Funding a Medical Fitout Without Emptying Your Practice Account
Most medical and dental practices in Cooma face the same problem when setting up or expanding: the equipment costs pile up quickly, and paying cash means starting with limited reserves. Asset finance lets you spread the cost of diagnostic machines, dental chairs, imaging equipment, and fitout work across monthly repayments while keeping your working capital available for staff, stock, and the first few months of trading.
A GP setting up a consulting room might need an ECG machine, examination tables, sterilisation equipment, and office systems before seeing a single patient. A dental practice could be looking at $150,000 to $300,000 for chairs, X-ray units, and compressors. Paying that upfront leaves little room for payroll or unexpected costs during the settling-in period. Financing the equipment means you start with cash in the bank and repayments that match your income as the practice builds.
The structure that works for most health practitioners is a chattel mortgage. You own the equipment from day one, claim the depreciation, and pay it off over three to seven years depending on what the equipment is and how long it will be in use. The interest is tax-deductible, and if the equipment qualifies for instant asset write-off provisions, you may be able to claim the full value in the year you purchase it, depending on your structure and current thresholds.
How Chattel Mortgage Works for Clinical Equipment
A chattel mortgage is a secured loan where the equipment itself is the collateral. You take ownership immediately, which means you can depreciate it and claim the interest as a business expense. The lender holds a charge over the equipment until the loan is repaid. Once the final payment is made, the charge is removed and you own it outright.
Repayments are fixed, so you know exactly what you are paying each month. The loan amount is based on the purchase price, and you can include installation, freight, and sometimes fitout costs if they are part of the same project. Most lenders will finance up to 100% of the equipment value, though some prefer a deposit of 10% to 20% depending on the practice structure and financials.
You can structure a balloon payment at the end of the term, which reduces the monthly repayment but leaves a lump sum due when the loan matures. A balloon of 20% to 30% is common for equipment that holds its value or will be traded in before the term ends. For diagnostic equipment that will be used until it is retired, a zero balloon makes sense because you finish with nothing owing.
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What Lenders Look at When Assessing a Medical Practice
Lenders treat medical and dental practices differently to other small businesses because the income is more predictable and the client base tends to be stable. If you are established, they will look at your last two years of tax returns and your current patient volume. If you are setting up, they will want to see your business plan, your qualifications, and any forward bookings or referral agreements.
A practice that bills through Medicare or private health funds has an advantage because the income is trackable and consistent. Lenders are more comfortable with that than cash-based businesses. If you are a specialist with referral agreements already in place, that counts in your favour. If you are a new graduate setting up without a patient list, expect to provide a larger deposit or show other income sources until the practice is established.
The equipment itself also matters. A CT scanner or dental chair has a known resale value and a long working life, so lenders are comfortable financing it. Custom-built fitouts are harder because they cannot be removed and sold if the loan defaults. Most lenders will finance equipment separately from fitout work, or they will ask for a personal guarantee if the fitout is included.
Leasing vs Ownership for Medical Equipment
A finance lease is an alternative to a chattel mortgage. You do not own the equipment during the term, which means you cannot claim depreciation, but the lease payments are fully tax-deductible as an operating expense. At the end of the lease, you can buy the equipment for a residual amount, upgrade to newer technology, or return it.
Leasing suits practices that want to stay current with technology or avoid the risk of owning equipment that becomes outdated. Imaging equipment, pathology machines, and diagnostic devices that improve every few years are often leased rather than purchased. The monthly cost is slightly higher than a chattel mortgage because the lender is taking on the residual risk, but the flexibility to upgrade can outweigh that.
Ownership suits equipment that will be used for ten years or more, such as dental chairs, autoclaves, or treatment tables. The upfront cost is higher, but once it is paid off, you have an asset with no ongoing payment. For practices that plan to stay in the same location and do not need the latest model every few years, ownership makes financial sense.
How GST Treatment Affects Your Upfront Cost
If you are registered for GST, you can claim an input tax credit on the equipment purchase, which means you do not pay GST on the financed amount. The lender will advance the GST to the supplier, and you claim it back through your Business Activity Statement. That reduces the amount you need to finance and lowers your repayments.
For a $110,000 piece of equipment, the GST is $10,000. If you claim that back, you are only financing $100,000. The monthly repayment drops accordingly. If you are not registered for GST, you finance the full $110,000 and cannot claim the tax back. That is one reason why most medical practices register for GST even if their turnover is below the threshold.
The GST treatment also affects leases. Under a finance lease, you pay GST on each lease payment, not upfront. That spreads the GST cost across the term and changes your cash flow. Under a chattel mortgage, the GST is dealt with at the start, which is usually better for practices that want to claim it back immediately and reduce the financed amount.
