January 2023 Newsletter

Clean Data = Accurate Outcomes

Health Systems allocate an incredible amount of dollars when integrating new software technologies to support various functions within their institutions.:

  • New operating systems
  • New accounting software
  • New software to track preventative maintenance schedules on equipment
  • EMR systems

These software systems are purchased to run the hospital more efficiently and manage the integrity of data.  With this cost comes the need for “clean data”. To ensure that new software systems are maximizing output, the hospital needs to ensure the data they enter software systems is accurate.  To achieve accurate data, the hospital needs to conduct an inventory audit of the assets managed by the new operating systems/software.  This can include capital equipment, IT, Furniture etc.

Questions arise on who will conduct the inventory and what information currently exists that can be leveraged to assist with verifying data that needs to be integrated into the new software.  In our years of experience working in facilities and assisting hospitals with audits, MRG has identified challenges and best practices that help accomplish goals associated with these types of projects.  Following are a few challenges and best practices we have identified.


  • Often hospital data (general ledger) doesn’t accurately reflect what is physically in the building
  • General ledgers may have equipment, operational expense, lease hold improvements, labor and many other expenses grouped together on the accounting ledger (it’s not uncommon for a facility with 4,000 assets located on the property to have a general ledger showing 15,000-line items)
  • General ledgers often group multiple identifiers into one field eliminating the ability to properly sort or reconcile data (asset description, make and model are all in one field on the ledger)
  • Hospital departments are extremely busy with patient care and can feel threatened by a third-party company conducting an audit or overwhelmed if required to do themselves
  • Minimizing disruptions to daily activities
  • Increased stress and accuracy from engaging hospital departments to conduct an inventory of their area’s
  • Attempting to reconcile assets with an old ledger/old data
  • Clearly defining goals and objectives for an asset inventory with staff or third-party vendors

Best Practices

  • Have clear top down communication from administration to all departments impacted by an audit
  • Define goals of the audit with hospital personnel and third-party vendors hired to do the inventory
  • Why are we doing an inventory?  What information are we gathering and how will that data impact operational system that are in place (information gathered for accounting may be different than information gathered for clinical engineering)
  • When utilizing a third-party company, have a single point of contact from the facility act as the hospital liaison and properly introduce the vendor to personnel that will be involved at the facility level
  • Define demographics that need to be captured in the audit and define specific timelines the inventory team will be at each department within the hospital
  • Identify ways to minimize disturbance for both patients and hospital staff (some areas of the hospital will need to be inventoried after hours or on weekends)
  • Utilize barcode tagging during the audit for tracking and future reconciliation
  • Formulate policies and procedures for future data add/deletes to the asset ledger
  • Reconcile ledgers every 2-3 years to ensure data integrity

Hospital audits by nature can be somewhat intrusive.  Establishing action plans to challenges before they happen and utilizing best practices will ensure intended outcomes and proper data collection while minimizing disturbance to patients and hospital staff.


November 2022 Newsletter

FF&E appraisals – a piece of the medical practice valuation pie

A great deal of information is gathered to identify the value of a medical practice during a merger or acquisition.

Business valuation companies examine many areas of a business to best understand the current market value of that firm:

  • Real Estate
  • Provider/Staff Compensation
  • Operation Metrics
  • Revenues vs. Operating Costs
  • Outstanding Debt
  • Active Patient Charts
  • Projected Future Revenues
  • Value of FF&E

Valuation of the FF&E (Furniture, Fixtures and Equipment) is a significant piece of the medical practice valuation process.  Capital appraisal firms specifically target the FF&E portion of the overall business valuation.

Capital valuation/appraisers utilize an installed, in use methodology when appraising assets in a practice that will continue operation under new ownership.  Fair market values are market based and supported by current market conditions. Fair Market Value Installed and In-Use definition is: “The most probable price in terms of money that may be reasonably expected to be exchange between a willing buyer and a willing seller neither under any compulsion to buy or sell, and both fully aware of all relevant facts, as of a certain date, of the items, including installation and the contribution of the item to the operating facility”

Benefits of incorporating a capital valuation firm into your overall business valuation process:

  • Onsite audits are performed for hard assets i.e., medical equipment, furniture, IT and business-related equipment etc.
  • Demographics for each asset are captured during the onsite visit: facility, room, general description, manufacture, model etc.
  • Condition assessments are provided outlining an asset’s viability and highlighting assets that may need replaced once the acquisition is completed
  • Third party unbiased view of the FF&E is captured
  • Utilizing firms experienced with medical equipment ensure accurate assessments for all modalities
  • Deliverables are facilitated at a much quicker pace from engagement to final report in hand
  • Costs associated with capital equipment valuation firms are a fraction of what business valuation might charge for the same scope work

It’s important to note that its not uncommon for business valuation firm and capital appraisers to work together to achieve a complete review of the entire practice. Outsourcing the capital appraisal portion eliminate restraints on the business valuation firm while minimizing cost to the client.   Many healthcare providers utilize both firms during the due diligence process.   Hard assets play a significant role when evaluating a business acquisition and should be considered a priority during the due diligence review.   

For more information about FF&E appraisal services contact Manage Resource Group, Inc. at 888/557-4797 or email info@go2mrg.com


September 2022 Newsletter

M&A Aligning Expectations

Current market conditions continue the demand for M&A (Mergers and Acquisitions). From consolidation of hospitals to the purchase of physician practices, acquisitions will continue for the foreseeable future.  The key to any M&A is to ensure both the buyer and seller have aligned expectations by utilizing good data.  FF&E (Furniture, Fixtures & Equipment) is one component of the acquisition process but can impact the total appraised value of a property anywhere from 20% – 50% depending on what type of facility is being audited. 

Unrecognizable clinician presenting a deal between a small hospital and a larger health care provider organization. Concept for healthcare mergers and acquisitions, economy of scale, consolidation.

Following are FF&E tips that Manage Resource Group, Inc. would recommend to both buyer and seller if an acquisition is being considered:

  • Outline a strategy that will maximize the information you’re looking to obtain.
  • Determine what information needs to be captured during the due diligence process to make a fair offer.
  • An FF&E audit should target medical equipment, furniture, IT and business equipment
  • Medical equipment will have a significant impact on the total value of FF&E.  Whoever conducts the inventory and appraisal should be well versed in all modalities of medical equipment.
  • Establish mutually agreed upon timelines for the onsite inventory as well as receipt of deliverables.
  • Acquisitions can place stress on the seller and their employees.  Make sure discretion is used by the auditor during the inventory process.  After hours work if necessary to minimize distractions.
  • Demographics are an essential part of the inventory process.  Deliverables should capture manufacture, model, general description, and serial number if applicable.  It will also be important to identify where each asset is located: building, room number/description, etc.
  • A condition assessment should be applied to each asset outlining its market viability.  This will help align the buyer and seller’s expectation for the asset as well as the value being applied to the asset when it is appraised.
  • Have a clear definition of what fair market value (FMV) means.  In most acquisitions, FMV can be defined as “installed and in use value between a willing seller and a willing buyer.” Most companies should be able to provide an example of their cover letters outlining methodologies and definitions.
  • The appraisal should be a third-party, unbiased opinion that can be be supported by current market conditions.
  • Appraisers should follow USPAP (Uniform Standards of Professional Appraisal Practice) guidelines when appraising assets
  • If budget or time restraints prevent an onsite inventory, a virtual or desktop audit may be a more cost-effective option to consider.
  • Communication is key for any acquisition and collecting sound data during the due diligence process can assist with a smooth transaction.

