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The Coordination Reform requires all the municipalities in Norway to establish emergency bed units by 2016. The aim of this article is to provide a classification scheme of municipal acute bed units and examine how the municipalities have utilized the flexibility they have been given in the implementation of the units. The article is based on a study of the grant applications by 361 municipalities from 2012-2015. The results show that there is considerable diversity in the way in which the units are organised. They vary according to size, location and doctor services. Eight models of acute bed units and three models of organisation of doctors’ services are identified. Using translation theory, the article evaluates how the acute bed units as an organisational recipe have been translated into practice. The analysis shows that the majority of the municipalities have utilized a reproductive mode when translating the two first elements of the recipe: intermunicipal cooperation and location, while nearly all the municipalities have entered a modificatory mode in forming their doctor services. The municipalities’ use of the modificatory mode is mainly ascribed to the organisational recipe’s vague and implicit character.

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