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 and success-fee basis for your peace of mind.

  • Certified by the Small and Medium Enterprise Agency
    M&A Support Institution
  • Medical Specialization
    Numerous Successes
  • Success Fee Basis
    Zero Initial Cost
  • Nationwide Service
    Regardless of region or specialty
Medical M&A and Hospital Succession Matching
  • Medical Specialization Specialized Unit Focused on Medical M&A
  • Nationwide 47Prefectures We Handle All Areas and Medical Specialties
  • Success Feeのみ No Retainer or Monthly Fees
  • 秘密厳守 Details Requested After NDA Execution
M&A Medical Representative Director Ryutaro Nakagawa | Expert in Medical M&A and Business Succession

Representative Director Ryutaro Nakagawa

M&A Medical / CentralMedience Inc.

M&A Medical: A Message from the CEO

Behind the word "retirement,"
We 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.Business Succession for Medical Corporations, Hospitals, and ClinicsWe are a specialized team dedicated to supporting business succession in the medical industry.

For Directors, Business Succession is the Biggest Decision of a Lifetime

For many years, you have steered the course of healthcare on the front lines, protecting the health of your community.Directors and Clinic Presidentsfor you,business successionis one of the most significant decisions in your life.

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

Medical Succession is Different from General M&A

While there are many "M&A brokerage firms" in the market,succession of medical institutions is entirely different from the sale of general corporations.Complexboard procedures, applications for articles of incorporation amendments to prefectural governments, securing physicians, and tax schemes unique to medical corporations— TheseRules unique to medical corporationsIf you entrust it to a broker unfamiliar with these, it could tarnish the achievements you've built over many years.

We have, until now,supported numerous complex succession scenarios, including medical corporations (both incorporated associations/foundations and those with/without equity).Entrusting your practice to those unfamiliar with the unique regulations governing medical corporations can risk damaging the legacy you've painstakingly built. We have extensive experience supporting complex succession cases, including various types of medical corporations. We handle the intricate administrative procedures and delicate interpersonal dynamics – the challenging, 'unseen' work is our specialty.Clinics facing a shortage of successorstotax schemes for medical corporation M&AWe possess the solutions to seamlessly transition the care you've protected to the next generation without compromise.

Your 'final major undertaking,' handled perfectly.

We will never push for an M&A deal.'I just want to know my hospital or clinic's current valuation.''I'd like to hear some preliminary information for the future.'Confidential consultations and complimentary preliminary valuationsare always welcome.

The beacon of community healthcare you've dedicated your life to illuminating. Our commitment is to ensure it continues to shine, passing the baton to the most suitable successor. As aCertified M&A Support Institution by the Small and Medium Enterprise Agencywe pledge to support this 'final major undertaking' with integrity and discretion, working diligently behind the scenes.

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

SOLUTIONS

Addressing five key management challenges
through Medical M&A.

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

01

Resolving successor shortages

The clinic owner is retiring or facing health issues and cannot continue practicing. Their children are not physicians.

Instead of 'closing' the clinic, consider the option of 'succession' to the next generation. M&A Medical utilizes its physician network and list of medical corporations to introduce candidates who can ensure the continuity of community healthcare.

02

Elevating the clinic to the next stage

The practice is stable, but it's difficult to envision further growth alone.

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

譲渡 譲渡 本業 強化 03

Seeking strategic business restructuring

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

We support partial business divestitures and group reorganizations to concentrate management resources on core operations through 'select and focus.' As an M&A support institution certified by the Small and Medium Enterprise Agency, we provide comprehensive support including tax, legal, and labor aspects.

NEW 04

Aiming for rapid business expansion

New practice openings and establishing new locations are time-consuming and high-risk.

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

¥ 05

End-to-end support after succession

Do not want to be left with anxieties about operational transfer, hiring, or procurement after the M&A is finalized.

We offer various services required after succession within our group, including medical supply sales, staffing, financing, and labor support. We provide continuous support until the new system is stable, not just 'closing the deal.'

WHY M&A MEDICAL

Chosen by medical institutions
3 Reasons

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

Specialized staff focused on healthcare

Our dedicated team is well-versed in healthcare-specific issues such as medical corporation systems, medical fee schedules, licensing, and labor management. This prevents situations where you are 'handed over to an intermediary company that doesn't understand healthcare.'

  • Possess M&A market data by specialty
  • Expertise in designing M&A schemes for medical corporations
  • Proposals that consider the retiring physician's post-retirement life

Matching through a nationwide network

We have registered sellers and buyers nationwide, matching optimal partners regardless of area or specialty. We receive many comments like 'We found better candidates than we expected.'

  • Numerous successful cases with regional clinics, not just urban ones
  • Broad coverage including Internal Medicine, Surgery, Dentistry, Orthopedics, and Aesthetics
  • Connections with various players: corporations, medical institutions, and individual physicians

Peace of mind with success-based fees

Basic fees are success-based only. 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 evaluation phase.

  • 0 Yen upfront fee, 0 Yen monthly fee
  • No fees are incurred unless a deal is successfully closed
  • Fee structure clearly stated before contract, no additional charges

SPECIALIST TEAM

Healthcare x M&A
Expert team provides support

Healthcare M&A cannot be completed by an M&A advisor alone.
We provide integrated support from experts in accounting, tax, legal, and medical practice.

M&A Practice

M&A Advisor

A senior advisor with extensive experience in M&A for medical corporations and clinics. We align the interests of both seller and buyer to design a satisfactory match.

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

Certified Public Accountant & Tax Accountant

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 strategies.

