Medical Equipment Financing — Loans & Leases for Healthcare Businesses

Rates and eligibility verified May 2026 across multiple lenders. We may earn a referral fee if you apply through our links — this does not affect our analysis or rankings. All rates are for comparison purposes — your offer may differ based on credit profile, practice size, and equipment type.

Key Takeaways
  • Medical equipment financing rates run 5–12% APR for established practices — lower than most industries because insurance reimbursements provide stable, predictable revenue that lenders view favourably
  • Established practices (700+ credit) can access 5–8% APR; start-up practices (under 2 years) face 12–20%+ and typically need a 20–30% down payment
  • Section 179 deductions (up to $1,220,000 in 2026) can offset a large share of first-year financing costs — at a 30% effective tax rate, an $80,000 dental setup generates $24,000 in immediate tax savings
  • Imaging equipment (MRI, CT scanners) depreciates rapidly as technology improves — operating leases are often better than loans for technology-driven equipment you expect to upgrade in 3–5 years

Summary

Medical equipment financing rates run 5–12% APR for established practices — lower than most industries because insurance reimbursements provide stable, predictable revenue that lenders view favourably.

FundingCompass research, May 2026

Medical equipment financing provides loans and leases for healthcare businesses purchasing diagnostic imaging equipment, surgical tools, dental chairs, laboratory instruments, physical therapy equipment, and other clinical assets. Most healthcare practices finance medical equipment rather than paying cash — equipment often costs $50,000–$2,000,000+, and financing preserves operating capital for staffing and operations. Rates for qualified practices typically run 5–12% APR (annual percentage rate) through specialized healthcare lenders as of May 2026, and Section 179 tax deductions may reduce the effective cost significantly in the year of purchase.


Pros for Healthcare Practices

  • Healthcare practices qualify for among the lowest equipment lending rates (5–8% APR for established practices with 700+ credit) because insurance reimbursements provide stable, predictable revenue that lenders view favourably
  • Section 179 deduction (the IRS deduction that lets businesses expense equipment purchases in the year of purchase) allows practices to deduct up to $1,220,000 in 2026, generating immediate tax savings that can exceed the first year of financing costs on major equipment
  • Specialized healthcare lenders (Stearns Bank, National Western Financial) understand insurance billing cycles and do not penalize practices for the gap between service delivery and reimbursement receipt
  • Operating leases keep equipment off the balance sheet — useful for practices managing debt covenants or partnership agreements that restrict total liabilities

Cons and Watch-outs

  • Imaging equipment (MRI, CT scanners) depreciates rapidly as technology improves — a 7-year-old MRI may have limited financing value and may be difficult to upgrade through sale or trade-in
  • Start-up practices (under 2 years) face significantly higher rates (12–20%+) and often must provide 20–30% down payment, substantially increasing initial capital requirements
  • Soft costs (software, installation, training, maintenance contracts) are capped at 20–30% of the total financed amount — large technology implementation projects may not fully qualify
  • Small Business Administration (SBA) 504 financing for major purchases takes 45–90 days to fund — not appropriate for time-sensitive equipment replacement in a clinical setting

Who Uses Medical Equipment Financing

Medical equipment financing is used by:

  • Physician practices (primary care, specialty, surgery centers)
  • Dental and orthodontic practices
  • Physical and occupational therapy clinics
  • Chiropractic offices
  • Veterinary practices and animal hospitals
  • Imaging centers (MRI, CT, X-ray, ultrasound)
  • Medical laboratories
  • Home health equipment suppliers (DME)
  • Hospitals and hospital-owned practices

Almost any healthcare practice purchasing equipment costing more than $5,000 can benefit from financing — even practices with strong cash flow often finance equipment to preserve liquidity and take advantage of tax deductions.


Typical Equipment and Costs

Equipment TypeTypical Cost Range
MRI machine$150,000–$3,000,000
CT scanner$100,000–$2,500,000
Dental chair (full operatory)$30,000–$80,000
Digital X-ray system$15,000–$75,000
Surgical robot (da Vinci)$500,000–$2,500,000
Ultrasound machine$20,000–$200,000
EHR hardware/workstations$5,000–$50,000
Physical therapy equipment$10,000–$100,000
Lab analyzers$5,000–$500,000
Autoclave / sterilization$3,000–$30,000

Costs vary by manufacturer, model, new vs. refurbished, and configuration.


Loan vs. Lease: Which Is Right for Your Practice?

