What Smart119 does

Smart119 Inc. (株式会社Smart119) is a Japanese medical technology company founded in May 2018 by Dr. Taka-aki Nakada, an emergency medicine physician and professor at Chiba University Graduate School of Medicine. The company develops and operates a cloud-based SaaS platform that enables real-time information sharing between fire dispatch centers, ambulance crews, and receiving hospitals across Japan's emergency medical system. Its flagship Smart119 emergency medical information service addresses Japan's "tarai-mawashi" patient-dumping problem through batch hospital admission requests, voice-recognition-driven hands-free documentation, OCR-based capture of patient identification documents, and direct integration with ambulance ECG monitors. The platform covers roughly 8 million residents across 31 fire departments and 150 medical institutions in Chiba Prefecture alone, with deployments or pilots in Hiroshima, Kanagawa, Hokkaido, Fukushima, Ishikawa, and elsewhere.

The platform's technical differentiation rests on three peer-reviewed AI prediction algorithms — stroke (AUC 0.980), acute coronary syndrome (AUC 0.861-0.864), and emergency demand forecasting (AUC 0.88) — combined with voice recognition, OCR, and ECG-monitor integration validated against 617,000+ labeled emergency records. Smart119 sells six product lines on a SaaS subscription basis: Smart119 emergency medical information, ACES (hospital emergency staff assembly), respon:sum (disaster response and BCP), Smart:TelMed (LINE WORKS-based telemedicine), Smart:RA (research achievement sharing), and Smart:Work (hospital shift management). Customers are almost exclusively municipal fire bureaus, prefectural governments, and designated disaster hospitals, reached via direct enterprise sales, paid demonstration experiments, and the annual Next-Generation Emergency Medicine Symposium (500+ attendees, 400+ fire departments).

Following a business transfer agreement in June 2025 and subsidiary restructuring completed in April 2026, Smart119 operates as a wholly-owned subsidiary of Ankusu Co., Ltd. (株式会社アンクス), a Kagoshima-based AWS partner with ~100 engineers. The two entities have stated a joint target of deploying Smart119 in 100 Japanese municipalities. Revenue, pricing, and detailed financials are not publicly disclosed.

Name

Smart119

Legal name

株式会社Smart119

Website

https://smart119.biz

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

11–50 employees

Short description

Smart119 is a Japanese medical technology company that provides a cloud-based SaaS platform enabling real-time information sharing, AI-powered predictive diagnostics, and coordinated emergency response between fire bureaus, ambulance crews, and hospitals across Japan.

Ownership category

akta.pro rank

Product category

Emergency Medical Information Systems

NAICS

Emergency and Other Relief Services (62423), Social Assistance (624)

SIC

Services-Health Services (8000)

akta.pro primary industry

Dispatch, Communications & Medical Control Centers (PSAP/ECC) (HLAFANAK)

akta.pro secondary industry

Emergency Department (ED) Information Systems & Documentation (HLACAAAE)

Keywords

• Emergency medical software
• Prehospital information systems
• EMS dispatch platform
• Disaster response technology
• Hospital staff assembly

Headquarters

HQ city

Chiba-shi

HQ country

Japan

HQ region

Asia

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Smart119 Emergency Medical Information System Subscription: SaaS subscription model for municipalities and fire bureaus using the Smart119 platform. Government contracts typically involve multi-year arrangements with per-deployment or per-user pricing. Revenue from system implementation, training, and ongoing support services.
2. ACES Emergency Staff Assembly System: Monthly subscription service for hospitals with per-user and per-device pricing. Initial setup fees for customization plus recurring monthly fees. Minimum contract period of one year.
3. Respon:sum Disaster Response System: Monthly subscription model with initial free trial period of 6 months. No initial setup fees for customers signing via campaign. Revenue from healthcare institution subscriptions.
4. Smart:RA Research Achievement Sharing Service: Cloud-based research management platform for medical departments, likely subscription-based for academic medical institutions
5. Smart:TelMed Telemedicine Service: Remote consultation service integrated with LINE WORKS, providing telemedicine capabilities to healthcare providers

