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 Experts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
  • Success Fee Basis
    Zero Initial Costs
  • Nationwide Support
    Regardless of Region or Specialty
Medical M&A and Hospital Succession Matching
  • Medical Specialization Specialized Team 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 Details requested after NDA signing
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",
Sharing the heavy responsibility.

Nice to meet you.M&A and business succession support service specializing in medical institutions, "M&A Medical"Thank 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 community and steered medical care on the front lines.Directors and clinic presidentsfor 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 been with me for so long?" "Will I be taken advantage of?" ── It is a testament to your sincere dedication to medicine that your heart is filled with such anxieties.

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 of general corporations.Complexboard procedures, applications for approval of articles of incorporation changes to prefectural governments, securing physicians, tax schemes unique to medical corporations──. Theserules unique to medical lawEntrusting your practice to an agent unfamiliar with the medical field can tarnish the achievements you've built over many years.

We have, until now,supported numerous complex succession scenarios, including those involving medical corporations, foundations, and entities with/without equity.We excel at the "gritty and challenging aspects" such as cumbersome administrative procedures and delicate human relationship adjustments.For clinics facing a shortage of successors,totax schemes for medical corporation M&A,we possess the solutions to connect the healthcare you've protected to the next generation without causing harm.

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

We absolutely will not force M&A discussions. We welcome anonymous consultations and free preliminary assessments for those who wish to "first understand the current valuation of their hospital or clinic"or "simply gather information for the future."We are also pleased to offer anonymous consultations and free preliminary assessments.

The beacon of community healthcare that you have dedicated your life to building. We promise to support this "final major undertaking" with integrity and caution, acting as a behind-the-scenes facilitator, as a certified M&A support institution by the Small and Medium Enterprise Agency, ensuring it continues to shine by passing the baton to the most suitable successor.Certified M&A Support Institution by the Small and Medium Enterprise Agencywe pledge to support you with integrity and caution, acting 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 offers optimal solutions for unique healthcare institution challenges, from succession issues to strategic restructuring.

01

Resolving successor shortages

The clinic director is retiring or facing health issues and cannot continue practicing. Their 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 pass the baton 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 talented personnel, you can rapidly expand your practice's scale, scope of services, and offerings. Capital investment and branch expansion become smoother.

譲渡 譲渡 本業 強化 03

Achieving strategic business restructuring

We have multiple healthcare businesses and are unsure where to focus our management resources.

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

NEW 04

We want to expand our business rapidly.

Starting a new practice or establishing a new location involves significant time and risk.

Through acquisition, you can start your business 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, including post-acquisition.

We don't want to be left with anxieties about operational transfer, hiring, or procurement after the M&A is finalized.

We offer various services within our group that are necessary after the transfer, such as medical supply sales, recruitment, financing, 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.
Three reasons why.

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."

  • We possess data on transfer market prices by medical specialty.
  • Expertise in designing M&A schemes for medical corporations.
  • Proposals that consider the retiring physician's or director's post-retirement life.

Matching through a nationwide network.

We have registered sellers and buyers nationwide, enabling us to match the optimal partner regardless of area or specialty. We frequently receive feedback like, "We found better candidates than we expected."

  • Numerous successful cases not only in urban areas but also with rural clinics.
  • Broad coverage including internal medicine, surgery, dentistry, orthopedics, and aesthetics.
  • Connections with various players including corporations, medical corporations, 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 provided free of charge, 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 is clearly stated before contract, with 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.
Experts in accounting, tax, legal, and medical practice collaborate to provide our services.

M&A Practice

M&A Advisor

Senior advisor with extensive experience in M&A for medical corporations and clinics. We align the interests of both selling and acquiring parties to design satisfactory matches.

  • 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 designs.

  • Financial Due Diligence
  • Medical Corporation Accounting
  • Inheritance & Business Succession Tax System
Medical Practice

Healthcare Management Consultant

Expertise in the structure of medical settings, including insurance medical systems, medical fees, licenses, and labor relations for medical staff. We provide a perspective for accurately evaluating business value.

  • Medical Fees
  • Licenses & Permits
  • Healthcare Labor Relations
法務

Affiliated Attorneys

Affiliated attorneys specializing in medical M&A will handle the creation of Memoranda of Understanding and final agreements, organization of representations and warranties, and aspects of dispute prevention.