Both financing structures are widely used in healthcare. The right choice depends on the equipment type and your practice’s financial goals.

Equipment Loan

  • You own the equipment from day one
  • Equipment appears as an asset on your balance sheet
  • Monthly payments are fixed; equity builds over time
  • Best for: equipment with long useful life (imaging systems, surgical equipment) that you’ll use for 10+ years
  • Tax treatment: Section 179 deduction may allow full first-year deduction up to $1,220,000 (2026 limit)

Equipment Lease

  • You use the equipment without owning it (operating lease) or with a purchase option (capital/$1 buyout lease)
  • Operating leases keep equipment off the balance sheet — useful for practices managing debt covenants
  • Easier to upgrade when technology improves
  • Best for: technology-dependent equipment (digital imaging, EHR systems) that becomes obsolete in 3–5 years
  • Tax treatment: Operating lease payments may be fully deductible as a business expense

Hybrid ($1 Buyout Lease)

Functions like a loan — you own the equipment for $1 at lease end — but may offer slightly different accounting treatment. Confirm with your accountant which structure is optimal for your practice.

Use the Equipment Financing Calculator to compare loan vs. lease payments for your specific purchase.


Rates and Terms

Practice ProfileTypical APRTypical Term
Established practice, 700+ credit5–8%36–84 months
Established practice, 650–699 credit7–12%36–72 months
Practice 1–3 years old, 650+ credit9–15%24–60 months
Start-up practice, strong guarantor12–20%+24–48 months

Rates vary by lender, equipment type, loan amount, and term. Rates depend on credit profile, equipment type, and loan term. Rates verified May 2026.

Example
Equipment$80,000 dental full operatory setup
APR / term7% APR over 60 months
Monthly payment~$1,584/month
Section 179 deduction$80,000
Tax savings (30% rate)$24,000
Effective net cost$56,000

Rates for medical equipment tend to be lower than general equipment financing because:

  • Healthcare practices have stable, predictable revenue (insurance reimbursements)
  • Medical equipment holds value well and can be repossessed and resold
  • Lenders with healthcare specialization have refined underwriting for this sector

Section 179 Tax Benefit

Section 179 allows businesses to deduct the full purchase price of qualifying equipment in the year it is placed in service, rather than depreciating it over multiple years. For 2026:

  • Deduction limit: $1,220,000
  • Phase-out threshold: $3,050,000 (deduction reduces dollar-for-dollar above this amount)
  • Qualifying equipment: New or used equipment, software, and certain improvements

Example impact for a dental practice:

  • Equipment purchase: $80,000 (full operatory setup)
  • Section 179 deduction: $80,000
  • Tax savings (at 30% effective rate): $24,000
  • Effective net cost of equipment: $56,000

This means the after-tax cost of financed equipment is significantly lower than the face value. Work with your accountant to determine your specific Section 179 benefit.


Top Lenders for Medical Equipment Financing

Specialized Healthcare Lenders

Specialized lenders understand insurance reimbursement cycles, healthcare regulatory requirements, and the specific resale value of medical equipment.

LenderAmountMin. CreditTermNotes
Stearns Bank$5,000–$5,000,000650+12–84 monthsHealthcare specialist
Healthcare FinancialVaries650+12–84 monthsPhysician practice focus
National Western Financial$10,000–$2,000,000620+12–72 monthsDental and medical

General Equipment Lenders with Healthcare Programs

LenderAmountMin. CreditNotes
Crest Capital$5,000–$500,000650+Serves all medical equipment types. See Crest Capital Review.
Balboa Capital$5,000–$500,000620+1-year time in business. See Balboa Capital Review.
National FundingUp to $150,000600+Working capital and equipment loans. See National Funding Review.

SBA Financing for Large Equipment Purchases

For equipment over $250,000, SBA 504 (the SBA’s fixed-asset financing program for real estate and heavy equipment) offers:

  • 10% borrower down payment (vs. 20–25% conventional)
  • Fixed rate for equipment portion (~6–7% current, subject to change)
  • Terms up to 10 years (equipment) or 20 years (real estate)
  • See SBA Loans Guide

Start-Up Practice Financing

New practices (under 2 years) face more limited options. Strategies for start-up practice financing:

  • Strong guarantor: A personal guarantor with 700+ credit and significant assets improves approval odds substantially
  • SBA 7(a): SBA loans are available to start-ups with a strong business plan and guarantor
  • Manufacturer financing: Some medical equipment manufacturers (GE Healthcare, Siemens, Philips) offer captive financing with promotional terms for new purchasers
  • Specialty healthcare start-up lenders: Some lenders specifically serve new practice start-ups — search “medical practice start-up financing” for specialty programs
  • Larger down payment: Offering 20–30% down reduces lender risk and improves approval probability

Refurbished and Used Equipment

Refurbished medical equipment — factory-reconditioned imaging and surgical equipment — offers significant cost savings (30–60% below new) with acceptable performance for many clinical settings. Financing is available for certified refurbished equipment from reputable refurbishers.

