Emergency department visits in U.S. hospitals continue to surge, with *********************************** in Dallas leading the pack in 2024. The facility recorded ******* ED visits, followed closely by ******************************** in Florida with ******* visits. This trend highlights the growing demand for emergency medical services across the country, particularly in large urban centers. Evolving healthcare landscape While emergency departments are busier than ever, the overall number of hospitals in the U.S. has been decreasing since the 1970s. Meanwhile, there is a rise of large health systems. The Hospital Corporation of America, based in Nashville, Tennessee, stands as the largest health system in the country, operating *** hospitals as of February 2025. This consolidation trend reflects the changing dynamics of healthcare delivery and management in the United States. Specialization and capacity challenges As hospitals face increasing pressure on their emergency departments, many are also focusing on specialized services to meet diverse patient needs. For instance, the ****************************************************** performed ****** organ transplants between January 1988 and March 2025, making it the nation's ******* transplant center. Meanwhile, ******************** in Florida holds the title of the largest U.S. hospital with ***** beds.

As of 2025, New York-Presbyterian hospital is the largest hospital in the United States with its eight campuses based in New York City. This was followed by AdventHealth Orlando in Florida stands as the second largest hospital in the United States, boasting an impressive 2,787 beds. Evolving landscape of U.S. hospitals Despite the decline in the total number of hospitals since 1980, the healthcare sector continues to grow in other ways. U.S. hospitals now employ about 7.5 million workers and generate a gross output of around 1,263 billion U.S. dollars. The Hospital Corporation of America, based in Nashville, Tennessee, leads the pack as the largest health system in the country, operating 222 hospitals as of February 2025. This reflects a trend towards consolidation and the rise of for-profit hospital chains, which gained prominence in the 1990s. Specialization and emergency care While bed count is one measure of hospital size, institutions also distinguish themselves through specialization and emergency care capabilities. For instance, the University of California at Los Angeles Medical Center performed 22,287 organ transplants between January 1988 and March 2025, making it the leading transplant center in the nation. In terms of emergency care, Parkland Health and Hospital System in Dallas recorded the highest number of emergency department visits in 2024, with 235,893 patients seeking urgent care.

This statistic shows the leading challenges to emergency departments in the U.S. as reported by hospital and health system representatives during a survey in February 2016. It was found that approximately ** percent of respondents report accommodating mental health patients as the biggest challenge for their emergency department.

In 2022, the most common emergency room (ER) diagnosis was essential (primary) hypertension, which accounted for 3 percent of all ER diagnoses in the U.S. Contact with and (suspected) exposure to COVID-19 was the second most common diagnosis given out in ERs.

Emergency room visit rates across the United States show significant variation, with a national average of 422 visits per 1,000 population in 2023. This average masks considerable differences between states, ranging from 596 visits per 1,000 population in West Virginia to just 226 in Nevada. Wait times in emergency rooms While ER visit rates provide insight into utilization, wait times offer a glimpse into the efficiency of emergency care delivery. In 2022, ER patients waited an average of 38.1 minutes to see a healthcare provider in emergency departments nationwide. Interestingly, the COVID-19 pandemic temporarily reduced wait times in 2020, but they rebounded to pre-pandemic levels by 2021. Most patients, roughly 70 percent, spend less than an hour in the emergency department before being seen by a medical professional. These figures suggest that despite high utilization in some areas, many emergency departments manage to process patients relatively quickly. Demographic disparities in emergency care Emergency department usage varies significantly across different demographic groups, revealing important healthcare access disparities. Infants under one-year-old and adults 75 years and over have the highest ED visit rates among all age groups. Additionally, racial disparities in ED rates are evident, with non-Hispanic Black individuals having double the ED visit rate of non-Hispanic White individuals. These patterns underscore the need for targeted healthcare interventions and improved access to acute care for vulnerable populations.

The Nationwide Emergency Department Sample (NEDS) is part of a family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). NEDS is the largest all-payer emergency department (ED) database in the United States, yielding national estimates of hospital-based ED visits. One of the most distinctive features of the NEDS is its large sample size, which allows for analysis across hospital types and the study of relatively uncommon disorders and procedures.

Emergency Department Information Systems Market Outlook

According to our latest research, the global Emergency Department Information Systems (EDIS) market size reached USD 1.93 billion in 2024, with a robust growth trajectory fueled by the increasing demand for streamlined emergency care operations and digital healthcare transformation. The market is expanding at a CAGR of 13.4% and is forecasted to reach USD 5.67 billion by 2033. This impressive growth is attributed to the urgent need for real-time data management, enhanced patient outcomes, and regulatory compliance in emergency healthcare settings, which are driving widespread adoption of EDIS platforms globally.

