Extramed Limited

What Extramed Limited does

Alcidion Group Limited is a publicly listed (ASX: ALC) health informatics company headquartered in Melbourne, Australia, that provides patient flow management, electronic patient record (EPR), clinical decision support, and virtual care software to public healthcare systems. The company's flagship product is Miya Precision, a FHIR-events platform that consolidates real-time data from disparate hospital systems into a single longitudinal record, built on SMART on FHIR and HL7 standards. Modular products include Miya Flow (real-time patient flow and bed management), Miya Observations and Assessments (electronic bedside observations with automated NEWS2 early warning scoring), Smartpage Clinical (structured clinical messaging replacing legacy pagers), Miya Care (patient-facing remote monitoring), and Miya MEMRe (a mobile EMR app with AI-driven critical notification refinement). Underlying capabilities include explainable AI models (statistical models, tree learning, Bayesian networks) and a proprietary AKI predictive scoring model co-developed with Western Sussex Hospitals renal clinicians.

The company generates revenue primarily through multi-year software licensing and subscription contracts, supplemented by professional services for implementation, configuration, and clinical workflow integration. Customers are concentrated in three markets — NHS trusts in the UK, Australian state health services and Hospital & Health Services, and New Zealand District Health Boards (now Te Whatu Ora) — reached through direct enterprise field sales targeting clinical champions and super-users, with sales cycles tied to NHS procurement frameworks and broader EPR transformation programmes. Customer count reached 95+ healthcare organisations in the 2023 Annual Report, expanded by more than 30 additional providers via the May 2026 acquisition of the Kyra product suite (Kyra Patient Flow Manager, Kyra Queue Manager, Kyra IQ) from Telstra Health, which also deepened Australian penetration in Queensland.

Founded in 2000 (previously operating as MKM Health before rebranding in 2019), the company operates regional subsidiaries in Australia (Alcidion Aus Pty Limited), New Zealand (Alcidion NZ Limited), and the United Kingdom (Alcidion UK Limited, Fleet, Hampshire). Notable contracts include a seven-year EPR agreement with University Hospitals Sussex NHS Foundation Trust signed in June 2026, and a long-running virtual hospital deployment with Sydney Local Health District's RPA Virtual (now Sydney Virtual) hospital that has served more than 85,000 patients since 2020. The company maintains ISO 27001 and Cyber Essentials Plus certifications and has accumulated a substantial data asset (2 billion observations, 119 million assessments and tasks, 33 million alerts across the installed base). Note: the firmographics header in the input refers to Extramed Limited (Pontefract, UK, founded 1995, 11-50 employees), while the substantive data describes Alcidion Group Limited — this analysis reflects the substantive content.

Name

Extramed Limited

Legal name

Alcidion Group Limited

Website

https://extramed.co.uk

Company type

Public

Founded year

2000

Operating status

Operating

Headcount range

11–50 employees

Short description

Alcidion Group Limited is an ASX-listed health informatics company that provides the Miya Precision FHIR-events platform and modular patient flow, EPR, clinical communication, and virtual care software to NHS trusts in the UK, Australian state health services, and New Zealand District Health Boards.

Ownership category

akta.pro rank

Product category

Healthcare Informatics Software

NAICS

Custom Computer Programming Services (541511), Ambulatory Health Care Services (621)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Waitlist, Queue & Flow Management (HLACADAE)

akta.pro secondary industries

Enterprise Integration Engines & Interface Management (HL7 v2/X12/API) (HLACABAC), EHR Extensions, APIs, App Marketplaces & SMART-on-FHIR Apps (HLACAAAN)

Keywords

• Patient flow management
• Clinical decision support
• Electronic observations software
• EPR healthcare platform
• Healthcare informatics

Headquarters

HQ city

Pontefract

HQ country

United Kingdom

HQ region

Europe

Offices3 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Software Licensing and Subscriptions: Alcidion generates revenue primarily through software licensing and subscription fees for its Miya Precision platform and associated modules. Contracts are typically multi-year agreements with healthcare organisations, including NHS trusts and district health boards. The company operates on a recurring revenue model.
2. Professional Services: Implementation, configuration, and consulting services supporting deployment of Alcidion's healthcare technology solutions. Includes system integration with existing hospital systems and clinical workflow optimization.
3. Acquisition-related Revenue Expansion: Acquisition of Kyra flow products from Telstra Health (May 2026) expands customer base to more than 30 additional healthcare providers, contributing to expanded recurring revenue base.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels8 records

Core offering

ExtraMed supplies patient flow management software and clinical solutions to NHS trusts, helping hospitals track patient movement, automate early warning scoring, and improve clinical workflows. The aggregated portfolio (under the Alcidion/Miya brand family) extends this with a FHIR-events platform, mobile EMR with AI-assisted decision support, secure clinical communication, virtual care applications, and acquired Kyra flow products. The offering is sold as modular software subscriptions under multi-year contracts with implementation and integration services.

Product overview

Alcidion offers a modular platform architecture built around Miya Precision, a FHIR-events platform that serves as the core foundation. The platform integrates multiple modules including Miya Flow, Miya Access, and Miya Command for patient flow management; Miya Observations and Assessments (formerly Patientrack) for clinical documentation and early warning; Smartpage Clinical for clinical communication; Miya Care for patient-facing virtual care; Miya MEMRe for mobile EMR access; and Miya Record, Miya Logic, and Miya Specialty for specialized clinical functions. This is complemented by the recently acquired Kyra product suite (Kyra Patient Flow Manager, Kyra Queue Manager, and Kyra IQ) which expands capabilities in inpatient and outpatient flow management.

