THE APPERTA FOUNDATION C.I.C.
The Apperta Foundation C.I.C. is a clinician-led, not-for-profit community interest company that develops and governs open source digital health platforms — most notably the OpenEyes ophthalmology EPR, openOutcomes PROMs/PREMs platform, and Code4Health community — for UK NHS trusts and allied healthcare providers, using international open standards (openEHR, HL7 FHIR, SNOMED-CT).
- Company typePrivate
- Founded2015
- HeadquartersSunderland, United Kingdom
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What THE APPERTA FOUNDATION C.I.C. does
The Apperta Foundation C.I.C. is a clinician-led, not-for-profit community interest company founded in 2015 and headquartered in Sunderland, UK, with explicit support from NHS England and NHS Digital. It promotes open systems and standards for digital health and social care, governed by a Board of Directors and clinically-led sub-committees that oversee each product line.
Its core products are open source digital health platforms built on international interoperability standards (openEHR, HL7 FHIR, SNOMED-CT, IHE-XDS). The flagship asset is OpenEyes, an electronic patient record for ophthalmology with specialty-specific tooling (EyeDraw with 150+ graphical 'doodles', OEscape timeline summaries, Lightning Viewer), deployed at 130+ NHS and independent sector sites and managing approaching one million patients annually. Additional products include openOutcomes (a specialty-agnostic PROMs/PREMs platform on openEHR), the Clinical Knowledge Manager (CKM) for openEHR template curation, Open eReact (nursing observations and deterioration escalation), Care Precision (care home NEWS2/DENWIS/sepsis monitoring), OPENeP (closed-loop e-prescribing built on Marand's Think!EHR Platform), chartmyhealth (physical health monitoring for mental illness patients), and DiADeM (dementia diagnosis support). Code4Health functions as the community/innovation layer, supported by IBM Cloud, AWS, Microsoft, UKCloud, NHS Digital, NHS England, UCL, Boehringer Ingelheim, Janssen, and Macmillan.
The Foundation generates no direct software revenue: all products are distributed free of charge under open source licences, with source code published on GitHub. Monetisation occurs through an accredited professional services partner network (ToukanLabs for OpenEyes, Staircase13 for openOutcomes/chartmyhealth, and others) listed on UK Government G-Cloud 14 and SBS procurement frameworks, plus modest subscription income (e.g., a £5,000/year minimum for openOutcomes committee participation). Customer concentration is overwhelmingly UK NHS acute and foundation trusts, with a small number of independent-sector eye care providers (Optegra, Newmedica) and limited international deployments (Greece, Pakistan, Australia).
THE APPERTA FOUNDATION C.I.C. firmographics
Firmographics- Name
- THE APPERTA FOUNDATION C.I.C.
- Legal name
- Apperta Foundation CIC
- Website
- https://apperta.org
- Company type
- Private
- Founded year
- 2015
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- The Apperta Foundation C.I.C. is a clinician-led, not-for-profit community interest company that develops and governs open source digital health platforms — most notably the OpenEyes ophthalmology EPR, openOutcomes PROMs/PREMs platform, and Code4Health community — for UK NHS trusts and allied healthcare providers, using international open standards (openEHR, HL7 FHIR, SNOMED-CT).
- Ownership category
- akta.pro rank
THE APPERTA FOUNDATION C.I.C. industry classification
Industry- Product category
- Open Source Digital Health Software
- NAICS
- Computer Systems Design and Related Services (54151), Educational Support Services (61171)
- SIC
- Services-Health Services (8000), Services-Computer Programming, Data Processing, Etc. (7370), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Employer/Member Engagement Platforms for Provider-Sponsored Plans (HLACAEAM)
- akta.pro secondary industry
- Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs) (HLALABAM)
Keywords
Where THE APPERTA FOUNDATION C.I.C. is headquartered
LocationHeadquarters
- HQ city
- Sunderland
- HQ country
- United Kingdom
- HQ region
- Europe
Offices1 record
Markets served
THE APPERTA FOUNDATION C.I.C. business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Professional Services (Implementation & Support): Apperta does not sell its open source software directly. Revenue is generated by a network of accredited professional services partners (e.g. ToukanLabs, Staircase13) who configure, implement, and support Apperta products for NHS and healthcare customers. These partners are listed on government procurement frameworks (G-Cloud, SBS).
- Not-for-Profit Funding and Subscriptions: The Apperta Foundation is a not-for-profit community interest company. Funding comes from supporters (NHS England, NHS Digital, and industry supporters including IBM, AWS, Microsoft, UCL, Boehringer Ingelheim, Janssen, Macmillan, UKCloud). Some Code4Health communities require minimum annual subscriptions (e.g. £5,000 for openOutcomes committee).
