Gitnux/Report 2026

Ehr Industry Statistics

See how EHRs are reshaping care delivery and workload at the same time, from 94% of 1,000+ bed hospitals adopting EHRs by 2021 to growing integration friction and burnout signals. You will also get the sharp business context behind the technology boom, including 2023 market sizes such as $39.6 billion for global EHRs, alongside real outcomes like medication error reductions and the costs that make modernization urgent.
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November 11, 2026Updated
Ehr Industry Statistics
Rachel SvenssonWritten by Rachel Svensson·Edited by Timothy Grant·Fact-checked by Katherine Brennan
Published ·Updated
How this report is researched
01Editorial Scope

An editor sets the topic, the inclusion criteria, and the evaluation framework before research starts.

02Source Research

AI search agents locate sources and extract each figure together with the document it came from.

Read our full methodology →

Search agents attach provenance to every extracted figure.

Next review: within 31 days

01 Industry overview

The ehr industry at a glance

The global EHR market was valued at $35.9 billion in 2025 and is increasingly shaped by cloud deployment, interoperability requirements, artificial intelligence and Epic’s 43.7% share of U.S. acute-care hospitals.

$35.9B[45]
Global market size, 2025
5.1%[45]
Global CAGR, 2026–2033
43.7%[24]
Epic U.S. hospital share, 2025
95.0%[46]
U.S. physician EHR adoption, 2024
Market size
Grand View Research valued the global EHR market at $35.9 billion in 2025 and estimates $37.5 billion in 2026. A separate Grand View Research series measured the narrower EHR healthcare-information-system segment at $31.094 billion in 2025.[45]
Forecast & CAGR
The global EHR market is forecast to reach $53.1 billion by 2033, representing a 5.1% CAGR from 2026 to 2033. Fortune Business Insights estimates a similar trajectory, from $33.99 billion in 2026 to $52.60 billion in 2034, at a 5.61% CAGR.[45][47]
Market share & regions
North America held 43.0% of global EHR revenue in 2025 according to Grand View Research; Fortune Business Insights reported a higher 47.33% estimate for the same year. Asia-Pacific is identified as the fastest-growing region through 2033.[45][47]
Segmentation
Web- and cloud-based EHRs represented 83.7% of global revenue in 2025, while acute-care systems accounted for 45.6%. Hospitals were the largest end-use segment at 52.8%, and professional services represented 32.6% by business model.[45]
Key players & concentration
In U.S. acute-care hospitals during 2025, Epic held 43.7% of hospitals and 56.9% of beds, followed by Oracle Health at 21.9% of hospitals and 20.4% of beds, and MEDITECH at 14.7% of hospitals and 12.5% of beds. The top three vendors therefore represented 80.3% of hospitals in the reported market.[24]
Pricing
eClinicalWorks publicly lists EHR-only pricing at $499 per provider per month and EHR with practice management at $599 per provider per month, both with no start-up cost. Its revenue-cycle-management service is priced at 2.9% of practice collections.[48]
Trends, drivers & challenges
Growth is being supported by interoperability, health-information exchange, analytics, telehealth and artificial-intelligence integration. At the same time, EHR purchasing slowed in 2025: KLAS reported roughly 40% fewer hospital purchase decisions than in 2024, with policy uncertainty, AI investment and deferred Oracle Health decisions cited as contributing factors.[45][24]
Consumer behavior & competition
EHR adoption among U.S. office-based physicians reached 95.0% in 2024, with 83.6% using a certified EHR. Competition is concentrated among large platforms: Epic led the 2025 U.S. acute-care hospital market, while Oracle Health lost 56 hospitals and Epic added 77.[46][24]
M&A
IKS Health completed its acquisition of TruBridge on July 9, 2026, for approximately $557 million, combining TruBridge’s EHR and revenue-cycle technology with IKS Health’s care-enablement services. The transaction expands consolidation across clinical-record and financial-workflow software, particularly for rural and community hospitals.[49][50]
Regulation
The ONC HTI-1 final rule established USCDI Version 3 as the certification baseline beginning January 1, 2026. ONC information-blocking rules also address practices that interfere with access, exchange or use of electronic health information, including interference with automated technologies.[4]
Latest news
In 2026, Epic expanded its EHR strategy around artificial intelligence, third-party application connectivity and interoperability, while Oracle Health continued rolling out a new AI-enabled EHR platform. KLAS described 2026 as a pivotal year for Oracle Health after its 2025 net loss of 56 acute-care hospitals.[24]

02 Ranking

Top 10 Companies in the Ehr Industry

The leading companies in the ehr industry, ranked on market impact, performance, momentum, innovation and brand popularity.

Updated November 11, 2026 · Next review December 11, 2026

Verdict

Oracle leads Gitnux's 2026 ehr ranking with an Overall score of 9.6, with revenue growth 17% and operating margin 31%. Epic is the highest-ranked EHR software provider at 9.5, backed by more than 325 million patients with a current electronic record.

Ranked by Overall score · How we score ↓

Editor's top 3 picks

Where to start, by need.

  1. #1 Overall · Leader in enterprise EHR platforms

    Oracle

    US

    Ranked #1 · 9.6 · Enterprise EHR platforms

    Why we picked it: It targets enterprise EHR documentation and patient information exchange, with 17% revenue growth.

