Everwell Health Solutions

What Everwell Health Solutions does

Everwell Health Solutions is a Bengaluru, India-headquartered healthcare technology company that invents, designs, builds, and deploys open-source digital health infrastructure for public-sector disease programs, with a primary focus on tuberculosis, HIV, and other conditions requiring long-course medication adherence. Its flagship product, the Everwell Hub, is a comprehensive web and mobile-enabled patient management platform built on a microservices architecture (Java and Python backend, Vue.js frontend) deployable on Azure, AWS, Google Cloud, or on-premise Kubernetes clusters. The Hub integrates multiple digital adherence technologies (99DOTS envelopes, Video Observed Therapy via SureAdhere, evriMED/MERM smart pillboxes), diagnostics workflows with API connections to lab systems and AI-based x-ray analyses, Direct Benefit Transfer payments via PFMS, virtual care channels (SMS, IVR, WhatsApp, video), and analytics, with a rule-based engine enabling customization across diseases and deployment environments.

The company monetizes through multi-year subscription-style contracts with national TB programs and health ministries (most prominently India's Central TB Division via the Nikshay national platform), supplemented by grants and program funding from development institutions including the Bill & Melinda Gates Foundation, USAID, the Global Fund, and TB REACH, plus unit-priced sales of 99DOTS medication envelopes. Go-to-market combines direct enterprise engagement with governments, a Build-Operate-Transfer channel-partner model with international NGOs and implementing partners (Johns Hopkins, Piramal Swasthya, Alliance India, ASCENT), and open-source distribution via GitLab. The platform is deployed across 17 countries, supports over 1/5th of the world's active TB population, has recorded 1.47 Crore episodes on Nikshay, and is certified as a Digital Public Good by the Digital Public Goods Alliance under an MIT license.

Name

Everwell Health Solutions

Legal name

Everwell Health Solutions Private Limited

Website

https://everwell.org

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

51–100 employees

Short description

Everwell Health Solutions builds and deploys the open-source Everwell Hub platform, a comprehensive patient management and digital adherence system used by national TB programs, governments, and NGOs across 17 countries to manage treatment adherence, diagnostics, and direct benefit transfers.

Ownership category

akta.pro rank

Product category

Digital Health Platform

NAICS

Computer Systems Design Services (541512), Computer Systems Design and Related Services (54151)

SIC

Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)

akta.pro primary industry

Medical Device Connectivity & Interoperability Middleware (MDI, EHR/HL7/FHIR Integration) (HLACAPAJ)

akta.pro secondary industries

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)

Keywords

• Digital health platform
• Patient management software
• Medication adherence technology
• Open source healthcare
• Healthcare data analytics

Headquarters

HQ city

Bengaluru

HQ country

India

HQ region

Asia

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Government Contracts: Contracts with governments and implementing partners to provide support services for public health programs over contracted periods. Primary revenue stream through agreements with national TB programs and health ministries.
2. Grants and Development Funding: Funding from Bill & Melinda Gates Foundation, USAID, Global Fund, and other international donors for specific program implementations and technology development.
3. 99DOTS Envelope Sales: Sale of 99DOTS medication envelopes to partners and programs at ₹15/envelope (excluding GST) for India, with custom pricing for high volume orders and international partners.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Everwell Health Solutions develops and deploys the Everwell Hub, an open-source, web and mobile-enabled patient management platform for government health programs and implementing partners. The platform integrates multiple digital adherence technologies (99DOTS, VOT, evriMED/MERM), diagnostics, digital payments, virtual care, and analytics into a single system spanning the entire cascade of care. Its flagship deployment powers Nikshay, India's national TB case management platform serving over 100 million people across 17 countries.

Product overview

Everwell Health Solutions offers a platform-plus-modules architecture centered on the Everwell Hub, a comprehensive open-source patient management system. The core Everwell Hub integrates multiple digital adherence technologies (99DOTS, VOT, evriMED/MERM), diagnostics, digital payments, virtual care, and analytics modules. Key offerings include: 99DOTS (low-cost medication sleeve adherence), VOT (video observed therapy), Digital Payments (DBT via PFMS), Data and Analytics Solutions, AI Services, Innovation & Advisory, and Mobile Health Applications. Nikshay, India's national TB platform powered by Everwell Hub, represents a major national deployment.

Differentiator

Problem solved

Functional benefit

Brands

• 99DOTS: Low-cost digital adherence technology using inexpensive packaging with medication that enables patients to engage with their treatment daily through toll-free calls or SMS.
• VOT (Video Observed Therapy)
• Nikshay

Products and services

• Everwell Hub Comprehensive, open-source web and app-enabled patient management system designed for healthcare providers to manage patient information, treatments, and outcomes across the entire cascade of care. Integrates adherence technologies, diagnostics, payments, virtual care, and analytics modules. Licensed under MIT License as a Digital Public Good.
• 99DOTS Digital Adherence Technology Low-cost digital adherence technology using custom packaging (envelopes/stickers at ₹15/envelope excluding GST) with hidden toll-free numbers that patients call to register daily medication adherence. Supports TB and HIV adherence programs. 99DOTS envelopes are sold to partners and programs as a physical product.
• VOT (Video Observed Therapy) Digital adherence technology using mobile video communications to monitor medication ingestion by patients. Includes Synchronous VOT (real-time videoconference) and Asynchronous VOT (recorded videos automatically synced for provider review). Integrated with the Everwell Hub.
• Digital Payments Digital payment solution enabling government and programmatic schemes to provide financial support to patients through secure, seamless Direct Benefit Transfers (DBT). Integrated with India's Public Financial Management System (PFMS). Has processed over 900 Crore in digital payments to TB-affected people and providers.
• Data and Analytics Solutions Advanced data solutions that organize, analyze, and utilize healthcare data to drive actionable insights and support strategic decision-making for public health programs. Includes reports, dashboards, and data exports.
• AI Services AI-powered innovations providing data-driven decision-making, predictive analysis, and personalized patient care for better health outcomes. Includes AI-based x-ray analysis for TB detection integrated through the Diagnostics Module APIs.
• Innovation & Advisory Technical advisory and consulting services for public health system design, building innovative technology solutions, and facilitating development of effective, efficient, and interoperable health systems for government and NGO partners.
• Mobile Health Applications Patient-facing and provider-facing mobile applications including Hub Health Companion (Patient App) and Everwell Hub App (Provider App) for healthcare staff and patient engagement across web and mobile.