One of the primary growth factors propelling the Emergency Department Information Systems market is the rapid digitization of healthcare infrastructure worldwide. Hospitals and emergency care providers are increasingly recognizing the value of integrated information systems that can streamline workflows, reduce medical errors, and enhance patient safety. The growing adoption of electronic health records (EHRs) and interoperability standards is further encouraging the deployment of EDIS solutions. Additionally, the rising incidence of emergency visits due to chronic diseases, trauma, and infectious outbreaks has placed immense pressure on emergency departments to adopt advanced IT systems that can optimize resource allocation and expedite patient care processes.

Another significant driver for the EDIS market is the ongoing push for regulatory compliance and quality reporting in healthcare. Governments and regulatory bodies across major markets, including the United States and Europe, are mandating the implementation of digital systems that can ensure accurate documentation, billing, and reporting. EDIS platforms are designed to meet these requirements by automating clinical documentation, facilitating seamless communication among care teams, and providing robust audit trails. The integration of artificial intelligence and analytics into EDIS platforms is also enabling emergency departments to harness actionable insights, improve decision-making, and enhance overall operational efficiency.

Technological advancements and the proliferation of cloud-based solutions are further accelerating the growth of the Emergency Department Information Systems market. Cloud-based EDIS platforms offer scalability, cost-effectiveness, and remote accessibility, making them an attractive option for healthcare providers of all sizes. The increasing penetration of telemedicine and mobile health applications is also contributing to the demand for interoperable EDIS solutions that can support real-time data exchange and remote patient management. Moreover, the growing focus on patient-centered care and the need for personalized treatment plans are driving the adoption of EDIS platforms that can integrate seamlessly with other hospital information systems and provide a holistic view of patient data.

From a regional perspective, North America remains the dominant market for Emergency Department Information Systems, accounting for the largest share in 2024. This leadership position is underpinned by the presence of advanced healthcare infrastructure, high adoption rates of digital health technologies, and supportive government initiatives. However, the Asia Pacific region is emerging as a lucrative market, driven by increasing healthcare investments, expanding hospital networks, and rising awareness of the benefits of EDIS solutions. Europe is also witnessing steady growth due to stringent regulatory requirements and the growing emphasis on quality healthcare delivery. Latin America and the Middle East & Africa are gradually catching up, supported by ongoing healthcare modernization efforts and international collaborations.

Emergency Medical Services Software plays a pivotal role in enhancing the capabilities of Emergency Department Information Systems. This software is designed to streamline the management of emergency medical services by providing real-time data access, efficient resource allocation, and improved communication among emergency responders and healthcare facilities. With the integration of EMS software, emergency departments can achieve better coordination during critical situations, ensuring timely interventions and optimized pat

As of February 2025, the Hospital Corporation of America, based in Nashville, Tennessee, was the largest health system in the United States, with a total of 222 hospitals. HCA Healthcare is also the largest U.S. health system when ranked by the number of beds and, as expected, by net patient revenue.Hospitals in the United StatesCurrently, there are approximately 6,120 hospitals in the United States. Looking over the past decades, this figure was constantly decreasing. For example, there were nearly 7,000 hospitals in 1980. There are some 5.3 million persons employed in U.S. hospitals in full-time. Contrary to the decrease in the number of hospitals, employment has been increasing steadily. According to the Bureau of Economic Analysis, U.S. hospitals generate a total gross output of around 1,075 billion U.S. dollars. The largest portion of U.S. hospitals are non-profit facilities. A smaller share includes private-owned for-profit hospitals. In most cases, these hospitals are part of hospital chains. For-profit hospitals developed especially in the 1990s, with the aim to gain profit for their shareholders. The Hospital Corporation of America, based in Nashville, Tennessee, is the U.S. for-profit hospital operator with the highest number of hospitals.

In 2018, Oregon State Hospital reported net patient revenue of around 179 million U.S. dollars, this was the highest amount among the largest behavioral health hospitals in the United States. This statistic shows the largest behavioral health hospitals the U.S. in 2018, by net patient revenue.

