EHR market share in 2026: Epic runs 38% of US hospital EHRs
Epic is the inpatient EHR at 2,104 of the 5,507 US hospitals with an EHR on file in the Dmand AI database, 38%. Oracle Cerner follows with 1,250 hospitals (23%), then MEDITECH with 697 (13%) and TruBridge with 405 (7%). Counted on October 28, 2026.
Supreet Gupta, Co-founder and Chief Product Officer, Dmand AI
- US hospitals with an inpatient EHR on file, of 6,216 with a CMS certification number
- 5,507
- run Epic, the largest share of any EHR
- 38%
- of hospitals with 500 or more staffed beds run Epic
- 70%
- run one of four EHRs: Epic, Oracle Cerner, MEDITECH or TruBridge
- 81%
Which EHR do US hospitals use?
Four EHRs run 81% of US hospitals with an inpatient EHR on file: Epic, Oracle Cerner, MEDITECH and TruBridge. Epic alone runs 2,104 hospitals.
Epic runs more US hospitals than any other EHR
Hospitals by inpatient EHR, 5,507 hospitals, October 2026| EHR | Hospitals | Share |
|---|---|---|
| Epic | 2,104 | 38.2% |
| Oracle Cerner | 1,250 | 22.7% |
| MEDITECH | 697 | 12.7% |
| TruBridge | 405 | 7.4% |
| Altera Digital Health | 179 | 3.3% |
| WellSky | 174 | 3.2% |
| MEDHOST | 172 | 3.1% |
| Netsmart | 103 | 1.9% |
| athenahealth | 76 | 1.4% |
| All other EHRs | 347 | 6.3% |
Source: Dmand AI database, October 28, 2026. One EHR per hospital.
Epic's share rises with hospital size
Epic runs 70% of US hospitals with 500 or more staffed beds and 33% of hospitals with fewer than 50. Bed counts come from each hospital's latest Medicare cost report, and 5,207 of the 5,507 hospitals with an EHR on file report one.
Epic runs 70% of US hospitals with 500 or more staffed beds
Share of US hospitals in each size band, by inpatient EHR, October 2026- Epic
- Oracle Cerner
- MEDITECH
- TruBridge
- All other EHRs
- Under 50 beds2,334Epic 33%, Oracle Cerner 18%, MEDITECH 13%, TruBridge 16%, All other EHRs 20%
- 50 to 99857Epic 34%, Oracle Cerner 29%, MEDITECH 11%, TruBridge 1%, All other EHRs 25%
- 100 to 2991,386Epic 45%, Oracle Cerner 23%, MEDITECH 16%, TruBridge 1%, All other EHRs 15%
- 300 to 499381Epic 59%, Oracle Cerner 23%, MEDITECH 10%, TruBridge 0%, All other EHRs 8%
- 500 or more249Epic 70%, Oracle Cerner 15%, MEDITECH 8%, TruBridge 0%, All other EHRs 7%
| Staffed beds | Hospitals | Epic | Oracle Cerner | MEDITECH | TruBridge | All other EHRs |
|---|---|---|---|---|---|---|
| Under 50 beds | 2,334 | 33% | 18% | 13% | 16% | 20% |
| 50 to 99 | 857 | 34% | 29% | 11% | 1% | 25% |
| 100 to 299 | 1,386 | 45% | 23% | 16% | 1% | 15% |
| 300 to 499 | 381 | 59% | 23% | 10% | 0% | 8% |
| 500 or more | 249 | 70% | 15% | 8% | 0% | 7% |
Source: Dmand AI database, October 28, 2026. Staffed beds from each hospital's latest Medicare cost report.
EHR market share by state
Epic runs the most hospitals, alone or tied, in 35 states and Oracle Cerner in 16. MEDITECH leads in Puerto Rico, South Dakota and U.S. Virgin Islands. Texas, the state with the most hospitals with an EHR on file, leans Oracle Cerner: 137 hospitals to Epic's 132.
Where each EHR runs the most hospitals
Share of each state's hospitals with an inpatient EHR on file. Pick an EHR; select a state to open its page.| State | Epic share | Oracle Cerner | MEDITECH | TruBridge |
|---|---|---|---|---|
| Alabama | 16% (11 of 68 hospitals) | 26% (18) | 9% (6) | 19% (13) |
| Alaska | 40% (6 of 15 hospitals) | 47% (7) | 7% (1) | 7% (1) |
| Arizona | 13% (10 of 80 hospitals) | 53% (42) | 6% (5) | 1% (1) |
| Arkansas | 28% (19 of 67 hospitals) | 22% (15) | 9% (6) | 12% (8) |
| California | 31% (81 of 263 hospitals) | 30% (78) | 6% (15) | 8% (22) |
| Colorado | 37% (27 of 73 hospitals) | 21% (15) | 8% (6) | 5% (4) |
| Connecticut | 57% (12 of 21 hospitals) | 5% (1) | 24% (5) | |
| Delaware | 25% (3 of 12 hospitals) | 42% (5) | ||
| District of Columbia | 0% (0 of 8 hospitals) | 50% (4) | 13% (1) | |
| Florida | 25% (67 of 267 hospitals) | 36% (95) | 20% (53) | 3% (7) |
| Georgia | 43% (70 of 164 hospitals) | 24% (40) | 10% (17) | 10% (17) |
| Hawaii | 54% (14 of 26 hospitals) | 35% (9) | 12% (3) | |
| Idaho | 31% (15 of 48 hospitals) | 23% (11) | 15% (7) | 8% (4) |
| Illinois | 50% (97 of 195 hospitals) | 17% (34) | 13% (26) | 9% (18) |
| Indiana | 33% (53 of 161 hospitals) | 27% (44) | 8% (13) | 3% (5) |