    See in ranking ↓Visit oracle.com ↗

  2. Leader in hospital & ambulatory EHR

    Epic

    US

    Ranked #2 · 9.5 · Hospital & ambulatory EHR

    Why we picked it: It serves acute-care hospital footprints with a large patient record base, at 325 million+.

    See in ranking ↓Visit epic.com ↗

  3. Leader in ambulatory practice EHR

    eClinicalWorks

    US

    Ranked #3 · 9.0 · Ambulatory practice EHR

    Why we picked it: It focuses on ambulatory EHR and practice management, with 180,000+ physician reliance nationwide.

    See in ranking ↓Visit eclinicalworks.com ↗

Pick 1 is the #1 company overall. Picks 2 and 3 are the highest-ranked companies in the top 5 that add a new segment.

Full ranking

Sort by
Top 10 companies in the ehr industry, 2026 – Gitnux ranking
#CompanyOverall ↓Company snapshot
1

Oracle

Enterprise EHR platforms · US

9.6
2

Epic

Hospital & ambulatory EHR · US

9.5
3

eClinicalWorks

Ambulatory practice EHR · US

9.0
4

athenahealth

Cloud ambulatory networks · US

8.9
5

InterSystems

Hospital data EHR · US

8.8
6

PointClickCare

Long-term and post-acute-care EHR, North America · CA

8.8
7

MEDITECH

Hospital, health-system and ambulatory EHR software · US

8.7
8

Dedalus

Hospital EHR and healthcare software, Europe and global · IT

8.6
9

Veradigm

Ambulatory and acute-care EHR technology, US · US

7.7
10

TruBridge

Community-hospital EHR and healthcare operations software · US

7.7

How we score

  • Impact (30%): scale and weight in the market (revenue, market share, employees, market position).
  • Performance (20%): recent revenue growth and operating margin; an analyst assessment where a company does not publish them.
  • Momentum (20%): growth trajectory and future potential.
  • Innovation (15%): R&D intensity and how technologically advanced the company is.

Popularity (brand search demand, 15%) counts toward Overall but is not published as a column. Overall leaves out what is not known.

Scale Scores are shown on a 7–10 scale with one decimal; bars start at 7.0.

Cadence Recalculated when new figures are published; next review December 11, 2026.

Independence. Rankings are editorially independent. Scores, ranks, picks and the verdict follow the method above; no company can pay to change them.

Cite this ranking

APA

Rachel Svensson. (2026, February 13). Top 10 companies in the ehr industry. In Ehr Industry Statistics. Gitnux. https://gitnux.org/ehr-industry-statistics/#top-companies

report visual · Comparison

Share of office-based physicians adopting an EHR (United States)

Share of office-based physicians adopting an EHR: 51% in 2014, 91% in 2024.

202491%
202284%
201882%
202082%
201677%
201451%
source-verifiedhealthit.gov2024

04 Statistics

Technology & Innovation

AI adoption is measured across coding and documentation workflows, with 55% of understaffed U.S. health-information organizations expecting more AI/machine-learning next year. Patient access through APIs and HL7 FHIR specs is also widely enabled.

AI in the ehr industry

  • 55% of understaffed health-information organizations expected to increase AI or machine-learning use during the following year, United States.[1]
  • 45% of health-information organizations used artificial intelligence or machine-learning tools for coding, documentation or other workflows in 2023, United States.[1]
  • 44% of health-information organizations without understaffing expected to increase AI or machine-learning use during the following year, United States.[1]
  • 20% of respondents expected AI or machine learning to increase the number of health-information jobs at their organization over the next five years, United States.[1]
  • 51% of suburban health-information organizations used AI or machine-learning tools in 2023, United States.[1]
  • 63% of health-information organizations with more than 100 professionals used AI or machine-learning tools in 2023, compared with 23% of organizations with 1–25 professionals, United States.[1]

Automation in the ehr industry

  • 22% of health-information organizations increased reliance on automation and machine-learning products or services to address recruitment challenges in 2023, United States.[1]
  • 63% of digital-health organizations reported that workforce technology had a high impact on productivity and efficiency in 2025, United States.[2]
  • 26% of digital-health organizations reported that workforce technology had a high impact on talent acquisition and candidate experience in 2025, United States.[2]
  • 28% of digital-health organizations reported that workforce technology had a high impact on recruitment efficiency and time-to-hire in 2025, United States.[2]
  • 19% of health-information organizations increased reliance on automation and machine-learning products or services to address turnover in 2023, United States.[1]

Digital Transformation in the healthcare services sector (sector benchmark)

  • Across surveyed healthcare practitioners, 60% believed their organizations’ digital experiences met or exceeded customer needs in 2025.[3]
  • Across U.S. non-federal acute care hospitals, 71% used predictive AI integrated into electronic health records in 2024.[4]
  • About 90% of surveyed global healthcare C-suite executives expected digital technology use to accelerate in 2025, including 50% anticipating a significant impact.[5]
  • Among healthcare respondents to KPMG’s global technology survey, 49% were adopting DevSecOps approaches to adapt digital-transformation strategies.[6]
  • About 70% of surveyed healthcare executives said investing in technology platforms for digital tools and services would be important or very important in 2025.[5]

Technology Adoption in the healthcare services sector (sector benchmark)