To learn more about Manage Resource Group, Inc. inventory and appraisal services call

888/557-4797 or visit https://www.medicalequipmentservice.us/appraisal.php


Manage Resource Group welcomes Margie Warren and Andrew Bennett to the team

Manage Resource Group, Inc. is pleased to welcome Margie Warren as an Account Executive.  Margie will be a valuable addition to the team focusing on account management and development of new accounts selling MRG’s full suite of services.

Margie is a military veteran in the United States Air Force with 20+ years of experience in leadership, program management, sales, and process improvement. 

As MRG continues to grow, Margie will be instrumental in our strategic plans moving forward.

Manage Resource Group, Inc. is pleased to welcome Andrew Bennett as a Warehouse-Field Operations Specialist.  Andrew will be a valuable addition to the team focusing on Inventory Management, Material Handling, Shipping & Receiving and Operational Support.

Andrew brings 12+ years of experience in operational management roles overseeing material handling and inventory control.  With continued growth in MRG’s PaidFirst Resale Services, Andrew will provide the needed support to ensure our clients continue to receive effective solutions to their ongoing equipment management needs.


August 2022 | Blog

Physicians on the Move
Manage Resource Group has seen a direct impact that COVID has placed on independent physician practice acquisitions. We have seen an uptick in requested audits over the past two years. The following study confirms what we have seen in activity: 
 Physicians on the Move (Click to visit link)

According to the study physician acquisitions saw a 12% jump from 2019-2022. The trend will continue as healthcare consolidation is still very active. The impact of this consolidation is yet to be seen but an increase in patient care cost is likely.

To learn more about Manage Resource Group, inventory and appraisal service please visit our website at www.go2mrg.com

August 2022 Newsletter

Leveraging Ownership & Control When Selling Surplus

The secondary market has thousands of companies who purchase, consign and liquidate surplus medical equipment for hospitals.  Navigating this marketplace can be challenging and risky.  There are many buyers in the market who don’t have the best interest of the hospital in mind when purchasing surplus medical equipment. 

It’s important for Hospitals to leverage ownership of their equipment and not release control until payment and liability terms are met.  Following are key points hospitals should consider if they are selling surplus medical equipment to better safeguard themselves:

  • When selling surplus make sure the buyer understands that the equipment is being sold “AS-IS, WHERE IS” condition with no warranties implied
  • Confirm the equipment is not part of a lease or rental program with no liens attached to the asset
  • Remove hospital tags on equipment and document on the ledger the asset has been removed from service
  • Make sure accounting is informed that the equipment has been decommissioned and will be removed from the property (working with accounting for moneys received on sold equipment)
  • Have buyers sign a term of sale form indemnifying and releasing hospital of all liabilities associate with sale and future use of sold equipment.  (involve hospital legal department when drafting this form)
  • If your selling imaging equipment make sure you notify your state of who and where the equipment was sold (the buyer should also be registered with the state they reside in to handle this type of equipment)
  • Require secure form of payment before equipment is released from the hospital (company check if your familiar with buyer, wire transfer, bank check etc.)
  • Have the buyer be responsible for cost associated with material handling & shipping

Developing policy and procedures for disposition of assets is best practice for healthcare organizations and reselling surplus medical equipment should be part of this process.  If your organization sells surplus, implementing safeguards will allow for a hassle-free transaction while minimizing risks associated with end-of-life equipment sale.

To learn more about MRG services visit our website at: www.go2mrg.com or email us at:  info@go2mrg.com


The Cost of Storing Medical Equipment

July 2022 Newsletter

It’s not uncommon for hospitals to deal with the same challenges we do at our homes.  The more space we have the more stuff we accumulate.  The problem for hospitals is space cost money and most facilities have limited space available.  The most common statements we hear is “out of site, out of mind” or “we might still need that piece of equipment”.  The reality is once equipment goes into storage it rarely gets put back in to use.

For hospitals, the warehousing of surplus medical equipment can have significant costs associated with storage.  U.S average for industrial space can range anywhere from $6.00 – $10.00 per square foot to rent.  This rate increases when you enter metro areas.  Building industrial space can range from $25.00 – $40.00 per square foot. 

Based on the number of assets in storage these figures can escalate very fast.  Following are questions to consider as you take a stroll through your storage areas:

  • Why are we storing the equipment?
  • Is the equipment ever going back into service?
  • How long has this asset been in storage?
  • What is the cost of the space being used to store assets?
  • Can warehouse cost be offset by selling assets no longer needed?
  • Are we losing value on the open market the longer we hold onto assets?
  • Can the storage space be better utilized for other hospital needs?

A side note to consider regarding the cost of warehouse space.  Resellers that offer consignment and auction house models incur this same cost when storing your surplus assets during the sale process.  This cost is typically being deducted from equipment sales or shared on percentage splits, minimizing your net return on investment.

Be proactive with your storage areas.  If equipment is out of service, either look at repurposing or removing.


Equipment Management is the Key to Cybersecurity

June 2022 Newsletter

With challenges hospitals continue to face with cybersecurity MRG thought it would be good to revisit a newsletter we did a few years ago on this subject.

It seems like every week there’s another ransomware attack that cripples a hospital’s daily functions and puts patient information at risk, so cybersecurity an increasingly important issue to be on hospital administrators’ minds. Even smaller health care practices are filled with scanners, monitors, and PCs that all connect to one network and share massive amounts of sensitive data. How do you manage and account for every piece of equipment in order to protect your network? Start with answering the following questions:

What equipment is on your network?  IT departments may not be aware of medical equipment that has software and PHI on them.  An inventory of the medical equipment gives you a comprehensive picture of:

  • What is connected to your network?
  • Where is PHI stored?
  • Where are the assets physically located for maintenance?

Which equipment is most vulnerable? Although newer equipment is more interconnected, outdated equipment may have fewer cybersecurity protections and therefore be easier to hack, allowing access to the rest of your network. The inventory should include:

  • Date of manufacture
  • Software versions
  • Operating systems
  • Condition assessment

This determines the age and usability of your equipment so you know whether they can be updated or should be considered for removal.

What is the plan to maintain equipment cybersecurity? Once you know what equipment you have on your network and what condition they’re in, plans can be made for ongoing preventive maintenance.

  • Determine how software for PHI is upkept on each item (through the vendor, IT, biomed, etc.)
  • Use those routes to find and implement all possible updates
  • Regularly schedule checks for future system updates

If the equipment is no longer supported by the OEM or hasn’t had a new software version/OS in years, it may be time to replace it.

You’re only as strong as your weakest link, and with everything from pacemakers to fixed imaging systems connected to one network, it can be easy to overlook items that store patient data and leave weak spots in network security. Adding these points to your facility management strategy ensures the control is back in your hands and maximizes protection against future cyberattacks.


Imaging Suite Sales and Removal

Manage Resource Group, Inc. provides turnkey sales and removal for hospital imaging suites. We work with all diagnostic modalities and handle all the details. We take care of the sales marketing, payment and project management during the removal process.

Our clients see an average net return on investment between 80-90 percent of sale

Contact Manager Resource Group at info@go2mrg.com or call one of our sales specialists at 888/557-4797 to learn more about our services.


May 2022 Newsletter

Nontraditional partnerships in M&A

Manage Resource Group continues to see a spike in activity associated with I&A services and has noticed that hospitals and providers are looking at nontraditional partnerships within M&A activity. 

Mergers and acquisitions between health care providers have more than doubled in the last ten years, with a particular rise in nontraditional partnership transactions, such as:

  • Joint venture agreements
  • Minority investments
  • Clinical affiliations
  • Timeshare agreements

Traditional partnerships were driven by the needs of smaller organizations and physician practices, where they could improve clinical programs and services by merging with a larger health system. The move to nontraditional partnerships stems from long-term care strategies and value-based care across all organizations, with health systems leading the way in expanding their reach to patients and implementing these ideals across facilities.

