Impact of Federal Interest Rate Increase on Used Medical Device Sales & Liquidation

“Blueprint for recovering from financial losses caused by used medical device liquidation”

Hospitals rely on liquidation, vendors and auctions to sell unwanted and no longer needed older medical devices. 

These companies enable hospitals to get older devices removed from premises and generate revenue.

For the most part, generated revenue covers liquidation expenses and leftover balance is added into hospital’s overall budget.

However, this year, many hospitals using this model began reporting decrease in revenue from used device sales and liquidation. 

Since cost of liquidation is seldom a budgeted expense, there's a growing concern that soon revenue will not be enough to cover liquidation expenses and hospitals will have to pay to remove older equipment.

Let's explore why this situation transpired and what hospitals need to do to fix it.

No 1: Change in Banks’ Lending Practices

In March of 2018, Federal Reserve raised its key short-term interest rate. It was raised again in September. 

The second increase makes business borrowing costs even more expensive. This marks central bank’s fifth rate increase in 12 months with 1 more projected by the end of 2019.

In addition to rate increase, US banks prefer larger loans. However, majority of companies that buy used equipment are small-mid size businesses seeking loans under $250,000. These loans are less profitable and riskier for banks.

Together, increased rate and bank’s inclination for large loans cap buying power for small-mid size businesses that purchase older medical devices in United States.

International companies, also key players in used medical device industry, are also finding it tougher than ever to get loans. 

SME Alliance (UK group representing small and mid-sized enterprises) reports that big banks are reluctant to lend money and small banks follow classic business model which is averse to lending to small businesses.

Result: Small-mid size companies don’t have enough capital to buy older and less profitable equipment.

No 2: Cheaper and Comparable Chinese Alternative

Not too long ago, companies from Middle East, India and Asia chased US hospital-owned older equipment manufactured by GE, Siemens, Stryker and Philips. 

Today, they are less interested in paying premium for brand names because they can acquire comparable and newer equipment manufactured in China.

Chinese manufactured products range from patient monitors, anesthesia machines, X-ray machines to OR lights. They initially cost a fraction of the price charged by their brand name competitors.

These products are yet to break into US market and given the current tariffs situation may not any time soon, however they penetrated Indian and European markets.

Hospitals that purchased Chinese products 5-7 years ago began replacing them. This created an opportunity for Middle East and Indian companies to buy newer and less expensive devices locally and avoid paying excess taxes, customs and shipping costs for imports.

Result: Older US hospital-owned equipment is less desired by international buyers.able for companies overseas.


Shift No 3: Globalization and Accessibility

Surge of online websites that specialize in selling used medical devices created a buyer’s market.

In US, there are dozens of websites for auctioning and reselling used medical devices. They are competing among each other as well as big rivals, eBay and Amazon.

In addition to US based websites, in the last 2 years, UK, Saudi Arabia, France, Mexico, Ukraine and India created their own online marketplaces to sell and auction used medical devices.

There is no more scarcity of devices. 

Buyers have more device options and places to buy them. 

Participation in scheduled auctions/liquidations has been declining and as a result auction companies are scrapping larger volume of devices than ever.

Result: Greater supply and access to equipment caused decrease in demand and interest.

Current Scenario

With less buying power, both US and international buyers are paying less for older equipment. 

They are saving money to buy newer devices that are guaranteed to be more profitable for them. 

In addition, international buyers who bought almost 80% of US hospital-owned older devices are now shifting to local products.

Vendors, who within the last 12 months, bought older devices from US hospitals are suffering from inventory surplus. To generate cash flow, many of them started selling off accumulated devices at a loss further reducing already low prices.

Meanwhile, US hospital are seeing revenue decrease from older device sales and having more equipment scrapped than sold.

Cost Opportunity Proposal

Financial analysists do not anticipate this trend to reverse in the near future.  Additionally, forecasted instability in the stock market and enacted tariffs will compound this situation.  

