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Should You Lease or Buy Equipment for Your Practice?

  • Aug 25
  • 2 min read

Updated: Aug 27

Upgrading your dental chairs, imaging equipment, scanners, or technology is essential for providing quality patient care. But when it comes to acquiring new equipment, many doctors and dentists are unsure whether leasing or buying is the smarter financial move. At ISTAXPro, we provide accurate bookkeeping and tax return preparation for doctors and dentists, ensuring your equipment decisions align with your cash flow, tax strategy, and long-term practice goals.

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Leasing Equipment: Pros and Cons

Advantages of Leasing:

●Lower upfront costs, preserving cash flow

●Predictable monthly payments for budgeting

● Easier to upgrade to newer equipment at the end of the lease

●Potential to include maintenance and support in lease agreements

Disadvantages of Leasing:

● Higher total cost over the life of the lease

● No equity in the equipment at the end of the term

● Lease agreements may have restrictions on usage or upgrades

Buying Equipment: Pros and Cons

Advantages of Buying:

●Full ownership and equity in your equipment

●Ability to keep using equipment as long as it remains functional

●Potential for lower overall cost compared to leasing

● Eligibility for tax deductions through Section 179 and bonus depreciation

Disadvantages of Buying:

● Higher upfront costs that can impact cash flow

● Responsible for all maintenance and repairsEquipment may become outdated over time

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Tax Considerations When Buying Equipment

Purchasing equipment can provide significant tax benefits:

Section 179 Deduction: Allows you to deduct the full purchase price of qualifying equipment in the year it is placed in service, up to the annual limit.

Bonus Depreciation: Currently allows for 100 percent immediate expensing of new and used equipment purchases in the year placed in service.

Depreciation Over Time: If Section 179 or bonus depreciation is not used, equipment can be depreciated over its useful life, spreading deductions over several years.

These deductions can significantly reduce your taxable income, making purchasing an attractive option if your practice is profitable.

Tax Considerations When Leasing Equipment

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Lease payments are typically deductible as a business expense in the year they are paid, reducing your taxable income without the need to manage depreciation schedules.

For practices with tighter cash flow or those looking to preserve liquidity, leasing can provide ongoing deductions while avoiding large upfront expenditures.


How to Decide: Lease vs. Buy

Consider these factors:

● Current and projected cash flow for your practice

●Equipment usage and potential for technological obsolescence

●Taxable income and whether immediate deductions would benefit your practice

●Long-term plans for your practice growth and stability

How ISTAXPro Supports Your Decision

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At ISTAXPro, we help doctors and dentists:

●Track equipment leases and purchases accurately in QuickBooks

●Apply the correct tax treatment to leases and purchases

●Evaluate how equipment decisions impact your tax filings

●Align equipment planning with your practice’s cash flow and tax strategy

Make Informed Equipment Decisions for Your Practice

Whether you lease or buy, your equipment decisions should support your patient care, cash flow, and tax efficiency.

Contact ISTAXPro today to ensure your equipment purchases and leases are tracked correctly in your books and reflected accurately on your tax

return, so you can focus on

caring for your patients

while protecting your

income.

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