The Value of Facility Condition Index (FCI) in Healthcare

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The Value of Facility Condition Index (FCI) in Healthcare

Understanding the true condition of your hospital and healthcare facilities can provide insight that helps to transform your facility capital planning process. Industry experts use the facility condition index, or the FCI, to serve as a benchmark to understand what your investments are doing to improve the facility condition.

How do you calculate the FCI?

With the right data, calculating the FCI is quite simple. Simply divide the total estimated cost to complete deferred maintenance projects for the building by its estimated replacement value.


A lower FCI indicates that you require less funding relative to the facility’s value. For example, an FCI of 0.12 signifies a 12 percent deficiency, which is considered low in the industry. On the other hand, a higher FCI – such as a 0.7 – indicates that the facility needs more extensive repairs or replacement.

What is included in the FCI?

The FCI requires that you have two data points: cost of deferred maintenance projects for the building and the estimated replacement value of the building.

Deferred maintenance projects can include a range of things, from as minor as caulking the windows, to major projects such as roof replacements or re-paving the parking lot.

How do you collect the data for the FCI?

Data points for the FCI can be captured through facility condition assessments by industry experts. Through assessments, which are led by industry experts with backgrounds in mechanical and electrical engineering, data points for every component of the building are captured.

Using a software solution like VFA.facility, the data points are used to automatically calculate the facility condition index. It will also reveal the identified facility deficiencies and how they impact your FCI.

Why should hospitals know their FCI?

Understanding the FCI for hospitals and other facilities in your organization gives the facility management team the ability to prioritize the facility capital investments that need to be made. Upon receiving the data, the facility team can compare similar buildings and see what needs to be improved to ensure that FCIs are comparable.

As hospitals focus on providing the best quality care and a safe environment for patients, the FCI serves as a good indicator that buildings are doing just that, and also pinpoints areas that need immediate improvement.

Interested in learning more about the value of FCI and assessments for hospitals and healthcare facilities? Check out our FREE on-demand webinar.

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