Market Research Logo

EMR 2014: The Market for Electronic Medical Records


Attention: There is an updated edition available for this report.

The EMR Industry Standard

Kalorama has continuously examined the fast-changing market for electronic medical records (EMR) for nearly a decade, and each year we produce a comprehensive report of our findings.  Our report has become the industry standard, oft-quoted by companies and industry associations as the source for market sizing and market share in healthcare. 

This Kalorama Information report, EMR 2014, is a complete global analysis of the EMR market.  The report includes the important trends that will affect companies offering software, hardware and services related to EMR. 

Expert Global Market Sizing and Market Share

This market analysis is global, though trend analysis focuses on the US as the largest healthcare market and the most incentivized for EMR conversion.  As government policy approaches the turning-point on incentives in this market, as a large shift in vendor market share occurs and new vendors play a larger role, it is an interesting time for market-watchers. How much has the market grown?  How have the incentives worked? Where is physician usage now?  How about hospital adoption? Where do the top vendors stand now? Kalorama answers these questions and brings sharp analysis to recent trends.

As part of its coverage, the report contains:

  • 2013 Global Market Estimates for EMR, and Growth since 2011
  • United States, European and Asia Pacific EMR Market Estimates
  • Market Forecast to 2018
  • Market Share of Top Vendors
  • Hospital and Physician EMR Usage Statistics
  • Pricing of Select EMR Systems and ROI for Physicians
  • Overview of EMR, EHR, CPOE and other Functions
  • Breakout of Hospital EMR Market and Physician/Web EMR Market
  • Profiles of Major Vendors and Smaller Companies to Watch
  • Analyst Conclusions Regarding the EMR Market
The report estimates the size of the market for the EMR hospital and EMR physician markets and reviews usage trends among hospitals and physicians. It also forecasts the market to 2018. Included in the report are statistics influencing the industry, demographics, life expectancy, and company strategies. Market share is provided for top players in the industry. Revenues are reported based on worldwide figures with a focused view on US competitors and US trends.

Close Examination of Industry and Regulatory Trends

There are several primary issues and trends affecting the electronic medical records (EMR) industry. New marketing strategy, new regulations, increased usage will continue to fuel growth in the future. But there are also challenges from vendor switches, usability and unexpected effects of EMR systems in hospitals.    Issues and trends explored in this study include:
  • Mergers and Acquisitions
  • Status of Meaningful Use in 2014
  • Doctor Opinion of EMR Systems
  • Incentive Payments Made to Date
  • EMR Alerts Overload?
  • Vendor Switches Looming: Market Impact
  • Blue Button
  • New SGR Bill
  • Virtualization Technology
  • Dimensions of Interoperability
  • BYOD (Bring Your Own Device) Adoption
  • Epic Systems
  • Stark Law Exemption Extended
  • RECS and Health Information Exchange Update
  • Need for Trained Personnel
  • Security Breaches Update
  • ICD-10
  • Usability - Scores of Major Vendors
  • ACOs
  • Open Source EMR
  • Current Return on Investment Statistics
  • Google PPC adversting of EMR Companies
  • Tablet Adoption and EMR
  • International Markets and Trends
The electronic medical records market in the United States is competitive, with over 400 providers; however, increasing mergers and acquisitions in the industry will result in the reduction in the number of competitors. Companies remain competitive by offering high-quality solution packages to private practices and hospitals. However, there is still ample opportunity for other companies and new entrants. There is still not a single system that is complete with true interoperability. The main drawback for smaller companies is the cost to enter the market with a certified product.

Profiles of Important Companies in This Competitive Market

Several leading market participants are discussed in this report along with unique niche players including:

As part of its coverage, the following companies are profiled in this report:
  • Abraxas Medical Solutions
  • ADP AdvancedMD
  • Allmeds
  • Allscripts Healthcare Solutions
  • Amazing Charts
  • Aprima Medical Software, Inc
  • athenahealth, Inc.
  • BizMatics
  • CareCloud
  • Cerner Corporation
  • ChartLogic
  • Computer Programs and Systems, Inc.
  • CSC
  • CureMD
  • Dr First/Rcop
  • eClinicalworks
  • Emdeon
  • e-MDs
  • Epic Systems, Inc.
  • GE Healthcare
  • Greenway Medical Technologies
  • Healthland
  • Kareo
  • McKesson Corporation
  • MedHost
  • Medical Information Technology, Inc. (MEDITECH, Inc.)
  • Medent Community Computer Service,
  • Medsphere Systems
  • MeridianEMR, Inc
  • NextGen
  • Nuesoft Technologies Inc
  • Practice Fusion
  • Quadramed Corporation
  • Quest Diagnostics, Inc
  • Sequel Systems, Inc
  • Siemens Medical Solutions
  • SoapWare, Inc
  • Streamline MD
  • SuiteMed
  • Vitera Healthcare Solutions
  • WRS Health (Waiting Room Solutions)
  • WebPT
The information for this report was gathered using both primary and secondary research including comprehensive research of secondary sources such as company literature, databases, investment reports, and medical and business journals. Telephone interviews and email correspondence were the primary method of gathering information. For the purpose of this study, Kalorama Information conducted interviews with more than 24 key industry officials, consultants, health care providers, and government personnel. These sources were the primary basis in gathering information specifically relating to revenue and market share data presented in this report. Additional interviews were completed with relevant company representatives including marketing directors, division managers, and product representatives.