However, there is an option hospitals can exercise to hedge and improve sales revenue from medical devices that were removed from clinical use.  

To learn more about this option contact our office for the remainder of this article.  

You will receive a copy of viable and easily attainable solution your facility can implement to alleviate financial loss created by globalization and current surplus of older medical devices on the market.

EcoMed works exclusively with hospitals, surgery centers, imaging centers and independent healthcare providers by managing resale and transportation of used medical devices. Contact us for COMPLIMENTORY recommendations, resources, support and medical device industry insights that will help your organization make the right decision on how to handle medical devices removed from clinical use.  

Used Medical Equipment Fair Market Value is Unfair

Let’s talk about used medical equipment fair market value, or FMV.  At some point, almost every healthcare provider needs to establish FMV of their used medical devices. 

 

If you engage an appraiser to establish FMV, most likely you will receive a value that is unrelated to price at which your device will sell.

While this value is suitable for the accounting purposes, it is unfortunately useless in the real world.

 

If you try to establish FMV on your own using Google or any other search engine, you will discover that value of the same device can vary by as much as 60%. 

 

So, if FMV provided by an appraiser cannot be used as a benchmark and online FMV results are inconsistent, how can you establish appropriate resale value of your medical device? 

 

In reality, FMV depends on basic economic principles of supply and demand.

For example, during shortage of respiratory devices during a flu season, price of respiratory devices available on secondary market skyrockets regardless of FMV reported by an appraiser or found online.

In addition, FMV has a different meaning to each buyer, their situation, and location. 

 

A buyer who makes an offer on any device for their inventory will assess its FMV lower than if they were purchasing that device for a prospective end-user (party that will use the device). 

 

And, if that end-user was to issue a Purchase Order, that same buyer may significantly increase their offer. 

 

True Story (and actual photos of the system):

This situation took place in our office while we were selling a GE Lunar Prodigy Bone Densitometer for a client.

A buyer submitted an offer that was below resale value range assessed for this system.

Buyer justified their offer by indicated that system lacked a key technological feature, was expensive to de-install, crate, and transport across the country to their facility. 

 

We presented the offer to our client.  As anticipated and per our recommendations, client rejected the offer. 

 

Three weeks later, the same buyer inquired if the system was still available.

After learning that it was, they increased their offer by $8000.

It turned out, they were now working with an end-user who was in Latin America and despite the absence of a key technological feature still wanted this system. 

 

So, with FMV being arbitrary and purchase price carrying little weight on the secondary market, how can you establish at what price to sell your medical device?

 

Here are 9 suggestions to help:  

1. Resale value will depend on supply and demand of “like” or similar devices. Study the market and determine if there’s a surplus or deficit of equipment you’re selling.
2. Look for buyers who need (not want!) your device. 
3. Avoid buyers who purchase for inventory or will resell device to another buyer instead of an end-user.
4. Refrain from selling to a service company that fixed your device… for obvious reasons.
5. If soliciting bids, engage as many buyers in the US and abroad as possible. Don’t limit yourself to 2-3 companies.
6. Establish a resale price range. This will help you analyze offers. Email us if you need help. This service is FREE and without any obligations.
7. If you decide to auction, be mindful of fees. They
   
   drastically reduce profit. For example, eBay collects 10% from the sale of “Healthcare, Lab & Life Sciences” equipment. You will also incur 3% fee from PayPal for payment processing. Your profit is down 13% and you still must deal with packing & shipping, thus cost of your time. If you engage auctioneers, again, be mindful of fees. In addition to 40%-60% profit split, auctioneers may charge for pickup, cleaning, PHI eradication and so on. Also, buyers who purchase from auctions pay up to 20% premium. This reduces the total amount they’re willing to bid.
8. Avoid selling to buyers who advertise they "buy everything and pay top dollar". Historically, these buyers make the lowest offers. Because they buy everything, they need a big facility for storage and that comes with big overhead. These buyers usually resell equipment to other buyers. See suggestion number #3.
9. Build an international network. Approximately 80% of equipment is sold overseas. Privatization of healthcare in Africa, India, and Pakistan lead to a surge of new hospitals and clinics opening in those regions. International buyers are the biggest players in used medical device industry right now.  

