Epic, MEDITECH Top EHR Vendors by 2021 Hospital Market Share

MEDITECH and Epic were the only two EHR vendors to have double-digit market share gains in 2021, KLAS reported.

EHR Vendor Epic Systems had the greatest market share growth in 2021, significantly outperforming its competition once again, according to a KLAS market share report based on acute care EHR purchasing activity.

A substantial portion of Epic’s market share growth comes from 4 net-new customer organizations which comprise a total of 28 hospitals. In total, Epic Systems scored 74 hospitals and over 80,000 beds. The vendor’s four losses were due to merger and acquisition activity.

Epic also remained the top choice for large healthcare organizations, gaining over 32 hospitals in 2021.

Seventy-eight of the multispecialty acute care hospitals that chose a new EHR vendor were part of small organizations, making this market extremely competitive in 2021. Continuing the trend, Epic won nearly half of the acute care hospital wins in this space.

MEDITECH saw its second-highest net growth acute care hospital market share, which was driven mainly by standalone hospitals and customer add-ons. The company gained 18 hospitals and 1,077 acute care beds during the year.

“MEDITECH Expanse has gained confidence in the market,” Helen Waters executive vice president and chief operating officer at MEDITECH said in a public statement. “Our impressive KLAS rankings and substantial net new wins continues to validate MEDITECH as a major player in the industry, and it speaks to the tenacious influence the company has had in health IT.”

In terms of retention among legacy customers, MEDITECH had a successful year. In 2021, 50 legacy customers migrated to MEDITECH expanse rather than switching to another EMR vendor. This marks a 38 percent increase in retention since 2020.

In addition, the company was a top-performing vendor in the KLAS customer experience pillars.

Over the last few years, Allscripts has experienced a decline in hospital market share. Efforts by the vendor to move Paragon customers to a version of the Sunrise platform streamlined for community hospitals did not generate much migration, with only three customers switching. Allscripts had the lowest legacy retention rate out of all its competitors.

In 2021, a few larger specialty hospitals signed with Allscripts. Overall, the EHR vendor lost 26 hospitals and more than 23,000 beds. Seventy-five percent of Allscripts customers switched to Epic, with the remaining 25 percent going to Cerner, MEDITECH, or CPSI.

CPSI had the most significant net decrease in hospitals, losing 29 in 2021. In search of more comprehensive technology, most CPSI’s lost customers left to Meditech or Cerner.

Cerner lost many large acute care customers, causing the vendor to have the most significant net decrease in beds. Besides government contracts, the vendor has not been selected by any net-new large health systems since 2013.

After two consecutive years of net losses, Cerner stabilized hospital market share losses through its wins with small standalone hospitals. More than 60 percent of Cerner’s acute care hospital wins were for CommunityWorks.

In addition, Cerner also had the greatest number of 2021 specialty hospital contracts. Cerner only had a 46 percent retention among legacy customers, with most of their losses switching to Epic.

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