ER24

What ER24 does

ER24 (Pty) Ltd is a private South African emergency medical services provider, founded in 2000 and wholly owned by Mediclinic Southern Africa (the Southern African arm of the international Mediclinic Group hospital group). The company operates from 59 bases across South Africa, runs a centralised 24/7 emergency contact centre reachable via the national 084 124 number, and dispatches road ambulances, aeromedical assets (including the ER24 Oneplan Medical Helicopter), and site-based medical teams. It is registered with the Health Professions Council of South Africa (HPCSA) and the Board of Healthcare Funders (BHF) as an Advanced Life Support ambulance service, with additional Council of Medical Schemes and Department of Health accreditations, and the contact centre handles in excess of 40,000 emergency calls per month — including 112 emergency call routing for Vodacom, Cell C, and Rain and a National Relay Service (NRS) for deaf and hard-of-hearing users via the Vodacom 112 Emergency Services App and sign-language operator service.

The integrated service offering spans emergency response and pre-hospital care, corporate Workplace Emergency Solutions, long-term Site Based Medical Solutions (industrial, mining, and remote sites such as Harmony Kusasalethu), event medical standby (covering concerts, corporate, social, and sporting events including the 2026 Totalsports Two Oceans Marathon, with compliance to the Safety at Sports and Recreational Events Act and SANS 10366), aeromedical evacuations, and the ER24 Global Assist international assistance arm delivering medical concierge, case management, cost containment, and international patient management. Revenue is generated from a mix of usage-based per-incident emergency response, multi-year B2B enterprise contracts (corporate, site-based, event), subscription-style administered medical aid schemes, international assistance fees, and paramedic training through the ER24 Learning & Development / Training Academy in conjunction with the Mediclinic Private Higher Education Institution. Underlying technology is operational rather than technology-product in nature: telephone voice-recorded call-centre infrastructure, direct dispatch, an internal patient safety event reporting system feeding clinical governance, POPIA/GDPR-aligned data processing controls, and the co-developed Vodacom smartphone app.

The go-to-market is diversified: a single national 084 124 number for B2C emergency response, direct enterprise field sales for workplace, site-based, and event contracts, mobile-network operator 112/NRS channel partnerships, an international/Global Assist arm delivered through the Mediclinic international hospital group and network partners, and scheme administration for medical aid funders. The marketing mix is content-led, with an Infohub blog, free newsletter, social media, and high-visibility event medical sponsorships (rugby via BokSmart, Two Oceans Marathon) used to build brand and reach across South African corporates, mining operators, event organisers, and the general public.

Name

ER24

Legal name

ER24 (Pty) Ltd

Website

https://er24.co.za

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

ER24 (Pty) Ltd is the premier private emergency medical services provider in South Africa, wholly owned by Mediclinic Southern Africa. Operating from 59 bases and a 24/7 084 124 contact centre handling 40,000+ calls per month, it delivers road and aeromedical response, site-based, event, corporate, international (Global Assist), and administered medical aid services.

Ownership category

akta.pro rank

Headquarters

HQ city

Stellenbosch

HQ country

South Africa

HQ region

Africa

Offices13 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Emergency response & pre-hospital care services: Fee-for-service revenue from the 084 124 emergency call centre and ambulance responses (handling 40,000+ calls/month), supporting public and private hospitals. Transactional/per-incident revenue mix.
2. Corporate workplace emergency & injury solutions: Recurring B2B contracts for Workplace Emergency Solutions, workplace injury on-site care, trauma counselling, and 084 124 access sold to corporates and institutions.
3. Site Based Medical Solutions (industrial/mining): Long-term managed-services contracts placing ER24 medics, ambulances, and equipment at industrial, mining, and other client sites (e.g., Harmony Kusasalethu mine).
4. Event Medical Solutions: Project/event-based contracts providing full medical standby for concerts, corporate, social, and sporting events; complies with the Safety at Sports and Recreational Events Act, SANS 10366, and Mass Gathering regulations.
5. Administered medical aid schemes: Revenue from administering ER24-branded medical aid schemes on behalf of funders/members.
6. International assistance (Global Assist): International patient management, medical repatriation, escorting of minors, repatriation of mortal remains, medical concierge, case management, and cost containment delivered through network partners.
7. Paramedic training and education: Revenue from the ER24 Learning & Development / Training Academy, including Continuing Professional Development and a workplace for Mediclinic Diploma and Higher Certificate in Emergency Medical Care graduates.

