Automated Guided Vehicle Systems (AGVS), Pneumatic Tube Systems (PTS) and Pneumatic Chute Systems (PCS) are examples of technology alternatives considered by many healthcare organizations while planning a new facility. Our consultants have worked with many such hospitals in North America. PTS is a standard technology used by all hospitals however, the AGVS and PCS needs an objective evaluation based on campus plan, growth projections, and other factors.