Most expensive EHRs, ranked

EHRs are among the largest investments health systems will ever make.

Here are EHRs that cost $500 million or more, according to Becker's reporting and other publicly available sources (this list contains ties):

1. U.S. Department of Veterans Affairs (Washington, D.C.): $16 billion (Cerner aka Oracle Health)

2. Military Health System (Washington, D.C.): $5.5 billion (Cerner)

3. Kaiser Permanente (Oakland, Calif.): $4 billion (Epic)

4 (tie). Catholic Health Initiatives (Englewood, Colo.): $1.5 billion (Cerner and Meditech)

4 (tie). Mayo Clinic (Rochester, Minn.): $1.5 billion (Epic)

6 (tie). Mass General Brigham (Somerville, Mass.): $1.2 billion (Epic)

6 (tie). Northwell Health (New Hyde Park, N.Y.): $1.2 billion (Epic)

8 (tie). Dignity Health (San Francisco): $1 billion (Cerner and Meditech)

8 (tie). NYC Health + Hospitals (New York City): $1 billion (Epic)

8 (tie). Sutter Health (Sacramento, Calif.): $1 billion (Epic)

11. NewYork-Presbyterian (New York City): $964 million (Epic)

12 (tie). Providence (Renton, Wash.): $800 million (Epic)

12 (tie). Trinity Health (Livonia, Mich.): $800 million (Epic)

14. Duke University Health System (Durham, N.C.): $700 million (Epic)

15. AdventHealth (Altamonte Springs, Fla.): $660 million (Epic)

16. Memorial Hermann Health System (Houston): $500 million (Epic)

NOTE: This is not an exhaustive list. If you know of other EHRs that should be on this list, please email gbruce@beckershealthcare.com.

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