While used medical equipment FMV is an unfair and arbitrary number, these 9 proven suggestions will help you resell your medical devices on the secondary market at reasonable prices.

 

 

EcoMed works exclusively with hospitals, surgery centers, imaging centers and independent healthcare providers by managing resale and transportation of medical devices removed from clinical use. If you have medical devices that are no longer being used, contact us and we will provide you with resources that will help you make the right decision on how to sell them.

 

 

To learn more about benefits of being an EcoMed client, visit us at www.ecomedhtm.com, send us an email or call Toll-Free 855.234.5600. 

Are You Ready To Do This Right?

It's that time of the year when goals were just set and New Year's resolutions are still part of our every-other day vocab. 

While this topic is still relevant, let's chat how those of you working in healthcare with medical devices can help your facilities set a goal for successful end-of-use medical device decommission/resale program.

Saying you want to sell or you already sell medical devices outside your facility is not enough. 

If you Google "used medical equipment" your search will return dozens of companies unanimously promising to "buy your used medical equipment" and pay "maximum for your used medical equipment".

How do you know which company to select? How do you know if they are paying maximum when all of them make the same claim? Is selling your end-of-use medical devices to a vendor or accumulating them in storage for an auction even constitutes a program?  Absolutely not.

 

A successful decommission program must be Measurable, Dynamic and Strategic. 

 

Before you set it up, ask yourself and all stakeholders the following 2 questions:

1. Who in the facility will take ownership of the process?
2. Who will be our service provider?

Second question is critical and will make the biggest impact on your program's success, revenue, and available resources.

You need to decide if you want to work with a

• Liquidator - service provider that commonly liquidates devices through auctions.
• Used Equipment Vendor - will offer to purchase all available devices for nominal price regardless of device type, condition or age.
• Re-marketer - specializes in online and email marketing of equipment.
• Consignor - likely to take physical possession of equipment prior to sale completion.  
• Consultant - manages resale process, makes strategic recommendations, coordinates de-installations projects, manages logistics and standardizes process across the whole system.
• Yourself - self-administration of the program.

Completing the following 5 tasks to create a roadmap, use proper sales strategy and leverage negotiations:

1. Identify devices already removed from service.
2. Identify devices scheduled for replacement/upgrade this year.
3. Perform Market Demand and Price Analysis for both device groups.
• Adjust for: cyclical price fluctuation, current FDA recalls and manufacturer's notices.
4. Chart removal time line.
• Put dates on monthly calendar. You will start seeing projects from different Departments and Facilities that can be consolidated for potential cost reduction (ex: removal of obsolete fixed equipment).
5. Use this information to set an annual Sales Revenue Target!

These are the basic components to consider when setting a goal for successful program.

 

A goal will guide you and reduce surprises along the way. It will financially benefit your facility.  It will create consistency and transparency.  It will reduce liability. And, above all it will ensure you remain in control of the process.

 

If you continue to haphazardly handle end-of-use devices by storing them, misplacing documents for sold assets, consigning assets for mediocre service, chasing buyers to pick up sold devices, than you will continue to be frustrated by mediocre results and lack of process. 

Now is a great time to set a goal to implement decommission/resale program in your facility.  Do it the right way and you just may reach your Sales Revenue Target by June!

 

And, if you are planning to self-administer the program, Contact Us for a complimentary list of items you need to have in place before the launch.

 

If you would like to learn more about benefits of centrally managed Medical Equipment Decommission Program, please visit www.ecomedhtm.com or send an email to med@ecomedhtm.com.

Keeping Your Options Open: Part I

Every healthcare facility has a handful of medical devices that at some point need to get replaced. Some of those devices are “used and abused” and deserve a proper burial, but some still have a pulse.

