Industry Statistics and Trends
Market size and recent performance (2015-2030)
Industry revenue has declined at a CAGR of 0.3 % over the past five years, to reach an estimated $19.4bn in 2025.
Trends and Insights
EHRs have become a focal point of healthcare delivery
- Healthcare organizations' adoption of electronic health records (EHRs) has surged over the past decade. EHR adoption has been on an upward since 2009 (following the American Recovery and Reinvestment Act), with adoption rates at hospitals jumping from 12.0% in 2009 to over 96.0% in 2021, according to data from the ONC, which as of June 2024 date is called ASTP/ONC , office-based physicians show a similar trend, but an overall lower adoption rate (22.0% in 2009 to 78.0% in 2021).
- Additional trends and insights available with purchase
Source: IBISWorld
Industry outlook (2025-2030)
Market size is projected to grow over the next five years.
Trends and Insights
The speed of AI adoption in healthcare may encounter roadblocks despite rising demand
- Demographic and economic forces will continue driving healthcare consumption, increasing the volume of medical records. The growing adult population's medical needs will lead to costlier and more complex medical cases, and medical case managers will look for ways to keep costs low by managing patients' medical information quickly and securely. Continuing shifts in the healthcare sector toward patient-centric care and value-based payment models will also incentivize health systems to invest in and upgrade their EHR systems.
Biggest companies in the Electronic Medical Records Systems in the US
| Company | Market Share (%)
2025 | Revenue ($m)
2025 | Profit ($m)
2025 | Profit Margin (%)
2025 |
|---|---|---|---|---|
Epic Systems Corporation | 5,610.0 | 1,683.0 | 30.0 | |
Oracle Corporation | 4,216.8 | 1,298.7 | 30.8 | |
Veradigm Inc. | 49.0 | 583.0 | 1,189.8 |
To view the market share and analysis for all 3 top companies in this industry, view purchase options.
Products & Services Segmentation
Source: IBISWorld
Industry revenue is measured across several distinct product and services lines, including Computer systems and network design, integration, security and development, Database and software services and web design and IT consulting and tech support. Computer systems and network design, integration, security and development is the largest segment of the Electronic Medical Records Systems in the US.
Trends and Insights
Computer systems and related services are primary
- The shift to distributed, cloud-based EHR systems emphasizes cybersecurity, multi-factor authentication and data encryption to meet HIPAA and emerging privacy standards. Network design now prioritizes interoperability and real-time data sharing across institutional and geographic boundaries, with an AI monitoring system to flag threats or anomalies.
- More insights available in the full report
Table of Contents
About this industry
Industry definition
This industry includes companies that develop electronic medical records (EMR) and health records (EHR) systems. EMR and EHR systems are digital replacements for traditional paper and file medical records systems used by healthcare providers.
What's included in this industry?
Products and services covered in the Electronic Medical Records Systems industry in the United States include Web site, database and software services, Computer systems and network design, integration, security and development, IT consulting and tech support and Data storage and management services.Companies
Companies covered in the Electronic Medical Records Systems industry in the United States include Epic Systems Corporation, Oracle Corporation and Veradigm Inc.Purchase this report to view all 3 major companies in this industry.
Related Terms
Related terms covered in the Electronic Medical Records Systems industry in the United States include application service provider (asp), software as a service (saas), cloud-based software, electronic medical record (emr), electronic health record (ehr), meaningful use, interoperability and onc regulations.Industry Code
NAICS 541512 - Electronic Medical Records Systems in the US
Performance
Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.
Analyst insights
Electronic health records (EHRs) have become a fixture of the digital healthcare environment. More health systems than ever rely on EHR systems for their valuable improvement...
In this chapter (4)
- Current Performance
- Outlook
- Volatility
- Life Cycle
Key metrics
- Annual Revenue, Recent Growth, Forecast, Revenue Volatility
- Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
- Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
- Total Profit, Profit Margin, Profit per Business
Charts
- Revenue, including historical (2015-2024) and forecast (2025-2030)
- Employees, including historical (2015-2024) and forecast (2025-2030)
- Businesses, including historical (2015-2024) and forecast (2025-2030)
- Profit, including historical (2015-2025)
- Industry Volatility vs. Revenue Growth
- Industry Life Cycle
Detailed analysis
- Trends in supply, demand and current events that are driving current industry performance
- Expected trends, economic factors and ongoing events that drive the industry's outlook
- Key success factors for businesses to overcome volatility
- How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.
