Skip to main content
Ardent Capital GroupArdent Capital Group
Medical & Allied Health31 May 202616 min read

What Refinancing Your Loans Means for a Pathology Lab Owner

An independent pathology lab can carry a fit-out loan, finance on its analysers and tissue processor, fit-out loans on its collection centres, courier car loans and an overdraft. This guide works through each one, compares the repayments and interest under different rates, terms and security, and sets out how Medicare fees and accreditation shape the lab's income.

Nick Chong
Nick ChongManaging Director, M.AppFin, Dip. Mortgage Mgmt
Sydney city skyline and the Harbour Bridge seen across rooftops and trees

Refinancing a pathology lab's loans means laying the lab fit-out, the analysers, the collection centre fit-outs, the courier cars and the overdraft side by side, then choosing which to move, combine or keep. Each choice shows up twice, in the monthly debits and in the interest still ahead.

Is the chemistry analyser due for replacement while the loan on it still has a year or more to run? Do the fit-out loans on your collection centres each take their own debit, on their own date? Does much of your test volume sit in Medicare groups whose fees do not rise each year, while scientists' and collectors' wages go up? Is a partner thinking about stepping back, and what would a buyout do to the lab's borrowing?

The Australian Institute of Health and Welfare reports that 60% of people had at least one pathology service in 2024-25. In a May 2025 factsheet, the Department of Health, Disability and Ageing noted that almost all out-of-hospital pathology tests had been bulk-billed over the previous five years. Bulk-billed means the lab accepted the Medicare benefit as full payment, so the patient paid nothing. For a community lab, that means much of its income arrives from Medicare, test by test.

Every one of these loans is something Ardent Capital Group can help refinance, from the analysers and fit-outs to the cars and, where the lab owns it, the building. We would be happy to go through yours.

Where the pressure on a lab's repayments comes from

A lab earns its income test by test, yet each loan wants the same sum on the same day every month. When the fee on a test holds still and the costs around it rise, the repayments take a bigger bite of what each test earns.

  • Medicare fees by test group. From 1 July 2025, Medicare fees for haematology, immunology, tissue pathology, cytology, and infertility and pregnancy tests are indexed each year. That means each fee is adjusted upward annually in line with an index. Chemical pathology, microbiology and genetics were left out of that change. How fast a lab's income grows therefore depends on its test mix, meaning the share of its volume in each group.
  • Accreditation. Medicare benefits can only be claimed for tests done in an accredited pathology laboratory. The lab must be owned and operated by an approved pathology authority, the person or company approved under Medicare to run it. NATA, the National Association of Testing Authorities, must recommend it for accreditation. The approval is for the premises, which ties the lab's Medicare income to the building it works in.
  • Wages. The Health Professionals and Support Services Award covers pathology services. It names pathology collectors and laboratory assistants among the employees it covers, and its rates move with the annual wage review.
  • Equipment cycles. A laboratory analyser has a five-year effective life: the number of years an asset can be used to produce income, taken from the ATO's determination or worked out by the business. It is a tax figure, not a promise of how long the equipment will run. A lab can be pricing its next analyser while the loan on the current one is still running.

Refinancing can change how much of each month's Medicare income is spoken for by repayments, and for how long.

Example: an independent lab's loans side by side

The loan on the analysers and tissue processor costs the lab the most each month. The figures here are illustrative. The lab leases its premises and runs four collection centres. It has financed its fit-out, chemistry and haematology analysers, a tissue processor, the centres' fit-outs and two courier cars.

What the lab owes and repays now
LoanOwedAssumed rateMonths leftMonthly debit
Lab fit-out loan$450k9.75%72$8,280
Loan on the analysers and tissue processor$310k9%36$9,858
Fit-out loans on four collection centres$120k11%30$4,593
Loans on two courier cars$48k8.5%28$1,896
Total$928k$24,627

The lab owes $310k on the analysers and tissue processor at an assumed 9%, with 36 months to run, and repays $9,858 a month. The four repayments add up to $24,627 a month. That total falls to $22,731 once the car loans finish after month 28. It drops to $18,138 after month 30, and to $8,280 after month 36.

The highest assumed rate sits on small balances, the collection centre fit-outs. The lab also has a $250k overdraft with $140k drawn. The overdraft is a ceiling the lab can borrow up to at any time, with interest on whatever it has drawn. At an assumed 10%, that costs about $1,167 a month in interest, and the worked example does not refinance it.

How a refinance changes a lab's loan

Refinancing swaps one or several of the lab's current loans for fresh lending, and three settings decide what changes. Those settings shape both the monthly debits and the interest the lab pays over the years.

