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May 30, 2020

Founded in 1979, Epic has consistently ranked as the most widely implemented EHR system in the American healthcare industry. Of the 8,029 U.S. hospitals in the Definitive Healthcare Hospitals and IDNs database, Epic EHR is currently installed in 2,353 locations — approximately 35 percent of the EHR market share.

Epic's closest competitors are Cerner and MEDITECH, with approximately 25 percent and 15 percent market shares respectively, but Epic still holds a healthy advantage in the EHR solutions industry.

Why do hospitals use Epic EHR?

Though there are many proven technologies in the market, Epic has maintained its popularity over the years. This could be in part due to its integration capabilities.

Epic hosts a suite of in-house developed healthcare solutions that communicate well with one another. Users are not limited to clinical record-keeping. Epic solutions can also handle registration, patient scheduling, billing, and more.

Such features, backed by over 40 years of industry reputation, make Epic a titan in the EHR market. Though EHR software from competitors may also have these features, a legacy like this can self-perpetuate a brand's success.

Which hospitals are using Epic EHR?

Top 10 hospitals using Epic EHR by staffed beds

Rank Hospital Name Definitive ID City State Number of Beds
1 Montefiore Hospital - Moses Campus 273024 Bronx NY 1,458
2 Cleveland Clinic Main Campus 3120 Cleveland OH 1,285
3 Barnes-Jewish Hospital 2442 Saint Louis MO 1,272
4 Mayo Clinic Hospital - Saint Marys Campus 2191 Rochester MN 1,115
5 Spectrum Health Butterworth Hospital 2035 Grand Rapids MI 1,095
6 Mount Sinai Medical Center 2837 New York NY 1,067
7 Lehigh Valley Hospital - Cedar Crest 3525 Allentown PA 1,023
8 The Johns Hopkins Hospital 1914 Baltimore MD 1,003
9 Beaumont Hospital - Royal Oak 2066 Royal Oak MI 998
10 Massachusetts General Hospital 1973 Boston MA 993

Fig. 1 Data from Definitive Healthcare's Hospitals and IDNs database. Data is proprietary and updated on a continuous basis. Data accurate as of May 2020.

The Moses Campus of Montefiore Hospital has the single highest number of staffed beds of any Epic user with 1,458 beds in total. The location with the second most staffed beds of any Epic user is Main Campus of the Cleveland Clinic with 1,285 total beds.

Interestingly, each hospital that ranked among top 10 highest bed counts for an Epic EHR user reported installations of multiple Epic products. Every location on this list uses both EpicCare Ambulatory and ClinDoc (which is similar to EpicCare Ambulatory, but with a focus on inpatient care).

This trend speaks to the appeal of software interoperability, which may be easier to achieve with multiple software applications from the same vendor.

Top 10 hospitals using Epic EHR by net patient revenue

Rank Hospital Name Definitive ID City State Net Patient Revenue
1 NewYork-Presbyterian/Weill Cornell Medical Center 541974 New York NY $5,951,047,108
2 Cleveland Clinic Main Campus 3120 Cleveland OH $5,164,424,360
3 Stanford Hospital 588 Palo Alto CA $5,120,204,039
4 Tisch Hospital 2843 New York NY $4,605,939,926
5 Fontana Medical Center 526 Fontana CA $4,404,479,570
6 University of Texas MD Anderson Cancer Center 4017 Houston TX $3,904,060,137
7 UCSF Helen Diller Medical Center at Parnassus Heights 560 San Francisco CA $3,902,331,848
8 Vanderbilt University Medical Center 3742 Nashville TN $3,820,871,118
9 Los Angeles Medical Center 366 Los Angeles CA $3,653,264,495
10 University Hospital 2096 Ann Arbor MI $3,567,175,560

Fig. 2 Data from Definitive Healthcare's Hospitals and IDNs database. Data is proprietary and updated on a continuous basis. Data accurate as of May 2020.

A look at the top 10 hospitals ranked by net patient revenue shifts our perspective a bit. There are almost no repeat locations that appear on this list.

The exception here is the Cleveland Clinic Main Campus which again ranks as second highest. Still, with this new set of data, nine out of ten ranking hospitals are using Epic for both inpatient and ambulatory purposes. Again, we see that integration and multiple use cases is a draw for some of Epic's largest users.

Learn more

For more information on EHR technologies and their industry value — read these other Definitive Healthcare articles:

Does Hospital EHR Adoption Actually Improve Data Sharing?
Key Technologies for Population Health Management

This blog was originally published June 10, 2019 and has been updated to reflect the current state of the healthcare industry.

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