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
||Number of Beds
||Montefiore Hospital - Moses Campus
||Cleveland Clinic Main Campus
||Mayo Clinic Hospital - Saint Marys Campus
||Spectrum Health Butterworth Hospital
||Mount Sinai Medical Center
||Lehigh Valley Hospital - Cedar Crest
||The Johns Hopkins Hospital
||Beaumont Hospital - Royal Oak
||Massachusetts General Hospital
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
||Net Patient Revenue
||NewYork-Presbyterian/Weill Cornell Medical Center
||Cleveland Clinic Main Campus
||Fontana Medical Center
||University of Texas MD Anderson Cancer Center
||UCSF Helen Diller Medical Center at Parnassus Heights
||Vanderbilt University Medical Center
||Los Angeles Medical Center
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.
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.