Background: One of the major bottlenecks for costs of health care system is medical equipment, where more than 30% of costs for hospital beds are dedicated to medical equipment. Considering the importance of the subject, the aim of this paper is to review the status of medical equipment maintenance management for decision- making and policy making authorities. Materials and Methods: This observational cross-sectional study with sample size of 190 participants who were selected by census method, exerted in the NAJA hospitals. Data gathering was done by questionnaire, interviews and documents. Validity and reliability of questionnaire were approved by content validity and retest. Data analysis was performed by descriptive and inferential statistics (ANOVA, t-test, Pearson correlation). Results: Results showed that in the dimensions of maintenance management in hospitals, there is a significant difference between mean scores. Iran hospital has the highest rank out of 7 hospitals and Asr has the lowest mean score. In NAJA hospitals, dimensions of directing and coordinating had the highest (3.28), where planning had the lowest score (2.84). Average scores given by men were higher than women. Marital status, education, type of degree and type of employment had no effect on scoring. There is no correlation between age and years of service with scoring. 68.6 percent of participants were agreed and 31.4 percent opposed current chart of maintenance management. Conclusion: NAJA hospitals are in good condition in aspects of medical equipment maintenance management however, it is obligatory to make more efforts to improve the situation by continuous education and reconsidering current organization chart.