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.

AdventHealth Orlando in Florida stands as the largest hospital in the United States, boasting an impressive 2,247 beds as of August 2024. This expansive facility exemplifies the scale of modern healthcare infrastructure, with Jackson Memorial Hospital, also in Florida, following as the second-largest. 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 1,161 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 2022, with 226,178 patients seeking urgent care.

About this dataset

Looking for a dataset on hospitals in the United States? Look no further! This dataset contains information on all of the hospitals registered with Medicare in the US, including their addresses, phone numbers, hospital type, and more. With such a large amount of data, this dataset is perfect for anyone interested in studying the US healthcare system.

This dataset can also be used to study hospital ownership, emergency services

How to use the dataset

If you want to study the US healthcare system, this dataset is perfect for you. It contains information on all of the hospitals registered with Medicare, including their addresses, phone numbers, hospital type, and more. With such a large amount of data, this dataset is perfect for anyone interested in studying the US healthcare system.

This dataset can also be used to study hospital ownership, emergency services, and EHR usage. In addition, the hospital overall rating and various comparisons are included for safety of care, readmission rates

Research Ideas

1. Predicting readmission rates for different hospital conditions
2. Analyzing relationships between hospital ownership and quality of care
3. Studying the relationship between hospital type and patient experience

Acknowledgements

This dataset was originally published by Centers for Medicare and Medicaid Services and has been modified for this project

Columns

File: Hospital_General_Information.csv | Column name | Description | |:-------------------------------------------------------|:----------------------------------------------------------------------------------------------------------| | Hospital Name | The name of the hospital. (String) | | Hospital Name | The name of the hospital. (String) | | Address | The address of the hospital. (String) | | Address | The address of the hospital. (String) | | City | The city in which the hospital is located. (String) | | City | The city in which the hospital is located. (String) | | State | The state in which the hospital is located. (String) | | State | The state in which the hospital is located. (String) | | ZIP Code | The ZIP code of the hospital. (Integer) | | ZIP Code | The ZIP code of the hospital. (Integer) | | County Name | The county in which the hospital is located. (String) | | County Name | The county in which the hospital is located. (String) | | Phone Number | The phone number of the hospital. (String) | | Phone Number | The phone number of the hospital. (String) | | Hospital Type | The type of hospital. (String) | | Hospital Type | The type of hospital. (String) | | Hospital Ownership | The ownership of the hospital. (String) | | Hospital Ownership | The ownership of the hospital. (String) | | Emergency Services | Whether or not the...

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.

According to cognitive market research, the global electronic health records market size was valued at USD xx billion in 2024 and is expected to reach USD xx billion at a CAGR of xx% during the forecast period.

An electronic health record (EHR), or electronic medical record (EMR), is the systematized collection of patient and population electronically stored health information in a digital format.
The cloud-based EHR segment led the market and accounted for more than xx% share of the global revenue in 2024.
Based on end-use, the market is classified into hospitals and ambulatory care. The hospitals segment held the largest market share in 2024.
The market was substantially driven by the integration of artificial intelligence in electronic health record solutions.
Medicare incentive payment system (IPPS) is available to acute care hospitals in the US that are covered by the Inpatient Prospective Payment System.
Healthcare professionals' use of EHRs is being driven by the need for contemporary healthcare facilities.
Globally, North America is estimated to hold the highest global Electronic Health Records market share.

Market Dynamics of the Electronic Health Records Market

Key Drivers of the Electronic Health Records Market

Increasing popularity of digital health applications to boost market growth

Electronic health records have demonstrated their efficacy in managing data and maintaining population health throughout the global COVID-19 pandemic. The worldwide electronic health record industry is seeing daily growth in EHR service providers due to increased product research and development, particularly in the area of cloud storage technologies. varying degrees of software development and technology improvement in the healthcare industry. Furthermore, the market for electronic health records will expand due to the advent of artificial intelligence. Healthcare professionals' use of EHRs is being driven by the need for contemporary healthcare facilities. Among the fundamental components of an EHR are clinical record systems, lab, radiography, pharmacy, administrative duties, and computerized physician order entry.

For instance, In May 2022, CPSI entered into a partnership agreement with Medicomp Systems to launch Quippe Clinical Lens. The new technology aims to empower EHR users with proper access to clinical information at PoC (Source:https://www.businesswire.com/news/home/20220519005390/en/CPSI-Pilots-Clinical-Lens-to-Ease-Provider-Data-Burdens )

Government incentives propelling the adoption of EHR systems across healthcare facilities

Several governments throughout the world offer incentives to healthcare providers that implement EHR systems. Throughout the forecast period, financial incentives from governments are anticipated to propel the global market for electronic health records. Through the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the US federal government promotes the widespread implementation of electronic health records (EHRs). CMS created the Medicare and Medicaid EHR incentive programs in 2011 to incentivize general practitioners (GPs), qualified hospitals, and physician offices/clinics to adopt, install, update, and demonstrate meaningful use of certified electronic health record technology (CEHRT). These initiatives are now known as the Medicare Interoperability Promotion Programme. The UK's Department of Health (DoH) has allotted over GBP 2 billion in funding as part of the NHS Digitization plan to support electronic patient records in all NHS trusts and assist over 500,000 individuals in using digital tools to manage their own homes by 2022.

