PROCURE is an EU Project supported and funded by the European Commission that brings together partners from EU countries. A key component of the project is to undertake an “Observational Study on European Healthcare & Procurement Environment” to gain a better understanding of the functioning of healthcare systems and their supply chain through these inputs from national and/ or regional stakeholders and the public procurement practices and main barriers in different countries. The “Observational Study on European Healthcare & Public Procurement Environment” is a public report that combines the methodology process of the PROCURE Observational Study, the Identity Cards (ID Cards) and a comparative analysis from the 10 Member States involved in the PROCURE project (Austria, Belgium, France, Greece, Hungary, Italy, Portugal, Romania, Spain and Sweden). This report, together with the ongoing Digital Statistical Tool is aiming to provide answers to the functioning of the healthcare systems and to the public procurement practices and main barriers in the healthcare sector across Europe. It is also a baseline for the next activities of the PROCURE project, which are the identification of key elements for successful public procurement practices in the healthcare sector, the elaboration of innovative public procurement strategies and the generation of tailored recommendations on public procurement in the healthcare sector across Europe. To deliver this Observational Study, the 10 Country Leaders have collected a large amount of qualitative data within their respective Country Nodes, that constitute the raw material for each ID Card, using the standardised questionnaires previously designed by the PROCURE Consortium. In total, the qualitative data of this Observational Study have been gathered from 148 healthcare organisations that have accepted to participate to the questionnaires: 65 suppliers, 57 contracting authorities (subject to the public procurement European directive), which are public procurers, mainly hospitals and central purchasing bodies, 17 private procurers (not subject to the public procurement European directive) and 9 healthcare institutions (health ministries, regional health agencies…). The final consolidation of the qualitative data consisted in developing a non-exhaustive comparative analysis, based on the content extracted and analysed from the 10 ID Cards. In addition of the tables of synthesis on the key finding country by country, a non-exhaustive analysis has been built showing the main similarities and differences among the 10 Member States, mostly focusing on the key practices of procurement performance, the mains suppliers’ perceptions on procurement, the Covid-19 and the resulting Procurement Best Practices. Finally, to conclude the Observational Study, a non-exhaustive final balance has been elaborated to highlight the evolution and the main trends of the healthcare systems and of the healthcare procurement environment in Europe around the Covid-19 period. Content of the Observational Study is a useful material for the PROCURE project, since it will help the organisations involved to develop further actions plans that address key topics such as procurement practices, lessons learned from Covid-19 and sustainable procurement, while helping to build a more resilient and efficient procurement process across Europe.