Changes in healthcare partnership are also facilitated by changes in health services legislation, especially in terms of leasing arrangements for healthcare providers. Stark Law required that physicians enter a formal lease providing exclusive use of their premises and equipment to the lessor, usually a hospital or physician group. These leases had a one year minimum and prohibited the physician and lessor from sharing space and equipment during the term.  This led to inefficient, inflexible, and impractical arrangements for all parties involved.

In 2016 the Center for Medicare and Medicaid Services added a Timeshare Arrangements exception to Stark Law, permitting the sharing of space, equipment, supplies, and services on non-exclusive leasing terms between healthcare providers. As an alternative to a full-time lease, timesharing makes it easier for physicians and hospitals to share resources on an as-needed basis and expand available services for patients without transferring ownership of properties.

Hospitals and health systems will continue to make strategic alignments with providers along the continuum of care allowing for creative teamwork within the industry. Such partnerships result in the centralization of essential functions such as IT, purchasing, and human resources for larger organizations, while increasing resource availability and data collection power to small physician practices.

In a continually consolidating healthcare environment, traditional mergers and nontraditional counterparts should all be considered and weighed to determine the best route of action to fit the needs of physicians, hospitals, and patients.


Manage Resource Group, Inc.

Remote Auditing Services

Do you have a small physician practice that needs to be audited? MRG provides a solution that is cost effective and offers a much quicker return on deliverables than an onsite audit. MRG’s remote auditing services minimizes the cost associated with travel and time restraints when conducting an onsite audits.

With advancements in technology and MRG’s proprietary inventory software what would typically require a site visit from MRG’s audit team can now be accomplished remotely.

The remote audit allows clients to work directly with our inventory/appraisal specialist to identify assets located in properties. MRG provides clients industry expertise, capturing demographics associated with tangible assets i.e. medical equipment, furniture, IT, business related equipment etc. and MRG will handle the data entry, report formatting and fair market valuation for each project. 

The remote auditing service is more comprehensive than a typical desk-top appraisal at a fraction of the cost of onsite auditing services. The remote auditing services provides clients a cost effective option to valuating smaller physician practices (1-5 exam rooms)

MRG’s auditing services offers a comprehensive solution for any need:

  • Appraise Now™
  • Desktop Appraisal Service
  • Remote Auditing Service
  • Onsite Inventory & Appraisal Service

MRG Newsletter April 2022

Technology Change-outs

Hospitals decommission and change out equipment for a variety of reasons.  The facility may no longer offer clinical services the equipment was intended for, the hospital may be closing or transitioning to a new location, or the facility may be changing out old equipment for newer technology. 

Medical equipment technology is constantly evolving.  Newer, faster, better options exist for hospitals every year.  In a competitive healthcare marketplace, the demand is high for equipment/systems that keep up with advancement in technology and provides better clinical outcomes for patients.

In most cases technology upgrades have a direct impact on assets that are currently being used within the facility.   As the hospital begins discussion on technology upgrades it’s important to determine how old equipment will be impacted.  In many cases decommissioned assets are an after thought or designated for trade-in as part of the new purchase without understanding potential ROI for the old asset.

Before purchasing the new equipment/system hospitals should be able to answer the following questions about the soon to be decommissioned asset:

  • What is the secondary market value of the equipment?  Many know trade-in value the OEM is willing to offer, but will the secondary market return higher dollars?  Understanding the fair market value of the asset allows hospital to negotiate better trade-in credits and creates options for return on investment for the old asset.
  • Can the decommissioned asset/system be re-purposed within the health system?  Have a process in place to inform sister facilities that you are replacing equipment and see if those assets fit the needs to use somewhere else in the network.  If it’s a fixed asset you will need to consider cost associated with de-installing and shipping. 
  • Is donation a route that will benefit the facility?  Be sure to identify fair market value on assets that are donated for tax right offs.  Another concern is not sending technology that can’t be utilized in third world countries if they don’t meet the operational requirements.
  • Does your hospital have a plan in case the equipment needs to be scrapped for salvage?  With implementation of green initiatives, it will be important to identify items that can be recycled to minimize exposure of landfill disposals.

The key to maximizing return on investment for decommissioned assets/systems is planning for disposition before ordering new equipment so the facility does not limit its options and has a clear picture that identifies best course of direction for an asset end of life.

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.”
For more information on MRG’s services, visit our website or contact us at (440) 289-6490.
Manage Resource Group, Inc.

MRG Newsletter March 2022

Demographics captured during inventory audits

Healthcare acquisitions are still in full swing and MRG thought it would be beneficial to take a closer look at demographics that are typically associated with inventory audits. When planning to purchase or sell an outpatient facility, tangible assets can account for approximately 20%-60% of the property’s overall value.

Tangible assets will typically include medical equipment, IT, business equipment, furniture, security systems etc. Capturing demographics and appraising each asset provides a detailed view for both the buyer and seller. Following is an overview of demographics for typical inventory engagement:

  • Name of the practice
  • Facility location 
  • Physical location of asset within the property
  • Manufacturer
  • Model  
  • Asset description
  • Asset serial number
  • Condition assessment
  • Notes about the asset

Name of the practice: When developing an audit, it’s important to capture the legal name of the property that is being inventoried. This may be the business legal name or the name of the doctor who owns the business. This should be identifiable on both the inventory report and on the cover letter that accompanies the report. This information highlights ownership of the asset which is important during an acquisition transaction because another entity will be purchasing those assets and title of ownership will be transferred.

Facility location: Audits should also contain the physical address of the property. This would include the suite number if applicable. There are times when two business entities under the same ownership will be operating under one address. If auditing both entities one should note this in the report under the facility field and be sure assets are identified with the proper entity. This is very important if the business entity has multiple locations, and the report needs to show what assets belong to each location.

Physical location of asset in the property: Noting the physical location of assets during site visit (inventory) allows both the seller and buyer to verify the asset is in fact located within the facility. Typically, most rooms will have an identifier such as room number or what type of room it is i.e., exam 1, imaging, lab etc. 

Demographics associated with each asset:

  • Manufacture – (who made the asset) Do not confuse with a distributor who may put their name on the asset.
  • Model – Helps identify the vintage/age and support of the assets
  • Description – Gives a general overview of what the asset is
  • Serial Number – Unique identifier when locating asset and determining age
  • Condition Assessment – MRG applies a 5-point visual scale that outlines the general condition and future viability of the asset
  • Notes – Captures pertinent information on an asset such as: Manufacture Date, Accessories etc.

The objective of an audit is to provide both seller and buyer a clear comprehensive picture of all assets that are in the property and their fair market value. Capturing demographics associated with each asset ensures they have been accounted for and referenced in the final report.

Joke of the month

What did the vein say to the pessimistic blood clot? Be positive.

“Helping to assess, inform, and empower healthcare providers with their equipment management needs. “

For more information on MRG’s services, visit our website or contact us at (440) 289-6490.


Manage Resource Group, Inc.


MRG Newsletter February 2022

Benefits of using a capital equipment appraiser

There are two types of companies typically utilized when asset inventory and appraisal services are needed for healthcare acquisitions or timeshare/lease arrangement. It’s important to note that Business Valuation Firms and Capital Equipment may offer different approaches when appraising hard assets.