Key considerations for used equipment financing:

  • Equipment age: Most lenders cap financing at equipment 5–10 years old (varies by type)
  • Maintenance contracts: Some lenders require a service agreement on older imaging equipment
  • Certification: “Certified refurbished” from a manufacturer or accredited refurbisher is more financeable than “as-is” used equipment

Frequently Asked Questions

What credit score do I need for medical equipment financing?

Most lenders require a personal credit score of 620–650 for established practices. Specialized healthcare lenders may work with lower scores for practices with strong revenue. Start-up practices generally need 680+ to access financing without a substantial down payment.

Can I finance software and EHR systems along with equipment?

Yes. Many equipment lenders will finance "soft costs" alongside the physical equipment — including software, installation, training, and maintenance contracts. The software and services must typically be bundled with equipment and cannot exceed a certain percentage of the total (often 20–30%). Confirm soft-cost eligibility at application.

How does the Section 179 deduction work with leased equipment?

Section 179 applies to equipment purchased (owned), not to operating leases. A $1 buyout lease is treated as a purchase for Section 179 purposes. A true operating lease — where you return the equipment at lease end — does not qualify for Section 179, but lease payments are deductible as operating expenses. Consult your accountant to determine which structure maximizes your after-tax cost.

Is there a minimum amount for medical equipment financing?

Most lenders have a minimum of $5,000–$10,000. For smaller equipment purchases (stethoscopes, basic diagnostic tools), a business credit card or line of credit is typically more efficient than a formal equipment loan.

Do I need an equipment appraisal?

For standard equipment from major manufacturers, an appraisal is generally not required. For specialized or used equipment over $250,000, some lenders may require an independent appraisal to establish value before approving financing.


Who this works for: Established healthcare practices (1+ year, 620+ credit score) purchasing clinical equipment costing $10,000 or more — imaging systems, surgical equipment, dental operatories, physical therapy equipment. Practices with predictable insurance reimbursement revenue that supports fixed monthly payments. High-revenue practices that can leverage Section 179 against significant taxable income in the purchase year.

Who should look elsewhere: Start-up practices under 12 months old without a strong guarantor (expect rates of 12–20%+ and 20–30% down payment requirements). Practices purchasing equipment under $5,000 (a business credit card or line of credit is more efficient). Practices needing funding in under 24 hours for emergency replacements — SBA options take 45–90 days and even standard lenders typically take 2–5 days for healthcare transactions over $100,000.


Operating lease vs. financing lease
An operating lease is a true rental — you use equipment without owning it and return it at term end. Lease payments are deductible as a business expense, and the equipment stays off your balance sheet. A financing (or capital) lease is functionally a loan — you own the equipment and claim depreciation deductions. The $1 buyout lease is a financing lease: you pay $1 at term end to own the equipment outright.
MACRS (Modified Accelerated Cost Recovery System — the IRS depreciation schedule for business equipment)
The IRS depreciation method used for owned medical equipment. Medical equipment typically falls under 5-year MACRS property. MACRS allows accelerated deductions in early ownership years, reducing taxable income when the equipment is newest and most productive.
Depreciable life
The IRS-assigned useful life period over which a piece of equipment is depreciated. MRI machines and CT scanners are typically classified as 5-year MACRS property; certain long-lived clinical fixtures may have longer depreciable lives. This classification affects the timing and size of depreciation deductions available to the practice.
Soft costs
Non-equipment expenses included in a financing transaction — software licenses, installation, training, and maintenance contracts. Most healthcare equipment lenders allow soft costs up to 20–30% of the total financed amount when bundled with qualifying physical equipment.
Section 179
The IRS deduction that lets businesses expense equipment purchases in the year of purchase, up to $1,220,000 in 2026. For healthcare practices purchasing a $150,000 imaging system at a 30% effective tax rate, Section 179 generates $45,000 in immediate tax savings.