U.S. Ambulatory EHR Market Size, Share & Trends Analysis Report By Product (Web/ cloud-based EHR, On Premise EHR), By Functionality (Practice Management, Patient Management), By Practice Size, And Segment Forecasts, 2025 - 2030

U.S. Ambulatory EHR Market Size & Trends

The U.S. ambulatory EHR market size was estimated at USD 5.49 billion in 2024 and is projected to grow at a CAGR of 5.57% from 2025 to 2030. The increasing volume of patient data, the rise in ambulatory and urgent care centers, and supportive government initiatives are factors contributing to market growth. Ambulatory electronic health record (EHR) systems automate appointment scheduling, e-prescriptions, billing, and compliance reporting, expediting administrative workflows and contributing to substantial cost savings.

The rapid expansion of ambulatory surgery centers (ASCs) and their increasing need for efficient data management. With over 6,000 ASCs operating in the U.S., an increase of more than 1,000 centers since 2018 these facilities require advanced EHR systems to manage rising patient volumes and expanding clinical services. As ASCs perform more minimally invasive procedures and cater to an aging population, the demand for streamlined workflows and real-time access to patient data continues to rise. EHR platforms help these centers reduce administrative workload, improve care coordination, and handle billing processes more efficiently, directly supporting their operational growth.

The growing number of patient visits to ambulatory care facilities is further increasing the demand for EHR systems. For instance, according to the 2022 National  Hospital Ambulatory Medical Care Survey (NHAMCS), ambulatory centers in the U.S. recorded over 155 million patient visits in 2022. Managing this high patient load requires scalable EHR solutions to handle data collection, scheduling, and clinical documentation effectively. As visit volumes grow, providers are increasingly dependent on EHR systems to maintain smooth operations and ensure accurate patient records, which directly drives market expansion.

The integration of patient portals within ambulatory EHR platforms is also contributing to market growth by improving patient engagement. These portals enable patients to access their health records, review test results, track medications, and book appointments independently. Higher engagement leads to better patient retention and satisfaction, encouraging providers to invest in EHR systems that offer these capabilities. For instance, according to the data published by the Assistant Secretary for technology Policy, in 2021, 4 of 5 office-based physicians adopted an EHR  system.

Trends in Physician Adoption of Electronic Health Records

In addition, rising investments in advanced EHR technologies across ambulatory care providers are supporting market growth. Clinics and outpatient centers are upgrading their systems to improve efficiency and comply with federal data-sharing regulations. Enhanced EHR platforms enable seamless information exchange, support clinical decision-making, and simplify reporting requirements. As policies around interoperability and value-based care continue to evolve, providers are prioritizing EHR upgrades to meet these standards, ensuring sustained growth for the U.S. ambulatory EHR market.

Market Concentration & Characteristics

The chart below illustrates the relationship between industry concentration, industry characteristics, and industry participants. The X-axis represents the level of market concentration, ranging from low to high. The Y-axis represents various market characteristics, including industry competition, degree of innovation, level of mergers & acquisition activities, regulatory impact, product substitutes, and regional expansion. For instance, the U.S. ambulatory EHR market is slightly fragmented, with many small players entering the market and launching new products.

Several industry players launch new products to enhance their product portfolio. AI integration into the EHR platform enables healthcare providers to reduce caregiver hours each day and improve patient care. For instance, in June  2024, Oracle launched the Oracle Clinical Digital Assistant, an AI-based EHR system for ambulatory clinics in the U.S.

“Oracle Clinical Digital Assistant helps me not waste time in the exam room having patients repeat themselves because I’m trying to get their information into the system. I can focus on understanding their concerns and working through a clear diagnosis, and plan to thoroughly meet their needs. This is much more satisfying to me and the patient.”

-Dr. Alicia Brooks, Medical Director Fort Loudoun Primary Care, Covenant Health

The industry is experiencing a moderate level of merger and acquisition activities undertaken by several key players. This is due to the desire to gain a competitive advantage in the industry, enhance technological capabilities, and consolidate in a rapidly growing market. For instance, in November 2023, Thoma Bravo acquired NextGen Healthcare, Inc., an EHR systems provider, expanding its footprint in the market.

Regulations have a high impact on the U.S. ambulatory EHR industry. The regulations related to EHRs are the HITECH Act, the 21st Century Cures Act, the ONC Health IT Certification Program, and the HIPAA Privacy Rule and Security Rule, which aim to promote the adoption and use of EHRs while ensuring the privacy and security of patient's health information.

The industry is witnessing moderate regional expansion, driven by an increasing customer base for electronic health record systems. For instance, in July  2023, Universal Health Services (UHS) extended the implementation of the Oracle Health EHR system across its extensive network of behavioral health facilities.

Product Insights

Based on products, the web/ cloud-based EHR segment held the largest revenue share of 84.05% in 2024 and is expected to grow at the fastest CAGR during the forecast period. This growth is attributed to the increasing adoption of cloud-based EHR platforms by physician groups and ambulatory centers. Moreover, key players are launching new web-based solutions and expanding their services to cater to the growing demand, propelling market growth further. For instance, in March  2022, MEDITECH launched Expanse Ambulatory, a mobile ambulatory EHR and practice management solution for independent and physician-owned practices, enhancing patient care through centralized information.

