Hospitals and health systems have kept swapping EHR vendors throughout 2026. Epic continues to add major health systems and community hospitals to its customer base, while Oracle Health’s marquee project involves one very large, very expensive customer: the federal government.
The trend lines back up the pattern. Epic closed out 2025 with 43.7% of the acute care hospital EHR market by share of hospitals, up from 42.3% the year before, according to KLAS Research data cited by Becker’s. Oracle Health, which absorbed Cerner in 2022, shed a net 56 hospitals and 14,676 beds in 2025 — its third straight year of net hospital losses. The vendor still held 21.9% of the market at year’s end, and KLAS has called 2026 a pivotal year for Oracle Health as it rolls out a new AI-enabled EHR platform.
Below are the hospitals and health systems that have gone live, or are set to go live, with each vendor this year, as reported by Becker’s and other outlets.
Epic
- Livonia, Mich.-based Trinity Health is completing the largest single-instance Epic build in the country. The rollout across the system’s 92 hospitals includes a final implementation wave with Maywood, Ill.-based Loyola Medicine.
- Minot, N.D.-based Trinity Health is slated to finish installing Epic on Nov. 1, a move the two-hospital system projects will generate nearly $1 billion in return on investment.
- New Hyde Park, N.Y.-based Northwell Health, the 28-hospital system that is New York’s largest, will complete the third wave of its $1.2 billion, phased Epic migration in November, with a handful of hospitals still to convert after that, unifying more than 30 legacy EHRs onto a single platform. The system’s first wave went live in November 2025.
- Pittsburgh-based UPMC will bring its second wave of hospitals onto Epic Oct. 3, continuing a consolidation of nine EHRs and roughly 6 million patient records at the 40-hospital system. UPMC’s first wave, covering 21 hospitals outside the Pittsburgh region, went live in September 2025; the health system expects the project to pay for itself within seven years.
- Roseville, Calif.-based Adventist Health has gone live on Epic across 27 hospitals and more than 440 clinics in California, Oregon and Hawaii, pairing the rollout with new AI-assisted documentation tools.
- Newark, Del.-based ChristianaCare is set to launch Epic on Oct. 3, following a 2024 decision to leave its previous EHR platform.
- Joplin, Mo.-based Freeman Health System will roll out Epic on Oct. 24 as a single, integrated platform for its four hospitals, behavioral health center (Ozark Center) and clinics across three states.
- Sarasota (Fla.) Memorial Health Care System, a two-hospital public system that began its Epic implementation in June 2025, plans an enterprisewide “big bang” go-live in October, a roughly $160 million project.
- Donaldsonville, La.-based West Ascension Parish Hospital deployed Epic Community Connect on Sept. 1 after an 11-month preparation period.
- Miami-based Nicklaus Children’s Health System will complete its Epic rollout by summer 2027.
- Tampa, Fla.-based Moffitt Cancer Center and Valhalla, N.Y.-based Westchester Medical Center Health Network were among the newly announced Epic customers at the vendor’s Users Group Meeting on Aug. 18 — both switching from Oracle Health.
- Buffalo, N.Y.-based Kaleida Health launched a systemwide Epic platform May 30.
- State College, Pa.-based Mount Nittany Health went live May 30 on Epic, implementing the system independently rather than through a larger health system partnership.
- Spirit Lake, Iowa-based Lakes Regional Healthcare implemented Epic on May 30.
- The University of Texas at Austin rolled out Epic at its ambulatory practice ahead of the launch of a new academic medical center.
- Milford (Mass.) Regional went live April 1 on the Epic EHR of its parent system, Worcester, Mass.-based UMass Memorial Health.
- Dixon, Ill.-based OSF HealthCare Saint Katharine Medical Center transitioned to Epic on April 1.
- West Burlington, Iowa-based Great River Health is replacing its Cerner EHR with Epic.
- Springfield, Mo.-based CoxHealth migrated March 1 to Epic after a two-year implementation.
- Sturgeon Bay, Wis.-based Door County Medical Center installed Epic on Feb. 7 through a partnership with Springfield, Ill.-based Hospital Sisters Health System.
- Cascade (Idaho) Medical Center, a critical access hospital, implemented Epic through OCHIN.
- Five Mississippi hospitals launched Epic Jan. 31: South Central Regional Medical Center in Laurel, Magee General Hospital, Covington County Hospital in Collins, Simpson General Hospital in Mendenhall and Smith County Emergency Hospital in Raleigh.
- East Lansing, Mich.-based MSU Health Care is transitioning off Athenahealth and onto Epic Jan. 31 through a new partnership with Detroit-based Henry Ford Health.
Oracle Health
- The U.S. Department of Veterans Affairs is rolling out its federal Oracle Health EHR to 13 medical centers in 2026. The VA’s contract with Oracle was expanded by nearly $17 billion in August, pushing its total value to roughly $27 billion and extending the deal’s potential coverage through 2031.
- The combined 30-hospital Billings (Mont.) Clinic-Logan Health is rolling out Oracle Health in a roughly three-year effort that began with its critical access hospitals in early 2025 and continues through 2026.
- Ronan, Mont.-based St. Luke Community Healthcare implemented Oracle Health in September across its hospital and four affiliated clinics.
- Breckenridge, Texas-based Stephens Memorial Hospital District went live with Oracle Health’s CommunityWorks EHR on July 20.
- Hillsboro (Ill.) Health is planning to implement a suite of Oracle Health technologies, including its EHR, Clinical AI Agent and interoperable data exchange software.
- L’Anse, Mich.-based Baraga County Memorial Hospital is expanding its use of Oracle Health, deploying CommunityWorks and broadening its use of the vendor’s Clinical AI Agent across its hospital and affiliated clinics.
- Trinidad, Colo.-based Mt. San Rafael Hospital and Clinics, a 25-bed critical access hospital, is moving to Oracle Health’s Foundation EHR along with the company’s Clinical AI Agent.
- Hamilton, N.Y.-based Community Memorial Hospital is replacing its legacy systems with Oracle Health’s Foundation EHR and Clinical AI Agent, moving off disconnected systems that had produced duplicate patient records.
Editor’s note: This list is not exhaustive. If you know of a missing entry, please email gbruce@beckershealthcare.com.
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