10 most expensive EHR projects of ‘​25

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EHRs continued to be one of the largest financial investments for health systems in 2025, as several major organizations switched to new platforms over the past year.

Here are the 10 most expensive EHR projects that were completed, started or continued in the last 12 months, as reported by Becker’s:

1. Northwell Health (New Hyde Park, N.Y.): $1.2 billion
Northwell is switching to Epic with the first wave starting in fall 2025.

2. Trinity Health (Livonia, Mich.): $800 million
Trinity is nearing completion of a transition to Epic, set to be done in spring 2026.

3. UAB Health System (Birmingham, Ala.): $380 million
The system is moving to Epic over the next year and a half.

4. Tallahassee (Fla.) Memorial HealthCare: $234 million
The nonprofit community health system went live with Epic in March 2025.

5 (tie). Health First (Rockledge, Fla.): $160 million
The Central Florida system launched Epic in June 2025.

5 (tie). Sarasota (Fla.) Memorial Health Care System: $160 million
The health system started implementing Epic in June, with a go-live date of October 2026.

7. Inspira Health (Mullica Hill, N.J.): $120 million
Inspira kicked off an Epic install in June 2025 with plans to bring the system online in July 2026.

8. Memorial Health (Springfield, Ill.): $105 million
The system began implementing Epic in October 2025, with the go-live scheduled for the first quarter of 2027.

9. UK HealthCare (Lexington, Ky.): $95 million
UK HealthCare expects to incorporate Workday this spring and Epic in summer 2026.

10. Emory Healthcare (Atlanta): $51 million
Emory is migrating Warner Robins, Ga.-based Houston Healthcare to Epic after acquiring the health system in June.

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