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Medical Ikkou Group Co., Ltd. (JP:3353)
:3353
Japanese Market
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Medical Ikkou Group Co., Ltd. (3353) AI Stock Analysis

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JP:3353

Medical Ikkou Group Co., Ltd.

(3353)

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Outperform 72 (OpenAI - 5.2)
Rating:72Outperform
Price Target:
¥3,171.00
▲(8.23% Upside)
Action:Upgraded
Date:08/04/26
The score is driven by attractive valuation (low P/E and strong dividend yield) and supportive technical momentum (price above major moving averages with positive MACD). Offsetting these positives, financial performance is capped by weak and volatile cash-flow conversion relative to reported earnings despite improving revenue and reduced leverage.
Positive Factors
Reimbursement-backed revenue
The company’s core revenue is tied to dispensing pharmacies and reimbursed dispensing fees under Japan’s healthcare insurance. This creates a structurally recurring cash flow base linked to prescription volumes and fee schedules, supporting predictable long-term revenue streams.
Negative Factors
Weak cash conversion
Operating cash flow well below reported earnings and volatile free cash flow undermine earnings quality and limit internal funding. This constrains capacity to reliably fund capex, store rollouts, dividends, or repay debt, raising execution risk on strategic initiatives over the medium term.
Read all positive and negative factors
Positive Factors
Negative Factors
Reimbursement-backed revenue
The company’s core revenue is tied to dispensing pharmacies and reimbursed dispensing fees under Japan’s healthcare insurance. This creates a structurally recurring cash flow base linked to prescription volumes and fee schedules, supporting predictable long-term revenue streams.
Read all positive factors

Medical Ikkou Group Co., Ltd. (3353) vs. iShares MSCI Japan ETF (EWJ)

Medical Ikkou Group Co., Ltd. Business Overview & Revenue Model

Company Description
Medical Ikkou Group Co., Ltd. (3353) is a Japan-based healthcare company that operates primarily in the pharmaceutical and medical services domain. The group’s core activities include the operation of dispensing (prescription) pharmacies and relat...
How the Company Makes Money
Medical Ikkou Group generates revenue mainly through (1) dispensing pharmacy operations, where it fills outpatient prescriptions issued by clinics and hospitals and receives payments comprised of reimbursed dispensing fees and medicine costs under...

Medical Ikkou Group Co., Ltd. Financial Statement Overview

Summary
Income statement trends are supportive (improving revenue momentum), and the balance sheet is steadily de-risking (lower debt-to-equity). However, cash flow quality is a major weakness: free cash flow is volatile and recent cash conversion is very low versus earnings, which lowers confidence in underlying earnings quality.
Income Statement
74
Positive
Balance Sheet
70
Positive
Cash Flow
46
Neutral
BreakdownFeb 2026Feb 2025Feb 2024Feb 2023Feb 2022
Income Statement
Total Revenue54.98B48.39B39.90B33.90B33.60B
Gross Profit6.36B5.61B4.38B2.97B3.37B
EBITDA2.63B2.46B2.34B1.78B2.15B
Net Income1.28B1.13B1.04B759.60M852.33M
Balance Sheet
Total Assets37.52B34.23B31.66B27.51B29.09B
Cash, Cash Equivalents and Short-Term Investments6.12B6.77B7.70B6.44B7.99B
Total Debt10.36B10.04B9.60B9.15B11.35B
Total Liabilities21.24B19.52B17.82B14.90B17.17B
Stockholders Equity15.63B14.10B13.24B12.05B11.38B
Cash Flow
Free Cash Flow219.98M201.34M3.97B995.40M812.29M
Operating Cash Flow1.21B1.20B4.28B1.31B1.14B
Investing Cash Flow-1.81B-1.13B-3.22B-477.52M539.48M
Financing Cash Flow-283.62M-1.03B277.76M-2.37B-690.26M

Medical Ikkou Group Co., Ltd. Peers Comparison

Overall Rating
UnderperformOutperform
Sector (63)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
80
Outperform
¥7.09B5.043.35%6.84%9.89%
72
Outperform
¥9.82B7.263.51%10.11%28.97%
71
Outperform
¥14.08B5.784.00%12.00%
70
Outperform
¥29.19B12.543.93%7.99%11.03%
70
Outperform
¥18.63B17.702.71%-0.35%66.77%
63
Neutral
$10.79B15.437.44%2.01%2.89%-14.66%
47
Neutral
¥11.77B31.290.72%
* Industrials Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
JP:3353
Medical Ikkou Group Co., Ltd.
2,865.00
-243.31
-7.83%
JP:2462
LIKE, Inc.
1,491.00
94.15
6.74%
JP:6838
Tamagawa Holdings Co., Ltd.
1,516.00
734.12
93.89%
JP:7119
halmek holdings Co.,Ltd.
1,700.00
616.40
56.88%
JP:7509
I. A Group Corporation
4,855.00
1,291.77
36.25%
JP:9248
People, Dreams & Technologies Group Co., Ltd.
1,565.00
-213.61
-12.01%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 04, 2026