For instance, in 2021, the Government of India launched a digital health initiative scheme called Ayushman Bharat Digital Mission (ABDM) that aims to provide easy access to treatment records, thereby enabling faster and more effective treatment for patients. (Source:https://www.india.gov.in/spotlight/ayushman-bharat-digital-mission-abdm )

Restraints of the Electronic Health Records Market

Critical security concerns to hinder market growth

Hackers can target any hardware or software-driven system. EHR systems are not impervious to data risks or cyberattacks, either. Targeting specific data sectors might result in patient privacy breaches since healthcare systems worldwide view patient healthcare information as one of their most vital as...

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Healthcare IT Market Size 2025-2029

The healthcare it market size is valued to increase by USD 215.4 billion, at a CAGR of 11.4% from 2024 to 2029. Increasing focus on improving quality of services and efficiency will drive the healthcare it market.

Market Insights

North America dominated the market and accounted for a 46% growth during the 2025-2029.
By End-user - Healthcare providers segment was valued at USD 155.80 billion in 2023
By Component - Services segment accounted for the largest market revenue share in 2023

Market Size & Forecast

Market Opportunities: USD 122.65 billion 
Market Future Opportunities 2024: USD 215.40 billion
CAGR from 2024 to 2029 : 11.4%

Market Summary

The market is witnessing significant advancements as stakeholders increasingly prioritize enhancing the quality of services and operational efficiency. One notable trend is the emergence of Artificial Intelligence (AI) technologies, including emotion recognition, to streamline patient care and improve diagnostic accuracy. However, this digital transformation brings new challenges, particularly in the realm of cybersecurity. Electronic Medical Records (EMRs) are becoming increasingly vulnerable to cybercrime, necessitating robust security measures to safeguard sensitive patient data. A real-world scenario illustrating this challenge is a large hospital network implementing an EMR system to optimize its supply chain management. While the system offers numerous benefits, such as automated inventory management and real-time data access, it also exposes a vast amount of patient data to potential threats. Cybercriminals can exploit vulnerabilities in the system to gain unauthorized access, leading to data breaches and potential financial and reputational damage. Consequently, the hospital invests in advanced security solutions, such as multi-factor authentication and encryption, to mitigate these risks and ensure the confidentiality, integrity, and availability of its data.

What will be the size of the Healthcare IT Market during the forecast period?

Get Key Insights on Market Forecast (PDF) Request Free SampleThe market continues to evolve, with innovative technologies shaping the industry landscape. One notable trend is the increasing adoption of precision medicine platforms, which use genomic data analysis to provide personalized treatment plans. According to recent reports, the global precision medicine market is projected to reach a significant growth rate in the coming years. Pharmacovigilance systems and drug discovery platforms are also gaining traction, as they enable remote diagnostics tools and facilitate chronic disease management. Home healthcare technology, such as electronic prescribing systems and medication adherence programs, contribute to operational efficiency gains and improved patient satisfaction metrics. Health system integration and data interoperability standards, like HL7 FHIR implementation, are crucial for seamless communication between various healthcare providers and systems. Medical imaging AI and claims processing software streamline workflows and reduce costs, while virtual care solutions and care coordination platforms enhance patient care. Moreover, API integration in healthcare and medical device connectivity are essential for streamlining processes and ensuring data accuracy. Telehealth, including mental health services, is becoming increasingly popular, especially in the context of the ongoing pandemic. These advancements require strategic decision-making from healthcare organizations, as they grapple with budgeting, product development, and compliance considerations. By staying informed of the latest trends and technologies, businesses can optimize their operations, improve patient outcomes, and maintain a competitive edge in the ever-evolving the market.

Unpacking the Healthcare IT Market Landscape

In the dynamic healthcare IT landscape, Artificial Intelligence (AI) and Remote Patient Monitoring (RPM) are transformative technologies driving significant improvements. AI adoption in clinical decision support systems has increased by 30%, leading to a 25% reduction in diagnostic errors and a 15% improvement in treatment plans' accuracy. Simultaneously, RPM has seen a 45% increase in usage, resulting in a 20% decrease in hospital readmissions and a 12% improvement in patient engagement.

Revenue cycle management, HIPAA compliance, and medical billing software are essential components of healthcare IT infrastructure. Cloud computing healthcare solutions have streamlined data access, enabling a 35% increase in efficiency and a 20% reduction in costs. Data privacy regulations, medical image processing, and healthcare data security are critical areas where AI and machine learning algorithms excel, ensuring HIPAA compliance and safeguarding sensitive patient information.

Clinical w

Hospital Price Transparency Platform Market Outlook

According to our latest research, the global hospital price transparency platform market size in 2024 stands at USD 1.24 billion, reflecting the rapid adoption of digital solutions for healthcare cost management and regulatory compliance. The market is projected to expand at a robust CAGR of 13.2% from 2025 to 2033, reaching an estimated value of USD 3.61 billion by the end of the forecast period. This significant growth is primarily driven by stringent government regulations mandating transparent healthcare pricing, increasing patient demand for price clarity, and the ongoing digital transformation across healthcare systems worldwide.

A major growth factor for the hospital price transparency platform market is the global push for regulatory compliance, particularly in the United States, where the Centers for Medicare & Medicaid Services (CMS) have implemented rules requiring hospitals to disclose standard charges and negotiated rates. This regulatory landscape compels healthcare providers to adopt sophisticated price transparency platforms, ensuring compliance while avoiding hefty penalties. Furthermore, these platforms facilitate the seamless management and dissemination of complex pricing data, reducing administrative burdens and enhancing operational efficiency. As a result, hospitals and healthcare organizations are increasingly investing in advanced software and services that streamline compliance and foster trust with patients.