Timing Your Equipment Purchase Around Practice Setup
If you are setting up a new practice in Cooma, timing the equipment finance alongside your lease and fitout schedule matters. Most lenders will not settle the loan until the equipment is delivered or installed, which means you need to coordinate with suppliers and builders to avoid paying rent on an empty space while waiting for equipment to arrive.
Consider a dentist fitting out a space on Vale Street. The lease starts in January, the fitout takes six weeks, and the dental chairs are ordered with a 12-week lead time. If the chairs arrive in March but the finance is not arranged until February, the practice is paying rent and fitout costs without income for two months longer than necessary. Getting the finance approved early and coordinating delivery with the fitout schedule keeps costs down.
Some suppliers offer vendor finance, which is arranged through the manufacturer or distributor. It is convenient because it is packaged with the sale, but the rates are often higher than going through a broker who can compare lenders. Dealer finance works if the terms are clear and the rate is comparable, but it is worth checking before signing.
What Happens If You Want to Upgrade Equipment Mid-Term
Medical technology moves quickly, and equipment that was current five years ago may no longer meet clinical standards or patient expectations. If you want to upgrade before the loan is paid off, you have a few options depending on the structure.
Under a chattel mortgage, you can refinance the remaining balance into a new loan that includes the upgraded equipment. The old equipment can be traded in or sold, and the proceeds go toward the new purchase. The lender will assess the new loan based on your current financials, and if the practice is performing, it is usually approved without issue.
Under a lease, upgrading is built into the structure. You return the old equipment, start a new lease on the updated model, and the payments adjust accordingly. That is one reason leasing suits practices that want to stay current without the complexity of selling or trading in.
How Asset Finance Fits Alongside Other Business Borrowing
If you already have a business loan for working capital or a commercial loan for purchasing the practice premises, adding equipment finance on top does not usually create a problem as long as your cash flow supports the combined repayments. Lenders assess each facility separately, and because the equipment is security for its own loan, it does not typically affect your other borrowing capacity.
A practice owner in Cooma buying the building might have a commercial loan of $800,000 and equipment finance of $200,000. The commercial loan is secured against the property, the equipment loan is secured against the fitout and machinery, and the lender looks at whether the practice income covers both. If your patient base is solid and your Medicare billing is consistent, servicing both loans is manageable.
If you are also looking at car loans for a work vehicle or personal borrowing, those will be considered alongside your business commitments when assessing capacity. Separating business and personal borrowing where possible keeps your structure clear and makes future refinancing simpler.
When a Balloon Payment Makes Sense
A balloon payment is a lump sum due at the end of the loan term. It reduces your monthly repayment during the term but leaves a balance owing when the loan matures. Balloons are common in vehicle finance and equipment leasing, but they also appear in chattel mortgages when the borrower wants lower repayments upfront.
For medical equipment, a balloon makes sense if you plan to upgrade before the term ends and will have trade-in value to put toward the balloon. Imaging equipment, diagnostic devices, and technology that will be replaced within five years often has a balloon of 20% to 30%. That keeps the monthly cost down and assumes you will either refinance the balloon or settle it from the trade-in.
For equipment that will be used until it has no value, a zero balloon is the safer option. You pay more each month, but you finish with no debt and no residual. Dental chairs, surgical tables, and fitout items that will not be sold or traded fit that category.
Call one of our team or book an appointment at a time that works for you. We work with lenders across Australia who understand medical practices and can structure equipment finance that fits your setup, your cash flow, and your plans for the practice.
Frequently Asked Questions
Can I finance both the medical equipment and the fitout together?
Most lenders will finance equipment and fitout in the same loan if the fitout costs are tied to the equipment installation. Custom-built fitouts that cannot be removed may require a personal guarantee or a higher deposit because they have no resale value.
What deposit do I need for medical equipment finance?
Many lenders will finance up to 100% of the equipment value, especially for established practices. New practices or sole practitioners may be asked for a deposit of 10% to 20% depending on the lender and the equipment type.
How does GST work with equipment finance?
If you are registered for GST, you can claim an input tax credit on the equipment purchase, which reduces the amount you need to finance. The lender advances the GST to the supplier, and you claim it back through your Business Activity Statement.
Can I upgrade equipment before the loan is paid off?
Under a chattel mortgage, you can refinance the remaining balance into a new loan that includes the upgraded equipment. Under a lease, upgrading is built in, and you return the old equipment and start a new lease on the updated model.
Is leasing or ownership better for diagnostic equipment?
Leasing suits equipment that will be upgraded regularly, such as imaging or diagnostic devices. Ownership suits equipment that will be used long-term, such as dental chairs or treatment tables, because once it is paid off, you have no ongoing cost.