Esko Systems
Esko Systems Oy is a Finnish in-house software company that develops and delivers the Esko APTJ client and patient information system for more than 10 Finnish public wellbeing services counties, covering specialized, primary, and social healthcare workflows integrated with national Kanta services.
- Company typePrivate
- Founded2019
- HeadquartersOulu, Finland
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Esko Systems does
Esko Systems Oy is a Finnish private in-house software company that develops, delivers, and maintains the Esko Client and Patient Information System (Esko APTJ) for the country's public wellbeing services counties (hyvinvointialueet). Founded in 2019 to take over a patient information system originally developed at Oulu University Hospital since 1996, Esko serves over 10 wellbeing services counties including Pohde (Pohjois-Pohjanmaa), Lapland, and Kainuu, covering specialized healthcare, primary healthcare, social welfare, oral health, and home care workflows.
The Esko APTJ platform is a browser-based, modular system built on the IRIS for Health integration platform using FHIR standards, integrating with Finland's national Kanta services, Hilmo reporting, the Finnish Cancer Register, CGI billing, the UNA national form service, and the Unto medication dispensing robot at OYS. Core modules include Eskon Lääkehoito (a medical device under EU/2017/745 with ISO 13485 certification covering medication management), Kliininen tilannekuva (clinical overview), Kertomusvirta (patient record flow), Antti (anesthesia), HoiTu (emergency documentation), and a proprietary patient administration module replacing legacy Oberon. Social welfare, oral health, and home care modules are delivered through the Mediconsult Saga partnership. An AI documentation assistant (kirjausbot) using speech-to-text and NLP is in development with University of Oulu and Pohde.
The company operates as a non-profit in-house company (inhouse-yhtiö), with ownership held by its customer wellbeing services counties, generating recurring subscription revenue through direct service agreements with owner-customers. Pricing is not publicly disclosed. Distribution is exclusively direct to public sector owner-customers, bypassing public procurement for those owners. The company holds ISO 13485 (medical devices) and ISO 27001 (information security, since September 2025) certifications, plus the Avainlippu (Key Flag) and Koodi Suomesta designations. Headcount exceeds 130 employees as of 2026, up from approximately 20 at founding, with headquarters in Oulu and a branch office in Rovaniemi. In January 2026, Pohde announced a share sale process and competitive procurement, a material ownership and customer concentration risk.
Esko Systems firmographics
Firmographics- Name
- Esko Systems
- Legal name
- Esko Systems Oy
- Website
- https://eskosystems.fi
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Esko Systems Oy is a Finnish in-house software company that develops and delivers the Esko APTJ client and patient information system for more than 10 Finnish public wellbeing services counties, covering specialized, primary, and social healthcare workflows integrated with national Kanta services.
- Ownership category
- akta.pro rank
Esko Systems industry classification
Industry- Product category
- Healthcare Information Systems
- NAICS
- Computer Systems Design and Related Services (54151)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance) (HDAEAEAH)
- akta.pro secondary industries
- Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO), State/Provincial Human Services & Benefits Administration (Welfare, Disability, Child & Family) (BPAIABAI)
Keywords
Where Esko Systems is headquartered
LocationHeadquarters
- HQ city
- Oulu
- HQ country
- Finland
- HQ region
- Europe
Offices2 records
Markets served
Esko Systems business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales
Revenue model
- APTJ System Delivery and Maintenance: Esko Systems delivers the comprehensive Esko CPIS (Client and Patient Information System) solution to owner-customers (wellbeing services counties). As a non-profit in-house company, revenue generated covers operational costs and development, with surplus reinvested into the system.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Custom pricing for public sector wellbeing services counties |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels7 records
Esko Systems product offering
Product offeringCore offering
Esko Systems Oy develops, delivers, and maintains the Esko APTJ (Asiakas- ja potilastietojärjestelmä), an integrated client and patient information system covering specialized healthcare, primary healthcare, social welfare, oral health, home care, and medication management for Finnish public wellbeing services counties. The system integrates with Finland's national Kanta services and is delivered as a subscription-based service directly to owner-customer public-sector organizations.
