United States Healthcare Facilities Management Market By Service (Hard Service, Soft Service), By Application (Hospitals, Ambulatory Service Centers, Clinics, Long-Term Healthcare Facilities, Others), By Product Type (Security, Catering, Cleaning, Support, Others), By Region, Competition, Forecast and Opportunities, 2021-2031F

Forecast Period	2027-2031
Market Size (2025)	USD 84.17 BIllion
CAGR (2026-2031)	10.41%
Fastest Growing Segment	Cleaning
Largest Market	Northeast
Market Size (2031)	USD 152.48 BIllion

Market Overview

The United States Healthcare Facilities Management Market will grow from USD 84.17 BIllion in 2025 to USD 152.48 BIllion by 2031 at a 10.41% CAGR. The United States Healthcare Facilities Management Market involves the strategic maintenance, security, and operational oversight of medical infrastructure to ensure safe and functional environments for patient care. The primary drivers supporting market growth include the imperative to optimize operational costs through outsourcing and the increasing demand for specialized services to meet rigorous regulatory standards. Additionally, the rising complexity of building systems necessitates professional management to guarantee reliability and adherence to strict safety protocols required by accreditation bodies.

However, a significant challenge hindering market expansion is the prevalence of deteriorating infrastructure, which demands substantial capital for repairs rather than strategic upgrades. This issue is exacerbated by budget constraints that force organizations to delay essential modernization projects. According to the American Society for Health Care Engineering, in its 2024 Hospital Operations Survey, 80% of respondents cited aging facilities and infrastructure as their leading operational concern. This backlog of deferred maintenance complicates efficient facility management and impedes broader market progress.

Key Market Drivers

The growing emphasis on sustainability and green building practices is fundamentally reshaping the market as healthcare organizations strive to reduce their environmental footprint while lowering operational expenses. Facilities are increasingly integrating energy-efficient systems and waste reduction protocols to meet internal environmental goals and external community expectations. This shift is not merely regulatory but financial, as energy savings directly correlate with improved bottom lines. According to Practice Greenhealth, May 2024, in the '2024 Sustainability Benchmark Report', participating health care facilities saved more than $182 million through various sustainability initiatives in 2023.

The need for operational cost optimization and workflow efficiency has become a critical determinant of facility management strategies due to persistent financial headwinds. With inflation impacting construction materials and labor, healthcare leaders are compelled to refine their capital projects and maintenance schedules to ensure financial viability without compromising patient care standards. This pressure drives the adoption of leaner project delivery methods and the strategic resizing of upgrades. According to Health Facilities Management, March 2024, in the '2024 Hospital Construction Survey', 65% of respondents indicated they had reduced the scope of their projects to manage construction challenges. Furthermore, the broader market reflects a shift toward high-value assets; according to CBRE, in 2024, medical outpatient building investment volume rose by 38% year-over-year to $2.5 billion in the second quarter.

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Key Market Challenges

The prevalence of deteriorating infrastructure, exacerbated by stringent budget constraints, acts as a substantial barrier to the growth of the United States Healthcare Facilities Management Market. As medical institutions grapple with aging physical assets, limited financial resources force a shift toward reactive maintenance rather than strategic investment. This reliance on a fix-on-fail methodology diverts funds from comprehensive facility management contracts and prevents the adoption of advanced building systems that require professional oversight. Consequently, service providers face a stagnant environment where potential clients are unable to commit to the high-value, long-term partnerships that drive market revenue.

The depth of this financial strain creates a cycle of deferred maintenance that further restricts market opportunities. According to the American Hospital Association, in 2025, 94% of healthcare administrators expected to delay essential equipment and infrastructure upgrades to manage escalating financial strain. This distinct lack of investment in modernization means facilities remain reliant on obsolete systems that are inefficient to manage, thereby reducing the demand for specialized, forward-looking management services. By halting necessary upgrades, healthcare organizations inadvertently limit the scope and scale of the facilities management market.

Key Market Trends

The adoption of AI-driven predictive analytics and digital twin technology is becoming a foundational element in modernizing healthcare maintenance strategies, moving beyond simple automation to holistic asset reliability. By creating virtual replicas of physical systems, facility managers can simulate operational scenarios and predict equipment failures before they disrupt critical patient care activities. This technological shift enables a move from reactive repairs to condition-based maintenance, significantly extending the lifecycle of aging assets while ensuring uninterrupted availability of medical infrastructure. According to Siemens, April 2024, in the 'Infrastructure Transition Monitor', 38% of respondents identified data-driven management systems as a budget priority to maximize the utility of existing infrastructure. This investment prioritization highlights the sector's intent to leverage real-time data for operational resilience rather than solely relying on capital-intensive replacements.

