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Five West programs at a glance
Application-only up to $500,000 changes the picture on the imaging side. With no tax returns and no financial statements, it covers every ultrasound, X-ray room, and mammography purchase, most CT, and a good share of refurbished MRI.
- Rates
- Priced to your credit profile, term, and equipment; competitive with a bank on rate, not on speed
- Terms
- 24 to 84 months, with 10 years on SBA loans
- Amounts
- $15,000 to $5 million+
- Application only
- Up to $500,000 with no tax returns or financial statements
- Credit
- Established businesses from 600+, startups from 700+
- Equipment
- New, used, refurbished, dealer, and private-party purchases
- Speed
- Same-day options on qualified files, with approvals in as little as 30 minutes
- Coverage
- Nationwide and U.S. territories
Tell us the modality and the install window and we will tell you in the first conversation which path your deal is on.
Free consultation, no obligation. All financing is subject to credit approval and underwriting; rates and terms depend on the complete business and credit profile.
Where the line falls, by modality
Imaging needs two document lists, because a $60,000 ultrasound and a $1.4 million magnet are not the same credit process.
The application-only path: five things
1. An active business entity
A currently registered entity in good standing with your state, with an EIN, and the name on the application matching the state registration exactly. Verified electronically in seconds. What goes wrong: an annual report never filed, the center operating under a DBA while the application shows the DBA, or a new PC or LLC formed for a second location that is not yet active. All fixable in a day or two, if you check before applying.
2. Credit that is not frozen
The most common avoidable delay, and purely mechanical. A frozen file comes back as no file, and underwriting stops until you lift it. Thaw at Experian, Equifax, and TransUnion before you apply, or have your PIN handy. A temporary thaw is enough; re-freeze afterward.
3. A completely filled-out application
On an application-only deal the application is the underwriting package. The fields that stall files: a legal entity name that does not match the state registration, a transposed EIN, a guessed business-established date, ownership percentages that do not total 100, a partner omitted, and an unsigned signature line, which also leaves the credit pull unauthorized. A personal guarantee is standard regardless of center size.
4. An equipment quote or invoice
A written quote on the vendor’s letterhead, addressed to the borrowing entity, itemized by make and model, with freight, installation, and tax shown separately. Imaging-specific points: serial numbers on anything refurbished or private-party; the soft costs separated, since rigging, de-installation, transport, RF shielding, and site prep are underwritten differently from the scanner and capped as a percentage of hard collateral; and the service contract named separately if the vendor is bundling it. A quote is enough to get approved. You do not need a signed purchase order or a deposit down.
5. Licensure and equipment registration
Professional licensure, current and unrestricted, for the physician owner or supervising radiologist, in the state where the equipment will operate. And state radiation-producing equipment registration: most states require X-ray, CT, mammography, and PET equipment to be registered with the state radiation control program, and mammography carries federal MQSA certification on top. The registration and the physicist survey gate your ability to bill, so if you are adding a modality your center has not run before, start that process in parallel with the financing.
Above $500,000: the full package
- Two years of business and personal tax returns, all schedules
- Interim financials: year-to-date P&L and balance sheet, generally within 90 days
- Three to six months of business bank statements
- A complete debt schedule covering every obligation, balance, payment, maturity, and collateral
- Personal financial statement for each guarantor
- The equipment quote and the site scope
- Copy of the lease, often with a landlord waiver confirming the equipment is not a fixture, which matters more in imaging because a shielded vault looks like real property
For a de novo center, add a business plan covering volume projections by modality, payer mix assumptions, referral sources, and the credentialing and contracting timeline. This is the document that decides a de novo file. Underwriting that knows imaging expects a ramp. What it needs is evidence you have modeled it rather than assumed day-one capacity.
Baseline qualification
General market expectations as of August 2026. Programs vary and exceptions are common.
Sequencing on a scanner install
Funding is not the last step, and it is not the long pole.
A typical MRI project runs 9 to 15 months from initiation to commissioning, gated by construction, shielding, rigging, OEM calibration, physicist survey, and state registration. Get the credit approval early and let it sit. Approvals can usually be extended or re-dated, and having financing settled means the deposit, the rigging schedule, and the install window are not waiting on a credit committee. If a December 31 placed-in-service date matters for the deduction, work backward from the physicist’s calendar.
