M&A and Business Succession Support Specialized for Medical Institutions

For hospital and medical corporation business succession and successor issues. The future of medical institutions,
Medical M&A Specialistsと。

Ensuring the long-standing legacy of hospitals, medical corporations, and clinics is passed on to the next generation.
M&A Medical will assist you with specialized knowledge and a nationwide network focused on the medical industry.
Initial Consultation and Preliminary Valuation are Free.Confidentiality Guaranteed & Success Fee Basis for Peace of Mind.

  • Certified by the Small and Medium Enterprise Agency
    M&A Support Institution
  • Medical Specialization
    Numerous Achievements
  • Contingency Fee Basis
    Zero Initial Costs
  • Nationwide Support
    Regardless of Region or Specialty
Medical M&A and Hospital Succession Matching
  • Medical Specialization Specialized Unit for Medical M&A
  • Nationwide 47Prefectures Support available regardless of area or specialty
  • Success Feeのみ No retainer or monthly fees
  • 秘密厳守 We will discuss details after NDA is signed
M&A Medical Representative Director Ryutaro Nakagawa | Expert in Medical M&A and Business Succession

Representative Director Ryutaro Nakagawa

M&A Medical / CentralMedience Inc.

A Message from M&A Medical

Behind the word "retirement"
To share the heavy responsibility.

Nice to meet you.M&A Medical: Specialized M&A and business succession support services for medical institutionsThank you for visiting our website. We are a team specializing in the medical industry,supporting business succession for medical corporations, hospitals, and clinics.We are a team specializing in the medical industry.

For Directors, business succession is the biggest decision of their lives.

For many years, you have protected the health of the region and steered the course of medical care on the front lines.Directors and Head PhysiciansFor you,business successionis one of the biggest decisions in your life.

"What will happen to my patients after I retire?" "Can I protect the livelihoods of the staff who have followed me for so long?" "Will I be taken advantage of?" Such anxieties fill your heart, a testament to how sincerely you have approached medicine.

Medical succession is different from general M&A.

There are many "M&A brokerage firms" in the world, butsuccession of medical institutions is completely different from the sale and purchase of general corporations. is. Complexboard procedures, applications for articles of incorporation changes to the prefecture, securing physicians, and tax schemes unique to medical corporations,--. Suchthe unique rules of the Medical Care Actyour achievements built over many years could be tarnished.

We have, until now,Medical corporations (sole proprietorships, foundations, with/without equity)We have supported numerous complex succession scenarios. From intricate administrative procedures to delicate interpersonal adjustments—these are the challenging, hands-on aspects where we excel.Clinics facing a successor shortagetoTax schemes for medical corporation M&AWe offer solutions to seamlessly transition the medical practice you've protected to the next generation, without compromising its integrity.

Your "final major undertaking," in the best possible way.

We will never push for an M&A deal. Whether you're looking to"First, I want to know how my hospital or clinic is valued now,"or "I'd like to hear some preliminary information for the future,"confidential consultations and complimentary preliminary assessmentswelcome.

The flame of community healthcare that you have dedicated your life to building. We promise to faithfully and discreetly support this "final major undertaking" as a behind-the-scenes facilitator, ensuring it continues to burn brightly by passing the baton to the most suitable successor.Certified M&A Support Institution by the Small and Medium Enterprise AgencyWe promise to faithfully and discreetly support this "final major undertaking" as a behind-the-scenes facilitator.

We will handle all the complexities.
Please feel comfortable sharing your thoughts with us.

SOLUTIONS

Addressing five key management challenges
with Medical M&A.

M&A Medical proposes optimal solutions for unique healthcare institution challenges, from succession issues to strategic restructuring.

01

We want to resolve the lack of successors

Unable to continue practice due to physician retirement or health issues; children are not physicians.

There is an option to "success" your clinic to the next generation, rather than "closing" it. M&A Medical utilizes its physician network and medical corporation list to introduce candidates who can seamlessly continue community healthcare.

02

Wanting to elevate your clinic to the next stage.

Operations are stable, but it's difficult to envision further growth alone.

Through partnerships with entities possessing strong fundraising capabilities or talented personnel, you can rapidly expand your facility's scale, scope of services, and offerings. Capital investment and branch expansion become smoother.

