Orthopedic practices require the most expensive equipment in medicine — MRI machines, surgical suites, and imaging systems that cost $500K+. Between capital equipment, physical therapy integration, and the slow grind of insurance authorization — orthopedic practices need serious funding from lenders who understand surgical practices.
Larger lines available when revenue, cash flow, and story qualify.
This Is Why You're Here
Your in-office MRI is 12 years old and breaking down monthly. A new open MRI is $350K. Referring patients out costs you $3K-$5K/month in lost imaging revenue.
You're expanding into sports medicine and need $180K for a rehab suite — equipment, build-out, and hiring a physical therapist. The revenue justifies it but the upfront cost is steep.
A 3-surgeon orthopedic group in your market is dissolving. You can acquire their patient panel and equipment for $2.2M. Your bank wants 60-90 days. Revenue-based capital stacking closes mid-market acquisitions in 21-30 days through coordinated lender lines.
Your surgical implant vendor just switched to prepay-only after a billing dispute. You've got 12 joint replacements scheduled this month and need $65K in implant inventory upfront or you cancel the surgeries.
Workers' comp cases are 40% of your revenue but reimbursements take 90-120 days. You need $80K to cover the gap because your surgical staff's payroll doesn't wait for the comp carrier to cut a check.
Our MRI was 12 years old and costing us $5K a month in referrals we had to send out. Basecamp got us $350K for a new open MRI — equipment as collateral, funded in a week.
Dr. James W., Orthopedic Surgeon, Nashville, TN
Orthopedics Financing
Slide the calculator to see your estimated approval range. Then answer 3 quick questions to lock it in. No documents needed. Soft-pull pre-qual.
Built for Your Business
MRI machines, C-arms, fluoroscopy units — $200K to $2M. Banks take months. We close in a week with the equipment as collateral. Stop referring out imaging revenue.
An in-office procedure room costs $300K-$500K. Build-out, sterilization, equipment. We package it into one loan instead of making you apply three times.
Adding PT or rehab services means equipment, hiring, and build-out — $100K-$200K before the first patient walks in. We fund the ramp so you capture that revenue in-house.
Insurance authorization for ortho procedures takes weeks. Your cash flow suffers while you wait. A credit line bridges the gap between scheduling and reimbursement.
Bobby's Take
Most orthopedics practice owners are evaluated by banks the same way a retail shop is — top-line revenue, profit margin, two years of returns. What banks miss is that procedure-volume revenue, same-day surgical billing, and DME-fitting income generate predictable cash flow that doesn't show up in P&L the way bankers expect. The specialists who fund orthopedic practices know to read your procedure-volume billing and DME-fitting attach rate. Here's how to position your transaction so the right lenders see it first.
Three things determine whether an orthopedics transaction closes: procedure mix and average per-procedure reimbursement, your in-office imaging revenue, and DME-fitting income. Not your personal FICO. Not your years in practice. Specialist orthopedics lenders care about whether your blended revenue supports a $5,000-$9,000/month payment — and whether your in-office imaging and DME revenue capture the ancillary revenue that protects the file from straight-line insurance-billing compression.
The biggest mistake orthopedics operators make: applying with revenue reported as one bucket instead of broken out by service line. The lender can't see which lines are profitable. The fix: produce a service-line breakdown showing surgical, imaging, DME, and clinical revenue separately. Specialist orthopedics lenders price the high-margin surgical and DME lines as low-risk. Generalist lenders see only the blended number and apply general-medical assumptions.
imaging or DME revenue referred out for lack of in-office capacity
Where this gets interesting at scale: an orthopedics practice adding an in-office MRI, expanding into sports medicine, or building out a surgical suite doesn't need ONE loan. They need equipment financing for the imaging or surgical equipment + a working capital line for credentialing-period staffing + sometimes a SBA 7(a) for a building purchase. Three products, three lenders, one application — that's how single-location orthopedics groups scale into multi-modality musculoskeletal centers.
The orthopedics operators who scale fastest aren't the ones who waited for a perfect insurance-rate environment. They're the ones who structured financing so they could add an in-office MRI and capture the imaging revenue rather than referring it out. Every quarter you delay adding ancillary capacity is $40,000-$90,000 a month in imaging or DME revenue you refer to a competitor. Run the numbers in 60 seconds — see what 70+ specialist lenders will offer your orthopedics practice this week.
💡Bottom line:
Orthopedics practices give away in-office MRI revenue to competitors by waiting for an insurance-rate environment to be right. The right lender prices service-line P&L — banks just see medical and apply general aging.
