Founda
Founda is a healthcare data availability platform provider that unifies clinical data, documents, and medical imaging across disconnected systems using HL7, FHIR, DICOM, and IHE standards, selling modular enterprise SaaS to hospitals, health information exchanges, and technology partners across Europe, North America, and Asia.
- Company typePrivate
- Founded2019
- HeadquartersAmsterdam, Netherlands
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What Founda does
Founda Health Holding B.V. (operating as Founda) is a healthcare data availability platform provider founded in 2019 and headquartered in Amsterdam, with a regional headquarters in San Francisco and an engineering office in Bengaluru. The company sells a modular, API-first software platform built on HL7, FHIR, DICOM, and IHE interoperability profiles that unifies clinical data, documents, and medical imaging across disconnected EHR, PACS, laboratory, and regional network systems. Its product surface is organized into five solution modules (Image Availability, Document Availability, Clinical Data Availability, Patient Referral, Unified Patient Record) and a set of backend capabilities including XDSCloud (XDS-as-a-service), Master Patient Index, Patient Data Index, Integration Engine, Notifications Manager, Auto Reconcile, Image Prefetch, Audit Manager, and the VZVZ-certified Mitz Connector, with three UI surfaces (Health Portal, Control Center, Patient Facing Viewer).
The platform is sold to two primary segments: hospitals and clinical provider organizations that need cross-system data exchange, and Health Information Exchanges (HIEs) that operate regional or national interoperability infrastructure. Founda targets large enterprise accounts through a direct field-sales motion augmented by a structured Founda Partner Network spanning solution providers/system integrators, BPO/managed services resellers, referral/consulting partners, and embedded/white-label partners. Revenue is generated through platform subscriptions and usage-based pricing under quote-based enterprise contracts; no list pricing is disclosed. Operationally, the platform reports 250M+ documents and images available, 350K+ transactions per hour, 3,000+ connected providers, 50+ ecosystem partners, and active presence in 10+ markets, anchored by a deep Dutch installed base that includes 27 institutions on the XDSCloud.
The company traces its technology lineage to Philips/Forcare, consolidating those interoperability assets in January 2024, and operates with approximately 51-100 employees across Europe, North America, and Asia. Recent strategic activity in late 2025 — including the Health-RI partnership for the Dutch National Health Data Catalogue, the VZVZ Mitz Connector certification, the OLVG VNA-to-AGFA PACS migration, and the launch of native consent-management and automated reconciliation capabilities — indicates the company is productizing compliance and workflow features on top of its exchange infrastructure and positioning for the European Health Data Space.
Founda firmographics
Firmographics- Name
- Founda
- Legal name
- Founda Health Holding B.V.
- Website
- https://foundahealth.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Founda is a healthcare data availability platform provider that unifies clinical data, documents, and medical imaging across disconnected systems using HL7, FHIR, DICOM, and IHE standards, selling modular enterprise SaaS to hospitals, health information exchanges, and technology partners across Europe, North America, and Asia.
- Ownership category
- akta.pro rank
Founda industry classification
Industry- Product category
- Healthcare Interoperability Platform
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement) (HLACAIAL)
- akta.pro secondary industries
- Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM), FHIR/HL7 Data Repositories & Canonical Data Models (HLACAIAI), Image Exchange, Sharing & Patient/Provider Portals (DICOM/Web) (HLACALAI)
Keywords
Where Founda is headquartered
LocationHeadquarters
- HQ city
- Amsterdam
- HQ country
- Netherlands
- HQ region
- Europe
Offices3 records
Markets served
Founda business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales
Revenue model
- Healthcare Data Availability Platform Subscription: Founda operates as a SaaS/platform provider offering its data availability infrastructure to healthcare organizations. Revenue is generated through platform subscriptions and usage-based pricing. The platform supports cloud, on-premise, and hybrid deployment models.
Go-to-market motion2 records
Distribution channels5 records
Marketing channels7 records
Founda product offering
Product offeringCore offering
Founda operates a global, cloud-native healthcare data availability platform that securely unifies clinical documents, medical images, and structured patient data across disconnected hospital systems and regional networks. The platform is built on open healthcare standards (HL7, FHIR, DICOM, IHE XDS/XCA/XCPD/PIX) and delivered as five modular solutions — Image Availability, Document Availability, Clinical Data Availability, Patient Referral, and Unified Patient Record — sold via subscription and usage-based pricing to hospitals, Health Information Exchanges, and technology partners worldwide.
