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US Acute Care EHR Market Share 2026
Market Uncertainty Significantly Cuts Buying Decisions
Author
Coray Tate
Author
Paul Warburton
Acute care EHR purchase energy declined significantly in 2025, driven by several converging factors. Ongoing questions around government policy contributed to hesitation, and at the same time, many health systems redirected investment toward technologies with more immediate financial returns, such as AI and other solutions designed to improve operational efficiency. Additionally, while Oracle Health has continued to lose market share, many Oracle Health customers have been deferring action as they await greater clarity on the vendor’s evolving direction. As a result, the number of hospitals impacted by EHR purchase decisions dropped 40% compared to 2024 and nearly 50% compared to 2023. This report examines these and other trends that impacted acute care EHR purchase decisions in the US from January–December 2025.
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Writer
Elizabeth Pew
Designer
Kath Spencer
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. © 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.