As the number of aging, technologically obsolete imaging systems at medical facilities increases the need to shift to new imaging equipment with advanced technology, hospitals and imaging centers—especially in developing economies—seek MES models that provide a viable long-term equipment procurement strategy. MES offers technical infrastructure support to a healthcare organization for a service fee through a long-term contract, often over 8 years. Based on technology usage, the service fee includes fixed and variable components such as per patient, test, or diagnosis.
Frost & Sullivan expects MES to sustain steady growth during the next 5 years, fueled by healthcare organizations’ need to optimize the total cost of ownership and adopt business models that will help hospitals and imaging facilities shift from capital to operating expenditure. We anticipate the rapid adoption of MES as a business model across radiology practices, especially among mid and small-sized radiology centers.
The study period is 2022–2028, with 2023 as the base year and 2024–2028 as the forecast period. The study overviews the North American and European MES markets, focusing on current scenarios, drivers and restraints, the latest technologies, and notable participants.
Frost & Sullivan segments the MES market into the following categories:
• Hospital equipment servicing
• Diagnostic imaging centers equipment servicing
• Ambulatory surgical center equipment servicing
• Others (e.g., physician office radiology practices, independent office-based labs, retail health clinics, and urgent care centers)
We aim to offer stakeholders insights into the MES market to enable them to monetize opportunities arising from this advanced yet dynamic landscape over the next few years.
Revenue Forecast
The revenue estimate for the base year 2023 is $2.12 billion, with a CAGR of 9.7% for the study period 2023–2028.
The Impact of the Top 3 Strategic Imperatives on MES Providers in North America and Europe
Innovative Business Models
Why:
- New business models, such as MES, operationalize capital and service costs, facilitate better total cost of ownership (TCO), and are more popular than traditional, capital-intensive purchasing and service models.
- Radiology providers seek customized approaches to cost-effective clinical asset management to develop strategic decision-making for effective cost predictability.
Frost Perspective:
- Limited capital funding, technology obsolescence at a large scale (and for the long term), and a strong appeal to access value-added services have accelerated radiology providers’ adoption of new purchasing and service models for imaging equipment.
Industry Convergence
Why:
- The availability of public-private partnerships (PPPs) and private finance initiatives (PFIs) for the purchase of capital equipment in radiology is driving the adoption of multi-vendor service (MVS) offerings by healthcare providers.
Frost Perspective:
- Service providers and original equipment manufacturers (OEMs) seek multi-vendor portfolio opportunities.
- Digital capabilities in radiology, such as prognostics, remote service capability, digital twin technology, and service capacity expansion, will see increasing adoption in 3 to 5 years.
Transformative Mega Trends
Why:
- In the coming years, strategic activities such as mergers and acquisitions (M&As) and joint ventures (JVs) will increase, leading OEMs to introduce more product offerings. Because of the rapid MVS adoption, radiology capacity will increase 2 times, causing established industries to rethink their competitive stance.
Frost Perspective:
- Market trends show the need for capital expenditure (CapEx) and operating expenditure (OpEx) or a shift from CapEx to OpEx.
- M&As and JVs among OEMs continue to consolidate the market, leaving about 5 contenders globally to offer robust and comprehensive servicing solutions for long-term customer partnerships and changing business models to balance positions.
Market Segmentation by End Customer
MES
Hospital Equipment Servicing
Hospital equipment servicing installs medical imaging equipment in various imaging departments at Tier I hospitals, research/university hospitals, and small-sized regional hospitals.
Diagnostic Imaging Center Equipment Servicing
Diagnostic imaging center equipment servicing includes imaging providers without a hospital association and that are independent of an attending/consulting physician’s office or hospital.
Ambulatory Surgical Center (ASC) Equipment Servicing
ASC equipment services provide services at care facilities and same-day surgical care alongside diagnostic and preventive imaging procedures.
These care centers are outside hospital settings.
Others
Others include equipment servicing at physician-office radiology practices, independent office-based labs (OBLs), retail health clinics, urgent care centers, and integrated delivery networks (IDNs).
