U.S. Ambulatory Electronic Health Record Market Summary

The U.S. ambulatory electronic health record (EHR) market size was estimated at USD 5.49 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 5.57% from 2025 to 2030. This growth is driven by several key factors, including the increasing volume of patient data generated by outpatient services, the rising number of ambulatory and urgent care centers, and supportive government policies encouraging the adoption of digital healthcare technologies.

Ambulatory EHR systems are specifically designed to support the needs of outpatient care providers by automating essential processes such as appointment scheduling, e-prescriptions, billing, and compliance reporting. These features not only streamline administrative operations but also help in reducing operational costs and enhancing the quality of care delivery across a wide range of healthcare facilities.

The rapid proliferation of ambulatory surgery centers (ASCs) significantly contributes to the growing demand for advanced EHR systems. With over 6,000 ASCs currently operating across the United States—an increase of more than 1,000 facilities since 2018—there is a pressing need for efficient data management and workflow optimization.

These centers are increasingly performing minimally invasive procedures, particularly for an aging population with chronic health conditions, thereby necessitating the implementation of robust EHR systems. These platforms enable ASCs to access real-time patient data, improve care coordination, streamline clinical documentation, and manage billing tasks more accurately and swiftly. Consequently, EHR systems play a critical role in supporting the scalability and efficiency of these centers as they continue to grow in number and complexity.

Key Market Trends & Insights

  • Based on product type, the web-based or cloud-based EHR segment held the largest revenue share of 84.05% in 2024 and is anticipated to witness the fastest growth over the forecast period. The widespread adoption of cloud-based solutions is largely due to their scalability, cost-efficiency, ease of deployment, and minimal IT infrastructure requirements. These platforms allow healthcare providers to access patient information remotely and securely, facilitate software updates without service interruptions, and offer flexible integration with other digital health tools. As physician groups and ambulatory care providers increasingly prioritize operational flexibility and data interoperability, the shift toward cloud-based EHR platforms is expected to accelerate.
  • In terms of functionality, the practice management (PM) segment accounted for the largest revenue share of 21.44% in 2024. Practice management systems are vital in enhancing the overall workflow of ambulatory care providers. These systems consolidate a wide range of administrative and clinical functions, including patient registration, scheduling, insurance verification, billing, and claims processing. By centralizing these operations, PM solutions help healthcare organizations reduce errors, enhance revenue cycle efficiency, and allocate resources more effectively. As providers face increasing pressure to improve service delivery while reducing costs, practice management solutions continue to be a fundamental component of the ambulatory EHR market.
  • When segmented by practice size, the group with fewer than five physicians dominated the market, holding the largest revenue share of 36.49% in 2024. This trend is largely attributed to the development and availability of affordable, easy-to-use EHR systems specifically tailored to the needs of small practices. These providers often operate with limited administrative support and require intuitive systems that do not compromise functionality. Vendors are offering modular and subscription-based models that reduce upfront investment and provide essential features for clinical documentation, appointment management, and patient engagement. These factors are driving strong adoption among solo practitioners and small group practices.

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Market Size & Forecast

  • 2024 Market Size: USD 5.49 billion
  • 2030 Projected Market Size: USD 7.60 billion
  • CAGR (2025 - 2030): 5.57%

Key Companies & Market Share 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.

Key Players

  • eClinicalWorks
  • Oracle
  • Athenahealth
  • MEDITECH
  • Veradigm LLC (Allscripts Healthcare, LLC)
  • AdvancedMD, Inc.
  • NextGen Healthcare, Inc.
  • CureMD Healthcare
  • Greenway Health, LLC
  • Epic Systems Corporation
  • McKesson Corporation

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Conclusion

The U.S. ambulatory EHR market is witnessing steady growth driven by increasing outpatient service demands, ASC expansion, and digital health adoption. EHR systems enhance efficiency by streamlining scheduling, documentation, and billing processes, particularly in fast-growing settings like small practices and surgery centers. Cloud-based solutions lead the market, offering flexible, secure access and minimal IT burden. Practice management functionality remains vital for administrative optimization. As smaller practices continue to adopt tailored, cost-effective EHR platforms, and ASCs strive for greater operational efficiency, the market is poised for sustainable growth supported by innovation, affordability, and healthcare system digitization across all practice sizes.