  • Across U.S. non-federal acute care hospitals, 96% enabled patients to download health information electronically in 2024.[4]
  • Across U.S. non-federal acute care hospitals, 92% enabled patients to securely message providers in 2024.[4]
  • Across U.S. non-federal acute care hospitals, 81% enabled patient access through applications using application-programming-interface specifications in 2024.[4]
  • Across U.S. non-federal acute care hospitals, 70% enabled patient access through applications using HL7 FHIR specifications in 2024.[4]
  • Across U.S. non-federal acute care hospitals, 84% enabled patients to transmit health information to a third party electronically in 2024.[4]
  • Across U.S. non-federal acute care hospitals, 99% enabled patients to view health information electronically in 2024.[4]

Cloud Computing in the healthcare services sector (sector benchmark)

  • Across surveyed healthcare organizations globally, 18% had started adopting cloud services but lacked a comprehensive cloud strategy at the end of 2025.[7]
  • Across surveyed healthcare organizations globally, 31% had a formal cloud strategy and governance framework that was not yet integrated into IT strategy at the end of 2025.[7]
  • Across surveyed healthcare organizations globally, 27% reported that cloud operations were well managed and integrated into overall IT strategy at the end of 2025.[7]
  • Across surveyed healthcare organizations globally, 8% reported minimal cloud adoption without formal strategy or governance at the end of 2025.[7]
  • Across surveyed healthcare organizations globally, 15% reported that cloud adoption was fully integrated into business strategy at the end of 2025.[7]

Big Data in the healthcare services sector (sector benchmark)

  • Across Brazilian healthcare facilities conducting Big Data analytics, 48% used social-media data in 2024.[8]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 77% used in-house staff rather than external providers in 2024.[8]
  • Across Brazilian healthcare facilities conducting Big Data analytics, 65% used patient demographics, forms, or medical-record data in 2024.[8]

05 Statistics

Data & Analytics

Clinically, telemetry and registry use show scale: 92% of heart-failure programs used telehealth in 2026, and 75% used clinical registry data for quality in 2024. Operationally, legacy-system dependencies affected 50% of organizations modernizing EHR environments in 2026.

Business intelligence in the ehr industry

  • 92% of reporting heart-failure programs offered telehealth, creating a broad EHR-enabled infrastructure for remote monitoring and operational intelligence.[9]
  • 11% of 306 tracked heart-failure programs used Cerner or Oracle Health as their EHR in 2026.[9]
  • 62% of tracked heart-failure organizations reported active participation in clinical research in 2026.[9]
  • 32% of surveyed healthcare organizations managed their electronic records on premises in 2026.[7]
  • 27% of surveyed healthcare organizations used vendor-managed hosting for their electronic records in 2026.[7]
  • 83% of surveyed healthcare organizations used an electronic record system in 2026.[7]

Data analytics in the ehr industry

  • Approximately 9 in 10 U.S. hospitals enabled patient electronic access to health information through an API in 2024.[4]
  • About half of U.S. hospitals used standards-based APIs for patient-generated health-data submission in 2024.[4]
  • Only 16% of U.S. hospitals sent summary-of-care records to most or all external providers in 2023.[4]
  • 50% of surveyed healthcare organizations identified legacy-system dependencies as their primary challenge in modernizing EHR environments in 2026.[7]
  • Two-thirds of U.S. hospitals enabled submission of patient-generated health data to the EHR in 2024.[4]
  • Seven in 10 U.S. hospitals used standards-based APIs to enable patient access to health information in 2024.[4]

Data Quality in the healthcare services sector (sector benchmark)

  • 75% of U.S. healthcare organizations represented in the survey predominantly used clinical registry data for quality and process improvement in 2024.[10]
  • 40% of U.S. healthcare clinical data abstractors reported that incomplete data hampers clinical registry efforts in 2024.[10]
  • 50% of U.S. healthcare clinical data abstractors reported that data inaccuracies hamper clinical registry efforts in 2024.[10]
  • 40% of U.S. healthcare clinical data abstractors reported that manual data entry hampers clinical registry efforts in 2024.[10]
  • 8% of U.S. healthcare organizations rated their provider data as excellent in 2022.[11]

Data Governance in the healthcare services sector (sector benchmark)

  • 39% of healthcare organizations reported having a formally chartered data-governance function in 2025.[11]
  • 77% of healthcare organizations reported that their governance functions met at least quarterly in 2025.[11]
  • 72% of healthcare organizations operated governance using approved policy and standards frameworks in 2025.[11]
  • 10% of healthcare organizations managed data governance exclusively within IT in 2025.[11]
  • 38% of healthcare organizations had formal data and information quality-management statements in 2025.[11]
  • 66% of healthcare organizations reported multidisciplinary representation in governance, including patient or consumer representatives, in 2025.[11]

KPIs in the ehr industry

  • 48.1% was the median cervical-cancer screening rate at health centers using eClinicalWorks in 2024.[12]
  • 1,510 federally funded U.S. health centers serving 33.8 million patients were included in a 2024 EHR-quality analysis.[12]
  • 60.6% was the median cervical-cancer screening rate at health centers using Epic Direct in 2024.[12]
  • 51.6% was the median cervical-cancer screening rate at health centers using Greenway Health in 2024.[12]
  • 46.3% was the median cervical-cancer screening rate at health centers using NextGen in 2024.[12]
  • 14 percentage points separated the highest and lowest median cervical-cancer screening rates among the EHR groups analyzed in 2024.[12]

06 Statistics

Strategy & Growth

Purchasing behavior shifted: KLAS reported global EHR purchasing decisions fell to one of the lowest levels tracked in five years in 2025. U.S. concentration continued rising after 2018 through 2024.

