Ambulatory Surgery Center Financing Nationwide for ASCs, $10K to $5M
🏥 Financing Built for Surgery CentersI’m Kevin Kermeen, a nationwide commercial loan broker, not a bank. Ambulatory surgery center financing funds the moment a bank won’t, building a new ASC, buying into an existing one, financing operating-room equipment and imaging, or owning the building. Physician group syndicating a center? That’s exactly the kind of capital project I structure. I match you to the lender that funds surgery centers.
Ambulatory Surgery Center Financing for Every Stage
Whether you’re building a new center, buying into an existing one, or expanding the one you run, there’s a path built for it. Here’s what ambulatory surgery center financing commonly covers at every stage.
Acquisition and Buy-In
Buy an existing ASC or a physician-investor stake in one. SBA 7(a) is built for this, often with limited money down.
De Novo Surgery Center
Build a new ASC from the ground up, OR build-out, equipment, certification costs and working capital to reach volume.
Operating Room Equipment
Finance surgical tables, anesthesia, booms, lights and sterilization, complete ORs, without draining your cash reserves.
Imaging and Specialty Gear
Fund C-arm, endoscopy towers, surgical microscopes and the specialty equipment your case mix requires.
Real Estate and Build-Out
Own the building or fit out a surgical facility. Finance ORs, recovery bays, HVAC and the full medical build-out.
Working Capital and Expansion
Cover payroll, supplies and the ramp-up to certification and volume, or fund a second center or added ORs.
A Physician Group Built a Surgery Center the Bank Wouldn’t Fund Fast Enough
A group of physicians wanted to build their own ambulatory surgery center to capture facility fees they were sending elsewhere. The plan was strong, but the bank wanted a long review the lease timeline could not wait for.
They called me. I structured ambulatory surgery center financing that combined an SBA-backed package for the build-out and OR equipment with real estate financing for the facility, underwritten on the physicians’ case volume and credit. Funding came together, the center was built, and the group now keeps the facility revenue.
That’s what the right match looks like for a surgery center. Don’t Beg the Bank! Get funded instead.
How I Fund Surgery Centers, the Right Tool for Each Need
Ambulatory surgery center financing isn’t one product. The right structure depends on what you’re doing. I match you to the one that fits, tap any to explore it.
SBA 7(a) Loans
A primary vehicle for building, buying or buying into a surgery center, strong terms, often limited money down.
See SBA 7(a)Equipment Financing
Surgical tables, anesthesia, C-arm, endoscopy and sterilization, with the equipment itself as collateral.
See equipment financingSBA 504 and Real Estate
Own the surgical facility with long-term, fixed-rate commercial real estate financing.
See SBA 504Bridge and Construction
Need to move fast on a build-out or lease? Short-term bridge and construction options to hit your timeline.
See bridge loansWorking Capital
Cover payroll, supplies and the ramp-up to certification and case volume.
See working capitalLine of Credit
Revolving capital for the ups and downs of running a practice, draw only what you need.
See lines of creditQualifying for Ambulatory Surgery Center Financing
Ambulatory surgery center financing is different from a generic business loan. Lenders know ASCs are high-revenue facilities backed by real equipment and real estate, so a physician group with strong credit, a credible case-volume projection and a solid plan is a strong borrower. I qualify deals honestly.
✅ What helps you qualify
- ✔Physician owners or investors and a plan to build, buy or operate a center.
- ✔Strong personal credit, the foundation for a new dentist with limited history.
- ✔For acquisition: a practice with solid, documented cash flow.
- ✔A down payment or contribution, which a parent or family member can help with.
💡 Straight talk
- →Build-outs and real estate often combine SBA, equipment and CRE financing in one structure.
- →Acquisition underwrites the practice’s cash flow, not just your work history.
- →Credit is flexible, there’s no single hard FICO floor; stronger credit means better terms.
- →Case-volume projections and physician credit matter as much as time in business.
Get Your Surgery Center Financing Options
A quick, no-pressure pre-qualification. I personally review every submission, no call center, no junior rep.
Got it. I’m on it.
Your surgery center financing request landed in my inbox. I personally review every submission and most responses go out within one business hour.
Watch for a call from me, Kevin Kermeen, I call directly, I don’t text.
Recent Ambulatory Surgery Center Financing From My Desk
A snapshot of the ambulatory surgery center financing I match to lenders nationwide, center by center. Every dentist and practice is different, yours starts with a conversation.
