EHR Supplier Base In EMEA Remains Highly Fragmented; Cerner Gains Ground

The EMEA market for electronic health record (EHR) IT is estimated to have been worth $3.7B in 2018 (both acute and ambulatory applications) according to Signify Research’s 2019 global EMR market report. However, only one vendor, Cerner, is estimated to have had a double-digit revenue share in 2018. In terms of suppliers the EMEA market is highly fragmented with a mixture of local and international vendors addressing individual countries with few vendors having a truly region-wide footprint.

The table below shows estimated revenue shares in 2018 for the acute & health system EHR market in EMEA (excluding revenues for ambulatory only solutions), alongside the countries/sub-regions where each vendor had a significant share of its EMEA business.

Acute/Network EHR Estimate Revenue Share – EMEA – 2018
2018 RankCompany2018 Revenue ShareKey Countries/Sub-Regions
1Cerner16%DACH, UK/Eire, Middle East
2Agfa Health8%DACH, France
3Asseco5%Eastern Europe
4CompuGroup Medical5%DACH, Nordics, Eastern Europe
5InterSystems4%UK/Eire, Middle East, Spain/Portugal
6Chipsoft4%Benelux
7DXC Technology3%Benelux, UK/Eire, Spain/Portugal
8Tieto3%Nordics
9Dedalus3%Italy, France, Spain/Portugal
10Nexus3%DACH, Benelux
11Engineering Ingegneria3%Italy
12Systematic2%Nordics
13Epic2%Benelux, Nordics, UK/Eire, Middle East
14Telekom Health2%DACH
15Maincare Solutions2%France
Others39%
Source: Signify Research                                Note: Does not include ambulatory only revenue/vendors

Excel version of table here

Examining several major countries/sub-regions:

Outlook for International EHR Market Competitive Environment

As the US market for core-EHR solutions starts to saturate, vendors are increasingly looking to geographic expansion to maintain their historic growth rates. This will lead to increased levels of competition across EMEA. Some vendors will succeed; however, expanding into new international markets is a strategy that has many pitfalls and vendors need to understand the nuances of local markets in terms of product requirements, government initiatives and local vendors’ strengths if they are to succeed.


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