Growth in the ehr industry

  • EHR purchasing decisions outside the US affected more hospitals in 2023 than at any point since the beginning of the COVID-19 pandemic.[13]
  • EHR purchasing outside the US rebounded in 2023 after three consecutive years of slower activity, according to KLAS.[13]
  • US hospital EHR market concentration became high after 2018 and continued increasing through 2024, according to ONC’s HHI analysis.[4]
  • In 2025, global EHR purchasing decisions fell to one of the lowest levels tracked by KLAS in five years.[14]
  • In 2025, the number of hospitals affected by global EHR purchasing decisions was the lowest KLAS had tracked in at least ten years.[14]
  • Epic increased its share of US hospital EHRs from 8.7% in 2010 to nearly half of hospitals in 2024.[4]

Differentiation in the ehr industry

  • Epic was the 2025 Best in KLAS global acute-care EHR winner in Canada, Northern Europe and the UK/Ireland.[13]
  • MV was the 2025 Best in KLAS global acute-care EHR winner in Latin America.[13]
  • Health Insights was the 2025 Best in KLAS global acute-care EHR winner in the Middle East and Africa.[13]
  • Dedalus was the 2025 Best in KLAS global acute-care EHR winner in the DACH and Southern Europe regions.[13]
  • InterSystems was the 2025 Best in KLAS global acute-care EHR winner in Asia/Oceania.[13]
  • 42% of non-US PACS clients interviewed by KLAS had purchased an AI solution, showing a major adjacent technology differentiator in global health IT.[13]

Mergers and acquisitions in the ehr industry

  • CPSI acquired Healthland in 2015, contributing to consolidation among US hospital EHR developers.[4]
  • The US hospital EHR market moved from moderately concentrated to highly concentrated after 2016 as mergers and acquisitions reshaped the supplier base.[4]
  • Cerner acquired Siemens Healthcare’s health-services business in 2014, consolidating EHR market participation under Cerner.[4]
  • Allscripts acquired McKesson’s hospital EHR products in 2017, consolidating two additional hospital EHR competitors.[4]
  • Six distinct hospital EHR competitors were consolidated under three companies through the acquisitions identified by ONC between 2014 and 2017.[4]

Strategic partnerships in the ehr industry

  • Nine in ten US hospitals enabled patient access to health information through an API in 2024, supporting partnerships between EHRs and patient-facing applications.[4]
  • 71% of US hospitals used standards-based APIs for patient access in 2024.[4]
  • 48% of US hospitals used standards-based APIs for patient-generated health-data submission in 2024.[4]
  • 90% of US hospitals using a top-three EHR provided data to third-party technology for at least one clinical purpose in 2024.[4]
  • 94% of US hospitals using a top-three EHR integrated third-party data for at least one clinical purpose in 2024.[4]
  • 90% of US hospitals using a top-three EHR integrated third-party data for at least one administrative purpose in 2024.[4]

07 Statistics

People & Workforce

Workforce constraints shape execution plans: 48% of understaffed health-information professionals reported higher staff turnover in 2023. Remote-work actions and training investment both appear in the same time window.

Hiring in the ehr industry

  • 40% of health-information organizations increased the number of staff able to work remotely to address recruitment challenges in 2023, United States.[1]
  • 20% of health-information organizations took no action to address hiring challenges in 2023, United States.[1]
  • 45% of health-information organizations increased pay to address recruitment challenges in 2023, United States.[1]
  • 17% of health-information organizations lowered qualifications or removed certification requirements for some positions to address recruitment challenges in 2023, United States.[1]
  • 15% of health-information organizations used business-process outsourcing to address recruitment challenges in 2023, United States.[1]

Employee retention in the ehr industry

  • 48% of health-information professionals experiencing understaffing reported higher staff turnover as an impact in 2023, United States.[1]
  • 28% of respondents ranked employee burnout as the most impactful turnover driver in its ranking category in 2023, United States.[1]
  • 47% of respondents ranked low pay as the most impactful driver of health-information professional turnover in 2023, United States.[1]
  • 21% of respondents ranked lack of flexibility for remote or hybrid positions as the most impactful turnover driver in its ranking category in 2023, United States.[1]
  • 10% of respondents ranked lack of training or professional-development opportunities as the most impactful turnover driver in its ranking category in 2023, United States.[1]

Remote Work in the healthcare services sector (sector benchmark)

  • Across U.S. medical groups, 22% of leaders expected their organization’s share of remote or hybrid jobs to increase during 2024.[15]
  • Across U.S. medical groups, 18% of leaders expected their organization’s share of remote or hybrid jobs to decrease during 2024.[15]
  • Across U.S. health care and social assistance, 18% of full-time employees worked fully from home during December 2024–March 2025.[16]
  • Across U.S. medical groups, 52% reported that 1%–25% of their workforce worked remotely at least 50% of the time.[15]

Hybrid Work in the healthcare services sector (sector benchmark)

  • About 6% of U.S. healthcare jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[15]
  • Across U.S. healthcare support roles, 14% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[15]
  • Across U.S. healthcare practitioners and technical roles, 16% had part-time remote availability, equivalent to hybrid availability, in the 2022 McKinsey American Opportunity Survey.[15]
  • About 12% of nonclinical healthcare administrative and customer-support jobs were hybrid in a 2024 Robert Half survey cited by the Medical Group Management Association.[15]
  • Across U.S. health care and social assistance, 24% of full-time employees were in hybrid arrangements during December 2024–March 2025.[16]