Another key driver is the growing consumerization of healthcare, with patients seeking more control over their medical expenses. The rise of high-deductible health plans and increased out-of-pocket costs have made patients acutely aware of healthcare pricing. Hospital price transparency platforms empower patients by providing real-time access to pricing information, enabling informed decision-making and fostering competition among providers. This shift towards patient-centric care is further amplified by digital health trends, with mobile applications and web-based portals making price comparison and financial planning more accessible than ever before. Consequently, healthcare organizations are leveraging these platforms to enhance patient satisfaction and loyalty, gaining a competitive edge in a rapidly evolving market.

Technological advancements and the integration of artificial intelligence (AI) and machine learning (ML) are also propelling the hospital price transparency platform market forward. These technologies enable sophisticated data analytics, predictive modeling, and personalized pricing estimates, addressing the complexities of healthcare billing and reimbursement. AI-powered platforms can automate the extraction, validation, and presentation of pricing data from disparate systems, ensuring accuracy and compliance. Additionally, the adoption of cloud-based deployment models facilitates scalability, data security, and remote access, making these platforms more attractive to healthcare organizations of all sizes. The convergence of regulatory, consumer, and technological trends is thus creating a fertile environment for sustained market growth.

Regionally, North America dominates the hospital price transparency platform market, accounting for the largest share in 2024, followed by Europe and Asia Pacific. The United States is at the forefront due to strict regulatory mandates, high healthcare expenditure, and a mature digital health ecosystem. Europe is witnessing steady growth, driven by increasing healthcare digitization and policy initiatives promoting transparency and patient empowerment. Meanwhile, the Asia Pacific region is emerging as a high-growth market, fueled by expanding healthcare infrastructure, rising adoption of digital health solutions, and growing awareness about healthcare costs. Latin America and the Middle East & Africa are also experiencing gradual uptake, supported by government reforms and investments in health IT. The regional outlook highlights the global momentum towards transparent, efficient, and patient-centric healthcare delivery.

In the context of healthcare pricing, Dynamic Pricing for Imaging Centers is becoming an increasingly relevant concept. As imaging centers face varying levels of demand and operational costs, dynamic pricing models allow them to adjust pri

This statistic depicts a ranking of the top 10 U.S. nonprofit hospital operators based on number of hospitals as of December 2015. At this point, Ascension Health, based in St. Louis, Missouri, was ranked first in the United States, with a total of 76 hospitals.

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Healthcare Business Collaboration Tools Market Size 2025-2029

The healthcare business collaboration tools market size is forecast to increase by USD 59.76 billion at a CAGR of 23.3% between 2024 and 2029.

The digital health market is witnessing significant growth due to the integration of advanced technologies such as artificial intelligence (AI) and telemedicine into healthcare collaboration tools. Digital transformation is catalyzing the adoption of software solutions for aged care, predictive analytics, and remote patient monitoring. Cloud computing and blockchain are enabling secure data sharing and medical information access. The market is experiencing an increase in demand for healthcare analytics, team collaboration software, medical device connectivity, and video conferencing for healthcare services. Key drivers of the market include the increased investment in digital health and the integration of AI to enhance automation and education in healthcare.

What will be the Size of the Healthcare Business Collaboration Tools Market During the Forecast Period?

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The market is experiencing significant growth as the demand for patient-centered care technology and digital solutions continues to rise. Remote patient support, secure communication platforms, and cloud-based healthcare solutions are increasingly being adopted to enhance healthcare delivery and improve patient engagement. Artificial intelligence (AI) and healthcare data security are key focus areas, enabling healthcare innovation through advanced analytics, medical device cybersecurity, and healthcare interoperability solutions. Healthcare crisis communication and workflow automation are also crucial for effective virtual care coordination and remote care management. The market is witnessing a digital health transformation, with virtual healthcare collaboration and telehealth platforms becoming integral components of integrated healthcare systems.
Virtual care delivery, healthcare regulatory compliance, medical data analytics, and medical device connectivity are other significant trends shaping the market. Overall, the healthcare collaboration tools market is poised for continued growth, driven by the need for efficient, secure, and patient-centric healthcare solutions.

How is this Healthcare Business Collaboration Tools Industry segmented and which is the largest segment?

The healthcare business collaboration tools industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

End-user

  Large facilities
  Small and medium facilities


Type

  Communication and coordination software
  Conferencing software


Geography

  North America

    US


  Europe

    Germany
    UK
    France
    Spain


  APAC

    China
    Japan
    South Korea


  Middle East and Africa



  South America

    Brazil

By End-user Insights

The large facilities segment is estimated to witness significant growth during the forecast period.

The market is witnessing significant growth, particularly in large healthcare organizations such as hospitals and extensive healthcare networks. These entities are increasingly adopting advanced collaboration tools to enhance operational efficiency and improve patient care services. For instance, in October 2023, Teladoc Health and Sword Health formed a partnership to offer large healthcare facilities a comprehensive pain treatment platform. This platform integrates digital physical therapy and pelvic health care, providing a holistic approach to pain management. This collaboration signifies the growing trend of incorporating digital health solutions into large healthcare settings, enabling facilities to deliver specialized, accessible, and effective care. Team collaboration software, telemedicine services, real-time communication channels, and artificial intelligence are essential components of these advanced tools.

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The large facilities segment was valued at USD 7.9 billion in 2019 and showed a gradual increase during the forecast period.

Regional Analysis

North America is estimated to contribute 35% to the growth of the global market during the forecast period.

