The Definitive List
Top EHR Deployments at
Acute Care Hospitals
Overview
Electronic Health Records (EHRs) are a critical but expensive part of any hospital’s technology
infrastructure. Here’s a look at the state of the inpatient EHR market today at non-federal, acute care
hospitals, based upon Definitive Healthcare data – showing a distinct difference between non-critical
access and critical access hospitals.
Data for non-critical access, non-federal acute care hospitals show a market dominated by major
vendors. Nearly three fourths of the hospitals examined use an Epic, MEDITECH, or Cerner system.
McKesson comes in at a distant fourth, followed by CPSI. Epic and Cerner systems are more common at
larger, IDN-affiliated hospitals with relatively high bed counts and patient revenue. Among lesserdeployed systems, CPSI, which focuses its products on rural, community, and critical-access hospitals,
was installed at hospitals with the lowest median patient revenue, median discharges, and lowest rate
of affiliation with IDNs. The vast majority of hospitals with proprietary EHR systems are part of for-profit,
national corporations. Their large geographic footprint and traditionally higher margins make it more
practical for them to build and maintain an in-house system.
Among critical-access hospitals unassociated with IDNs, CPSI and Healthland comprise nearly half the
market. Both vendors offer systems designed specifically for rural, community, and critical-access
hospitals (CPSI acquired Healthland in early 2016). Cerner barely makes the top five, and Epic has fewer
than 50 implementations. Smaller vendors with less of a national presence also make up a significant
portion of critical-access hospital EHR deployments compared to standard acute care facilities. The
picture changes for critical access hospitals owned by IDNs. Epic has the largest share by far with 33% of
all deployments, followed by MEDITECH and Cerner. CPSI becomes the fifth most-popular system with
only 7%. The data is unsurprising given that IDNs would choose a single vendor for all of their facilities
and companies like Epic and Cerner are already widely deployed in other hospitals and ambulatory
settings.
Definitive Healthcare has the most up-to-date, comprehensive and integrated data on over 7,700
hospitals, 1.4 million physicians, and numerous other healthcare providers. In addition to EHR
deployments, Definitive Healthcare tracks a variety of other health IT implementations covering revenue
cycle, clinical information systems, pharmacy/medication administration, and data/quality sharing.
Visit our website for a free trial!
www.definitivehc.com
888-307-4107
[email protected]
EHR Deployments by Vendor:
Non-Critical Access Acute Care Hospitals
Deployments
Epic
In IDN
Median
Beds*
Median
Median
Discharges* Revenue* (M)
1,030
95%
159
7,724
$567.9
MEDITECH
736
73%
107
4,143
$290.5
Cerner
735
90%
156
6,832
$588.5
McKesson
268
77%
119
4,525
$350.2
CPSI
191
36%
42
1,002
$66.1
Siemens
177
89%
149
6,585
$489.2
MEDHOST
177
86%
70
2,048
$192.9
Proprietary
116
100%
178
8,119
$948.0
*Based on CMS Medicare Cost Reports and most recent individual financial results published in 2015
No Data
3%
All Others
18%
Proprietary
3%
CPSI
5%
McKesson
7%
Epic
26%
MEDITECH
19%
Cerner
19%
Total Deployments: 3,936
Data excludes federal hospitals
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www.definitivehc.com
888-307-4107
[email protected]
EHR Deployments by Vendor:
Critical Access Acute Care Hospitals
Deployments
Median
Discharges*
In IDN
Median
Revenue* (M)
CPSI
262
29%
364
$31.6
Epic
251
81%
440
$44.9
MEDITECH
211
53%
493
$40.8
Cerner
149
73%
397.5
$35.9
Healthland
142
36%
201
$18.4
McKesson
75
56%
529
$42.5
MEDHOST
61
38%
582
$45.3
*Based on CMS Medicare Cost Reports and most recent individual financial results published in 2015
Independent Critical-Access Hospitals
IDN-Owned Critical-Access Hospitals
MEDHOST
6%
Other
16%
Other
28%
Cerner
6%
CPSI
29%
Epic
31%
McKesson
7%
MEDITECH
17%
MEDITECH
15%
Healthland
16%
Cerner
17%
CPSI
12%
Deployments: 670
Deployments: 645
Data excludes federal hospitals
Visit our website for a free trial!
www.definitivehc.com
888-307-4107
[email protected]