  • Executive Summary
    • INTRODUCTION
    • INDUSTRY AT A GLANCE
    • SCOPE AND METHODOLOGY
    • PHYSICIAN USE OF EMR
      • Percentage and Increase of Physician Usage of EMR
    • HOSPITAL USE OF EMR
    • SIZE AND GROWTH OF THE MARKET
    • KEY ISSUES AND TRENDS AFFECTING THE MARKET
    • LEADING MARKET PARTICIPANTS
    • CONCLUSIONS
  • Industry Overview
    • INTRODUCTION
    • THE MEDICAL RECORD
    • THE ELECTRONIC MEDICAL RECORD
    • INDUSTRY TERMINOLOGY
      • Table Terminology Comparison Matrix
    • INDUSTRY STRUCTURE
      • Physician-based/Ambulatory EMR Services
        • Table Physician Adoption of EMRs 2006-2013 (Basic System and Fully Functional System)
      • State Distribution of Office-based Physician EMR Adoption
        • Table State Percentage Distribution of Office-based Physicians Using EMR (US) by State 2013
        • Table Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US, 2012)
        • Table Physician Usage by US Region (2014)
      • Hospital-based EMR Services
    • ADVANTAGES
      • Increased Access and Efficiency
      • Improved Documentation
      • Quality of Care
      • Increased Resources
      • Quality Assurance
      • Eliminates Costs
    • DISADVANTAGES
      • Reliability
      • Accountability
      • Patient Privacy
      • EMR Software
      • Components of an EMR
    • ADMINISTRATIVE SYSTEM COMPONENTS
      • Laboratory System Components
      • Radiology System Components
      • Pharmacy System Components
      • Computerized Physician Order Entry
      • Clinical Documentation
      • Flow of Patient Data across Various Components
      • Pricing of EMRs
        • Table Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2012-2013)
        • Table Total Cost Range for EMR/PMS Installations (2012-2013)
        • Table Two-year Total Cost for EMR/PMS Installations/Subscriptions 2010-2013 Selected Products (estimates)
      • US EMR Adoption Model
        • Table US EMR Hospital Adoption Model 2013
        • Table Canada EMR Hospital Adoption Model 2013
        • Table US Ambulatory EMR Adoption Model 2013
      • EMR Adoption Rates by Ownership
        • Table Ownership vs Non-ownership Adoption Rates 2012-2013
        • Table Doctors' Office Adoption Rates 2011-2014
  • Emerging Trends
    • Table HITECH ACT - Subsidy Plan
    • Table Mergers and Acquisitions
    • Table Number of HIEs in 2011 and 2012 by Top States
    • Table 2013 Listing of Regional Extension Centers
    • Table Cost of Implementing ICD-10 2008 and 2014
    • Table EHR Usability Rating 2013 (Score on scale of 1-5 with 5 best)
    • Table 2013 Black Book Ratings for Ambulatory Care Practices
    • Table Top 20 Vendors by Popularity
    • Table EHR Vendor Market Share by Practice Size
    • Table Cost Break-up for a Typical One-Physician Practice (5-year period)
    • Table EHR Incentive Select Program Payments 2011-2013
    • Table Vendor Product Certifications 2006
    • Table CCHIT 2007 Vendor Certifications
    • Table CCHIT 2008 Vendor Certifications
    • Table EMR/EHR Certifications 2010
    • Table Modular System Certifications 2010
    • Table System Certification in 2011
    • Table System Certification in 2012
    • Table Select Ambulatory EMR Certified Products 2013
  • Market Participants
    • Table EMR Mergers and Acquisitions 2010-2013
    • Table Selected Black Book Ratings
    • ABRAXAS MEDICAL SOLUTIONS
    • ADP ADVANCEDMD
    • ALLMEDS
    • ALLSCRIPTS HEALTHCARE SOLUTIONS
    • AMAZING CHARTS
    • APRIMA MEDICAL SOFTWARE, INC
    • ATHENAHEALTH, INC.
    • BIZMATICS
    • CARECLOUD
    • CERNER CORPORATION