Upskilling in the ehr industry

  • 6% of health-information organizations increased funding for offsite training to address turnover in 2023, United States.[1]
  • 5% of health-information organizations increased funding for offsite training to address recruitment challenges in 2023, United States.[1]
  • 30% of health-information organizations increased on-the-job training opportunities to address turnover in 2023, United States.[1]
  • 10% of respondents identified lack of training or professional-development opportunities as a leading turnover driver for health-information professionals in 2023, United States.[1]

Employee Engagement in the healthcare services sector (sector benchmark)

  • Among U.S. healthcare advanced practice providers, 52% felt heard in 2024.[17]
  • Across U.S. healthcare workers, 78% believed their organization cared about their safety in 2024.[17]
  • Across 2.3 million U.S. healthcare workers, employee engagement declined by 0.02 points in 2024.[17]
  • Across NHS staff, the national staff-engagement theme score was 6.64 in the second quarter of 2024/25.[18]
  • U.S. registered nurses with low teamwork scores were 1.53 times more likely to leave their healthcare organization in 2024.[17]

DEI in the ehr industry

  • 100 was Epic’s score on the 2026 Corporate Equality Index.[19]
  • 14,000+ employees worked at Epic, an electronic-health-record developer, according to its 2026 diversity and inclusion page.[19]

08 Statistics

Customer & Sales

Clinician satisfaction signals remain mixed: 50.1% of surveyed physicians said their electronic medical record did not support efficient work in a 2025 survey. API-enabled patient access reached 48% of U.S. hospitals in the Promoting Interoperability program with at least one certified Epic product.

Customer experience in the ehr industry

  • 50.1% of surveyed physicians said their electronic medical record did not support efficient work, in a national 2025 physician survey.[20]
  • 50% of surveyed physicians reported overall satisfaction with their electronic medical record, based on a national 2025 survey of hospital and practice physicians.[20]
  • 55.9% of surveyed physicians said their electronic medical record did not improve safety, in a national 2025 physician survey.[20]
  • Less than 50% of clinicians in each survey year from 2016 through 2019 rated themselves satisfied, somewhat satisfied or very satisfied with their EHR overall after an Epic implementation.[21]
  • 0.37 was the eta-squared effect size for differences in satisfaction, efficiency and safety scores among hospital EHR vendors in a national physician study.[20]

Customer retention in the ehr industry

  • Customer satisfaction with EHR implementations fell by more than twice as much as any other standard health-information-technology software metric between 2022 and 2024.[14]
  • 0.98 EHR modules per year was the average vendor-switching level among health systems in a longitudinal study of clinician reviews.[21]
  • More than 50% of 305 physicians who had recently switched EHRs cited greater functionality as a reason for changing vendors.[22]
  • Less than 50% of 305 physicians surveyed were happy with their new EHR after switching vendors.[22]
  • 17% of implemented physician practices were reported as preparing to change EHR technology in a 2013 vendor-switching survey.[23]

Customer acquisition in the ehr industry

  • 42.3% was Epic’s share of the U.S. acute-care hospital EHR market in 2024, indicating the vendor’s customer footprint in that segment.[24]
  • 10 large U.S. health systems selected Epic for 108 hospitals in 2024, according to KLAS market-share data.[25]
  • 48% of U.S. hospitals participating in the 2024 Promoting Interoperability program reported at least one certified health-IT product from Epic Systems.[4]
  • 170,000-plus providers were connected by athenahealth, serving more than 20% of the U.S. population, according to the company’s current network figures.[26]
  • 176 multispecialty hospitals were added to Epic’s U.S. EHR footprint in 2024, according to KLAS market-share data.[25]

Customer loyalty in the ehr industry

  • 84% of MEDITECH legacy customers stayed with the vendor, according to a 2025 report on hospital EHR purchasing.[24]
  • More than 50% of recently switching physicians cited greater functionality as their reason for leaving a previous EHR vendor.[22]
  • 50% of physicians reported overall satisfaction with their EHR in a 2025 national physician survey, a direct measure of user loyalty and advocacy potential.[20]
  • Less than 50% of physicians recently switching EHRs were happy with their new system after the change.[22]
  • 50.1% of physicians said their EHR did not support efficient work, indicating a negative loyalty-related experience in a national 2025 survey.[20]

09 Statistics

Marketing & Brand

External influence is present but not central to EHR adoption mechanics: 92% of U.S.-focused health and wellness influencers included product promotions at least occasionally in 2026. The data also reports 50% of physicians changing prescribing based on social media content in 2024.

Influencer Marketing in the healthcare services sector (sector benchmark)

  • 92% of U.S.-focused health and wellness influencers included product or service promotions at least occasionally in 2026.[27]
  • 50% of U.S. physicians surveyed had changed prescribing choices based on healthcare influencer or KOL content on social media in 2024.[28]
  • 8.57 million influencer posts about the health industry generated a 1.07% average engagement rate globally in 2023.[29]
  • 50% of healthcare and pharmaceutical marketers reported dedicated, growing creator/influencer budgets in 2026, compared with 58% globally.[30]
  • 38% of posts from U.S.-focused health and wellness influencers promoted a product, service or subscription in 2026.[27]

10 Statistics

Operations & Execution

Interoperability features are near-universal for patient view: 99% of U.S. non-federal acute care hospitals enabled patients to view information electronically in 2024. Exchange coverage also includes 84% enabling transmission to third parties in 2024.