What stalls a file
A frozen credit file, still the number one cause. An entity name mismatch across the application, the quote, and the bank statements. A bundled quote with no split between equipment and soft costs. Missing serial numbers on a refurbished or private-party purchase. An undisclosed obligation that shows up on the credit report or in bank statements. No landlord waiver where the vault is a permanent improvement. And applying to multiple lenders in a week, because the inquiry cluster is visible and works against you.
The bottom line
For ultrasound, X-ray, and mammography, the diagnostic imaging equipment loan process is lighter than most people expect: an application, a quote, a credit pull, and an approval in a couple of days. For CT, MRI, and PET/CT it is a real underwriting exercise, and the file that moves fastest is the one that arrives complete with the soft costs itemized and the de novo assumptions written down. In both cases the two things fully in your control are lifting your credit freeze and getting an itemized quote.
Those two are worth more days than any rate negotiation is worth dollars.
Tell us the modality and the install window and we will tell you which path your deal is on before you gather anything.
Ready to start?
Tell us the modality and the install window. We will tell you which path your deal is on before you gather a single document. Or run the numbers yourself first in the Quote Builder. No credit pull, no obligation.
What imaging centers ask before applying
What do you need to get approved for imaging equipment financing?
At Five West, financing under $500,000 is application-only, and that band covers every ultrasound, X-ray room, and mammography purchase, most CT, and much refurbished MRI. Those files need an active business entity, credit that is not frozen, a completely filled-out application, an itemized equipment quote, and current professional licensure plus state radiation equipment registration. Above $500,000, expect full underwriting with tax returns, interim financials, a debt schedule, and a personal financial statement.
Is imaging equipment financing application-only?
For transactions under $500,000, usually yes. That covers most ultrasound, X-ray rooms, and 2D mammography purchases, which are approved on the application and equipment quote alone, often the same day. Most CT, MRI, and PET/CT transactions exceed that threshold and move into full underwriting taking two to four weeks.
Do you need tax returns to finance an MRI?
Usually yes. MRI transactions almost always exceed the $500,000 application-only threshold, so expect two years of business and personal tax returns, interim financials within 90 days, three to six months of bank statements, a complete debt schedule, and a personal financial statement for each guarantor.
Does a credit freeze delay equipment loan approval?
Yes, and it is the most common avoidable delay. A frozen file returns as no file rather than as weak credit, which stops underwriting until it is lifted. Thaw at Experian, Equifax, and TransUnion before applying, or have your PIN available. A temporary thaw is sufficient and you can re-freeze afterward.
Is state radiation equipment registration required for financing?
For radiation-producing equipment, the pathway needs to be clear. Most states require X-ray, CT, mammography, and PET equipment to be registered with the state radiation control program, and mammography carries federal MQSA certification and accreditation as well. Registration and the medical physicist survey gate your ability to bill, so start that process in parallel with financing.
What does a de novo imaging center need to get financed?
Everything in the full package plus a business plan containing volume projections by modality, payer mix assumptions, named referral sources, and the credentialing and contracting timeline. Underwriting that knows imaging expects a ramp rather than day-one capacity; what it needs is evidence you have modeled it. Personal credit, industry experience, and liquidity after the purchase carry more weight on a de novo file.
Should I get financing approved before or after ordering the scanner?
Before, and earlier than feels necessary. A typical MRI project runs 9 to 15 months from initiation to commissioning, gated by construction, shielding, rigging, OEM calibration, physicist survey, and state registration. Approvals can usually be extended or re-dated, and having credit settled means the deposit and rigging schedule are never waiting on a credit committee.
Should the equipment quote separate soft costs?
Yes, and it often gets you a better structure. The advance is made against the scanner as hard collateral, with soft costs such as rigging, de-installation, transport, RF shielding, and site prep capped as a percentage of it. An itemized quote maximizes the advance on the equipment rather than discounting a bundled figure.
Related imaging center financing guides
More on financing equipment for a diagnostic imaging center.
On the siteImaging financingEquipment financeQualification guidelines
This article is general information about commercial equipment financing and is not a commitment to finance. All financing is subject to credit approval and underwriting. Rates, terms, and approval depend on the complete business and credit profile. Figures shown are illustrative market ranges gathered from published sources as of August 2026 and are not an offer. Five West Financial is not a tax advisor or an accounting firm; confirm any tax treatment with your CPA before relying on it.