Products and Markets
Learn about an industry's products and services, markets and trends in international trade.
Analyst insight
Tariffs on imported components threaten to squeeze EMR system affordability. Proposed tariffs on Chinese and Mexican electronics and semiconductors, critical for EMR hardware...
In this chapter
- Products & Services
- Major Markets
Key metrics
- Largest market segment and value in 2025
- Product innovation level
Charts
- Products & services segmentation in 2025
- Major market segmentation in 2025
Detailed analysis
- Trends impacting the recent performance of the industry's various segments
- Innovations in the industry's product or service offering, specialization or delivery method
- Key factors that successful businesses consider in their offerings
- Buying segments and key trends influencing demand for industry products and services
Geographic Breakdown
Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.
Analyst insights
Electronic medical record vendors are attracted to California’s Silicon Valley. EMR vendors benefit from the area’s access to leading tech universities, skilled tech workforc...
In this chapter (1)
- Business Locations
Charts
- Share of revenue, establishment, wages and employment in each state
- Share of population compared to establishments in each region in 2025
Tables
- Number and share of establishments in each state in 2025
- Number and share of revenue each state accounts for in 2025
- Number and share of wages each state accounts for in 2025
- Number and share of employees in each state in 2025
Detailed analysis
- Geographic spread of the industry across North America, and trends associated with changes in the business landscape
- Key success factors for businesses to use location to their advantage
Competitive Forces
Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.
Analyst insights
Low turnover rates for EMR systems stifle competition. Deploying a new EMR system can cost a health system millions of dollars and create disruptions, disincentivizing health...
In this chapter (4)
- Concentration
- Barriers to Entry
- Substitutes
- Buyer & Supplier Analysis
Key metrics
- Industry concentration level
- Industry competition level and trend
- Barriers to entry level and trend
- Substitutes level and trend
- Buyer power level and trend
- Supplier power level and trend
Charts
- Market share concentration among the top 4 suppliers from 2020-2025
- Supply chain including upstream supplying industries and downstream buying industries, flow chart
Detailed analysis
- Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
- Key success factors for businesses to manage the competitive environment of the industry.
- Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
- Key success factors for potential entrants to overcome barriers to entry.
- Competitive threats from potential substitutes for the industry’s own products and services.
- Key success factors for how successful businesses can compete with substitutes.
- Advantages that buyers have to keep favorable purchasing conditions.
- Advantages that suppliers have to maintain favorable selling conditions.
- Key success factors for how businesses can navigate buyer and supplier power.
Companies
Learn about the performance of the top companies in the industry.
Analyst insights
Epic Systems Corporation is a leading EMR vendor. It is synonymous with healthcare providers for its electronic medical record software and the company is introducing new tec...
In this chapter
- Market Share Concentration
- Companies
- Company Spotlights
Charts
- Industry market share by company in 2021 through 2025
- Major companies in the industry, including market share, revenue, profit and profit margin in 2025
- Overview of Epic Systems Corporation's performance by revenue, market share and profit margin from 2019 through 2025
- Overview of Oracle Corporation's performance by revenue, market share and profit margin from 2019 through 2025
- Overview of Veradigm Inc.'s performance by revenue, market share and profit margin from 2019 through 2025
Detailed analysis
- Description and key data for Epic Systems Corporation, and factors influencing its performance in the industry
- Description and key data for Oracle Corporation, and factors influencing its performance in the industry
- Description and key data for Veradigm Inc., and factors influencing its performance in the industry
External Environment
Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.
Analyst insights
Federal regulations have exploded EMR adoption in the past decade. The HITECH Act had led the share of hospitals with an EMR system to jump from less than 10.0% to north of 9...
In this chapter
- External Drivers
- Regulation & Policy
- Assistance
Key metrics
- Regulation & policy level and trend
- Assistance level and trend
Charts
- Regulation & Policy historical data and forecast (2015-2030)
- Assistance historical data and forecast (2015-2030)
Detailed analysis
- Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
- Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
- Key governmental and non-governmental groups or policies that may provide some relief for industry operators.
