Most expensive Epic EHRs, ranked

Epic EHRs have been among the biggest health system investments for years — and 2024 was no exception.

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Here are the largest Epic EHR projects of all time, with those listed that cost $200 million or more, according to Becker’s reporting and other publicly available sources. This list contains ties:

1. Kaiser Permanente (Oakland, Calif.): $4 billion

2. Mayo Clinic (Rochester, Minn.): $1.5 billion

3 (tie). Mass General Brigham (Somerville, Mass.): $1.2 billion

3 (tie). Northwell Health (New Hyde Park, N.Y.): $1.2 billion

5 (tie). NYC Health + Hospitals (New York City): $1 billion

5 (tie). Sutter Health (Sacramento, Calif.): $1 billion

7. NewYork-Presbyterian (New York City): $964 million

8 (tie). Providence (Renton, Wash.): $800 million

8 (tie). Trinity Health (Livonia, Mich.): $800 million

10 (tie). Duke University Health System (Durham, N.C.): $700 million

10 (tie). UMass Memorial Health (Worcester, Mass.): $700 million

12. AdventHealth (Altamonte Springs, Fla.): $660 million

13. Memorial Hermann Health System (Houston): $500 million

14. University Hospitals (Cleveland): $400 million

15. UAB Health System (Birmingham, Ala.): $380 million

16. Henry Ford Health (Detroit): $350 million

17. Broward Health (Fort Lauderdale, Fla.): $250 million

18. Vanderbilt University Medical Center (Nashville, Tenn.): $214 million

19 (tie). Alameda Health System (Oakland, Calif.): $200 million

19 (tie). Ballad Health (Johnson City, Tenn.): $200 million

19 (tie). Lehigh Valley Health Network (Allentown, Pa.): $200 million

19 (tie). MaineHealth (Portland, Maine): $200 million

19 (tie). OU Health (Oklahoma City): $200 million

NOTE: This is not an exhaustive list. If you know of others that should be on this list, please email gbruce@beckershealthcare.com.

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