  • Rate. On the loan for the analysers, for example, a lower rate over its remaining 36 months would cut the repayment and the interest together. The rate a lab is offered reflects what backs the loan, how the lab trades, and the credit records of the owners and the company.
  • Term. Term means how many months the lab has to repay. A longer term spreads the balance more thinly, so each repayment is smaller. Interest keeps running for those extra months, so the total paid goes up. That extra cost can still suit a lab while a newly opened collection centre is winning referrers.
  • Security. Security is whatever the lab or its owners pledge, which the lender may sell to recover the debt in a default. Loans backed by property generally carry lower rates than loans backed by the business alone. The property is then exposed if the lab cannot pay.

All four of the lab's loans are amortising. Each one runs down to nil by the end of the term, unless it ends in a balloon, a lump sum left to the final repayment. Holding that sum back keeps the regular repayments smaller. Part of each repayment is interest and the rest reduces the balance. Because interest is worked out on the outstanding balance, early repayments are weighted towards interest.

Worked example: the fit-out loan's first repayment

Pulling apart the first payment on the fit-out loan shows how heavily the early months lean on interest. Take the $450k fit-out loan at an assumed 9.75%. In the first month, the interest comes to about $3,656. The other $4,624 of the $8,280 repayment reduces what is owed. Twelve repayments in, roughly $58,000 of the fit-out debt is gone.

Refinancing each loan the lab carries

The lab's loans bought very different things: rooms built for testing, instruments with set replacement cycles, small collection sites and cars on the road every day.

The lab fit-out and the lease

Of the four loans, the fit-out carries the largest balance, and it is built into a building the lab does not own. It paid for the parts of the premises a laboratory needs: bio hazard chambers, fume extraction, cold rooms and specimen fridges, sinks and benching, and the power and data runs behind them. Much of it stays with the building. The lease's make-good clause spells out what the lab must strip out or repair when it leaves, so the landlord gets the premises back in the agreed state.

The lease, counting any options, shows how long the lab can stay in the premises. An option is a clause giving the lab, as tenant, the right to renew. Here, 72 months remain on the fit-out loan, so a lease running beyond that keeps the loan inside the lab's time in the building. Because the accreditation approval is for these premises, a move would mean a new approval as well as a new fit-out.

A fit-out loan on a fixed rate can carry a break cost, a fee for ending a fixed rate early. The more rates have fallen since the rate was fixed, the bigger it is. It helps to have the payout amount in writing before weighing up any option. The payout amount is what it would take to clear the loan completely on a set date.

Analysers, tissue processors and microscopes

Each instrument on the bench has its own replacement cycle. The ATO's determination lists pathologists' assets with their own effective lives. Laboratory analysers and centrifuges are five years. Tissue processors, rotary microtomes, tissue embedding systems, incubators and batch slide stainers are six. Microscopes and bio hazard chambers are ten.

Analysers and processors are commonly bought with a chattel mortgage, a loan where the lab owns the equipment and the lender holds security over it. When the loan runs close to the instrument's effective life, the debt ends around the time the analyser is due for replacement. In this example, the loan on the analysers has 36 months left. Folded into a 15-year loan, the same analysers would still be owed on years after their five-year effective life had run out.

Replacing an analyser while its loan is still running is one decision, not two. The payout on the old contract and the finance for the new instrument can be set out together. Paying an equipment contract out before its end can attract an early payout charge, the fee for finishing before the contract's end date. Each contract sets out its own.

The collection centre fit-outs

Each collection centre is a small site of its own, with a waiting area, a collection room, a couch and chair, a sink and a specimen fridge. When each centre was fitted out on its own loan, four centres can mean four debits on four dates. In this example, those loans carry the highest assumed rate, at 11%, and only 30 months remain.

Combining them into one loan cuts the number of debits. It can also stretch a 30-month balance across many more months, which adds interest even at a lower rate. Combining the collection centre and lab fit-outs at an assumed 9% over 72 months adds $6k of interest. Each centre has its own lease, and the years left on it, counting any options, show how long that centre can stay in its premises.

The courier cars

The cars that carry samples from the centres to the bench are financed like any business vehicle. Cars carry an eight-year effective life in the ATO's determination. With 28 months left in this example, the car loans finish before any other debt.

If the lab owns its building

Some independent labs own the building they work in, and that building can hold most of the owners' equity. That equity is the building's value less whatever is still owed on it. A loan on a lab building is a commercial property loan. Bank terms on commercial property commonly run 10 to 15 years, and non-bank terms 25 to 30. The valuation, and the share of it a lender will advance, depend on the building and on the lender. Our page on refinancing a pathology lab building you own covers that loan, including using its equity to clear the lab's business debts.

The overdraft, wages and the ATO

Medicare pays a bulk-billed claim after the lab lodges it, while scientists and collectors are paid on payday. The overdraft covers the days in between. A term loan is repaid in set amounts over a fixed period. Rolling the $140k into one would retire the overdraft altogether, so scientists' and collectors' pay would have no limit to fall back on.

