In 2022, 85% of large hospitals (> 500 beds) used one of the two largest EHR vendors. When taking the entire U.S. hospital market into account, the top 3 EHR vendors captured more than 75% of market share. The number of EHR vendors over that same decade consolidated from 1000+ to roughly 400 by 2019.
With these regulations and consolidations, the technical landscape of the EHR more closely resembles a platform than at any time in history. Today, there are more tailwinds than headwinds when considering integration as an approach to building healthcare solutions.