Technavio's analysts have elaborately explained the regional trends and drivers that shape the market during the forecast period.

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The market is witnessing substantial expansion, with North America leading the growth. This trend is fueled by substantial investments in digital health and the adoption of advanced technologies in various healthcare sectors. For instance, in May 2024, the Digital Health Cooperative Research Ce

Overview

New York, NY – Aug 06, 2025 : The Global Healthcare Claims Management Solutions (HCMS) Market is projected to reach US$ 54.9 Billion by 2034, up from US$ 27.4 Billion in 2024. This represents a CAGR of 7.2% during 2025–2034. North America leads the market with a 38.2% share, valued at US$ 10.4 billion in 2024. HCMS platforms allow healthcare providers to submit, track, and manage insurance claims digitally. These tools reduce manual errors, speed up reimbursements, and improve revenue cycle efficiency. As healthcare complexity rises, digital claims solutions are becoming more essential.

Digital transformation is a key driver behind HCMS adoption. According to the World Health Organization, all surveyed countries had integrated digital health into national strategies by 2021. India’s Ayushman Bharat Digital Mission highlights this trend, issuing 670 million ABHA IDs and linking 420 million digital records by September 2024. Such large-scale programs show how governments are pushing structured claims systems. These initiatives enhance transparency, improve record-keeping, and encourage faster processing across public and private healthcare networks.

Automation and artificial intelligence (AI) are further boosting efficiency in claims management. Omega Healthcare Management, for example, automated 100 million transactions using AI since 2020. This resulted in a 40% reduction in documentation time and 50% faster turnaround. Accuracy reached 99.5%, saving over 15,000 employee hours monthly. These benefits highlight the rising demand for AI-powered systems in claims processing. Hospitals, insurers, and clinics increasingly rely on automation to handle large volumes while maintaining accuracy and reducing operational costs.

Cost containment is another major factor fueling market growth. The WHO estimated in 2014 that healthcare fraud and billing errors accounted for 7% of global health expenditures, totaling US$ 487 billion. Digital claims management can cut these losses significantly. Even a 10% improvement could save billions annually. Automated systems reduce fraud, ensure compliance, and flag inconsistencies in billing. As healthcare costs rise, digital solutions that minimize errors and streamline workflows are gaining rapid acceptance across global markets.

The market is also driven by a shift to value-based care. These models reward healthcare providers for quality outcomes rather than service volume. According to the U.S. CMS, provider participation in value-based reimbursement rose 25% between 2023 and 2024. This transition increases demand for tools that handle complex rules, outcome tracking, and reconciliation. Emerging markets like India are also expanding their digital health infrastructure. Widespread use of UPI, eKYC, and facility registration supports scalable and transparent claims processing across diverse healthcare systems.

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Real Time Location Systems (RTLS) For Healthcare Market Size 2025-2029

The real time location systems (RTLS) for healthcare market size is valued to increase USD 8.69 billion, at a CAGR of 33.2% from 2024 to 2029. Need for improved patient safety will drive the real time location systems (RTLS) for healthcare market.

Major Market Trends & Insights

North America dominated the market and accounted for a 33% growth during the forecast period.
By Technology - RFID segment was valued at USD 345.90 billion in 2023
By Component - Hardware segment accounted for the largest market revenue share in 2023

Market Size & Forecast

Market Opportunities: USD 1.00 million
Market Future Opportunities: USD 8691.40 million
CAGR : 33.2%
North America: Largest market in 2023

Market Summary

The market is a dynamic and evolving sector, driven by the increasing need for improved patient safety and efficiency in healthcare facilities. Core technologies, such as RFID, Wi-Fi, and Bluetooth Low Energy (BLE), power these systems, enabling real-time tracking of assets, equipment, and personnel. Applications range from patient monitoring and workflow optimization to inventory management and asset utilization. Service types, including hardware installation, software support, and consulting, cater to various client needs. Regulations, such as the FDA's Unique Device Identification (UDI) system, are shaping the market's direction. The market's growth is influenced by factors like the integration of RTLS with electronic health records (EHRs) and the potential for increased operational efficiency.
However, challenges, including interference from other wireless technologies, remain. By 2025, it is estimated that over 50% of hospitals worldwide will adopt RTLS solutions, underscoring the market's potential. Related markets such as telehealth and remote patient monitoring also contribute to the growing importance of real-time location tracking in healthcare.

What will be the Size of the Real Time Location Systems (RTLS) For Healthcare Market during the forecast period?

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How is the Real Time Location Systems (RTLS) For Healthcare Market Segmented and what are the key trends of market segmentation?

The real time location systems (RTLS) for healthcare industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Technology

  RFID
  WiFi
  UWB
  BLE
  Others


Component

  Hardware
  Software
  Services


Application

  Inventory or asset tracking and monitoring
  Personnel locating and monitoring
  Access control and security
  Environmental monitoring
  Others


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    UK


  APAC

    China
    India
    Japan


  South America

    Brazil


  Rest of World (ROW)

By Technology Insights

The rfid segment is estimated to witness significant growth during the forecast period.

Real-time Location Systems (RTLS) for healthcare are revolutionizing the industry with advanced technologies that offer real-time data visualization, wayfinding applications, and data analytics dashboards. Scalable systems enable location-based alerts for emergency response, mobile applications, and proximity detection for patient tracking and staff location management. Ultra-wideband technology ensures high location tracking accuracy, while cloud-based platforms provide security and surveillance, medication management, and real-time staff tracking. The healthcare sector's growing reliance on technology has led to a significant increase in the adoption of RTLS. For instance, RFID technology, a crucial component of RTLS, is currently used in approximately 30% of hospitals worldwide.

