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Medical System Network Co., Ltd. (JP:4350)
:4350
Japanese Market
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Medical System Network Co., Ltd. (4350) AI Stock Analysis

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JP:4350

Medical System Network Co., Ltd.

(4350)

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Neutral 54 (OpenAI - 5.2)
Rating:54Neutral
Price Target:
¥515.00
▼(-1.15% Downside)
Action:Downgraded
Date:05/09/26
The score is held back primarily by deteriorating financial quality—especially the shift to negative operating and free cash flow in 2026—alongside weak technical momentum (below key moving averages and negative MACD). The main offset is attractive valuation (low P/E and a moderate dividend yield).
Positive Factors
Consistent Revenue Growth
Mid-single-digit revenue growth over recent years indicates durable end-market demand and successful commercial execution. Sustained top-line expansion supports scale economics, helps absorb fixed costs, and provides a platform for margin recovery if cost pressures are managed.
Negative Factors
Negative Operating & Free Cash Flow
A sharp cash-flow reversal in 2026 signals working-capital strain or higher cash outlays, undermining the company's ability to self-fund growth, capex, or distributions. Persistent cash burn increases dependence on external financing and heightens liquidity and refinancing risk.
Read all positive and negative factors
Positive Factors
Negative Factors
Consistent Revenue Growth
Mid-single-digit revenue growth over recent years indicates durable end-market demand and successful commercial execution. Sustained top-line expansion supports scale economics, helps absorb fixed costs, and provides a platform for margin recovery if cost pressures are managed.
Read all positive factors

Medical System Network Co., Ltd. (4350) vs. iShares MSCI Japan ETF (EWJ)

Medical System Network Co., Ltd. Business Overview & Revenue Model

Company Description
Medical System Network Co., Ltd. distributes pharmaceutical products for pharmacies, hospitals, clinics, and pharmaceutical wholesalers. The company operates through Community Pharmacy Network, Leasing and Facility-related, Meal Catering, and Othe...
How the Company Makes Money
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Medical System Network Co., Ltd. Financial Statement Overview

Summary
Revenue has grown steadily, but profitability has weakened with net income declining in 2025 and 2026 and thin operating profitability. The balance sheet is improving modestly (lower debt in 2026 and rising equity), yet leverage remains elevated. The biggest drag is cash flow: 2026 reversed to negative operating cash flow and negative free cash flow after positive years.
Income Statement
62
Positive
Balance Sheet
58
Neutral
Cash Flow
39
Negative
BreakdownTTMMar 2026Mar 2025Mar 2024Mar 2023Mar 2022
Income Statement
Total Revenue124.07B132.19B122.39B115.36B109.55B106.69B
Gross Profit51.41B52.77B49.60B47.93B45.92B44.43B
EBITDA6.48B3.31B6.42B6.90B6.25B7.05B
Net Income1.17B1.07B1.26B1.86B1.61B2.39B
Balance Sheet
Total Assets71.78B80.10B70.63B68.19B66.27B62.98B
Cash, Cash Equivalents and Short-Term Investments8.74B7.74B8.46B8.27B8.14B8.20B
Total Debt25.01B37.67B29.79B29.18B30.52B29.57B
Total Liabilities55.52B62.68B54.28B52.97B51.78B49.69B
Stockholders Equity16.16B17.29B16.26B15.17B14.45B13.27B
Cash Flow
Free Cash Flow0.00-5.93B1.75B5.62B3.37B1.88B
Operating Cash Flow0.00-3.44B4.46B7.72B4.97B4.01B
Investing Cash Flow0.00-4.04B-3.73B-3.65B-2.11B-2.51B
Financing Cash Flow0.006.79B-544.00M-3.94B-2.92B-3.42B

Medical System Network Co., Ltd. Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price521.00
Price Trends
50DMA
523.24
Positive
100DMA
515.26
Positive
200DMA
495.22
Positive
Market Momentum
MACD
5.96
Positive
RSI
51.20
Neutral
STOCH
38.67
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For JP:4350, the sentiment is Neutral. The current price of 521 is below the 20-day moving average (MA) of 537.21, below the 50-day MA of 523.24, and above the 200-day MA of 495.22, indicating a neutral trend. The MACD of 5.96 indicates Positive momentum. The RSI at 51.20 is Neutral, neither overbought nor oversold. The STOCH value of 38.67 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for JP:4350.

Medical System Network Co., Ltd. Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
68
Neutral
¥439.63B14.5711.37%3.04%5.08%2.07%
67
Neutral
¥368.12B16.820.41%14.59%7.84%
66
Neutral
¥580.69B17.4415.71%0.96%15.07%72.98%
62
Neutral
¥947.68B19.411.72%
60
Neutral
¥499.01B16.970.93%6.74%6.60%
54
Neutral
¥14.64B14.742.32%8.01%-15.21%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
JP:4350
Medical System Network Co., Ltd.
483.00
54.18
12.63%
JP:9989
Sundrug Co
3,748.00
-653.52
-14.85%
JP:7649
Sugi Holdings Co
3,026.00
-67.40
-2.18%
JP:3391
TSURUHA Holdings
2,031.00
-166.07
-7.56%
JP:3349
COSMOS Pharmaceutical Corporation
6,169.00
-2,844.15
-31.56%
JP:3549
KUSURI NO AOKI HOLDINGS CO.,LTD.
3,861.00
333.32
9.45%

Medical System Network Co., Ltd. Corporate Events

Medical System Network Posts Higher Sales but Lower Profit and Guides Weaker Outlook
May 8, 2026
Medical System Network reported consolidated net sales of ¥132.2 billion for the year ended March 31, 2026, up 8.0% year on year, with EBITDA rising modestly to ¥6.73 billion and operating profit increasing 5.0% to ¥3.31 billion. Pr...
Medical System Network Grows Sales but Faces Profit Pressure in Q3 FY2026
Feb 13, 2026
Medical System Network Co., Ltd. reported that its pharmacy support businesses, including the pharmaceutical network, are steadily expanding, with a growing number of pharmacies using its services and new community pharmacies opened in the previou...
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: May 09, 2026