Consulting for medical/long-term care facilities

Medical and long-term care facilities have a public nature in that they support healthcare in the community.
To ensure their continued survival in the community in recognition of this social mission, we contribute to their sound management through our consulting services for medical and long-term care facilities.

Yamada & Partners’ consulting services for medical/long-term care facilities

Amid rapid changes in tax and accounting systems and in healthcare policies, managers of medical facilities face a wide range of business challenges.
Yamada & Partners builds on its strong track record in providing services to medical/long-term care facilities to deliver not only tax and accounting support but also appropriate management advice from a wide range of perspectives including those of medical law and administrative guidance.

Consulting for medical/long-term care facilities

Menu of consulting services for medical/long-term care facilities

Our consulting services for medical/long-term care facilities can be divided into the two main categories of tax advisory services and spot services provided as needed to meet the needs of medical/long-term care facilities (including succession of medical operations, M&As, and migration to medical corporations with no equity provisions).
Yamada & Partners offers optimal services to medical/long-term care facilities in both of these categories.

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Tax advising, management consulting Regulatory support Medical incorporation consulting
  • Monthly settlement, final settlement of accounts
  • Corporate tax, consumption tax, local tax, and other tax returns
  • Advising on taxes, accounting, and management
  • Support for administrative procedures specific to medical institutions and similar facilities
  • Support for procedures such as those for amendment to articles of association arising in connection with management of medical institutions (e.g., opening and closing facilities, adding accompanying services)
  • Support for preparation of draft budgets needed for procedures
  • Simulation of results of incorporation
  • Verification of assets, governance, etc. on incorporation
  • Support for preparing applications for authorization of incorporation
  • Support for negotiations with authorities
Consulting on migration to a medical corporation with no equity provisions Support for migration to a specially designated medical corporation Support for migration to a social medical corporation
  • Ascertaining current conditions of investors, the medical corporation, etc.
  • Considering migration schemes
  • Proposal of improvements for issues involved in migration
  • Support for implementing migration
  • Checking degree of meeting requirements for approval
  • Considering improvements to meet requirements
  • Support for application procedures for approval
  • Support for negotiations with the National Tax Agency, prefecture government, etc.
  • Checking degree of meeting requirements for authorization
  • Considering improvements to meet requirements
  • Support for application procedures for authorization
  • Support for negotiations with the prefecture government etc.
Medical business succession consulting M&A consulting Restructuring consulting
  • Ascertaining current conditions of the director, the medical corporation, etc.
  • Considering business succession schemes
  • Proposal of improvements for issues involved in business succession
  • Support for implementing business succession
  • Control of practical M&A operations as a whole
  • Financial due diligence
  • Tax planning
  • Support for implementation of M&A procedures
  • Ascertaining current status of the group
  • Considering restructuring schemes (e.g., merger, spin-off)
  • Proposal of improvements for issues involved in restructuring
  • Support for implementing restructuring

Service flow

The concerns and issues faced by medical/long-term care facilities vary by facility and over time. As shown above, the consulting services for related improvements are very broad ranging.
In each of these areas, the consulting services for medical/long-term care facilities provided by Yamada & Partners start by ascertaining the thinking and conditions of the client. Then, we elucidate the issues faced currently, compare proposed improvements from a wide range of perspectives, and propose the optimal plan for the client’s situation.
After that, we provide comprehensive support for implementing that plan, from preparing and managing the schedule through specific procedures including dealing with regulators.

  • Ascertaining current conditions

    Ascertaining current conditions

    • Interviews on subjects including the concerns, issues, and needs of medical/long-term care facilities
    • Ascertaining the current situation of the medical/long-term care facilities, including its financial situation, based on financial materials, internal materials, and other sources
  • Drafting and revising measures

    Drafting and revising measures

    • Drafting anticipated measures
    • Summarizing the feasibility, advantages/disadvantages, and issues involved in measures
  • Implementation support

    Implementation support

    • Support for procedures involved in implementing measures
    • Support for dealing with authorities, including negotiations
    • Follow-up support after implementing measures

Feel free to contact us with any inquiries on taxes, accounting, etc.