I use them both ways, probably 50/50. Their hydraulic roller spring package is nice, springs are made by PAC, retainers are Crane, etc. Not cheap, quantity, rebuilder stuff. Good valves, good seals, good valve job that obviously works well.
When I buy them bare, they get detailed and washed, cc'd, oil feed hole tapped for restrictor or plug, then assembled with valve springs for the engine. Valve jobs are checked.
When I buy them assembled, they get disassembled, washed, install heights and spring pressures checked, oil feed hole tapped, etc, etc. Valve jobs are checked.
I sell them drop shipped from Trick Flow sometimes, so I don't have any control over what is done when they get them, but I would suggest that they be disassembled, cleaned, blueprinted, etc. I have noticed that a lot of the assembled heads have aluminum flakes/trash in them. I've looked down the intake ports and saw aluminum flakes stuck in the assembly lube that they use on the valves.
So the answer is they are nice out of the box, but no, I wouldn't just slap them on out of the box.