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

Medical Management Consultant

With deep knowledge of the medical field, including insurance medical systems, medical fees, licenses, and labor for medical staff, we offer a perspective that correctly evaluates business value.

  • Medical Fees
  • Licenses
  • Medical Labor Relations
法務

Affiliated Attorneys

Affiliated attorneys specializing in medical M&A will handle the drafting of basic and final agreements, organization of representations and warranties, and from the perspective of dispute prevention.

  • 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.

Confidentiality Agreement
Thorough NDA

We will conclude an NDA at the stage of starting to hear your consultation details. Information sharing will be limited to the minimum necessary stakeholders, and use for illicit purposes is strictly prohibited.

Full Success Fee System
Consultation Possible Without Risk

No retainer, monthly fees, or interim payments. Consultation, valuation, and introduction of potential candidates are completely free. No fees will be incurred even if a deal is not finalized.

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 restricted access.

Conflict of
Interest Strict Management

To prevent conflicts of interest between 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 obtaining second opinions from each profession, ensuring neutrality and accuracy in judgment.

FREE TOOL

Understand in 60 Seconds
Estimated Clinic Transfer Price

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

STEP 1 / 4

Please select your specialty

STEP 2 / 4

What is your recent annual sales (turnover)?

STEP 3 / 4

What is your annual ordinary profit?

STEP 4 / 4

What is the 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, transitioned to a medical corporation with no prior successor.

Acquired an internal medicine clinic on the verge of closure after 40 years of operation. Maintained employment for all staff and preserved local medical care.

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

“I thought closing the clinic was my only option. I am truly grateful to the doctors for carefully matching us to ensure patients could continue receiving care.”

Cosmetic Surgery Clinic Strategic Succession

Aesthetic Medical Clinic | Kanto Area

Transfer to a group with a dual system of urban and regional clinics

From independent management to participation in a major group, strengthening capital investment and patient acquisition capabilities at once.

年商
Approximately 410 million yen
Transfer Price
Undisclosed
期間
Consultation to Closing: Approx. 10 months

"I now have an environment where I can pursue growth strategies that I couldn't have envisioned alone, together with the acquiring party."

Orthopedic Clinic Acquisition / Expansion

Orthopedic Clinic | Kansai Area

Acquisition of an existing clinic by a physician corporation that abandoned new開業

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

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

"We were able to start consultations within six months without the year-plus process of finding land, obtaining permits, and hiring for a new開業."

▼ Your dedicated advisor will confidentially introduce similar cases tailored to your situation.

"How much can I sell for and how should I proceed?"
Confirm in 1 minute

  • Anonymous OK
  • Submit in 1 minute
  • Free Initial Consultation
  • Success 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 depending on your circumstances.

  1. STEP 01

    Free Consultation & Hearing

    Please contact us via form or LINE. A 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, consultation records, etc. Our specialized staff will provide an appropriate market valuation for the transfer.

    Duration: 1-2 weeks

  3. STEP 03

    Matching & Introduction of Candidate Acquirers

    We will introduce multiple candidates from medical corporations, business companies, and physicians seeking acquisition, who meet your desired conditions. You can start with anonymous information.

    Estimated 1-3 months

  4. STEP 04

    Top-level Meeting & Basic Agreement

    Schedule meetings with candidates who show strong interest. Align conditions and conclude a Letter of Intent (LOI).

    Estimated 1-2 months

  5. STEP 05

    Due Diligence & Final Agreement

    Following the acquirer's review of financial, legal, and labor aspects, the final Sale and Purchase Agreement (SPA) will be concluded. We will support you through to closing.

    Estimated 2-3 months

  6. STEP 06

    Closing & Post-Merger Integration (PMI)

    Even after payment and transfer of management rights, we will continue to provide support in human resources, procurement, and operations, assisting in the stabilization of the new structure.

    Ongoing 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 prescribed success fee if a transfer or acquisition is successfully completed.

I don't know the market price for transfers/acquisitions. Can you tell me?

Based on factors such as specialty, revenue scale, location, staff composition, and equipment status, our specialized staff will conduct a detailed hearing and provide a free, accurate market assessment. Your consultation will be handled with strict confidentiality, so please feel secure in contacting us.

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 familiar with the medical industry providing support.

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 worried that my consultation might become known to my business partners or employees.

All consultation details are handled with strict confidentiality. We proceed after signing an NDA (Non-Disclosure Agreement), so there is no risk of information leakage. You can also begin consultations anonymously.

How long does it take from consultation to closing?

Depending on the scale and conditions of the transaction, the general timeframe from consultation to closing is approximately 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 ↗
Business Positioning
Our service, "M&A Medical," is operated by CentralMedience Inc. a company engaged in the healthcare business, specializing in M&A and business succession for medical institutions. In collaboration with our group's various businesses (medical supply sales / medical staffing / health management support / marketing support), we provide comprehensive support from succession to post-succession operational assistance.
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 Activities
M&A and Business Succession Support for Medical Institutions / Medical Supply Sales / Medical Staffing / Management Consulting
認定
SME Agency Certified M&A Support Institution
Service Area
All 47 Prefectures
Specialties Covered
Internal Medicine, Surgery, Orthopedics, Dermatology, Ophthalmology, Otolaryngology, Pediatrics, Obstetrics & Gynecology, Psychiatry, Dentistry, Cosmetic Medicine, and others

CONTACT

Free Consultation & Inquiries

Takes 1 minute to fill out. A representative will contact you within 2 business days.
With strict confidentiality and a success-fee-only system, you can consult with confidence even during the consideration phase.

The information you provide will be managed appropriately based on our Privacy Policy and used solely for the purpose of responding to your inquiry.