A business loan can also clear an ATO payment plan for unpaid BAS or PAYG, subject to the lender. BAS refers to the business activity statement, the lab's regular report of PAYG withholding, the tax deducted from staff wages, and of GST, short for goods and services tax. PAYG instalments are paid toward the company's income tax. Interest the lab pays its lender may be deductible. ATO interest charges include the general interest charge, the interest the ATO adds to tax paid late. Those charges are not deductible when charged from 1 July 2025 onward. Your accountant confirms how both apply to the lab.

Combining or separating the lab's loans

The lab's choice now is between one larger loan and several smaller ones, each tied to what it bought.

Worked example: five ways to carry the lab's $928k

Each option carries the same debt, set up a different way. Each is measured against keeping the four loans as they are, by the monthly saving and the interest added or saved.

Five ways to carry the lab's $928k
OptionRepaid each monthChange each monthInterest left to payChange in interest
Keep the four loans as they are TodayFalls to $22,731 from month 29, $18,138 from month 31 and $8,280 from month 37$24,627Starting point$214kStarting point
Move the lab fit-out loan to a lower rate, same 72 months8.5% assumed. The other three loans stay as they are$24,347$280 less$194k$20k less
Combine the lab and collection centre fit-outs over 72 months9% assumed. Analyser and car loans kept. Falls to $20,133 from month 29 and $10,275 from month 37$22,029$2,598 less$220k$6k more
Roll all four into a single 84-month loan9% assumed. One repayment instead of four$14,931$9,696 less$326k$112k more
Pledge the home and spread all four over 180 months7% assumed. The house now secures the lab's debt$8,341$16,286 less$573k$359k more

Illustrative, rounded figures. Rates are set purely to run the numbers and are not market rates or offers. Not included: the overdraft, any break cost or payout charge, and set-up or valuation fees.

Combining the fit-outs at a lower assumed rate cuts the repayment by $2,598 a month, yet it adds $6k of interest. The collection centre balances, which had 30 months left, now run for 72.

Pledging the home and spreading all four loans over the longest term cuts the repayment by $16,286 a month and adds $359k of interest. The analysers inside that loan have a five-year effective life; the loan runs for fifteen. By contrast, a lower rate on the lab fit-out loan alone changes nothing else, and it cuts $20k of interest while every loan keeps its end date.

Apart from the lower rate on the lab fit-out loan alone, every option trades a lower repayment now for more interest later. Which suits the lab depends on its leases, its test mix and when the next analyser is due. We can gather each payout figure, the sum needed on the day to close that loan, lay the choices out side by side, and present the one you settle on to lenders whose policies suit pathology. Every number in these examples is illustrative and carries no approval.

Security the lab can offer

There are several assets a lab and its owners can put up, and each one shifts who carries the risk.

  • The business. A general security agreement gives the lender a charge over the lab company's assets, covering its analysers, microscopes and money still owed to it. It is registered on the PPSR, the national register of security interests in personal property. It does not cover land, buildings or fixtures to land. Once the old lenders are repaid, their PPSR entries are discharged and the incoming lender lodges fresh ones.
  • The equipment. An analyser bought on a chattel mortgage secures its own loan.
  • Guarantees. Business loans to a lab company commonly carry a personal guarantee from each director, a promise to repay if the company cannot.
  • The home. Offering the home may open up a cheaper rate and a longer term, but it makes the house security for the lab's borrowing. Whether to offer it is your decision, and the worked example shows the cost of the longest version. Where the house already secures a loan for the lab, a future refinance can release it once the lab's own figures carry the debt, subject to the lender. The mortgage itself is covered on our page about home loans for business owners.
  • The building. Equity in a lab building you own can also secure the equipment and fit-out debts.

Partners, a buyout and a property entity

Where two or more pathologists own the lab together, a partner leaving changes the borrowing. A refinance can fund a buyout, subject to the lender. The guarantees on the old loans end when those loans are paid out. How the buyout itself is set up is for your accountant and lawyer. If one company operates the lab while a family trust holds the building, the assessment covers each entity and each guarantor. That includes the rent paid between them and each owner's personal borrowing.

Getting the lab ready to apply

A lab's year has its own fixed points, such as the July fee changes, accreditation dates and lease expiries, and each one changes what the application can show.

Lab dates that affect timing

  • A break cost larger than the saving. When the break cost on a fixed rate is larger than what the move would save, the same plan can be revisited as the fixed period nears its end.
  • Accreditation papers. It helps to have the current NATA accreditation and the premises approval ready to include.
  • Lease expiry. Fewer years left on the lab's lease leave less time for a fit-out loan to run inside it.
  • The next analyser. If a replacement is planned soon, the refinance and the new instrument can be set out together.
  • Lodgements. Bringing BAS and tax return lodgements up to date first keeps the application simple.

