.webp)
Summary: The top EMR software companies in 2026: Epic leads US hospitals with 43.7% of acute care hospitals and 56.9% of beds (KLAS, end of 2025), followed by Oracle Health, MEDITECH, TruBridge and Altera Digital Health. The guide profiles leading ambulatory EMR vendors (eClinicalWorks, athenahealth, NextGen, Veradigm), specialty EHR companies (SPRY, WebPT, ModMed, SimplePractice), an EMR vendor shortlist finder, a checklist for choosing an EMR company and EMR integration companies.
The largest EMR software company in the US is Epic, which ran 43.7% of US acute care hospitals and 56.9% of hospital beds at the end of 2025, according to KLAS. Oracle Health (formerly Cerner) is second at 21.9% of hospitals, then MEDITECH (14.7%), TruBridge (7.6%) and Altera Digital Health (2.9%). In outpatient care, the leading EMR vendors are eClinicalWorks, athenahealth, NextGen and Veradigm, with specialty EMR companies such as SPRY, WebPT, ModMed and SimplePractice leading their own fields.
Below: the market share table, a profile of each top EMR company, the specialty EHR leaders, a shortlist finder and how to choose. For a list of EMR systems by product, see the 10 best EMR systems.
Largest EMR companies by hospital market share
| EMR company | Share of hospitals | Share of beds | Trend in 2025 |
|---|---|---|---|
| Epic | 43.7% | 56.9% | Added 77 hospitals and 18,679 beds |
| Oracle Health (Cerner) | 21.9% | 20.4% | Lost 56 hospitals and 14,676 beds, its third straight year of net losses |
| MEDITECH | 14.7% | 12.5% | 84% of customers making a decision chose to move to Expanse |
| TruBridge | 7.6% | Not reported | Community and rural hospitals |
| Altera Digital Health | 2.9% | Not reported | Former Allscripts hospital business (Sunrise, Paragon) |
Sources: KLAS figures as reported by Becker's Hospital Review, Health System CIO and HIT Consultant (May 2026). KLAS also found the number of hospitals affected by EHR purchase decisions fell about 40% from 2024.
EMR adoption is near universal: as of 2024, 91% of office-based physicians and more than 99% of non-federal acute care hospitals used a certified EHR, according to HealthIT.gov.
Top EMR software companies at a glance
| Company | Main product | Best for | Key fact |
|---|---|---|---|
| Epic | Epic EHR, MyChart | Large hospitals and health systems | 325 million+ patients have a current record in Epic |
| Oracle Health | Oracle Health EHR (Millennium) | Hospitals and health systems | Oracle bought Cerner for about $28.3 billion in June 2022 |
| MEDITECH | Expanse | Community and critical access hospitals | 14.7% of US acute care hospitals |
| TruBridge | TruBridge EHR | Rural and community hospitals | 7.6% of US acute care hospitals |
| Altera Digital Health | Sunrise, Paragon, TouchWorks | Hospitals and large physician groups | Acquired the Allscripts hospital business in 2022 |
| eClinicalWorks | eClinicalWorks EHR, healow | Ambulatory practices of all sizes | 180,000+ physicians and nurse practitioners use its EHR |
| athenahealth | athenaOne | Cloud-based ambulatory practices | Connects 170,000+ providers |
| NextGen Healthcare | NextGen Enterprise, NextGen Office | Ambulatory and specialty groups | Taken private by Thoma Bravo in a $1.8 billion deal (2023) |
| Veradigm | Veradigm EHR, Practice Fusion | Small and independent practices | Allscripts renamed itself Veradigm in 2023 |
| SPRY | SPRY EMR, billing and RCM | PT, OT and SLP clinics | Ranked #1 for PT, OT and rehab in Black Book's 2026 Ambulatory EHR survey |
| WebPT | WebPT EMR | Outpatient rehab therapy | Used by 160,000+ members |
Hospital and enterprise EMR companies
1. Epic Systems
Founded in 1979 and based in Verona, Wisconsin, Epic is employee-owned and says more than 325 million patients have a current electronic record in its system. It leads US hospitals by both hospital count and beds, includes the MyChart patient portal, and in 2025 was the only vendor selected by large health systems with more than 10 hospitals, per KLAS. Best for: large hospitals, academic medical centers and integrated delivery networks. Watch for: high implementation cost and IT staffing needs.
