Survey on Trends in Bankruptcies, Closures, and Dissolutions of Medical Institutions (2025) – tdb.co.jp

The 2025 trend survey by Teikoku Databank clearly indicates that the medical industry is facinga phase of structural consolidation caught between "soaring prices" and "fixed public fees."Specifically, rising labor costs and utility expenses are severely impacting the cash flow of small and medium-sized hospitals and clinics without inpatient facilities that have supported regional healthcare. This is not merely a sign of poor management, but evidence that traditional business models are reaching their limits.

In the context of medical M&A,There is an accelerating shift from "transfers based on asset background" to "selection based on continued profitability."In "rescue M&A" scenarios after falling into excess liabilities, it becomes extremely difficult to release the director's personal guarantees or secure retirement benefits. The persistently high rate of bankruptcies and business closures indicated by this survey reflects the current reality of increasingly stringent due diligence by acquiring parties, making a "strategic exit" while still financially sound more valuable than ever.

We urge all management tocritically re-evaluate "your institution's relative profitability within its region."Consulting after losses become the norm significantly increases the risk of being unable to find a successor and incurring substantial closure costs. By viewing the warnings indicated by these figures as a forecast for your institution's future, incorporating medical practice succession as an option early on is the best strategy to protect staff employment and regional infrastructure.