Report Overview
The U.S. electronic medical records market size was estimated at USD 2.31 billion in 2024 and is expected to grow at a CAGR of 4.11% from 2025 to 2030. The electronic medical records (EMR) market in the country is expected to grow significantly due to rising digital transformation initiatives in healthcare. Key drivers include government mandates for healthcare information adoption, growing demand for integrated care, and rising telehealth usage. The U.S. HITECH Act incentivized EMR adoption, while the recent ONC's TEFCA framework promotes nationwide health information exchange, enhancing interoperability and data access. These efforts support value-based care and patient engagement, fueling sustained market expansion across hospitals, clinics, and ambulatory care settings.


U.S. Electronic Medical Records Penetration Rates, by State & Overall U.S. 2023
States
|
Estimated Penetration Rate %
|
States
|
Estimated Penetration Rate %
|
Alabama
|
67%
|
Montana
|
71%
|
Alaska
|
76%
|
Nebraska
|
77%
|
Arizona
|
74%
|
Nevada
|
80%
|
Arkansas
|
68%
|
New Hampshire
|
70%
|
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


U.S. Electronic Medical Records (EMR): Cloud-based/On-premise × Hospitals Matrix 2010 to 2030 (USD Million)
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
|
|
458.30
|
|
2.96%
|
On-premise
|
|
Total
|
Source: Grand View Research Analysis
Cloud-based EMR adoption in hospitals gained traction due to lower upfront costs, scalable infrastructure, and federal incentives like the HITECH Act and ACA, which encourage interoperability and data accessibility. The COVID-19 pandemic further accelerated the transition to cloud systems as hospitals prioritized remote data access and integration across departments for improved patient care continuity. According to the National Ambulatory Medical Care Survey, 57% of office-based physicians in 2011 used EMR systems, with adoption varying widely by state, from 40% in Louisiana to 84% in North Dakota. Approximately 34% of physicians had systems meeting the criteria for a basic EMR setup, with the highest adoption in Minnesota (61%) and the lowest in New Jersey (16%). In 2011, 52% of physicians planned to pursue meaningful use incentives, up from 41% in 2010. By 2010, 43% of physicians intending to apply for these incentives had systems capable of meeting eight Stage 1 Core Set objectives, with state variation from 26% in Texas to 70% in Wisconsin.
U.S. Electronic Medical Records (EMR): Cloud-based/On-premise × Clinics Matrix 2010 to 2030 (USD Million)
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
|
|
1,500.72
|
|
4.92%
|
On-premise
|
|
Total
|
Source: Grand View Research Analysis
For smaller clinics, cloud-based EMR systems have been especially appealing due to reduced maintenance costs, ease of installation, and enhanced remote access. As value-based care models emphasize data-driven decisions and patient engagement, clinics have opted for cloud solutions to streamline workflows and support mobile access, especially post-pandemic.