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The RFID segment was valued at USD 345.90 billion in 2019 and showed a gradual increase during the forecast period.

The market is expected to expand further, with an estimated 40% of hospitals planning to implement RTLS solutions within the next five years. These systems offer numerous benefits, including enhanced operational efficiency, improved patient care, and regulatory compliance. Real-time location data enables workflow optimization, indoor positioning systems, and equipment utilization metrics. Integration APIs facilitate seamless integration with asset management software, inventory management systems, healthcare analytics, and access control systems. Falls detection systems, remote patient monitoring, and real-time medication management are other essential applications of RTLS. These solutions contribute significantly to infection control, medical device tracking, and wireless sensor networks.

Compliance reporting and staff lo

Hospital at Home Program Liability Market Outlook

According to our latest research, the global Hospital at Home Program Liability market size reached USD 2.1 billion in 2024, demonstrating robust expansion driven by the surge in home-based healthcare services. The market is forecasted to grow at a CAGR of 10.8% during the period 2025 to 2033, ultimately reaching a projected value of USD 5.3 billion by 2033. This growth is primarily fueled by the increasing adoption of hospital at home (HaH) programs, which are being embraced by healthcare systems worldwide to reduce costs, improve patient outcomes, and address capacity constraints in traditional hospital settings.

The primary growth factor propelling the Hospital at Home Program Liability market is the escalating demand for alternative care delivery models. As healthcare systems face mounting pressure from aging populations, chronic disease prevalence, and post-pandemic capacity challenges, hospital at home programs have emerged as a viable solution for delivering acute, post-acute, and chronic disease care outside traditional hospital environments. This shift has necessitated new liability frameworks to address unique risks associated with remote and home-based care, such as medical malpractice, professional liability, and cyber threats. Insurance providers and healthcare organizations are responding by developing tailored liability products, which is significantly expanding the overall market.

Technological advancements have also played a pivotal role in the growth of the Hospital at Home Program Liability market. The integration of telemedicine, remote monitoring devices, and digital health platforms has enabled healthcare providers to deliver high-quality care in patient homes. However, these innovations introduce new types of liability risks, particularly in data privacy, cybersecurity, and professional responsibility. The need for specialized insurance coverage to mitigate these emerging risks is driving demand for comprehensive liability solutions, further accelerating market growth. Additionally, regulatory bodies are increasingly recognizing and supporting hospital at home models, creating a favorable environment for the expansion of liability insurance offerings tailored to this sector.

Another significant driver is the evolving legal and regulatory landscape surrounding home-based healthcare. Governments and healthcare authorities across North America, Europe, and Asia Pacific are establishing guidelines and reimbursement frameworks to support hospital at home programs. This regulatory clarity is encouraging more healthcare providers to adopt HaH models, while simultaneously necessitating robust liability coverage to ensure compliance and minimize legal exposure. The market is also benefiting from rising patient awareness and acceptance of home-based care, which is translating into greater demand for liability protection among healthcare providers, insurers, and even patients themselves.

Regionally, North America dominates the Hospital at Home Program Liability market, accounting for the largest share in 2024, owing to its advanced healthcare infrastructure, high adoption of digital health technologies, and supportive regulatory environment. Europe follows closely, driven by government initiatives promoting home-based care and the presence of established insurance providers. The Asia Pacific region is poised for the fastest growth, with a projected CAGR of 13.2%, fueled by expanding healthcare access, increasing chronic disease burden, and rapid digital transformation in countries such as China, India, and Japan. Latin America and the Middle East & Africa are also witnessing steady growth, albeit from a smaller base, as healthcare systems in these regions gradually adopt hospital at home models and associated liability coverage.

Service Type Analysis

The Service Type segment of the Hospital at Home Program Liability market encompasses acute care, post-acute care, chronic

Hospital Predictive Maintenance Market Outlook

According to our latest research, the Global Hospital Predictive Maintenance market size was valued at $1.5 billion in 2024 and is projected to reach $6.8 billion by 2033, expanding at a robust CAGR of 18.2% during the forecast period of 2025 to 2033. The primary factor propelling the growth of the hospital predictive maintenance market is the increasing adoption of advanced analytics and artificial intelligence (AI) within healthcare systems, which are revolutionizing asset management and operational efficiency. As hospitals strive to minimize equipment downtime, optimize maintenance schedules, and reduce operational costs, predictive maintenance solutions are becoming indispensable. This shift is further accelerated by the rising complexity of medical devices and the growing emphasis on patient safety and care continuity, compelling healthcare providers worldwide to invest in predictive maintenance technologies.

Regional Outlook

North America currently holds the largest share of the global hospital predictive maintenance market, accounting for over 38% of the total market value in 2024. This dominance is largely attributed to the region’s mature healthcare infrastructure, widespread adoption of digital health technologies, and supportive regulatory frameworks that encourage innovation in hospital asset management. The United States, in particular, is at the forefront, with major healthcare providers integrating AI-driven predictive maintenance software to enhance the reliability of critical medical equipment and facilities. Additionally, significant investments from both public and private sectors, coupled with a strong presence of leading technology vendors, have accelerated the deployment of predictive maintenance solutions in North American hospitals. The region’s focus on minimizing operational costs and improving patient outcomes continues to fuel market expansion.

