Axira U.A.

What Axira U.A. does

Axira U.A. is a Dutch cooperative (coöperatie U.A.) headquartered in Hengelo, founded in 2009, that functions as a nationwide collaboration platform for nine independent regional ambulance care organizations (RAVs) across the Netherlands. Members retain full operational independence but coordinate through Axira along four pillars: Innovation, Inspiration/Intervisie, ICT, and Inkoop/facilitair (Procurement/Facilities). Axira runs a central bureau of about five staff under Manager Marc van Aken and is governed by a board composed of member-organization representatives.

The cooperative's technology portfolio is anchored by EDAZ (Elektronisch Dossier Ambulancezorg), the shared electronic ambulance care record, and the next-generation ADAS patient dossier under development via the separate AXUDO entity, which adds voice-controlled data entry and clinical decision support. Supporting tools include the ID-scanapp (OCR-based identity document capture), Tolkenapp (real-time language interpretation with TVcN), the Intus scheduling and self-roster platform, and innovation projects such as VRAMBO virtual reality training with Hanzehogeschool Groningen and telehealth initiatives. Axira is not a venture-backed technology vendor; its go-to-market is community-led, with growth driven by member adoption and joint European tenders.

Axira's revenue model rests on cooperative membership fees from the nine RAVs, supplemented by facilitated joint procurement and framework agreements (e.g., Corpuls for heart monitors, Intus for scheduling), where savings largely accrue to members rather than to Axira's top line. The cooperative has no external investors, no public listing, and no disclosed financials; revenue, contract values, and pricing are not publicly available. The entity is registered as a cooperative with excluded liability (U.A.) under Dutch law, and its remit is domestic only.

Name

Axira U.A.

Legal name

Axira U.A.

Website

https://axira.nl

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

1–10 employees

Short description

Axira U.A. is a Dutch cooperative founded in 2009 that enables nine regional ambulance care organizations to share ICT systems (EDAZ, ADAS), joint procurement, and innovation projects across the Netherlands.

Ownership category

akta.pro rank

Product category

Emergency Medical Services Cooperative / Ambulance Care ICT

NAICS

Ambulance Services (621910), Social Assistance (624)

SIC

Services-Membership Organizations (8600), Services-Management Services (8741)

akta.pro primary industry

Private EMS Providers (Contract/Interfacility) (HLAFANAB)

akta.pro secondary industry

Community Paramedicine & Mobile Integrated Healthcare (MIH/CP) Programs (HLAFANAI)

Keywords

• Ambulance care services
• Emergency medical services
• Healthcare ICT systems
• Patient documentation software
• Joint procurement healthcare

Headquarters

HQ city

Hengelo

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Cooperative Membership: Axira operates as a cooperative where members contribute to the organization both qualitatively and quantitatively. Regional ambulance organizations pay membership fees and participate in joint initiatives.
2. Joint Procurement Services: Facilitates collective purchasing and European tendering for medical equipment including heart monitors, oxygen, disposables, operational tablets, and syringes, achieving cost savings through volume procurement.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Axira U.A. is a Dutch nationwide cooperative of nine independent regional ambulance care organizations that jointly develops shared digital systems (ADAS, EDAZ, ID-scanapp, Tolkenapp, Intus, VRAMBO, telehealth), runs collective European tenders and procurement of medical equipment, and coordinates member-driven innovation, training, and citizen-responder programs (HartslagNu). The cooperative exists to enable its regional ambulance members to realize innovations faster, better, and more cheaply than they could individually.

Product overview

Axira is a cooperative platform for regional Dutch ambulance care providers, organized around four pillars: Innovation, Inspiration/Intervisie, ICT, and Inkoop/facilitair. The core ICT portfolio is anchored by EDAZ (Elektronisch Dossier Ambulancezorg), the electronic ambulance care record, and ADAS (Ambulance Documentation And Supportsystem), a next-generation patient documentation and clinical decision support system under development by AXUDO. These are complemented by supporting tools including the ID-scanapp for automated identity document processing and the tolkenapp for real-time language interpretation with patients. On the operations side, Intus provides rostering and self-scheduling capabilities. The platform also encompasses broader initiatives in telehealth, virtual reality training, drone deployment, and citizen participation programs.

Differentiator

Problem solved

Functional benefit

Brands

• ADAS: Ambulance Documentation And Support system — a new patient record system enabling ambulance nurses to input data via voice recognition and providing real-time clinical decision support.
• AXUDO
• ID-scanapp
• Tolkenapp
• VRAMBO
• HartslagNu

Products and services

• ADAS (Ambulance Documentation And Supportsystem) A next-generation electronic patient dossier system for ambulance services that enables faster, simpler data entry through voice-controlled input, a customizable/adaptive user interface, and clinical reasoning support designed to reduce missed or incorrect diagnoses. It is targeted at ambulance nurses across the Axira cooperative member organizations.
• EDAZ (Elektronisch Dossier Ambulancezorg) The Electronic Ambulance Care Record — the central electronic patient dossier platform across Axira member organizations, part of the 'Working under Architecture' initiative to create a robust, future-proof ICT structure within Dutch ambulance care.
• ID-scanapp A mobile scanning application that reads identity documents (passports or driver's licenses) and automatically processes the extracted data into the electronic patient dossier, enabling faster and easier ambulance administration.
• Tolkenapp (Interpreter App) A mobile interpretation application developed with Tolk en Vertaal centrum Nederland (TVcN) that enables ambulance personnel to give questions and instructions to non-Dutch-speaking patients without language barriers, increasing the speed and safety of care delivery.
• Intus Scheduling System A scheduling and rostering software solution selected by Axira members through joint procurement to replace legacy planning software. Includes a self-roster module that enables employees to collaboratively build their own duty schedules within predefined frameworks.

