Healthcare Insights
Top EHR systems at acute care hospitals
Electronic health records (EHRs) play a crucial role in a hospital’s technology infrastructure, but they also come with substantial costs. The following lists highlight the leading 10 vendors for inpatient acute care EHR systems and ambulatory EHR systems based on number of deployments.
| Rank | Technology vendor | Deployments | % in IDN | Median discharges | Median total revenue | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Corporation | 3333 | 94% | 6,946 | $261,375,597 | Explore |
| 2 | Oracle Cerner | 2242 | 90% | 5,326 | $183,101,312 | Explore |
| 3 | MEDITECH | 1259 | 79% | 4,949 | $158,190,943 | Explore |
| 4 | Evident a CPSI Company | 590 | 42% | 411 | $30,086,813 | Explore |
| 5 | Altera Digital Health a Harris Company | 318 | 82% | 5,626 | $208,877,550 | Explore |
| 6 | MEDHOST | 313 | 88% | 1,380 | $36,631,544 | Explore |
| 7 | Netsmart Technologies | 174 | 74% | 625 | $20,179,755 | Explore |
| 8 | Proprietary Software | 134 | 93% | 498 | $44,360,803 | Explore |
| 9 | Vista | 112 | 98% | 960 | $114,765,055 | Explore |
| 10 | WellSky | 96 | 96% | 1,205 | $28,613,693 | Explore |
Fig 1 Data from Definitive Healthcare’s HospitalView. Technology data is proprietary from Definitive Healthcare. Hospital data is from the July 2023 Medicare Cost Report release. The next scheduled Medicare Cost Report release is October 2023.
| Rank | Technology vendor | Deployments | % in IDN | Median discharges | Median total revenue | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | Epic Systems Corporation | 3398 | 94% | 6,478 | $243,192,895 | Explore |
| 2 | Oracle Cerner | 1872 | 88% | 4,370 | $153,400,018 | Explore |
| 3 | MEDITECH | 1088 | 77% | 3,546 | $125,103,604 | Explore |
| 4 | Evident a CPSI Company | 567 | 41% | 396 | $29,186,059 | Explore |
| 5 | Veradigm Inc | 255 | 85% | 5,131 | $197,847,121 | Explore |
| 6 | Altera Digital Health a Harris Company | 169 | 84% | 7,445 | $236,915,078 | Explore |
| 7 | athenahealth | 161 | 61% | 503 | $38,048,240 | Explore |
| 8 | Netsmart Technologies | 93 | 63% | 625 | $16,750,179 | Explore |
| 9 | eClinicalWorks | 63 | 89% | 7,806 | $308,116,466 | Explore |
| 10 | Proprietary Software | 42 | 90% | 246 | $476,681,748 | Explore |
Fig 2 Data from Definitive Healthcare’s HospitalView. Technology data is proprietary from Definitive Healthcare. Hospital data is from the July 2023 Medicare Cost Report release. The next scheduled Medicare Cost Report release is October 2023.
What are the top acute care EHR systems by number of deployments?
In both categories, Epic Systems stands out, capturing the largest market share, accounting for 39% of inpatient deployments and 44% of ambulatory deployments. Oracle Cerner holds the second position with a 26% share in inpatient systems and a 24% share in ambulatory systems.
In both EHR system types, hospitals primarily opt for Epic, Oracle Cerner, or MEDITECH. Beyond these three vendors, there is a noticeable decline in median total revenue of user hospitals. The median total revenue disparity narrows when looking at ambulatory EHR system implementations.
When it comes to inpatient EHR systems, the combined deployments of the top three vendors exceed those of all other EHR vendors on the list by a factor of four. Similarly, in ambulatory EHR systems, the combined deployments of the top three vendors exceed those of all other EHR vendors with nearly five times as many deployments.
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