One of the most important attributes of a healthcare organization is its built-assets and their location, performance, strategic maintenance, and performance management. The facilities in a community healthcare system create the capability for healthcare service provision and are crucial for the quality of healthcare services provided. Investment in the development of new facilities, as well as in the maintenance of existing ones, accounts for 3%–۴% of the annual turnover of the health maintenance organizations (HMOs) in Israel [1]. In the past, the design, construction, operation, and management of an HMO’s buildings was carried out in accordance with short-term guidelines. Global trends such as increased in-patient admissions and the shortening of hospitalization periods has led the HMOs to seek alternative healthcare delivery schemes, such as delivery of healthcare through community clinics [2]. These trends have intensified the pressure on the service conditions at the community clinics, which is reflected by the rising number of patients and visitors [3]. The increased number of in- and out-patient admissions in healthcare facilities can lead to intense wear and tear of building’s components and systems, including the electro-mechanical systems, interior finishes, and the exterior envelope. Managing the facilities without considering these service conditions can result in a rapid degradation of the components and increased cost of breakdown maintenance, as well as a reduction in the performance level provided to the public and the staff. When successfully implemented, the integration between facility management (FM) and enterprise resource planning (ERP) facilitates the better management of the dynamic environment both inside and outside the organization, with consequentially high potential benefits [4]. These systems can be formulated as a tool and programmed to direct numerous functions, including those involving accounting, inventory control, and human resources. The goal of such a system is to facilitate the flow of information between the various business functions [5]. ERP systems are able to integrate previously ignored organizational information, with the administrative function, allowing managers to monitor the performance of all the facilities in real time [6]. The implementation and use of ERP systems in the service sector, and specifically in the healthcare sector, requires a different approach to that used in manufacturing, and may entail various difficulties [7,8]. The present study introduces the integration of a decision-making tool for strategic maintenance and performance management into an ERP system, in order to support the strategic and tactical maintenance management capabilities of the facility managers. The research focus is on the existing gap between the economic and financial aspects of FM and the performance and engineering maintenance management.