Pricing tiers

Go-to-market motion5 records

Distribution channels7 records

Marketing channels7 records

Core offering

ER24 is the premier private emergency medical care provider in South Africa, operating from 59 bases nationwide. It delivers 24/7 emergency response and pre-hospital care via a centralised 084 124 call centre handling 40,000+ calls per month, road ambulance operations, aeromedical evacuation (helicopter), on-site industrial and mining medical staffing, event medical coverage, workplace emergency solutions, international medical assistance (Global Assist), administered medical aid schemes, and a paramedic Training Academy. The company is wholly owned by Mediclinic Southern Africa and is registered as an Advanced Life Support ambulance service with the HPCSA and BHF.

Differentiator

Problem solved

Functional benefit

Brands

• ER24 Global Assist: ER24's international assistance brand providing integrated services including aeromedical, site-based medical, medical concierge, medical case management, cost containment, and international patient management through the Mediclinic international hospital group.
• ER24 International

Products and services

• Emergency Medical Response and Pre-Hospital Care (084 124)
• Site Based Medical Solutions (SBMS)
• Event Medical Solutions
• Aeromedical Solutions (ER24 Oneplan Medical Helicopter)
• Workplace Emergency Solutions
• Administered Medical Aid Schemes (ER24 Funders)
• ER24 Global Assist
• Customised Contact Centre (including Sign Language Operator service)
• Vodacom 112 Emergency Services App (for deaf, hearing- and speech-impaired clients)
• Paramedic Training and Education (Learning & Development / Training Academy)
• Critical Care Retrieval Service (CCRS)

Quantifiable outcome

• Operates from 59 bases throughout South Africa
• +3 more outcomes

Named customers7 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature7 records

Partnerships

Eight partnerships are on record, tiered flagship event partnership, flagship / parent company, strategic accessibility partner, sporting safety partner, tactical / channel partner, international delivery backbone and core capability-building partner.

• Totalsports Two Oceans Marathonflagship event partnershipGTM or Marketing Partner · 23 February 2026ER24 (with Mediclinic) appointed as official medical service provider for the 2026 Two Oceans Marathon. They will operate 10 medical points on the Ultra Marathon route and 5 on the Half Marathon route, with a full medical facility including ICU and trauma services at the finish line, overseen by Dr Darren Green of Mediclinic.
• Mediclinic Southern Africa (Mediclinic Group)flagship / parent companyStrategic or Co-development PartnerER24 is wholly owned by Mediclinic Southern Africa, representing the Southern African operations of Mediclinic Group. ER24 transports patients into Mediclinic hospitals (e.g., Mediclinic Highveld, Mediclinic Midstream) and the Mediclinic Engagement Centre is one of ER24's contact-centre clients. The Two Oceans Marathon 2026 partnership is also delivered jointly with Mediclinic.
• Vodacomstrategic accessibility partnerTechnology or IntegrationCo-developed the Vodacom 112 Emergency Services App that enables deaf, hearing- and speech-impaired users to contact the ER24 Emergency Contact Centre 24/7/365 across South Africa. Vodacom is also a key contact-centre client: ER24's Vodacom NRS team was named ER24 Contact Centre of the Year 2024, and Vodacom 112 is a primary emergency line routed through ER24.
• BokSmartsporting safety partnerGTM or Marketing PartnerBokSmart (South Africa's rugby safety programme) is referenced as an event-medical partner on the ER24 site, with joint training and event-safety work for rugby events.
• Cell Ctactical / channel partnerChannel Partner/ Reseller/ DistributorCell C 112 emergency calls are routed through the ER24 Contact Centre, extending ER24's reach to Cell C subscribers; Cell C 112 ERO Lebogang Mabote was named ER24 Cell C 112 top performer in 2024.
• Rain (mobile network operator)tactical / channel partnerChannel Partner/ Reseller/ DistributorRain 112 emergency calls are handled by the ER24 Contact Centre, extending ER24's reach to Rain subscribers; Rain 112 ERO Odwa Rangana was named ER24 Rain 112 top performer in 2024.
• Mediclinic international hospital group and network partnersinternational delivery backboneStrategic or Co-development PartnerThrough ER24 Global Assist, the company leverages the Mediclinic international hospital group plus network partners for aeromedical services, site-based medical services, medical concierge, case management, cost containment, and international patient management.
• Mediclinic Private Higher Education Institution (Learning & Development / Training Academy)core capability-building partnerImplementation/ SI/ Consulting PartnerER24 runs a Training Academy and a Learning & Development team that delivers, in conjunction with the Mediclinic Private Higher Education Institution, Diploma and Higher Certificate in Emergency Medical Care programmes; graduates are placed at ER24 branches (e.g., Potchefstroom, Kuruman/Upington, Stellenbosch, Johannesburg South).

