IEEPA TARIFF REFUND RECOVERY FOR HEALTHCARE
You paid the tariff, even if you're not the importer.Here is how healthcare systems recover that money.
Your suppliers were the Importer of Record.
CBP's refund goes to them. We recover your share.
No retainers. No hourly billing. You pay nothing unless we recover.
The Opportunity
The downstream buyer opportunity in healthcare procurement
Healthcare organizations purchased supplies, equipment, and building materials from suppliers who acted as the Importer of Record. Those suppliers passed tariff costs through to you — as a line item surcharge, a mid-year price increase, or a quiet bump in unit pricing.
You ultimately absorbed the duty. The refund is flowing back to the suppliers, not to you.
The Background
The refund is flowing back to your supplier — not to your health system.
Between February 2025 and February 2026, importers paid more than $166 billion in IEEPA tariffs — a program that touched everything from imaging equipment to surgical disposables. On February 20, 2026, the U.S. Supreme Court ruled those tariffs unlawful, and CBP is now refunding the money. But the refund goes only to the Importer of Record (IOR) who filed the entry, typically your supplier.
IEEPA tariffs collected nationwide, Feb 2025 to Feb 2026, across every sector including healthcare supply chains
Range of IEEPA tariff rates across 60+ countries over the life of the program, from the universal baseline to peak country-specific rates, applied to imported medical equipment and supplies
Expected recovery on purchased imported medical equipment, supplies, and facility materials (capital and biomedical equipment, med/surg supplies, and clinical products)
Why you cannot file with CBP directly
The CAPE refund portal accepts claims only from the Importer of Record named on the entry summary. Downstream buyers — including hospitals, health systems, and clinics — have no direct administrative pathway with U.S. Customs.
Spend categories
Where this shows up in healthcare
Med/Surg
Disposable and reusable medical-surgical supplies purchased for patient care.
Capital & Biomedical Equipment
Diagnostic and treatment equipment, plus biomed service parts.
Lab & Diagnostics
Lab instruments, reagents, and diagnostic imaging consumables.
IT & Clinical Technology
Clinical hardware, monitors, and health IT infrastructure.
Facilities & FF&E
Furniture, fixtures, and equipment for patient and clinical spaces.
How recovery works
Our five step process
The path runs through commercial channels, not CBP. The financial analysis is built by Sagemont using your data: purchasing reports, invoices, purchase orders, supply agreements, tariff-related communications, and pricing notices. We map the pass-through, quantify your share, and work with your supplier for the portion of the refund attributable to costs you actually paid.
- 1
Intake & Estimates
Sagemont analyzes a single vendor transaction report, accompanied by all pricing communications from vendors, and provides estimates on the tariff recovery per supplier. A very light lift for your team.
- 2
Full Tariff Analysis
We pull invoices, purchase orders and vendor contracts to build on the initial analysis and map the exact tariff pass-through per supplier.
- 3
Supplier Communication
We work amicably with your suppliers on your behalf to present the analysis and follow up.
- 4
Methodology Review
Our team reviews and validates the supplier's refund calculation and allocation against our analysis.
- 5
Tariff Refund Recovery
Recovered funds flow to you.
Contingency fees
No Recovery. No Fee.
We operate on a 100% contingency fee structure. There are zero upfront costs — if there is no recovery, you owe absolutely nothing.
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