Medical Equipment Leasing: Should You Lease or Buy?

Medical Equipment Leasing: Should You Lease or Buy?


As medical technology continues to improve, it’s crucial that your practice keeps pace with the developments. Out-of-date equipment could make it harder to do your job, potentially lower patient confidence in your abilities, and may even increase your chance of making a mistake that leads to a costly malpractice suit. But constantly buying new equipment outright can be very costly. If you’re not ready to buy outright, medical equipment leasing and medical equipment loans could help you pay for these upgrades in a more budget-friendly way. We compare these two types of small business equipment financing so you can decide which approach makes sense for your practice.

Medical Equipment Leasing vs. Loans

The difference between medical equipment leasing and medical equipment loans comes down to financing. With a loan, you’re borrowing money to buy the medical equipment yourself, but once you’ve paid it off, you own the asset 100% free and clear.

A lease is more like a long-term rental. The financing company owns the equipment, but your practice gets to use it during the lease in exchange for a monthly payment. At the end of the lease, you could buy the used equipment or return it.

To qualify for either type of medical equipment financing, many lenders require that your practice has been operating for at least six months and you have a credit score of 575 or higher.

Benefits of Medical Equipment Leasing

Lower upfront costWith a lease, you aren’t usually required to make a down payment, which allows your practice to rent expensive equipment, like a new X-ray machine, after making your first monthly payment.

Upgrade equipment more frequentlyA medical equipment lease can be as short as a year but typically lasts for about three to five years, according to Becker’s Hospital Review. At the end of the contract, you can return the old equipment back to the financing company and then upgrade to a brand-new model on another lease. This way your practice keeps up with the very latest medical technology.

Reduced maintenance cost – Since the financing company technically owns the medical equipment, they want to keep it in good condition and may cover the cost of maintenance and repairs as part of your agreement.

Drawbacks of Medical Equipment Leasing

Long-term cost can be higherWhile the initial medical equipment leasing costs can start lower, over time those payments could eventually add up to more than buying the equipment outright. As long as you’re leasing, you’ll always have monthly payments, whereas the payments stop once you’ve paid off the loan.

Less flexibility with modifications and repairs You may not be able to make modifications, like mounting other tools to the equipment or adjusting beyond the factory settings, because you’ll be returning the equipment at the end of the lease. You will also need to follow the leasing company’s rules for maintenance and repairs, meaning you can’t hire just anyone you want to fix the equipment when it breaks.

Doesn’t build practice equity Paying off a lease doesn’t directly increase the value of your practice because you won’t own the equipment at the end of the agreement. This isn’t to say that leasing doesn’t make your practice more valuable. You’ll deliver a better experience with improved equipment which can lead to more patients. However, you won’t be able to sell the equipment along with your practice.

Benefits of Buying Medical Equipment

Lower long-term cost – While payments on an equipment loan can start more expensive, you will eventually pay off the debt, so you can keep the equipment after payments are done.

The equipment is yours to sell – Once you’ve paid off the loan, your practice will own another valuable asset that you could later sell one day. In other words, you’re building up equity. It’s like buying your office building versus renting it.

More flexibility with repairs and modifications – As the equipment owner, you are free to repair and customize the equipment as you see fit. You don’t need approval from the lender.

Doctor uses new X-ray machine rented through medical equipment leasing.

Drawbacks of Buying Medical Equipment

Higher upfront cost – While some lenders offer medical equipment loans with no down payment, others may ask you to pay around 20% of the equipment cost upfront. This means you may need to come up with thousands of dollars to complete your purchase.

Harder to replace equipment – Buying is more of a long-term commitment. If your needs change after the purchase, like you switch services and need different tools, it can be more difficult because you’ll need to sell the old equipment first. You can’t just automatically swap it out as you do at the end of a short-term lease.

Maintenance is your responsibility – With a loan, you need to schedule and pay for any equipment repairs. If equipment breaks completely and isn’t covered under warranty, you’ll need to buy a new one.

When Leasing Makes Sense

Leasing can make more sense for equipment that constantly needs to be upgraded. For example, anything electronic, like a medical computer cart, is more likely to become obsolete in the future due to technology upgrades.

This type of small business equipment financing is also a good fit for when your own needs might change, like you may move to a larger or smaller office and need differently sized equipment. With a short-term lease, you’d be able to change everything at the end of the contract. Finally, leasing can work out better when funds are tight, especially for relatively newer practices. You can finance the cost of your medical equipment without making a large down payment.

When Buying Makes Sense

On the other hand, if your practice is more established and you know exactly what you need long-term, buying can be a better investment. The medical equipment is yours for the long-haul, it will build your practice value for a future sale, and you have the option to make modifications.

In addition, your long-term cost could end up being significantly lower. Buying can also be a better fit for equipment that is less likely to see technological changes in the immediate future, like examination tables.

As you figure out your plan, don’t forget that you can combine both loans and leases to match your different goals. By working with a qualified lender, you can figure out how to use financing to invest in medical equipment and elevate your practice in many other ways.