Hopital A Domicile De Nantes Et Region

What Hopital A Domicile De Nantes Et Region does

Hôpital à Domicile de Nantes et Région (HAD Nantes & Région) is a French non-profit healthcare establishment (Établissement de Santé Privé d'Intérêt Collectif, ESPIC) founded in 1980 and headquartered in Orvault. The organization delivers hospital-at-home (hospitalisation à domicile) services across Loire-Atlantique, operating four physical antennas that collectively serve 149 municipalities and provide multidisciplinary clinical care to approximately 281 patients per day. It is funded principally by the French national health insurance (Assurance Maladie) under nationally administered per-diem tariffs, holds the FNEHAD national HAD label, and was awarded Haute Autorité de Santé (HAS) certification in September 2025 with the rating "Haute Qualité des Soins."

Its care portfolio spans palliative care (including the rapid ERI-SP intervention team launched in January 2025, which served approximately 400 patients within roughly eight months), post-surgical follow-up, oncology and at-home chemotherapy, complex wound care, IV therapies and acute respiratory support. Care is delivered by salaried multidisciplinary teams — physicians, nurses, care assistants, social workers and psychologists — coordinated with regional hospital partners (notably the CHU de Nantes), palliative platforms (COMPAS, EMSP, USP), EHPADs and community-based liberal professionals, the latter onboarded through a digital information portal launched in June 2024.

The business model is a public-payer, fee-for-service-in-nature but per-diem-tariff structure: every patient-day is reimbursed at a nationally set rate defined by care type, with the ESPIC legal form reinvesting any surplus into mission rather than distributing it. Revenue is not publicly disclosed, but the throughput signal of 281 patients/day across four antennas and a diversified care mix is consistent with a mid-sized regional HAD operator rather than a small local one. The organization has no disclosed AI or technology platform; its primary "technology" moats are its regulatory status, regional distribution density, and clinical coordination network.

Name

Hopital A Domicile De Nantes Et Region

Legal name

HAD Nantes & région

Website

https://had-nantesetregion.fr

Company type

Private

Founded year

1980

Operating status

Operating

Short description

Hôpital à Domicile de Nantes et Région is a French ESPIC hospital-at-home provider founded in 1980, serving about 281 patients per day across 149 municipalities in Loire-Atlantique via salaried multidisciplinary teams funded by Assurance Maladie.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

General Medical and Surgical Hospitals (6221), Nursing Care Facilities (Skilled Nursing Facilities) (623110), Offices of All Other Health Practitioners (62139)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Hospitals (8060)

akta.pro primary industry

Tracheostomy Weaning & Pulmonary Rehabilitation LTACHs (HLAFAOAI)

Keywords

• Home hospitalization
• Hospital at home
• Palliative care
• Home nursing
• Rehabilitation services

Headquarters

HQ city

Orvault

HQ country

France

HQ region

Europe

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Service Reimbursement: Hospital at home services are covered under the same conditions as classical hospitalization by French national health insurance (Assurance Maladie). Depending on the patient's situation and care provided, reimbursement by the Sécurité Sociale can reach 100%. Mutual insurers cover the co-payment (ticket modérateur) as a supplement to national insurance.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Hôpital à Domicile Nantes & Région (HAD Nantes & Région) is a private non-profit healthcare establishment (ESPIC) that delivers hospital-level medical and paramedical care directly in patients' homes. Founded in 1980 and headquartered in Orvault, it operates four antennas covering 149 municipalities in Loire-Atlantique, providing multidisciplinary home hospitalization services for adults, children, and postpartum women with an average daily census of 281 patients.

Product overview

Hôpital à Domicile Nantes & Région (HAD) is a private healthcare establishment of collective interest (ESPIC) providing hospital-at-home services across Loire-Atlantique, France. The organization operates through four antennas serving 149 communes with approximately 281 patients daily. The service portfolio consists of three main care pathways: Soins Généraux (General Care) for complex treatments including wound care, pain management, chemotherapy, and palliative care; Ante et Post-Partum (Maternity Care) for pregnancy monitoring; and HAD-R (Rehabilitation) for post-stroke, orthopedic, and polytrauma rehabilitation. Specialized services include PleurX pleural drainage, negative pressure wound therapy (TPN/PICO), intravenous antibiotics, chemotherapy administration (VIDAZA, VELCADE, HERCEPTIN), and rapid palliative care intervention (ERISP). Care is delivered 24/7 through multidisciplinary teams coordinating salaried staff and liberal professionals, with a secure information portal launched in June 2024 for partner collaboration.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• 281 patients cared for at home per day
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature2 records

Partnerships

15 partnerships are on record, tiered core and minor.

