Medical Imaging Practices

Imaging equipment is capital-intensive and revenue-generating from the day it goes online. An MRI system or CT scanner that has been generating scan revenue for three or four years is also sitting on equity, the difference between its current market value and whatever remains on the original purchase note. That equity is deployable capital. Cash-out equipment refinancing converts it to cash in about two weeks without taking a single scanner offline.

We work with outpatient imaging centers, radiology groups, hospital-adjacent practices, and physician-owned imaging operations of all sizes. The equipment ranges from MRI systems and CT scanners to X-ray and fluoroscopy equipment. If it generates scan revenue and has lendable value, we can structure a transaction against it.

Minimum transaction is $50,000. Medical imaging refinancing often runs much higher: a 3T MRI system or a 128-slice CT scanner represents several hundred thousand dollars of capital investment, and the equity position after several years of paydown can be substantial. We handle both single-scanner transactions and multi-modality portfolio transactions.

Medical imaging covers a spectrum of modalities, each with its own secondary market dynamics. The primary assets we lend against:

• MRI systems. Siemens, GE, Philips, and Canon (formerly Toshiba) MRI systems at 1.5T and 3T field strengths have established secondary market values. Both closed-bore and open systems qualify depending on age, configuration, and condition. Bore size, gradient strength, and installed software packages all factor into the valuation.
• CT scanners. Multi-slice CT systems from the major four manufacturers have active secondary markets. Slice count, patient table specifications, and installed reconstruction software matter to the valuation. Later-generation scanners within a product line hold value better than older generations.
• X-ray systems and fluoroscopy equipment. Both digital radiography (DR) rooms and fluoroscopy systems with image intensifier or flat-panel detectors qualify. C-arms used in outpatient surgical and procedure settings are also refinanceable based on manufacturer and generation.
• Ultrasound systems. Diagnostic ultrasound from GE, Philips, Siemens, and Canon qualifies in the right configuration and age range. Portable systems and point-of-care units are at the lower end of the value spectrum but may still qualify for transactions at or above the minimum.

Installed, operational equipment in a producing practice is the strongest collateral picture. We also work with systems being upgraded or replaced where the prior system still has equity value.

Imaging practices face capital demands across multiple time horizons. Modality upgrades when scanner technology advances. Capacity expansions when a referral base grows beyond what one scanner can handle. De novo facility buildouts when the practice opens a second location. And the routine operational capital needs: staffing, billing software, and supplies that fill the gaps between monthly reimbursements.

Equipment equity is particularly well-suited to imaging practice capital needs because the collateral is well-understood, the valuation methodologies are established, and the transaction can be structured without disrupting operations. The scanner keeps generating scan revenue. The proceeds fund whatever the practice needs most.

Radiology groups and imaging practices in markets with strong outpatient imaging demand, including Los Angeles, Miami, and Philadelphia, use this structure to capitalize on market positions that require capital to maintain and grow.

The transaction mechanics are the same as any equipment refinancing. We place a lien on the scanner or imaging system, pay off any existing balance, and wire the net proceeds to the practice. The scanner stays in service. Payments run on a fixed schedule for the term of the note.

For medical imaging equipment, the valuation relies heavily on secondary market data from biomedical equipment remarketing companies and dealer networks that specialize in diagnostic imaging. We know this equipment category well and can move through the valuation step quickly when you give us the specifics.

Equipment sale-leaseback is the alternative for practices with fully paid-off equipment. Sell the scanner at market value, lease it back, keep generating scan revenue, receive the full sale price as a lump sum. Sale-leaseback typically produces more cash than a cash-out refinance on equipment that is free and clear, because the advance is against the full value rather than a capped percentage of equity.

Medical practices have distinctive financial structures: professional entity ownership, possible MSO arrangements, and revenue tied to insurance reimbursement schedules rather than direct billing. We account for that structure in underwriting.

Documentation is three months of business bank statements from the practice's primary operating account, an application, and equipment details. For imaging equipment: manufacturer, model, year, modality type, configuration (field strength, slice count, detector type), and current payoff if any. Transactions under $400,000 go through application-only processing without requiring a full financial statement package.

Imaging practices with B and C credit, perhaps from a prior facility expansion that created a tight period, are eligible through our B/C credit program. Current scan volume and reimbursement history through bank statements are the primary underwriting factors in those situations.

Give us the modality, the manufacturer, the configuration, and the payoff. We come back with a real structure the same day you apply. Your scanner keeps running and the capital goes to work.

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