Bobby Friel
Founder, Basecamp Funding
What You're Up Against
| Challenge | What It Looks Like | Funding Solution | Amount | Speed |
|---|---|---|---|---|
| Arthroscopy tower upgrade | HD camera, shaver system, and scope set for knee/shoulder | Equipment Financing | $80K–$200K | 5–10 days |
| MRI lease | In-office 1.5T MRI eliminates referrals and speeds diagnosis | Equipment Financing | $200K–$500K | 5–10 days |
| Surgeon partner buy-in | New partner acquiring equity in established orthopedic group | Capital Stack (term loan + working capital) | $200K–$500K | 21–30 days |
| DME inventory | Braces, boots, slings — keeping $50K in DME stock for same-day fitting | Working Capital | $25K–$60K | 1–3 days |
| Physical therapy wing | Adding on-site PT increases post-surgical revenue 40% | SBA Loans | $100K–$300K | 30–60 days |
Pricing Transparency
| Product | Amount | Term | Best For | Funding Speed | Typical Structure |
|---|---|---|---|---|---|
| Practice Working Capital | $25K-$2M | 6mo-3yr | Insurance reimbursement bridge, payroll, supplies | 1-3 days | Often unsecured, daily/weekly ACH |
| Medical Equipment Financing | $10K-$10M | 3-7yr | Imaging, dental chairs, exam suites, lab equipment | 3-7 days | Equipment serves as collateral, low or no down payment |
| Practice Acquisition Loan | $100K-$10M | 5-15yr | Buying into a practice, partner buyout, second location | 30-60 days | SBA-backed, PG required, lower rates |
| Business Line of Credit | $25K-$5M | Revolving | Ongoing supplies, staffing, operational swings | 1-5 days | PG common, draw as needed |
| SBA 7(a) for Healthcare | $50K-$5M | 10-25yr | Buildout, expansion, partner buy-in, long-term growth | 30-60 days | PG required, lowest rates, longest terms |
Rates and terms depend on credit, revenue, time in business, and lender. Every business is unique — see what 70+ lenders will offer you in 60 seconds. Soft-pull pre-qual.
These are industry averages. Your actual rate depends on your revenue, credit profile, and time in business — it could be lower. Run your specific numbers in 30 seconds.
Calculate Your Real Cost →Tax Strategy
| Equipment | Cost | Tax Rate | Deduction | Tax Savings | Net Cost |
|---|---|---|---|---|---|
| Arthroscopy tower | $145,000 | 40% | $145,000 | $58,000 | $87,000 |
| MRI system | $350,000 | 40% | $350,000 | $140,000 | $210,000 |
| Fluoroscopy unit | $85,000 | 40% | $85,000 | $34,000 | $51,000 |
Finance the equipment. Keep your cash. Take the deduction. Your mri system costs $210,000 after taxes and you never touched your reserves.

Bobby Friel
Founder, Basecamp Funding
How It Works
No paperwork avalanche. No bank lobby. No guessing.
Tell us about your practice, specialty, and monthly receipts. No HIPAA-sensitive uploads.
We screen options with no impact on personal FICO or practice commercial credit.
70+ lenders who fund dentists, primary care, vets, and specialty practices review your file in parallel.
Your funding specialist walks through equipment finance, working capital, and SBA structures with full transparency.
E-signature. Capital lands in time to install equipment, hire staff, or cover the insurance reimbursement gap.
Orthopedics Capital Uses
Buy an existing practice. Dental, medical, vet, chiropractic. Term loans + equipment financing + working capital stacked. Revenue-based underwriting through 70+ specialty lenders.
Lasers, imaging machines, dental chairs, surgical tools. Equipment financing with the device as collateral.
Cover payroll during reimbursement delays. Hire hygienists, techs, front desk staff. Retain your best people.
New exam rooms, waiting room remodel, second location buildout. Create the space your patients deserve.
Electronic health records, practice management, telehealth platforms, patient portals.
Google Ads, patient acquisition, website redesign, reputation management. Fill your schedule.
Full Transparency
Most lenders won't tell you this upfront. We will.
Need commercial insurance for your orthopedics business?
Practice insurance — malpractice, general liability, property — is required before most equipment financing closes. InsuranceService365.com covers healthcare practices across 29 states.
Insurance reimbursement runs 30-60 days behind the procedure. The practices that grow steadily are the ones that pre-qualified BEFORE they needed to bridge the gap. By the time payroll is tight or the imaging machine is past warranty, underwriting is harder. Pre-qualify when the schedule is full — that's when lenders are most generous.
Ready?
Slide the calculator, answer 3 questions, and a specialist pulls your options within the hour.
Click any specialty for tailored financing options.
Recommended Products
Bridge insurance reimbursement delays. Funded in 24 hours.
Learn More →Finance imaging, chairs, and medical devices — asset-backed rates.
Learn More →Practice acquisition, buildout, and expansion at government-backed rates.
Learn More →Revolving access for supplies, staffing, and operational expenses.
Learn More →FAQs
Ortho is the heaviest capital specialty in medicine. An MRI machine runs $350K. A surgical suite build-out is $500K+. And every month you're referring imaging patients out, that's $3K-$5K walking to a competitor. I talk to ortho groups every month who know exactly what equipment they need but can't get their bank to move fast enough.
Look. A 12-year-old MRI that breaks down monthly is costing you more than a new one. We financed a $350K open MRI for a group in Nashville — machine as collateral, funded in a week. They stopped sending patients down the street the day it installed. And if you're adding sports medicine or PT services? That $180K expansion pays back in 6 months. One application. We'll have offers in hours.
60 seconds. Soft-pull pre-qual. No obligation.
See What You Qualify For →Soft-pull pre-qual · Free to check · Nationwide