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels6 records

Core offering

Smart119 builds and sells a cloud-based SaaS emergency medical information system that links fire dispatch centers, ambulance crews, and receiving hospitals with real-time data sharing, voice-recognition input, OCR capture, ECG monitor integration, and AI-powered prediction for stroke and acute coronary syndrome. The portfolio also includes ACES (emergency staff assembly), respon:sum (disaster response/BCP), Smart:TelMed (telemedicine), Smart:RA (research management), and Smart:Work (shift management), sold primarily as monthly subscriptions to municipal fire bureaus, prefectural governments, and hospitals across Japan.

Differentiator

Problem solved

Functional benefit

Brands

• Smart119 救急医療情報サービス: Emergency medical DX platform enabling real-time information sharing between fire dispatch centers, emergency teams, and medical institutions.
• ACES (Acute Care Elastic System)
• respon:sum (レスポンサム)
• Smart:TelMed (テルメッド)
• Smart:RA

Products and services

• Smart119 救急医療情報サービス (Smart119 Emergency Medical Information Service) Cloud-based SaaS emergency medical information system that shares real-time patient, dispatch, and triage information across fire dispatch centers, ambulance crews, and receiving hospitals, integrating voice recognition input, OCR capture, ECG monitor data, AI prediction, and batch hospital admission requests. Sold as a subscription to municipal fire bureaus and prefectural governments across Japan.
• ACES (Acute Care Elastic System) Cloud-based one-click emergency staff assembly and notification system for hospitals that distributes summons via email, LINE, and social media with response tracking and personnel deployment visualization. Sold as a monthly per-user/per-device subscription to hospitals including Chiba University Hospital, with a minimum 1-year contract and initial setup fees.
• respon:sum (レスポンサム) Disaster Response System Business continuity planning (BCP) tool for designated disaster response hospitals enabling emergency staff assembly, health management, deployment coordination, and safety confirmation. Offered as a monthly subscription with a 6-month free trial period and no initial setup fees for campaign participants.
• Kawasaki City AI Emergency Demand Forecasting System AI-powered ambulance deployment optimization module deployed for Kawasaki City Fire Bureau to predict emergency demand by time and location, enabling optimal ambulance placement and reducing potential arrival time by up to 3 minutes 14 seconds. Subscribed by municipal fire bureaus as an extension of the Smart119 platform.
• Smart:TelMed (テルメッド) Telemedicine Service Remote medical consultation service integrated with LINE WORKS, providing telemedicine capability using chat, stamps, bulletin boards, calendar, address book, and survey functions for healthcare providers and patients.
• Smart:RA Research Achievement Sharing Service Cloud-based research management platform enabling medical departments to share research achievements and publications, likely offered as a subscription to academic medical institutions.

Quantifiable outcome

• Up to 66% reduction in hospital transfer decision time (from 21 min 46 sec to 7 min 33 sec)
• +5 more outcomes

Named customers11 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability10 records

Feature8 records

Partnerships

Seven partnerships are on record, tiered strategic, core and minor.