Intravenous (IV) solution manufacturers have a critical role in healthcare delivery, supplying essential fluids like saline and dextrose used in virtually every care setting, from hospitals and surgical centers to outpatient infusion clinics. Historically, demand has remained stable and predictable, linked closely to procedure volumes and inpatient utilization. However, over the past five years, demand has accelerated because of a shift toward outpatient care, the rise of home infusions and growth in chronic disease management. The expansion of ambulatory surgery centers (ASCs) and non-hospital care sites has also created new, decentralized demand for IV fluids, increasing the number of delivery points. Despite being a commoditized product, IV solutions are volume-driven and critical to day-to-day patient care, which places pressure on manufacturers to deliver a consistent supply at a low price. The rising purchasing power of group purchasing organizations (GPOs) has intensified price competition among manufacturers, pushing prices lower and making it challenging for suppliers to invest in new capacity or product innovation. In all, revenue has risen at a CAGR of 0.2% to an estimated $3.4 billion over the past five years, including expected growth of 3.2% in 2025. In 2024, the industry’s vulnerability was exposed when Hurricane Helene severely disrupted Baxter’s North Cove facility in North Carolina, the single largest US producer, with this single facility accounting for roughly 60% of the national IV fluid supply. The flooding led to an immediate nationwide shortage, forcing hospitals to ration fluids and scramble for backup suppliers. The event highlighted the pitfalls of a highly concentrated industry where a handful of facilities produce nearly all the domestic supply. While competitors like B. Braun ramped up output and FEMA authorized emergency imports, the shortage underscored how disruptions have system-wide effects. The disruption at Baxter’s North Cove facility caused its market share to drop as hospitals and GPOs shifted orders to competitors like B. Braun and imports. This event pushed health systems and buyers to diversify their supplier base, weakening reliance on any single manufacturer and potentially prompting a long-term shift in market dynamics. IV solution manufacturing is expected to grow moderately, driven by outpatient expansion, aging demographics and increased chronic care treatment. However, growth will be uneven across settings: while hospitals remain the largest customers, infusion clinics and home care are driving new demand that requires more nimble packaging and distribution models. Manufacturers will be under pressure to modernize facilities, diversify geographic production and improve risk management capabilities. Long-term, demand will continue rising, but aggressive GPO pricing, high regulatory costs and the commoditized nature of the product will constrain profit. New competitors, including a Saudi-based IV production facility (announced in May 2025 in Trump’s Saudi-US economic partnership), could introduce headwinds too. Investments in automation and efficiency will be essential for manufacturers to remain competitive, control costs and maintain reliability. Revenue will expand moving forward, increasing at a CAGR of 2.3% to an estimated $3.9 billion over the next five years.

As of November 2024, five out of the ** largest health systems in the U.S., had no hospitals that were compliant with the federal hospital transparency rule. Even HCA healthcare only had ** percent compliance with the rule, and if the availability of actual dollars-and-cents prices were assessed, none of its hospitals passed the pricing data sufficiency**. This means that these hospitals only reported prices in algorithms or percentages, which is not consumer-friendly, rendering it useless for the average consumer to compare prices.

As of 2023, Kaiser Permanente, based in Oakland, California, was the largest health system in the United States when ranked by the number of physicians affiliated with the system. It had nearly 26 thousand physicians affiliated with the organization. Meanwhile, the Hospital Corporation of America, based in Nashville, Tennessee, was in second place when ranked by the number of physicians, but was the largest health system in the United States when ranked by the number of hospitals. HCA Healthcare is also the largest U.S. health system when ranked by the number of beds and, as expected, by net patient revenue.

In 2023, there were ***** community hospitals (general acute care) in the United States. The largest portion of these hospitals were non-profit, while only around ** percent were for-profit. In recent years, there has been a decrease in the number of hospitals in the U.S. It is difficult to compare data from before 2017 due to methodology differences. However, the general trend is downwards, except for for-profit hospitals. There has been an increase in for-profit community hospitals in the last two decades.

The Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) is the largest publicly available all-payer inpatient care database in the United States. The NIS is designed to produce U.S. regional and national estimates of inpatient utilization, access, cost, quality, and outcomes. Unweighted, it contains data from more than 7 million hospital stays each year. Weighted, it estimates more than 35 million hospitalizations nationally. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ), HCUP data inform decision making at the national, State, and community levels. Starting with the 2012 data year, the NIS is a sample of discharges from all hospitals participating in HCUP, covering more than 97 percent of the U.S. population. For prior years, the NIS was a sample of hospitals. The NIS allows for weighted national estimates to identify, track, and analyze national trends in health care utilization, access, charges, quality, and outcomes. The NIS's large sample size enables analyses of rare conditions, such as congenital anomalies; uncommon treatments, such as organ transplantation; and special patient populations, such as the uninsured. NIS data are available since 1988, allowing analysis of trends over time. The NIS inpatient data include clinical and resource use information typically available from discharge abstracts with safeguards to protect the privacy of individual patients, physicians, and hospitals (as required by data sources). Data elements include but are not limited to: diagnoses, procedures, discharge status, patient demographics (e.g., sex, age), total charges, length of stay, and expected payment source, including but not limited to Medicare, Medicaid, private insurance, self-pay, or those billed as ‘no charge’. The NIS excludes data elements that could directly or indirectly identify individuals. Restricted access data files are available with a data use agreement and brief online security training.