- Open Source Software (Free Distribution): Core products (OpenEyes, openOutcomes, Care Precision, Open eReact, chartmyhealth) are available free of charge under open source licences. The software itself is not a revenue stream; it drives the professional services ecosystem.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Annual | Open source software - free for all users |
| Subscription | Annual | openOutcomes annual subscription (community participation) |
| Other | Multi-year contract | Professional implementation services (via partners) |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
THE APPERTA FOUNDATION C.I.C. product offering
Product offeringCore offering
The Apperta Foundation develops, curates and acts as community custodian for a portfolio of open source digital health software — including the OpenEyes ophthalmology EPR, the openOutcomes PROMs/PREMs platform, Care Precision and Open eReact clinical monitoring tools, chartmyhealth, the CKM clinical knowledge repository, and the Code4Health community platform — built on international open standards (openEHR, HL7 FHIR, SNOMED-CT, IHE-XDS). Core software is provided free of charge; the foundation generates revenue via accredited professional services partners on G-Cloud and through supporter/subscription funding from NHS bodies and industry.
Differentiator
Problem solved
Functional benefit
Brands
- OpenEyes: Electronic Medical Record (EMR) application for ophthalmology, enabling clinicians to access patient information in one place. Approaching 1 million patients managed at over 130 sites across the UK.
- openOutcomes
- Code4Health
- Care Precision
- Open eReact
- DiADeM
- chartmyhealth
Products and services
- OpenEyes OpenEyes is an open source Electronic Medical Record (EPR/EMR) application for ophthalmology, enabling clinicians to access ophthalmology patient information in one place. It provides specialty-specific functionality including EyeDraw graphical documentation (150+ doodles), examination events, operation notes, prescribing, correspondence, NOD audit and RTT analytics, virtual clinics, whiteboard theatre display, Lightning Viewer video-rate document viewing and OEscape subspecialty timeline summaries. It runs in a web browser and is offered free under an open source licence, with implementation and support available via accredited partners on G-Cloud.
- openOutcomes openOutcomes is an innovative 'specialty and care pathway agnostic' digital platform for clinicians and patients to collect, record and analyse patient reported outcomes (PROMs/PROs) and patient reported experience measures (PREMs). Highly interoperable and built on the openEHR international standard, it supports multiple input methods (tablet, PC browser, paper with admin input, public internet entry), automatic post-operative response prompts, and questionnaire tracking. It is offered free under an open source licence with implementation services from accredited partner Staircase13 on G-Cloud.
- Care Precision Care Precision enables care home staff to monitor and assess patient deterioration through NEWS2, DENWIS, Sepsis screening and infection control support tools, empowering staff to make informed care decisions and reducing the need for resident transfers.
- Open eReact Open eReact is a nursing observation solution that ensures full and consistent implementation of NHS and Trust policies. It facilitates a prompt response to clinical change while flagging and automatically escalating deteriorating patients requiring clinical intervention.
- chartmyhealth chartmyhealth is a digital tool created to improve the assessment and monitoring of physical health tests in patients with mental illness and those with long term physical conditions, enabling timely identification of patient needs and access to evidence-based interventions.
- Clinical Knowledge Manager (CKM) The Apperta Clinical Knowledge Manager (CKM) is a free-to-use international online clinical knowledge resource and repository for clinical models developed by communities and projects. It provides users with tools to develop, share, review and govern clinical models, and underpins Apperta's openEHR templates (e.g. acute care discharge summary, GP referral, radiology report). Apperta regularly provides training in open clinical modelling and the tools needed to develop, review and govern clinical models.
- Code4Health Code4Health is a social movement aiming to educate and inform all participants in the health and care community about the possibilities digital technologies open up in health and care, and equip them with the tools, knowledge and skills to work together to develop and implement high quality open digital solutions. It hosts communities around specific topics, solutions or localities, runs events, hackathons, innovation challenges and webinars, and provides an open platform with CDR, APIs, development toolkits, sample data, terminology services and a sandbox.
- OPENeP e-Prescribing and Medicines Administration (ePMA) OPENeP is an open source, closed-loop medication management (e-Prescribing and Medicines Administration) system built on open standards using IHE-based standards and the vendor-neutral Think!EHR Platform. It provides decision support for 'never events', allergies and dose range checking, and is developed under Apperta Foundation custodianship with Marand as the technology partner and CGI as implementation partner.
- DiADeM DiADeM is a dementia diagnosis application designed for use in care home settings, developed by the Yorkshire & Humber Dementia Clinical Network and stewarded by the Apperta Foundation.
