Your Medical Equipment Specialists
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.
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:
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.
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:
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:
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. www.go2mrg.com Manage Resource Group, Inc. |
GE Avance CS2 PRO Anesthesia machine
FMV: $20,000.00
“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.
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: 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:
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.
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:
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
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.
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:
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:
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:
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.
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
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.
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:
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.
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     |
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.
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:
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.
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:
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:
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.
Manage Resource Group, INC. makes surplus medical equipment removal worry free. Let us do the hard work. Contact us at 888.557.4797 or info@go2mrg.com.
Did you know Manage Resource Group, INC. will buy your surplus surgical instrumentation, power instruments and overstock surgical disposables!
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
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:
As the hospital begins planning for equipment replacement, multiple departments will be involved with the capital selection process.
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:
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.
Is it time to upgrade your ultrasound system? If that’s the case, are you receiving a fair deal on your trade-in? Appraise Now will provide you with all the information required to make the best decision possible!
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.
Let us do the hard work: Our PaidFirst resale services provide our customers with complete shipping and handling. From prepping the surplus to loading it onto our trucks, we do it all.
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. |
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| “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. 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:
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.
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:
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:
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.
Manage Resource Group, Inc. not only buys surgical equipment, but surgical instrumentation and surgical supplies as well? Anything from power instruments to complete trays to endomechanicals. We offer cash up front for all. Contact us for more info
| 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. |
Manage Resource Group, Inc. is pleased to welcome Lorenza Chiarappa as a Sales and Marketing Assistant. Lorenza will be a valuable addition to the team focusing on sales and marketing support. Lorenza is a senior at Kent State University majoring in Community Health Education with a minor in Business.
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:
PPE and Telemedicine are top priorities when targeting challenges for these practices. For more detailed information download the PDF in the above link.
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.
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.
To learn more about MRG’s services call one of our sales consultants at:
888/557- 4797 or Email us at info@go2mrg.com
HAPPY NEW YEAR!
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
Appraising your assets
Determining compensation
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
Projects:
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!
| 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: |
| “Helping to assess, inform, and empower healthcare providerswith their equipment management needs.” |
Manage Resource Group, Inc. wants to wish everyone a Happy Thanksgiving. We are thankful for another year assisting the equipment management needs of our partners. MRG offices will be closed on November 26th & 27th to spend time with our families and celebrate the holiday.
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:
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
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:
Physicians:
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:
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.
Manage Resource Group, Inc. is pleased to welcome Logan Engel as an Account Executive. Logan will be a valuable addition to the team focusing on lead generation, account management and operational support. Logan graduated from The University of Akron with a Bachelors in Organizational Supervision and a Minor in Professional Selling.
| 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 |
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| Tell us all about the asset you need appraised Provide as much information as you can to ensure an accurate quote. |
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| You’re done! Submit your appraisal request and get a quote on your capital equipment within 24-48 hours from time of submission. |
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