Capital equipment appraisers utilize an installed, in use methodology when appraising assets. Fair market values are market based and supported by current market conditions. This approach provides the most comprehensive view of an asset’s true value at the time of appraisal. Many business valuation firms rely on depreciation or formula-based appraisals to establish the most reasonable value that can be determined with the information provided by the client. This information might include an old assets ledger or invoices showing what original purchase costs were. 

Benefits of incorporating a capital valuation firm into your overall business valuation process:

  • Onsite or remote audits are performed to obtain information on hard assets i.e., medical equipment, furniture, IT and business-related equipment
  • Demographics of each asset are captured during the onsite visit
  • Condition assessments are provided outlining market viability and assets that may need replacement once the acquisition is completed
  • Turnaround time for deliverables is much quicker since capital equipment valuation firms are asset specific in their approach
  • Costs associated with capital equipment valuation firms are a fraction of what business valuation firms would charge for the same scope work

In many cases both types of firms can work together to achieve a best result solution for the client. It’s not uncommon for a healthcare provider to utilize both firms to conduct the audit.  Some business valuation firms will subcontract a capital equipment valuation firm to appraise the hard assets on the property. Hard assets play a significant role when evaluating a business acquisition or identify assets that are part of a timeshare/lease arrangement and should be a high priority during the due diligence process.  

Appraisal of the Month

Covidien Valleylab FT10 ESU

Fair Market Value: $20,000.00.

MRG Projects

  • Hospital liquidation in OH
  • I&A services for cardiology group in MI
  • I&A services for family practice in KY
  • Bed liquidation for OH hospital

Joke of the month

I went to the library to get a medical book on abdominal pain. Somebody had ripped the appendix out!

“Helping to assess, inform, and empower healthcare providers with their equipment management needs. “

For more information on MRG’s services, visit our website or contact us at (440) 289-6490.


Manage Resource Group, Inc.


MRG Newsletter January 2022

Capital Equipment Lifecycle – Cradle to Grave Series

Above is a diagram that outlines the medical equipment ‘lifecycle’ from planning to disposition. Over the next few newsletters, we will take a closer look at each phase within the lifecycle continuum to better understand how to proactively manage your capital equipment.

This month’s newsletter concludes our series on Equipment Lifecycle Management. We have identified each step in the lifecycle process:

  • Technology & Planning
  • Selection and Purchasing
  • Technology Implementation
  • Management and Support

The final step in this series is “End of Life Management.” In this issue we will focus on what needs to be addressed as capital equipment comes to the end of its useful life. Two key questions that should be answered about decommissioned assets are:

  • Does the equipment have fair market value?
  • What is the best course of direction for decommissioned assets?

Once an asset is decommissioned, it’s important to have a disposal path identified to avoid equipment storage. The facility may be incurring costs and liabilities to store surplus equipment and the potential resale value is depreciating the longer it sits idle.

There are different options available for decommissioned assets and it’s important to take a proactive approach when deciding what option make the best sense for your facility:

  • Trade in – if your facility is replacing or purchasing new assets, identifying fair market value prior to negotiating with the OEM for trade-in credits helps you understand current market values and provides an alternative option should trade-in credit be less than what the secondary market could generate.
  • Selling – if the equipment has secondary market value consider reselling the equipment to a third-party vendor. Selling on the secondary market provides a return on investment and an avenue for disposition of the asset. Be sure to sell the equipment in “As Is, Where Is” condition with no warranties implied. Have a term of sale form in place that buyers are required to sign and make sure funds are secure before equipment can be removed from the property.
  • Donate – there are many 501C3 organizations that will accept donations of supplies and medical equipment. Many will have a list of assets they are looking for. Be sure to establish timelines for the removal to avoid storing for long periods of time. Some charitable organizations struggle with transportation. Donations are typically tax deductible
  • Reutilization – is there another facility within the healthcare network that can utilize the equipment? A sister hospital may have a need for the asset or could utilize the asset for parts to support current equipment.
  • Salvage – discarding equipment is typically a last option and there are many salvage/recycling companies that can assist in this area. Identify green initiative opportunities to properly recycle scrap and minimize devices being put into landfills.

When approaching “End of Life” for equipment, it’s important to be proactive instead of reactive prior to an asset being removed from service. Identify potential values and understand the best course of direction for your assets. Outline policy and procedures for departments with a clear decommission process.

Appraisal of the Month

Berchtold Operon D 860 surgical table
Fair Market Value: $20,000.00.

MRG Projects

Inventory and Appraisal Service completed on a large Orthopedic Group in PA with 3 locations totally more than $3 million dollars in fair market value.

Fun Fact
January is named after Janus, the god of beginnings and transitions in Roman mythology. New Year’s Day is January 1st, therefore, start your New Year’s resolution!

“Helping to assess, inform, and empower healthcare providerswith their equipment management needs.

For more information on MRG’s services, visit our website or contact us at (440) 289-6490.


Manage Resource Group, Inc.


Happy Holidays!

Wishing you a Merry Christmas and Happy New Year from all of us at Manage Resource Group, Inc. We hope your holidays are filled with love, joy, and laughter.

Our office will be closed on Christmas Eve 12/24 and New Year’s Eve 12/31.
See you in 2022!

“Helping to assess, inform, and empower healthcare providers with their equipment management needs. “For more information on MRG’s services, visit our website or contact us at (888) 557-4797www.go2mrg.com


MRG Newsletter December 2021

Capital Equipment Lifecycle – Cradle to Grave Series

Above is a diagram that outlines the medical equipment ‘lifecycle’ from planning to disposition. Over the next few newsletters, we will take a closer look at each phase within the lifecycle continuum to better understand how to proactively manage your capital equipment.

We’ve discussed the importance of inventory in past newsletters for healthcare facilities of all sizes. Accountability, control, and accurate documentation of capital assets are all part of keeping a clean asset ledger for incoming and outgoing equipment. Hospitals should have policies and procedures that clearly define how assets enter and leave the facility. This process should be applied to the accounting ledger and updated accordingly.

Asset reconciliation is the process of identifying the differences between assets that are physically located in the property and assets that are listed on the fixed asset accounting ledger. A major component of any audit is cross referencing data collected during a physical inventory with the facilities’ accounting asset ledger.  

  • Asset identified via inventory and confirmed to be on asset ledger
  • Asset identified via inventory but not located on asset ledger (needs to be added)
  • Asset not identified via the inventory and located on asset ledger (needs to be removed)

To make the reconciliation process easier, be sure data captured from the physical audit is as descriptive as possible. Identify the location, department, asset description, manufacturer, model, current asset tag, and serial number of each asset so it can be cross referenced with assets currently on the hospital ledger. Many hospitals implement barcode technology to tag assets. Barcode tags provide a detailed snapshot of equipment and will help make future reconciliations easier.  Reconciling the ledger provides a clean picture of assets located in the property. This information can positively impact a few different areas for the facility:

  • Keeping the asset ledgers up to date will help your business make sound decisions on equipment that may need to be replaced.
  • Reconciliation provides savings when removing ‘ghost assets’ from the books. This will eliminate insurance costs on assets that are no longer physically in the property.
  • Reconciliation supports financial, risk and compliance management solutions.
  • Allows the Accounting Department to accurately associate physical assets with cost centers for each department.
  • The CFO to properly develop operating and capital budgets based upon an accurate and current data.
  • Fixed asset records should be continuously updated as equipment enters or leaves the property.

Reconciliation is typically associated with a physical inventory project. Once assets have been identified and the ledger is accurate it is recommended that facilities conduct spot checks throughout the year and consider reconciling the ledger every 2-3 years. This will ensure clean data that can be leveraged by the hospital.

Appraisal of the Month

Smith & Nephew CORI Navigation System with instruments FMV: $350,000.00.

