What Ecare does

Ecare Software B.V., founded in 2007 and headquartered in Enschede, Netherlands, develops PUUR., a cloud-based Electronic Client Dossier (ECD) platform sold exclusively to Dutch healthcare organizations. The company serves three primary verticals: elderly care and home care (VVT), specialized mental health care (S-GGZ), and disability care (gehandicaptenzorg), with named enterprise customers including Vivium Zorggroep, Mijzo, ZorgAccent, BrabantZorg, Buurtzorg, BuurtzorgT, Estinea, De Wever, Avoord, and Amstelring Wijkzorg. Ecare states that more than 350,000 Dutch healthcare professionals use PUUR. daily, though it does not disclose revenue, headcount beyond a 101-250 band, or funding history.

The PUUR. platform is delivered as a SaaS solution hosted on Microsoft Azure (primary datacenter in Middenmeer, NL; failover in Dublin), built on open standards including OpenID-Connect, OAuth2, REST/JSON APIs, and Dutch healthcare interoperability standards (ZIB, HL7v3/FHIR, MED9, iWLZ, NUTS). Core product modules include the main PUUR. ECD, PUUR. for S-GGZ (co-developed with BuurtzorgT and live organization-wide since March 2024), PUUR. zorgmessenger for secure multi-party client communication, and PUUR. datahub for analytics. Embedded AI features comprise voice-controlled reporting (speech-to-text, validated with Mijzo, Patyna, and Buurtzorg) and automatic text summarization of care documentation. Ecare holds ISO 27001:2022, NEN 7510:2024, and ISAE 3402 Type II certifications.

Ecare operates a direct enterprise field-sales motion complemented by interactive demos and structured ECD selection processes, with no publicly disclosed pricing (quote-based annual subscriptions, NLdigital general terms). The company is privately held, management-controlled, with no disclosed parent company, institutional investors, or funding rounds in the input data. In April 2026, Ecare installed a new five-person executive team led by CEO Xander Schurink, explicitly framing the change as entry into a phase of stable growth.

Name

Ecare

Legal name

Ecare Software B.V.

Website

https://ecare.nl

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

101–250 employees

Short description

Ecare Software B.V., founded in 2007 in Enschede, Netherlands, develops PUUR., a cloud-based Electronic Client Dossier SaaS platform for Dutch healthcare organizations in elderly care, specialized mental health, and disability care. The platform, used by more than 350,000 healthcare professionals, combines core ECD workflows with AI-enabled voice reporting and analytics modules.

Ownership category

akta.pro rank

Product category

Healthcare SaaS / Electronic Client Dossier (ECD)

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518210)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Programming Services (7371)

akta.pro primary industry

Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA)

akta.pro secondary industry

Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Healthcare software
• Electronic client dossier
• Care administration platform
• Elderly care software
• Mental health ECD

Headquarters

HQ city

Enschede

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales

Revenue model

1. SaaS Subscription (PUUR.): Subscription-based Software as a Service model for the PUUR. ECD platform. PUUR. is available as a full cloud solution with the company handling hosting, maintenance, security, and updates.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels10 records

Core offering

Ecare develops and sells PUUR., a cloud-based SaaS Electronic Client Dossier (ECD) platform for healthcare organizations in the Netherlands. The platform supports the complete care delivery process for elderly care (VVT), specialized mental healthcare (S-GGZ), and disability care, with AI-powered features for voice-controlled reporting and automated text summarization. Ecare handles hosting, maintenance, security, and updates as a managed subscription service.

Product overview

Ecare offers PUUR., a unified SaaS-based electronic client dossier (ECD) platform for Dutch healthcare organizations. The core PUUR. platform serves elderly care (VVT) and specialized mental health care (S-GGZ), with specialized modules including PUUR. for GGZ (developed with BuurtzorgT), PUUR. datahub for analytics, and PUUR. zorgmessenger for secure communication. The platform includes AI-powered features such as voice-controlled reporting and automatic text summarization. PUUR. is offered as a complete, integrated solution with support for healthcare standards like HL7 FHIR for interoperability.

Differentiator

Problem solved

Functional benefit

Brands

• PUUR. The smart ECD (Electronic Client Dossier) software platform for healthcare providers in the Netherlands, serving elderly care (VVT), mental healthcare (GGZ), and disability care sectors.