Process optimization in the ehr industry

  • 96% of U.S. non-federal acute care hospitals enabled patients to download health information electronically in 2024.[4]
  • 70% of U.S. non-federal acute care hospitals enabled patient access through apps using HL7 FHIR specifications in 2024.[4]
  • 84% of U.S. non-federal acute care hospitals enabled patients to transmit health information electronically to third parties in 2024.[4]
  • 56% of U.S. non-federal acute care hospitals enabled patients to import records from other organizations into a patient portal in 2024.[4]
  • 99% of U.S. non-federal acute care hospitals enabled patients to view health or medical-record information electronically in 2024.[4]

Operational efficiency in the ehr industry

  • 27% of U.S. non-federal acute care hospitals sometimes engaged in all four domains of interoperable exchange in 2023.[4]
  • 71% of U.S. non-federal acute care hospitals reported routine access to necessary clinical information from outside providers in 2023.[4]
  • 70% of U.S. non-federal acute care hospitals engaged routinely or sometimes in all four domains of interoperable exchange in 2023.[4]
  • 91% of U.S. hospitals integrated data from third-party technology into their EHR for at least one clinical purpose in 2024.[4]
  • 17% of U.S. non-federal acute care hospitals sent electronic summary-of-care records to most or all behavioral-health providers in 2023.[4]

Quality management in the ehr industry

  • 82% of U.S. non-federal acute care hospitals submitted syndromic-surveillance data directly through their EHR in 2024.[4]
  • 71% of U.S. non-federal acute care hospitals submitted electronic-case-reporting data directly through their EHR in 2024.[4]
  • 74% of U.S. non-federal acute care hospitals reported electronically submitting clinical-data-registry data in 2024.[4]
  • 62% of U.S. non-federal acute care hospitals enabled patients to submit patient-generated health data to their EHR in 2024.[4]
  • 81% of U.S. non-federal acute care hospitals reported electronically submitting public-health registry data in 2024.[4]

Outsourcing / Offshoring in the healthcare services sector (sector benchmark)

  • 43% of global healthcare providers used third-party providers for payroll services in 2024, based on a survey of 28 healthcare-provider executives.[31]
  • 20% of U.S. medical-group leaders planned to outsource or automate some revenue-cycle-management activities in 2024, according to an MGMA poll with 262 responses.[15]
  • 54% of global healthcare providers used third-party providers for supply-chain services in 2024, based on a survey of 28 healthcare-provider executives.[31]
  • 18% of U.S. medical-group leaders planned to outsource or automate patient communications in contact centers in 2024, according to an MGMA poll with 262 responses.[15]
  • 29% of global healthcare providers used third-party providers for remote patient monitoring in 2024, based on a survey of 28 healthcare-provider executives.[31]

11 Statistics

Product & Service

Connected-platform usage is measured through API activity: athenahealth customers made 35 billion API calls in 2024. Vendor footprints in U.S. hospitals show continued consolidation, including Epic and Oracle Health bed share figures.

Product development in the ehr industry

  • More than 140,000 providers used athenahealth’s continuously updated cloud-based platform in 2023.[26]
  • 170,000-plus providers used athenahealth’s integrated EHR and practice-management network as of 2025.[26]
  • 315 million-plus claims were submitted annually through athenahealth’s platform as of 2025.[26]
  • Approximately 385,000 healthcare providers were in athenahealth’s network across ambulatory and acute settings in 2023.[26]
  • 35 billion API calls were made by athenahealth customers in 2024, reflecting use of the EHR platform’s connected product ecosystem.[26]

Product lifecycle in the ehr industry

  • Four EHR vendors—Epic, Oracle Cerner, MEDITECH and TruBridge—accounted for 81% of U.S. hospitals with an inpatient EHR on file in October 2026.[32]
  • Oracle Health lost a net 56 hospitals and 14,676 beds in 2025, its third consecutive year of net hospital losses.[24]
  • MEDITECH was the inpatient EHR at 697 U.S. hospitals with an EHR on file in October 2026.[32]
  • 21.9% of U.S. acute-care hospitals used Oracle Health in 2025.[24]
  • Oracle Cerner was the inpatient EHR at 1,250 of 5,507 U.S. hospitals with an EHR on file in October 2026.[32]

After-sales in the ehr industry

  • 63% of Epic customers achieved deep interoperability in a KLAS-based assessment.[33]
  • 19% of NextGen Healthcare customers achieved deep interoperability in a KLAS-based assessment.[33]
  • 18% of Allscripts Sunrise customers achieved deep interoperability in a KLAS-based assessment.[33]
  • 14% of eClinicalWorks customers achieved deep interoperability in a KLAS-based assessment.[33]
  • 17% of athenahealth customers achieved deep interoperability in a KLAS-based assessment.[33]

Value proposition in the ehr industry

  • 11.1% of U.S. office-based physicians reported Meditech as their primary EHR in 2024.[34]
  • 7.3% of U.S. office-based physicians reported athenahealth as their primary EHR in 2024.[34]
  • 20% or more of the U.S. population was served by clinicians on athenahealth’s network as of 2025.[26]
  • 7.5% of U.S. office-based physicians reported eClinicalWorks as their primary EHR in 2024.[34]
  • 27.7% of U.S. office-based physicians reported Epic as their primary EHR in 2024.[34]

12 Statistics

Sustainability & Ethics

Environmental and compliance reporting is explicit: Oracle targeted carbon-free electricity at custom AI data centers by 2035 and reported 67% reduction in employee air-travel emissions by end of 2025. Supplier environmental program coverage is reported as 80%+ of company spend globally.