MRG Projects

MRG completed a multi facility inventory and appraisal for a large health system in Ohio. The project targeted thirty plus Operating Suites with appraisal of assets totally more than $7.5 million in fair market value.

Fun Fact
Did you know that December’s meaning represents Unity & Trust, A Divine connection, Success in all areas of life, Challenges, and commitments! 

“Helping to assess, inform, and empower healthcare providerswith their equipment management needs.

For more information on MRG’s services, visit our website or contact us at (440) 289-6490. www.go2mrg.com
Manage Resource Group, Inc.


Happy Thanksgiving!

Manage Resource Group, Inc. would like to wish you and your family a Happy Thanksgiving and all the best during this holiday season! We are thankful for our loyal clients and the opportunities to assist with your equipment management needs this year.

Our office will be closed on Thursday 11/25 and Friday 11/26.
“Helping to assess, inform, and empower healthcare providers with their equipment management needs.
“For more information on MRG’s services, visit our website or
contact us at (888) 557-4797www.go2mrg.com
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MRG Newsletter November 2021

Capital Equipment Lifecycle – Cradle to Grave Series

This image has an empty alt attribute; its file name is capital-equipment-lifecycle-1.png

Above is a diagram that outlines the medical equipment ‘lifecycle’ from planning to disposition. Over the next few newsletters, we will take a closer look at each phase within the lifecycle continuum to better understand how to proactively manage your capital equipment. 

Once capital purchases have been made and equipment arrives at the hospital, the clinical engineering department should be actively involved with inspection and placement of the assets.  Biomed and the accounting department should follow hospital guidelines to ensure the new asset is properly added to the hospital’s general ledger and clinical engineering (preventative maintenance) ledger. 

Inventory is extremely important for both incoming equipment and decommissioned equipment impacted by new purchases. Identifying and maintaining an accurate accounting ledger is crucial to health care facilities of all sizes. To better manage equipment, there must be control, accountability, and accurate documentation of all capital assets.  The capital asset ledger needs to be updated with add/deletes mirroring incoming and outgoing equipment.

Hospitals typically conduct a physical inventory on an annual basis for supplies and pharmacy, but sometimes overlook the importance of capital equipment inventories.  It is recommended that a facility-wide inventory be conducted every 3-5 years.  Reconciling accounting ledgers will give a clear picture of assets physically located in the facility.

Resale management ties into the technology implementation phase of equipment lifecycle as decisions must be made on what to do with decommissioned assets displaced by new purchases. It’s not uncommon for hospitals to be reactive once equipment comes out of service and this approach can minimize potential return on investment or identifying the best course of direction for the asset. 

Disposition of assets should be included in discussions during the budgeting phase.  This is a proactive step the hospital can take to better understand what will happen with decommissioned assets once removed from service.  Partnering with an equipment management company can help identify:

  • Fair market value of the decommissioned asset?
  • Is OEM trade-in credit in line with potential net return on the secondary market?
  • Does the decommissioned asset have secondary market value?
  • What is the maximum return on investment?

 During technology implementation, it is important for facilities to keep ledgers current with equipment add/deletes while maximizing return on investment for decommissioned assets.

MRG Projects:

Manage Resource Group completed another successful imaging sale/de-install for one of our hospital clients in the MI market: 2006 GE H3000YT Ventri Nuclear Camera.

MRG Appraisal of the Month:

Olympus CF-HQ190L video colonoscope
FMV: $17,500.00.

Fun Fact
Did you know the First Thanksgiving Took Place in 1621. Although there are several accounts as to where the first Thanksgiving celebration took place, the most well-known version describes the inaugural Thanksgiving as a three-day pilgrim celebration that took place in 1621 at the Plymouth Colony (now Plymouth, Massachusetts). 

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(440) 289-6490. www.go2mrg.com.

Manage Resource Group, Inc.


MRG Newsletter October 2021

Capital Equipment Lifecycle – Cradle to Grave Series

Above is a diagram that outlines the medical equipment ‘lifecycle’ from planning to disposition. Over the next few newsletters, we will take a closer look at each phase within the lifecycle continuum to better understand how to proactively manage your capital equipment. 

Selection & Purchasing stage: the facility has identified what new equipment purchase best meets the criteria established during the technology/planning stage. The equipment/system will be submitted to the capital planning team for budget approval. Hospitals typically have operational budgets and capital budgets. Based on capital threshold determined by administration/finance will determine what type of budget will be used for the new purchase.

Capital budgets typically require approval from a capital planning committee (made up of multiple personnel from different departments) who oversee approvals for larger purchases. Operational budgets are typically handled within departments themselves for operational needs.

Once the capital budget is approved and a vendor has been selected the hospital purchasing department will work with the OEM to determine if trade-in value credits are available or GPO discounts can be applied.

It’s important to determine the fair market value of equipment that will be replaced by new purchases before negotiating trade-in credits with the OEM. This provides the hospital with information to:

  • Negotiate a better trade-in offer from the OEM.
  • Identify an alternative method to generate revenue by selling on the secondary market.
  • Understanding the best course of direction for the decommissioned asset if trade-in is not an option.

Once a purchase price has been negotiated with the OEM, the hospital purchasing department will issue PO’s and begin scheduling delivery or installation. If equipment trade-in is not an option, it will be important to identify best course of direction for the decommissioned asset before it is removed from service. This will minimize exposure of surplus being put into storage or low return on investment from secondary market value. Fixed assets such as imaging systems will need to be scheduled in conjunction with the new system installation. If the hospital is planning to sell an installed system you need to engage a third-party seller once the budget has been approved allowing the appropriate time needed to find a buyer and schedule removal.

Manage Resource Group works with hospitals to provide our Appraise Now™ BVS (Budget Valuation Service) and Appraise Now™ web-based portal to identify fair market value on assets displaced by new purchases. Having access to FMV will help in the life cycle by determining return on investment and direction for these assets.

Click to go to Appraise Now™:

MRG Projects:

  • Remote audits of multiple physician practices for MI Health System.
  • Inventory and appraisal of surgical group in Western KY.
  • Inventory and appraisal of primary care practice in WV.
  • Inventory and appraisal of practice in Mid-Michigan.
  • Remote audit in Northern MI.

MRG Appraisal of the Month:

Ellman Pelleve S5 RF Generator

FMV: $11,500.00.

Fun Fact:

Did you know that dehydration can have a negative impact on your mood and energy levels. Drink enough water to ensure you’re always at your best!

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(440) 289-6490. www.go2mrg.com.

Manage Resource Group, Inc.


Inventory and Appraisal Services for Surgery Centers

Manage Resource Group, Inc. specializes in providing inventory and appraisal services for surgery centers. Our audits help surgery centers reconcile asset ledgers, identify fair market value for insurance purposes and provide objective third party FFE review for mergers & acquisitions. Give our team a call today to learn more about our inventory and appraisal services. 888.557.4797


MRG Newsletter September 2021

Capital Equipment Lifecycle – Cradle to Grave Series

Capital equipment lifecycle is part of MRG’s day to day business.  We did a series back in 2013 that we thought would be good to revisit taking a closer look at equipment life cycle continuum and how MRG services integrate into managing capital assets within the hospital.  Understanding the complete ‘lifecycle’ of an asset can help proactively manage capital equipment.

Above is a diagram that outlines the medical equipment ‘lifecycle’ from planning to disposition.  Over the next few newsletters, we will take a closer look at each phase within the lifecycle continuum to better understand how to proactively manage your capital equipment.