Products and services

• PUUR. Cloud-based SaaS Electronic Client Dossier (ECD) platform for Dutch healthcare organizations, supporting the complete care delivery process from A to Z including clinical and administrative workflows for elderly care (VVT), specialized mental healthcare (S-GGZ), and disability care. Hosted on Microsoft Azure with built-in AI capabilities, the platform consolidates care documentation, communication, scheduling, reporting, and care technology management.
• PUUR. for GGZ Specialized Electronic Patient Dossier module for mental healthcare organizations, developed in collaboration with BuurtzorgT. Supports the full treatment process from admission and intake through treatment to billing and declarations, designed for professionals working in specialized mental healthcare (S-GGZ) and their clients with complex psychiatric and social support needs (EPA target group).
• PUUR. datahub Data analytics and business intelligence module that enables healthcare organizations to collect, combine, and transform data into valuable insights. Supports smarter management of care delivery and business operations through data-driven decision making, leveraging the comprehensive client data within PUUR. as a reliable source for BI and AI applications.
• PUUR. zorgmessenger Secure messaging and communication module that consolidates all client-related messaging from GPs, hospitals, and colleagues into a single integrated system within the client's dossier. Enables care professionals to send and receive messages directly from the client record, eliminating fragmented communication across the care network.

Quantifiable outcome

• Organizations report significantly reduced administrative burden with PUUR. compared to legacy systems.
• +1 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability5 records

Feature6 records

Partnerships

Five partnerships are on record, tiered core and minor.

• BuurtzorgTcoreStrategic or Co-development Partner · 18 June 2021BuurtzorgT and Ecare co-developed an innovative EPD specifically for the GGZ (mental health) sector. This strategic partnership aimed to reduce bureaucracy and administrative burden in mental healthcare, aligning with BuurtzorgT's vision of professional-centered care. The resulting product, PUUR. for S-GGZ, launched in March 2024 with BuurtzorgT going organization-wide live.
• ZorgAccentcoreStrategic or Co-development PartnerLong-standing partnership with ZorgAccent, a care organization active in North and West Twente and Salland with approximately 14 locations and home care teams. Partnership was renewed, indicating a successful ongoing relationship focused on providing care using PUUR.
• Microsoft AzurecoreTechnology or IntegrationEcare uses Microsoft Azure for hosting PUUR. Primary datacenter is in Middenmeer, North Holland, with failover to Dublin, Ireland. Azure provides the cloud infrastructure for the SaaS solution with compliance offerings for Microsoft 365 and Azure services.
• Visma (VASP Program)coreTechnology or IntegrationEcare participates in the Visma Application Security Program (VASP), which includes cyber threat intelligence, static application security testing via Polaris, software composition analysis via Snyk, security training programs, and a bug bounty program.
• NorvatominorImplementation/ SI/ Consulting PartnerNorvato provides Ecare's Whistleblowing Channel and Responsible Disclosure platform, enabling anonymous reporting of suspected breaches of local and/or EU/EER legislation in compliance with EU Whistleblowing Directive 2019/1937.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• ChipSoft: Leading Dutch EHR (HiX) vendor serving hospitals and a growing share of Dutch care organizations. Directly comparable to Ecare as a Dutch healthcare IT specialist with an integrated clinical/administrative platform, though broader in hospital scope.
• Nedap Healthcare: Dutch healthcare software provider (Ons platform) serving VVT, GGZ, and disability care — directly competing with PUUR. in the same verticals with similar SaaS delivery and care-process focus.
• PinkRoccade Healthcare: Dutch healthcare IT vendor (including Afas and Caren solutions ecosystem) serving care organizations with administrative and clinical software. Comparable as a Netherlands-based ECD/EHR competitor targeting VVT and adjacent verticals.
• Topicus: Netherlands-based vertical SaaS provider with healthcare (Ons/Zorg) operations serving Dutch care providers. Direct overlap with PUUR. in the Dutch care-software market.

Broad incumbents

• Visma: Large Nordic/European software group with healthcare and administrative software offerings across multiple verticals; broad incumbent with overlapping ECD-adjacent capabilities and identified partner (VASP) of Ecare.
• Epic Systems: Global EHR leader serving large health systems. Broad incumbent that competes for large enterprise healthcare IT spend and could pressure national or specialty ECD vendors in mature markets like the Netherlands.
• Oracle Health (Cerner): Global EHR/Cerner platform targeting health systems and integrated delivery networks. Broad incumbent in healthcare IT with comparable electronic patient record functionality at enterprise scale.

Emerging players

• Salesforce Health Cloud: Major CRM/cloud platform with healthcare vertical capabilities including patient engagement and care coordination. Emerging adjacent player overlapping with PUUR.'s messaging and engagement layer.
• Epic-like Dutch eHealth startup (e.g., Adapcare / Avinty): Dutch e-health software group (Avinty/Adapcare) focused on GGZ and youth-care ECD solutions. Emerging player with partial vertical overlap to PUUR.'s GGZ proposition.

Others

• Microsoft (Azure + Cloud for Healthcare): Ecare's underlying cloud infrastructure provider (Azure) and broader healthcare platform vendor. Comparable as the enabling ecosystem Ecare is built on and a potential long-term competitor offering native healthcare AI capabilities.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCjlPzD6rvgz4jbXX05wnrzA
• Facebookfacebook.com/ecarevoordezorg
• LinkedInlinkedin.com/company/ecare-services
• Instagraminstagram.com/ecareoplossingenvoordezorg
• Xx.com/ecareservices

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds1 record

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Ecare