Quantifiable outcome

• Over 100 million people reached with healthcare interventions
• +4 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

AI capability8 records

Feature6 records

Partnerships

Ten partnerships are on record, tiered flagship, core and minor.

• Government of India - Central TB DivisionflagshipStrategic or Co-development PartnerTechnical partner for Nikshay, India's national TB case management platform. Supports full digitization of cascade of care used by every healthcare worker across the country. September 2024 marks 6th anniversary of Nikshay relaunch.
• WHOcoreStrategic or Co-development PartnerCollaborating partner in Nikshay ecosystem and digital health initiatives. Everwell Hub referenced in WHO guidelines for digital adherence technologies.
• Johns Hopkins University School of MedicinecoreImplementation/ SI/ Consulting PartnerImplementing partner under USAID/PEPFAR funding (Project ACCELERATE) for HIV adherence programs in India. Provides program leadership and guidance for Self-Verified Adherence pilots.
• NACO (National AIDS Control Organization)coreStrategic or Co-development PartnerIndia's AIDS response governing body guiding Self-Verified Adherence pilot for PLHIV using 99DOTS technology. Provides regulatory framework and program direction.
• Piramal Swasthya Medical and Research Institute (PSMRI)minorImplementation/ SI/ Consulting PartnerPartner managing NACO's 1097 helpline number and supporting HIV adherence programs with standardized care and counselling.
• Alliance India (Vihaan)minorImplementation/ SI/ Consulting PartnerImplementing partner ensuring standardized care and counselling for PLHIV enrolled on Self-Verified Adherence program.
• Microsoft ResearchcoreStrategic or Co-development PartnerCo-developed 99DOTS innovation with Microsoft Research. Original platform concept and development partnership that spawned Everwell's technology foundation.
• Wisepill (evriMED/MERM)coreTechnology or IntegrationTechnology integration partner for smart pillbox devices. evriMED/MERM devices integrated into Everwell Hub as one of three main digital adherence technologies.
• SureAdhere (VOT)coreTechnology or IntegrationTechnology integration partner for video-observed therapy. VOT system integrated into Everwell Hub for remote medication monitoring.
• ASCENT ProjectminorImplementation/ SI/ Consulting PartnerTechnical partner powering ASCENT rollouts for digital adherence technology deployment.

Scale indicators14 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Vecna Technologies: Vecna is a larger healthcare IT vendor with global health deployments (e.g., patient engagement, EMR workflows). It is a broader incumbent that overlaps with Everwell's virtual care and patient management capabilities at the health-system level.
• Wisepill Technologies: Wisepill manufactures the evriMED/MERM smart pillbox, one of the three core DATs integrated into Everwell Hub. As a hardware-led adherence player, it both complements and competes with Everwell's adherence offering.
• SureAdhere: SureAdhere is the leading provider of video-observed therapy (VOT) for TB adherence and is both a technology integration partner and a competing standalone offering for the VOT module within Everwell Hub.

Direct peers

• DHIS2: DHIS2 is the most widely deployed open-source health information management system in LMICs, used in 100+ countries. It competes with Everwell Hub for national digital health platform mandates, although DHIS2 is more aggregate-data focused.
• Aviro Health: Aviro Health is a digital health company focused on TB and HIV patient management in South Africa. It competes directly with Everwell in the same disease verticals and regional donor-funded programs.
• Medic (formerly Medic Mobile): Medic provides an open-source mobile platform for community health workers globally. Comparable open-source, donor-funded model targeting the same LMIC ministries of health and adherence/case-management use cases.
• Dimagi: Dimagi builds CommCare, an open-source digital platform for frontline health workers used across LMICs. It directly competes with Everwell Hub for government and donor-funded community health and TB/HIV program deployments.
• OpenMRS: OpenMRS is an open-source electronic medical record platform widely deployed in LMIC hospitals and HIV/TB programs. It overlaps with Everwell Hub in national EMR integrations (e.g., Philippines, Uganda) and competes for the same disease-program technology budgets.

Emerging players

• THINKMD: THINKMD provides AI-enabled clinical decision support for frontline health workers in LMICs. While narrower in scope than Everwell Hub, it competes for adjacent global-health digital health budgets and partner ecosystems.
• Bahmni: Bahmni is an open-source hospital/clinical management system integrated with OpenMRS, used in LMIC health facilities. It is adjacent to Everwell Hub and competes for similar hospital- and program-level deployments.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/everwell_health
• YouTubeyoutube.com/@EverwellHealthSolutions
• LinkedInin.linkedin.com/company/everwell-health-solutions-pvt-ltd

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

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 Everwell Health Solutions