Technology & Planning stage, the facility is identifying needs associated with clinical outcomes, current technologies, and equipment replacement.  There are many reasons why a hospital will replace their equipment:

  • Clinicians determine benefits new technology has on clinical outcomes and what current capital equipment needs to be updated.
  • Will the OEM continue to support capital assets that are in service and are parts readily available to maintain current fleet?
  • Need to standardize equipment across the network of facilities for group purchase opportunities and minimizing parts needed to service and maintain equipment.
  • Asset has served its useful life and is ready to be retired.

As the hospital begins planning for equipment replacement, multiple departments will be involved with the capital selection process. 

  • The Clinical department
  • Biomedical engineering: will provide input on available technology and future preventative maintenance.
  • Purchasing: will be involved with new equipment negotiations and pricing.
  • Finance: will outline budgets and available capital for the replacement equipment.

MRG Service Benefit:  It is important to identify the best course of direction for assets impacted by new purchases as the budgeting process begins. It benefits hospitals to have a proactive approach engaging with a company who can identify fair market valuation on replaced capital assets (replacement budget evaluation).  This data will identify the best method for post clinical use:  traded-in, repurposed internally, resold, donated, or scrapped.  Creating a strategic plan for incoming and outgoing assets allows for a proactive approach when assets are removed from service.

MRG Projects:

  • Inventory and appraisal Orthopedic Center in WV.
  • Inventory and appraisal of Ophthalmic and Podiatry Surgery Center in OH.
  • Inventory and appraisal of Urology group in OH.
  • Mammography removal in MI.
  • Inventory and appraisal ENT Practice in WV.

MRG Appraisal of the Month:

1qty Steris Amsco 400 Model 20 sterilizer

FMV: $27,500.00

Fun Fact

The MRG Team is excited to announce the new addition to the Hoehn family. Brian and Elyse Hoehn welcomed their baby girl Naomi Claire Hoehn into the world on 9/1/21 at 7:37pm. Weighing in at 6lbs 3oz. We are excited for this new chapter in their lives and wish all the best to Brian and his family.

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(440) 289-6490. www.go2mrg.com.

Manage Resource Group, Inc.


Manage Resource Group, Inc. not only provides inventory and appraisal services for physician practices but outpatient PT and fitness centers as well. Give us a call to learn more about our inventory and appraisal services. 888-557-4797.


MRG Newsletter August 2021

Decommissioned Assets: Areas of Impact

It’s not uncommon for hospitals to have a reactive response when assets are decommissioned and removed from service.  Time and space play a pivotal role when decommissioned assets end up sitting in hallways or storage areas. Creating a proactive process starts with replacement budgets and runs through the time when equipment is retired from service.

There are 3 area’s that can impact the decision-making process on decommissioned assets: 
· Annual replacement budget
· Negotiating new purchases for OEM trade-in credits
· Decommissioned assets removed from service  

Identifying fair market values at each of these key phases during the equipment disposition cycle can provide valuable information to support decision making. This allows the hospital to take a more proactive approach with the disposition process.  

Annual replacement budget: When budgets are being discussed and capital is being allocated toward new equipment purchases, it is beneficial to have a third-party reseller assist with providing a replacement budget valuation. This gives the hospital a snapshot of marketability each asset has in the secondary marketplace. Does the asset have potential resale value versus discarding the asset once decommissioned? This snapshot doesn’t ensure the asset will retain the secondary market value applied nine months down the road but does provide valuable information as you plan to replace the asset prior to negotiating the new purchase.

New purchase negotiations/trade-ins: It’s not uncommon for hospitals negotiate trade-in credits for new purchases.  The challenge is most hospitals have no idea if the trade-in offer is fair which, can leave money on the table. Knowing the fair market value of an asset prior to negotiating a trade-in provides information that can be leveraged during the negotiation process. Identifying an asset’s FMV can assist with increased trade-in credits from the OEM.  Also, if trade-in value is too low, it can provide the hospital an alternative option by selling on the secondary market.

Decommissioned assets removed from service: 
If the hospital has taken either of the previous two step’s they will have a good idea if the decommissioned asset has value on the secondary market. Decisions should already be determined, outlining the best course of direction for the asset: trade-in, repurposed within the system, sold on secondary market, donated, or salvaged. There will always be unexpected exceptions for some pieces of equipment, but having decisions made prior to an asset being decommissioned will minimize the need to put assets into storage or undervaluing the asset by accepting low purchase offers from vendors.Being proactive with decommissioned assets helps hospitals address challenges surplus equipment can place on decision makers. Answering questions surrounding capital equipment creates increased potential trade-ins credits, minimizes storage space, and increases return on investments. It also maximizes efficiencies for the departments overseeing the disposition process. An important note when selling decommissioned equipment, make sure you have cash in hand before the asset leaves the property and be careful of hidden fees for transportation and warehousing by third party auction houses and consignment companies.  
Appraisal of the Month

Drager Isolette 8000 infant incubator

Fair Market Value: $2700.00
MRG Projects

· Inventory and appraisal of OB/GYN group in PA
· Inventory and appraisal of primary care group in MI
· Desktop appraisal medical group in TX
· Inventory and appraisal of ophthalmology practice in WV
Fun Fact

Did you know that exercise will give you more energy, even when you’re tired!
Regular physical activity can improve your muscle strength and boost your endurance. Exercise delivers oxygen and nutrients to your tissues and helps your cardiovascular system work more efficiently. And when your heart and lung health improve, you have more energy to tackle daily chores.
“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(440) 289-6490. www.go2mrg.com.

Manage Resource Group, Inc.

Manage Resource Group’s redesigned Appraise Now ™ Inventory Module

Manage Resource Group, Inc. has been busy with inventory and appraisal projects this year, having recently completed another multi-specialty physician practice.

Utilizing MRG’s new, redesigned Appraise Now™ Inventory Module, Manage Resource Group is now able to perform onsite duties in half the time.  This means less interruption for the practice, while still capturing all the valuable information (location/make/model/serial) for each asset.

With the completion of each project, our robust Appraise Now Database grows even larger.  The increased data allows Manage Resource Group to provide better, more efficient reports with quicker turnaround time.

Due to Covid restrictions this past year MRG expanded I&A services to include virtual audits.  Minimizing the need for onsite visits and travel.  

From acquiring independent physician practices to shutting down an underperforming service/department within a hospital, knowing the value of the medical equipment and other assets is crucial to any healthcare project. Below are a few examples of when equipment appraisals are needed: 

  • Insurance purposes:  equipment may need valuation for future policies or claims.
  • Mergers & acquisitions:  needed to properly value assets bought or sold
  • Liquidation & bankruptcy: necessary any time creditors are involved
  • Partnership separation: objective view assisting with buyout negotiations
  • Leasing/buy-outs: for market value at end of term
  • Management & planning: understanding equipment’s value prior to replacement
  • Finance & tax purposes: current market value against book/equipment life and depreciation values

Third party appraisers offer many benefits that can be leveraged in a project.   MRG would be happy to meet with your team to answer any questions you may have regarding inventory & appraisal services. 

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(888) 557-4797 www.go2mrg.com.
Manage Resource Group, Inc.


MRG Newsletter July 2021

Hospital consolidations impact on capital equipment

Stand-alone hospitals continue to be acquired by large health systems to gain market share and expand geographical reach.  In many cases when consolidation occurs there is an influx of capital dollars infused into the acquired hospital.   These funds are used for equipment upgrades and standardization to match current assets used by the health system.  

