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Electronic Medical Records Systems in the US - Market Research Report (2014-2029)

Marley Brocker Marley Brocker New York, United States Last Updated: August 2024 NAICS OD4172

Revenue

$19.4bn

2024

$19.4bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

33,240

Businesses

234

Wages

$X.Xbn

Electronic Medical Records Systems in the US industry analysis

Adoption of electronic medical record (EMR) systems has proliferated in healthcare settings over the past decade. Federal funding and legislation requiring the uptake of EMR systems in recent years have led more than 96.0% of hospitals and physicians to go digital as of 2023, compared to less than 10.0% in 2010. An evolving healthcare landscape is enhancing the role of EMR providers in the health sector. While demographic and economic factors drive the use of EMRs, valuable cost-savings, security and coordination show the strength of digital records over paper-based ones. In all, industry-wide revenue has been falling at a CAGR of 0.7% over the past five years – totaling an estimated $19.4 billion in 2024 – when revenue will increase an expected 3.4%.

Trends and Insights

  • Electronic health records have become a fixture of a more digital healthcare environment. More health systems than ever rely on an EHR system for their valuable improvements to security, patient outcomes and efficiency.
  • Basic EMRs without clinician notes have lost their market share to basic EMRs with clinical notes. Strong competition from EMRs with clinical notes and comprehensive EMRs has contributed to a decline in the market share of EMRs without clinical notes.
  • 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 workforce and venture capitalists.
  • 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 systems from making a switch.
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Everything you need in one report

  • Reliable market estimates from 2014-2029
  • Competitive analysis, industry segmentation, financial benchmarks
  • Powerful SWOT, Porter’s Five Forces and risk management frameworks
  • Online membership platform with PDF, Word, Excel and PPT exports

Industry Overview

Market size and recent performance (2014-2029)

Industry revenue has declined at a CAGR of 0.7 % over the past five years, to reach an estimated $19.4bn in 2024.

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; 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

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

EHR systems will be vital to an evolving healthcare landscape

  • Demographic and economic forces will continue driving healthcare consumption, leading the volume and frequency of medical records to accelerate moving forward.

Biggest companies in the Electronic Medical Records Systems in the US

Company
Market Share (%)
2024
Revenue ($m)
2024
Profit ($m)
2024
Profit Margin (%)
2024
Epic Systems Corporation
3,065.9
181.2
5.9
Cerner Corporation
2,151.0
298.3
13.9
Allscripts Healthcare Solutions, Inc.
1,275.1
-113.0
-8.9

To view the market share and analysis for all 3 top companies in this industry, view purchase options.

Products & Services Segmentation

Electronic Medical Records Systems in the US

Products & Services

Industry revenue is measured across several distinct product and services lines, including Comprehensive EMRs, Basic EMR with clinician notes and Basic without clinician notes . Comprehensive EMRs is the largest segment of the Electronic Medical Records Systems in the US.

Trends and Insights

Basic EMRs with clinician notes have lost their market share to comprehensive EMRs

  • An EMR is a digital version of a patient's paper chart that contains all of the information related to a patient's medical history.
  • More insights available in the full report

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Competitors

  • There are no industries to display.

Complementors

  • Software Publishing in the US
  • Data Processing & Hosting Services in the US
  • Payroll & Bookkeeping Services in the US
  • IT Consulting in the US

International industries

  • Software Publishing in Canada
  • Software Publishing in Australia
  • Software Publishing in the UK
  • Software Publishing in Ireland
  • Software Development in Ireland

View all industries in United States

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?

Developing and providing electronic medical and health records for ambulatory care facilitiesDeveloping and providing electronic medical and health records for hospitals and other inpatient settings

Companies

Epic Systems CorporationCerner CorporationAllscripts Healthcare Solutions, Inc.

Purchase this report to view all 3 major companies in this industry.

Related Terms

APPLICATION SERVICE PROVIDER (ASP)SOFTWARE AS A SERVICE (SAAS)CLOUD-BASED SOFTWAREELECTRONIC MEDICAL RECORD (EMR)ELECTRONIC HEALTH RECORD (EHR)MEANINGFUL USEINTEROPERABILITY

Industry Code

NAICS 2017

NAICS 54138 - 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 have become a fixture of a more digital healthcare environment. More health systems than ever rely on an EHR system for their valuable improvements ...

