Healthcare Insights

U.S. states ranked by their average healthcare facility age

As the population in the United States continues to age, more and more resources are being directed toward developing ways to provide the critical care necessary to keep people healthy. A substantial part of that investment is the creation or modernization of facilities where healthcare can be delivered in new and more effective ways.

As time passes and more facilities are built, they will require maintenance and renovations just like any other type of real estate. Below we’ve ranked states in the U.S. by the average age of their healthcare facilities.

State ranking by average age of facility

Rank State Average age of facility (years) Explore dataset
Hawaii 22.0 Explore
New York 17.9 Explore
Mississippi 17.0 Explore
Maine 16.9 Explore
Kansas 16.6 Explore
Arkansas 16.4 Explore
Vermont 16.2 Explore
Washington D.C. 16.2 Explore
Oregon 16.1 Explore
10 North Dakota 15.8 Explore
11 Utah 15.8 Explore
12 Iowa 15.7 Explore
13 New Jersey 15.6 Explore
14 Alabama 15.4 Explore
15 New Hampshire 15.3 Explore
16 Michigan 15.1 Explore
17 Nebraska 15.0 Explore
18 Georgia 15.0 Explore
19 Montana 14.9 Explore
20 Virginia 14.9 Explore
21 Minnesota 14.6 Explore
22 Washington 14.4 Explore
23 Ohio 14.2 Explore
24 California 14.1 Explore
25 Connecticut 13.7 Explore
26 Rhode Island 13.5 Explore
27 Oklahoma 13.5 Explore
28 Maryland 13.4 Explore
29 Louisiana 13.2 Explore
30 West Virginia 13.2 Explore
31 Illinois 13.1 Explore
32 Alaska 13.1 Explore
33 Pennsylvania 13.1 Explore
34 Missouri 12.9 Explore
35 Wisconsin 12.8 Explore
36 South Dakota 12.7 Explore
37 Massachusetts 12.7 Explore
38 Kentucky 12.5 Explore
39 North Carolina 12.3 Explore
40 Idaho 12.2 Explore
41 Tennessee 12.2 Explore
42 Florida 11.9 Explore
43 Indiana 11.7 Explore
44 New Mexico 11.7 Explore
45 Wyoming 11.5 Explore
46 Arizona 11.0 Explore
47 Colorado 11.0 Explore
48 Texas 10.8 Explore
49 South Carolina 10.5 Explore
50 Delaware 10.3 Explore
51 Nevada 9.7 Explore

Fig. 1 – Data is from the Definitive Healthcare HospitalView product. Accessed January 2022.

The cost to renovate facilities continues to rise

Even as many states consider the need to address aging facilities, the cost of doing so continues to rise. According to data from the Federal Reserve Bank of St. Louis, total construction spending on healthcare facilities in the U.S. reached a seasonally adjusted annual rate of almost $54 billion in November 2022, up from $43.3 billion in November 2017, which is growth of about 4.5% annually.

Increased building costs have been a big part of the reason for the increase in overall spending. Since 2020 the input prices for final construction have increased by more than 33%. A number of factors are at play here, including increased costs for labor, as well as for raw materials like lumber and cement. However, as governments and central banks implement policies aimed at reducing inflation, there is widespread hope that these trends will subside, and prices will revert back to the long-term trend.

Which state has the oldest healthcare facilities?

Hawaii has the oldest healthcare facilities on average in the country at 22 years. Nevada, on the other hand, has the newest facilities on average at only 9.7 years.

Regionally, the northeast has the oldest facilities with an average of 14.8 years and the southwest has the newest facilities with an average age of 11.2 years.

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