When capital equipment is purchased, the following key points need to be considered during the technology transition process:

  • Create a timeline/calendar outlining incoming and outgoing equipment in specific areas.
  • Have a clear understanding of equipment that will be decommissioned or impacted by new purchases.
  • Outline assets that will be removed from service on the capital budget.
  • Determine the best course of direction for displaced assets:
    • Trade-in to the OEM for new purchase credit.
    • Re-deploy internally to a sister hospital.
    • Sell on the secondary market.
    • Donate
    • Recycle
  • Develop a project plan outlining what areas of the hospital will be impacted and personnel involved in the transition process.
  • Who will the key players be for new equipment arrival and decommissioned assets?
  • Determine areas within the hospital that can be utilized for staging incoming and outgoing equipment to minimize patient and employee disturbance.
  • Identify Fair Market Value on assets impacted by new purchases to better negotiate potential trade-in with OEM or sell on the open market.
  • If secondary market values dictate selling the assets, begin to identify potential buyers before equipment is removed from service.  Be sure to receive payment for surplus prior to releasing them from the facility.

Integration of a hospital into a new health system can have a major impact on capital equipment.  Being proactive once the transition occurs will help decisions on assets displaced by new purchases.  Having a plan in place for decommissioned assets will minimize space requirements while maximizing potential returns on surplus equipment.

 MRG Projects:

  • I&A of a Primary Group located in Northern MI.
  • I&A of OBGYN Group located in Eastern PA.
  • I&A of Eye Center in OH.
  • I&A of Urology group in Mid-MI.
  • Resale of pump change-out in MI.

MRG Appraisal of the Month:

1qty 2017 Cynosure Sculpsure laser

FMV: $115,000.00

MRG Fun Facts:

Did you know We Didn’t Actually Declare Independence on the 4th of July! One of the greatest misconceptions of the 4th of July lies in the name and date. It is widely believed that America declared their independence from Britain on July 4, 1776. However, the official vote actually took place two days before and the “Declaration” was published in papers on July 4th.

“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at

(440) 289-6490. www.go2mrg.com.

Manage Resource Group, Inc.



When was the last time your hospital conducted a fixed asset inventory?  Many hospitals conduct annual inventories on supplies and pharmaceuticals but overlook the savings potential of improving their capital asset ledgers. Did you know that inventory audits and reconciliation of capital assets in the hospital is recommended every 3-5 years? Here is why…
Your hospital’s capital assets (clinical equipment) represent the largest investment that hospitals & health care systems make. Yet, many hospitals rely on outdated ledgers generated from multiple departments to track their assets. It is important to note that departments must not only track equipment that is used daily, but also assets that may be stored in vacant rooms, storage areas or offsite warehouses. Over time accounting ledgers become compromised because of breakdowns that exist when new equipment enters the facility and old equipment is removed from service. The accounting ledger becomes inaccurate unless the hospital has a system in place for implementing a capital audit and conducting ongoing reconciliation of their asset ledger.  Also required, a policy outlining proper protocol for additions and deletions to the ledger when equipment enters or leaves the property.  

What hospitals may not realize is conducting a capital inventory can yield substantial tax & insurance savings in depreciation deductions. Just a little bit of planning can go a long way come tax time. If assets are no longer in service and not removed from the property, hospitals continue to pay property taxes and insurance on these assets. This does not account for the cost of square footage these items are impacting as well.
Consider the “ghost assets” that may be at your property. Every hospital and health system has equipment that may be lost, stolen, unusable, or no longer on the property. If your hospital does not conduct an inventory on a regular basis, these items may still be listed as active assets on the accounting ledger.  

According to a national news report, there are 5 ways in which hospitals suffer from inaccurate asset records:
1)     Paying to insure non-existent capital assets
2)    Carrying excess accumulated depreciation
3)    Asset control
4)    Unrecorded assets
5)    Lack of valuable resources and expertise

On average, companies are overpaying taxes on approximately 12% of fixed assets recorded on their ledgers. The savings that can be obtained from hiring a company to conduct a fixed assets inventory can more than justify the savings obtained on an annual basis. 
TRADING IN EQUIPMENT? Find out the fair market values with Appraise Now!

Appraisal of the Month
Samsung HM70A ultrasound Probes: LA3-16AD/CA1-7AD/EVN4-9
Fair Market Value: $25,000.00.

MRG Projects
I&A Service of EMS Group, PA
Resale Service for Tourniquet Change-out, OH
I&A Service for Multiple Heart Group’s, MI
Virtual Audit Urology Group, MI
Surplus Warehouse Cleanout, MI
Fun Fact
Did you know that Memorial Day was originally called Decoration Day. To honor the deceased, soldiers would decorate graves of their fallen comrades with flowers, flags and wreaths. Hence Decoration Day. Although Memorial Day became its official title in the 1880s, the holiday wouldn’t legally become Memorial Day until 1967.
“Helping to assess, inform, and empower healthcare providers with their equipment management needs.

For more information on MRG’s services, visit our website or contact us at
(440) 289-6490 www.go2mrg.com.
Manage Resource Group, Inc.

COVID 19 Impact on Primary Care Practices

Independent Primary Care Physicians and Nurse Practitioners are on the front lines of healthcare providers battling the COVID 19 epidemic.  Many of these practices see first-hand the long-term effects COVID 19 has place on their patients, practices, employees and financial stability.

The Urban Institute conducted research on these challenges and area’s that directly impact the long-term needs of independent primary care practices:


  • Increase reimbursement for telehealth services and the CARES Act’s Paycheck Protection Program enabling them to retain staff and remain open.
  • The federal Provider Relief Fund did little to help independent primary care practices as a majority of those dollars were directed to hospitals and large health systems.
  • Access to PPE has been a continual challenge for primary care providers, along with clinical hurdles associated with COVID-19 testing.  
  • Anxiety, burnout, and depression continue to negatively impact many primary care practices.

PPE and Telemedicine are top priorities when targeting challenges for these practices.  For more detailed information download the PDF in the above link.


Manage Resource Group, Inc.

As the healthcare industry continues to see consolidation, health systems are increasingly looking for capital group buy opportunities and standardization of capital purchases across their network of hospitals.

If your system is looking at group buy opportunities or streamlining clinical technology across the organization’s equipment fleet, Manage Resource Group’s consulting service increases return on investment for displaced assets/systems.

  • Fair market valuation of capital assets & systems displaced by new purchases
  • Trade-In validation on OEM credits for new purchases
  • Turn-key project based sale of assets impacted by new purchase
  • Transparent sale process
  • Net returns up to 90 percent from sales of impacted equipment/systems
  • Secure payment (money in hand before assets are removed from property)
  • No shipping, material handling or warehouse fees

Our team of professionals bring more than 40 years of experience working with providers to assist with capital valuation and reselling assets impacted by group purchases and technology transition.  We will generate the highest net returns for your organization in a safe and transparent manner.  

