Specialized M&A and Business Succession Support for Medical Institutions

For business succession and successor issues of hospitals and medical corporations. 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 assured, with a success fee basis for peace of mind.

  • Certified by the Small and Medium Enterprise Agency
    M&A Support Institution
  • Medical Specialization
    Extensive Track Record
  • Success Fee Basis
    Zero Initial Cost
  • Nationwide Support
    Regardless of Region or Specialty
Matching for Medical M&A and Hospital Succession
  • Medical Specialization Specialized Team Focused on Medical M&A
  • All 47Prefectures Support Available Regardless of Area or Specialty
  • Success Feeのみ No Upfront 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.

M&A Medical: A Message

To Share the Heavy Responsibility
Behind the Word "Retirement".

Nice to Meet You."M&A Medical", a specialized M&A and business succession support service for medical institutions.Thank you for visiting. We are a team specializing in the business succession of medical corporations, hospitals, and clinics,dedicated to supporting the medical industry.

For the Director, Business Succession is Life's Biggest Decision

For directors and clinic headswho have long protected community health and steered medical care on the front lines, business successionis undoubtedly one of the most significant decisions in life.

Concerns such as 'What will happen to my patients after I retire?', 'Can I protect the livelihoods of the staff who have supported me for years?', or 'Will I be taken advantage of?' are natural. Such anxieties are a testament to your unwavering dedication and integrity in healthcare.

Medical Succession is Fundamentally Different from General M&A

While there are numerous M&A brokerage firms, the succession of medical institutions is entirely distinct from the sale and purchase of general corporations.It involves complex board procedures, applications for approval of articles of incorporation changes to prefectural governments, securing physicians, and tax schemes unique to medical corporations.Entrusting such matters to a firm unfamiliar with these unique rules of medical lawcould jeopardize the legacy you have built over many years.

We have supported numerous challenging succession cases, including medical corporations (Shadan and Zaidan), and medical corporations with or without equity.The intricate administrative procedures and delicate human relationship adjustments—these 'gritty and difficult parts' are precisely where our expertise shines.From "clinics facing a shortage of successors"to tax schemes for medical corporation M&A,we possess the prescription to seamlessly connect the healthcare you have protected to the next generation.

Your 'Final Great Endeavor,' Handled with Excellence.

We never force M&A discussions. Whether you simply want to know how your hospital or clinic is currently valuedor 'wish to gather some information for the future,' we offer anonymous consultations and free preliminary valuations.We welcome you.

The light of community healthcare that you, doctor, have dedicated your life to building. Without letting it extinguish, passing the baton to the most suitable successor— we promise to support this "final great work" with sincerity and caution, as a behind-the-scenes supporter, as aSME Agency Certified M&A Support Institution. We promise to support this "final great work" with sincerity and caution, as a behind-the-scenes supporter.

We will handle all the difficult matters.
Please feel at ease and share just a little of what's on your mind.

SOLUTIONS

Addressing 5 Management Challenges
with Medical M&A.

M&A Medical proposes optimal solutions for the unique challenges of medical institutions, from succession issues to strategic reorganizations.

01

We want to resolve a shortage of successors.

The clinic cannot continue its practice due to the director's retirement or health issues. The children are not doctors.

There is an option to "transfer" 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

We want to elevate our clinic to the next stage.

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

By partnering with a financially strong entity or a group with excellent personnel, you can rapidly expand your clinic's scale, scope of services, and offerings. Equipment investment and branch expansion also become smoother.

譲渡 譲渡 本業 強化 03

We want to strategically reorganize our business.

We manage multiple medical businesses and are unsure where to concentrate our management resources.

We support the divestiture of certain businesses to focus management resources on core operations through "selection and concentration," as well as group reorganizations. As an SME Agency Certified M&A Support Institution, we will provide comprehensive support, including tax, legal, and labor aspects.

NEW 04

We want to expand our business rapidly.

New openings and establishing new locations involve significant time and risk.

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

¥ 05

End-to-End Support After Succession

We don't want to be left with concerns about operational transfer, recruitment, or procurement after the M&A is complete.

We provide various services necessary after succession, such as sales of medical supplies, staffing, fundraising, and labor support, within our group. We offer continuous support until the new system stabilizes, not just "closing the deal."

WHY M&A MEDICAL

Why Medical Institutions Choose Us
3 Reasons

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

Specialized Staff for the Medical Field

Our dedicated team is well-versed in medical industry specifics, including medical corporation systems, remuneration, licensing, and labor management. This prevents situations where you are "handed over to a brokerage company that doesn't understand healthcare."

  • Possess transfer market data by specialty
  • Expertise in designing schemes for medical corporation M&A
  • Proposals considering the post-retirement life of presidents and directors

Matching through a nationwide network

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

  • Numerous achievements not only in urban areas but also in regional clinics
  • Wide range of対応 including internal medicine, surgery, dentistry, orthopedics, and cosmetic surgery
  • Connection with various players such as business companies, medical corporations, and individual doctors

Peace of mind with success-based fees

The basic fee is solely a success fee. We do not charge any upfront fees, monthly fees, or interim payments. Initial consultations, preliminary assessments, and introductions to potential partners are provided free of charge, allowing you to proceed with your consideration with peace of mind.

