Fund Your Buildout and the Equipment Inside It as One Project

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When you open or expand, the equipment is only half the cost. The other half is the space that holds it: framing and drywall, plumbing for operatory water and suction, dedicated electrical, lead-lined walls for X-ray and CT rooms, nitrous and oxygen lines, cabinetry and casework, flooring, HVAC, and the build permits. Most banks will finance the chairs and the cone beam CT but shrug at the construction. We fund the whole project as one facility, so the tenant improvements and the equipment inside them share a single application and a single monthly payment. We wrapped a Charlotte dental practice's six-operatory buildout together with its A-dec chairs, Carestream cone beam CT, and Midmark sterilization into one facility instead of three separate loans. That matters for two reasons. First, cash flow: you are not stacking a construction loan, an equipment loan, and a credit line, each with its own payment and covenant. Second, speed: one underwrite, one closing, one draw process. We finance medical office buildouts from $50,000 to $1,000,000, whether you own the suite or lease it and are improving a landlord's shell. Fixed improvements and the equipment they house can fund together, which is exactly how a practice should think about a new location: as one project, not a pile of separate bills.

Real structures we closed recently, names withheld. Rates are never guaranteed until underwriting sees the scope and your numbers.

- $520,000 six-operatory dental buildout (tenant improvements plus A-dec 500 chairs, Carestream CS 9600 cone beam CT, and Midmark sterilization). Charlotte, 9 years in practice, 729 credit. Result: 5.99% APR, 72 months, 10 percent down.

- $310,000 dermatology expansion (buildout, Mohs lab casework, and a Sciton Joule). 13 years, 744 credit. Result: 5.74% APR, 66 months, zero down.

- $180,000 med spa buildout (tenant improvements plus Emsculpt NEO and HydraFacial systems). 5 years, 702 credit. Result: 6.44% APR, 60 months, 10 percent down.

- $95,000 physical therapy buildout (improvements plus Chattanooga modalities and a HydroWorx tank). 4 years, 693 credit. Result: 6.59% APR, 60 months, zero down.

The Charlotte project is the model. Three sets of costs, framing and plumbing, chairs, and imaging, funded as one facility on a single 72-month term so the practice opened with one predictable payment instead of juggling a construction loan and two equipment contracts. We fund practices with challenged credit as well as strong files. Down payment depends on the mix of soft construction cost versus hard equipment in the project.

A new location is a revenue engine, but only after it opens, so the goal is to open fast and preserve cash for the ramp. Financing the buildout does both. Instead of draining $520,000 from reserves, the Charlotte practice put 10 percent down and opened six operatories producing from day one, with the rest of its capital available for staff, marketing, and the slow first few months of collections. On taxes, buildouts are more nuanced than equipment. The equipment itself, the A-dec chairs, the Carestream CT, the sterilizers, generally qualifies for Section 179 and bonus depreciation in the year placed in service. The construction side often falls under Qualified Improvement Property, which is depreciated over 15 years and can be eligible for bonus depreciation, and certain building systems such as HVAC, roofing, and fire and security can qualify for Section 179 on nonresidential property. This is exactly where you want your CPA involved, because the split between real property and equipment drives the deduction. We structure the financing and give your accountant a clean breakdown of equipment versus improvement cost so they can maximize the write-off. The pattern holds: finance the project, open sooner, generate revenue immediately, and capture a meaningful first-year deduction on the equipment portion while your cash stays working.

Buildout financing works a little differently from a simple equipment purchase because the money goes out in stages. On a straightforward project we can fund in a lump sum against signed contractor and vendor quotes. On larger jobs we set up a draw schedule so funds release as milestones complete: demolition and framing, rough plumbing and electrical, then equipment delivery and final install. That protects you and the lender and keeps the project on track. To move quickly we want the essentials up front: your contractor's bid or scope of work, equipment quotes from vendors like A-dec, Midmark, or Carestream, your lease or proof of ownership on the suite, and, for larger projects, business bank statements and a recent tax return. Application-only approvals are possible on smaller buildouts; six-figure facility projects get a fuller review. Typical timelines run a few business days to a decision once we have the scope. We coordinate directly with your general contractor and equipment reps so the funding lines up with the construction calendar rather than holding it up. The whole point of using a broker with 500-plus lenders is that we match your project to funders who are comfortable with medical tenant improvements, not just clean equipment collateral, and that is what gets a buildout approved at a competitive rate.