Quantifiable outcome
- Approaching 1 million patients managed using OpenEyes in the last year across 130+ sites
- +3 more outcomes
Companies that use THE APPERTA FOUNDATION C.I.C.
Customer profileNamed customers28 records
Segments4 records
Ideal customer profiles3 records
THE APPERTA FOUNDATION C.I.C. technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability8 records
Feature6 records
THE APPERTA FOUNDATION C.I.C. partnerships and signals
Strategic signalPartnerships
13 partnerships are on record, tiered core, minor and flagship.
- MarandcoreMarand provides the Think!EHR Platform underlying the OPENeP ePMA solution. OPENeP is built on open standards using IHE-based standards and vendor-neutral data format. Marand's technology enables ecosystems of vendors to innovate around an open data platform. Marand's OPENeP is developed under Apperta Foundation custodianship.
- CGIcoreCGI partnered with Musgrove Park Hospital, Marand, and Apperta Foundation to deliver the OPENeP e-Prescribing and Medicines Administration (ePMA) solution. CGI has experience, knowledge and expertise to support delivery of this key project aligned with the Trust's Global Digital Exemplar vision. Paul Infante, VP Health and Local Government at CGI UK, leads the engagement.
- The OpenChain ProjectminorApperta Foundation worked with The OpenChain Project, NHS England, NHS Digital, and AB EHR to release the first OpenChain case study. The case study covers how the NHS decided to use the OpenChain Specification as a baseline for effective compliance across its digital projects.
- Northumbria Healthcare NHS Foundation TrustcoreNorthumbria Healthcare Trust initiated a project to move from paper-based collection of PROMs records to an online system using the open source HealthTRaK prototype. Testing underway in foot and ankle surgery as pilot. Trust works with Code4Health and Apperta communities on openOutcomes development.
- ToukanLabscoreToukanLabs is an authorised professional services partner for OpenEyes implementations, providing advice and accredited implementation and support services. Available via G-Cloud digital marketplace. ToukanLabs ensures clinical data integrates with hospital workflows and PAS systems, and that device connections (OCT machines, visual field devices) are robust.
- Staircase13coreStaircase13 provides support and implementation services for openOutcomes and chartmyhealth. Their full services with transparent pricing are available on the UK Government's G-Cloud 14 procurement framework. Also supports NHS trusts with data integration into organisational workflows and PAS systems.
- NHS DigitalflagshipNHS Digital (formerly HSCIC) is a key supporting organisation that provides resources and strategic backing to the Apperta Foundation and Code4Health. The Apperta Foundation is explicitly 'supported by NHS England and NHS Digital (HSCIC)'. NHS Digital provides resources and helps set standards for interoperability using open standards, open data and open APIs.
- NHS EnglandflagshipNHS England is a key supporting organisation providing resources and strategic backing to the Apperta Foundation and Code4Health initiative. Code4Health is an initiative 'supported by NHS England and NHS Digital' to enable the best use of digital tools and technology to deliver safe, high quality care.
- University College London (UCL)coreUCL provides student resources as a Code4Health supporter and is a major contributor to Code4Health communities, with multiple student projects including AI Test Platform, Clinical Guidance App, Holo CT, and others. UCL Department of Computer Science students regularly collaborate with Code4Health on health IT projects.
- Boehringer IngelheimminorBoehringer Ingelheim provides resources as a Code4Health supporter, contributing to the open digital health ecosystem.
- JanssenminorJanssen provides resources as a Code4Health supporter, contributing to the open digital health ecosystem.
- Macmillan Cancer SupportminorMacmillan Cancer Support provides resources as a Code4Health supporter, contributing to the open digital health ecosystem.
- OpenEyes Professional Services Partner NetworkcoreNetwork of accredited professional services partners for OpenEyes including ToukanLabs, ETHOS, MDIT, Knowego, Medexton, Wombex, and Zoonou. Partners provide implementation, support, and integration services. Available via G-Cloud and SBS frameworks. Also includes DCB0129 compliance assurance and Digital Public Goods Alliance certification.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
THE APPERTA FOUNDATION C.I.C. competitors and assessment
Company assessmentDirect peers
- IMS MAXIMS: UK-based EPR vendor actively selling into NHS trusts, often competing for the same ophthalmology and acute-care EPR procurements as OpenEyes. Comparable target customer (NHS) and overlapping product scope (openEHR-based electronic patient records).
- Better (formerly Marand): Slovenia-based openEHR platform vendor that is already a core technology partner of Apperta (providing Think!EHR Platform for OPENeP). Direct peer in the openEHR clinical-platform space, with overlapping NHS and international deployments.