  • 0 yen upfront fee, 0 yen monthly fee
  • No fees incurred unless a deal is finalized
  • Fee structure clearly stated before contract, no additional costs

SPECIALIST TEAM

Medical x M&A
Expert team supporting you

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

M&A Practice

M&A Advisor

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

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

Certified Public Accountant / Tax Accountant

Comprehensive support from due diligence, tax schemes for stock transfers/business transfers, to interpreting medical corporation-specific financial statements. We also support post-succession tax planning.

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

Medical Management Consultants

Expertise in the structure of medical settings, from insurance medical systems, medical fees, and licensing to labor issues for medical staff. We provide a perspective for accurately evaluating business value.

  • Medical Fees
  • Licensing
  • Medical Labor
法務

Affiliated Lawyers

Affiliated lawyers specializing in medical M&A will handle the drafting of basic agreement and final contracts, organization of representations and warranties, and conflict prevention.

  • M&A Contracts
  • Medical Legal Affairs
  • Conflict 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 organization designated by the Ministry of Economy, Trade and Industry and the Small and Medium Enterprise Agency. We are obligated to manage conflicts of interest and comply with our code of conduct.

Confidentiality Agreements
(NDA) Thorough Implementation

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

Full Success Fee System
Consultation Possible with No Risk

No retainer, monthly fees, or 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.

Strict Management
of Conflicts of Interest

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

Quality Assurance
through Professional Network

We collaborate with lawyers, certified public accountants, tax accountants, and judicial scriveners. Our system allows for obtaining second opinions from each professional, ensuring the neutrality and accuracy of 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 reference value for general market trends. Please contact us for an accurate appraisal.

STEP 1 / 4

Please select your specialty

STEP 2 / 4

What is your most recent annual sales (total revenue)?

STEP 3 / 4

What is your ordinary profit (annual)?

STEP 4 / 4

Location and facility conditions?

CASE STUDIES

Transfer & Acquisition
Case Examples (Excerpts)

Details are omitted for confidentiality, but these are all examples of cases we have supported.
We can provide more detailed information on cases similar to your situation during our consultation.

Internal Medicine Clinic Succession Planning

Internal Medicine Clinic | Shinjuku, Tokyo

Clinic Director (70s) Succeeds to a Medical Corporation with No Successor

Took over a 40-year-old internal medicine practice on the verge of closure. Maintained employment for all staff and regional medical care.

年商
Approx. 240 million yen
Transfer Price
Undisclosed
期間
Consultation to Closing: Approx. 8 Months

"I thought closure was the only option. I am truly grateful that you carefully matched us so that the doctors could continue to see their patients."

Cosmetic Surgery Clinic Strategic Acquisition

Cosmetic Surgery Clinic | Kanto Region

Acquired by a Group Operating Two Clinics in Urban and Rural Areas

Transitioned from solo practice to a major group, rapidly enhancing investment in facilities and patient acquisition.

年商
Approx. 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 with the acquiring group, something I couldn't have envisioned on my own."

Orthopedic Clinic Acquisition / Expansion

Orthopedic Clinic | Kansai Region

Acquisition of Existing Clinic by a Physician Group Abandoning New Establishment

Accelerated expansion by taking over existing staff and patient base, rather than starting from scratch.

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

"We were able to start practice within half a year, without the year-plus required for land acquisition, permits, and hiring for new openings."

▼ Our advisors will confidentially introduce similar cases tailored to your practice.

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

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

PROCESS

Process from Consultation to Deal Closure

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. An advisor 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 review your financial documents and practice performance data. Our specialists will provide a fair 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 doctors who meet your criteria. You can start with anonymous information.

    Duration: 1-3 months

  4. STEP 04

    Top-Level Meeting & Letter of Intent (LOI)

    We will arrange meetings with promising candidates. Terms will be negotiated, and a Letter of Intent (LOI) will be signed.

    Duration: 1-2 months

  5. STEP 05

    Due Diligence & Final Agreement

    Following the acquirer's due diligence (financial, legal, labor), a Share Purchase Agreement (SPA) will be signed. We will support you 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 provide support for HR, 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 is the cost of the service fee?

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

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

Based on factors such as medical specialty, sales volume, location, staff composition, and facility status, our expert staff will conduct a detailed interview and provide an appropriate market price assessment free of charge. You can consult with peace of mind as all discussions are handled with strict confidentiality.

Can you assist with negotiations with the transferring/acquiring 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 well-versed in the medical industry accompanying you.

Do you have matching medical institutions?

We leverage our nationwide network of medical institutions to propose optimal matches regardless of area or medical specialty. We carefully align the desired conditions of the transferring party with the needs of the acquiring party to present multiple suitable partner candidates.

I am concerned that my consultation may 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 leakage. You can also begin 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 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 ↗
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. which develops healthcare businesses. In collaboration with group businesses (medical supply sales / medical staffing / health management support / marketing support), we provide end-to-end support, including 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 Supplies Sales / Medical Professional Placement / Management Consulting
認定
Certified M&A Support Institution by the Small and Medium Enterprise Agency
Service Areas
All 47 Prefectures Nationwide
Supported Medical Specialties
Internal Medicine, Surgery, Orthopedics, Dermatology, Ophthalmology, Otolaryngology, Pediatrics, Obstetrics and Gynecology, Psychiatry, Dentistry, Aesthetic Medicine, and more

CONTACT

Free Consultation & Inquiries

Takes 1 minute to complete. Our representative will contact you within 2 business days.
Due to strict confidentiality and a success-fee basis, you can consult with us confidently 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.