  • Sechrist 3600H hyperbaric chambers project generated $81,980.00 gross sales, net return to client $73,790.00
  • Medex/Alaris pump project generated $640,000.00 gross sales, net return to client $576,000.00
  • Medrad injector project generated $159,000.00 gross sales, net return to client $143,100.00
  • Olympus scope project generated $154,340.00 gross sales, net return to client $131,189.00
  • Mizuho surgical table project generated $59,000.00 gross sales, net return to client $53,100.00

To learn more about MRG’s services call one of our sales consultants at: 

888/557- 4797 or Email us at info@go2mrg.com



January 2021 Newsletter


M&A Leasing your practice

There are many reasons and benefits to leasing or structuring a timeshare for your practice. The tricky part is navigating the compensation arrangement to protect your interests as a business owner and maximize returns for your practice. Here’s what you need to know:

Set in advance the premises of the arrangement

  • Timesharing grants a license, or permission, to the lessee to use space or equipment instead of possessory interest, with the leaser remaining in control of assets
  • Determine which resources are going to be shared with the lessee, how often these resources are shared, and for how long
  • Equipment, space, staff, items, supplies, and services should all be covered in this part of compensation negotiations
  • What type of lease is structured (capital or operational)

Appraising your assets

  • Timeshare compensation must be consistent with fair market value (FMV) and exclude volume and value of patient referrals
  • Get an accurate appraisal of fixed/capital assets (equipment), real estate (space), and business costs (staff and services) to know what you should be asking for in terms of compensation
  • Accurate appraisals of assets, with a timeshare or lease arrangement, helps avoid the high valuations of property and assets that generally deter a health system from making an acquisition
  • Create a detailed report outlining demographics for all the assets
  • Apply Uniform Standards of Professional Appraisal Practice (USPAP) when appraising assets

Determining compensation

  • Stark law exemption only covers flat-fee or time-based compensation to avoid incentivizing overutilization and patient steering
  • Use this in conjunction with the FMV of your assets to know how much to ask for in compensation negotiations with the lessee.
  • Note that AHA is currently pushing for Stark Law reform and exceptions to better accommodate a coordinated, value-based care model and promote a team environment, so keep an eye out for these changes and how they may affect your arrangement

Working out leasing arrangements can be grueling and confusing for some.  Getting a better understanding of how much your interests and assets are worth can help protect your business and foster better relations with the health systems you’ll work with. To learn more about asset appraisal, go to:  www.medicalequipmentservice.us/appraisal

Appraisal of the month:

Samsung HS60 Ultrasound system with probes/peripherals

FMV: $29,000.00


  • I&A Family Medicine Practice located in MI
  • I&A OBGYN located in OH
  • De-Installation and Sale of 2qty Nuclear Camera’s in KY
  • Purchase and removal of Sleep Lab in MI

        Fun facts:

The name for January comes from the Roman god, Janus, who is always depicted with two heads. He uses one head to look back on the year before, and the other head to look forward into the New Year!


MRG’s E-Valuation

Some health facilities are limiting access for vendors due to COVID concerns, but that doesn’t have to prevent you from selling your used and no longer needed medical equipment.
Our free E-Valuation tool can help you with identifying value on your surplus without the need for an onsite visit. Using your PC or mobile device, you can get an offer for your equipment in only 3 easy steps. Check out this video for a quick tutorial:
Start an E-Valuation
“Helping to assess, inform, and empower healthcare providerswith their equipment management needs.”


November 2020 Blog – MRG’s Inventory and Appraisal Services

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Inventory & Appraisal projects have been active this year due to the impact of COVID 19 on independent practices.   MRG has engaged in onsite, virtual, remote and desktop audits to complete I&A engagements.    Utilizing MRG’s proprietary Appraise Now™ Inventory Module that captures demographics and condition associated with each asset and MRG’s Appraise Now™ Blue Book a historical database of capital equipment that includes 10 years of data and more than 140,000 appraised assets, MRG was able to provide comprehensive deliverables accurately and efficiently for our clients.   

From acquisitions to liquidating an underperforming entity, identifying the value of medical equipment and other assets is crucial to any healthcare project.   Following are a few examples of when equipment inventory & appraisals are needed: 

  • Insurance purposes:  equipment may need valuation for future policies or claims.
  • Mergers & acquisitions:  needed to properly value assets bought or sold
  • Liquidation & bankruptcy: necessary any time creditors are involved
  • Partnership separation: objective view assisting with buyout negotiations
  • Leasing/buy-outs: for market value at end of term
  • Management & planning: understanding equipment’s value prior to replacement
  • Finance & tax purposes: current market value against book/equipment life and depreciation values

Third party inventory & appraisal services offer many benefits that can be leveraged in project engagements.   Contact one of our professionals to answer questions regarding inventory & appraisal services.  888/557-4797 or email: info@go2mrg.com


MRG Newsletter November 2020

The COVID-19 Impact on Healthcare M&A

Now that the coronavirus pandemic has hit the American healthcare system with a slew of clinical and financial challenges, it is time to reconsider the strategy for mergers and acquisitions among health facilities. Health system physician acquisition was a trend on the rise in recent years, and now that trend will skyrocket as physicians are challenged by managing their offices in a post-COVID world. The good news is that this presents plenty of business opportunities for health systems looking to expand their presence in local markets. What kind of changes will each side need to make in their M&A strategy? 

Health Systems:
More physicians are in a place where they are willing to sell, but how do you know if they will be a good fit for your organization? This is the time to buy, but not without first understanding the current market and potential challenges in the acquisition process. When targeting a practice for acquisition, you need to:

  • Have clearly defined goals you wish to achieve with your M&A strategy (geographical presence, reduced supply expenses, increased care coordination, etc.)
  • Effectively communicate expectations of physician employment and how their integration aligns with the values of the health system
  • Cater your offers to not only the asset value of the practice but also to address individual physician needs to come to a mutual agreement

Financial security is now the number one reason physicians seek employment, but many are reluctant to do so at the expense of their autonomy. You may be at a financial disadvantage, but do not let that get in the way of protecting your interests as a health practice and potential employee. When looking for a buyer or merging organization, be sure to:

  • Understand and explore nonconventional partnership options with varying degrees of physician independence and flexibility – timeshares, venture agreements, minority investments, etc.
  • Know the worth of your assets and clinical network contribution (i.e. patient volume and revenue) to avoid accepting lowball offers
  • Clarify your expectations as a prospective employee and how your practice can contribute to the buyer’s clinical strategy

The ongoing pandemic is forcing healthcare providers to reassess not only their financial interests but how they can cooperate to better serve their communities. Most M&A activity that leads to buyer’s remorse and dissatisfaction is due to incompatible cultures. The biggest change needed for both sides is to communicate their most important clinical expectations with candor and engage in a strategy that optimizes the mutual benefits of physician acquisition.

MRG Appraisal of the Month:

2020 GE OEC Elite GSP C-ARM
w/ dual monitors

FMV: $120,700.00

MRG Projects:
– Virtual I&A for 2 Surgery Centers in AZ
– Desktop Appraisal Diagnostic Imaging Clinic in CA
– Onsite I&A Project for Family Health Group with 4 locations in TX
– Remote I&A service for Orthopaedic & Spine Practice in MI
– Onsite I&A Project for OBGYN Practice in KY
– Onsite I&A Project Urgent Care Clinic for MI Health System

Hospital Fun Fact:
Europe’s first facility specializing in the treatment of mental illness was London’s Bethlem Royal Hospital. It was infamous for its inhumane practices and became the definition of insanity – The word “bedlam” is derived from “Bethlem.” The hospital was a leading tourist attraction for more than a century, drawing curiosity seekers who wanted to get a first-hand look at its patients, their behavior and living conditions.


Introducing the New and Redesigned Appraise Now

Manage Resource Group has redesigned our Appraise Now™ portal to better assist
our customers with their equipment appraisal needs.
Is your annual budget up for approval?
How will you handle equipment impacted by
new purchases? 
MRG’s Appraise Now is a secure web-based solution to questions surrounding fair
market value for capital assets. Whether you’re trading in or looking to sell, make the most of your decommissioned medical equipment.
How does it work?
Sign up for an account and receive your first appraisal FREE. Once registered, you can submit appraisal requests any time:
Let us know how we can contact you
Tell us all about the asset you need appraised
Provide as much information as you can to ensure an accurate quote.
You’re done!
Submit your appraisal request and get a quote on your capital equipment within
24-48 hours from time of submission.