ESO Solutions Inc.

ESO Solutions Inc.

ESO Solutions Inc. was founded in 2004 by Dr. Brent Myers and Sam S. W. Waller. The company started as a small emergency medical services (EMS) data company in Austin, Texas, and has grown into a provider of electronic health record (EHR) and data analytics software for first responders and healthcare providers. ESO Solutions' core products include the ESO ePCR electronic patient care reporting platform, ESO Fire Records, and ESO EDI for hospital data integration. The firm also offers a health-data exchange that enables real-time data sharing between emergency agencies and receiving hospitals. ESO Solutions serves over 1,500 EMS agencies, fire departments, and hospital clients across all 50 US states. The company's geographic footprint is primarily domestic, though it has expanded into Canada and select international markets. ESO Solutions Inc. has received multiple equity investments from growth equity firms, including a $60 million minority investment from Thomas H. Lee Partners in 2019. In May 2023, the firm announced a partnership with the National Emergency Medical Services Management Association to enhance data benchmarking for EMS agencies. ESO Solutions employs approximately 400 people, largely based in Austin, Texas. The company operates a single headquarters location in Austin with no disclosed additional offices. No philanthropic foundation or adjacent investment vehicle has been publicly identified. ESO Solutions Inc. operates at the intersection of health-tech and public-safety software, which creates a structural moat through regulatory familiarity and integration complexity. Its software is deeply embedded in the workflows of emergency services, making it difficult for competitors to displace. The company also benefits from a network effect: as more agencies adopt ESO platforms, the data exchange becomes more valuable, creating a virtuous cycle for data-driven quality improvement in emergency care.