Quantifiable outcome

• 50% financial savings on syringe pumps per unit
• +3 more outcomes

Named customers9 records

Segments1 record

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature8 records

Partnerships

Eight partnerships are on record, tiered major, core, minor and supporting.

• CorpulsmajorTechnology or Integration · 11 September 2020Corpuls was selected as best provider through European tender process for heart monitors based on price and quality. Axira signed a framework agreement with Corpuls, with individual members making separate arrangements regarding implementation dates, module reuse, and trade-in of current devices.
• HartslagNu (formerly Stichting Hartslag voor Nederland)coreStrategic or Co-development Partner · 1 January 2012Founded through Axira member initiatives starting in 2008. Manages a network of 100,000+ civilian first-aiders who support over 5,000 resuscitations annually, resulting in hundreds of extra survivors. Axira members support this through citizen participation projects.
• Tolk en Vertaal centrum Nederland (TVcN)coreTechnology or IntegrationTVcN collaborated with Axira members to develop the 'Tolkenapp' (Interpreter App) specifically for communication between ambulance personnel and non-Dutch speaking patients. The app enables questions and instructions to be given without language barriers, improving speed and safety of care delivery.
• Hanzehogeschool GroningencoreStrategic or Co-development PartnerThe Hanzehogeschool Groningen (University of Applied Sciences) partnered with Axira and others on the VRAMBO project (Virtual Reality Ambulanceverpleegkundig Onderwijs) to develop virtual reality training for ambulance nurses. Contributing research centers include the User-Centered Design lectoraat and Verpleegkundige Diagnostiek lectoraat.
• IntusmajorTechnology or IntegrationIntus was selected through a comprehensive tender process as the new scheduling software package for Axira partners. The Axira project group drafted requirements and selected potential suppliers before the members collectively chose Intus.
• AlmevaminorChannel Partner/ Reseller/ DistributorAlmeva supplies Fresenius Agilla pumps selected for ALS ambulances based on pre-research showing Braun and Fresenius pumps scored best on ease of use, with Fresenius ultimately chosen after a tender process.
• Windesheim (lectoraat ICT-innovaties in de Zorg)coreStrategic or Co-development PartnerPartner in the VRAMBO project contributing the ICT-innovaties in de Zorg research lectorate to develop virtual reality training for ambulance nurses.
• WildseasupportingStrategic or Co-development PartnerPartner in the VRAMBO project contributing expertise to develop virtual reality training for ambulance nursing education.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• ImageTrend: U.S.-based provider of electronic patient care reporting (ePCR) and health information hub software for EMS agencies. Directly competes with Axira's EDAZ/ADAS roadmap as a commercial alternative for ambulance documentation and clinical decision support.
• ESO Solutions: Provider of EHR, ePCR, and analytics software purpose-built for EMS and fire agencies. Comparable product overlap with Axira's ADAS/EDAZ patient documentation portfolio.
• Corti: AI platform for clinical decision support during emergency calls and patient encounters. Comparable technology trajectory to the AI/voice-enabled ADAS development Axira is pursuing via AXUDO.

Broad incumbents

• ZOLL Data Systems: Provides EMS billing, dispatch, and patient care reporting software integrated with ZOLL medical devices. Broad incumbent competitor overlapping with Axira's documentation, scheduling, and equipment procurement functions.
• GGD GHOR Nederland: The association of all 25 regional Public Health Services (GGDs) and regional medical assistance organizations (GHOR) in the Netherlands. Comparable as a Dutch cooperative-style network delivering shared services to regional government-affiliated health providers.
• Vizient: Large U.S. healthcare group purchasing organization (GPO) delivering aggregated procurement and supply-chain analytics. Comparable to Axira's joint procurement pillar as a member-owned, volume-driven sourcing model.
• Ambulancezorg Nederland (AZN): The Dutch sector organization for ambulance care, representing all regional ambulance services nationally. Most comparable to Axira in mandate and membership scope; functions as a broader industry body rather than a procurement/innovation cooperative.
• Premier Inc. U.S. healthcare improvement company with a GPO serving ~4,400 hospitals and health systems. Comparable business model to Axira's cooperative purchasing function, though at vastly greater scale.

Others

• Tensio (Tobias Nederland / Verpleegkundig Netwerk): Dutch cooperative network for ambulance and prehospital care nursing professionalization, training, and knowledge sharing. Directly adjacent to Axira's Inspiration/Intervisie pillar and VRAMBO training work.

Regional players

• NHS Ambulance Services (England): Ten NHS ambulance trusts in England operate under shared national commissioning and increasingly share digital platforms. Regional comparator illustrating an alternative governance model for ambulance network coordination outside the Netherlands.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/axira-u.a.

Revenue estimate

Valuation estimate

Number of profiles

Profiles20 records

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 Axira U.A.