• Liberal Health Professionals (Conventioned)coreStrategic or Co-development Partner · 24 June 2024Professionals libéraux sous convention with HAD, including liberal nurses, physiotherapists, and other allied health professionals. They work under convention with secure access to the computerized patient record, contributing to care delivery at patient homes.
• Hospitals, Clinics, and EHPADscoreStrategic or Co-development PartnerPartner establishments that refer patients to HAD and collaborate on patient care pathways. Includes hospitals, clinics, and EHPADs (nursing homes) across the Loire-Atlantique territory.
• Coordination Mutualisée de Proximité pour l'Appui et le Soutien (COMPAS)coreStrategic or Co-development PartnerPalliative care and end-of-life coordination partner on the territory. HAD collaborates with COMPAS alongside EMSP (mobile palliative care teams), USP (palliative care units), treating and hospital physicians, and volunteer associations.
• Mobile Palliative Care Teams (EMSP)coreStrategic or Co-development PartnerMobile palliative care teams operating on the territory, collaborating with HAD on palliative care patient management, symptom control, and end-of-life accompaniment.
• Palliative Care Units (USP)coreStrategic or Co-development PartnerSpecialized inpatient palliative care units collaborating with HAD for patient referrals and care coordination in complex palliative cases.
• Partner Cancerology EstablishmentscoreStrategic or Co-development PartnerPartner cancerology institutions that coordinate injectable chemotherapy administration in HAD. The care pathway requires close coordination between oncologists, pharmacists, and HAD health professionals, with established procedures for each chemotherapy product.
• Home Care and Aid ServicesminorStrategic or Co-development PartnerServices d'aide à domicile providing in-home assistance to improve patient comfort and support for families alongside medical care delivered by HAD teams.
• Coordinating Pharmacist / Healthcare Products TeamcoreTechnology or IntegrationCoordinating pharmacist and healthcare products team involved in managing medication supply, IV therapies, and complex pharmaceutical treatments delivered at patient homes (e.g., chemotherapy, Ilomedine, antibiotics).
• Sanitary Transport ProvidersminorChannel Partner/ Reseller/ DistributorAmbulance and sanitary transport service providers supporting patient transfers and logistics for medical equipment and treatment delivery.
• JALMALV (Jusqu'à la Mort Accompagner la Vie)minorOthersEnd-of-life accompaniment volunteer association recognized as a user representative on the Commission des Usagers (CDU), advocating for patient rights and quality of care.
• Ligue Contre le CancerminorOthersCancer patient advocacy association represented on the Commission des Usagers (CDU) by Madame Marie Jaillais, contributing to patient rights oversight and quality monitoring.
• France HANDICAP – APFminorOthersDisability rights association represented on the Commission des Usagers (CDU) by Monsieur Jean-Pierre Blain, contributing to accessibility and patient rights monitoring.
• Association pour la Recherche sur la SLA (ARLSA)minorOthersALS (amyotrophic lateral sclerosis) research association represented on the Commission des Usagers (CDU) by Monsieur Guy Lucas.
• Association Siel BleuminorOthersPhysical activity educator from Association Siel Bleu participated in the Multiple Sclerosis (SEP) awareness day organized by HAD, providing exercise and wellness guidance for patients.
• CHU de NantescoreStrategic or Co-development PartnerUniversity Hospital of Nantes collaborated on the Multiple Sclerosis day event, with Dr David Laplaud (Head of Neurology) and Ophélie Toublanc (Neuropsychology psychologist) providing specialized expertise and lectures.

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Elsan: Major French private hospital group operating clinics and home-care services across France. Comparable as a broad incumbent that competes for the same physician referrals and complex home-care patients while benefiting from a wider service portfolio.
• Ramsay Santé: One of the largest private hospital groups in France with hospital-at-home services bundled into its broader inpatient and outpatient portfolio. Comparable as a larger incumbent that overlaps with HAD Nantes & Region's core offering but operates at national scale across many specialties.

Others

• Korian (Home Care / HAD): Major European nursing home and home-care operator with adjacent home-care and HAD services in France. Comparable on home-care delivery infrastructure and patient population overlap, though more oriented to long-term residential care than acute hospital-at-home.
• CHU de Nantes (Nantes University Hospital): Academic hospital center in Nantes that partners with HAD Nantes & Région on care pathways and referrals. Included as an institutional partner/ecosystem participant rather than a direct competitor, but a key upstream source of HAD patient referrals.
• Orpea: Large European nursing home and home-care group with French operations spanning residential facilities and home care services. Comparable as an adjacent home-care provider serving similar patient demographics, particularly EHPAD and elderly populations.

Direct peers

• HAD de l'AP-HP (Assistance Publique – Hôpitaux de Paris): The hospital-at-home arm of the Paris public hospital system, delivering complex home-based medical care within a public hospital network. Directly comparable to HAD Nantes & Région as a regionally anchored French HAD provider operating under the same reimbursement and certification regime.
• Santé Service HAD: One of the largest French hospital-at-home (HAD) providers in the Île-de-France region, offering multidisciplinary home hospitalization under the same French national reimbursement framework. Directly comparable in service model, payer mix, and regulatory positioning to HAD Nantes & Région.
• Croix-Rouge française HAD: The French Red Cross operates hospital-at-home services across multiple French regions with multidisciplinary teams and the same Sécurité Sociale reimbursement model. Comparable as a large non-profit / ESPIC-equivalent HAD provider serving complex home care needs.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hopital-a-domicile-de-nantes-et-region

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 Hopital A Domicile De Nantes Et Region