  • M&A Agreements
  • Medical Law
  • 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 adhere to a code of conduct.

Confidentiality Agreements
(NDA) Thoroughly Managed

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

Full Success Fee Basis
Consultation Possible Without Risk

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

Privacy
Management

Personal information handling is managed based on internal guidelines compliant with the Act on the Protection of Personal Information. Data is managed in a cloud environment with restricted access.

Conflict of
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 second opinions from each professional, ensuring neutrality and accuracy in our judgments.

FREE TOOL

Understand in 60 Seconds
Clinic Estimated Transfer Price

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

STEP 1 / 4

Please select a specialty

STEP 2 / 4

What is your recent annual sales (total revenue)?

STEP 3 / 4

What is your ordinary profit (annual)?

STEP 4 / 4

Location & Facility Status?

CASE STUDIES

Transfer & Acquisition
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

Director aged 70, succeeded to a medical corporation from a situation with no successor.

Succeeded an internal medicine practice of 40 years, on the verge of closure. Maintained employment for all staff and preserved local medical care.

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 Succession

Aesthetic Medicine Clinic | Kanto Area

Transfer to a group with a dual practice system in urban and rural areas

Significantly enhance capital investment and patient acquisition capabilities by joining a major group from independent management.

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 existing clinic by a physician corporation that abandoned new opening plans

Expand rapidly by inheriting existing staff and patient base, rather than starting from scratch.

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 required for land acquisition, permits, and hiring for a new opening."

▼ We will confidentially introduce similar cases close to yours, tailored by your dedicated advisor.

"How much can my practice be worth and what steps should I take?"
Find out in 1 minute

  • Anonymous OK
  • Send in 1 Minute
  • Free Initial Consultation
  • Success Fee Basis
Hear about similar cases →

PROCESS

Process 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

    Contact us via form or LINE. Our representative will contact you within 2 business days to discuss your current situation and goals.

    Duration: 30-60 minutes

  2. STEP 02

    NDA & Free Preliminary Valuation

    After signing an NDA, we will request financial documents, treatment records, etc. Our specialists will provide a fair market valuation for the transfer.

    Duration: 1-2 weeks

  3. STEP 03

    Matching & Introduction of Potential Acquirers

    We will introduce multiple potential acquiring medical corporations, businesses, and physicians who meet your desired conditions. You can start with anonymized information.

    Duration: 1-3 months

  4. STEP 04

    Initial Meeting & Letter of Intent (LOI)

    Schedule meetings with interested candidates. Align terms and execute a Letter of Intent (LOI).

    Duration: 1-2 months

  5. STEP 05

    Due Diligence & Final Agreement

    Following the buyer's financial, legal, and labor due diligence, execute the Share Purchase Agreement (SPA). We provide support through to closing.

    Duration: 2-3 months

  6. STEP 06

    Closing & Post-Merger Integration (PMI)

    After payment and transfer of management rights, we continue to support HR, procurement, and operational aspects, 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 fees are success-based only. The initial consultation, preliminary assessment, and matching proposals are provided free of charge. Success fees are charged only upon the successful completion of a sale or acquisition.

I don't know the market price for sale/acquisition. Can you provide guidance?

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 free, accurate market valuation. All discussions are handled with strict confidentiality, so please feel free to consult with 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 LOIs, NDAs, and SPAs, with specialists knowledgeable in the healthcare industry accompanying you.

Do you have suitable medical institutions available?

Leveraging our nationwide network of medical institutions, 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 risk of information leakage. You can also start consultations anonymously.

How long does it take from consultation to closing?

While it depends on the scale and conditions of the transaction, 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 Business
Our service, "M&A Medical," is a healthcare business development CentralMedience Inc. This is a specialized service for medical institution M&A and business succession operated by [Company Name]. In collaboration with group 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
Medical Specialties
Internal Medicine, Surgery, Orthopedics, Dermatology, Ophthalmology, Otolaryngology, Pediatrics, Obstetrics & Gynecology, Psychiatry, Dentistry, Aesthetic 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 during the consideration phase.

Information provided will be managed appropriately based on our Privacy Policy and used solely for the purpose of responding to your inquiry.