Sustainability in the ehr industry

  • 100% of Oracle’s key suppliers had environmental programs in place by 2025, representing more than 80% of company spend globally.[35]
  • 100% is Oracle’s target for carbon-free electricity at its custom AI data centers by 2035 globally.[35]
  • $182,000 per year is the estimated labor and paper-cost saving from Atrium’s digital self-payment implementation using Epic technology in the United States.[36]
  • 67% was the reduction in Oracle employee air-travel emissions from the 2019 baseline by the end of 2025 globally.[35]
  • 80%+ of Oracle’s key suppliers had emissions-reduction targets in place by 2025 globally.[35]

ESG in the ehr industry

  • 163,321 employees were reported by Oracle for fiscal year 2025 globally in its environmental and social impact datasheet.[35]
  • 82 Responsible Business Alliance audits were conducted by Oracle in fiscal year 2025.[35]
  • $25.2 million was Oracle’s total giving through grants, sponsorships and employee giving in fiscal year 2025 globally.[35]
  • 100% of Oracle-owned manufacturing facilities had ISO 14001 certification in fiscal years 2023 through 2025.[35]
  • 99.9% of Oracle employees completed global compliance training in fiscal years 2023, 2024 and 2025 globally.[35]

Ethics in the ehr industry

  • $155 million was paid by eClinicalWorks in 2017 to settle allegations involving misrepresented EHR software capabilities and customer kickbacks in the United States.[37]
  • $26 million was paid by Practice Fusion in criminal fines and forfeiture in 2020 in connection with alleged kickbacks involving clinical decision-support alerts.[37]
  • $145 million was paid by Practice Fusion in 2020 to resolve criminal and civil investigations involving alleged kickbacks and false claims relating to its EHR software.[37]
  • $18.25 million was paid by athenahealth in 2021 to resolve allegations involving lavish events intended to generate EHR-product sales.[37]
  • $113.4 million was paid by Practice Fusion in civil settlement amounts to the federal government in 2020 over alleged EHR-related false claims.[37]

CSR in the ehr industry

  • $29 million was donated globally through Oracle philanthropy in fiscal year 2026.[35]
  • 139 countries were supported by Oracle Academy education programs in fiscal year 2026.[35]
  • 17,800+ student learning hours were provided through the Oracle Education Foundation in fiscal year 2026.[35]
  • 161,000+ volunteer service hours were recorded by Oracle globally in fiscal year 2026.[35]
  • 450,535 meals were prepared or distributed through Oracle community impact activities in fiscal year 2026.[35]

Circular economy in the ehr industry

  • 33% was Oracle’s 2025 target for reducing potable-water use per square foot from the 2015 baseline.[35]
  • 100% of Oracle’s owned manufacturing facilities held ISO 14001 certification in fiscal year 2025, supporting environmental-management controls relevant to product circularity.[35]
  • 33% was Oracle’s 2025 target for reducing waste sent to landfill per square foot from the 2015 baseline.[35]
  • 65 Responsible Business Alliance audits were conducted by Oracle in fiscal year 2026 across its supply chain.[35]

Carbon footprint in the ehr industry

  • 100% is Oracle’s target for carbon-free electricity at custom AI data centers by 2035.[35]
  • 67% was Oracle’s reduction in employee air-travel emissions from the 2019 baseline by the end of 2025 globally.[35]
  • 20% is Oracle’s target reduction in carbon emissions per megawatt of IT capacity by 2030 from the 2020 baseline.[35]
  • 173,807 metric tons of CO2e was Oracle’s previously reported employee air-travel emissions for the 2019 base year.[35]
  • 100% of Oracle’s annual electricity use was matched with renewable energy in 2025 globally.[35]

14 Statistics

Globalization & Expansion

Non-US purchasing expands multiregional procurement: 68% of hospitals affected by validated non-US EHR contracts in 2023 selected multiregional vendors. In 2025, 35 EHR vendors were selected across 33 countries and territories.

Globalization in the ehr industry

  • 68% of hospitals affected by validated non-US EHR contracts in 2023 selected multiregional vendors.[13]
  • 35 EHR vendors were selected across 33 countries and territories in 2025, according to KLAS’s global hospital purchasing analysis.[14]
  • 189 global EHR purchasing decisions affected 447 hospitals and more than 81,000 beds in 2025.[14]
  • 734 hospitals and more than 128,000 beds were affected by non-US EHR purchasing decisions validated for 2023.[14]
  • In 2024, three developers supplied EHR technology to more than 80% of US non-federal acute care hospitals.[4]

Cultural adaptation in the ehr industry

  • KLAS recorded 18 EHR contracts in the DACH region in 2023, including selections involving hospitals in Germany and Switzerland.[14]
  • Eight Indian organizations selected Kranium Healthcare Systems in the 2023 EHR purchasing decisions tracked by KLAS.[14]
  • Seventeen Italian EHR contracts were validated for Dedalus in 2023, including decisions by three large regional consortia.[14]
  • KLAS identified regional EHR vendors in Europe, Asia, Latin America and other markets alongside multiregional suppliers in its 2023 global analysis.[14]
  • EHR purchasing in 2023 involved vendors selected across 35 countries and territories, indicating substantial regional adaptation in product deployment.[14]