    • CHARTLOGIC
    • COMPUTER PROGRAMS AND SYSTEMS, INC.
    • CSC
    • CUREMD
    • DR FIRST/RCOP
    • ECLINICALWORKS
    • EMDEON
    • E-MDS
    • EPIC SYSTEMS, INC.
    • GE HEALTHCARE
    • GREENWAY MEDICAL TECHNOLOGIES
    • HEALTHLAND
    • HENRY SCHEIN
    • KAREO
    • MCKESSON CORPORATION
    • MEDHOST
    • MEDICAL INFORMATION TECHNOLOGY, INC. (MEDITECH, INC.)
    • MEDENT COMMUNITY COMPUTER SERVICE,
    • MEDSPHERE SYSTEMS
    • MERIDIANEMR, INC
    • NEXTGEN HEALTHCARE INFORMATION SYSTEMS/ QUALITY SYSTEMS INC
    • NIGHTINGALE INFOMATIX
    • NUESOFT TECHNOLOGIES INC
    • PRACTICE FUSION
    • QUADRAMED CORPORATION
    • QUEST DIAGNOSTICS, INC
    • SEQUEL SYSTEMS, INC
    • SIEMENS MEDICAL SOLUTIONS
    • SOAPWARE, INC
    • STREAMLINE MD
    • SUITEMED
    • VITERA HEALTHCARE SOLUTIONS
    • WRS HEALTH (WAITING ROOM SOLUTIONS)
    • WEBPT
  • Market Analysis
    • MARKET OVERVIEW
      • Table EMR Market Analysis, 2011-2013 (in millions of dollars at the manufacturer's level)
      • Table Forecasted EMR Market Analysis: 2014-2018 (in millions of dollars at the manufacturer's level)
    • MARKET BY REGION
      • United States
        • Table United States EMR Market Analysis, 2013-2018 (in millions of dollars at the manufacturer's level)
      • Europe
        • Table European EMR Market Analysis, 2013-2018 (in millions of dollars at the manufacturer's level)
      • Asia Pacific
        • Table Asia Pacific EMR Market Analysis, 2013-2018 (in millions of dollars at the manufacturer's level)
      • Rest of World
        • Table Rest of World EMR Market Analysis, 2013-2018 (in millions of dollars at the manufacturer's level)
    • MARKET BY SEGMENT
      • Hospital
        • Table Hospital EMR Market Analysis 2011-2013 (in millions of dollars at the manufacturer's level)
        • Table Forecasted Hospital EMR Market Analysis: 2014-2018 (in millions of dollars at the manufacturer's level)
      • Physician/Web-based
        • Table Physician/Web-based EMR Market Analysis 2011-2013 (in millions of dollars at the manufacturer's level)
        • Table Forecasted Physician/Web-based EMR Market Analysis: 2014-2018 (in millions of dollars at the manufacturer's level)
    • MARKET SEGMENT BY TYPE
    • COMPETITIVE ANALYSIS
      • Table Notable Companies by Healthcare Specialty Area 2013*
      • Hospitals and Health System Technology Providers
      • Practice Management System (PMS) Acquirers
      • Pharmacy Services Providers
      • Other Entities
        • Table Revenues and Market Share of EMR Providers 2013
      • Hospital
      • Physician Office
  • Conclusions
    • OVERVIEW
    • PHYSICIAN PRACTICES STILL HIGH GROWTH AREA
    • MEANINGFUL USE CONFUSION STILL PLAGUES INDUSTRY
    • NO CLEAR LEADER STILL, OPPORTUNITY FOR NEW PLAYERS
    • MERGERS AND ACQUISITIONS
    • INTEROPERABILITY A MAJOR HURDLE
    • PR EFFECT OF BREACHES DOWNSIDE FOR INDUSTRY
    • USABILITY AND DATA ENTRY AN UNDER THE RADAR ISSUE
    • OPPORTUNITY FOR TELECOMS
    • "STICK" WILL BE MORE EFFECTIVE THAN "CARROT" IN DOCTOR CONVERSION
    • CPOE AND OTHER FEATURES SELL EMR SYSTEMS
    • HOSPITAL EMR INCENTIVES FACTOR IN GROWING MARKET
    • TECHNOLOGY MOVING FASTER THAN EMR TECHNOLOGY PROVIDERS
    • DATA STORAGE CONCERNS - TOP FOCUS
    • USER SATISFACTION ON DECLINE
    • EMR SPECIALISTS SEE GAINS
  • Definition of Industry Products
  • List of Select Major Companies

Download our eBook: How to Succeed Using Market Research

Learn how to effectively navigate the market research process to help guide your organization on the journey to success.

Download eBook

Share this report