Introduction
Epic dominates the US hospital EHR market, with roughly 40% or more of US acute care hospitals and a majority of large academic medical centres on its software. Growth at home increasingly comes from replacing smaller competitors and expanding products such as Cosmos, MyChart and AI. Internationally, Epic is present in a smaller set of countries, including the UK, the Netherlands, Denmark, Finland, Norway, Canada, Australia, Singapore, Saudi Arabia and the UAE, and at its 2026 user group meeting it highlighted 17 countries in its community, with Charité in Berlin as the newest. The prompt asks how Epic should approach international expansion over the next five years. This is a hard strategy question because healthcare systems differ deeply by country: funding models, regulation, languages, data residency and clinical workflows.
Open with Epic's distinctive constraints: it is privately held, has historically grown without acquisitions, and builds almost everything in-house from Verona. Strategy must fit that culture.
Step 1
Clarify the Strategic Goals (3-4 minutes)
- Hypothetical answer: Sustainable growth and broader impact, while protecting quality for existing customers.
- Hypothetical answer: Five years.
- Hypothetical answer: Epic prefers to grow through its own staff rather than partners, and leadership won't risk US customer satisfaction.
- Hypothetical answer: Open, but focus on high-income countries with large hospital systems.
Strategic goal: Expand Epic's international footprint in a few carefully chosen markets where it can deliver US-level outcomes, building local capabilities that make each new customer easier than the last.
Practice similar questions
Subscribe to access the full answer
.png){kind=logo}