“Physician practices need a comprehensive Ambulatory EHR that optimizes both individual provider and overall practice efficiency, while still facilitating that frictionless patient experience” 

-MEDITECH Vice President Carol Labadini.

“Expanse Ambulatory was developed by and for physicians, so it’s a solution that clinicians should enjoy using - while enabling them to focus on their patients.”

However, the on-premises EHR segment is expected to grow significantly during the forecast period. Ambulatory care centers often prefer on-premises solutions for enhanced data security and control, addressing concerns about patient privacy and compliance with regulations such as HIPAA. In addition, these systems allow for customized configurations tailored to specific organizational needs, which can improve workflow efficiency and integration with existing infrastructure. As healthcare continues to prioritize patient data security and operational efficiency, the on-premises EHR segment is expected to remain robust within the ambulatory EHR market.

Functionality Insights

Based on functionality, the practice management segment dominated the market with the largest revenue share of 21.44% in 2024. Practice management (PM) systems help streamline administrative and clinical functions, enabling healthcare providers to efficiently manage patient appointments, billing, insurance claims, and overall workflow. Integrating PM with EHR systems allows for seamless data exchange between clinical and administrative processes, enhancing operational efficiency. Moreover, these systems often include features that help ambulatory practices track outstanding claims and manage denials effectively. Furthermore, the rise of telehealth services has also necessitated more sophisticated practice management capabilities that are able to handle remote patient interactions efficiently, thereby contributing to market growth.

The patient management segment is anticipated to grow at the fastest CAGR during the forecast period. Increasing demand for integrated healthcare solutions that streamline patient care processes fuels market growth. Moreover, advancements in technology such as artificial intelligence (AI) and data analytics are enhancing the capabilities of patient management solutions within EHR systems. These technologies allow for better predictive analytics, personalized treatment plans, and improved resource allocation. As ambulatory centers continue to invest in innovative technologies to optimize their operations and enhance patient experiences, the demand for sophisticated patient management tools is expected to grow.

Practice Size Insights

Based on practice size, fewer than 5 physicians’ segment dominated the market with the largest revenue share of 36.49% in 2024. This growth is attributable to the availability of affordable and user-friendly EHR solutions tailored specifically for small practices. Key players have launched cloud-based EHR systems that require lower upfront investments and offer subscription-based pricing models. This accessibility allows smaller practices to implement EHR systems without incurring substantial financial burdens. In addition, government initiatives like the Medicare and Medicaid EHR Incentive Programs have incentivized small practices to adopt these technologies by providing financial support, further boosting market growth.

The 50+ physicians’ segment is expected to grow at the fastest CAGR from 2025 to 2030. These large physician groups require enterprise-level EHR systems and are capable of managing vast patient volumes, coordinating care across multiple locations. These large practices invest heavily in system integration, data analytics, and advanced cybersecurity features to ensure compliance and performance. Large physician groups contribute to value-based care models and population health initiatives. This requires sophisticated EHR platforms that offer advanced data analytics, care coordination tools, and real-time reporting capabilities, thus propelling market growth further.

Key U.S. Ambulatory EHR Company Insights

Key players operating in the U.S. ambulatory EHR market are undertaking various initiatives to strengthen their market presence and increase the reach of their products and applications. Strategies such as expansion activities and partnerships are playing a key role in propelling the market growth.

Recent Developments

• In February 2025, Athenahealth partnered with Abridge to integrate advanced AI capabilities into ambulatory care practices. This partnership aims to enhance EHR documentation using AI-powered ambient listening and scribing tools.

• In October 2024, Athenahealth launched AI-powered Ambient Notes, integrated into the company's EHR platform for ambulatory practices. This tool, designed to streamline clinical documentation, utilizes advanced AI to automatically generate patient notes during consultations, reducing clinicians' administrative burdens.

• In October 2024, eClinicalWorks introduced a range of transformative AI-powered enhancements and solutions in its cloud-based EHR platform to optimize practice and provider efficiency.

• In May 2024, Athenahealth launched a suite of tailored specialty solutions integrated with its athenaOne platform, emphasizing women's health and urgent care. These solutions feature advanced electronic health records (EHR) capabilities, streamlined workflows, and dedicated support to enhance operational efficiency and patient care for specialty providers.

U.S. Ambulatory EHR Market Report Scope

U.S. Ambulatory EHR Market Report Segmentation

This report forecasts revenue growth and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2030. For this study, Grand View Research has segmented the U.S. ambulatory EHR market report based on product, functionality, and practice size:

• Product Outlook (Revenue, USD Million, 2018 - 2030)

  • Web/ cloud-based EHR

  • On-premise EHR

• Functionality Outlook (Revenue, USD Million, 2018 - 2030)

  • Practice management

  • Patient management

  • E-prescribing

  • Referral Management

  • Population Health Management

  • Health Analytics

  • Others

• Practice Size Outlook (Revenue, USD Million, 2018 - 2030)

  • Fewer than 5 physicians

  • 5 to 10

  • 11 to 24

  • 25 to 49

  • 50+ physicians