The question is, will the ones with the pulse be handled just like their battered counter-parts? 

Will the Hospital Departments trade them for shiny-new next generation models without consulting Corporate Office? 

 

Will they be forever retired into an offsite barn used as a storage or, live in the hallway until Joint Commission arrives and then get quickly relocated into a nearby closet or worse, a bathroom (true story!)?

There are five alternatives to consider in addition to the antiquated trade-in or the "out-of-sight, out-of-mind" methods when replacing end-of-use medical devices. 

Each has its pros and cons but all are better alternatives than locking equipment in barns or using as foot stools under the nurse’s station.

The five most common alternatives are:

1. Internet Sales
2. Auctions
3. Hospital Site Sales
4. Direct Vendor Sales
5. International Container Load Sales

A 250 bed hospital has an average of 3,250 devices and since majority of devices are different, different selling strategies should be utilized. For the sake of keeping interest and time, let’s explore “Internet Sales” option in this post and reserve the rest for next time. 

 

Internet Sales Pros:

• Setting Asking Price: let’s face it, we all have access to the internet and if we can
  
  self-diagnose the root cause of that annoying cough, we can probably determine ballpark price of the equipment.

Quick Tip: Prices published on websites such as eBay and DOTmed should be discounted by at least 33%.  Prices listed on these platforms are almost always negotiable which is why it is imperative for facilities to maintain own database with prices received for sold devices. Also, please don’t assume that asset book value Finance Department has on record is the same as street value. It’s not!

• Unlimited Selling Cycle: you’re not bound by time limit and can continue selling until you receive a price that meets your expectations.
• Reaching Global Buyers: you expand your reach beyond vendors personally known to you or working for your facility to a wide range of prospective buyers located in US and abroad.
• 24 Hour Visibility: whereas online auctions and site sales provide limited visibility hours, the internet is always open.
• Reduced Commission/Service Fees: establishing an online store can cost as little as $0 or as much as $200/month, depending on the platform used, but that pales in comparison to 20-60% fees charged by providers offering online auctions and equipment consignment/storage services. 

Internet Sales Cons:

• Time Consuming: it can get time consuming (and irritating for anyone holding a full time job) to respond to prospective buyer’s inquiries, reply to emails, return phone calls, host inspections or verify if the screw holding the plastic case on the bottom of the unit is grey or silver.

• It takes approximately 2-4 hours to sell common general biomedical device.

• It takes approximately 40-60 hours to sell a fixed imaging system.

• It can take months to sell a unique, specialty-focused system or laser.

Of course, sale process can be decreased if you give away the system for the cost of de-install, but if you’ve read this far, I don’t think that is your goal.

• Choosing Selling Platform – there are plenty of online platform to choose from and it appears as if a new one pops up every day. From medWOW, DOTmed and eBay to SoluMed and MediBid just to name a few. Each platform has its own advertising criteria, fee structure and customer traffic that must be evaluated.
• Payment Processing: when selling online, buyers need to have payment options and at very minimum, facilities need to be able to process payments by credit card, PayPal, domestic and international wires.
• Logistics: managing logistics is a pain! And it will be even more painful if buyer is located abroad. It’s not a rocket science to figure out how to ship a 30lb box to Poland, however the process will take on a life of its own when the job calls for de-installation, crating and shipping via ocean-carrier to Australia or determining which consolidated clearing house to use for a shipment to Mexico.

There is definitely some effort involved when selling end-of-use medical devices on the internet, but the financial benefits almost always outweigh the labor involved. 

 

Don’t be afraid to incorporate Internet Sales into your equipment decommission program. Even if you determine it is more beneficial for your facility to trade-in that end-of-use asset, the vendor taking it on a trade just may be more generous with trade-in value if they know you have other options.

