Elephant Healthcare

What Elephant Healthcare does

Elephant Healthcare builds cloud-based, mobile-first, offline-capable electronic health record (EHR) software for government health systems in low- and middle-income countries, with deployed infrastructure across Nigeria, Kenya, and Pakistan. The company's flagship product, ElephantOS, is a lightweight, HL7 FHIR-compliant platform that runs on AWS data centers in the UK, Kenya, and the EU, supports offline workflows with automated syncing, and delivers end-to-end encrypted data with ISO 27001 certification. ElephantOS integrates clinical modules (OPD, ANC, immunization, family planning, lab, pharmacy), inventory management, billing, and Mission Control analytics dashboards, and is served alongside the Elephant Card — a patient-issued QR-coded digital health record. As of the most recent reporting, the platform holds contracts covering approximately 19 million patients across 3,600 primary and secondary care facilities.

The company has expanded its product surface beyond EHR infrastructure with two 2024 launches: Elephant Nudge, an AI-powered clinical co-pilot that delivers targeted nudges, pay-for-performance incentives, and personalized feedback to clinicians (with an initial malaria module integrated with Audere's HealthPulse AI for computer-vision rapid test validation), and Elephant Platform, an AI-driven marketplace that recommends and connects clinicians to third-party diagnostic, telemedicine, and supply chain tools. The underlying business model is enterprise SaaS sold through multi-year government contracts; pricing is quote-based and not publicly disclosed, structured around facility counts, modules, hardware (tablets), connectivity, and ongoing support. Go-to-market is consultative direct enterprise sales via in-country business development teams in Nigeria, Kenya, and Pakistan, with no reseller or self-serve channels.

Elephant is a privately held company headquartered in London (Elephant Healthcare Limited, registered in England & Wales, company number 11438806) with wholly-owned regional subsidiaries in Kenya, Nigeria, and Pakistan. It has raised approximately $13.98 million across funding rounds since 2018, including a $13.58 million Series A in January 2021 led by Novastar Ventures with participation from General Catalyst, Speedinvest, LocalGlobe, and others. Notable government customers include the Kaduna State Government (170+ facilities, expanding toward 1,000+), Enugu State Government (360+ PHCs and 40+ secondary facilities contracted May 2024), the Federal Government of Pakistan's Ministry of National Health Services, and county governments in Kenya. Strategic partners include the Clinton Health Access Initiative (CHAI), Audere, AWS, and the University of Oxford (independent impact validation).

Name

Elephant Healthcare

Legal name

Elephant Healthcare Limited

Website

https://elephant.healthcare

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

51–100 employees

Short description

Elephant Healthcare is a London-headquartered health technology company that builds mobile-first, offline-capable electronic health record software for government health systems in Nigeria, Kenya, and Pakistan, serving 19 million contracted patients across 3,600 public facilities.

Ownership category

akta.pro rank

Product category

Healthcare IT / Electronic Health Records (EHR)

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Information (51)

SIC

Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)

akta.pro secondary industries

EHR Implementation, Optimization, Training & Managed Services (HLACAAAL), API Management & Developer Portals for Health Data (HLACABAD), Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)

Keywords

• Electronic health records
• Digital health platform
• Clinical decision support
• Healthcare digitization
• Mobile health software

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices4 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Government Healthcare IT Contracts: Elephant Healthcare generates revenue primarily through direct contracts with government health ministries and state governments to digitize public healthcare facilities. These are multi-year agreements that include software licensing, implementation services, device deployment (tablets), connectivity solutions, and ongoing support. Contracts cover digitizing primary and secondary health facilities across entire states or regions.
2. Platform Licensing: The company provides ElephantOS and associated modules as a software-as-a-service platform. Healthcare facilities and government health systems pay for access to the platform, including clinical modules, billing, inventory management, and reporting capabilities. Revenue is recurring based on contracted facility counts and patient volumes.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Elephant Healthcare develops and sells a mobile-first, offline-capable cloud-based electronic health record (EHR) platform (ElephantOS) for primary and secondary healthcare facilities in low- and middle-income countries, complemented by an AI-powered clinical co-pilot (Elephant Nudge) that guides, educates and incentivizes health workers, and an AI-driven integration marketplace (Elephant Platform) for third-party healthcare tools. The platform connects clinical care, billing, stock management, analytics, and reporting on a single HL7 FHIR-compliant system deployed across Nigeria, Kenya, and Pakistan.

