# Medical Equipment Financing Fundamentals

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Last modified: 2026-05-29T19:39:17+00:00
Type: efin_guide

## Summary

Medical Equipment Financing Fundamentals. Comprehensive guide.

## Content

Medical equipment financing covers diagnostic imaging, treatment systems, surgical tools, and clinical workflow technology used in physician offices, clinics, hospitals, and specialty practices.

Equipment categories and typical financing

EquipmentTypical priceUseful life
MRI scanner$1M-$3M10-15 years
CT scanner$300K-$2M8-12 years
Ultrasound$30K-$300K7-10 years
X-ray (digital)$50K-$250K10-15 years
Operating room equipment$100K-$1M+8-12 years
EMR/EHR system$50K-$500K5-8 years
Patient monitoring$10K-$100K per station7-10 years
Endoscopy / arthroscopy$50K-$300K7-10 years


Industry-specific considerations

Reimbursement-dependent revenue. Medical practice revenue is tied to insurance reimbursement rates, which can shift based on payer mix and regulatory changes. Lenders evaluate payer mix when underwriting larger deals.
FDA-regulated equipment. Many medical devices require FDA clearance. Used equipment must have current certifications. Used MRI machines, for example, need recoil and recertification.
Technology obsolescence. Imaging technology refreshes faster than mechanical equipment. Plan financing terms aligned with useful life.
Service contracts critical. Major imaging equipment requires annual service contracts that can run $30K-$100K per year. Build these into operating budgets.

Typical financing terms


Rate range: 7% to 14% APR depending on credit tier and equipment age
Term: 48 to 84 months
Down payment: 0% to 25% depending on credit and equipment
SBA eligibility: Yes; SBA 7(a) and 504 programs are well-suited


Lender pool


OEM captives: GE Healthcare Financial Services, Philips Healthcare Financing, Siemens Financial Services
Healthcare-specialty lenders: Penobscot Financial Advisors, Bankers Healthcare Group, several mid-tier specialists
Banks with healthcare divisions: most regional banks have healthcare lending teams
SBA-backed lenders for smaller practices


What can go wrong


Industry-specific regulatory changes (emissions, licensing, safety) affecting equipment value
Customer or contract concentration affecting cash flow
Equipment age limits in lender underwriting boxes
Seasonal revenue mismatched with monthly payments
Inadequate maintenance reserves leading to deferred-service buildup


Action steps


Identify specific equipment with model and configuration
Get quotes from at least one dealer and any captive financer
Pull last 6 months of bank statements and 2 years of tax returns
Run payment scenarios at different down payments
Consider soft-pull prequalification before committing to a specific lender
Apply with medical equipment specifics in the notes


See also our insurance requirements guide and Section 179 strategy for tax planning.
