare Services

NAICS

General Medical and Surgical Hospitals (6221), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082)

akta.pro primary industry

Critical Access & Rural Hospitals (HLAFAAAG)

akta.pro secondary industries

Post-Acute Care Networks & Care Management Organizations (HLAFAFAN), Dialysis-Capable / Renal Care SNFs (HLADADAK), HIE Platforms & Network Services (Community/Regional/National) (HLACABAB)

Keywords

• Public hospital services
• Primary healthcare centers
• Emergency medical services
• Specialized medical care
• Elderly care services

Headquarters

HQ city

Escaldes-Engordany

HQ country

Andorra

HQ region

Europe

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Public Healthcare Services: Government-funded national healthcare service providing comprehensive medical care to all Andorra citizens and residents. Funded through mandatory social security contributions to CASS (Caixa Andorrana de Seguretat Social) and government budget allocations.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels3 records

Core offering

SAAS operates HNSM, the only public hospital in the Principality of Andorra, together with a network of primary care centers, specialized outpatient clinics, 24/7 emergency services, surgical and inpatient care, diagnostic imaging, laboratory services, and long-term elderly care. The system delivers integrated public healthcare to affiliated citizens and residents, funded through the CASS social security system, and supported by digital tools including the Andorra Salut mobile application, online appointment booking, and telecare services.

Product overview

HNSM (Servei Andorrà d'Atenció Sanitària) operates as a unified public healthcare system offering integrated medical services across Andorra. The core offerings include Hospital Nostra Senyora de Meritxell (the country's only hospital), multiple Primary Care Centers, emergency services (SUM 116), and specialized units such as Mental Health, Elderly Care, and the El Cedre Social Health Center. Digital services include the Andorra Salut mobile app for accessing appointments and medical records, an online appointment system, a professional portal for staff, and an online training platform. Specialized care programs cover hemodialysis, palliative care, chronic pain management, diabetes care, cancer screening, and maternal-child health.

Differentiator

Problem solved

Functional benefit

Brands

• Unitat de Cures Pal·liatives (UCP): Specialized palliative care unit offering comprehensive support to patients with advanced illness and their families.
• Centre Sociosanitari El Cedre
• Portal Formatiu en Línia
• Cita Online

Products and services

• Hospital Nostra Senyora de Meritxell (HNSM) Andorra's sole public hospital providing inpatient care, surgical services, emergency department, specialized consultations, diagnostic imaging, laboratory, and pharmacy services to CASS-affiliated residents.
• Primary Care Centers (CAP)

Quantifiable outcome

• 42,507 emergency patients treated annually at main hospital
• +2 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

Feature5 records

Partnerships

Five partnerships are on record, tiered core and minor.

• University of Andorra (UdA)coreStrategic or Co-development Partner · 1 January 2024SAAS and UdA expanded their framework agreement to allow the new University Institute for Health Research (IURS) to use equipment from the former National Epidemiology Laboratory. The agreement establishes a shared-use regime for the laboratory specialized in molecular analysis techniques, with initial validity of 10 years (renewable for 5-year periods). The collaboration aims to advance health research in Andorra, supporting SAAS research projects and new IURS initiatives, including joint projects.
• Hospital Clínic de BarcelonaminorStrategic or Co-development Partner · 1 January 2014Collaboration agreement for medical knowledge sharing, second opinions, and potential patient referrals in specialized cases not available in Andorra.
• Avedis Donabedian University InstituteminorStrategic or Co-development Partner · 1 January 2014SAAS joined the e-pract network for excellence in healthcare practice, accessing quality improvement resources and benchmarking.
• Fundació Universitària del BagesminorStrategic or Co-development Partner · 1 January 2014Collaboration agreement for healthcare education and training purposes.
• Grup d'Estudi de Limfomes de Catalunya i Balears (GELCAB)minorStrategic or Co-development Partner · 1 January 2014Hospital Nostra Senyora de Meritxell became a member of the Lymphoma Study Group of Catalonia and Balearic Islands, contributing to and benefiting from research collaboration in hematological malignancies.

Scale indicators14 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Mater Dei Hospital (Malta): Principal acute general hospital serving Malta (population ~500,000) — comparable as a small-nation integrated public-private hospital system facing similar demographic pressure and cross-border medical tourism dynamics.
• Centre Hospitalier Universitaire de Toulouse: Large regional university hospital in southern France near Andorra; represents the kind of cross-border referral partner that micro-state hospital systems depend on for highly specialized care unavailable domestically.

Direct peers

• Centre Hospitalier de Luxembourg: Main public acute hospital for the Grand Duchy of Luxembourg, similar in being the principal national public hospital serving a small but wealthy population with cross-border patient flows and integrated care delivery model.
• Centre Hospitalier Princesse Grace: The sole public hospital serving the Principality of Monaco — the closest structural analogue to HNSM as the single national hospital for a micro-state with a vertically integrated public healthcare mandate, similar bed-count scale, and similar cross-border referral dependency.
• Landssjúkrahúsið (National Hospital of the Faroe Islands): The principal public hospital serving the Faroe Islands' small population (~54,000), structured as the integrated national hospital system — directly comparable in scale, sole-provider status, and the challenge of delivering comprehensive care in a small population catchment.

Others

• Health Service Executive (HSE) Ireland — national public health system: National public health system operator model — comparable as a publicly funded, government-operated integrated healthcare delivery organization rather than at facility level, useful for benchmarking governance, digital health, and capitated-funding models at larger national scale.

Broad incumbents

• Hospital Clínic de Barcelona: Tertiary university hospital with which SAAS holds an active 2014 partnership for knowledge sharing, second opinions, and complex-case referrals — a 'supplier' of specialty capacity that HNSM cannot sustain internally and therefore a structural counterpart in the patient pathway.
• Hospital Universitari Vall d'Hebron: Large Catalan tertiary hospital that functions as a regional referral sink for Andorra-area complex cases; comparable in offering the multi-specialty depth that small-population hospitals like HNSM must access externally for advanced care.
• Hospital Nostra Senyora de Meritxell partner — Hospital Universitari de Girona Dr. Josep Trueta: Catalan regional referral hospital in close geographic and linguistic proximity to Andorra; serves as part of the cross-border referral ecosystem for Andorran patients requiring services beyond HNSM's scope.
• Hospital del Mar (Barcelona): Catalan public university hospital affiliated with the broader referral network accessible from Andorra; useful for benchmarking how integrated public hospitals deliver multi-specialty care at slightly larger scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hnsm

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 HNSM