譲渡 譲渡 本業 強化 03

We want to achieve strategic reorganization of the business

Managing multiple medical businesses and unsure where to focus management resources.

We support partial business divestitures or group restructuring to "select and concentrate" management resources on core operations. As a Certified M&A Support Institution by the Small and Medium Enterprise Agency, we provide comprehensive support including tax, legal, and labor aspects.

NEW 04

Seeking rapid business expansion.

New practice establishment or new site launches involve significant time and risk.

Acquisition allows you to start operations with an established patient base, staff, licenses, and location already in place. By integrating existing business foundations, technology, and personnel, you can achieve growth at a speed exceeding that of starting from scratch.

¥ 05

End-to-end support, including post-acquisition

After the M&A is finalized, you don't want to be left with concerns about business transfer, hiring, or procurement.

We provide various services necessary after the acquisition within our group, such as medical supply sales, human resource referrals, fundraising, and labor support. We don't just 'close the deal'; we provide continuous support until the new system is stable.

WHY M&A MEDICAL

Chosen by Medical Institutions
3 Reasons

We design M&A that creates long-term value for both sellers and buyers, based on our understanding of the medical industry's structure, systems, and culture.

Specialized Medical Staff

Our dedicated staff are well-versed in medical industry specifics, including medical corporation systems, medical fee schedules, permits, and labor management. This prevents situations where you feel handed over to an intermediary who doesn't understand the medical field.

  • Possess Sale Price Data by Medical Specialty
  • Expertise in Designing Medical Corporation M&A Schemes
  • Proposals Considering the Retirement Lifestyle of Directors and Chairpersons

Matching Through a Nationwide Network

We have registered sellers and buyers nationwide, enabling us to match you with the ideal partner regardless of region or specialty. We frequently receive feedback like, 'We found better candidates than we expected.'

  • Numerous Successes with Regional Clinics, Not Just Urban Ones
  • Broad Coverage Including Internal Medicine, Surgery, Dentistry, Orthopedics, and Aesthetics
  • Connections with Corporate Businesses, Medical Corporations, and Individual Physicians

Success-Based Fee Structure for Peace of Mind

Our basic fee is solely based on success. We charge no upfront fees, monthly retainers, or interim payments. Initial consultations, preliminary assessments, and candidate introductions are all free, allowing you to proceed with confidence even during the consideration phase.

  • 0 Yen Upfront Fee, 0 Yen Monthly Fee
  • No Fees Incurred Unless a Deal is Closed
  • Fee Structure Clearly Stated Before Contract, No Additional Costs

SPECIALIST TEAM

Medical x M&A
Expert Team Provides Support

Medical M&A cannot be completed by M&A advisors alone.
We collaborate with experts in accounting, tax, legal, and medical practice.

M&A Operations

M&A Advisor

Senior advisors with extensive experience in medical corporation and clinic M&A. We harmonize the interests of both sellers and buyers to design satisfactory matches.

  • Medical Corporation M&A
  • Scheme Design
  • Valuation
Finance & Tax

Certified Public Accountants & Tax Accountants

Comprehensive support from due diligence and tax schemes for stock/business transfers to interpreting financial statements unique to medical corporations. We also support post-succession tax-saving designs.

  • Financial DD
  • Medical Corporation Accounting
  • Inheritance and Business Succession Tax System
Medical Practice

Medical Management Consultants

With a deep understanding of the medical field's structure, including insurance medical systems, medical fees, permits, and labor issues for medical staff, we provide a perspective for accurately evaluating business value.

  • Medical Fees
  • Permits
  • Medical Labor Relations
法務

Affiliated Attorneys

Affiliated attorneys specializing in medical M&A will handle everything from drafting basic and final agreements to organizing representations and warranties, and from a dispute prevention perspective.

  • M&A Contracts
  • Medical Legal Affairs
  • Dispute Prevention

SECURITY & TRUST

"Is it okay to consult?"
Answers to your concerns

Medical M&A is a field that handles sensitive information.
We ensure information management systems and neutrality through visualization.

