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2026 BEST IN KLAS
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Global Hospital EHR Market Share 2026
Purchasing Decisions Drop to Almost Five-Year Low
Author
Eder Lagemann
Author
Jonathan Christensen
Ongoing KLAS research shows that EHR projects continue to be a high priority for healthcare organizations across the world. In 2025, large-scale country and regional initiatives in Europe and the Middle East accounted for a sizeable portion of EHR purchasing activity. Yet, total purchasing decisions dropped to some of the lowest levels seen in the last five years, and the number of impacted hospitals and beds was the lowest KLAS has tracked in at least ten years. Funding for initiatives in countries like France and Italy was used up in recent years, and the global geopolitical and economic climate also likely played a role in the decreased decisions. Still, across tracked vendors, KLAS validated 189 decisions in 2025 impacting 447 hospitals and over 81,000 beds, with regional decisions in Austria, Belgium, Canada, Saudi Arabia, Sweden, Switzerland, and the UK. Overall, 35 different vendors in 33 countries and territories were selected.
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Key Findings:
- Dedalus’s Wins Split Between Net-New & Migrations, Offset by Losses; IQVIA Had Strongest Year Yet; Epic Expanded via Community Connect; Oracle Health Saw Large New Contracts & Losses
- In Europe, Large Decisions Went to Nexus AG, Softway Medical, Numih France & Cambio; MV Was Dominant Player in Latin America; Akhil Systems & Aosta Led in India
- Europe: Large Decisions Finalized for Numih France, Dedalus, Cambio & Softway Medical; Oracle Health & Mesalvo Saw Large Contracts Canceled
- Middle East/Africa: IQVIA Chosen in Multiple MOH Cluster Decisions; Adaptive TechSoft, Epic & Oracle Also Selected for Significant Contracts; Health Insights for Software Design Chosen in Egypt
- Latin America: MV Continued to Lead in Brazil, While Acquisition Process of Philips Tasy Resulted in Slower Year; InterSystems & MEDITECH Expanded Strong Presence Outside Brazil
- Asia: Market Share for Akhil Systems & Aosta Grew Rapidly in India; Origin Integrated Studios & Amalga Saw Growth in Southeast Asia
- Canada: Epic’s Market Lead Extended via Community Connect; Oracle Health Grew via Large Individual Contract
- Oceania: MEDITECH Is Chosen in the Only Validated Contract in the Region
Writer
Sarah Brown
Designer
Jess Wallace-Simpson
Project Manager
Amanda Wind
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2026 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.