Asia Pacific is emerging as the fastest-growing region in the hospital predictive maintenance market, projected to register a CAGR exceeding 22% from 2025 to 2033. Rapid urbanization, expanding healthcare infrastructure, and increasing government initiatives to digitalize hospitals are driving the adoption of predictive maintenance technologies across countries such as China, India, Japan, and South Korea. Growing awareness of the benefits of predictive analytics in reducing equipment failures and enhancing patient safety is prompting healthcare providers to invest in advanced maintenance solutions. The influx of international technology players and local startups, combined with escalating healthcare expenditures, is further accelerating market growth in the region. Strategic collaborations between hospitals and technology firms are also fostering innovation and scaling up deployment of predictive maintenance systems.

In emerging economies across Latin America, the Middle East, and Africa, the adoption of hospital predictive maintenance solutions is gradually gaining momentum, though it remains at a nascent stage compared to developed regions. These markets face unique challenges, including limited access to capital, insufficient digital infrastructure, and a shortage of skilled IT professionals. However, localized demand for efficient asset management, coupled with increasing government efforts to modernize healthcare systems, is fostering a gradual shift toward predictive maintenance adoption. Policy reforms aimed at improving healthcare quality and operational efficiency are also encouraging hospitals and clinics to explore digital solutions. Despite these positive trends, the pace of adoption is often hindered by budgetary constraints and the need for customized solutions to address local operational realities.

Report Scope

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US Population Health Management (PHM) Market Size 2025-2029

The us population health management (phm) market size is forecast to increase by USD 6.04 billion at a CAGR of 7.4% between 2024 and 2029.

The Population Health Management (PHM) market in the US is experiencing significant growth, driven by the increasing adoption of healthcare IT solutions and analytics. These technologies enable healthcare providers to collect, analyze, and act on patient data to improve health outcomes and reduce costs. However, the high perceived costs associated with PHM solutions pose a challenge for some organizations, limiting their ability to fully implement and optimize these technologies. Despite this obstacle, the potential benefits of PHM, including improved patient care and population health, make it a strategic priority for many healthcare organizations. To capitalize on this opportunity, companies must focus on cost-effective solutions and innovative approaches to addressing the challenges of PHM implementation and optimization. By leveraging advanced analytics, cloud technologies, and strategic partnerships, organizations can overcome cost barriers and deliver better care to their patient populations.

What will be the size of the US Population Health Management (PHM) Market during the forecast period?

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The Population Health Management (PHM) market in the US is experiencing significant advancements, integrating various elements to improve patient outcomes and reduce healthcare costs. Public health surveillance and data governance ensure accurate population health data, enabling healthcare leaders to identify health disparities and target interventions. Quality measures and health literacy initiatives promote transparency and patient activation, while data visualization and business intelligence facilitate data-driven decision-making. Behavioral health integration, substance abuse treatment, and mental health services address the growing need for holistic care, and outcome-based contracts incentivize providers to focus on patient outcomes. Health communication, community health workers, and patient portals enhance patient engagement, while wearable devices and mHealth technologies provide real-time data for personalized care plans. Precision medicine and predictive modeling leverage advanced analytics to tailor treatment approaches, and social service integration addresses the social determinants of health. Health data management, data storytelling, and healthcare innovation continue to drive market growth, transforming the industry and improving overall population health.

How is this market segmented?

The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments. ProductSoftwareServicesDeploymentCloudOn-premisesEnd-userHealthcare providersHealthcare payersEmployers and government bodiesGeographyNorth AmericaUS

By Product Insights

The software segment is estimated to witness significant growth during the forecast period.

Population Health Management (PHM) software in the US gathers patient data from healthcare systems and utilizes advanced analytics tools, including data visualization and business intelligence, to predict health conditions and improve patient care. PHM software aims to enhance healthcare efficiency, reduce costs, and ensure quality patient care. By analyzing accurate patient data, PHM software enables the identification of community health risks, leading to proactive interventions and better health outcomes. The adoption of PHM software is on the rise in the US due to the growing emphasis on value-based care and the increasing prevalence of chronic diseases. Machine learning, artificial intelligence, and predictive analytics are integral components of PHM software, enabling healthcare payers to develop personalized care plans and improve care coordination. Data integration and interoperability facilitate seamless data sharing among various healthcare stakeholders, while data visualization tools help in making informed decisions. Public health agencies and healthcare providers leverage PHM software for population health research, disease management programs, and quality improvement initiatives. Cloud computing and data warehousing provide the necessary infrastructure for storing and managing large volumes of population health data. Healthcare regulations mandate the adoption of PHM software to ensure compliance with data privacy and security standards. PHM software also supports care management services, patient engagement platforms, and remote patient monitoring, empowering patients to take charge of their health. Welln

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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?

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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

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Electronic Health Records Market Size 2025-2029

The electronic health records market size is forecast to increase by USD 49.41 billion, at a CAGR of 14.8% between 2024 and 2029. Benefits of EHR leading to rise in adoption will drive the electronic health records market.

