The relationship between health systems and medical equipment can be complicated. The modern standard of care leans heavily on technology to aid diagnostics and treatment. But the cost of advancing care is substantial. In addition to the cost of purchasing equipment, health systems must invest in maintaining these highly technical devices. While the breadth of these demands may seem daunting, standardizing a proactive approach to technical maintenance, supply chain management, regulatory compliance, and cybersecurity can remove many uncertainties from modern care delivery and yield a greater return on a health system’s investments.