 

If you would like to learn more about the benefits of an in-hospital, centrally managed Medical Equipment Decommission Program, please visit www.ecomedhtm.com or send an email to med@ecomedhtm.com.

Transforming Wicked Ways of Selling Used Medical Devices

After 7 years of working in a medical field, I can say with certainty that healthcare professionals are more optimistic about Obamacare than selling medical equipment they no longer need. 

Almost everyone who works in a hospital has a colorful story about their experience with sale of used medical devices and vendors who purchased them.  

And, it makes no difference if they sell equipment at an auction, from the hospital's basement or online.  At the end of the day, most feel cheated and mislead by the buyer. 

Regardless of their title and location, the sentiment shared by folks who work in healthcare and have to deal with trading-in or selling equipment is the same:

“Three words: used car dealership.” – Respiratory Nurse, MI

“I was selling a new patient monitor and told by one buyer it's worthless because key options are not enabled.” – Cardiologist, MO

“We auctioned a truck full of equipment and received a check for $250. How’s that possible?” – Hospital Purchasing Manager, IL

Are these folks the ones to blame because they assumed prices published on the internet are actual prices vendors pay?


Did the vendors who purchased the equipment take advantage of them?

Or, is the medical device industry guilty as a whole because it deliberately keeps prices hidden from the public?   

Answers to these questions are irrelevant because each party will have their own truth. However, what is relevant is that none of the folks selling equipment followed a process.  

They either contacted a vendor they already knew, or searched for one on the internet. That’s not a process, that’s equivalent to calling Goodwill and asking them to buy a juice maker that was received as a housewarming gift and never used because “it's just a pain to wash after each use”. 

Without a process, resentment, frustration and mistrust will continue to plague the minds of healthcare professionals whose jobs require them to manage aging medical devices. 

And that’s too bad, because selling can help one’s bottom line (if done properly) and help medical communities that do not have first-hand access to diagnostic and life-saving equipment.  

So, if your facility is ready to transform how used medical equipment is sold, here are some helpful tips:

1. 
   Centralize and standardize the process.  Having one central location to process all devices that are being sold is more efficient then having 7 nurses trying to sell 3 IV Poles.  
2. Manage the process.  Accountability and understanding the process directly correlate to revenue that will be generated.  If your facility is content with $250 check for a truck full of equipment, assign the process to an existing, already swamped employee.  If your facility is ready to command $8000 for just one ultrasound, outsource the process.  
3. Don’t use the same vendor to buy all your equipment.  This is the same as investing all your money into one stock.  Vendor diversification is just as important as financial diversification.  Vendor who specializes in refurbishing patient monitors will pay more for the monitors but they will pay below market price for the surgical table.  Contrary to popular belief, international vendors are not looking for donations of crappy, old equipment and will pay premium to acquire working devices.      
4. Don’t use the same method to sell all your equipment.  Some devices such as ventilators should not be traded-in to the manufacturer, fixed diagnostic systems are simply not suited for auctions and hospital furniture does not sell well at onsite sales. 
5. Time the sale.  Did you know that same vendor will pay 15-22% more for equipment if they have a buyer and even more if their buyer gave them a PO?  Timing the sale leads to more revenue.  Isn't it fantastic?  There’re always problems related to budget deficits, unbudgeted expenses and missed annual targets. Without too much effort that financial gap can be reduced just by learning if equipment is being purchased for stock or for an end-user.

If the thought of selling used medical equipment is daunting and hearing the same old story of how equipment is not desirable because "it’s not painted orange with green polka dots" is annoying, take action.  

Without a process, valuable devices will be undersold, inefficiency and miscommunication will flourish and staff will continue to waste time and mistrust buyers.  Start the process, own it and rally the troops to support it!

If you would like to learn more about the benefits of an in-hospital, centrally managed Medical Equipment Decommission Program, please visit www.ecomedhtm.com or send an email to med@ecomedhtm.com.

Simple Goals Lead to Great Opportunities

Four years ago, EcoMed was found to educate and help healthcare providers to manage decommission of medical devices that were being upgraded and removed from use.
 