2. Oracle Health (formerly Cerner)
Oracle completed its roughly $28.3 billion acquisition of Cerner on June 8, 2022, and the product is now sold as Oracle Health. It holds 21.9% of US acute care hospitals but lost 56 hospitals in 2025. Best for: health systems already on Cerner Millennium or the federal VA and DoD ecosystem. Watch for: roadmap and migration plans as Oracle moves the platform to its cloud.
3. MEDITECH
Founded in 1969 in Massachusetts, MEDITECH serves many community hospitals. Its web-based Expanse platform is where most customers are heading: 84% of MEDITECH customers making a decision in 2025 chose to migrate to Expanse, up from 63% in 2024. Best for: community, rural and critical access hospitals.
4. TruBridge and Altera Digital Health
TruBridge (formerly CPSI) focuses on community and rural hospitals and holds 7.6% of US hospitals. Altera Digital Health took over Allscripts' hospital and large physician practice business, including Sunrise, Paragon and TouchWorks, after the 2022 sale to Constellation Software.
Ambulatory EMR companies
5. eClinicalWorks
eClinicalWorks calls itself the largest cloud-based EHR in the US. It reports 180,000+ physicians and nurse practitioners on its EHR, 850,000+ healthcare professionals using the platform and 110,000+ facilities, plus the healow patient engagement apps and the Sunoh.ai scribe. Best for: primary care and multi-specialty practices that want EHR, practice management and patient engagement from one vendor.
6. athenahealth
Founded in 1997, athenahealth sells athenaOne, a cloud platform that combines EHR, practice and revenue cycle management and patient engagement. It says it connects 170,000+ providers serving over 20% of the US population. Best for: independent and mid-size practices that want a single cloud subscription.
7. NextGen Healthcare
Atlanta-based NextGen was taken private by Thoma Bravo in a $1.8 billion deal announced in September 2023. It offers NextGen Enterprise for larger groups and NextGen Office for small practices, with specialty content and ambient AI documentation. Best for: multi-specialty and specialty ambulatory groups.
8. Veradigm (Allscripts and Practice Fusion)
Allscripts rebranded as Veradigm in January 2023 after selling its hospital business. Practice Fusion, once known as a free EHR, is now a Veradigm solution and lists pricing from $199 per provider per month with an annual commitment. Best for: small and solo practices.
Specialty EMR companies
Specialty EMR companies are built around one field's workflows, templates and billing rules. When people ask which brands set the benchmark in specialty EHR, these are the names that lead their categories.
| Specialty | EMR companies to know | What the specialty needs |
|---|---|---|
| Physical, occupational and speech therapy | SPRY, WebPT, Raintree, Prompt | 8-minute rule timed-code billing, plan of care and certification tracking, KX modifier, outcome measures |
| Behavioral health | SimplePractice, TherapyNotes, Netsmart | Therapy notes, telehealth, treatment plans, 42 CFR Part 2 for substance use records |
| Dermatology, orthopedics, ophthalmology | ModMed | Body maps, imaging, procedure and device documentation |
| Urgent care | Experity | Fast walk-in throughput, occupational medicine, point-of-care billing |
| Chiropractic | ChiroTouch | SOAP templates, care plans, visit packages |
9. SPRY
SPRY is an AI-native EMR, billing and RCM platform for PT, OT and SLP clinics. It was ranked #1 for Physical & Occupational Therapy / Rehab in the Black Book Research Ambulatory EHR Excellence 2026 survey, is rated 4.8/5 on G2, is used by 1,000+ rehab clinics and is ONC certified (CEHRT). Documentation, scheduling, eligibility, billing and patient intake run on one platform. Best for: outpatient rehab clinics from solo to multi-location. Compare pricing in SPRY vs WebPT vs Prompt vs Raintree.
10. WebPT
Founded in 2006 and headquartered in Phoenix, WebPT says it supports more than 160,000 members in rehab therapy. It offers EMR, billing, patient engagement and outcomes tools. Best for: outpatient PT practices that want a long-established rehab vendor.
