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M&A: ESO Acquires d2i to Build End-to-End Emergency Intelligence Platform

by Fred Pennic 04/07/2026 Leave a Comment

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What You Should Know: 

  • The Acquisition: ESO Solutions, Inc., a data services company serving fire departments, EMS, and hospitals, has acquired d2i, a healthcare performance improvement company specializing in Emergency Department (ED) and hospital analytics. Financial details of the acquisition were not disclosed. 
  • Impact: The d2i acquisition enables ESO is building the industry’s first unbroken data pipeline from the initial 911 dispatch all the way through post-acute hospital care.

For years, the EMS and fire departments that respond to 911 calls have operated on entirely different software systems than the hospitals receiving those patients. When an ambulance drops a patient off, the prehospital data rarely flows seamlessly into the hospital’s Electronic Medical Record (EMR). Even worse, the EMS crew almost never receives downstream data on what ultimately happened to that patient, making it nearly impossible to measure long-term outcomes or optimize field protocols. The acquisition of d2i will enable ESO the ability to build the industry’s first unbroken data pipeline from the initial 911 dispatch all the way through post-acute hospital care.

“This acquisition enables ESO to be the first in our industry to offer connected intelligence from the community risk and initial call through the emergency department, hospital care and beyond,” said Eric Beck, CEO of ESO.

Closing the Loop on Emergency Intelligence

ESO already commands a massive footprint, partnering with over 3,000 hospitals via its Health Data Exchange to push real-time EMS data into the receiving facility. But d2i brings the analytical heavy lifting inside the hospital walls. The d2i platform currently manages over 10 billion data points across 450 hospitals, extracting siloed EMR, revenue cycle, and scheduling data to optimize ED throughput and boarding.

When you combine dispatch data, ambulance telemetry, ED triage times, and final hospital discharge outcomes into a single, unified data warehouse, you create the ultimate training ground for machine learning. This combined data asset will allow health systems to build predictive models that can anticipate ED overcrowding based on real-time 911 call volume, or adjust EMS field protocols based on actual, long-term patient survival rates.

“We built d2i to help teams understand what is actually driving performance and patient care,” noted Scott Richards, co-founder and CEO of d2i. “ESO brings a broader set of tools to influence what happens before the patient reaches the hospital. We bring clarity inside it.”

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Tagged With: Healthcare Mergers & Acquisitions

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