A system your practice owns outright is scan revenue every day, but it is also frozen capital. A sale-leaseback thaws it. You sell the ultrasound equipment to a financing company, receive a lump sum of cash, and immediately lease the same equipment back under a structured term. The system never leaves your facility. The probe keeps scanning. Your team never notices. What changes is that cash is now in your operating account instead of sitting inside a piece of hardware.
This structure is especially relevant for practices that have been paying down equipment debt for years and now own their systems free and clear. The equity in that equipment is real and it can be accessed without selling the machine to an outside buyer, without disrupting clinical workflow, and without taking on a conventional loan that a lender may scrutinize more heavily than a sale-leaseback transaction.