Healthcare Insights
Average value of hospital fixed assets in the U.S.
The business of healthcare involves a lot of assets. These assets are captured on balance sheets and can be divided into three main categories: land, buildings, and equipment. Some are movable while others are fixed, meaning they can’t be moved from place to place. Buildings are one such fixed asset.
In this Healthcare Insight, we look at average fixed assets at U.S. hospitals and compare metrics by hospital bed size and location. Data used in this analysis is sourced from the most recent 12-month interval tracked in our database.
What is the average value of hospital fixed assets?
Based on data in the Definitive Healthcare HospitalView product, the average cost of fixed assets at U.S. hospitals was about $123.5 million in 2024.
Fixed asset costs include building improvements as well as all architectural, consulting, and legal fees related to the acquisition or construction of buildings, and interest paid for construction financing.
Average fixed assets at U.S. hospitals, 2020-2024
Fig. 1 Data is from the Definitive Healthcare HospitalView data product. Accessed September 2025.
How much do hospital fixed assets increase each year?
Between 2020 and 2024, average total fixed assets grew steadily from $111.0 million to $123.5 million, reflecting a consistent investment pattern in organizational capital over the five-year period.
Average total fixed assets by hospital bed size, 2020-2024
| Bed range (Hospital count) | 2020 | 2021 | 2022 | 2023 | 2024 |
| 25 or fewer beds (1,574) | $16.0M | $16.6M | $17.0M | $17.8M | $18.4M |
| 26 to 100 beds (1,526) | $31.6M | $32.1M | $32.9M | $33.9M | $34.8M |
| 101 to 250 beds (1,178) | $121.2M | $118.3M | $123.0M | $121.8M | $122.5M |
| More than 250 beds (809) | $433.5M | $448.1M | $469.9M | $483.1M | $499.3M |
Fig. 2 Data is from the Definitive Healthcare HospitalView data product. Accessed September 2025.
Between 2020 and 2024, average total fixed assets increased across all hospital sizes. The value of hospital buildings correlates with size: larger hospitals hold greater total assets, making absolute growth more pronounced, whereas smaller hospitals grow steadily from a lower base.
Average hospital fixed assets by region, 2020-2024
| U.S. region (Hospital count) | 2020 | 2021 | 2022 | 2023 | 2024 |
| Midwest (1,454) | $120.3M | $118.4M | $119.7M | $114.1M | $117.9M |
| Southwest (737) | $71.4M | $72.6M | $77.3M | $82.1M | $85.4M |
| Southeast (1,364) | $83.9M | $87.7M | $91.4M | $95.3M | $99.7M |
| West (839) | $127.2M | $128.6M | $136.4M | $142.3M | $144.8M |
| Northeast (659) | $176.9M | $185.5M | $198.0M | $207.5M | $207.7M |
Fig. 3 Data is from the Definitive Healthcare HospitalView data product. Accessed September 2025.
Between 2020 and 2024, average total fixed assets grew across most regions, with the Northeast and West showing the highest asset values and steady growth. The Midwest experienced minor fluctuations and a slight overall decline, while the Southwest and Southeast grew consistently, highlighting regional variations in hospital capital investment.
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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.
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