Key takeaways
- Ground robots that use corridors and elevators are running at US hospitals now, according to the HCA Florida JFK and BayCare announcements.
- The Advocate Health and Zipline drone network is a plan with first flights set for 2027, not an operating service.
- The 100,000 deliveries a year figure is a projection at full scope, subject to regulatory processes.
- Elevator congestion and staff handoffs can limit a run as much as travel distance does.
- Weather and drone route range need written vendor figures before you compare the two modes.
Which delivery mode is running on hospital campuses today?
Ground robots that run inside corridors and elevators are the mode in service now, and drone networks between buildings are still a plan. That split matters for any facility team sizing a project for the next budget cycle.
At HCA Florida JFK Hospital, an announcement dated Sept. 30, 2026 says Relay Robotics put two robots in service. The robots navigate hallway traffic and use elevators and badge access doors. BayCare's Winter Haven hospitals added two Relay robots on June 3, 2026, described with the same capabilities.
Both reports come from the vendor or the hospital, so treat them as announcements rather than independent performance data.
What is the Advocate Health and Zipline drone plan?
In March 2026, Advocate Health and Zipline announced what Advocate describes as the largest hospital drone delivery network in the US, with first flights set for 2027.
Charlotte comes first in 2027, followed by Chicago and Milwaukee, and Georgia is also planned with a focus on rural patients. The network would carry prescriptions, lab specimens and medical supplies to patient homes and other Advocate facilities. At full scope, it is projected to handle more than 100,000 deliveries a year across three markets, subject to regulatory processes.
That projection is a health system and vendor plan, not a measured result. The coverage also names Cleveland Clinic, Intermountain Health, Mayo Clinic and MultiCare as other systems working with Zipline. I found no later status update and no report of a delay, so the network should be read as not yet operating.
Before a campus team takes the plan as a model, it should check these points:
- Whether the regulatory approvals behind the projection are in place, and for which routes.
- Where each landing point sits and who receives the load at each end.
- Whether the first routes match a campus layout, since the plan targets patient homes and other facilities.
- What wind and weather conditions pause flights, stated in writing by the vendor.
- Who holds custody of specimens once the load lands.
Where do routes limit each mode?
A ground robot's route is a chain of doors, elevator cars and corridor traffic. Every link has to be mapped and cleared, which is why the HCA and BayCare coverage stresses elevators and badge access doors. A crowded lift can stall a run as surely as a locked door.
A 2026 study in Digital Health looked at a medication robot in a shared use elevator environment. It found that deployment should consider elevator usage rates, and that robot medication runs should be scheduled when congestion stays below critical thresholds. The study covers one robot type in one setting, so use it as a planning input rather than a universal rule.
A drone's route runs through open air between buildings, so its limits come from flight rules, landing sites and range rather than from doors. The research for this article found no verified drone route range and no verified maximum distance for either mode. Ask for both in writing before comparing them.
How does weather change the choice?
Weather is where the two modes diverge most. A drone flying between buildings is exposed to wind, rain and low visibility on every run, and any published limits decide how many runs a day can be counted on. Ground robots indoors avoid most of that exposure, but a route across a parking lot, courtyard or exposed walkway carries the same weather risk as a person walking it.
No verified weather limit for drones or ground robots came back from this research, so this article does not state a threshold. Treat weather pauses as a required line in any proposal, with the vendor's published conditions and a fallback path for each run.
Where do staff handoffs slow each run?
A delivery is not complete until a person takes the item. For a ground robot, the handoff happens at a nurse station or receiving room the robot reaches on its own, and the risk is an unattended unit or a missed pickup. For a drone, the handoff happens at a landing point that needs someone to meet it, a secured place to set the load and a clear record of who signed for it.
Deployment time matters too. Vendor reported figures in the HCA Florida JFK coverage put a typical hospital deployment at about 8 to 12 weeks, including integration hardware, floor mapping and staff training. Onsite installation is generally 1 to 2 weeks. That is a vendor figure, and building size and floor count will move it.
Which mode fits your campus layout?
If your runs stay inside one tower or a cluster of connected buildings with elevators and controlled doors, ground robots match the operating record you can see today. If your runs cross open ground between separate buildings, a drone network is worth tracking, but its first milestone is 2027 and it is planned, not running.
Many campuses will eventually need both. Choose by where each run starts and ends, then check the handoff at both ends before you size a fleet.
How Service Robot Co. approaches a campus run
Service Robot Co. is a full service commercial robot integrator for US businesses, and we stay OEM neutral. We select the right robot across manufacturers, then lease it through financing, deploy, integrate, train and service each unit under RoboCare, our service plan, with regional service engineers in every state we service.
We lease on a three year term with one fixed payment quoted after a site assessment. On a hospital campus, that assessment checks routes, doors, elevator access and handoff points before any number is quoted, so the proposal reflects the building you actually have.
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