Well you're near Chicago so there are a plethora of local yards that can handle it. A quick google search shows both CR and Simms there do torch and shear work so try giving them a call and see what they charge for pickup. 44,000 lbs sounds awfully heavy for a single piece of medical machinery. That's heavy enough that if loaded into a semi that truck might be over the interstate highway 80,000lb limit. Are you sure about that weight?