Group purchasing organizations (GPOs) have recently demonstrated adaptability and strategic importance in the healthcare supply chain, guiding hospitals, clinics and related entities through mounting procurement complexities. Their effectiveness draws from a combination of centralized purchasing, supplier vetting and compliance management—a blend that relieves administrative burdens on healthcare providers and bolsters purchasing transparency. GPOs deploy a mix of advanced analytics and digital procurement tools, which streamline purchasing and enhance negotiation power. While the shift to virtual operations and remote work settings has modestly reduced spending on rent and utilities, investments in data security and ongoing compliance remain critical for maintaining trust and operational efficiency. Through the end of 2025, industry revenue has climbed at a CAGR of 2.7% to reach $7.3 billion in 2025, including an expansion of 1.6% in 2025 alone. The careful management of cost structures and high transaction volumes balances profitability. With administration fees generally capped—particularly in healthcare—profit generation hinges on leveraging scale and recruiting broad, loyal memberships. This dynamic requires constant innovation in member engagement and value-added services, which help counter limitations imposed by low fee ceilings. On the cost side, previous inflation and unpredictable tariff adjustments have pushed GPOs to rethink sourcing strategies, with many adopting flexible supplier contracts and investing in sophisticated supply chain analytics to manage fluctuating purchase prices. Labor costs have steadied as digital platforms and automation replace manual tasks, optimizing workforce efficiency despite cooler market conditions. Stable asset management and limited marketing needs allow GPOs to keep depreciation and promotional expenditures contained, reinforcing overall profit resilience even as they face new pressures. GPOs' performance suggests that digital transformation and specialization will become central drivers of growth and competitive differentiation. The integration of e-sourcing platforms, machine learning, and real-time supply chain analytics will further streamline operations and improve compliance with evolving regulations. Heightened demand for transparency, auditability and sustainability will prompt GPOs to adopt greener procurement models and more rigorous supplier vetting processes, positioning them to capture business from clients prioritizing corporate responsibility. A growing appetite for tailored services will favor the rise of niche and micro GPOs, which can quickly adjust offerings for specialized segments, pushing even established players to innovate and segment their offerings. As organizations emphasize direct relationships and high customization, future success will likely depend on technology-enabled flexibility, advanced analytics and deep sector expertise, marking a shift toward more agile partnership models and sustainable profitability. Revenue will expand at a CAGR of 2.1% to reach $8.1 billion.

The global healthcare environmental monitoring market is experiencing robust growth, driven by increasing regulatory pressure for patient safety, the rising prevalence of healthcare-associated infections (HAIs), and the expanding adoption of advanced monitoring technologies. The market size in 2025 is estimated at $2.5 billion, exhibiting a Compound Annual Growth Rate (CAGR) of 7% from 2025 to 2033. This growth trajectory is fueled by several key factors. Firstly, stringent regulations aimed at reducing HAIs are mandating the implementation of sophisticated environmental monitoring systems in healthcare facilities. Secondly, the market is witnessing a shift toward technologically advanced solutions, such as wireless sensors and real-time data analytics, enhancing efficiency and providing actionable insights. This trend is further boosted by the increasing integration of IoT (Internet of Things) technologies and cloud-based platforms, which allow for remote monitoring and centralized data management. However, high initial investment costs associated with implementing these advanced systems and the need for skilled personnel to operate and maintain them represent significant market restraints. Despite these challenges, the long-term benefits of improved patient safety, reduced infection rates, and enhanced operational efficiency outweigh the initial costs, driving market expansion. Segmentation analysis reveals a significant contribution from the software segment, fueled by the rising demand for data analytics and reporting tools. Within applications, hospitals are the largest consumers, followed by clinics, with other specialized healthcare settings contributing to consistent market growth. Geographically, North America currently holds the largest market share due to advanced infrastructure and high healthcare expenditure, followed by Europe. However, the Asia-Pacific region is projected to exhibit the highest growth rate due to rising healthcare infrastructure development and increasing awareness of infection control measures.

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Medical Document Management Systems Market Size 2024-2028

The medical document management systems market size is forecast to increase by USD 480.32 million, at a CAGR of 12.33% between 2023 and 2028.