Our goals were simple: 

Share Knowledge

Provide Value

Bring Transparency

Deliver Results

Our mission was to help a healthcare community to implement a value-based process that will provide cost savings and consistent revenue through strategic disposition of medical devices on a global scale. 

 

While most companies focused on buying and selling medical devices, why did we pursue such an unconventional undertaking?

 

Here are just some of the reasons:

1. Because dealing with decommission of medical devices is frustrating, time-consuming and not in a budget for most Healthcare Supply Chain and service providers.
   
2. Because healthcare facilities have other priorities.  Providing patient care, improving patient experience and maintaining fiscal responsibility, are just to name a few.
3. Because there are thousands of medical equipment remarketers, resellers, dealers, auctioneers, refurbishers and underserved medical facilities and healthcare providers do not have the resources to get to know them and take advantage of their expertise.
4. Because according to CMS, the average American spent $9,523 on healthcare in 2014 and this amount is projected to surpass $10,000 this year! 

While managing decommission of end-of-use medical devices will not entirely obliterate this $10k price tag, personally, it makes me feel good to know that we as a company are doing something to help lessen this burden.

And, it brings me great honor to say that our efforts were recognized not only by some of the greatest healthcare facilities in the Midwest, but also by Premier, Inc. GPO.

 

One week ago, we were notified that EcoMed has been awarded a nationwide contract with Premier, Inc. for Medical Equipment Decommission Services.

 

It's a privilege to start sharing our knowledge with Premier members.  We look forward to showing that a managed process of decommissioning medical devices can result in measurable revenue and lead to

• Cost savings
• Process improvement
• Greater staff efficiencies

And above all, a direct opportunity for underserved medical communities to purchase medical equipment at affordable prices. 

We are thrilled to help healthcare providers around the country regain control over HOW their medical devices are decommissioned. And, we are proud to have been selected by Premier, Inc. to show HOW it can be done!

 

On a personal note, I'm grateful that EcoMed has been given a higher platform to make a difference in our healthcare community.  With great pride and humility, I look forward to continuing our mission and transforming the medical device decommission process one day at a time.


If you would like to learn more about the benefits of a centrally managed, in-house Medical Equipment Decommission Program, please visit us at www.ecomedhtm.com or send an email to med@ecomedhtm.com. 

Decoding Buyer Profile

Understanding consumer behavior is not an easy task.  According to Psychology Today “it is a hotbed of psychological research as it ties together communication, identity, social status, decision-making, mental and physical health”.
Collected data is further segmented by corporations to position themselves on the market, advertise products and forecast revenue.

While this information is not groundbreaking and slightly boring, you are probably thinking, how is it relevant to me?

If you are employed in a healthcare setting and involved with replacement of medical devices, understanding buyers that purchase pre-owned medical equipment directly from Healthcare Providers will help you target an appropriate audience for devices that are being removed from service.

To attain the most financially advantageous outcome in a direct sale of end-of-use medical devices, you need to recognize that your buyer is first of all, a consumer with specific needs that fit their business model. 

The following list summarizes services and products of most common buyers that purchase pre-owned medical equipment directly from Healthcare Providers.  Selecting the right buyer will result in additional revenue in your pocket, well technically not yours, but nevertheless, it will make you feel like a hero... or a hustler! 

1.      Remarketer – these companies specialize in Marketing used devices.  After obtaining manufacturer, model, production year and photos of equipment, they market it on the internet, by email and directly to medical equipment dealers. 

These companies seldom set selling prices and often solicit offers.  The highest offer received is reduced sometimes by as much as 60% before being presented as the purchase price for equipment. 

Occasionally, remarketers will accept equipment on consignment where the split may be as high as 60/40 (in their favor), but most prefer not to handle equipment directly, meaning it remains with the facility until buyer is located. 