Growth Drivers
Driver
- The need to replace aging fleets of medical imaging equipment across NA and Europe significantly contributes to the MES market. The average replacement cycle of medical imaging equipment is approximately 12 years, and significant costs associated with equipment servicing and maintenance during long periods will convince healthcare providers to opt for MES.
- Healthcare providers are considering owning or leasing capital equipment across diagnostic imaging modalities as the need for capital investments, upfront/part payment, and additional diagnostic equipment increases. Because organizations typically fix budgets for the long run, it becomes difficult for customers to upgrade or buy new equipment. Flexible, non-conventional business models allow a win-win situation for manufacturers when they work with hospitals and medical imaging centers (shifting from a CapEx to an OpEx model). As the medical equipment (e.g., CT and MR imaging [MRI]) life cycle lengthens, equipment will reach technology obsolescence faster, increasing equipment renewal.
- Healthcare providers are focusing on adopting preventive, corrective, and predictive maintenance of imaging equipment to decrease costly repairs and servicing, avoid catastrophic equipment failure during clinical procedures, and reduce equipment downtime.
- Purchasing equipment parts through eCommerce platforms will lower equipment downtime and reduce costs.
Why is it Increasingly Difficult to Grow?
The Strategic Imperative 8™
The Impact of the Top 3 Strategic Imperatives on MES Providers in North America (NA) and Europe
Growth Opportunities Fuel the Growth Pipeline Engine™
Scope of Analysis
Definition
Benefits of MES Partnerships
Market Segmentation by End Customer
MES Provider Landscape
Competitors in NA and Europe
Growth Metrics
Growth Drivers
Growth Restraints
Types of MES Providers
The Need and Structure of Long-term Customer Partnership Models
PPPs for MES Agreements
PPP Guidelines for Hospital Infrastructure
6 Characteristics of EvolvingVendor-provider Relationships
6 Characteristics of Evolving Vendor-provider Relationships (continued)
Servicing by End Customers
Forecast Methodology and Assumptions
Revenue Forecast
Revenue Forecast by Region
Revenue Forecast by End User
Revenue Forecast Analysis
Competitive Environment
Revenue Share
Revenue Share Analysis
Key Competitors by Service Type
Companies to Watch—MES Providers
Growth Metrics
Medical Imaging Landscape and Infrastructure
Revenue Forecast
Revenue Forecast by Country
Revenue Forecast by End User
Forecast Analysis
Forecast Analysis (continued)
Revenue Share
Revenue Share Analysis
Hospital Contracts by Type
Growth Metrics
Medical Imaging Landscape and Infrastructure
General Data Protection Regulation (GDPR) for Radiology
Revenue Forecast
Revenue Forecast by Country
Revenue Forecast by End User
Forecast Analysis
Forecast Analysis (continued)
Revenue Share
Revenue Share Analysis
Hospital Contracts by Type
Growth Opportunity 1: AI for Predictive Analytics during Equipment Maintenance
Growth Opportunity 1: AI for Predictive Analytics during Equipment Maintenance (continued)
Growth Opportunity 2: Utilizing Refurbished Imaging Equipment as Part of MES Offerings and Enabling Sustainability Initiatives
Growth Opportunity 2: Utilizing Refurbished Imaging Equipment as Part of MES Offerings and Enabling Sustainability Initiatives (continued)
Growth Opportunity 3: Digital Transformation in MES Models
Growth Opportunity 3: Digital Transformation in MES Models (continued)
Growth Opportunity 4: MES Digitalization Necessitating Cybersecurity
Growth Opportunity 4: MES Digitalization Necessitating Cybersecurity (continued)
Your Next Steps
Why Frost, Why Now?
