Key takeaways
- The American Hospital Association reports labor at 56% of 2024 hospital expenses, or $890 billion.
- Transport and delivery work is the most robot-ready slice of that labor, followed by scheduled cleaning of public corridors.
- Medication administration, bedside assessment and patient transfer still need trained people.
- Map one unit's hours by task type before any robot decision, and count walking as well as carrying.
- Vendor-reported time savings are a starting claim. Your own logs decide whether a pilot paid off.
Where robots fit in hospital labor costs
Labor is the largest single line on a hospital's books. The American Hospital Association reports that labor reached $890 billion in 2024, or 56% of total hospital expenses, in its 2025 Cost of Caring report published in March 2026. That figure includes purchased services and professional fees, so it is broader than payroll alone.
The question for administrators is narrower than the headline. Which hours spent walking, carrying and wiping could move to a machine so that trained staff spend more time at the bedside? Delivery, transport and cleaning robots address that slice. They do not address clinical judgment.
AHA's Costs of Caring page now gives the 2025 labor share as 60%, or $1,009 billion, and says workforce costs rose 5.6% in 2025. The direction is clear. The exact share depends on the year and the definition a budget uses.
How much nursing time goes to moving things
Transport is a measurable share of nursing work. A study by Lim and colleagues, cited in a Bavarian time and motion paper, found that 10.5% of nursing work time goes to transportation, including patient transfer, food delivery and drug supply. Patient transfer sits inside that total and needs trained people, so the robot-ready portion is smaller than 10.5%.
Walking is the other half of the picture. A seven-month service robot trial in a nuclear medicine station, reported in a Springer study, found that short walking distances made up the largest share of caregiver walking. Short, repeated trips are where a fixed-route robot earns its keep.
Which labor tasks robots can take over
Specimen transport is the clearest case. At Fujita Health University Hospital in Japan, autonomous robots that collect and carry blood samples reduced nursing assistants' average daily walking distance by 22%, according to Nature news. The robot became a permanent fixture in April 2024.
Meal trays and supplies follow the same logic when they travel fixed corridors on predictable schedules. Milton Keynes University Hospital's helper robots made about 1,800 deliveries a month, traveled nearly 1,600 km and saved staff over 2 million steps, according to Euronews in February 2023. Those are hospital statistics, not an independent audit.
Cleaning is the third candidate. Corridors, waiting areas and public lobbies can be scrubbed on a schedule, often overnight, when a thin evening or night crew would otherwise cover a large footprint. Staff still handle isolation rooms and bedside cleaning.
Which hospital tasks still need people
Medication administration, bedside assessment and patient transfer need trained hands and clinical judgment. A FOWA Medical guide, which is vendor-reported, cites a 36-hospital study of 767 nurses in which medication administration took 17.2% of nursing practice time. Treat that figure as context from a vendor citation, not as a verified result for your facility.
A robot can carry the medication to the unit. It cannot assess the patient or give the dose. Keep that boundary visible in every workflow map, or the project will drift into tasks the robot cannot safely perform.
What deployments report about staff time
At Hancock Regional Hospital in Greenfield, Indiana, ground robots and smart delivery units from Arrive AI and Ottonomy were launched for autonomous medical deliveries, as reported by DroneLife in October 2025. A medical assistant at the Sue Ann Wortman Cancer Center told the outlet she spends about 90 minutes a day walking specimens to the lab. Those are staff quotes and vendor-reported framing, not a controlled study.
Ottonomy's chief executive says the system saves caregiver time. Treat that as a vendor claim until your own logs confirm it. The useful measure for any deployment is how many minutes returned to patient care, not how many robot trips were completed.
How to map staff hours against robot tasks
Start with one unit, not the whole hospital. A one-unit map takes about a week and shows where hours go before any vendor is involved.
- Pull a week of task or dispatch logs for one unit, with each entry marked by start and end time.
- Sort each entry into one of four groups: carry, clean, transfer or clinical care.
- Count walking distance for three staff members across the same week with a step counter, so the time estimate has a physical check.
- Divide carry and clean hours by total paid hours on the unit. That share is a ceiling for robot-ready work, not a savings figure.
- Choose the one fixed route with the most repeated carries, and write go and no-go rules before the pilot starts.
Where Service Robot Co. fits in a hospital pilot
Service Robot Co. is a full-service commercial robot integrator for US businesses. We are OEM-neutral, so we select robots across manufacturers for the task, then finance, deploy, integrate, train and service every unit through a nationwide US engineer network. One vendor covers the whole lifecycle.
Our customers receive robots through a 3-year lease with one fixed payment, quoted after a site assessment. That assessment checks route maps, elevator access and charging locations against the unit's logs before any payment is set.
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Sources
- AHA 2025 Cost of Caring report
- AHA Costs of Caring
- Bavarian nursing time and motion study citing Lim et al.
- Nature news on Fujita Health University Hospital robots
- Euronews on Milton Keynes University Hospital helper robots
- DroneLife on Hancock Regional Hospital robot deliveries
- Springer study on a service robot trial in a nuclear medicine station
- FOWA Medical hospital logistics delivery robot guide
