Healthcare, Hospital & Medical Equipment Appraisals

At a glance

What we appraise: Imaging, surgical, dental, laboratory and patient-care equipment in hospitals, clinics and practices, from a single imaging suite to a multi-site fleet, including surplus and decommissioned equipment.
What drives value: Modality, age, service history, software entitlements, OEM service contract status, regulatory status, technology generation, and the refurbished market for the device class.
Values reported: FMV for a sale or financial reporting, OLV and NOLV for collateral, FLV for a wind-down, and RCN for insurance.
Who relies on it: Lenders and SBA underwriters, practice buyers and sellers, hospital systems and imaging centers, and attorneys and CPAs.
What the report gives you: A written narrative of scope and methodology, an itemized appendix valuing each asset, and photographs from the inspection, with senior review before it leaves.
Standard: USPAP-compliant, prepared by a NEBB-certified Machinery & Equipment Appraiser (CMEA).

Experience across the institutions that own the assets and finance the deals

Ameriprise Midmark

Our principals have performed analysis and review involving equipment from the manufacturers, and reporting for the institutions, named above.

What we appraise

The clinical fleet, item by item.

We appraise healthcare equipment at any scale, from a single imaging suite to a multi-site hospital fleet. A certified appraiser values each device by modality, age, service history, software entitlements and the resale and refurbishment market for its class. Granular enough to defend, clear enough to act on.

See how a value is built →

Diagnostic imaging: MRI, CT, X-ray, ultrasound, PET and mammography, including coils, tubes, software licenses and installation
Surgical and operating-room equipment: tables, lights, electrosurgical units, towers and integration systems
Dental and orthodontic equipment: chairs, CBCT units, intraoral scanners and CAD/CAM mills
Laboratory and diagnostics analyzers: chemistry, hematology, molecular and point-of-care platforms
Patient monitoring and telemetry: bedside monitors, central stations and networked telemetry
Sterilization and processing: autoclaves, washer-disinfectors and central-supply equipment
Ophthalmology: lasers, phaco systems, diagnostic imaging and exam lanes
Dialysis: hemodialysis machines, water-treatment systems and chairs
Physical therapy and rehab equipment appraisal: modalities, exercise systems and assistive devices

Dental operatory with delivery unit and patient chair — Dental operatory

Karl Storz endoscopy video cart — Endoscopy video cart

MRI scanner suite with patient table — MRI scanner suite

Healthcare valuation

What makes healthcare equipment valuation different.

Healthcare assets carry valuation drivers that do not exist in general machinery and equipment work. The appraiser who misses one of them produces a number that will not survive review.

Software entitlements and licenses: a modern imaging system can carry six figures in application licenses. Some transfer with the machine, some do not. Whether the buyer inherits the software or has to re-license it changes the resale value materially, and the appraiser has to confirm entitlement status before quoting a number.
OEM service contracts: many hospitals keep imaging and laboratory platforms under manufacturer service agreements. A system coming off contract faces service costs that the secondary buyer prices in, and a system with a transferable agreement carries a premium. The contract status is a valuation input, not a footnote.
Refurbished equipment markets: healthcare has a deep, organized refurbished-equipment channel that does not exist for most industrial machinery. Certified pre-owned MRI, CT, ultrasound and surgical systems trade through OEM and third-party refurbishers at published price points, giving the appraiser observable market evidence that anchors the sales-comparison approach.
Regulatory and compliance impact: FDA clearance status, radiation compliance, and state licensing requirements affect where a device can be sold and who can buy it. Equipment that cannot be placed without re-certification trades at a discount to identical hardware that is cleared and ready. Sterilization and processing equipment carries its own regulatory requirements that bear on resale.
Technology cycles and obsolescence: medical imaging and diagnostic platforms depreciate by generation, not just by age. A CT scanner two software generations behind current production faces functional obsolescence even if the gantry runs perfectly, because the clinical capability gap narrows the buyer pool. Patient monitoring and telemetry face the same cycle as connectivity standards evolve.

These drivers are why a healthcare equipment appraisal is not general equipment work with a medical label. Each one changes the number, and our reports address them explicitly so the value holds up for the lender, buyer or trustee reading it.

In one minute

Three things that decide the value.

Practice value is not equipment value, support moves the value, and condition is verified on site. One minute, before you buy into a practice, sell one, or divide partners.

Video · 57 seconds · with transcript

Dental & Medical Equipment Appraisal: 3 Things to Know

Watch it → Or the 39-second cut

Which value applies

The right value depends on why you are asking.

The same MRI carries different numbers depending on why you need the appraisal. We determine and defend the premise your situation calls for: Fair Market Value (FMV) for a sale or financial reporting, Orderly Liquidation Value (OLV) and Net Orderly Liquidation Value (NOLV) for collateral, Forced Liquidation Value (FLV) for a wind-down, and Replacement Cost New (RCN) for insurance.

