Oracle Health spent October pitching its AI to hospitals that run Epic’s EHR, even as two large health systems moved hospitals from its EHR to Epic’s and the count of people affected by its 2025 data breach rose to nearly 20 million.
Here are seven updates from the past month on the nation’s second-largest EHR vendor:
1. Larry Ellison, Oracle’s co-founder, executive chair and chief technology officer, used an Oct. 27 keynote at Oracle AI World in Las Vegas to pitch Oracle Health’s AI modules to hospitals that already run Epic’s EHR, Becker’s reported. Using Palo Alto, Calif.-based Stanford Health Care as an example, Mr. Ellison said an Epic hospital could turn on Oracle’s oncology module and have it discover existing staff and patient data through SMART on FHIR interfaces, with no data migration or new training.
“Now maybe ours is better. Maybe ours isn’t. That’s for you to decide,” he said.
He also argued that clinicians should be able to ask the EHR for what they want to see, such as a patient’s latest X-rays, rather than navigate screens to find it, calling any other user interface “nonsense.”
2. The Department of Veterans Affairs finished its 2026 Oracle Health EHR deployments Oct. 24 with go-lives at the Louis Stokes Cleveland VA Medical Center and the Alaska VA Healthcare System in Anchorage, Becker’s reported. The VA brought the EHR to 13 hospitals this year and plans 26 more in 2027, starting in January with four facilities in Wisconsin and Michigan. More than 780,000 veterans and 42,000 VA clinicians and staff now use the system, and the department aims to have it in every facility by 2031.
3. Middleburg Heights, Ohio-based Southwest General Health Center expanded its relationship with Oracle Oct. 21, adding Oracle Health Patient Accounting, Oracle Health Data Intelligence and the full Oracle Fusion Cloud Applications suite to the Oracle Health Foundation EHR and AI agent note capabilities it already uses. The 368-bed independent hospital will use the Fusion suite for ERP, performance management, HR, supply chain and customer experience.
“Oracle is giving us the platform and unified data environment to leapfrog years ahead of industry leaders,” said Darrell Lentz, CFO of Southwest General.
4. Oracle Health and Life Sciences and drugmaker AstraZeneca signed a nonbinding term sheet to explore using AI for clinical trial recruitment, earlier diagnosis and drug safety monitoring, Becker’s reported Oct. 20. The first planned program will focus on hypertension care and research in Abu Dhabi, United Arab Emirates, with healthcare company M42, and more projects are planned in the U.S., Middle East and Europe. The companies said AstraZeneca will not receive patient-identifiable information.
5. Oracle Health’s 2025 data breach compromised personal information belonging to 19.9 million people, according to Texas attorney general filings obtained through a public records request, Becker’s reported Oct. 6. The count has grown tenfold since Cerner’s initial filing in July 2025, which listed nearly 2 million affected people. Exposed data included addresses, Social Security numbers and medical information, and the filings list credential compromise as the cause.
6. Pittsburgh-based UPMC brought 15 hospitals and hundreds of ambulatory practices onto Epic in early October, the second wave of its effort to consolidate nine EHRs, Becker’s reported Oct. 6. The 40-plus-hospital system previously ran Oracle Health for inpatient care and Epic for ambulatory care.
7. Wilmington, Del.-based ChristianaCare went live Oct. 3 on Epic and MyChart, completing its switch from Oracle Health, Becker’s reported. More than 60 pharmacists worked on the medication cutover at the three-hospital system, which decided to make the switch in 2024. The go-live puts ChristianaCare on the same EHR as every other Delaware health system.
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