Hospitals in 12 states, from Delaware to Wisconsin, are going live on Epic’s EHR platform in 2026, as the company continues to expand its already dominant share of the hospital EHR market.
Epic grew its share of the acute care hospital EHR market to 43.7% in 2025, up from 42.3% in 2024, according to a KLAS report, adding 77 hospitals and 18,679 beds during the year.
Here are the states where hospitals and health systems are going live on Epic in 2026, as reported by Becker’s:
Delaware
ChristianaCare, a three-hospital system in Wilmington, goes live on Epic Oct. 3, 2026, switching from Oracle Health in what a system leader called one of the organization’s largest transformations. The move has been underway since the health system’s 2024 decision to leave its previous EHR platform.
Idaho
Cascade Medical Center, a critical access hospital, implemented Epic through OCHIN, a nonprofit health IT collaborative, going live in the fourth quarter of 2025. It was one of 12 community health organizations across eight states that OCHIN helped move to Epic, according to a Jan. 27, 2026, OCHIN news release.
Illinois
OSF HealthCare Saint Katharine Medical Center in Dixon transitioned to Epic April 1, 2026. The hospital, formerly known as KSB Hospital before it joined the OSF HealthCare system in 2025, gained a unified patient record and the OSF MyChart portal as part of the switch.
Iowa
Lakes Regional Healthcare in Spirit Lake implemented Epic May 30, 2026. The community hospital, which serves northwest Iowa and southwest Minnesota, said the new platform would strengthen communication and improve efficiency for staff and patients.
Massachusetts
Milford Regional, which joined UMass Memorial Health in 2024, went live on the system’s Epic EHR April 1, 2026. A UMass Memorial spokesperson called it one of several integration milestones since the affiliation, giving every hospital in the system access to the same patient record.
Michigan
MSU Health Care in East Lansing is transitioning to Epic’s EHR and billing system Jan. 31, 2026, through a new partnership with Henry Ford Health. The shift moves MSU Health Care off Athenahealth and onto Henry Ford Health’s Epic infrastructure to support tighter clinical and operational alignment.
Mississippi
Five hospitals, led by South Central Regional Medical Center in Laurel, went live Jan. 31, 2026: Magee General Hospital, Covington County Hospital in Collins, Simpson General Hospital in Mendenhall and Smith County Emergency Hospital in Raleigh. South Central Regional is spending about $115 million on the system over 10 years, calling it the largest financial investment in the organization’s history.
Missouri
CoxHealth in Springfield went live March 1, 2026, after a two-year implementation. The six-hospital system, which selected Epic in December 2023 to replace Cerner, called the switch one of the largest technology upgrades in its history.
New York
Kaleida Health in Buffalo went live May 30, 2026, consolidating 13 legacy EHR platforms into one unified Epic system across its five hospitals. The move is part of a broader effort backed by New York’s $2.6 billion investment in modernizing EHRs at safety net hospitals.
Pennsylvania
Mount Nittany Health in State College went live May 30, 2026. The one-hospital system switched from Meditech and opted to implement Epic independently rather than join a larger partner’s system, saying it wanted to retain local control over how the platform was built and expanded.
Texas
The University of Texas at Austin rolled out Epic at its ambulatory practice in April 2026 so the platform will already be in place when its new academic medical center, anchored by Dell Medical School, opens by 2030.
Wisconsin
Door County Medical Center in Sturgeon Bay went live Feb. 7, 2026, leasing Springfield, Ill.-based Hospital Sisters Health System’s existing Epic instance rather than building its own. Hospital Sisters Health System is a 40% minority owner of Door County Medical Center.
Editor’s note: Miami-based Nicklaus Children’s Health System is also moving to Epic but isn’t set to go live until 2027, so it isn’t counted in the 2026 total above.
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