Dialysis equipment appraisals.
Lukes & Lukes is an independent machinery & equipment appraisal firm. We deliver USPAP-compliant opinions of value for the whole clinic: hemodialysis machines, the central reverse-osmosis water plant, dialysis chairs, bicarbonate mixing and distribution, reprocessing equipment and home systems. Each is valued by generation, hours, service documentation and the resale market for its class, and the report separates what travels from what is plumbed into the building. Every report is built to withstand lender, SBA, IRS, audit and legal review.
What we appraise
The clinic, station by station.
We value the full clinic, from a single in-center unit to a multi-site dialysis group, and we value each category on its own market. Machines and chairs follow the station count; the water plant behind the wall is a different asset with a different fate, and the report treats it that way.
- Hemodialysis machines: in-center units read by generation, machine hours and service history.
- Water treatment: central RO plants, distribution loops and portable RO units.
- Treatment floor: dialysis chairs, scales, lifts and station-side support equipment.
- Mixing and reprocessing: bicarbonate mixing and distribution systems and dialyzer reprocessing equipment.
- Home programs: home hemodialysis and peritoneal dialysis systems and cyclers.
- Build-out support: water storage, acid delivery, generators and clinic infrastructure assets.
What drives the number
The machines travel. The water plant does not.
Hemodialysis machines trade on an active secondary and export market, so a current-generation unit with documented hours and service records holds real value wherever it sits. The central RO water plant is the opposite case: plumbed in, sized to the building and certified in place, it loses most of its value the moment it is removed. Generation matters because a small number of manufacturers control the service and parts ecosystem, and a machine that ecosystem no longer supports trades at a steep discount regardless of condition. Chair counts follow station counts, and a clinic sold as an operating unit carries a different number than the same assets sold piecemeal. Water-quality logs and the preventive-maintenance records regulators require double as value evidence, and the report cites them.
Which value applies
The right premise for the situation.
The same treatment floor carries different numbers depending on why you need the appraisal. We determine and defend the premise your situation requires.
Common questions
Answers, up front.
How is a hemodialysis machine valued?
By generation, machine hours, service history and the resale market for that platform, under USPAP. A small number of manufacturers dominate the service and parts ecosystem, so whether a model is still supported moves the number more than cosmetic condition. Documented preventive maintenance and water-quality records support the conclusion.
Does the RO water treatment system hold its value?
Installed, yes; removed, very little. A central RO plant is plumbed in, sized to the clinic and certified in place, so most of its worth is installation and qualification rather than hardware. It carries meaningful value in a sale of the operating clinic and far less under a removal premise. Portable RO units are the exception and trade on their own market.
Is a clinic worth more sold whole or sold off machine by machine?
Usually whole. An operating clinic sold as a unit keeps the installed water plant, the build-out and the station configuration in the number. Sold piecemeal, the machines and chairs retain market value while the plumbed-in water treatment and build-out assets fall away. The report can state both premises so the parties see the spread.
Are these 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.