Product overview

Elephant Healthcare offers a platform-plus-modules product architecture centred on three named offerings. The foundational product is ElephantOS, a mobile-first, offline-capable EHR that digitises primary and secondary healthcare facilities, connecting clinical care, billing, inventory management, and reporting. Built on top of ElephantOS, Elephant Nudge is a clinical co-pilot that uses AI-powered nudges, pay-for-performance incentives, and personalised education to guide clinician behaviour and improve quality of care. Elephant Platform, the third pillar, is an AI-driven integration marketplace that recommends and connects clinicians to third-party software tools, medical devices, and supply chain partners. Patients interact with the system via the Elephant Card — a scannable digital health record tied to a QR code and PIN. The three products form a cohesive stack: ElephantOS provides the digital infrastructure, Elephant Nudge adds an AI guidance layer on top of that infrastructure, and Elephant Platform extends the ecosystem by integrating external tools.

Differentiator

Problem solved

Functional benefit

Brands

• ElephantOS: A lightweight, mobile-first, offline-capable electronic health record (EHR) system designed for primary healthcare and district hospitals in low-connectivity environments.
• Elephant Nudge
• Elephant Platform

Products and services

• ElephantOS
• Elephant Nudge
• Elephant Platform

Named customers11 records

Segments4 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability10 records

Feature8 records

Partnerships

Nine partnerships are on record, tiered flagship and core.

• Enugu State Government, NigeriaflagshipImplementation/ SI/ Consulting Partner · 1 May 2024In May 2024, Enugu State government entered into a partnership with Elephant to digitize all public primary and secondary health facilities across the state and launch Enugu's first eHealth service. Elephant is equipping 360+ primary and 40+ secondary health facilities with tablets, connectivity, and comprehensive EHR system.
• AuderecoreTechnology or Integration · 1 January 2024Elephant partnered with Audere to incorporate their HealthPulse AI solution into Elephant Nudge for malaria case management. The AI validates rapid diagnostic test results instantaneously through image recognition, improving diagnosis accuracy and data quality. This integration enables AI-powered interpretations of malaria rapid tests integrated directly into the clinical workflow.
• Bayelsa State Primary Healthcare Board, NigeriacoreImplementation/ SI/ Consulting Partner · 1 January 2024As part of the CHAI partnership, Elephant digitized 18 public primary health facilities in Bayelsa State, Nigeria. The pilot demonstrated significant improvements in data entry time (up to 84% reduction), patient wait times (60% reduction), and immunization commodity stockouts (90% reduction).
• Ondo State Primary Healthcare Board, NigeriacoreImplementation/ SI/ Consulting Partner · 1 January 2024As part of the CHAI partnership, Elephant digitized 18 public primary health facilities in Ondo State, Nigeria. The pilot showed 50% reduction in data entry time, 76% of health workers active on the system at least 5 days/week, and significant improvements in stock management.
• University of OxfordcoreStrategic or Co-development Partner · 1 January 2023Researchers at the University of Oxford conducted an independent study evaluating the impact of Elephant's Hospital Information Management System on operational and financial performance of health facilities in Kenya. The peer-reviewed study demonstrated statistically significant improvements including 18% reduction in waiting times and 110% increase in recorded revenue.
• Federal Government of Pakistan Ministry of National Health ServicesflagshipImplementation/ SI/ Consulting Partner · 1 May 2022Elephant is working in partnership with Pakistan's Ministry of National Health Services Regulations and Coordination to digitize all primary health facilities in Islamabad Capital Territory and lay digital infrastructure for Universal Health Coverage (UHC). Since launching in May 2022, 5 facilities have been digitized with 90% average product adoption.
• Clinton Health Access Initiative (CHAI)coreStrategic or Co-development PartnerElephant partnered with CHAI to digitize 36 public primary health facilities across Bayelsa and Ondo States in Nigeria. The year-long initiative demonstrated that digitization is transformative in low-resource settings, delivering measurable gains in service efficiency, data quality, workforce accountability, and continuity of care. CHAI provided funding and strategic support for the pilot program.
• Amazon Web Services (AWS)coreTechnology or IntegrationElephant uses AWS cloud infrastructure for data storage and processing. AWS provides secure, durable technology infrastructure with industry-recognized certifications across multiple geographies. Elephant stores and processes data on AWS servers in the UK, Kenya, and EU.
• Kaduna State Government, NigeriaflagshipImplementation/ SI/ Consulting PartnerIn spring 2021, Elephant and Kaduna State Government partnered to digitize the public primary healthcare system. Within 5 months, they rolled out across 170+ facilities using a train-the-trainer approach. The partnership continues to expand to cover all 1000+ facilities in the state.