List of Exhibits
List of Exhibits (continued)
Legal Disclaimer
- MES for Each Equipment Tier, 2023
- MES: Benefactors, NA and Europe, 2023–2028
- MES: Share of Service Providers, NA and Europe, 2023
- MES: Growth Metrics, NA and Europe, 2023
- MES: Growth Drivers, NA and Europe, 2024–2028
- MES: Growth Restraints, NA and Europe, 2024–2028
- MES: Service Provider Types, NA and Europe, 2023–2028
- MES: Revenue Forecast, NA and Europe, 2022–2028
- MES: Revenue Forecast by Region, NA and Europe, 2022–2028
- MES: Revenue Forecast by End User, NA and Europe, 2022–2028
- MES: Revenue Share of Top Participants, NA and Europe, 2023
- MES: Vendor Landscape Assessment, NA and Europe, 2023
- MES: Growth Metrics, NA, 2023
- Medical Imaging: Number of Healthcare Providers Offering Imaging Services, Care Settings, NA, 2023
- MES: Revenue Forecast, NA, 2022–2028
- MES: Revenue Forecast by Country, NA, 2022–2028
- MES: Revenue Forecast by End User, NA, 2022–2028
- MES: Revenue Share of Top Participants, NA, 2023
- MES Partnerships: List and Scope, NA, 2023
- MES: Growth Metrics, Europe, 2023
- Medical Imaging: Number of Healthcare Providers Offering Imaging Services and Care Settings, Europe, 2023
- MES: Revenue Forecast, Europe, 2022–2028
- MES: Revenue Forecast by Country, Europe, 2022–2028
- MES: Revenue Forecast by End User, Europe, 2022–2028
- MES: Revenue Share of Top Participants, Europe, 2023
- MES Partnerships: List and Scope, Europe, 2023
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| Deliverable Type | Market Research |
|---|---|
| Author | Anannya Sinha |
| Industries | Healthcare |
| No Index | No |
| Is Prebook | No |
| Keyword 1 | Managed Equipment Services Market |
| Keyword 2 | MES Market Trends |
| Keyword 3 | Business Equipment Management |
| List of Charts and Figures | MES for Each Equipment Tier, 2023~ MES: Benefactors, NA and Europe, 2023–2028~ MES: Share of Service Providers, NA and Europe, 2023~ MES: Growth Metrics, NA and Europe, 2023~ MES: Growth Drivers, NA and Europe, 2024–2028~ MES: Growth Restraints, NA and Europe, 2024–2028~ MES: Service Provider Types, NA and Europe, 2023–2028~ MES: Revenue Forecast, NA and Europe, 2022–2028~ MES: Revenue Forecast by Region, NA and Europe, 2022–2028~ MES: Revenue Forecast by End User, NA and Europe, 2022–2028~ MES: Revenue Share of Top Participants, NA and Europe, 2023~ MES: Vendor Landscape Assessment, NA and Europe, 2023~ MES: Growth Metrics, NA, 2023~ Medical Imaging: Number of Healthcare Providers Offering Imaging Services, Care Settings, NA, 2023~ MES: Revenue Forecast, NA, 2022–2028~ MES: Revenue Forecast by Country, NA, 2022–2028~ MES: Revenue Forecast by End User, NA, 2022–2028~ MES: Revenue Share of Top Participants, NA, 2023~ MES Partnerships: List and Scope, NA, 2023~ MES: Growth Metrics, Europe, 2023~ Medical Imaging: Number of Healthcare Providers Offering Imaging Services and Care Settings, Europe, 2023~ MES: Revenue Forecast, Europe, 2022–2028~ MES: Revenue Forecast by Country, Europe, 2022–2028~ MES: Revenue Forecast by End User, Europe, 2022–2028~ MES: Revenue Share of Top Participants, Europe, 2023~ MES Partnerships: List and Scope, Europe, 2023~ |
| Podcast | No |
| WIP Number | PFB9-01-00-00-00 |
North America and Europe Managed Equipment Services (MES) Market, Forecast to 2028
New Business Models and Digital Capabilities Drive Uptake to Address Cost Challenges and Outdated Technology
10-Jan-2024
North America
Market Research