Certified by the Small and Medium Enterprise Agency
M&A Support Institution

Registered as an M&A support institution meeting the standards set by the Small and Medium Enterprise Agency of the Ministry of Economy, Trade and Industry. We are obligated to manage conflicts of interest and comply with our code of conduct.

Thorough Non-Disclosure Agreements
(NDA)

We conclude an NDA at the stage of starting the initial consultation. Information sharing is limited to the minimum necessary parties, and use for unauthorized purposes is strictly prohibited.

Full Success Fee Basis
Consultation Without Risk

0 yen for retainer fees, monthly fees, and interim payments. Consultation, assessment, and introduction of potential partners are completely free. No fees will be incurred even if a deal is not concluded.

Privacy
Management

Personal information is handled based on internal guidelines compliant with the Act on the Protection of Personal Information. Data is managed in the cloud with access restrictions.

Conflict of Interest
Strict Management

To prevent conflicts of interest between both the seller and buyer, personnel are separated for each case. We do not force progress based on individual advisor incentives.

Professional Network
Quality Assurance

We collaborate with lawyers, certified public accountants, tax accountants, and judicial scriveners. Our system allows for second opinions from each professional, ensuring neutrality and accuracy in our judgments.

FREE TOOL

Understand in 60 Seconds
Estimated Clinic Transfer Price

Simply enter the medical specialty, annual sales, ordinary profit, etc. An estimated range will be displayed anonymously without registration.
*This is a general reference value for market trends. For an accurate appraisal, please contact us.

STEP 1 / 4

Please select a medical specialty

STEP 2 / 4

What is your recent annual sales (turnover)?

STEP 3 / 4

What is your ordinary profit (annual)?

STEP 4 / 4

Location and Facility Status?

CASE STUDIES

M&A Case Studies
(Excerpts)

Details are withheld for confidentiality, but all are actual cases supported by our company.
During your consultation, we can provide more detailed examples relevant to your specific situation.

Internal Medicine Clinic Succession Planning

Internal Medicine Clinic | Shinjuku-ku, Tokyo

70-year-old director, successfully transferred to a medical corporation despite no successor.

A 40-year-old internal medicine clinic was acquired just before closure. All staff employment and local medical services were maintained.

年商
Approx. ¥240 million
Transfer Price
Undisclosed
期間
Consultation to Completion: Approx. 8 months

"I thought closure was the only option. I am truly grateful that the team carefully matched us to ensure patients could continue receiving care."

Cosmetic Surgery Clinic Strategic Acquisition

Aesthetic Medicine Clinic | Kanto Area

Transferred to a group operating two clinics, one in the city center and one in a regional area.

Transitioned from independent management to joining a major group, significantly enhancing capital investment and patient acquisition capabilities.

年商
Approx. ¥410 million
Transfer Price
Undisclosed
期間
Consultation to Completion: Approx. 10 months

"We now have an environment where we can pursue growth strategies with the acquirer, which I couldn't have envisioned on my own."

Orthopedic Clinic Acquisition / Expansion

Orthopedic Clinic | Kansai Area

Acquisition of Existing Clinic by Medical Corporation Abandoning New Opening

Instead of starting from scratch, speed up expansion by inheriting existing staff and patient base.

年商
Approx. 180 million yen
Acquisition Price
Undisclosed
期間
Consultation to Closing: Approx. 6 Months

"We were able to start practice in six months without the year-plus required for finding land, obtaining permits, and hiring for a new opening."

▼ An advisor will confidentially introduce similar cases tailored to your practice.

Understand "How much and how to proceed in our case"
Confirm in 1 minute of input

  • ✅ Anonymous OK
  • ✅ Submit in 1 minute
  • ✅ Free Initial Consultation
  • ✅ Contingency Fee Basis
Hear about similar cases →

PROCESS

Flow from Consultation to Closing

For a standard case, from consultation to closing, 6 months to 1 year is the estimated timeframe.
We also handle consultations for expedited closings based on your circumstances.

  1. STEP 01

    Free Consultation & Hearing

    Please contact us via form or LINE. Our representative will call you back within 2 business days to discuss your current situation and preferences.

