The U.S. electronic health records (EHR) market size was estimated at USD 12.86 billion in 2024 and is expected to grow at a CAGR of 2.55% from 2025 to 2030. This growth can be attributed to government initiatives to encourage healthcare IT usage, technologically advanced healthcare services, and rising demand for centralization and streamlining of healthcare data to improve overall patient outcomes and reduce healthcare costs.


|
States |
Estimated Penetration Rate % |
States |
Estimated Penetration Rate % |
|
Alabama |
87% |
Montana |
91% |
|
Alaska |
96% |
Nebraska |
97% |
|
Arizona |
94% |
Nevada |
100% |
|
Arkansas |
88% |
New Hampshire |
90% |
|
California |
New Jersey |
|
|
|
Colorado |
New Mexico |
||
|
Connecticut |
New York |
||
|
Delaware |
North Carolina |
||
|
District of Columbia |
North Dakota |
||
|
Florida |
Ohio |
||
|
Georgia |
Oklahoma |
||
|
Hawaii |
Oregon |
||
|
Idaho |
Pennsylvania |
||
|
Illinois |
Rhode Island |
||
|
Indiana |
South Carolina |
||
|
Iowa |
South Dakota |
||
|
Kansas |
Tennessee |
||
|
Kentucky |
Texas |
||
|
Louisiana |
Utah |
||
|
Maine |
Vermont |
||
|
Maryland |
Virginia |
||
|
Massachusetts |
Washington |
||
|
Michigan |
West Virginia |
||
|
Minnesota |
Wisconsin |
||
|
Mississippi |
Wyoming |
||
|
Missouri |
U.S. |
Source: Grand View Research Analysis


|
Hospital |
2010 |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
|
Cloud-based |
|
||||||||||
|
On-premise |
|||||||||||
|
Total |
|||||||||||
Source: Grand View Research Analysis
|
Hospital |
2021 |
2022 |
2023 |
2024 |
2025 |
2026 |
2027 |
2028 |
2029 |
2030 |
CAGR (2025-2030) |
|
Cloud-based |
|
9,527.23 |
|
2.90% |
|||||||
|
On-premise |
|
||||||||||
|
Total |
|||||||||||
Source: Grand View Research Analysis
The adoption of cloud-based electronic health records (EHR) in hospitals gained momentum due to the Affordable Care Act (ACA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act, which encouraged EHR implementation in the early 2010s. The adoption of electronic health records (EHR) among non-federal acute care hospitals has reached nearly universal levels, with 96% of hospitals utilizing certified EHR technology by 2015. Basic EHR functionalities, such as access to imaging views, were available in over 80% of hospitals—a significant increase from just 22% in 2008, largely due to the HITECH Act.
|
Clinics |
2010 |
2011 |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
|
Cloud-based |
|
||||||||||
|
On-premise |
|||||||||||
|
Total |
|||||||||||
Source: Grand View Research Analysis
|
Clinics |
2021 |
2022 |
2023 |
2024 |
2025 |
2026 |
2027 |
2028 |
2029 |
2030 |
CAGR (2025-2030) |
|
Cloud-based |
|
1,647.26 |
|
2.20% |
|||||||
|
On-premise |
|
||||||||||
|
Total |
|||||||||||
Source: Grand View Research Analysis
Smaller clinics are increasingly adopting cloud-based Electronic Health Records (EHRs) instead of traditional on-premises systems, driven by the need for cost efficiency and scalability. Cloud EHRs minimize the requirement for extensive IT infrastructure, enabling clinics to prioritize patient care without the financial strain of maintaining physical servers. Moreover, the demand for patient engagement tools and mobile access to records that emerged after 2020 has further accelerated the adoption of cloud EHRs in this segment. For instance, in November 2023, eClinicalWorks, the leading cloud EHR for ambulatory care, announced that Ampla Health, a 134-provider FQHC in Yuba City, CA, uses eClinicalWorks V12 to enhance operational workflows. This cloud-based EHR boosts efficiency, enriches physician experience, and empowers patient engagement with advanced, value-added features.
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