A journey inside Epic Programs' legendary and sprawling campus, a world away from Wall Avenue

Dorothy Gale was proper — the Land of Oz isn’t in Kansas. Reasonably, it is nestled inside the rolling inexperienced fields of Verona, Wisconsin, a city of almost 16,400 individuals positioned about 10 miles southwest of the capital metropolis of Madison.

Verona is house to the whimsical, sprawling 1,670-acre headquarters for Epic Programs, one of many largest privately held U.S. tech corporations. Epic’s software program is seemingly ubiquitous throughout hospitals and clinics, storing the medical data of greater than 280 million individuals within the U.S.

Whereas the corporate’s workforce is tasked with the hefty duty of constructing instruments to help medical doctors and nurses as they supply care to sufferers, Epic staff spend their days milling out and in of places of work that look as in the event that they had been plucked straight from the pages of a sci-fi novel or kids’s ebook.

A yellow brick highway impressed by “The Wizard of Oz” winds by means of the hallways of a gleaming, emerald inexperienced constructing. Big chocolate chips mark the entryway to the chocolate manufacturing unit, and a mischievous cat grins by means of the window of a constructing guarded by life-sized enjoying playing cards.  

Final week, hundreds of health-care executives descended on Epic’s sprawling campus for the corporate’s annual Customers Group Assembly, partially to listen to about new merchandise and upcoming initiatives. This 12 months’s theme was “storytime,” and Judy Faulkner, the corporate’s 81-year-old CEO, took the stage dressed as a swan, full with a plume of feathers in her hair.

Faulkner, a reserved mathematician who based Epic in a basement in 1979, advised the group that the encompassing buildings and their maintenance account for 8% of the corporate’s whole bills. However she made the plain level, that it is so much cheaper for Epic to purchase land and construct in Verona than it could be in a tech hub like San Francisco, Seattle or New York. And on this small midwestern city, the corporate is way from huge metropolis distractions.

“Most of us in software program growth are energetic sci-fi readers,” Faulkner stated throughout her keynote. 

For public market buyers, Epic has at all times been considerably of a fantasy.

The corporate, with its 14,000-person workforce, does not observe a preordained finances, has made zero acquisitions and by no means accepted any funding from enterprise capitalists. It abides by its personal set of Ten Commandments, in accordance with its web site, the primary of which is, “don’t go public.”

Epic generated income final 12 months of $4.9 billion. Cerner, Epic’s high rival within the digital medical data market, went public in 1986 and was acquired by Oracle in 2022 for over $28 billion. In keeping with Oracle’s financials, Cerner contributed $5.9 billion in income in fiscal 2023.

The S&P 500’s sub-index of software program and companies corporations trades for 9 instances income. On the common, that might give Epic a valuation of roughly $45 billion.

Faulkner does not take care of a Cerner-like consequence. Epic’s second commandment, in spite of everything, is “don’t be acquired.”

“Why be owned by individuals whose curiosity is primarily return of fairness?” Faulkner stated onstage final week.

Touring Epic’s campus, it is clear that the corporate exists a universe away from Wall Avenue.

Every of Epic’s 28 workplace constructing is themed. They’re clustered into mini-campuses, with names like Prairie Campus, Farm Campus, Central Park Campus, Wizards Academy Campus and Storybook Campus. The buildings have gotten extra ornate through the years, which has necessitated some haggling with architects, in accordance with Epic’s web site.

Convention room chairs match their buildings’ intricate themes. And whereas the campus’ dinosaurs, fits of armor and its functioning carousel are enjoyable to watch, additionally they serve a goal. Faulkner says her plan was to construct a pleasant surroundings that might entice and encourage expertise and to make sure that her staff have the quiet area they have to be productive, in accordance with a collection of testimonials on Epic’s web site.  

“We compete with huge tech,” Faulkner stated in a testimonial. “These attributes assist us rent the most effective workers potential. That helps us be extra productive.”

Faulkner says particular person places of work needs to be obtainable to each employee who desires one. With the overwhelming majority of the corporate’s workforce exhibiting up day by day to headquarters, some individuals double up, since hiring typically outpaces building.

Those that need to escape the workplace altogether, can hop on one of many firm’s 600 cow-print bikes to take conferences from a treehouse, slide down a rabbit gap or seize lunch in a practice automotive. 

A universe underground

Epic’s deal with supplies the primary clue of its netherworld existence. The corporate is positioned at 1979 Milky Manner, a nod to the date of its inception and Faulkner’s affinity for a celestial theme.