01 Lending & Collateral → OLV · NOLV · FMV for equipment loans and ABL 02 SBA Financing → 7(a) and 504 equipment appraisals for clinic and practice loans 03 Mergers & Acquisitions → FMV and purchase price allocation for practice and hospital deals 04 Liquidation & Auction → OLV · FLV for wind-down and recovery value 05 Insurance & Replacement Cost → Replacement Cost New and agreed-value support

Who orders it

The people who have to act on the value.

Lenders and SBA underwriters order a hospital equipment appraisal to support collateral. Buyers and sellers order a dental equipment appraisal to price a practice. Hospital systems and imaging centers order one for financial reporting, insurance and partnership matters. Attorneys and CPAs order one for litigation, estate and tax work. Every one of them needs a number that holds up under review.

See all situations we cover →

What you get

One report. Every value, fully supported.

You receive a written narrative of scope and methodology, an itemized appendix valuing each asset, and photographs from the inspection. Independent and certified, with senior review before it leaves the firm. A single CT and a multi-site health system are valued by the same method. A modality is graded the same way in every report.

Cost, market and income approaches applied by a certified appraiser, not a database
Itemized appendix, narrative and photographs in every report
Independent senior review on every report
Lender-fluent: we write for the credit desk, so our report reads the way a lender needs it to

Common questions

Answers, up front.

How is medical equipment valued?

A certified appraiser applies the cost, market and income approaches under USPAP, accounting for modality, age, service history, software entitlements, and the resale and refurbishment market for that device class. The result is an independent opinion of value tied to the premise the situation requires.

Do you appraise imaging equipment like MRI and CT scanners?

Yes. We value diagnostic imaging (MRI, CT, X-ray, ultrasound, PET and mammography) along with the rest of a clinical fleet, and we account for coils, tubes, software licenses and installation that drive value.

Can you appraise a dental or medical practice for a sale or loan?

Yes, on the equipment side. We appraise the chairs, imaging, instruments and fixtures of dental practices, clinics and hospitals at Fair Market Value for a sale, and at the appropriate premise for loan collateral, SBA financing, and estate or partnership matters.

Are your healthcare appraisals accepted by lenders, the SBA and the courts?

Yes. Reports are USPAP-compliant, prepared by a NEBB-certified Machinery & Equipment Appraiser (CMEA), and built to withstand lender, SBA, IRS, audit and legal review.

What is a healthcare asset appraisal?

A healthcare asset appraisal is an independent opinion of value for the equipment in a hospital, clinic, surgical center, dental practice or laboratory. It covers imaging, surgical, dental, lab, patient-monitoring and support equipment, valued under the premise the assignment requires, and is prepared under USPAP so the number is defensible for lending, sale, insurance, tax and legal purposes.

How does a physician buyout or practice sale affect equipment valuation?

A physician buyout or practice sale usually calls for Fair Market Value on the equipment so both sides can separate hard assets from goodwill and the real property. The appraiser values each device independently, because a departing partner's share of the equipment has to be defensible to both parties and, if SBA-financed, to the lender. The age, condition and remaining useful life of the clinical equipment, along with any transferable software or service agreements, drive the number.

Do OEM service contracts affect hospital equipment value?

Yes, materially. A system under a transferable OEM service agreement carries a premium because the buyer inherits coverage. A system coming off contract faces service and repair costs that the secondary market prices in. The appraiser confirms contract status, transferability and remaining term, and reflects that in the opinion of value.

Do you appraise hospital surplus equipment?

Yes. Surplus and decommissioned equipment from hospitals, surgery centers and imaging centers is valued on the same evidence as equipment in service, with the premise set by what happens next: orderly or forced liquidation value if it is being sold off, fair market value if it is moving to another facility or being donated. De-installation, rigging and freight weigh heavily on surplus imaging, and the report addresses them.

What does a medical equipment appraisal cost?

The fee follows scope rather than a flat rate: how many devices and sites are on the list, whether installed systems such as imaging need an on-site inspection, the premise and effective date the purpose requires, and whether the report will face a lender's review or cross-examination. Send the asset list and the purpose, and we quote the fee in writing before any work begins.

What should I look for in a healthcare equipment appraiser?

A machinery and equipment appraisal credential, USPAP compliance, independence from the sale or the loan, and working knowledge of what is specific to medical assets: software entitlements, OEM service contracts, refurbished-market pricing and regulatory status. Our reports are prepared by a NEBB-certified Machinery & Equipment Appraiser (CMEA), with independent senior review before release. More on how to choose an equipment appraiser.