Product overview
Founda Health is a global healthcare data availability platform built on a modular, unified platform architecture. The core Founda Health Platform serves as the foundational layer for all offerings, with Solutions (Image Availability, Document Availability, Clinical Data Availability, Patient Referral, Unified Patient Record) built from specialized functional blocks called Capabilities. UI Capabilities include the Founda Health Portal (clinician-facing), Founda Control Center (admin-facing), and Founda Patient Facing Viewer (patient-facing). Backend Capabilities include Image Prefetch, Auto Reconcile, XDSCloud, Admin Manager, Analytics, Audit Manager, Clinical Data Repository, Community Gateway, Document Repository, Integration Engine, Master Patient Index, Notifications Manager, Patient Data Index, and the Mitz Connector. Founda supports Cloud, On-premise, and Hybrid deployment models.
Differentiator
Problem solved
Functional benefit
Products and services
- Founda Health Platform A global, modular, API-first healthcare data availability platform that unifies clinical documents, medical images, and structured patient data across disconnected hospital systems and regional networks using HL7, FHIR, DICOM, and IHE standards. Sold via subscription and usage-based pricing to hospitals, Health Information Exchanges, and technology partners.
- Image Availability Solution enabling DICOM imaging studies, reports, and diagnostic images to be discovered, exchanged, and made available across healthcare organizations and care settings through XDS/XCA-based infrastructure. For hospitals and networks needing cross-enterprise imaging exchange.
- Document Availability Solution that enables clinical documents to be shared and made available across healthcare organizations via standards-based interoperability, supporting cross-enterprise document workflows.
- Clinical Data Availability Solution enabling structured clinical data to be exchanged and made available across healthcare organizations and regional networks, supporting care coordination across fragmented systems.
- Patient Referral Solution that supports care coordination workflows across systems, partners, and care settings, enabling patient information to flow reliably during referrals, transfers, and specialised care journeys.
- Unified Patient Record Solution that connects data from every connected system and region into a single, trusted view of each patient's history, aggregating EHR, PACS, lab, and regional network data into a consolidated timeline accessible within existing clinical workflows.
- XDSCloud XDS-as-a-service managed solution providing a full IHE XDS stack (registry, repository, audit record repository, XCA gateway, and consumer) plus connections to EMR, RIS/PACS, or other data sources, delivered as a managed cloud service to health institutions.
- Founda Mitz Connector Certified connector that enables Dutch healthcare providers to perform Mitz consent checks directly within their existing Founda workflows on the Dutch XDSCloud, with no additional vendors or new infrastructure required. For Dutch hospitals and HIEs needing national consent registry compliance.
Quantifiable outcome
- 250M+ healthcare documents and images made available through the platform
- +5 more outcomes
Companies that use Founda
Customer profileNamed customers15 records
Segments2 records
Ideal customer profiles2 records
Founda technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration15 records
Feature15 records
Founda partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- Health-RIcoreFounda Health partnered with Health-RI to integrate clinical imaging data into the National Health Data Catalogue in the Netherlands. Founda's technology bridges hospitals' imaging data with the Health-RI catalogue, making imaging metadata findable and accessible in a secure, standardized, and privacy-conscious way. This enables imaging data to be reused responsibly for research, innovation, and policy development.
- VZVZcoreVZVZ (Voorwaarden voor Verantwoorde Zorginformatie-uitwisseling) is the organization behind the national Mitz registry in the Netherlands. Founda partnered with VZVZ to achieve official Mitz Connector certification, enabling Dutch healthcare providers using the Founda Platform to perform Mitz consent checks directly within their existing Founda workflows on the Dutch XDSCloud.
- RSO NederlandminorRSO Nederland (Regionale Supportfunctie Ontwikkeling) is responsible for future maintenance of the XDS in the Netherlands live map, developed by Founda to show connections between Dutch healthcare providers using XDS-based infrastructure.
Scale indicators15 records
Recent moves6 records
Expansion highlights5 records
Founda competitors and assessment
Company assessmentBroad incumbents
- Dedalus Group: Dedalus is a major European healthcare IT vendor offering EHRs, interoperability, and diagnostic imaging solutions across multiple EU countries, with overlapping clinical and imaging interoperability capabilities.