Scale indicators29 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Helium Health: Africa-focused EHR and hospital management software vendor serving public and private facilities across Nigeria, Ghana, Senegal and East Africa. Directly comparable in target customer (healthcare providers in West Africa), product (cloud EHR + billing), and go-to-market (multi-year contracts with hospital chains and ministries).
• Medic (formerly Medic Mobile): Builds mobile-first, offline-capable health data tools (Community Health Toolkit) used by governments and NGOs across Sub-Saharan Africa and South Asia. Directly comparable in offline-first architecture, LMIC government and CHW customer base, and FHIR-based open architecture.
• Dimagi (CommCare): Provider of CommCare, a mobile data collection and case management platform widely deployed in LMIC public-health programs. Comparable in target customer (government health programs, NGOs), product (mobile-first clinical workflows), and donor-funded deployment model.
• Bahmni: Open-source hospital and clinic management system built on OpenMRS, widely used in India, Africa and Latin America public hospitals. Directly comparable in EHR + clinical workflows + inventory product surface for LMIC public hospitals, though distributed via open-source rather than commercial SaaS.
• OpenMRS: Open-source electronic medical record platform with a global community, deployed in thousands of facilities across 40+ LMICs. Directly comparable in target market (public-sector LMIC hospitals and PHCs) and FHIR/clinical workflow focus; functions primarily as a free alternative Elephant competes against.

Regional players

• mPharma: Ghana-headquartered health-tech company operating across nine African countries with patient-facing pharmacy, telehealth and inventory tools. Comparable in LMIC focus and West African government relationships, but differentiated toward pharmacy supply chain and patient retail rather than EHR.

Emerging players

• Reliance Health: Nigerian digital health insurer and provider combining telehealth, clinic network and health plan operations. Comparable in Nigerian market presence and public-private health partnerships, but oriented to employer-sponsored insurance rather than EHR infrastructure for ministries.

Broad incumbents

• Epic Systems: Dominant US/EU acute-care EHR vendor. Comparable as a horizontal EHR platform competitor; while Epic does not focus on LMIC primary care, its Cosmos data-sharing efforts and global expansion represent a long-term threat if ministries opt for a global incumbent.
• Oracle Health (formerly Cerner): Global EHR and health-IT incumbent with public-sector footprint including national-scale deployments. Comparable as a broad EHR competitor that could enter LMIC primary care via donor or national-government procurement decisions.

Others

• Audere: Health-tech non-profit building AI-validated rapid diagnostic testing (HealthPulse AI) — an existing technology partner of Elephant integrated into Elephant Nudge. Comparable as an ecosystem partner rather than direct competitor, and a useful proxy for the broader LMIC digital health AI tooling category.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/elephant-healthcare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries3 records

Funding overview

Funding rounds3 records

Investors10 records

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 Elephant Healthcare