Major Market Trends & Insights

North America dominated the market and accounted for a 45% growth during the forecast period.
By Deployment - On-premises segment was valued at USD 17.86 billion in 2023
By Component - Services segment accounted for the largest market revenue share in 2023

Market Size & Forecast

Market Opportunities: USD 269.86 billion
Market Future Opportunities: USD 49407.30 billion 
CAGR : 14.8%
North America: Largest market in 2023

Market Summary

The Electronic Health Records (EHR) Market is a dynamic and evolving sector that continues to shape the future of healthcare delivery. Core technologies, such as cloud computing and artificial intelligence, are revolutionizing the way healthcare providers manage patient data, leading to increased adoption rates. According to recent studies, the global EHR market is expected to reach a significant market share by 2026, growing at a steady pace due to the rising demand for self-medication and homecare medical devices. However, this growth is not without challenges. Data security and privacy concerns persist, with cyberattacks and breaches posing a significant threat to patient information.
Despite these challenges, opportunities abound, particularly in the areas of telemedicine and remote patient monitoring. As the market continues to unfold, it is essential to keep abreast of the latest trends and developments. Related markets such as telehealth and health information exchanges also play a crucial role in the EHR landscape.

What will be the Size of the Electronic Health Records Market during the forecast period?

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How is the Electronic Health Records Market Segmented and what are the key trends of market segmentation?

The electronic health records industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD billion' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments.

Deployment

  On-premises
  Cloud-based


Component

  Services
  Software
  Hardware


Business

  Licensed Software
  Technology Resale
  Subscriptions
  Professional Services
  Others
  Licensed Software
  Technology Resale
  Subscriptions
  Professional Services
  Others


Type

  Standalone
  Integrated
  Standalone
  Integrated


End-User

  Physician Offices
  Hospitals
  Others
  Physician Offices
  Hospitals
  Others


Geography

  North America

    US
    Canada


  Europe

    France
    Germany
    Italy
    Spain
    UK


  APAC

    China
    India
    Japan


  Rest of World (ROW)

By Deployment Insights

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

In the dynamic and evolving landscape of healthcare technology, Electronic Health Records (EHR) continue to play a pivotal role. According to recent reports, over 80% of US hospitals and 60% of physician offices currently use EHR systems, illustrating significant market penetration. Looking ahead, industry forecasts suggest that data security protocols, reporting and analytics, and population health management will drive future growth. Data security is a top priority, with 57% of healthcare organizations investing in advanced security measures. Remote patient monitoring and data interoperability are also gaining traction, with 30% of healthcare providers adopting these technologies. EHR company selection, health information exchange, and telehealth integration are essential components of a comprehensive EHR strategy.

Data governance policies, clinical documentation improvement, API integration, and system scalability are crucial for efficient EHR implementation. Population health management, clinical decision support, and disaster recovery planning are key areas of focus for improving patient care and operational efficiency. On-premise EHR systems offer physical control and long-term cost savings, but integration challenges persist. Approximately 20% of healthcare organizations still use on-premises EHR, citing benefits such as increased control and lower costs. However, these systems often require significant resources for implementation, maintenance, and customization. EHR implementation lifecycle, user access management, and audit trails are essential considerations for organizations implementing EHR systems.

Cloud-based EHR systems offer flexibility and scalability, with 70% of healthcare providers considering a cloud deployment. Data validation rules, patient portal access, and HL7 FHIR standard are ess

In 2024, UnitedHealthcare Group was the largest healthcare company in the United States by revenue with over *** billion U.S. dollars, followed by CVS Health and McKesson. This statistic shows the ten largest healthcare companies in the U.S. as of June 2024, by revenue.

Healthcare Advertising Market Outlook

The global healthcare advertising market size was valued at approximately USD 47.5 billion in 2023 and is projected to reach USD 82.5 billion by 2032, growing at a CAGR of 6.2% from 2024 to 2032. This market's robust growth is driven primarily by the increasing demand for pharmaceutical products, the rising prevalence of chronic diseases, and the expanding geriatric population. Additionally, the rapid advancements in digital marketing technologies and the growing health awareness among the global population are significant factors propelling the market forward.

The healthcare advertising market is experiencing substantial growth due to the increasing focus on patient-centric approaches by healthcare providers and pharmaceutical companies. The shift towards personalized medicine has driven the need for targeted advertising campaigns, ensuring that the right message reaches the right audience. This trend is particularly evident in the digital segment, where the use of data analytics and AI-driven strategies allows for highly customized marketing efforts. Moreover, the growing awareness and education about various health conditions among the public have further fueled the demand for informative and engaging healthcare advertisements.

Another significant growth factor for the healthcare advertising market is the surge in healthcare expenditure globally. Governments and private sectors are investing heavily in healthcare infrastructure and services, thereby creating a conducive environment for advertising activities. The increasing number of healthcare facilities, including hospitals, clinics, and specialized care centers, necessitates robust marketing strategies to attract patients and promote new treatments and technologies. Furthermore, the pharmaceutical industry's continuous innovation and introduction of new drugs and therapies require effective advertising to educate healthcare professionals and consumers.

The digital transformation across the healthcare sector has also played a pivotal role in the market's expansion. With the widespread adoption of smartphones, social media, and other digital platforms, healthcare advertisers are leveraging these channels to reach a broader audience more efficiently. Digital advertising allows for real-time engagement, feedback, and adjustments, making it a cost-effective and dynamic marketing tool. The rise of telemedicine and online health consultations during the COVID-19 pandemic further accelerated the adoption of digital advertising, highlighting its importance in the modern healthcare landscape.

From a regional perspective, North America holds the largest share of the healthcare advertising market, driven by advanced healthcare systems, high healthcare spending, and the presence of major pharmaceutical companies. Europe follows closely, with significant contributions from countries like Germany, France, and the UK, where the healthcare sector is well-established and continuously growing. The Asia Pacific region is expected to witness the highest growth rate during the forecast period, attributed to the rapidly developing healthcare infrastructure, increasing population, and rising disposable incomes. Meanwhile, Latin America and the Middle East & Africa are also showing promising growth potential due to improving healthcare services and increased investment in the healthcare sector.

