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Should you use cash or a loan to fund medical equipment for your medical practice?

  • Jan 29
  • 3 min read

Buying new medical equipment is often a necessary step as your practice grows. Whether it is diagnostic tools, treatment equipment or technology upgrades. These purchases can significantly impact your cash flow and tax position. 


One of the most common questions we hear is whether it is better to pay in cash or use finance. The answer depends on your numbers, your growth plans and your risk tolerance. 


Common issues we see include: •

  • Practices draining cash reserves to avoid debt 

  • Underestimating the cash flow impact of large upfront purchases 

  • Missing tax benefits from depreciation or finance structures

  •  Taking on loans without understanding repayment pressure 


Choosing the right funding option can help you: 

  • Protect cash flow 

  • Stay financially flexible 

  • Maximise tax effectiveness 

  • Support long term growth without unnecessary stress 


  1. Using cash to buy medical equipment 

Paying cash can feel like the simplest and safest option, especially if your practice has strong reserves. 


Pros of using cash: 

  • No interest or finance costs 

  • Full ownership from day one 

  • Simpler administration 


Things to consider: 

  • Large cash outflows can strain working capital 

  • Reduced buffer for wages, rent or other unexpected expenses 

  • Less flexibility if growth opportunities arise 


Best practice: 

  • Only use cash if you still retain a healthy cash buffer 

  • Ensure the purchase does not compromise day to day operations 


Do: 

  • Review your post purchase cash position 


Do not: 

  • Use all available cash just to avoid debt 


  1. Using a loan or finance option 

Financing medical equipment allows you to spread the cost over time while preserving cash. 


Common finance options include: 

  • Equipment loans 

  • Chattel mortgages 

  • Leasing arrangements 


Pros of financing: 

  • Preserves cash flow 

  • Predictable repayments 

  • Ability to invest in higher quality or growth enabling equipment 


Things to watch: 

  • Interest and fees add to total cost 

  • Repayments must align with cash inflows 

  • Terms should match the useful life of the equipment 


Best practice: 

  • Match loan terms to the equipment lifespan 

  • Ensure repayments are comfortably affordable 

  • Understand all fees and conditions before signing 


  1. Cash flow should drive the decision 

The right choice is rarely about cash vs loan when looking at the big picture, it is about cash flow timing. 


Ask yourself: 

  • Can the equipment generate additional revenue 

  • How quickly will it pay for itself 

  • Can repayments be covered even during quieter months 


Tip from our experience: Practices that protect cash flow tend to grow more confidently than those that prioritise being debt free at all costs. 


  1. Understand the tax implications 

How you fund equipment affects your tax outcomes. 


Key considerations include: 

  • Depreciation deductions 

  • Potential instant asset write off eligibility 

  • Interest deductibility on financed assets 

  • Timing of deductions vs cash outlay 


Best practice: 

  • Get advice before purchasing, not after 

  • Structure the purchase to align with your tax and cash flow position 


Common mistake: Buying equipment at year end without understanding whether the deduction actually benefits your practice. 


  1. Balance growth and risk 

Equipment should support growth, not create financial pressure. 


Before committing, consider: 

  • Your long term growth plans 

  • Stability of your revenue 

  • Existing debt commitments 

  • Your comfort level with repayments 

 

Sometimes a mix of cash and finance provides the best balance between flexibility and cost. There is no one size fits all answer when it comes to funding medical equipment. 


If you’re unsure whether you should pay cash or take out a loan when paying for new medical equipment for your medical practice, speak to the team at Rise Accountants.


Our team can help you assess the cash flow, tax implications and funding options so you can make a confident decision that supports both your practice and long term growth. 



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