Many facilities start with separate contracts then discover the value of integration — or the opposite. Both approaches have their place.

The Comparison Table

AspectIntegratedSeparate
Ease of managementMuch higherHarder (several contracts)
ResponsibilityClear — one partyMay conflict
CostLower overallHigher overall
SpecializationMedium in each serviceSpecialized for each service
FlexibilityFewerHigher (changing one provider)
Best forMedium and large institutionsSmall facilities or specialized services

The hybrid model

Many facilities adopt the hybrid: an integrated provider for the general services + specialists for the precise services (such as elevators and medical gases).

Conclusion

There's no single answer — the decision depends on your facility's size, its complexity, and your administrative preferences.