Epic Systems EHR Market Dominance Analysis

Quantitative analysis shows Epic Systems controls electronic health records for 42.3% of acute care hospitals and over half of acute care hospital beds in the United States. The dataset examines the company's market concentration, including a Herfindahl–Hirschman Index over 2,500 and capture of nearly 70% of new hospital contracts in 2024. It was authored by Rawan Abulibdeh and last updated in March 2026.

Use Cases

• Analyze the Herfindahl–Hirschman Index trend to quantify market concentration in the U.S. hospital EHR sector.
• Compare Epic's 42.3% hospital and 54.9% hospital bed market share metrics against other vendors or over time.
• Evaluate the 70% new contract capture rate in 2024 to model future market share projections.
• Cross-reference international deployment failure cases in Norway, Denmark, Finland, and the UK with U.S. market structure data.

Strengths

• Includes specific, cited market share figures: 42.3% of acute care hospitals and 54.9% of acute care hospital beds.
• Provides a concrete metric for market concentration: Herfindahl–Hirschman Index > 2,500 after 2018.
• Draws from multiple authoritative sources including peer-reviewed literature and federal antitrust filings.
• Released under a permissive CC BY 4.0 license, facilitating reuse and analysis.

Limitations

• The dataset is very small at 5.5 KB, indicating limited scope and likely summary-level data rather than granular records.
• No column definitions or sample data are provided, making the internal structure and specific variables unknown.
• The analysis is focused on a single company (Epic Systems) and the U.S. market, limiting generalizability.

Provenance

Source

Figshare, authored by Rawan Abulibdeh.

Collection Method

Analysis drawing on peer-reviewed literature, federal antitrust filings, and cross-national case studies.

Time Range

Analysis period includes data up to 2024, with historical context on Epic's ascent.

Freshness

Last updated on March 23, 2026, indicating recent analysis.

Geography

Primary focus on the United States, with comparative case studies from Norway, Denmark, Finland, and the United Kingdom.