Clinical Asset Appraisal · Prepared for the practice owner
It is the value of your equipment. Your carrier uses it to decide what you are able to collect. Your county uses it to decide what you owe. Neither of them measured it.
You did, once — from an invoice, a depreciation schedule, or memory. It has not been looked at since.
"We have never checked" is not a condition your policy or your county recognizes. Both are already using a number.
Prepared by
We are paid to value equipment, never to trade it. No fee we earn moves with the number we report, or with what your equipment later sells for.
The evidence is public
We track 191 devices. We publish a median for 44. Where fewer than five complete-system listings support a number, we publish nothing — a median built on three listings is worse than no median at all. Published figures are asking prices, recorded and labeled as such, and every one links back to the listing it came from.
clinicalassetappraisal.com/librarySummary of findings
A schedule below the coinsurance requirement reduces a partial-loss payment by formula — before the deductible, and without any dispute over whether the loss was covered.
Value carried above what the equipment costs to replace is premium spent every year on money that cannot be collected under any loss.
Your county has already assigned a value to the same equipment and taxes it annually, whether or not anyone has looked at it.
Most practices are both — too low on the equipment that matters, too high on the equipment that does not.
The cause
Fixed-asset register. Placed in service. Seven-year recovery class. That register answers a tax question, and it answers it correctly.
It was never built to answer an insurance question.
You cannot collect more than it costs to replace. You can absolutely pay for more.
The drift
Figures above illustrate the mechanism, not a valuation of your equipment. Your own machines are measured at engagement.
Finding one
Coinsurance is not a judgment call and it is not a dispute. It is a formula printed in your policy that compares what you insured to what you should have insured, and multiplies your partial-loss payment by the shortfall.
Nobody argues about it. It applies on its own terms, and it applies to a covered loss.
No misrepresentation is required for this to happen. No one has to have done anything wrong. The penalty fires on an honest schedule built from honest books.
Applies where a coinsurance clause is present. Agreed Value endorsements suspend it — worth confirming on your own declarations page.
The loss
A total loss pays the limit, and the schedule stops mattering the moment the limit is exhausted.
The partial loss is where the schedule governs. Hail on the rooftop unit. Wind-driven water into the imaging suite. One bad afternoon that takes out four machines and leaves the building standing.
That is also the loss that actually happens.
The schedule you have never checked is the schedule that decides the partial claim.
The county record · Harris County
Source: NOAA National Centers for Environmental Information, Storm Events Database, 2015–2025. Retrieved August 1, 2026.
The cost · finding one
That same $720,000 sits $280,000 below what the equipment costs to replace and $290,000 above what it would sell for. One number, pointing two directions, wrong in both.
Finding two
$5,500 over five years. Certain, recurring, and it does not require a loss to happen.
This is the strongest of the three findings, because you can verify it on your own declarations page tonight.
Finding three
The weakest of the three findings, and we say so. It stacks three assumptions and it depends on a protest you have not filed. We supply evidence. We do not promise an outcome, and no one honestly can.
Precedent · Texas
Eleven buildings, one scheduled limit, an occupancy condition held ambiguous as applied. The whole appeal turned on what the Schedule of Coverage described.
The broker was engaged to place $15M blanket replacement-cost coverage with no coinsurance penalty. The policy in force when the property was destroyed carried roughly $4.075M. The owner recovered by suing its own broker.
Holdings read from the courts' own opinions.
Read it correctly
Neither of those is a denied-claim story, and anyone who tells it to you that way is selling something your own broker would take apart in thirty seconds.
Both owners were made whole — after years of litigation, appeals, and expert testimony about what a schedule described.
The document that ends that argument early is a dated, independent appraisal that was already in the file before the loss.
The report is evidence you already own. Nothing more is claimed for it.
The correction
Replacement cost. What it takes to put the machine back on the floor.
Market value. What the equipment would change hands for on January 1.
What a buyer would actually pay you for it today.
What you should pay, before you sign for the next one.
Replacement cost, market value and liquidation value are three different questions with three different answers. Most appraisals answer one and go in a drawer.
Terms
No fee we earn moves with the number we report.
An inspection placed on the calendar before October 15 holds this year’s rate.
Everything above $950 is quoted — the two doors above.
On-site & renewal
An on-site engagement is the appraisal and a physical inspection of the assets. A practice down the road does not subsidise a facility three hours away.
Renewal is 50% of your prior year fee, $1,250 minimum. Commit to a term and the rate falls: 45% on three years, 40% on five, minimum waived under term. The two dates that matter are January 1, which drives your April 15 rendition, and your policy renewal date.
Half at engagement, balance on delivery. Fees are exclusive of any applicable Texas sales or use tax, which will be added to the invoice if due.
Next step
Whatever you pay for property insurance each year, the equipment number it is built on came from you. Look at what that premium has cost you since the last time anyone checked it.
V.O.S Supply Group, LLC · Houston, Texas. Market data published in the Equipment Library is recorded asking-price information and is not an appraisal. An appraisal is a signed, dated, USPAP-conformant engagement.