EHR migrations have become one of the defining capital projects of the year for hospitals and health systems, with price tags ranging from a few million dollars for a single critical access hospital to well over a billion for the country’s largest systems.
The moves span every major vendor — Epic, Oracle Health and Meditech chief among them — and reflect a mix of motives: consolidating after a merger, replacing an aging platform, or chasing the AI tools vendors are increasingly bundling into their EHR suites.
Below is a running list of hospitals and health systems that have launched, or announced plans for, a new EHR system in 2026, organized by go-live month, as reported by Becker’s:
November
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.
Minot, N.D.-based Trinity Health will go live on Epic at its two-hospital system Nov. 1, a switch the organization projects will generate nearly $1 billion in return on investment.
October
Wilmington, Del.-based ChristianaCare, a three-hospital network, is set to launch Epic on Oct. 3 — a change an executive has called one of the largest transformations in the health system’s history.
Pittsburgh-based UPMC will bring its second wave of hospitals onto Epic on 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.
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.
September
Ronan, Mont.-based St. Luke Community Healthcare finished installing an Oracle Health EHR system Sept. 1 across its hospital and four clinics.
August
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 largest technology implementation in the health system’s history, funded in part by roughly $1 billion in tax-exempt bonds. The rollout gives patients a single MyChart account systemwide and integrates Epic with Apple devices at the point of care.
The U.S. Department of Veterans Affairs continued rolling out its Oracle Health EHR through the summer, with deployments in Michigan (April), Ohio and Kentucky (June) and, on Aug. 22, three Indiana facilities. The Indiana go-live, VA’s third wave of the year, brought the total number of hospital deployments in 2026 to 11, giving more than 102,000 additional veterans access to the system. VA’s Oracle Health contract ceiling was raised to $26.9 billion in August, up from the original $9.99 billion 2018 contract. Two more deployments are scheduled for October — VA’s final wave of the year — at facilities in Alaska and Ohio.
Separately, Epic welcomed 11 new U.S. hospitals and health systems at its Users Group Meeting Aug. 17-20 in Verona, Wis. — a smaller haul than the 28 it announced in 2025, tracking with a broader slowdown in enterprisewide EHR switching. Epic controlled 43.7% of the acute care hospital EHR market in 2025, up from 31% in 2021, but that marked its slowest year of share growth in five years, according to KLAS Research. The newly announced customers, none with a confirmed 2026 go-live date, include Baptist Health Care (Pensacola, Fla.), replacing Altera Digital Health; Moffitt Cancer Center (Tampa, Fla.) and Nicklaus Children’s Hospital (Miami), both replacing Oracle Health; and Westchester Medical Center Health Network (Valhalla, N.Y.), also replacing Oracle Health.
July
Stephens Memorial Hospital District in Breckenridge, Texas, activated Oracle Health’s CommunityWorks EHR system July 20.
June
HCA Capital Division, part of Nashville, Tenn.-based HCA Healthcare, completed its final Meditech Expanse EHR go-live June 11, becoming the first division in the system to fully adopt the platform.
Taos, N.M.-based Holy Cross Medical Center rolled out a new Meditech Expanse EHR system and patient portal June 1 across its hospital and clinic network.
May
Buffalo, N.Y.-based Kaleida Health launched a systemwide Epic platform across its five hospitals May 30, a roughly $170 million transition that contributed to a $21.1 million operating deficit in the second quarter. Affiliated but financially independent Erie County Medical Center Corp. and the University at Buffalo are due to go live in fall 2026.
Spirit Lake, Iowa-based Lakes Regional Healthcare implemented an Epic EHR system May 30.
April
Seymour, Ind.-based Schneck Medical Center went live with a Meditech Expanse EHR system in April.
Milford (Mass.) Regional switched to parent system UMass Memorial Health’s Epic EHR system April 1.
OSF HealthCare Saint Katharine Medical Center in Dixon, Ill., brought an Epic EHR system online April 1.
March
Springfield, Mo.-based CoxHealth migrated to an Epic EHR system March 1 after a two-year implementation.
February
Mount Gilead, Ohio-based OhioHealth Morrow County Hospital went live with Epic Feb. 22 as part of a $6 million IT investment.
Sturgeon Bay, Wis.-based Door County Medical Center launched an Epic EHR system Feb. 7.
January
Nashville, Tenn.-based HCA Healthcare brought Meditech Expanse live at 43 hospitals in January as part of a multiyear enterprise rollout expanding its longstanding partnership with Meditech.
East Lansing, Mich.-based MSU Health Care transitioned to Epic’s EHR and billing system Jan. 31 through a new partnership with Henry Ford Health, moving MSU Health Care off Athenahealth and onto Henry Ford’s Epic infrastructure.
Laurel, Miss.-based South Central Regional Medical Center and its consortium partners — Covington County Hospital, Magee General Hospital, Simpson General Hospital and Smith County Emergency Hospital — deployed Epic on Jan. 31 after a year-long, five-hospital campaign the organization called “The Amazing Race to Epic,” which trained about 500 physicians, providers and staff.
Several other health systems have announced Epic moves in 2026 without a confirmed go-live date, per Becker’s UGM reporting: Children’s Hospital of The King’s Daughters (Norfolk, Va.), Dolly Parton Children’s Hospital (Knoxville, Tenn.), Gila River Health Care (Sacaton, Ariz.), MaineGeneral Health (Augusta, Maine), Med Center Health (Bowling Green, Ky., expected complete by the end of 2026), Saint Peter’s Healthcare System (New Brunswick, N.J.) and Valley Health System (Paramus, N.J.).
Cone Health’s $40 million rebuild of its existing Epic platform and Meditech Expanse implementations planned at Hendry Regional Medical Center, Parrish Healthcare and Western Missouri Medical Center also remain without confirmed dates.
This list is not exhaustive and will be revised as more health systems announce plans, or email gbruce@beckershealthcare.com with updates or additions.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
