This Report Provides In-Depth Analysis of the Healthcare Environmental Services Market Report Prepared by P&S Intelligence, Segmented by Type (Janitorial Cleaning Services, Enhanced Cleaning Technology), Facility Type (Actue-Care, Post-Acute-Care, Non-Acute Care), and Geographical Outlook for the Period of 2019 to 2032
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Healthcare Environmental Services Market Outlook
The global healthcare environmental services market was valued at USD 16.8 billion in 2024, which is expected to reach USD 28.3 billion by 2032, growing at a CAGR of 6.9% during 2025–2032.
The growth of the industry is attributable to the fact that governments and regulatory agencies around the world are proposing stringent regulations for infection control. In addition, with an increase in the infectious disease incidence, hygiene and infection control procedures are receiving more attention from healthcare facilities as well. Essentially, the rising expenditure on the healthcare sector, growing number of hospitals, and large patient pool propel the industry expansion.
Moreover, there has been a significant boost in the number of surgical procedures all around the world. This is because of the rise in the prevalence of chronic conditions and sedentary lifestyles that people have acquired over the years. Therefore, in order to prevent infections within healthcare facilities, it becomes mandatory to maintain a clean and safe environment.
Moreover, in developed nations, there has been the emergence of a green cleaning trend, which will further propel the growth of this market, as this type of service offers several advantages over conventional hygiene practices, which generally have a negative consequence on human health. This is due to the presence of hazardous chemicals in cleaning agents, which can cause conditions such as dermatitis and asthma. Additionally, certain cleaning methods may cause diseases in employees as well. Therefore, the cleaning agents and methods are being made free of harmful chemicals, which would bode well for the industry in the coming years.
A healthcare organization's decision to adopt green cleaning techniques is determined by both internal and external influences, such as the hospital-acquired infection prevention policy and federal or state requirements. Hence, the technological enhancements in sanitation tools, growing emphasis on high-quality healthcare services, and burgeoning need to enhance cleaning effectiveness contribute toward the industry’s growth.
Technological Advancement in Cleaning Practices Are Key Market Trend
Technological advancements in cleaning practices are one of the most-significant trends in the global healthcare services market.
These technological advancements include UV-C disinfection systems, electrostatic spraying, environmental monitoring systems, AI-powered cleaning systems, and green cleaning technologies.
UV-C disinfection systems are effective in killing or inactivating microorganisms, including bacteria, viruses, and fungi.
Healthcare facilities are utilizing these UV-C devices in operating rooms, patient rooms, and intensive care units.
The electrostatic spraying technology helps reach areas such as under tables, behind medical equipment, and along edges, which can be beneficial in waiting rooms, patient rooms and surgical areas.
Furthermore, the integration of robotics and automation makes cleaning practices more consistent and effective.
Robots are further integrated with sensors and cameras that operate without any human intervention.
In June 2024, Aramark and Pringle Technologies Inc. teamed up to deploy autonomous floor cleaning robots across the former’s company’s offices.
The introduction of IoT-enabled cleaning systems helps in real-time monitoring and management of cleaning activities, by tracking temperature, humidity, and occupancy.
Substantial Boom in Hospital-Acquired Infection (HAI) Incidence to Drive Sector
Nosocomial infections that develop during a patient's hospitalization are known as (HAIs).
As per the World Health Organization (WHO), at least one such infection is detected in 7 per 100 hospital patients in developed countries and 15 per 100 hospitalized patients in LMICs.
Moreover, they boast a mortality rate of 10% globally.
HAIs are not visible upon admission, but are a significant source of illness and death.
These diseases include Clostridium difficile disease, infections of surgical sites, catheter-associated UTIs, hospital-acquired pneumonia, and infections due to ventilators and central lines.
Earlier, in Anglo-American nations, it was thought that contaminated surfaces barely influenced the spread of HAIs.
But the scientific evidence accumulated during various research studies conducted over time altered this perspective.
Microorganisms can survive on surfaces for a long time and spread to patients when they come into contact with them directly or indirectly, such as through healthcare professionals' hands.
Ongoing studies and the results of the previous ones that have highlighted this issue have made healthcare systems more aware of the potential threat of infections from contaminated surfaces.
For instance, 5% to 20% of all the HAI cases in Europe are regarded as external infections.
Moreover, these infections are typically challenging to treat, especially if the nosocomial pathogen is multi-drug-resistant.
As a result, patients have longer hospital stays, long-term impairment, greater expenses, and an increased risk of morbidity and mortality, due to the antimicrobial resistance of the pathogen.
Therefore, medical institutions are using contract-based healthcare environmental services as part of their infection prevention & control strategies, in order to uphold high standards for infection control on their premises, in light of the rising occurrence of HAIs.
Moreover, the regulatory guidelines of the Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA) driving the demand for specialized EVS providers.
Rising Operational and Service Costs is Hampering the Market Growth
The rising operational and service costs is becoming a concern in the healthcare environmental services (EVS) market.
This high cost can be attributed to the integration of advanced technologies, such as the UV-C disinfection systems, robotic cleansers, and electrostatic sprayers, for maintaining hygiene in hospitals and clinics.
The high labor costs and training need further raise operational expenses on healthcare environmental services.
Training the staff in specialized infection control procedures and the use of advanced cleaning technologies poses challenges in the market growth.
The integration of robotic cleaner increases the cost associated with availing these services as it requires periodic software upgrades and IoT-enabled cleaning systems.