Simultaneously, the market is witnessing a structural transition toward Integrated Facility Management (IFM) and bundled service models, largely driven by the consolidation of healthcare networks and the complexity of regulatory compliance. As health systems expand, the administrative burden of managing fragmented vendor contracts for security, engineering, and sanitation becomes unsustainable, prompting a shift toward single-partner solutions that offer scalability and specialized expertise. This trend is particularly pronounced among larger institutions that require standardized protocols across multiple sites to mitigate labor shortages. According to Health Facilities Management, February 2024, in the '2024 Hospital Operations Survey', organizations with more than 500 beds reported the highest outsourcing rate at 42%, reflecting a strategic reliance on external partners to manage comprehensive facility operations. This consolidation of services allows healthcare providers to ensure consistent adherence to safety standards across their entire portfolio while streamlining vendor governance.

Segmental Insights

The cleaning segment is currently identified as the fastest-growing category within the United States healthcare facilities management market, driven by an intensified focus on infection prevention and control. Medical institutions are increasingly adopting rigorous sanitation protocols to comply with stringent guidelines established by the Centers for Disease Control and Prevention. This operational shift aims to minimize the prevalence of healthcare-associated infections, compelling administrators to invest heavily in specialized environmental hygiene services. Consequently, the reliance on professional management teams to maintain sterile environments and ensure regulatory adherence is driving substantial demand for these essential operations.

Regional Insights

The Northeast United States maintains a leading position in the Healthcare Facilities Management Market due to a high density of established medical centers and academic health systems. This region possesses a significant volume of aging infrastructure that requires frequent maintenance and renovation to support modern healthcare delivery. Furthermore, strict adherence to safety and operational standards set by organizations such as The Joint Commission drives the need for professional facility oversight. Consequently, the combination of infrastructure modernization requirements and rigorous regulatory compliance ensures sustained demand for management services throughout the region.

Recent Developments

• In October 2025, Aramark announced a significant multi-year agreement with the University of Pennsylvania Health System to deliver comprehensive healthcare support services. This contract, marking one of the largest in the company's history, encompassed patient and retail food services, environmental services, patient transportation, and an integrated call center across a seven-hospital network. The collaboration aimed to streamline operations and enhance patient care by integrating advanced technologies, such as an AI-driven patient menu platform and robotic solutions for cleaning and logistics. The partnership highlighted Aramark's strategic focus on expanding its footprint in the high-margin healthcare facilities management sector.
• In April 2025, JLL launched its Healthcare Center of Excellence, a new hub dedicated to helping health systems and providers optimize their medical property portfolios. This initiative was established to address the rising demand for outpatient services and the shift away from traditional hospital stays. The center provided clients with specialized expertise and resources to navigate the evolving healthcare real estate market, capitalizing on trends such as the projected growth in medical outpatient building usage. The hub utilized data-driven strategies to support leasing advisory businesses and assist clients in securing integrated facilities management solutions that improve financial performance.
• In July 2024, Compass One Healthcare announced the renewal and extension of its exclusive partnership with Press Ganey, a healthcare transformation company, for an additional three years. This collaboration focused on identifying and developing industry best practices to significantly elevate the patient experience within healthcare facilities. The partnership leveraged advanced data and analytics to enhance a broad spectrum of support services, including environmental services, facilities management, patient transportation, and sterile processing. By integrating these insights, the companies aimed to support key areas of care, improve patient safety, and drive operational excellence across hospital systems nationwide.
• In May 2024, Sodexo was awarded a national group purchasing agreement with Premier, Inc., a leading healthcare improvement company uniting thousands of U.S. hospitals. This strategic collaboration enabled Premier members to leverage special pricing and pre-negotiated terms for Sodexo’s extensive portfolio of food and nutrition management services. The agreement covered patient and clinical nutrition, retail platforms, and patient engagement solutions, designed to deliver transparent operational efficiencies. By combining Sodexo’s global resources with Premier’s data-driven insights, the partnership aimed to drive cost savings and enhance the overall experience for patients and clinical staff in outsourced healthcare operations.

Key Market Players

• Sodexo S.A.
• Aramark Corporation
• Compass Group
• Jones Lang LaSalle, IP, Inc.
• CBRE Group, Inc.
• ABM Industries Incorporated
• Spindletop Health Acquisition Corp.
• ISS A/S
• Mitie Group PLC
• HCA Healthcare, Inc.

By Service	By Application	By Product Type	By Region
Hard Service Soft Service	Hospitals Ambulatory Service Centers Clinics Long-Term Healthcare Facilities Others	Security Catering Cleaning Support Others	Northeast Midwest South West

Report Scope:

In this report, the United States Healthcare Facilities Management Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

• United States Healthcare Facilities Management Market, By Service:

• Hard Service
• Soft Service

• United States Healthcare Facilities Management Market, By Application:

• Hospitals
• Ambulatory Service Centers
• Clinics
• Long-Term Healthcare Facilities
• Others

• United States Healthcare Facilities Management Market, By Product Type:

• Security
• Catering
• Cleaning
• Support
• Others

• United States Healthcare Facilities Management Market, By Region:

• Northeast
• Midwest
• South
• West