FINESS Database: France's Registry of Health and Social Care Facilities, and the File to Download

What is the FINESS registry?#

FINESS (Fichier national des établissements sanitaires et sociaux, France's national file of health and social care facilities) is the national reference registry of health, medico-social (care for older adults and people with disabilities), social care and training organizations. The Agence du numérique en santé (ANS, France's digital health agency) runs it under the order of September 23, 2022. Its data is published as open data.

The FINESS database describes legal entities and the facilities they manage. Each one receives a 9-character identifier.

FINESS identifies organizations, not people. Health professionals have their own registry, the RPPS, with an 11-digit identifier (ANS FAQ).

Which facilities are recorded in the FINESS registry?#

The FINESS registry lists 104,762 open facilities, according to the file from the Agence du numérique en santé dated November 2, 2026 (Scalon count, overseas territories included). The FINESS classification of October 5, 2026 breaks them down as follows:

health and medico-social: 50,620 facilities, or 48.3% of the total;

social: 52,657;

education (training for health and social care staff): 1,437 (48 facilities have no category).

This classification places EHPADs (nursing homes) and facilities for people with disabilities in the social domain. Insee (France's national statistics office), which counted them as medico-social, reported 101,368 facilities in September 2023.

They are run by 49,224 operators and fall into 179 categories. The largest as of November 2, 2026:

Pharmacies make up nearly one fifth of the total. The number of EHPADs is covered in our article on nursing homes, pharmacies in how many pharmacies in France, hospitals in how many hospitals in France.

By type of operator, 44,098 facilities belong to the private nonprofit sector (associations, foundations, mutual insurers), 39,241 to the private for-profit sector (companies) and 21,421 to the public sector.

Registration is not optional. The 2022 order requires it for legal entities that must obtain a prior authorization or an approval to operate. The regional health agencies (ARS), the regional and interdepartmental housing directorate, the Île-de-France regional prefecture, the departmental councils and the other competent local authorities maintain these records; they can delegate data entry to state services (DDETS, DREETS), under article 3 of the order.

How a FINESS number is built: legal entity and facility#

The database has two levels. The legal entity (EJ) is the organization itself, with its own legal status: a public hospital, an association, a company. It legally represents one or more facilities.

Each facility, in turn, must be attached to an EJ.

Each level has its own number, hence the common names "FINESS juridique" (legal FINESS) and "FINESS géographique" (site FINESS). This number has 9 characters: the first two identify the département (France's county-level administrative area) where the site is located, the other seven are random (ARS Auvergne-Rhône-Alpes). The code therefore says nothing about the organization's activity. In Corsica, it starts with 2A or 2B; in the overseas territories, with 97 (98 in Mayotte).

The number is tied to the SIREN and SIRET numbers of the Sirene register (the French business register kept by Insee; the SIREN is the company ID, the SIRET the ID of a business location). For legal entities, the match is one to one. For facilities, it is not, Insee notes.

This is where matching against a CRM runs into trouble. An account imported by its SIRET does not always land on a single FINESS facility.

On the operator side, most are small: 41,556 of the 49,224 operators have only one open facility. At the other end, 1,493 operators with at least 10 facilities hold 43,069 of them, or 41% of the registry. The top three are Adoma (736 facilities, mostly social residences and hostels), the French Red Cross (584) and APF France handicap (553). For a supplier, this signals that part of the market is negotiated at the operator's head office, not facility by facility.

Downloading FINESS data: the ANS daily feed#

The database is free. The FINESS - Structures dataset, published by the Agence du numérique en santé on data.gouv.fr, is updated every day. It covers legal entities and geographic operating entities, closed organizations included. A geographic entity is the place where the activity takes place; it has a single facility category, and several can share the same SIRET (ANS FAQ).

The files come as compressed JSON (json.gz). Monthly frozen copies (snapshots), taken on the 1st of the month, and annual ones complement the daily feed. The Licence Ouverte 2.0 (France's open license) allows reuse, provided you cite FINESS and the date of the last update.

A new version of FINESS was deployed on July 20, 2026. The old facilities file is frozen: its data stops at May 4, 2026, and it was last posted online on May 12, 2026. It is replaced by two daily feeds: "structures" data and "activities" data (data.gouv.fr pages checked on November 2, 2026).