Healthcare Environmental Services Market Segmentation and Category Analysis
Type Insights
The janitorial/core cleaning category held the larger share, around 60%, in 2024, and it is expected to maintain its dominance in the coming years. The growth can be credited to the substantial demand for healthcare settings to be regularly cleaned and disinfected, because of the growth in the count of patient admissions, which has raised the risk of HAIs. These services are also in high demand because cleaning has always been a labor-intensive chore, and it is generally preferred to hire a professional to perform it.
In addition, the demand for this service is expanding due to the growing patient health and hygiene concerns, as well as the increasing prevalence of airborne illnesses. Moreover, to achieve higher efficiency and ease of management, most healthcare institutions choose to hire external service providers.
Further, over the projection period, the demand for these services is set to be driven by the booming trend of green cleaning. In this context, the growing awareness of hygiene and wellbeing among individuals, in order to ensure good health, is a key driving factor. The floors of medical institutions are mopped on a daily basis, often multiple times a day. Due to their knowledge of cleaning techniques and supplies, external janitorial service providers also frequently produce better outcomes than internal workers. External janitors have additional training in services including the routine upkeep of machinery, floor, and other fixtures, and hiring them is quite affordable. This offers profitable chances for market expansion.
The enhanced cleaning technology is set to witness the higher CAGR, over 7.2%, during the prediction period. This can be attributed to the fact that the effectiveness of conventional, manual cleaning and disinfection methods may not be enough, as the extent to which bacteria are eliminated can vary depending on the type of surface being cleaned. Moreover, the improper usage of wipes may not result in the proper cleaning of the surfaces, while the usage of wipes without enough antimicrobial activity may result in inadequate surface disinfection and, as a result, allow the germs to transfer from one surface to another.
On top of that, the contamination or over-dilution of disinfectant solutions is pushing the medical sector toward the novel technology. As a result, there has been a significant rise in the usage of electrostatic sprayers to disinfect areas. For instance, the CSP1 professional sprayer by Cloudstatic optimizes the use of chemical products and makes them more effective in preventing the spread of pathogens and contaminants from surfaces.
Based on type, the market has the following categories:
Acute-care facilities hold the largest share in the market, of 60%. The rate of outsourcing environmental management services by acute-care institutions, which include different kinds of full-fledged hospitals, has increased significantly in recent years. This is because stricter infection control procedures have been implemented as a result of the increase in the HAI incidence in various healthcare settings.
Post-acute care is the fastest-growing category, with a CAGR of 7.7% during the forecast period. This is attributed to the rising prevalence of chronic diseases and aging population, driving the demand for extended care services. Additionally, post-acute-care services provide cost-efficiency and optimized resource use in comparison to the high-cost acute-care facilities.
Based on facility type, the market has the following categories:
Acute-Care (Largest Category)
Hospitals
Military hospitals
Children's hospitals
Ambulatory surgery centers
Academic medical institutes
Post-Acute-Care (Fastest-Growing Category)
Long-term acute facilities
Skilled nursing Facilities
Non-Acute Care
Physician offices & clinics
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North America is projected to maintain its dominance, by holding a revenue share of around 45% in 2024, globally. This is because of the presence of the top players, advanced healthcare ecosystem, advantageous reimbursement policies, and increasing emphasis on enhancing the standard of patient care in this region. Furthermore, numerous technological enhancements happen in the medical sector of this region every year, which will further contribute toward the overall success of the industry here.
Moreover, governments in the region are providing companies with contracts and investment for healthcare environmental services. In January 2025, the U.S. Army awarded Hospital Housekeeping System LLC a contract worth USD 940 million for operation and maintenance services at its medical facilities.
The APAC region will grow at the highest CAGR, of 7.2%, during the forecast period, due to the increasing healthcare investment in China and India, The money is for new hospitals and modernization of the existing facilities. APAC countries are further increasingly adopting innovative cleaning technologies, such as UV-C disinfection systems and electrostatic sprayers. Moreover, the government initiatives and regulatory support in the APAC region drive the growth of the market.
Based on geography, the market has the following categories:
The healthcare environmental services market is fragmented in nature with a wide range of service providers, including small and medium-sized players and global giants, including Sodexo, Aramark, and ABM industries. Additionally, many larger firms are focusing on the acquisition of the smaller firms for the expansion of their market presence and service offerings. Furthermore, the increasing demand for specialized services, such as disinfection technologies and eco-friendly cleaning practices, helps niche service providers to gain more customers.
Key Healthcare Environmental Service Companies:
Sodexo
Servicon Systems Inc.
Aramark
Hospital Housekeeping Systems
ABM Industries Inc.
Xanitos Inc.
OctoClean Franchising Systems, Inc.
AVI Foodsystems Inc.
Jani-King International Inc.
Healthcare Services Group Inc.
Kellermeyer Bergensons Services, LLC
Jan-Pro Franchising, Inc.
Healthcare Environmental Services Market News
In April 2025, Sodexo SA won a new contract from AtlantiCare to implement a centralized system to provide on-demand, hotel-style patient meal ordering and streamline environmental services operations.
In February 2023, Aramark collaborated with Healthcare Plus Solutions Group (HPSG) to drive innovative, evidence-based improvement for hospitals.
In April 2022, Xanitos Inc. expanded its healthcare cleaning capabilities to outpatient and offsite facilities with the acquisition of Legion Building Services.
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