- Philips HealthSuite Interoperability: Philips offers health IT and interoperability solutions (and historically the Forcare assets later acquired by Founda); competes as a broader incumbent vendor with imaging and clinical interoperability suites overlapping Founda's modules.
- Optum (Change Healthcare): Optum (via the Change Healthcare acquisition) operates one of the largest U.S. healthcare data exchange and interoperability networks, providing broad competition to Founda's clinical data and imaging exchange offerings.
Emerging players
- 1upHealth: 1upHealth operates a FHIR-based healthcare data platform focused on aggregating and exchanging patient records across providers and payers, overlapping with Founda's clinical data availability and unified patient record capabilities.
- Particle Health: Particle Health provides a FHIR-based API platform for medical record retrieval and exchange across U.S. providers and payers, an adjacent data availability model to Founda's platform.
- Redox: Redox is a healthcare API platform that connects EHRs and digital health applications using HL7/FHIR; overlaps with Founda's API-first interoperability thesis, particularly for app developers and digital health integrators.
- Health Gorilla: Health Gorilla is a Clinical Data Network and interoperability platform enabling FHIR-based exchange of clinical records, imaging and lab data across providers; comparable to Founda's data availability and image/document exchange modules.
Direct peers
- InterSystems: InterSystems HealthShare is one of the most widely deployed HIE and interoperability platforms globally, directly competing with Founda in FHIR-based clinical data exchange, patient indexing, and document/image sharing across hospitals and HIEs.
- Rhapsody (Lyniate): Rhapsody by Lyniate provides healthcare-focused integration engines and interoperability solutions (formerly Rhapsody and Corepoint), competing directly with Founda's Integration Engine and standards-based exchange capabilities.
- Orion Health: Orion Health offers an HIE platform with strong presence in multiple national and regional exchanges; competes with Founda in cross-enterprise document sharing, patient indexing, and regional care coordination deployments.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Founda social profiles
Digital presenceFounda compliance and trust
Trust signalCompliance4 records
Founda financial estimates
Financial estimateRevenue estimate
Valuation estimate
Founda leadership team
Management profileNumber of profiles
Profiles4 records
Founda funding detail
Funding detailFunding overview
Funding rounds1 record
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Founda M&A and investment
M&A and investmentM&A2 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Founda
What does Founda do?
Founda operates a global, cloud-native healthcare data availability platform that securely unifies clinical documents, medical images, and structured patient data across disconnected hospital systems and regional networks. The platform is built on open healthcare standards (HL7, FHIR, DICOM, IHE XDS/XCA/XCPD/PIX) and delivered as five modular solutions — Image Availability, Document Availability, Clinical Data Availability, Patient Referral, and Unified Patient Record — sold via subscription and usage-based pricing to hospitals, Health Information Exchanges, and technology partners worldwide.
Is Founda a public or private company?
Founda is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Founda founded?
Founda was founded in 2019. It employs 51 to 100 people.
Where is Founda based?
Founda is headquartered in Amsterdam, Netherlands, in the Europe region.
How does Founda make money?
One revenue line is on record: healthcare Data Availability Platform Subscription.
Who are Founda's main competitors?
Broad incumbents on record are Dedalus Group, Philips HealthSuite Interoperability and Optum (Change Healthcare). Emerging players are 1upHealth, Particle Health, Redox and Health Gorilla. Direct peers are InterSystems, Rhapsody (Lyniate) and Orion Health.
Does Founda have an API?
Yes. Founda describes its platform as having an 'API-first foundation' built as 'secure, well-documented APIs to simplify integration and accelerate innovation'. The platform supports FHIR, HL7, DICOM, and IHE interoperability protocols. Developer accounts are offered through the Partner Network for accessing Founda's platform programmatically. Developer documentation is at docs.founda.com.
What industry is Founda in?
Founda's product category is Healthcare Interoperability Platform. Its primary akta.pro industry code is HLACAIAL, Data Access, Sharing & Marketplace Platforms (incl. TEFCA/QHIN enablement), with a secondary code of HLACABAA, Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE). Its NAICS code is 518 and its SIC code is 7370.