Epic expanded its international hospital footprint in 2025 despite one of the slowest years for hospital EHR purchasing outside the U.S., according to a July 7 report from KLAS Research.
KLAS found global hospital EHR purchasing decisions fell to one of their lowest levels in five years in 2025. The firm validated 189 purchasing decisions affecting 447 hospitals and more than 81,000 beds across 33 countries and territories, with 35 vendors selected. KLAS attributed the slowdown in part to the completion of large government-funded initiatives in countries such as France and Italy, as well as broader geopolitical and economic conditions.
Here are four key findings from the report:
- Despite the slower market, Epic added 34 hospitals representing 6,580 beds through new contracts in 2025, making it one of the year’s most active EHR vendors by purchasing activity. Only Dedalus, with 9,982 contracted beds, and IQVIA, with 6,821 contracted beds, recorded more contracted beds during the year.
- KLAS said Epic’s international growth was driven primarily by its Community Connect model. All but one of Epic’s 2025 contracts were Community Connect deployments, including agreements in Canada, the United Kingdom, the Netherlands and Belgium. The lone exception was an add-on hospital for an existing Epic customer.
- Among the largest Community Connect wins, a hospital consortium in Ontario selected Epic through a neighboring health system to replace Meditech Expanse. Two National Health Service trusts in southwest England also chose to deploy Epic through a neighboring university trust, while additional Community Connect agreements were finalized in Belgium and the Netherlands.
- The report also highlighted Oracle Health as another vendor with significant international activity. Oracle Health secured several large contracts in Canada, England, Austria and the Middle East but also experienced notable customer losses, including hospitals in a Swedish region that exited following a failed implementation and go-live.
KLAS measures market share based on the number of inpatient hospital facilities whose most recent EHR contract is with a vendor. The report examines hospital EHR purchasing activity that occurred between Jan. 1 and Dec. 31, 2025, using executed contracts validated through healthcare organizations, publicly available information and vendor reporting. Hospitals are credited to the vendor with their most recently signed EHR agreement, even if the organization has not yet gone live on the new system.
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