    Duration: 30-60 minutes

  2. STEP 02

    Non-Disclosure Agreement (NDA) & Free Preliminary Valuation

    After signing an NDA, we will request financial documents, practice records, etc. Our specialized staff will provide an appropriate market valuation for the transfer.

    Duration: 1-2 weeks

  3. STEP 03

    Matching & Candidate Introduction

    We will introduce multiple potential acquiring medical corporations, businesses, or physicians who meet your desired criteria. You can start with anonymous information.

    Duration: 1-3 months

  4. STEP 04

    Executive Meeting & Letter of Intent (LOI)

    We will arrange meetings with candidates who show strong interest. We will align terms and sign a Letter of Intent (LOI).

    Duration: 1-2 months

  5. STEP 05

    Due Diligence & Final Agreement

    Following the acquirer's due diligence (financial, legal, labor), we will sign a Share Purchase Agreement (SPA). We will support you through to closing.

    Estimated 2-3 months

  6. STEP 06

    Closing & Post-Merger Integration (PMI)

    We provide ongoing support for HR, procurement, and operations even after payment and transfer of management rights. We assist in stabilizing the new structure.

    Continued Support

FAQ

Frequently Asked Questions

We have compiled frequently asked questions before consultation.
Please feel free to contact us with any questions not listed here.

What are the consultation fees?

Our basic fee is success-based only. Initial consultations, preliminary assessments, and matching proposals are provided free of charge. We only charge a standard success fee if the transfer or acquisition is successfully completed.

Can you tell me the market price for transfers/acquisitions?

Based on factors such as specialty, revenue scale, location, staff composition, and equipment status, our expert staff will conduct a detailed interview and provide a fair market price assessment free of charge. You can proceed with your consultation with peace of mind, as all information will be kept strictly confidential.

Can you assist with negotiations with the other party?

Yes, we can. We provide support for various negotiations leading up to the basic and final agreements, primarily online. We also provide templates for documents such as Letters of Intent, Non-Disclosure Agreements, and Share Transfer Agreements, with specialists experienced in the medical industry accompanying you.

Do you have suitable medical institutions?

Leveraging our network of medical institutions nationwide, we propose optimal matches regardless of area or specialty. We carefully align the seller's desired conditions with the buyer's needs to present multiple suitable partner candidates.

I'm concerned that my consultation might become known to my business partners or employees.

All consultation details are handled with strict confidentiality. We proceed after executing an NDA (Non-Disclosure Agreement), so there is no need to worry about information leaks. You can also start the consultation anonymously.

How long does it take from consultation to closing?

While it depends on the scale and conditions of the deal, the general timeframe from consultation to closing is typically 6 months to 1 year. We can also discuss expedited closings based on your circumstances, so please feel free to contact us first.

ABOUT

Operating Company

Meeting at M&A Medical Office
Service Name
M&A Medical
Operating Company
CentralMedience Inc.(Corporate Site ↗)
Positioning of the Service
Our service, "M&A Medical," is a specialized service for medical institution M&A and business succession operated by CentralMedience Inc. . In collaboration with our group's various businesses (medical supplies sales / medical staffing / health management support / marketing support), we provide end-to-end services including post-succession operational support.
Representative
Representative Director Ryutaro Nakagawa
Location
8F, SOUTH PORT Shinagawa, 2-12-32 Konan, Minato-ku, Tokyo 108-0075
Phone Number
03-5544-9120(Representative)
Business Description
M&A and Business Succession Support Specializing in Medical Institutions / Medical Supply Sales / Medical Staff Placement / Management Consulting
認定
SME Agency Certified M&A Support Institution
Service Areas
All 47 Prefectures
Specialties Covered
Internal Medicine, Surgery, Orthopedics, Dermatology, Ophthalmology, Otolaryngology, Pediatrics, Obstetrics & Gynecology, Psychiatry, Dentistry, Cosmetic Medicine, etc.

CONTACT

Free Consultation & Inquiries

Takes 1 minute to fill out. A representative will contact you within 2 business days.
Strict confidentiality and success-based fees allow you to consult with peace of mind even during the consideration phase.

The information you enter will be managed appropriately based on our privacy policy and used solely for the purpose of responding to your inquiry.