Supplier management in the ehr industry

  • 35% of US hospitals used standards-based APIs to integrate third-party data for at least one administrative purpose in 2024.[4]
  • 83% of US hospitals provided EHR data to third-party technology for at least one clinical purpose in 2024.[4]
  • 32% of US hospitals used standards-based APIs to provide EHR data for at least one administrative purpose in 2024.[4]
  • 52% of US hospitals used standards-based APIs to integrate third-party data for at least one clinical purpose in 2024.[4]
  • 87% of US hospitals integrated data from third-party technology for at least one administrative purpose in 2024.[4]

Stakeholder management in the ehr industry

  • More than 23,000 evaluations from clinicians and healthcare professionals informed KLAS’s 2025 global software assessment.[13]
  • 74% of US hospitals using a top-three EHR reported standards-based APIs for patient access in 2024.[4]
  • The 2025 KLAS evaluations represented more than 6,000 healthcare organizations using healthcare technology products and services.[13]
  • 51% of US hospitals using a top-three EHR enabled patient-generated health-data submission through standards-based APIs in 2024.[4]
  • KLAS measured more than 1,700 healthcare technology products and services in its 2025 assessment, including global EHR products.[13]

Distribution channels in the ehr industry

  • Nova Scotia selected Oracle Health for all hospitals in the province in one of the largest Canadian EHR decisions tracked for 2023.[14]
  • Around two-thirds of 186 validated non-US EHR contracts in 2023 involved regional vendors.[13]
  • The New South Wales government selected Epic for an implementation covering 191 hospitals, one of the largest regional EHR deployments tracked by KLAS.[14]
  • 68% of hospitals affected by validated non-US EHR contracts in 2023 were reached through multiregional vendors.[13]
  • An East African private group contracted with MEDITECH for five hospitals in the 2023 global EHR decisions tracked by KLAS.[14]

Key questions about the Ehr Industry

How large is the global EHR market, and what is the latest estimate for 2026?
The global EHR market was valued at $35.9 billion in 2025. Grand View Research estimates it at $37.5 billion in 2026.
What growth rate should we use for 2026 onward?
The global EHR market has a 5.1% CAGR from 2026 to 2033, with a forecast of $53.1 billion by 2033.
Which companies lead the ehr industry?
Oracle leads Gitnux's 2026 ehr ranking with an Overall score of 9.6, with revenue growth 17% and operating margin 31%. Epic is the highest-ranked EHR software provider at 9.5, backed by more than 325 million patients with a current electronic record.
What technology and interoperability shifts are most visible in 2024–2025 data?
In U.S. non-federal acute care hospitals, 70% enabled patient access through apps using HL7 FHIR specifications in 2024, and 81% enabled patient access via API specifications in 2024.
How concentrated is the U.S. acute-care hospital market for EHR vendors?
In U.S. acute-care hospitals during 2025, Epic held 43.7% of hospitals and 56.9% of beds; Oracle Health held 21.9% of hospitals and 20.4% of beds. The top three vendors represented 80.3% of hospitals in the reported market.
What regulatory baseline change affects EHR upgrade timing from 2026?
The ONC HTI-1 final rule established USCDI Version 3 as the certification baseline beginning January 1, 2026.
Reference

Cite This Report

This report is designed to be cited. We maintain stable URLs and versioned verification dates. Copy the format appropriate for your publication below.

APA
Rachel Svensson. (2026, February 13). Ehr Industry Statistics. Gitnux. https://gitnux.org/ehr-industry-statistics
MLA
Rachel Svensson. "Ehr Industry Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/ehr-industry-statistics.
Chicago
Rachel Svensson. 2026. "Ehr Industry Statistics." Gitnux. https://gitnux.org/ehr-industry-statistics.

Sources & references

56 sources cited across this report

  1. norc.org
  2. dhix.dhinsights.org
  3. business.adobe.com
  4. healthit.gov
  5. deloitte.com
  6. kpmg.com
  7. go.rackspace.com
  8. cetic.br
  9. hfsa.org
  10. carta.healthcare
  11. intersystems.com
  12. quaility.com
  13. engage.klasresearch.com
  14. klasresearch.com
  15. mgma.com
  16. wfhresearch.com
  17. pressganey.com
  18. england.nhs.uk
  19. careers.epic.com
  20. doi.org
  21. pmc.ncbi.nlm.nih.gov
  22. jabfm.org
  23. healthexec.com
  24. beckershospitalreview.com
  25. fiercehealthcare.com
  26. athenahealth.com
  27. pewresearch.org
  28. sermo.com
  29. media.sproutsocial.com
  30. brand-news.it
  31. tcs.com
  32. dmand.ai
  33. hcinnovationgroup.com
  34. ftp.cdc.gov
  35. oracle.com
  36. epic.com
  37. justice.gov
  38. hhs.gov
  39. ache.org
  40. proofpoint.com
  41. ponemonsullivanreport.com
  42. kff.org
  43. hfmmagazine.com
  44. sophos.com
  45. grandviewresearch.com
  46. cdc.gov
  47. fortunebusinessinsights.com
  48. eclinicalworks.com
  49. sec.gov
  50. hlth.com
  51. docs.oracle.com
  52. pointclickcare.com
  53. home.meditech.com
  54. dedalus.com
  55. investor.veradigm.com
  56. jamanetwork.com