§ 17 · SECTOR DEEP DIVE · 2 PLATFORMS
Healthcare Information Systems
Where patient data, regulatory compliance, and clinical workflows create the deepest institutional lock-in.
2
Platforms
10.27
Mean B
10.27
Median B
2/2
Above B = 1
Key Structural Finding
Healthcare IT represents the most extreme institutional lock-in in the entire BHI universe outside critical infrastructure. Epic Systems (B=11.91) controls 43.7% of US EHR market with migrations costing $100M+ and taking 3–5 years. Oracle Health/Cerner (B=8.43) holds the $10B+ VA contract — the single largest healthcare IT procurement in history. The regulatory dimension amplifies switching costs by 3–5x versus generic enterprise software: HIPAA compliance, clinical validation, and patient safety requirements mean that EHR migrations are not IT projects but institutional transformations.
Sector Rankings — Epic (12.34) to Oracle (8.20)
| # | Platform | Ticker | Mkt Cap | Capture | Escape | B | Zone |
|---|---|---|---|---|---|---|---|
| 01 | Epic Systems | Private | $40B+ | 2.61 | 0.21 | 12.34 | BLACK HOLE |
| 02 | Oracle Health (Cerner) | ORCL sub | N/A | 1.76 | 0.21 | 8.20 | BLACK HOLE |
B-Index Distribution
Mean Parameter Profile
Capture Escape Extended