Financial Benchmarks
View average costs for industry operators and compare financial data against an industry's financial benchmarks over time.
Analyst insights
Strong demand ensures profit despite increased competition. Regulatory changes continue to boost demand for EMR and EHR vendor services, as consolidation has heightened compe...
In this chapter
- Cost Structure
- Financial Ratios
- Key Ratios
Key metrics
- Profit margin, and how it compares to the sector-wide margin
- Average wages, and how it compares to the sector-wide average wage
- Largest cost component as a percentage of revenue
- Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio
Charts
- Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
- Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
- Investment vs. share of economy
Data tables
- Industry Multiples (2018-2023)
- Industry Tax Structure (2018-2023)
- Income Statement (2018-2023)
- Balance Sheet (2018-2023)
- Liquidity Ratios (2018-2023)
- Coverage Ratios (2018-2023)
- Leverage Ratios (2018-2023)
- Operating Ratios (2018-2023)
- Cash Flow & Debt Service Ratios (2015-2030)
- Revenue per Employee (2015-2030)
- Revenue per Enterprise (2015-2030)
- Employees per Establishment (2015-2030)
- Employees per Enterprise (2015-2030)
- Average Wage (2015-2030)
- Wages/Revenue (2015-2030)
- Establishments per Enterprise (2015-2030)
- IVA/Revenue (2015-2030)
- Imports/Demand (2015-2030)
- Exports/Revenue (2015-2030)
Detailed analysis
- Trends in the cost component for industry operators and their impact on industry costs and profitability
Key Statistics
Industry Data
Data Tables
Including values and annual change:
- Revenue (2015-2030)
- IVA (2015-2030)
- Establishments (2015-2030)
- Enterprises (2015-2030)
- Employment (2015-2030)
- Exports (2015-2030)
- Imports (2015-2030)
- Wages (2015-2030)
Top Questions Answered
Unlock comprehensive answers and precise data upon purchase. View purchase options.
What is the market size of the Electronic Medical Records Systems industry in the United States in 2025?
The market size of the Electronic Medical Records Systems industry in the United States is $19.4bn in 2025.
How many businesses are there in the Electronic Medical Records Systems industry in the United States in 2025?
There are 311 businesses in the Electronic Medical Records Systems industry in the United States, which has declined at a CAGR of 4.1 % between 2020 and 2025.
How may import tariffs affect the Electronic Medical Records Systems industry in the United States?
The Electronic Medical Records Systems industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.
How may export tariffs affect the Electronic Medical Records Systems industry in the United States?
The Electronic Medical Records Systems industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.
Has the Electronic Medical Records Systems industry in the United States grown or declined over the past 5 years?
The market size of the Electronic Medical Records Systems industry in the United States has been declining at a CAGR of 0.3 % between 2020 and 2025.
What is the forecast growth of the Electronic Medical Records Systems industry in the United States over the next 5 years?
Over the next five years, the Electronic Medical Records Systems industry in the United States is expected to grow.
What are the biggest companies in the Electronic Medical Records Systems industry in the United States?
The biggest companies operating in the Electronic Medical Records Systems industry in the United States are Epic Systems Corporation, Oracle Corporation and Veradigm Inc.
What does the Electronic Medical Records Systems industry in the United States include?
Web site, database and software services and Computer systems and network design, integration, security and development are part of the Electronic Medical Records Systems industry in the United States.
Which companies have the highest market share in the Electronic Medical Records Systems industry in the United States?
The company holding the most market share in the Electronic Medical Records Systems industry in the United States is Epic Systems Corporation.
How competitive is the Electronic Medical Records Systems industry in the United States?
The level of competition is high and increasing in the Electronic Medical Records Systems industry in the United States.
Methodology
How are IBISWorld reports created?
IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.
Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.
IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.
What data sources do IBISWorld analysts use?
Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.
Key data sources in the US include:
- US Census Bureau
- US Bureau of Labor Statistics
- US International Trade Commission
Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.
These sources include:
- Industry and trade associations
- Industry federations or regulators
- Major industry players annual or quarterly filings
Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.
How does IBISWorld forecast its data?
IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.
IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.
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