Differentiator

Problem solved

Functional benefit

Brands

• Miya Precision: A FHIR-events platform that facilitates multiple clinical and operational applications, providing clinicians with actionable insights to directly impact patient care by consolidating information from disparate systems.
• Miya Observations and Assessments
• Miya Flow
• Miya Access
• Miya Command
• Miya Record
• Miya Logic
• Miya Specialty
• Miya Mobile
• Miya MEMRe
• Miya Care
• Miya Emergency
• Smartpage Clinical
• Smartpage Response
• Smartpage Orderly
• Smartpage Non-Clinical
• Sydney Virtual
• Kyra Patient Flow Manager
• Kyra Queue Manager
• Kyra IQ

Products and services

• Miya Precision Platform FHIR-events platform that consolidates real-time data from disparate healthcare systems into a single longitudinal record, applies clinical decision support and AI, and delivers actionable insights at the point of care. Sold to NHS trusts, District Health Boards, and state health services for clinical and operational use.
• Patient Flow Management Solution Software suite (Miya Flow, Miya Access, Miya Command) providing real-time patient flow visibility across wards and hospitals, electronic patient journey boards, bed management, and operational dashboards for hospital operations teams.
• Miya Virtual Care (Miya Care) Patient-facing mobile virtual care platform enabling remote patient monitoring, vital sign capture via wearables, symptom check surveys, and telehealth appointments. Deployed by virtual hospitals and chronic disease management programmes.
• Miya MEMRe Mobile EMR Mobile electronic medical record application built on Apple iOS using FHIR and AI; provides clinicians with explainable AI-driven clinical decision support, critical notifications, and action lists across patient caseloads.
• Miya Observations and Assessments (formerly Patientrack) Electronic bedside capture of physiological and clinical observations with automated NEWS2 Early Warning Score calculation and alerts for clinical deterioration. Includes digital risk screening assessments and clinical documentation.
• Smartpage Clinical Communications Clinical communication and task management platform replacing legacy paging with secure two-way messaging, ISBAR structured messaging, read receipts, integrated patient identification, and instant replies for non-urgent clinical tasks.
• AKI Predictive Alerting Solution Predictive scoring model for acute kidney injury risk, combining pathology results, demographics, medical history, co-morbidities, and physiological information to generate real-time AKI risk scores and alerts for every patient.
• Kyra Patient Flow Manager Digital patient flow solution providing real-time access and oversight of a patient's hospital journey from admission through to discharge, enabling proactive bed management and internal resourcing decisions for inpatient settings.
• Kyra Queue Manager Comprehensive outpatient solution enabling patient check-ins, wayfinding, referral management, triage, and billing capability for ambulatory and outpatient care settings.
• Kyra IQ Data warehouse and analytics platform consolidating health data from multiple disparate systems into real-time operational dashboards and administrative reports for hospital management.

Quantifiable outcome

• 75% reduction in cardiac arrests at Basildon and Thurrock University Hospitals NHS FT
• +8 more outcomes

Named customers16 records

Segments5 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature6 records

Partnerships

One partnership is on record.

• Telstra HealthmajorStrategic or Co-development Partner · 18 May 2026Alcidion signed agreement to acquire the business and assets of Kyra Patient Flow Manager, Kyra Queue Manager and Kyra IQ (collectively the 'Kyra flow products') from Telstra Health. This acquisition expands Alcidion's footprint to more than 30 additional healthcare providers across Australia, particularly in Queensland where Kyra products are used by the majority of Hospital & Health Services, with presence also in Victoria, WA and Tasmania across public and private sectors. Only two Kyra customers were existing Alcidion customers prior to acquisition.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• System C Healthcare: UK-based provider of electronic patient record (EPR) and clinical software to NHS trusts, offering comparable patient flow, observations and clinical documentation capabilities. A direct competitor in the UK NHS EPR modernisation market.
• Nervecentre Software: UK-headquartered EPR vendor focused on NHS acute trusts, providing mobile EPR, patient flow, observations and clinical communication. Directly comparable in product scope, NHS customer base and modular go-to-market.
• TPP (The Phoenix Partnership): UK-based EPR and patient administration vendor serving NHS trusts and primary care, with comparable modular architecture and UK market focus. A direct competitor for NHS acute and shared care contracts.

Broad incumbents

• Epic Systems: Dominant US-headquartered EPR/EHR vendor with growing UK NHS footprint (e.g., Manchester, Cambridge). Competes for flagship NHS EPR contracts and increasingly overlaps with modular patient flow and decision support capabilities.
• Oracle Health (Cerner): Major incumbent EPR/EHR vendor globally and within the NHS; bundles patient flow, decision support and population health modules. Competes in large-scale NHS EPR procurements where ExtraMed integrates around rather than replaces the core EPR.
• InterSystems: Provider of HealthShare interoperability, FHIR data platform and TrakCare EPR used across NHS and international markets. Competes in the data integration and clinical information system layers underpinning patient flow solutions.
• Dedalus Group: European healthcare IT group offering EPR, clinical modules and patient flow solutions across the UK, Italy, Germany and beyond. Broad incumbent competitor with overlapping NHS market presence.
• MEDITECH: Established EPR vendor serving UK NHS trusts (e.g., trusts using the MEDITECH Expanse platform). Provides comparable acute EPR and clinical functionality at varying tiers.
• Allscripts (now Veradigm): Global EHR vendor with UK and Asia-Pacific footprint offering acute and ambulatory clinical systems with patient flow and decision support capabilities. Indirectly competes via shared NHS tenders and APAC expansion.

Emerging players

• PatientSource: UK-based modular EPR provider targeting smaller NHS trusts. Comparable in modular delivery philosophy, though focused on a different size segment of the NHS market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/extramedltd

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Extramed Limited