Major Market Trends & Insights

North America dominated the market and accounted for a 39% growth during the forecast period.
By the Deployment - On-premises segment was valued at USD 236.18 million in 2022
By the End-user - Hospitals and clinics segment accounted for the largest market revenue share in 2022

Market Size & Forecast

Market Opportunities: USD 0 million
Market Future Opportunities: USD 0 million
CAGR : 12.33%
North America: Largest market in 2022

Market Summary

The Medical Document Management Systems (MDMS) market is witnessing significant advancements due to the increasing need for improved efficiency and productivity in healthcare organizations. According to recent reports, the global MDMS market is projected to expand at a steady pace, with a focus on detailed and customized reporting becoming a key driver. However, the threat of rising adoption of open-source MDMS solutions may pose a challenge to market growth. The market's evolution is characterized by continuous innovation, with companies introducing advanced features such as artificial intelligence, machine learning, and natural language processing to enhance document processing capabilities.
Despite this competition, the market's potential remains vast, with numerous opportunities in various sectors, including hospitals, clinics, and research institutions. The market's expansion is a testament to the growing recognition of the importance of streamlined document management in healthcare operations.

What will be the Size of the Medical Document Management Systems Market during the forecast period?

Explore market size, adoption trends, and growth potential for medical document management systems market Request Free Sample

The market encompasses a range of solutions designed to streamline the handling of patient records, longitudinal data, and medical imaging in healthcare organizations. According to industry estimates, the global market for these systems is projected to reach USD35 billion by 2025, representing a significant increase from the USD20 billion recorded in 2020. This growth is driven by the need for scalable systems that can ensure data integrity, system uptime, and access management for patient records. A key component of these systems is digital archiving, which allows for efficient document retrieval and system administration. In fact, a study found that hospitals using digital archiving systems save an average of 30 hours per week in administrative tasks compared to those relying on paper records.
Furthermore, data privacy and security are paramount in medical document management, with systems employing advanced encryption, access management, and disaster recovery plans to maintain patient trust and comply with healthcare regulations. These systems also offer features such as clinical workflow integration, performance monitoring, and API connectivity to enhance workflow efficiency and data retrieval. With the integration of annotation features and image management for medical imaging, these systems provide a comprehensive solution for healthcare organizations to manage their data and maintain high levels of data retention and system integration.

How is this Medical Document Management Systems Industry segmented?

The medical document management systems industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2024-2028, as well as historical data from 2018-2022 for the following segments.

Deployment

  On-premises
  Cloud


End-user

  Hospitals and clinics
  Nursing and home healthcare
  Others


Geography

  North America

    US
    Canada


  Europe

    Germany
    UK


  APAC

    Japan


  Rest of World (ROW)

By Deployment Insights

The on-premises segment is estimated to witness significant growth during the forecast period.

The Medical Document Management Systems (MDMS) market is experiencing substantial expansion, with the on-premise segment witnessing notable growth. According to recent studies, on-premise MDMS adoption currently stands at 45% among healthcare providers, with an anticipated increase to 52% within the next three years. This trend is driven by SMEs, including hospitals and clinics, who prefer the customization and control offered by on-premise solutions. Moreover, the future outlook for the MDMS industry is promising, with integration APIs, FHIR, HL7, workflow automation, disaster recovery, hybrid deployment, access control, cloud storage, security protocols, retention policies, search functionality, DICOM integration, reporting features, version control, data migration, e-si

This statistic depicts a ranking of the top 10 largest U.S. for-profit hospitals based on the number of beds as of February 2024. At this point, the Methodist Hospital in San Antonio, Texas, was ranked first among such hospitals in the United States, with a total of 1,831 beds. The top three largest for-profit hospitals were all in Texas.

In 2023, there were over **** million hospital admissions in the United States. The number of hospitals in the U.S. has decreased in recent years, although the country faces an increasing elder population. Predictably, the elderly account for the largest share of hospital admissions in the U.S. Hospital stays Stays in hospitals are more common among females than males, with around *** percent of females reporting one or more hospital stays in the past year, compared to *** percent of males. Furthermore, **** percent of those aged 65 years and older had a hospitalization in the past year, compared to just *** percent of those aged 18 to 44 years. The average length of a stay in a U.S. hospital is *** days. Hospital beds In 2022, there were ******* hospital beds in the U.S. In the past few years, there has been a decrease in the number of hospital beds available. This is unsurprising given the decrease in the number of overall hospitals. In 2021, the occupancy rate of hospitals in the U.S. was ** percent.

In 2018, the North Texas State Hospital in Wichita Falls, Texas had the highest number of acute-care beds among the largest behavioral health hospitals in the United States. This statistic illustrates the largest U.S behavioral health hospitals by the total acute-care beds in 2018.