Remarketers specialize in marketing and advertising services and seldom possess technical training required to check functionality, review service history or confirm eradication of ePHI before handing over device to the buyer.

2.     Reseller – these are the “Jacks of all Trades, Masters of ...” companies.  They purchase all types of used medical equipment. 

Resellers often purchase on site and by the “box”.  They contact Biomed, Materials Management and if they can get to, Purchasing Departments to inquire if any used equipment is available for sale.  They may send a truck directly to equipment storage area and make an offer on whatever is available.  

Since these companies pick up equipment by the box, they cannot predict if anything valuable is buried on the bottom, so at the risk of overpaying for scrap, they have no choice but to make low purchase offers. 

A lot of equipment they obtain is scrapped, some is resold to dealers, refurbishing companies or occasionally to end-users.  Resellers have some technical skills and may provide basic services such as minor repairs, parts replacement, cleaning and painting before reselling equipment.   

3.     Refurbisher – companies that actually refurbish medical equipment are highly skilled and often ISO certified.  They take great care and pride in their refurbishing process which is often documented and available for review. 

Technicians working at these companies are frequently certified and manufacturer trained.  Refurbished equipment is sold with a warranty to an end-user who may be a Healthcare Provider or an academic organization. 

Since refurbishing companies are dealing with end-users and have additional sources of revenue such as warranties and service contracts, they pay top dollar for used medical equipment.  With that said, they are more selective in their purchases and abstain from outdated technologies. 

4.     Original Equipment Manufacturer – “aka” the OEM enters the picture when older, not outdated equipment is being replaced.  OEM will do a trade-in, or “buy back” older equipment and apply price offered for a trade-in as a credit towards purchase price of the new device. 

OEM, rarely if ever, pays a fair price for trade-in equipment.  It is critical to review every dollar sign in the new device Purchase Agreement because price paid for a trade-in is likely embedded in it. 

Since OEM obtains most of the revenue from sale of new equipment, few have interest in refurbishing equipment they take on a trade.  Thus, they either destroy it to prevent from entering the secondary market or resell it to an OEM-contracted vendor. 

Either way, while it may be convenient to have an OEM pick up older equipment and it’s attractive to see lower price of new equipment on paper, in reality, this practice prevents underserved medical community from acquiring affordable equipment and bluntly stated “leaves money on the table”.    

Deliberately omitted from this list are Auction Houses that are starting to saturate the online marketplace.  Auction Houses do not purchase equipment. Equipment is consigned to them and their job is to sell it through an auction. 

Slightly simplified, but the auction process begins after substantial amount of equipment is collected from several facilities.  Prospective buyers stored in Auction House’s database are notified of date, time and location. 

Since Auction Houses provide an auction platform, they do not get involved in details that

may enhance price of equipment such as replaced parts or recent PM. Their scope of service doesn’t include operability verification, eradication of ePHI and conducting de-installation of fixed systems.  Those tasks are transposed to prospective buyers. 

Information provided to prospective buyers is limited to manufacturer, model and quantity. To participate in an auction, buyers are limited to those having a credit card and available during set auction time.  Buyers typically pay a premium fee that may be as high as 20% per transactions and some Auction Houses actually impose a fee on sellers thus further reducing the overall generated revenue for the seller.  

When working with an Auction House, it is essential to keep a very detailed list of consigned equipment, review items sold at each auction, audit items that did not sell and will be auctioned at a later date, review all sale prices and associated buyer and seller fees. 

This list is not intended to minimize or maximize buyer’s expertise but to distinguish between their service offerings which directly impacts their buying practices. Purchasing used medical equipment directly from Healthcare Providers is done all the time, but this practice is not regulated and buyers set their own rules and prices, thereby often claiming they “can offer the best price”. 

While receiving the best price is a sweet melody to one's ear, understanding buyer’s role and business model can guide Healthcare Providers into making an appropriate decision as to which buyer to engage for a specific device and what deliverables to expect from their joint collaboration.