ESO Solutions, Inc.

ESO Solutions Inc. is a US-based technology firm specializing in software solutions that enhance emergency medical services (EMS) and fire department operations, focusing on improving data accessibility and reporting. Founded in 2004 in Austin, US, ESO Solutions Inc. delivers software solutions for the EMS sector.

The company's leadership includes founders Aimad Toufik, Chris Dillie, and John Kutcher, with Aimad Toufik currently serving as CEO. In April 2026, ESO Solutions Inc. , a portfolio company of Accel-KKR and Vista Equity Partners, acquired d2i. Financial terms were not disclosed.

ESO provides a comprehensive suite of software solutions designed to enhance emergency medical services (EMS) and fire department operations. Their core product offerings encompass advanced electronic patient care reporting (ePCR), logistics management, and analytics tools that facilitate real-time data sharing among EMS agencies and hospitals. The software is tailored to streamline operational efficiency, improve reporting accuracy, and drive quality patient outcomes, addressing critical challenges faced by first responders. Since its inception in 2004, ESO has established itself as a leading software and data solutions provider, serving a diverse client base that includes EMS agencies, fire departments, hospitals, and state EMS offices across multiple geographical markets in the United States.

Their user-friendly products are intended for paramedics and emergency responders, ensuring that the end users can effectively collect, share, report, and analyze vital information to improve community health and safety. ESO's revenue model is driven by a combination of subscription-based services and partnerships that enable EMS and fire departments to access their suite of products. Transactions typically occur through annual or multi-year agreements, which may include a range of pricing plans based on the specific software solutions selected by the clients. For example, clients can opt for the flagship electronic health record (EHR) system or the logistics management platform, which are designed to meet the unique needs of their organizations.

This B2B structure facilitates direct relationships with government agencies, hospitals, and non-profit organizations, allowing ESO to cater to the specific operational demands of each client. The company’s focus on delivering value through innovative technology and data analytics positions them to maintain a strong market presence and foster long-term client partnerships. Following the acquisition of d2i in April 2026, ESO has emphasized deeper analytics and interoperability across pre‑hospital and in‑hospital settings, although specific financial targets have not been disclosed.