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US Acute Care EHR Market Share 2025
Strength of Partnership Is Key in Decisions
Author
Bradley Hunter
Author
Paul Warburton
Though still high overall, acute care EHR purchase energy slightly cooled in 2024. Across all hospital types and including migrations, 272 hospitals were impacted by an EHR purchase decision, as opposed to 319 in 2023. Health systems continued to drive most of the decisions in 2024. Across all vendors, the level of partnership has emerged as a key differentiator. A vendor’s reputation for listening to customers, taking feedback, and implementing requested changes greatly impacts customer satisfaction—often translating to gains in overall market share. This report examines this trend and others that impacted the US acute care EHR market share, based on purchase decisions made from January 2024–December 2024.
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Key Findings:
- Oracle Health at a Critical Juncture—Product Developments Have Been Made but Partnership Is Still in Question
- Epic’s Strong Product & Relationships Continue to Drive Market Growth, Leading to Largest Net Gain on Record
- MEDITECH’s High Retention of Legacy Customers Driven by Stable Relationships & Enhanced Technology
Writer
Carlisa Cramer
Designer
Nikki Christensen
Project Manager
Andrew Wright
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. © 2025 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.