In the "structures" file, each legal entity carries the list of its facilities. The fields that matter for a sales file, according to the schema published by the ANS on GitHub (ansforge/finess):

• numFinessPm and siren: the legal FINESS number and the operator's SIREN;
• numFinessEge and siret: the site FINESS number and the facility's SIRET;
• categorieentiteGeographiqueExercice: the category (500 for an EHPAD, 620 for a pharmacy), to decode with the classification published by the ANS;
• etatObjet and dateFermeture: the status, to keep only open facilities;
• adresse and contact: the address of the site and the phone number.

The file of November 2, 2026 weighs 49 MB compressed and describes 175,021 facilities, open or closed: a spreadsheet cannot open it as is; it must first be flattened into rows (a short script is enough).

How do you find a facility's FINESS number and link it to its SIRET?#

In the downloaded file, keep the facility's number, not its legal entity's. This number designates the site where the activity takes place.

To match it with a SIRET, do not rely on a single key. A SIRET match is not enough to identify the right FINESS facility, since the two registries do not map one to one. Start by finding a facility's SIRET, then check the match site by site.

We did this for the 104,762 open facilities, matching their SIRET against the Sirene register as of November 2, 2026. Here is what the SIRET recorded in the registry turns up:

In practice: a file built only on the registry's SIRET directly finds only 7 facilities in 10. Among facilities that have a SIRET, more than 1 in 8 has a closed one (12,336 of 91,593).

Why so many closed SIRETs? The ANS says so in its FAQ: the SIRET recorded is the facility's SIRET "at the time of its registration." Insee explains: "Dans le cas d'un changement de lieu d'exercice, le répertoire Sirene fermera l'ancien établissement et en ouvrira un nouveau alors que dans FINESS l'immatriculation reste la même" (when a facility moves, the Sirene register closes the old location and opens a new one, while the FINESS registration stays the same). For 6,737 of these 12,336 facilities, the same company does have an open location in the same municipality: most likely a changed number, not a discontinued activity. We checked 60 of these closed SIRETs, picked at random, in the public business directory: all are closed; 27 had already closed before 2022, 15 of them before 2020.

When the SIRET is in another municipality, it is most often that of the head office or of another site of the same operator. Of 50 such cases read one by one, 38 point to the head office or another site of the same operator, and 4 to another organization with no visible link.

One last trap: 13,819 facilities share their SIRET with at least one other, as many as 69 facilities on a single SIRET. The Charleville-Mézières hospital, for example, declares under one SIRET the hospital, two free screening centers and two vaccination centers: five FINESS numbers. The most shared SIRET, belonging to an Emmaüs association, covers shelters, supported boarding houses and housing centers.

The file is public. The work lies in sorting it and joining it with your CRM.

Is the activity code enough to find these facilities?#

Not always. Many sales teams build their lists from the activity code (the NAF or APE code, the French activity classification code in the register). We compared this code with the FINESS category for the 79,101 facilities whose SIRET is open. They carry 261 different codes.

In practice: for pharmacies and laboratories, the activity code is almost enough. For health centers, it is not: 39% are classified as dental practice (86.23Z), 25% as general medicine (86.21Z), the rest elsewhere. A list of health centers drawn from a single code misses most of them; the FINESS registry has them all under the same category. The NAF code and its limits are explained in our NAF code guide.

Who to approach: the operator or each facility?#

It depends on the type of facility. The registry links each open facility to its operator. As of November 2, 2026, the share run by operators with at least 10 facilities of the same type ranges from 2% (pharmacies) to 88% (laboratories):

The 1,485 training facilities and facilities with no category are not in this table. In practice: to sell to disability organizations or laboratories, a few hundred head offices open up most of the market. 422 operators run 70% of disability facilities, and 138 run 88% of laboratories. Pharmacies, home help services and EHPADs are mostly prospected one by one.

The operator does not tell the whole story: a group can set up one company per facility, and independent pharmacies join buying groups. So we linked 82,535 sites to the business register through their SIRET. Then we grouped those of the same company, group or buying group: same website, same name, same operator in the registry. As of November 2, 2026, at least 4,110 networks present in several municipalities hold 43,611 of these sites, a little over half. One site can cover several facilities that share a SIRET. On top of the large operators listed above come pharmacy buying groups (Pharm-UPP, Giropharm and Aprium each exceed 400 pharmacies, see how many pharmacies in France) and three private groups that spread their facilities across several companies. All facility types combined (EHPADs, clinics, home care services), they are Clariane (338 sites, 164 companies), Emeis (307 sites, 31 companies) and DomusVi (305 sites, 233 companies). Two networks in three (2,759 of the 4,037 whose department is known) stay within a single department.