• what3words Ltd.strategicTechnology or Integration · 17 December 2025Location technology partnership integrating what3words precise location addressing into Smart119's emergency dispatch system. Enables accurate location identification in areas without traditional addresses, such as hiking trails, beaches, and disaster areas.
• Ankusu (株式会社アンクス)coreStrategic or Co-development Partner · 16 June 2025Smart119 transferred its Smart119 business to Ankusu in 2025, combining Smart119's emergency medical AI technology with Ankusu's AWS cloud expertise and 100-person engineering team. Joint goal of expanding to 100 municipalities. Ankusu operates as a subsidiary with the Smart119 brand continuing.
• AstraZeneca (アストラゼネカ)strategicStrategic or Co-development Partner · 16 June 2023Collaboration through i2.JP open innovation network to enable rapid identification of patients taking critical medications (anticoagulants, antiplatelet drugs, insulin, epinephrine) during emergency transport. Joint proof-of-concept demonstration with Smart119 system's medication database integration.
• Aioi Nissay Dowa Insurance (あいおいニッセイ同和損害保険)minorStrategic or Co-development Partner · 1 June 2023Collaboration on ambulance driver safety management service. Combines Smart119's emergency dispatch data with insurance company's driving data to optimize ambulance deployment and safety.
• Chiba City Fire Bureau (千葉市消防局)coreStrategic or Co-development Partner · 1 July 2020First major implementation partner. Three-year collaborative development and demonstration leading to full deployment. Chiba City serves as the primary reference site for Smart119's emergency medical information system.
• Japan Agency for Medical Research and Development (AMED)coreStrategic or Co-development Partner · 1 October 2019Government research funding agency providing grants for medical device development. Funded both AMED 1st Project (2016-2019) and AMED 2nd Project (2019-2021) for Smart119's AI prediction algorithm development.
• Chiba University (千葉大学)coreStrategic or Co-development Partner · 1 October 2016Founding academic partner. Joint development through AMED research projects. CEO Takaaki Nakada serves as professor at Chiba University Graduate School of Medicine, enabling direct translation of clinical needs into technology solutions.

Scale indicators11 records

Recent moves8 records

Expansion highlights7 records

Direct peers

• ESO Solutions: US-based software company focused on EMS, fire, hospital, and prehospital data, offering ePCR, ESO HDE (Health Data Exchange), and analytics; serves fire departments and receiving hospitals with the same core workflow Smart119 targets in Japan.
• ImageTrend: US-based SaaS provider of electronic patient care reporting (ePCR), fire/EMS records, and prehospital data analytics; directly comparable to Smart119's emergency medical information system, but serving North American municipal fire and EMS customers.

Broad incumbents

• Dräger: Established manufacturer of emergency medical devices, patient monitoring, and clinical IT for EMS and hospitals globally; overlaps with Smart119 on ambulance-to-hospital data capture and acute care technology stacks.
• Philips Healthcare: Global incumbent in patient monitoring, acute care, and clinical informatics; competing portfolio of hospital-connected monitoring and emergency department IT systems addresses similar buyer needs to Smart119's prehospital-to-ED platform.
• ZOLL Medical: Major manufacturer of cardiac monitors/defibrillators and EMS data software; Smart119 already integrates with Asahi Kasei Zoll X Series monitors and competes with ZOLL's broader prehospital data ecosystem across patient monitoring and emergency documentation.
• NEC Corporation: Major Japanese IT solutions vendor with established digital-government and healthcare footprints including hospital information systems; competes for fire-bureau and prefecture e-government deals that Smart119 targets.
• Nihon Kohden: Japan's leading patient monitoring and clinical hardware vendor supplying hospitals and emergency departments domestically; overlaps Smart119's hospital-ED integration footprint and is the most natural incumbent competitor in the Japanese acute-care market.
• GE HealthCare: Global provider of patient monitoring, anesthesia, and emergency-care solutions with significant Japanese hospital penetration; competes with Smart119 on the receiving-hospital and connected-care side of the emergency workflow.
• Fujitsu: Major Japanese IT services and systems integrator with deep government, healthcare, and public-sector relationships; competes for the same municipal and hospital IT spend as Smart119 and could bundle EMS modules into broader digital-government offerings.
• Stryker: Medical device major with a strong emergency-care portfolio following the Physio-Control acquisition (LifePak defibrillators, LUCAS CPR devices, and emergency response data solutions); competes with Smart119 across the prehospital emergency response value chain.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/smart119_jp
• LinkedInlinkedin.com/company/smart119

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds2 records

Investors6 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 Smart119