Your ISOS contract covers evacuation and medical assistance. But it won't tell you about the roadblock forming 30 km from your field team's location right now. That's the gap.
International SOS is the global standard for medical and security assistance. They've earned that reputation over decades. When your engineer breaks a leg at a remote mine site in the DRC, ISOS coordinates the helicopter, the hospital, and the insurance paperwork. That's genuinely hard to replicate.
But here's the question nobody asks during contract renewal: who's watching the threat environment between incidents?
What ISOS Does (and Doesn't Do)
International SOS is a response company. Their core offering is built around what happens after something goes wrong, or when you need expert guidance before deploying to a known-risk area.
What ISOS excels at:
- Medical evacuation, air ambulance, hospital coordination, repatriation
- Security consulting, pre-travel risk assessments, country briefings, on-the-ground security managers
- Travel tracking, knowing where your people are when something happens
- 24/7 assistance centers, a phone number your staff can call from anywhere
What ISOS doesn't do well:
- Real-time local-language monitoring. Their intelligence products focus on English-language sources and analyst-driven assessments. A protest forming in Bishkek that's only being discussed on Kyrgyz Telegram channels? That's not hitting their radar for hours.
- Early warning at the tactical level. ISOS provides country-level risk ratings and travel advisories. They don't tell you that a specific border crossing closed 45 minutes ago or that a militia checkpoint appeared on the road your convoy uses.
- Self-service speed. Getting ISOS stood up takes months of contract negotiation, implementation, and integration. Changing your coverage regions means renegotiating.
Feature Comparison
| Capability | International SOS | Region Alert |
|---|---|---|
| Annual Cost (typical) | $150,000 - $500,000+ | $6,000 - $12,000 |
| Medical Evacuation | Yes (core service) | No |
| Security Consulting | Yes (analyst-staffed) | No |
| Real-Time Local-Language Monitoring | Limited (English-focused) | 100+ languages |
| Alert Speed | After incident / advisory cycle | 12-24 hours before English media |
| Self-Service | No, managed service | Yes, full self-service |
| Setup Time | Months (contract + implementation) | Days |
When ISOS Is the Right Choice
ISOS isn't overpriced for what it delivers. If you need these things, pay for them:
- You have staff in remote locations who need guaranteed medical evacuation coverage
- You're managing a large global workforce (500+ travelers) and need centralized travel tracking
- Your insurance provider or board requires a named medical/security assistance partner for compliance
- You need on-call security managers who can deploy to a crisis site within hours
For organizations with $200K+ security budgets and genuine medevac requirements, ISOS is hard to beat. Don't cut that contract just to save money.
When Region Alert Is the Right Choice
- You need early warning intelligence but your annual security budget is under $20K
- Your operations are concentrated in non-English-speaking regions where local-language signals matter most
- You want to start monitoring a new region in days, not months
- Your team is operationally capable, they can make decisions if they have the information
- You're a mid-size NGO, logistics firm, or commodity trader who doesn't need helicopter medevac but absolutely needs to know what's happening on the ground
The Complement Strategy
Here's what we're seeing more often: organizations running both.
They keep ISOS for what ISOS does best, medevac, insurance compliance, and emergency response. Then they add Region Alert as their early warning layer. The detection system that tells them a road is deteriorating, a protest is forming, or a border is about to close, hours before it becomes an ISOS-level incident.
Think of it as two layers. ISOS is your insurance policy and response capability. Region Alert is your early warning system that reduces how often you need to activate that insurance.
One reacts. The other anticipates. You want both.
Add Early Warning to Your Safety Stack
Start receiving local-language threat intelligence for your regions of operation. No enterprise contract. No six-month implementation. Start in days.
View Pricing OptionsLast updated: February 2026. International SOS is a trademark of International SOS Group of Companies. Region Alert is not affiliated with International SOS.
For a broader comparison of critical event management platforms, see our 2026 Critical Event Management Comparison.