As for account size, revenue is known for only a minority. 4,324 of the 47,367 operators (counted by SIREN) publish a non-zero figure, for a fiscal year ending in 2024 or later. Private nonprofit operators (associations, foundations, mutual insurers) almost never publish one: 25 out of 12,615. Nor do public ones: 5 out of 5,652. And 13,471 companies file confidential accounts. Among those that publish one, half of the 3,663 single-facility operators make less than €3.3 million. For the 172 operators with 10 or more facilities, half exceed €37 million (revenue of the whole organization).

To reach the head office, the registry gives a phone number for 6,770 of the 7,668 operators with 2 or more facilities, nearly 9 in 10. It gives an email address for only 82. The business register names an executive for only 202 of the 1,476 operators with 10 or more facilities (counted by SIREN). Our guide to prospect lists explains how to build and then check such a list.

Can you contact facilities with the FINESS file?#

Partly. The file gives a phone number for 88,307 open facilities (84%), but an email for only 924, fewer than 1 in 100. It gives neither a website nor a director's name.

Other public records fill this gap. Of 20,000 facilities with an open SIRET picked at random, 65% have at least one public listing (business directory, business listing, online booking page or website) linked in the Scalon graph: 62% a business directory listing, 46% a public business listing, 28% an online booking page. Among the public business listings, 59% give a website.

Online presence varies a lot by activity: 87% of pharmacies have a linked public business listing, 54% of EHPADs, 38% of home help services. To prospect home help services or disability organizations, rely more on the registry's phone number and on the operator's website.

Does the registry change much in a year?#

Yes. Over the 12 months before November 2, 2026, the file records 1,725 openings and 3,734 closures. But 2,260 of these closures date from the same day, March 18, 2026: community social centers (924), general social services (530) and district social centers (431) were removed from the registry in one batch, along with other social categories. Excluding this removal, 1,474 closures remain for 1,725 openings: the registry is growing slightly. Openings are mostly multi-professional health practices (171), health centers (160), home help services (121) and laboratories (119).

The reform of home care services also shows in the file. Between May and November 2026, home nursing services (SSIAD) drop from 1,737 to 1,440, while combined home help and care services (SAAS), which merge them with home help, rise from 435 to 726.

In practice: a FINESS file downloaded a year ago still lists 3,734 facilities that have since closed, including 2,260 removed on a single day, and misses 1,725 new facilities. The file updates every day, so reload it before each campaign.

What other sources say#

The number of facilities quoted online depends on the date of the file read. These sources count the open facilities of the same registry, at different dates.

In 2023, Insee detailed four domains: 48,017 health facilities, 39,108 medico-social, 12,883 social and 1,360 training. The classification published with the new file groups categories differently, which prevents a domain-by-domain comparison. Between May and November 2026, 2,533 facilities entered the file (768 opened since May, the others recorded with an earlier date) and 793 left it.

Method#

The figures come from the "FINESS - Structures" file of the Agence du numérique en santé dated November 2, 2026, active facilities with no closing date, and from the FINESS classification of October 5, 2026. The Sirene register was checked in the Scalon graph on November 2, 2026, looking up each facility by its SIRET.

Cite this study#

Sources#

• FINESS - Structures, fichier du 2 novembre 2026, Agence du numérique en santé, data.gouv.fr
• FINESS - Activités, Agence du numérique en santé, data.gouv.fr
• FINESS Extraction du fichier des établissements, données au 4 mai 2026, data.gouv.fr
• Arrêté du 23 septembre 2022 relatif au répertoire FINESS, Légifrance
• FINESS, le répertoire des établissements de santé, Courrier des statistiques n° 10, Insee, décembre 2023
• Répertoire FINESS, ARS Auvergne-Rhône-Alpes, juin 2025
• Établissements sanitaires et médico-sociaux recensés en Auvergne-Rhône-Alpes, ARS, juillet 2025
• Quelle différence entre FINESS juridique et géographique ?, FAQ de l'Agence du numérique en santé
• Différences entre identifiants RPPS, AM et FINESS, Agence du numérique en santé
• Schéma du flux « structures », dépôt ansforge/finess, GitHub
• Nomenclatures FINESS du 5 octobre 2026, Agence du numérique en santé