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• International SOS: International SOS is the world's largest medical and travel security assistance company, providing 24/7 contact-centre case management, aeromedical evacuation, and on-site medical services. It overlaps directly with ER24 Global Assist's international assistance and aeromedical offering, but at much larger global scale.
• Mediclinic Group: Mediclinic Group is the publicly listed international hospital group that wholly owns ER24 via its Southern African operations. While ER24 is an EMS business, Mediclinic's broader hospital network provides the receiving-infrastructure, brand, and international-assistance backbone that ER24 leverages.
• American Medical Response (AMR): American Medical Response is the largest private ambulance provider in the United States, offering 911 response, interfacility transport, and managed ambulance services for hospitals and health systems. It is a relevant scale and operating-model benchmark for ER24, although AMR is much larger and US-focused.
• Falck: Falck is a global emergency medical services and healthcare provider operating ambulance, aeromedical, and workplace-safety services across Europe, the Americas, and emerging markets. It is a relevant international benchmark for ER24's full-stack EMS, contact-centre, and site-based medical model.

Regional players

• Acadian Ambulance Service: Acadian Ambulance is one of the largest privately held ambulance and air-medical companies in the United States, offering ground ALS, aeromedical, and industrial site-based medical services. It is comparable to ER24 on the integrated ground/air/site-based EMS model, though it operates primarily in North America.
• Cape Medical Response: Cape Medical Response is a smaller private EMS provider focused primarily on the Western Cape region of South Africa. It is a regional competitor to ER24 in the Cape Town metro area for fee-for-service emergency response and event medical cover.

Direct peers

• Netcare 911: Netcare 911 is South Africa's other major private emergency medical services provider, offering road ambulances, aeromedical evacuation, and a 24/7 contact centre. It is the closest head-to-head competitor to ER24 in the South African private EMS market.
• Life Medical Response (Life Healthcare): Life Medical Response is the private EMS arm of Life Healthcare, one of South Africa's largest hospital groups. It competes directly with ER24 for emergency response, inter-facility transfers, and event/corporate medical contracts across South Africa.
• St John Ambulance South Africa: St John Ambulance South Africa is a long-standing national first-aid and ambulance provider operating across the country with a heavy event-medical presence. It competes with ER24 in event medical standby, first-aid training, and lower-acuity ambulance response.

Emerging players

• Global Rescue: Global Rescue provides medical, security, and evacuation assistance for travellers and enterprises, with a strong Africa presence. It is comparable to ER24 Global Assist's international case-management, evacuation, and concierge services, although it does not own a national road ambulance network.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/er24ems
• Facebookfacebook.com/ER24Ambulance

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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 ER24