Ambulatory Surgery Center Financing · SBA
A physician group built a de novo ASC, build-out, ORs and equipment funded in one structure, underwritten on case volume.
Real Estate Purchase
An ASC bought the surgical facility it leased with long-term, fixed-rate SBA 504 financing.
Equipment Expansion
A center financed a new C-arm and endoscopy tower to add a service line, preserving cash for payroll.
How I Match Ambulatory Surgery Center Financing to the Right Lender
Not every lender understands surgery centers, and the ones that do treat them as the capital projects they are. I work with many, so I match your ambulatory surgery center financing to the lender that funds your goal, de novo build, acquisition, OR equipment or real estate, and I review the options with you before you commit.
Here’s the reality for a surgery center. An ASC captures facility fees that physicians otherwise hand to a hospital, which makes it one of the most valuable assets a surgical group can own, but a build-out is a real capital project a slow bank can stall. SBA-backed ambulatory surgery center financing works differently: it underwrites the physicians’ case volume, the equipment and the real estate together, which is why a credible group can build or buy a center frequently with limited money down. According to the U.S. Small Business Administration, the 7(a) program is designed for exactly this kind of business build-out, acquisition and expansion.
The right structure depends on what you’re doing. Buying or starting a practice usually runs through an SBA 7(a) loan, and broader options live across the SBA loan programs. Operating-room equipment, C-arm, endoscopy and sterilization are best matched to equipment financing, where the equipment is the collateral. If you want to own the building, an SBA 504 loan or commercial real estate loan gives long-term, fixed-rate terms. A fast build-out or lease timeline points to bridge loans, and the ramp-up months are covered by working capital loans or a business line of credit.
So tell me where your center is, planning a de novo build, buying in, or expanding, and what you’re trying to do. I’ll tell you honestly which ambulatory surgery center financing structure fits, match you to the lender most likely to approve it, and stay with you through closing. Other healthcare providers, see my healthcare business loans hub, or compare every option on my loan programs page. Don’t Beg the Bank! Get funded instead.
Sources: U.S. Small Business Administration, 7(a) loan program and 504 loan program.
Straight Answers Before You Apply
What is ambulatory surgery center financing?
Can a physician group finance a de novo surgery center?
How do I finance buying into or acquiring an ASC?
Can I finance OR and surgical equipment separately?
How much can I borrow for a surgery center?
What does it cost to work with you?

A Broker Who Knows Which Lenders Fund Surgery Centers
I’m Kevin Kermeen, the nationwide commercial loan broker behind 75BizLoans.com, not a bank and not a lead-selling portal. Surgery center lending has its own specialist lenders, and matching you to the right one, for a de novo build, acquisition, equipment or real estate, is the whole point of working with me. I personally review every application, I call you directly, and I never text. For program details, see the SBA’s 7(a) loan program.
Don’t Beg the Bank!
Get Funded Instead.
Banks hand out umbrellas when the sun is shining, not when you’re weathering the storm … and they’ll stall a build-out timeline you can’t afford to lose. I match you to ambulatory surgery center financing built for your project … build or buy a center through SBA, equip the ORs without draining cash, own the building, and get a same-day callback from a broker who reviews every deal himself.
Loan amounts, terms, rates and funding speed shown reflect typical lender programs, not guarantees, and vary by lender, creditworthiness, practice performance, collateral and structure. Ambulatory surgery center financing generally ranges from $10,000 to $5 million depending on the project, and larger deals are possible. *Practice acquisition and startup are commonly financed through SBA 7(a); SBA loans follow standard SBA timelines and eligibility, and “no two years of history needed” refers to acquisition loans underwritten on the target practice’s cash flow rather than the borrower’s prior business history. Credit is considered along with other factors; there is no single hard minimum FICO simply to apply, but stronger credit supports better rates and terms, and not all applicants are approved. *No upfront fees refers to fees payable to 75BizLoans.com; I am compensated by the lender at closing. Some partner lenders may require a commitment fee or deposit upon your acceptance of their term sheet; any such fee is the lender’s, is disclosed before you commit, and is separate from any compensation to me. Final eligibility, rate, term and structure are determined by the lender. This is not a commitment to lend. Same-day approvals are common when the application reaches me before 9am Arizona Time.