A lender's scheduled review of the overdraft or the loan on the analysers has no link to the annual wage review behind the award rates. At the loan review, the lender asks how the lab has traded and what has changed. A shift in Medicare fees from 1 July is one example, or a collection centre opening. Up-to-date figures make it a sensible time to compare lenders as well. Our guide covers what a lender's review of a lab's loans involves.

Documents to gather

Most of these already sit in the lab's records or the accountant's files.

  • A payout letter from each lender, including any break cost or payout charge
  • The premises approval as an accredited pathology laboratory, and current NATA accreditation
  • Twelve months of Medicare payment statements and business account statements
  • The last two years' financial statements and tax returns, recent BAS and an ATO statement of account
  • Leases for the lab and every collection centre, with their options and make-good clauses
  • Equipment contracts and invoices for the analysers, and each owner's personal loan and card statements

Your questions about refinancing a lab's loans

If we only move the fit-out loan to a lower rate, what changes?

In the worked example, the monthly debit falls by $280 and $20k of interest is saved. Every loan keeps its end date.

We're opening a fifth collection centre. Can its fit-out go into the refinance?

A new centre's fit-out can sit in the same application as the refinance, subject to the lender. The quote and the centre's lease show what the money pays for.

Why would combining the fit-outs at a lower rate add interest?

The collection centre balances, which had 30 months left, would run for 72. In the worked example that adds $6k of interest, even at an assumed 9%.

Does my home have to be offered as security?

Not necessarily. The business, its equipment and the directors' guarantees can carry the new loans on their own, subject to the lender. In the worked example, pledging the home lowers the repayment the most and adds the most interest.

Will comparing lenders show up on my credit file?

Each lodged application can be listed as a credit enquiry, against the lab company and against every director who guarantees. Setting the options out before applying keeps the number of applications down.

Will my current bank know I'm looking at a refinance?

It will know once a payout figure is requested, because the payout letter comes from the bank.

How far could one loan for everything bring the repayments down?

In the worked example, a single 84-month loan cuts the monthly debit by $9,696 and adds $112k of interest.

Can the courier car loans stay out of it?

They can. Each loan can be refinanced or left on its own terms, and short car loans can simply run to their end.

Can we put a balloon on the loan for a new analyser to lower the repayments?

That may be possible, subject to the lender. A balloon lowers each repayment, then falls due around when a five-year analyser is ready for replacement.

What will the switch cost us up front?

Expect some mix of break costs on fixed loans, payout charges on equipment contracts, new-loan establishment fees and, if property is involved, a valuation. Each one is set against the saving before deciding.

Talking through the lab's loans with us

A refinance can line each of the lab's loans up with its leases, the working life of its instruments and the Medicare income that repays them. The lab's loans Ardent Capital Group can assist with span the fit-out and equipment loans, the collection centre fit-outs and the courier cars. They also cover the loan on a building you own, and the business loans and working capital for pathology labs that sit beside them. Drawing on a background in financial planning, the Ardent Capital Group team can plan how the lab's new loans fit with your mortgage and other personal debts, leaving the tax questions with your accountant. Send through the list of loans when the time suits, and we can start from there together.

Nick Chong

Written by

Nick Chong

Managing Director, M.AppFin, Dip. Mortgage Mgmt

Nick holds a Bachelor of Agricultural Economics, a Master of Applied Finance and an Advanced Diploma in Financial Planning. He founded Ardent Capital in 2016 after more than a decade in financial planning and mortgage broking. For the past ten years he has led a team of finance specialists, mortgage advisers, brokers and credit analysts, all working to secure optimal outcomes for clients and always acting in their best interests. The team brings both a qualitative and a quantitative approach to every deal.

Nick ChongHolly BroganJason ChongKevin NguyenSean TangChris Makomaski

The Ardent Method

Strategy & executionThe right lender, the right structure, the right timing.
Clear advice for smart lendingStraight advice that helps you borrow smart and decide with confidence.
Wealth creationFinance is the tool, not the goal. Today's deal structured toward where you want to be tomorrow.

Your finance partner at every stage.

Prefer to reach us directly? Our senior team responds within a few business hours.

Nick Chong Kevin Nguyen Holly Brogan Chris Makomaski Ardent Capital Team · Typically replies within a few hours
Nick ChongKevin NguyenHolly BroganChris Makomaski

Ardent Capital Group

Typically replies within a few hours

Ardent Capital Group

Ardent Capital
Welcome to Ardent Capital Group.

If you need assistance, we're here to help.

Our team will get back to you typically within a few business hours.
Contact Us