Fewer hospitals and health systems are switching EHRs in 2026 than in recent years. But the year’s biggest moves largely keep ending in the same place.
Epic has spent 2026 turning on deals signed years ago, from Adventist Health’s 27 hospitals to UPMC’s second wave, with Penn State Health still to come. The vendor also added 11 new U.S. hospitals and health systems at its August Users Group Meeting, down from 28 in 2025. Six of those 11 are replacing Oracle Health in whole or in part, four are leaving Altera Digital Health and three are moving off Meditech.
Oracle Health, which shed a net 56 hospitals in 2025 according to KLAS Research, landed its biggest new customer of the year in September with Quorum Health’s 11 hospitals, though its largest project remains the federal government. Meditech’s biggest 2026 go-lives, meanwhile, came from existing customers upgrading to its Expanse platform rather than from health systems switching vendors.
Because go-lives often trail contract signings by years, the list includes both health systems that went live on a new EHR this year and those that chose one. Here are the biggest EHR switches of 2026 so far, by vendor, as reported by Becker’s:
Epic
Livonia, Mich.-based Trinity Health is completing an $800 million Epic rollout, the largest single-instance build in the country, across its 92 hospitals. Its final implementation wave includes Maywood, Ill.-based Loyola Medicine.
New Hyde Park, N.Y.-based Northwell Health will complete the third wave of its $1.2 billion Epic migration in November, unifying more than 30 legacy EHRs at the 28-hospital system. A handful of hospitals will still convert after that.
Roseville, Calif.-based Adventist Health completed a systemwide Epic go-live Aug. 30 across 27 hospitals and more than 440 clinics in California, Oregon and Hawaii. The project was funded in part by roughly $1 billion in tax-exempt bonds.
Pittsburgh-based UPMC brought 15 hospitals and hundreds of ambulatory practices onto Epic in early October in the second wave of a consolidation of nine EHRs. The 40-plus-hospital system previously ran Oracle Health for inpatient care and Epic for ambulatory care.
Hershey, Pa.-based Penn State Health plans to go live on Epic in the fourth quarter, replacing Oracle Health across the six-hospital system after an implementation that began in June 2025.
Bowling Green, Ky.-based Med Center Health expects to finish moving its six hospitals and more than 30 clinics from Meditech to Epic by the end of 2026.
Buffalo, N.Y.-based Kaleida Health launched Epic across its five hospitals May 30, replacing Meditech and Oracle Health. The roughly $170 million transition contributed to a $21.1 million operating deficit in the second quarter.
Laurel, Miss.-based South Central Regional Medical Center and four consortium partner hospitals deployed Epic as part of a $115 million investment Jan. 31.
Mullica Hill, N.J.-based Inspira Health launched Epic across all its facilities July 27, replacing Medhost and Oracle Health. The four-hospital system says spending $120 million on the EHR over 10 years will let it turn off around 100 third-party applications.
Joplin, Mo.-based Freeman Health System will move Oct. 24 from Athenahealth and Meditech to Epic across four of its hospitals, its Ozark Center behavioral health center and clinics in three states. The four Arkansas hospitals it acquired from Community Health Systems in June are slated to follow in November 2027.
Wilmington, Del.-based ChristianaCare went live Oct. 3 on Epic and MyChart, replacing Oracle Health at the three-hospital system after a 2024 decision to switch.
Sarasota (Fla.) Memorial Health Care System launched Epic across its hospitals, outpatient centers and physician offices in early October, replacing Altera Digital Health in a roughly $160 million “big bang” go-live.
Springfield, Mo.-based CoxHealth migrated March 1 to Epic after a two-year implementation.
Valhalla, N.Y.-based Westchester Medical Center Health Network, one of Epic’s 11 new customers announced in August, is replacing Oracle Health and expects the move to displace 88 applications.
Tampa, Fla.-based Moffitt Cancer Center is also leaving Oracle Health for Epic, with the transition expected to be complete by late July 2027.
Miami-based Nicklaus Children’s Health System is replacing Oracle Health with Epic in a $75 million project across its three hospital campuses, set to finish by summer 2027.
Paramus, N.J.-based Valley Health System is moving to Epic from Meditech.
Pensacola, Fla.-based Baptist Health Care is replacing Altera Digital Health with Epic, with an enterprisewide “big bang” go-live targeted for early 2028 at the three-hospital system.
Oracle Health
The U.S. Department of Veterans Affairs had deployed its Oracle Health EHR at 11 facilities this year as of Aug. 22, with a final 2026 wave in Alaska and Ohio set for October that brings the total to 13. The VA’s Oracle Health contract ceiling rose to $26.9 billion in August.
Brentwood, Tenn.-based Quorum Health selected Oracle Health in September for its 11 hospitals in nine states, adding the EHR, patient accounting and Clinical AI Agent to the Oracle finance software it already uses.
Billings Clinic-Logan Health, a combined 30-hospital system in Montana, is continuing a roughly three-year Oracle Health rollout through 2026 that began with its critical access hospitals in early 2025.
Hillsboro (Ill.) Health plans to implement Oracle Health’s EHR along with its Clinical AI Agent and interoperable data exchange software.
Ronan, Mont.-based St. Luke Community Healthcare finished installing Oracle Health Sept. 1 across its hospital and four clinics.
Breckenridge, Texas-based Stephens Memorial Hospital District activated Oracle Health’s CommunityWorks EHR on July 20.
Meditech
Nashville, Tenn.-based HCA Healthcare brought Meditech Expanse live at 43 hospitals in January, expanding its longstanding Meditech partnership rather than switching vendors. Its Capital Division became the first in the system to fully adopt Expanse June 11.
Titusville, Fla.-based Parrish Healthcare signed in March to implement Meditech Expanse across its 208-bed hospital and ambulatory clinics.
Western Missouri Medical Center in Warrensburg will adopt Meditech Expanse to unify care across its hospital and 19 affiliated clinics.
Seymour, Ind.-based Schneck Medical Center went live on Meditech Expanse in April, replacing a legacy Meditech platform it had used since 1998.
This list is not exhaustive. Email gbruce@beckershealthcare.com with additions.
