KLAS: Epic Adds 77 Hospitals as Oracle Health Sheds 56 — and EHR Buying Freezes 40%
The 2026 acute care EHR market share report shows Epic capturing every large health system decision while overall purchase activity collapsed, as capital shifts from EHR replacements to AI.
Epic extended its dominance of the US acute care EHR market in 2025 while Oracle Health posted a third consecutive year of major hospital losses, according to KLAS Research's 2026 US Acute Care EHR Market Share report — all against the backdrop of a dramatic freeze in EHR purchasing.
The headline numbers: Epic added 77 hospitals and 18,679 beds in 2025, capturing every large health system decision and expanding into smaller hospitals through its Community Connect program. Oracle Health lost 56 hospitals and 14,676 beds. MEDITECH, meanwhile, quietly improved retention — 84% of customers migrating stayed on its Expanse platform, up from 63% in 2024.
Where the money went instead
KLAS attributes the buying slowdown to policy uncertainty and, more structurally, to capital being redirected away from core EHR replacements toward AI and operational-efficiency tools. In other words: health systems aren't pausing IT investment — they're spending it on ambient documentation, automation, and analytics layered on top of the EHR they already own.
That framing makes 2026 pivotal for Oracle Health, which is rolling out its new AI-driven EHR in a bid to stem defections. If AI capability is now the axis of competition, the rewrite is Oracle's one clear shot at changing the trajectory KLAS has now documented for three straight years.
Reporting: HIT Consultant, on KLAS Research's 2026 EMR Market Share report.
Source
Original reporting: HIT Consultant / KLAS Research ↗