Guests are greeted by an indication that reads “Epic Intergalactic Headquarters” as they journey down a highway that winds between buildings and huge fields of inexperienced. Round 750 acres of Epic’s campus are energetic farmland sprinkled with 42 sheep, 14 cows and a donkey.   

Nearly all of the corporate’s parking buildings are underground, which helps the campus preserve a powerful really feel from above. It additionally means staff do not have to fret about scraping snow or ice off of their automobiles throughout the bitter midwestern winter. 

Even when not parking, employees are not any strangers to the underground. The campus’ buildings are related by way of a community of tunnels and enclosed skyways, so individuals do not should step outdoors to journey between them. 

Workers are additionally required to attend a month-to-month workers assembly in an underground auditorium known as Deep Area. The conferences final for round two hours, and staff current initiatives and talk about business traits.

They at all times embody a grammar lesson, too, Faulkner advised the Customers Group Assembly within the auditorium, which opened in 2013 and might seat round 11,400 individuals. The room is a feat of engineering, as there are not any pillars holding it up.

To get to Deep Area, guests should descend by means of ranges of the Earth. The completely different ranges of the constructing are named Sky, Grass, Grime, Rock, Magma and Core. The foyer outdoors the auditorium is impressed by “The Lord of the Rings” collection, and the phrase “treasured” is scrawled ominously on the wall in big, glowing purple letters.   

Sci-fi references are in all places. There is a cafeteria known as 42, which is the reply to the query of life, the universe and every little thing within the “The Hitchhiker’s Information to the Galaxy.” The Wizards Academy Campus attracts clear inspiration from “Harry Potter,” and has its personal King’s Cross practice station, big chess set and assortment of unruly portraits.  

Epic is constructing a model new campus, on the identical grounds, that is impressed by epic fantasies like “Recreation of Thrones” and “Star Wars.” The cranes had been embellished with huge kites that soared excessive above the campus throughout final week’s occasion.

Although every workplace constructing sports activities its personal distinctive theme, the skeleton of the bodily buildings are all very related. Lengthy hallways of places of work are damaged up by the occasional convention room, and most buildings are not more than three tales tall, a design selection that Faulkner says is meant to advertise in-person conferences.

The Prairie Campus, house to the oldest places of work at Epic, has buildings named after celestial our bodies like stars, planets and galaxies.  

On the Storybook Campus, the constructing known as Thriller appears like an previous mansion, the place one may simply think about Sherlock Holmes wandering the halls. The Castaway constructing resembles a ship, and its inside is filled with nautical decor.

The partitions in lots of the buildings are embellished from ground to ceiling. Trinkets, ceramics, mosaics and work sourced from native artists are displayed at each flip.

Wandering the grounds throughout the Customers Group Assembly, it was straightforward to neglect that Epic is a software program firm.

Nevertheless, on the surface of its fantasy campus, medical professionals and their sufferers have very real-world wants from this huge know-how vendor. And there are many very actual critics.

Epic has for years been accused of dragging its ft round interoperability efforts that might assist streamline the trade of affected person info between distributors.

Well being-care knowledge within the U.S. has traditionally been siloed and troublesome to maneuver round, as clinics, hospitals and well being programs can retailer their info in quite a lot of codecs throughout dozens of various distributors. The information can also be protected by federal legal guidelines just like the Well being Insurance coverage Portability and Accountability Act, or HIPAA.

Oracle, which is now Epic’s chief rival, says Epic is fiercely protecting over its turf. In a Could weblog submit, Oracle Government Vice President Ken Glueck wrote that “everybody within the business understands that Epic’s CEO Judy Faulkner is the one largest impediment to EHR interoperability.”

Epic has of late been serving to the federal authorities set up an information trade community known as the Trusted Trade Framework and Widespread Settlement, or TEFCA, which goals to iron out each the authorized and technical necessities for sharing sufferers’ knowledge at scale. Epic stated final month that it is planning on shifting all of its clients to TEFCA by the tip of subsequent 12 months.

However the firm nonetheless plans to make use of its intensive proprietary community. At its Customers Group Assembly, Epic introduced a lot of new generative synthetic intelligence options for its Cosmos platform, which is a deidentified affected person dataset that clinicians can use to help therapy and conduct analysis.

Seth Hain, Epic’s senior vice chairman of analysis and growth, spoke to reporters after the keynote in a gathering room embellished like a lodge. Hain had simply introduced a lofty demo to the viewers the place an AI agent evaluated his restoration after a supposed wrist surgical procedure by cross-referencing knowledge from Cosmos.

He stated these kinds of instruments may very well be prepared in as quickly as a number of years.

“The know-how is progressing very quickly,” Hain stated.

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