📖 Approx. 4 min read Updated: July 10, 2026
The CentralMedience Group, to which M&A Medical belongs, includes a group company specializing in real estate sales and lease brokerage. Here is an overview of our unique framework providing one-stop support for healthcare institution M&A and real estate transactions.
1. Why Real Estate Issues Arise in Healthcare M&A
In business succession and M&A for healthcare institutions, the handling of the land and buildings where clinics, outpatient facilities, and hospitals are located significantly impacts the transfer price and scheme design. Practical operations vary greatly depending on combinations such as whether the target of the transfer is the “medical corporation entity itself” or “business operations only,” whether the land and building are “owned by the medical corporation,” “owned by the clinic director personally,” “owned in-house,” or “leased.”
According to the Ministry of Health, Labour and Welfare’s Survey of Medical Care Facilities and fixed asset tax valuation data, real estate value frequently accounts for 30% to 70% of the total transfer consideration in healthcare institutions. In other words, mishandling real estate valuation or transactions can result in a difference of tens of millions of yen in transfer consideration.
2. Key Discussion Points in Healthcare M&A Involving Real Estate
- Clarification of Ownership Structure: Medical corporation ownership / Director’s personal ownership / Leased property / Related-party entity ownership, etc.
- Appropriate Valuation of Real Estate: A combination of roadside land value (rosenka), income capitalization approach, sales comparison method, and cost approach
- Handling Mortgages and Collateral: Scheduling loan payoff, cancellation of registration, and establishing new security interests
- Transfer of Lease Agreements: Landlord consent, executing new lease agreements, and restoration clauses
- Real Estate Tax Matters: Capital gains tax, registration and license tax, real estate acquisition tax, and fixed asset tax adjustments
- Verification of Use, Building-to-Land Ratio, and Floor-Area Ratio: Feasibility of continuing use as a medical facility
- Building Aging Assessment: Seismic performance, repair reserve funds, and history of major renovations
3. Real Estate Synergy Framework within the CentralMedience Group
The CentralMedience Group, to which M&A Medical belongs, is a corporate group operating comprehensively across healthcare businesses. With a group company handling real estate sales and lease brokerage, we have established a rare framework in the industry that offers one-stop support for healthcare M&A and real estate transactions.
What Can Be Achieved Through Group Synergy
- ✓ Fair market valuation of healthcare real estate (both sale and lease)
- ✓ Judicial scrivener collaboration for mortgage cancellation and ownership transfer registration
- ✓ Financing consultations and lender referrals for the buyer
- ✓ Ownership structure optimization between director-owned personal real estate and medical corporations
- ✓ Negotiation agency with new landlords and tenants regarding lease agreements
- ✓ Post-transfer real estate utilization proposals (rebuilding, conversion, sale)
- ✓ Cross-services with medical supply sales and recruitment services
Comparison with Other Companies
At general M&A brokerage firms, real estate issues are delegated to partner real estate firms or external specialists, requiring both buyer and seller to communicate with multiple parties. Within the CentralMedience Group, everything is completed entirely in-house, ensuring fast information sharing, clear lines of responsibility, and significantly reduced burdens on the seller.
4. Why a Real Estate Synergy Framework is Crucial
In healthcare M&A, various issues spanning medical law, tax law, and real estate law are intricately interconnected. Real estate transaction mistakes can reduce transfer prices by tens of millions of yen, causing irreversible losses for sellers.
Collaboration with a proper real estate company is essential; however, outsourcing often leads to communication delays, ambiguity in accountability, and increased stress for sellers. The CentralMedience Group brings together M&A Medical (specialized in healthcare M&A) × a dedicated real estate company × a network of tax accountants and judicial scriveners, delivering smooth, one-stop business successions.
Frequently Asked Questions
Q. Real estate ownership is split between the medical corporation and the clinic director personally. Is it possible to reorganize this?
A. Yes, it is possible. From reorganizing ownership prior to the M&A (individual to corporation or corporation to individual) to concurrent processing at transfer, tax accountants and real estate experts in the CentralMedience Group will design the optimal scheme.
Q. Can a leased clinic be transferred?
A. Yes. Our group’s specialized real estate team provides full support, including obtaining landlord consent and executing contracts with the new tenant.
Q. Can you perform an accurate real estate valuation for a regional healthcare facility?
A. Yes. We have extensive experience in valuing regional properties and provide realistic valuations using a combination of the income capitalization approach and cost approach, even in areas with few comparable transaction cases.
Q. Is it possible to provide financing referrals for buyers?
A. Yes. Leveraging our group’s financial institution network, we can assist buyers with fundraising and securing loans.
Q. Can I request just a valuation of the land and building?
A. Yes. We also offer standalone valuations not contingent on an M&A transaction. Please feel free to contact us.
Related Articles
- Complete Guide to Hospital and Medical Corporation Business Succession | From Succession Shortages to Success Cases: Practical Healthcare M&A
- How to Proceed with Healthcare M&A and Hospital Succession | 6 Steps from Consultation to Closing Explained with Case Studies
- Complete Guide to Tax Schemes in Medical Corporation M&A | Key Issues Tax Accountants and CPAs Must Know
- Complete Guide to Clinic Sale and Transfer | Market Price Range, Process, and Points of Caution Explained by Healthcare M&A Experts
CENTRAL MEDIENCE GROUP
Rest Easy Even with Complex Real Estate.
Fully Handled Through In-House Group Synergy.
Healthcare M&A Advisory × Specialized Real Estate Firm × Network of Tax Accountants and Judicial Scriveners.
One-stop succession support only possible with the CentralMedience Group.