Build Your GI Endoscopy Center on One Facility

One Facility, Entire Center

Fund the towers, scopes, reprocessors, drying cabinets, stretchers, anesthesia, and monitors on a single agreement. One payment, one term, no four-lender juggling while your buildout is on the clock.

Terms Built Around Your Ramp

A new endo center does not hit target volume on day one. We structure 60 to 84 month terms and can step up payments through the first two quarters, so debt service tracks your case count, not the vendor invoice date.

Section 179 in Year One

Medical equipment placed in service qualifies for Section 179 expensing and 100% bonus depreciation. A center that finances $900,000 in gear can often write off the bulk of it against first-year income. Confirm specifics with your CPA.

All Credit Profiles Considered

A new PLLC with thin business credit, a partner buyout, or a challenged personal score does not end the conversation. With 500+ lenders we place deals banks decline, often with a soft-pull pre-approval in 24 to 48 hours.

An endoscopy center is really three systems that have to arrive together. First, the imaging and procedure stack: an Olympus EVIS X1 tower with a CV-1500 processor and CLV-S200 light source, or a Fujifilm ELUXEO 7000 or Pentax DEFINA, plus the scope inventory itself. A working two-room center needs enough GIF-1100 gastroscopes and CF-HQ190L colonoscopes to keep both rooms turning while others are in reprocessing, which usually means six to ten scopes at $25,000 to $45,000 each. Second, the reprocessing and storage line: an automated reprocessor such as the Olympus OER-Pro or Medivators Advantage Plus, leak testers, borescopes, and vented drying cabinets that hold scopes to AAMI ST91 standards. Third, patient flow: prep and recovery bays with stretchers, Draeger or GE anesthesia machines, CO2 insufflators, and monitors for every bay.

Miss one leg and the center cannot open. Order them from four vendors on four timelines and the tower shows up before the reprocessor passes inspection. When we structure a center, we put the full bill of materials on one facility, so procurement, delivery, and the first payment all line up. That is the difference between opening on schedule and paying rent on an empty suite. Brobas Capital Partners has funded single rooms, two-room centers, and full de novo ASCs across the country.

Every deal below closed through our lender network. Details are representative of the structures we place.

1. Two-room GI ambulatory surgery center, Charlotte NC. A three-partner group, nine years in practice, financed $1,150,000 covering two Olympus EVIS X1 towers, a full OER-Pro reprocessing line, drying cabinets, anesthesia, and four recovery bays. Lead partner credit in the low 710s. Approved at 5.74% APR over 72 months with 10% down.

2. Single-room endo suite, established solo GI. Fourteen years in practice, personal credit in the high 750s, financed $585,000 for a Pentax DEFINA tower, six scopes, a Medivators Advantage Plus, and two recovery bays. Approved at 5.49% APR over 60 months with 5% down.

3. De novo GI center, new PLLC. Two physicians two years out of fellowship, thin business credit and a personal score in the low 680s, financed $920,000 for a full one-room center plus buildout gear. Approved at 6.34% APR over 84 months with 15% down.

4. Second-room expansion, growing group. Six years in practice, credit in the low 700s, financed $760,000 to add a room with refurbished EVIS EXERA III optics and a second reprocessor. Approved at 6.04% APR over 72 months with 10% down.

These are placements, not rate guarantees. Your number depends on the practice, the equipment mix, and current lender appetite.

The economics of an in-house center are why groups build them. When you own the room, you capture the facility fee that used to go to the hospital outpatient department. A single procedure room running a full schedule handles roughly twelve to eighteen cases a day. Blend screening and diagnostic colonoscopies with upper endoscopies and the facility fees alone can pull five figures a day into the practice, before professional fees. Against that, a $900,000 center financed at 5.74% over 72 months costs on the order of $14,000 to $15,000 a month. Groups routinely cover the payment inside the first two or three cases of the day and keep the rest.

Then there is the tax side. Medical equipment placed in service generally qualifies for Section 179 expensing, and 100% bonus depreciation currently applies to qualifying equipment. With the Section 179 cap now above $2.5 million, a center that finances $900,000 in gear can often deduct the large majority of it against first-year income, even though you paid only a down payment in cash. That is the leverage: you deploy a fraction of the capital, put the equipment to work generating facility fees on day one, and still take the depreciation as if you had bought it outright. Every practice is different, so confirm the current-year figures and your specific eligibility with your CPA. We finance the equipment. Your accountant handles the deduction.

Community banks are built to lend against real estate and receivables, not a room full of scopes and a reprocessor. A de novo ASC has no operating history, the collateral is specialized medical equipment they cannot easily value, and the ramp to full case volume takes two or three quarters. So the bank either declines or offers a short term with a heavy personal guarantee that strangles cash flow right when the center needs it.

We work the other side of that. Across 500+ lenders we know which ones fund GI and ASC equipment, which accept a de novo with strong physician credit, and which will structure a term that matches the ramp instead of fighting it. We can build in a step-up or a light first quarter so payments start small while the schedule fills, then normalize. We can blend new and refurbished line items, roll in soft costs where a lender allows it, and keep the whole center on one facility. Approvals typically start with a soft pull, so shopping the deal does not dent your credit. You tell us what the center needs to open. We find the lender who says yes and structure it so the payment fits the practice.

How much does it cost to equip a GI endoscopy center?

A single procedure room runs about $250,000 to $400,000 once you add an Olympus EVIS X1 or Pentax DEFINA tower, a working set of gastroscopes and colonoscopes, and patient monitors. A full two-room ambulatory surgery center with reprocessing, drying cabinets, anesthesia, and four to six recovery bays typically lands between $700,000 and $1.5 million. We finance the whole range and structure the facility so the towers, scopes, and buildout gear all sit on one agreement.

Can I finance used or refurbished scopes and towers?

Yes. Certified pre-owned Olympus EVIS EXERA III towers and refurbished CF-HQ190L colonoscopes are common on our approvals, especially for a second room or a satellite site. Refurbished gear from a reputable remarketer often carries the same term options as new. We can blend new and refurbished line items on a single facility, so you buy the way the center actually needs to be built.

What credit score do I need to qualify?

There is no single cutoff. Established GI groups with strong practice cash flow have funded in the low 680s, and we place deals for newer PLLCs and partners coming off a buyout that a bank would decline. All credit profiles are considered across our 500+ lender network. Stronger files earn rates from 5.49% APR, while thinner or challenged credit is placed at a higher rate rather than turned away.

Are the reprocessor and drying cabinets included?

They are, and they should be. An Olympus OER-Pro or Medivators Advantage Plus reprocessor, a pass-thru unit, and drying and storage cabinets are core to the center, not accessories. Financing them separately is how practices end up with mismatched terms. We keep the reprocessing line on the same facility as the towers.

How fast can you get an approval?

Most soft-pull pre-approvals come back in 24 to 48 hours once we have your equipment quote and a basic practice profile. Larger seven-figure ASC packages that involve a construction or buildout component can take a few days longer while we match the right lender. We move at the pace of your buildout timeline.