Broad incumbents
- TPP: One of the dominant UK EPR providers (SystmOne), deeply embedded across NHS primary and secondary care. Competes with Apperta for NHS trust digital budgets and is a recurring reference point in any NHS open-platform versus integrated-EPR decision.
- Epic Systems: Largest US-headquartered EPR vendor, increasingly winning large NHS trust contracts (e.g., Manchester, King's College). Represents the integrated-mega-EPR option that pulls share away from open-platform plays like Apperta.
- Oracle Health (formerly Cerner): Major incumbent EPR vendor with deep NHS footprint (including NHS Spine work). Competes for trust-level EPR contracts and for the patient-engagement/PROMs adjacent functionality that openOutcomes addresses.
Emerging players
- Bahmni: Open-source hospital information system (built on OpenMRS) with strong international deployments. Comparable in mission (open-source clinical systems for under-served healthcare) but not a direct UK NHS competitor.
- OpenMRS: Open-source electronic medical record platform with a global community, primarily focused on low-resource and international settings. Shares the open-source, community-governed model with Apperta and is a conceptual peer for international expansion ambitions.
- OpenEHR Foundation: The international standards body whose openEHR specification underlies Apperta's product stack. Highly adjacent: OpenEHR defines the model, while Apperta builds the applications and ecosystem on top of it, sharing many of the same community contributors.
Regional players
- Nervecentre Software: UK-focused EPR and patient-flow vendor, with strong NHS acute and mobile-eObs presence (overlapping with Open eReact). Direct competitor in the NHS acute-care digital workflow space, particularly on nursing observations and deterioration monitoring.
Others
- Rhapsody (now Lyniate): Healthcare interoperability vendor that competes with the HL7 FHIR/IHE-XDS integration capabilities that Apperta's stack is built to deliver. Adjacent ecosystem participant and potential technology partner rather than direct EPR competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
THE APPERTA FOUNDATION C.I.C. social profiles
Digital presenceTHE APPERTA FOUNDATION C.I.C. financial estimates
Financial estimateRevenue estimate
Valuation estimate
THE APPERTA FOUNDATION C.I.C. leadership team
Management profileNumber of profiles
Profiles3 records
THE APPERTA FOUNDATION C.I.C. funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
THE APPERTA FOUNDATION C.I.C. M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about THE APPERTA FOUNDATION C.I.C.
What does THE APPERTA FOUNDATION C.I.C. do?
The Apperta Foundation develops, curates and acts as community custodian for a portfolio of open source digital health software — including the OpenEyes ophthalmology EPR, the openOutcomes PROMs/PREMs platform, Care Precision and Open eReact clinical monitoring tools, chartmyhealth, the CKM clinical knowledge repository, and the Code4Health community platform — built on international open standards (openEHR, HL7 FHIR, SNOMED-CT, IHE-XDS). Core software is provided free of charge; the foundation generates revenue via accredited professional services partners on G-Cloud and through supporter/subscription funding from NHS bodies and industry.
Is THE APPERTA FOUNDATION C.I.C. a public or private company?
THE APPERTA FOUNDATION C.I.C. is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was THE APPERTA FOUNDATION C.I.C. founded?
THE APPERTA FOUNDATION C.I.C. was founded in 2015. It employs 1 to 10 people.
Where is THE APPERTA FOUNDATION C.I.C. based?
THE APPERTA FOUNDATION C.I.C. is headquartered in Sunderland, United Kingdom, in the Europe region.
How does THE APPERTA FOUNDATION C.I.C. make money?
Three revenue lines are on record. Professional Services (Implementation & Support) is the primary driver. The others are not-for-Profit Funding and Subscriptions and open Source Software (Free Distribution).
Who are THE APPERTA FOUNDATION C.I.C.'s main competitors?
Direct peers on record are IMS MAXIMS and Better (formerly Marand). Broad incumbents are TPP, Epic Systems and Oracle Health (formerly Cerner). Emerging players are Bahmni, OpenMRS and OpenEHR Foundation. Nervecentre Software is listed as a regional player. Rhapsody (now Lyniate) is listed as an others.
Does THE APPERTA FOUNDATION C.I.C. have an API?
No public API is recorded for THE APPERTA FOUNDATION C.I.C..
What industry is THE APPERTA FOUNDATION C.I.C. in?
THE APPERTA FOUNDATION C.I.C.'s product category is Open Source Digital Health Software. Its primary akta.pro industry code is HLACAEAM, Employer/Member Engagement Platforms for Provider-Sponsored Plans, with a secondary code of HLALABAM, Revenue Cycle, Coding & Telehealth Compliance Platforms (for provider orgs). Its NAICS code is 54151 and its SIC code is 8000.