Product overview
Esko Systems provides Esko APTJ (Asiakas- ja potilastietojärjestelmä), a comprehensive integrated client and patient information system for Finnish public social and healthcare services. The system consists of Esko's own core modules supplemented by partner products. The core includes Esko Erikoissairaanhoito (specialized healthcare) with applications like Antti (anesthesia), HoiTu (emergency), KTK (clinical overview), and Kertomusvirta (patient records), plus Esko Perusterveydenhuolto (primary care) with its own patient administration module replacing legacy Oberon, and Eskon Lääkehoito (medication management) as a unified medical device. The ecosystem is extended through Mediconsult's Saga product family including Saga Sosiaalihuolto (social welfare), Saga Suun Terveydenhuolto (oral health), and Saga Kotihoito (home care). All data integrates with national Kanta services. Esko is developed by customer-owned in-house company Esko Systems Oy, founded 2019.
Differentiator
Problem solved
Functional benefit
Brands
- Esko APTJ: Asiakas- ja potilastietojärjestelmä (APTJ) — client and patient information system, the company's core product covering both social welfare and healthcare in a single integrated system for Finnish wellbeing services counties.
- Esko potilastietojärjestelmä
- Unto
Products and services
- Esko APTJ (Asiakas- ja potilastietojärjestelmä) Integrated client and patient information system (CPIS) covering both social welfare and healthcare services for Finnish wellbeing services counties. Single unified system connecting specialized care, primary care, and social services with national Kanta services.
- Esko Erikoissairaanhoito (Specialized Healthcare) Specialized hospital care module for tertiary healthcare including emergency, inpatient, surgical, and outpatient services. Includes specialized applications such as Antti (anesthesia), HoiTu (emergency documentation), and KTK (clinical overview).
- Esko Perusterveydenhuolto (Primary Health Care)
Quantifiable outcome
- User rating 7.8/10 from physicians in Lääkäriliitto study vs 6.7 average for all systems
- +1 more outcomes
Companies that use Esko Systems
Customer profileNamed customers4 records
Segments3 records
Ideal customer profiles2 records
Esko Systems technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
AI capability2 records
Feature6 records
Esko Systems partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core, secondary and minor.
- Mediconsult OycoreExtended partnership includes Saga Kotihoidon toiminnanohjausjärjestelmä (home care operations management system) and customer visit optimization for home care services.
- Mediconsult OycoreMediconsult was selected through competitive tendering as partner for Saga Social Welfare and Saga Oral Health systems. Saga products are integrated into Esko's overall client and patient information system (APTJ) to provide comprehensive coverage for social welfare and oral health services. The partnership enables Esko to offer complete solutions for wellbeing services counties.
- Netum OycoreNetum Oy serves as a product development partner for Esko Systems, working together to develop solutions that make healthcare professionals' demanding work easier and smoother. Collaboration extends across the group level.
- UNA OysecondaryUNA provides national form services for creating and storing medical statements and certificates to Kanta. Esko has integrated UNA-lomakepalvelu for electronic certificate creation in Oulaskangas hospital and other locations.
- Istekki OysecondaryIstekki participates in Esko deployment projects as implementation partner. They co-exhibit at events like Esko-päivät and contribute expertise in information security requirements for future healthcare.
- Kustannus Oy DuodecimsecondaryDuodecim provides content integration for medical information services, co-exhibiting at Esko events.
- Monetra Oulu OyminorMonetra provides finance and HR administration services to Esko Systems, selected as partner during the company's founding phase as an in-house service provider.
- CGIsecondaryCGI was selected through competitive tendering in 2023 as the billing system provider for Esko APTJ, part of the complementary system suite.
- OYS Sairaala-apteekki (OYS Hospital Pharmacy)secondaryCollaborative development of Unto Unit Dose automated medication dispensing robot integration with Esko patient information system at OYS as part of OYS2030 smart hospital development.
- Pohjois-Pohjanmaan sairaanhoitopiiri (PPSHP)coreOriginal founding organization where Esko was developed. Historical anchor for Esko's development, with ongoing collaboration for OYS2030 hospital development projects.
Scale indicators5 records
Recent moves9 records
Expansion highlights6 records
Esko Systems competitors and assessment
Company assessmentRegional players
- Systematic A/S: Danish software company with a healthcare division supplying EHR and clinical workflow solutions to Nordic public healthcare providers. Comparable as a Northern European healthcare IT specialist serving public-sector hospital customers.
