Epic welcomed 11 new U.S. hospitals and health systems at its annual Users Group Meeting, held Aug. 17-20 in Verona, Wis., marking a notably smaller Epic 11 new health systems 2026 cohort than the company’s recent years of switching activity.
How This Epic 11 New Health Systems 2026 List Compares to Prior Years
This year’s list represents a smaller haul than the 28 Epic announced in 2025 and the 19 it disclosed in 2024. The slimmer list tracks with what Becker’s has reported throughout the year: Its growth in the acute care EHR market is decelerating even as its overall footprint keeps expanding.
Why Market Share Growth Is Slowing
The company controlled 43.7% of the acute care hospital EHR market in 2025, up from 31% in 2021, but that represented its slowest year of share growth in the past half-decade, according to KLAS Research.
Why the Pool of Large Switchable Systems Is Shrinking
Only two large health systems made enterprisewide EHR moves in 2025, and both chose Epic, a sign that the pool of big systems still available to switch is shrinking. Most of Epic’s 77 hospital additions last year came from small health systems and midsize standalone hospitals rather than large systems.
What This Shift in Customer Profile Signals
This shift toward smaller health systems and standalone hospitals as Epic’s primary source of new customers suggests the EHR vendor has largely saturated the market of large systems still operating on competing platforms, positioning smaller-scale wins as the more realistic growth avenue going forward.
The Full List Behind This Epic 11 New Health Systems 2026 Cohort
The U.S. hospitals and health systems that switched to Epic over the past year, along with the EHRs they are replacing, include Baptist Health Care in Pensacola, Fla. (Altera Digital Health); Children’s Hospital of The King’s Daughters in Norfolk, Va. (Altera Digital Health and Oracle Health); Dolly Parton Children’s Hospital in Knoxville, Tenn. (eClinicalWorks and Meditech); Gila River Health Care in Sacaton, Ariz. (Oracle Health); and MaineGeneral Health in Augusta, Maine (Altera Digital Health and Oracle Health).
The Remaining Six Health Systems on This List
Rounding out the list are Med Center Health in Bowling Green, Ky. (Meditech); Moffitt Cancer Center in Tampa, Fla. (Oracle Health); Nicklaus Children’s Hospital in Miami (Oracle Health); Saint Peter’s Healthcare System in New Brunswick, N.J. (Athenahealth and Altera Digital Health); Valley Health System in Paramus, N.J. (Meditech); and Westchester Medical Center Health Network in Valhalla, N.Y. (Oracle Health).
Beyond This Epic 11 New Health Systems 2026 Hospital List
Epic also touted new customers outside the hospital and health system category, including physician groups and community health centers in the U.S., along with its first hospitals in Germany, the Netherlands, Belgium and Saudi Arabia, and additional National Health Service trusts in the U.K.
Why International Expansion Matters Amid Domestic Slowdown
As domestic acute care hospital switching activity decelerates, Epic’s continued international expansion into new countries and additional NHS trusts suggests the company may be increasingly looking beyond the U.S. market to sustain its overall growth trajectory as the pool of switchable large American health systems continues to shrink.
What This Epic 11 New Health Systems 2026 Trend Means Going Forward
With enterprisewide switching activity now concentrated almost entirely among small health systems and midsize standalone hospitals, Its future domestic growth will likely depend increasingly on this segment of the market rather than large system conversions, which have become rare events limited to just two in 2025. Given the company’s continued international expansion into new countries and NHS trusts, Epic’s overall growth strategy appears to be diversifying geographically even as its core U.S. acute care market share gains slow to their weakest pace in five years.
What to Watch Going Forward
As Epic’s domestic switching activity continues to decelerate, industry observers will likely watch whether next year’s UGM cohort continues this downward trend or whether a renewed wave of large system conversions emerges. Given the company’s expanding international footprint spanning Germany, the Netherlands, Belgium, Saudi Arabia, and additional UK NHS trusts, this Epic 11 new health systems 2026 list may represent an early signal of how the dominant EHR vendor balances a maturing domestic market against continued global expansion in the years ahead.
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