Find your EMR vendor shortlist
EMR vendor shortlist finder
Pick your setting, specialty and size to see which type of EMR company fits and which vendors to demo first.
A starting point based on each vendor's stated focus, not a ranking. Always demo with your own workflows and ask for references from practices like yours.
How to choose an EMR software company
| Check | Why it matters | How to verify |
|---|---|---|
| Specialty fit | General EMRs often need custom templates for rehab, behavioral health or surgical specialties | Run a demo with your own visit types and billing rules |
| ONC certification | Needed for federal quality programs and shows baseline interoperability | Look the product up on the ONC CHPL |
| Interoperability | Referrals, labs, imaging and patient apps depend on HL7 and FHIR APIs | Ask which interfaces and APIs are included and what they cost |
| Pricing model | Per provider, per visit, percent of collections or enterprise license change total cost | Get a 3-year total cost including setup, migration, training and support |
| Data migration | Your charts, documents and balances must come across cleanly | Ask for a written migration plan; see the EMR data migration checklist |
| Support and roadmap | You are signing a multi-year partnership | Ask for support response times, KLAS or Black Book results and customer references |
Related guides: PMS vs EHR vs EMR, best EMR for outpatient physical therapy and what it costs to switch EMRs.
EMR integration and development companies
Not every EMR company sells a full EHR. EMR integration companies connect an EHR to other systems such as labs, billing clearinghouses, patient apps and AI tools using HL7 v2 and FHIR interfaces. EMR software development companies build custom modules or apps on top of an EHR's APIs. Before hiring either, confirm the EHR vendor's API terms and fees, and make sure any company that touches patient data signs a Business Associate Agreement.
FAQs
What is the largest EMR company in the US?
Epic. At the end of 2025 it ran 43.7% of US acute care hospitals and 56.9% of hospital beds, according to KLAS. Oracle Health was second at 21.9% of hospitals.
Who are the top 5 EMR companies?
By US hospital market share at the end of 2025: Epic (43.7%), Oracle Health (21.9%), MEDITECH (14.7%), TruBridge (7.6%) and Altera Digital Health (2.9%), per KLAS. In outpatient care, eClinicalWorks, athenahealth, NextGen and Veradigm are the best-known ambulatory vendors.
What are the top EMR vendors for small practices?
Cloud ambulatory vendors such as athenahealth, eClinicalWorks, NextGen Office and Veradigm Practice Fusion, plus specialty EMRs built for your field, such as SPRY for physical, occupational and speech therapy.
What is the best EMR company for physical therapy?
For outpatient PT, OT and SLP, choose a rehab-specific EMR company such as SPRY, WebPT, Raintree or Prompt rather than a hospital EHR. SPRY was ranked #1 for PT, OT and rehab in Black Book's 2026 Ambulatory EHR survey.
Who owns Cerner now?
Oracle. It completed its acquisition of Cerner for about $28.3 billion on June 8, 2022, and the business now operates as Oracle Health.
What happened to Allscripts?
Allscripts sold its hospital and large physician practice business, including Sunrise and TouchWorks, to Constellation Software in 2022; that business is now Altera Digital Health. The remaining company renamed itself Veradigm in January 2023.
Is Practice Fusion still free?
No. Practice Fusion, now part of Veradigm, lists pricing from $199 per provider per month with a required annual commitment.
What is the difference between an EMR and an EHR company?
Most vendors now sell EHRs, which share data across providers, though people still search for EMR companies. HealthIT.gov describes EMRs as digital versions of paper charts and EHRs as records that go beyond one office to give a broader view of a patient's care.
Reduce costs and improve your reimbursement rate with a modern, all-in-one clinic management software.
Get a DemoLegal Disclosure:- Comparative information presented reflects our records as of Nov 2025. Product features, pricing, and availability for both our products and competitors' offerings may change over time. Statements about competitors are based on publicly available information, market research, and customer feedback; supporting documentation and sources are available upon request. Performance metrics and customer outcomes represent reported experiences that may vary based on facility configuration, existing workflows, staff adoption, and payer mix. We recommend conducting your own due diligence and verifying current features, pricing, and capabilities directly with each vendor when making software evaluation decisions. This content is for informational purposes only and does not constitute legal, financial, or business advice.