- DIPS ASA: Norwegian EHR vendor dominating the Norwegian public hospital market with a comprehensive electronic patient journal system. Comparable as a Nordic-region public-sector EHR specialist, though geographic footprint is primarily Norway rather than Finland.
- Cambio Healthcare Systems: Swedish EHR vendor with established presence across Nordic public-sector healthcare. Comparable in delivering integrated clinical information systems to public healthcare providers, though primarily operating in Sweden rather than directly competing in Finland.
Emerging players
- Newicon Oy: Finnish pharmacy automation company that develops the Unto Unit Dose medication dispensing robot integrated with Esko Lääkehoito at OYS. Comparable as a Finnish health-tech specialist with direct technical integration into Esko's clinical workflow.
- Evondos Oy: Finnish health-tech company specializing in automated medication dispensing for home care and elderly care. Operates in adjacent medication-management and home-care automation segments that overlap with Esko's Saga Kotihoito and Esko Lääkehoito modules.
Direct peers
- Mediconsult Oy: Finnish healthcare IT vendor and Esko's strategic partner for Saga Social Welfare, Oral Health, and Home Care modules. Operates in the same Finnish public-sector market with overlapping product categories and overlapping customer relationships among wellbeing services counties.
- Tietoevry: Major Nordic IT services and software vendor with established healthcare and social welfare footprint in Finland and Sweden. Competes for Finnish public-sector healthcare IT contracts alongside Esko and is one of the largest incumbents in the addressable market.
- CGI Group: Global IT services company with significant Finnish healthcare IT presence and is already a partner of Esko Systems (provides billing system for Esko APTJ). Competes for the same wellbeing services county contracts that Esko targets as an in-house provider.
Others
- CSC - IT Center for Science: Finnish state-owned IT center that operates the national Kanta health data services on which Esko's product is dependent. Not a direct competitor but a critical infrastructure and policy partner whose decisions shape Esko's product roadmap and regulatory positioning.
Broad incumbents
- Epic Systems: Global EHR incumbent with growing European footprint and selected Nordic reference customers. Competes in the broader patient information system category against Esko and could enter Finnish county tenders as a large, well-capitalized alternative.
Market position
Strengths2 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Esko Systems social profiles
Digital presenceEsko Systems compliance and trust
Trust signalCompliance4 records
Esko Systems financial estimates
Financial estimateRevenue estimate
Valuation estimate
Esko Systems leadership team
Management profileNumber of profiles
Profiles5 records
Esko Systems funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Esko Systems M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Esko Systems
What does Esko Systems do?
Esko Systems Oy develops, delivers, and maintains the Esko APTJ (Asiakas- ja potilastietojärjestelmä), an integrated client and patient information system covering specialized healthcare, primary healthcare, social welfare, oral health, home care, and medication management for Finnish public wellbeing services counties. The system integrates with Finland's national Kanta services and is delivered as a subscription-based service directly to owner-customer public-sector organizations.
Is Esko Systems a public or private company?
Esko Systems is a private company. It is classified as corporate owned and is currently operating.
When was Esko Systems founded?
Esko Systems was founded in 2019. It employs 101 to 250 people.
Where is Esko Systems based?
Esko Systems is headquartered in Oulu, Finland, in the Europe region.
How does Esko Systems make money?
One revenue line is on record: APTJ System Delivery and Maintenance.
Who are Esko Systems's main competitors?
Regional players on record are Systematic A/S, DIPS ASA and Cambio Healthcare Systems. Emerging players are Newicon Oy and Evondos Oy. Direct peers are Mediconsult Oy, Tietoevry and CGI Group. CSC - IT Center for Science is listed as an others. Epic Systems is listed as a broad incumbent.
Does Esko Systems have an API?
No public API is recorded for Esko Systems.
What industry is Esko Systems in?
Esko Systems's product category is Healthcare Information Systems. Its primary akta.pro industry code is HDAEAEAH, Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance), with a secondary code of HLAFAAAO, Hospital Shared Services, GPOs & System Support Organizations. Its NAICS code is 54151 and its SIC code is 7372.