Type Analysis

The healthcare advertising market can be segmented by type into traditional and digital advertising. Traditional advertising, which includes television, radio, and print media, remains a significant part of the market. Despite the surge in digital technologies, traditional advertising continues to hold value due to its broad reach and ability to target specific demographics effectively. Television ads, for instance, are still a powerful tool for pharmaceutical companies to promote new drugs and treatments, especially to an older audience that may not be as digitally connected. Radio and print media also continue to play a critical role in reaching rural and less tech-savvy populations.

Digital advertising, however, is rapidly outpacing traditional methods due to the growing internet penetration and the increasing use of digital devices. This segment includes a variety of channels such as online ads, social media marketing, email campaigns, and mobile ads. The significant advantage of digital advertising lies in its ability to offer targeted and personalized content, track user engagement in real-time, and provide measurable ROI. Pharmaceutical companies and healthcare prov

Healthcare Data Quality Monitoring Platforms Market Outlook

According to our latest research, the Global Healthcare Data Quality Monitoring Platforms market size was valued at $1.7 billion in 2024 and is projected to reach $5.2 billion by 2033, expanding at an impressive CAGR of 13.2% during 2024–2033. The primary driver fueling this remarkable growth is the escalating demand for accurate, real-time healthcare data to support clinical decision-making, regulatory compliance, and operational efficiency. As healthcare providers and payers increasingly digitize their operations and embrace value-based care models, the need for robust data quality monitoring platforms has become critical to ensure data integrity, patient safety, and optimized resource allocation. The proliferation of electronic health records (EHRs), interoperability mandates, and the integration of advanced analytics into healthcare workflows are further accelerating the adoption of these platforms globally.

Regional Outlook

North America currently dominates the Healthcare Data Quality Monitoring Platforms market, capturing the largest market share of nearly 41% in 2024. This leadership position is primarily attributed to the region’s mature healthcare infrastructure, early adoption of health IT solutions, and stringent regulatory frameworks such as HIPAA and the HITECH Act. The presence of major healthcare IT vendors, coupled with significant investments in digital transformation initiatives by both public and private sectors, has fostered a fertile environment for the proliferation of data quality monitoring technologies. Additionally, the rising incidence of healthcare fraud, growing demand for precision medicine, and the increasing focus on patient-centric care models have further propelled the adoption of these platforms across hospitals, payers, and research organizations in the United States and Canada.

Asia Pacific is poised to be the fastest-growing region in the Healthcare Data Quality Monitoring Platforms market, projected to expand at a robust CAGR of nearly 16.5% from 2024 to 2033. The rapid digitalization of healthcare systems, burgeoning investments in health IT infrastructure, and government-led initiatives to promote interoperability and data standardization are key growth drivers in this region. Countries such as China, India, Japan, and Australia are witnessing a surge in healthcare data volumes, driven by expanding insurance coverage, rising chronic disease prevalence, and the adoption of telemedicine solutions. Strategic partnerships between global technology providers and local healthcare organizations, coupled with favorable policy reforms, are further catalyzing market growth in Asia Pacific.

Emerging economies in Latin America, the Middle East, and Africa are gradually recognizing the value of Healthcare Data Quality Monitoring Platforms, though adoption remains at a nascent stage due to infrastructure limitations and budgetary constraints. In these regions, localized demand is often shaped by government mandates for electronic health records and the need to improve public health surveillance. However, challenges such as limited skilled workforce, data privacy concerns, and inconsistent regulatory enforcement hinder widespread adoption. Despite these hurdles, increasing awareness among healthcare stakeholders and pilot projects supported by international organizations are expected to drive incremental growth in these markets over the forecast period.

Report Scope

The largest all-payer ambulatory surgery database in the United States, the Healthcare Cost and Utilization Project (HCUP) Nationwide Ambulatory Surgery Sample (NASS) produces national estimates of major ambulatory surgery encounters in hospital-owned facilities. Major ambulatory surgeries are defined as selected major therapeutic procedures that require the use of an operating room, penetrate or break the skin, and involve regional anesthesia, general anesthesia, or sedation to control pain (i.e., surgeries flagged as "narrow" in the HCUP Surgery Flag Software). Unweighted, the NASS contains approximately 9.0 million ambulatory surgery encounters each year and approximately 11.8 million ambulatory surgery procedures. Weighted, it estimates approximately 11.9 million ambulatory surgery encounters and 15.7 million ambulatory surgery procedures. Sampled from the HCUP State Ambulatory Surgery and Services Databases (SASD) and State Emergency Department Databases (SEDD) in order to capture both planned and emergent major ambulatory surgeries, the NASS can be used to examine selected ambulatory surgery utilization patterns. Developed through a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality, HCUP data inform decision making at the national, State, and community levels. The NASS contains clinical and resource-use information that is included in a typical hospital-owned facility record, including patient characteristics, clinical diagnostic and surgical procedure codes, disposition of patients, total charges, facility characteristics, and expected source of payment, regardless of payer, including patients covered by Medicaid, private insurance, and the uninsured. The NASS excludes data elements that could directly or indirectly identify individuals, hospitals, or states. The NASS is limited to encounters with at least one in-scope major ambulatory surgery on the record, performed at hospital-owned facilities. Procedures intended primarily for diagnostic purposes are not considered in-scope. Restricted access data files are available with a data use agreement and brief online security training.