| Iowa | 43% (52 of 122 hospitals) | 25% (31) | 13% (16) | 9% (11) |
| Kansas | 13% (19 of 144 hospitals) | 36% (52) | 15% (21) | 22% (32) |
| Kentucky | 32% (36 of 113 hospitals) | 12% (13) | 27% (30) | 9% (10) |
| Louisiana | 27% (48 of 177 hospitals) | 10% (18) | 8% (15) | 18% (32) |
| Maine | 26% (9 of 35 hospitals) | 40% (14) | 11% (4) | 14% (5) |
| Maryland | 40% (23 of 57 hospitals) | 32% (18) | 9% (5) | |
| Massachusetts | 42% (39 of 93 hospitals) | 16% (15) | 23% (21) | 1% (1) |
| Michigan | 47% (74 of 156 hospitals) | 27% (42) | 4% (6) | 7% (11) |
| Minnesota | 75% (103 of 137 hospitals) | 3% (4) | 10% (14) | 1% (2) |
| Mississippi | 32% (35 of 109 hospitals) | 21% (23) | 11% (12) | 14% (15) |
| Missouri | 38% (48 of 127 hospitals) | 22% (28) | 15% (19) | 9% (11) |
| Montana | 22% (14 of 63 hospitals) | 24% (15) | 21% (13) | 17% (11) |
| Nebraska | 28% (27 of 95 hospitals) | 28% (27) | 14% (13) | 17% (16) |
| Nevada | 20% (10 of 50 hospitals) | 42% (21) | 8% (4) | 10% (5) |
| New Hampshire | 31% (9 of 29 hospitals) | 21% (6) | 28% (8) | 3% (1) |
| New Jersey | 56% (50 of 89 hospitals) | 18% (16) | 9% (8) | 1% (1) |
| New Mexico | 29% (15 of 52 hospitals) | 29% (15) | 6% (3) | 8% (4) |
| New York | 46% (87 of 191 hospitals) | 7% (14) | 13% (24) | 2% (3) |
| North Carolina | 56% (70 of 124 hospitals) | 15% (19) | 10% (13) | 1% (1) |
| North Dakota | 50% (25 of 50 hospitals) | 12% (6) | 14% (7) | |
| Ohio | 64% (134 of 211 hospitals) | 9% (19) | 11% (23) | 1% (3) |
| Oklahoma | 39% (55 of 142 hospitals) | 17% (24) | 13% (18) | 13% (18) |
| Oregon | 68% (43 of 63 hospitals) | 14% (9) | 6% (4) | 6% (4) |
| Pennsylvania | 50% (104 of 210 hospitals) | 24% (50) | 10% (20) | 5% (10) |
| Rhode Island | 43% (6 of 14 hospitals) | 21% (3) | 21% (3) | |
| South Carolina | 48% (41 of 85 hospitals) | 24% (20) | 11% (9) | 1% (1) |
| South Dakota | 34% (21 of 62 hospitals) | 10% (6) | 40% (25) | 6% (4) |
| Tennessee | 19% (27 of 140 hospitals) | 36% (50) | 11% (16) | 6% (8) |
| Texas | 25% (132 of 537 hospitals) | 26% (137) | 16% (86) | 11% (61) |
| Utah | 11% (6 of 54 hospitals) | 48% (26) | 13% (7) | 4% (2) |
| Vermont | 19% (3 of 16 hospitals) | 31% (5) | 25% (4) | 13% (2) |
| Virginia | 56% (61 of 108 hospitals) | 21% (23) | 14% (15) | 2% (2) |
| Washington | 60% (59 of 98 hospitals) | 17% (17) | 11% (11) | 4% (4) |
| West Virginia | 32% (19 of 59 hospitals) | 29% (17) | 15% (9) | 7% (4) |
| Wisconsin | 73% (110 of 150 hospitals) | 7% (11) | 5% (7) | 1% (1) |
| Wyoming | 17% (5 of 29 hospitals) | 45% (13) | 7% (2) | 7% (2) |
Source: Dmand AI database, October 28, 2026. 50 states and DC on the map; territories are in the table.
Scroll the table sideways
How we counted hospital EHR market share
- Universe
- US hospitals with a CMS certification number in the Dmand AI database: 6,216 hospitals across the 50 states, DC and US territories.
- What counts
- The inpatient EHR recorded for each hospital. 5,507 hospitals have one on file; the other 709 are left out of every share on this page.
- One EHR each
- Each hospital counts once, under one EHR. Shares are of hospitals, not of beds or revenue.
- EHR names
- As recorded, in short form: Epic Systems Corporation shows as Epic.
- Hospital size
- Staffed beds from each hospital's latest Medicare cost report.
- Date
- Counted on October 28, 2026. Refreshed monthly; the Updated date changes only when a count changes.
What this page does not show
Counts by EHR and place only. This page never names the EHR at a single hospital; that is in the Dmand AI app, on each hospital's profile. State pages name the four largest EHRs in the state and count the rest together. Ambulatory EHRs at clinics and physician practices are not counted.
Cite this data
Suggested citation
Dmand AI. "EHR market share in 2026." Dmand AI Insights, updated October 28, 2026. https://dmand.ai/insights/ehr-market-share
Sources
- Hospital technology and inpatient EHR recordsDmand AI database
- Hospital staffed beds, Medicare cost reportsCenters for Medicare & Medicaid Services
Written by
Supreet Gupta
Co-founder and Chief Product Officer, Dmand AI
Supreet is the co-founder and Chief Product Officer of Dmand AI. He leads the product and the healthcare data behind it, and writes Selling Into Healthcare, a newsletter on how US health systems buy.