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 (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • 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

Basic EMRs without clinician notes have lost their market share to basic EMRs with clinical notes. Strong competition from EMRs with clinical notes and comprehensive EMRs has...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

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 2024

Tables

  • Number and share of establishments in each state in 2024
  • Number and share of revenue each state accounts for in 2024
  • Number and share of wages each state accounts for in 2024
  • Number and share of employees in each state in 2024

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 2019-2024
  • 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 is a leading EMR vendor. Epic is synonymous with healthcare providers for its electronic medical record software, with the company introducing new tech advances ...

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024
  • Overview of Epic Systems Corporation's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of Cerner Corporation's performance by revenue, market share and profit margin from 2018 through 2024
  • Overview of Allscripts Healthcare Solutions, Inc.'s performance by revenue, market share and profit margin from 2018 through 2024

Detailed analysis

  • Description and key data for Epic Systems Corporation, and factors influencing its performance in the industry
  • Description and key data for Cerner Corporation, and factors influencing its performance in the industry
  • Description and key data for Allscripts Healthcare Solutions, 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 led EMR adoption to explode in the past decade. The HITECH Act led the share of hospitals with an EMR system to jump from less than 10% 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 (2014-2029) 
  • Assistance historical data and forecast (2014-2029) 

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

Profit is affected by competition, technological change and government regulations. Over the past five years, profit has been negatively affected by rising competition.

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 2024
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2017-2022)
  • Industry Tax Structure (2017-2022)
  • Income Statement (2017-2022)
  • Balance Sheet (2017-2022)
  • Liquidity Ratios (2017-2022)
  • Coverage Ratios (2017-2022)
  • Leverage Ratios  (2017-2022)
  • Operating Ratios (2017-2022)
  • Cash Flow & Debt Service Ratios (2014-2029)
  • Revenue per Employee (2014-2029)
  • Revenue per Enterprise (2014-2029)
  • Employees per Establishment (2014-2029)
  • Employees per Enterprise (2014-2029)
  • Average Wage (2014-2029)
  • Wages/Revenue (2014-2029)
  • Establishments per Enterprise (2014-2029)
  • IVA/Revenue (2014-2029)
  • Imports/Demand (2014-2029)
  • Exports/Revenue (2014-2029)

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 (2014-2029)
  • IVA (2014-2029)
  • Establishments (2014-2029)
  • Enterprises (2014-2029)
  • Employment (2014-2029)
  • Exports (2014-2029)
  • Imports (2014-2029)
  • Wages (2014-2029)

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.

Learn more about our methodology and data sourcing on the Help Center.

Frequently Asked Questions

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Electronic Medical Records Systems in the US industry in United States in 2024?

The market size of the Electronic Medical Records Systems in the US industry in United States is $19.4bn in 2024.

How many businesses are there in the Electronic Medical Records Systems in the US industry in 2024?

There are 234 businesses in the Electronic Medical Records Systems in the US industry in United States, which has declined at a CAGR of 10.2 % between 2019 and 2024.

Has the Electronic Medical Records Systems in the US industry in United States grown or declined over the past 5 years?

The market size of the Electronic Medical Records Systems in the US industry in United States has been declining at a CAGR of 0.7 % between 2019 and 2024.

What is the forecast growth of the Electronic Medical Records Systems in the US industry in United States over the next 5 years?

Over the next five years, the Electronic Medical Records Systems in the US industry in United States is expected to grow.

What are the biggest companies in the Electronic Medical Records Systems in the US market in United States?

The biggest companies operating in the Electronic Medical Records Systems market in United States are Epic Systems Corporation, Cerner Corporation and Allscripts Healthcare Solutions, Inc.

What does the Electronic Medical Records Systems in the US in United States include?

Developing and providing electronic medical and health records for ambulatory care facilities and Developing and providing electronic medical and health records for hospitals and other inpatient settings are part of the Electronic Medical Records Systems in the US industry.

Which companies have the highest market share in the Electronic Medical Records Systems in the US in United States?

The company holding the most market share in United States is Epic Systems Corporation.

How competitive is the Electronic Medical Records Systems in the US industry in United States?

The level of competition is high and increasing in the Electronic Medical Records Systems in the US industry in United States.