Accretive

What Accretive does

Accretive Co., Ltd. (アクリーティブ株式会社) is a Japanese financial services and business process outsourcing (BPO) company that operates two integrated lines of business. The first is FPS (Flex Payment Service) — a factoring business that purchases accounts receivable from suppliers (general corporates) and insurance claims (medical/nursing care providers), providing early payment at rates up to 95% of claim value. The second is BPO services covering accounts payable data creation, payment processing, mail sorting, and receipt (レセプト) diagnostics for hospitals, clinics, nursing care operators, and visiting nursing stations. Digital delivery channels include the Medicare in online factoring platform, FPS portal, and FPS Online for electronic certificate-based transactions.

The company serves two primary verticals: (1) medical and nursing care providers — hospitals, clinics, dispensing pharmacies, nursing care operators, visiting nursing stations, and disability service offices — addressing 2–3 month insurance payment cycle gaps; and (2) general corporates in retail, wholesale, manufacturing, and services — addressing accounts receivable liquidity and promissory note management burdens. Operations are delivered through a hybrid onshore/offshore model: domestic offices in Tokyo (HQ), Osaka, Fukuoka, Nagoya, Sapporo, and Ichikawa BPO Center, plus a wholly-owned Cambodia offshore subsidiary. The Ichikawa center processes up to 3–5 million slips per month.

Accretive generates revenue primarily through transaction fees on factoring volume and monthly fixed fees for BPO services, with post-payment no-recourse factoring for suppliers. The company is a wholly-owned consolidated subsidiary of Fuyo General Lease Co., Ltd. (芙蓉総合リース), a TSE-listed diversified leasing conglomerate, following a 2017 public tender offer and 2019 delisting. It maintains ISO/IEC 27001 certification across major BPO locations since 2006 and operates as a licensed money lending operator under Tokyo Metropolitan Governor registration. Founded in 1999 (as Fiduc Corporation) and previously listed on TSE First Section under code 8423, Accretive was earlier a subsidiary of Don Quijote (Pan Pacific International Holdings) before transitioning to Fuyo Lease Group ownership.

Name

Accretive

Legal name

アクリーティブ株式会社

Website

https://accretive.jp

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

101–250 employees

Short description

Accretive provides medical/nursing care claims factoring and accounts receivable factoring (FPS), plus accounting and receipt-processing BPO services, to hospitals, clinics, nursing care operators, and Japanese corporates as a wholly-owned subsidiary of Fuyo General Lease.

Ownership category

akta.pro rank

Product category

Factoring & Business Process Outsourcing

NAICS

Activities Related to Credit Intermediation (5223), Accounting, Tax Preparation, Bookkeeping, and Payroll Services (54121), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Engineering, Accounting, Research, Management (8700), Services-Computer Programming, Data Processing, Etc. (7370), Miscellaneous Business Credit Institution (6159)

akta.pro primary industry

Order-to-Cash (O2C) Operations (Order Admin, Credit, Invoicing, Collections Handoff) (BPAAAGAK)

akta.pro secondary industries

Billing, Payments & Account Administration Centers (BPAAAAAF), Accounts Payable (Invoice Processing, 2/3-Way Match, Vendor Payments) (BPAAAGAA), Accounts Receivable (Invoicing, Cash Application, Deductions) (BPAAAGAB), General Ledger & Close (Journal Entries, Month-End Close, Reconciliations) (BPAAAGAC)

Keywords

• Medical claims factoring
• Accounts receivable factoring
• Healthcare BPO services
• Accounting process outsourcing
• Receipt optimization services

Headquarters

HQ city

Tokyo

HQ country

Japan

HQ region

Asia

Offices7 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Supply Chain

Revenue model

1. FPS - Accounts Receivable Early Payment (Factoring): Factoring service where Accretive purchases accounts receivable from suppliers and pays them earlier than the payment company's due date. Revenue is generated from factoring fees charged to either the paying company or the supplying company, based on transaction amount and payment schedule.
2. Medical/Nursing Care Factoring (FPS Medical): Purchase of medical, nursing care, dispensing, and dental insurance claims receivables from healthcare providers, enabling early access to funds (up to approximately 3 months of claims). Revenue from factoring fees and service charges.
3. BPO Services - Accounting Process Outsourcing: Outsourcing of accounts payable data creation, payment-related operations, and accounting tasks. Monthly fixed fees based on business scale and scope of services; handling up to 3 million slips per month.
4. Medical BPO - Reseption Optimization: Reseption (medical insurance claim) diagnostic services, medical affairs workshops, and resechtion inspection system sales for hospitals and clinics. Revenue from service fees for diagnostic reports and system licensing.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels7 records

Core offering

Accretive provides factoring (early payment) services and business process outsourcing (BPO) for two main customer segments in Japan: medical and nursing care providers, and general corporate clients. Core offerings include medical/nursing insurance claims factoring (FPS Medical), accounts receivable early payment (FPS), receipt (resepction) diagnostic services, and full-scale accounting and medical BPO services delivered from domestic and Cambodia-based operations.

Differentiator

Problem solved

Functional benefit

Brands

• FPS (Flex Payment Service): Factoring service for accounts receivable early payment and payment bill reduction for general businesses
• FPS Medical
• Medicare in
• Medicare in

Products and services

• FPS Medical (診療・介護報酬ファクタリング / Medical and Nursing Care Claims Factoring)
• Receipt Optimization (レセプト診断 / Resepction Diagnostic Service)
• Medical and Nursing Care BPO Service (医療・介護事業者向けBPOサービス)
• FPS (売掛債権早期支払い・支払手形削減 / Accounts Receivable Early Payment & Promissory Note Reduction)
• Accounting Business BPO Service (経理業務BPOサービス)
• Medicare in (Online Factoring Platform)
• FPS Online (FPSオンライン)
• Supplier Company Portal (納入企業様向けポータルサイト)
• Medicare Board

Quantifiable outcome

• Medical/nursing care claims handling: over 2,000 billion yen annually
• +4 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Ten partnerships are on record, tiered minor and core.

• 株式会社プレアデスセブン (Plethades Seven Co., Ltd.)minorStrategic or Co-development Partner · 29 November 2024Capital and business partnership for hospital management DX platform provision. Accretive and Plethades Seven co-develop solutions serving mutual clients in the medical/hospital sector.
• メリービズ株式会社 (Merrybiz Co., Ltd.)minorStrategic or Co-development Partner · 27 August 2018Accretive invested in Merrybiz, a company providing BPO services using an online platform. Partnership aimed at strengthening Accretive's BPO service capabilities.
• Accretive Service (Cambodia) Co., Ltd.coreOthers · 27 August 2018Wholly-owned subsidiary in Cambodia serving as the offshore BPO center. Established in May 2012, the Cambodia center handles data entry and labor-intensive processing for client accounting operations, enabling cost optimization.
• Siam Sinanen Co., Ltd. (タイ)minorStrategic or Co-development Partner · 30 March 2018Investment in Siam Sinanen Co., Ltd. in Thailand as part of Accretive's Southeast Asian business expansion. The company subsequently withdrew from Thailand operations in February 2021.
• 中道リース株式会社minorGTM or Marketing Partner · 1 November 2017Business cooperation for customer referrals in the medical and nursing care field between Accretive and Nakamichi Lease.
• 株式会社福邦銀行minorGTM or Marketing Partner · 27 October 2017Business matching contract for customer referrals in the medical and nursing care field between Accretive and Fukuhou Bank.
• 株式会社三重銀行minorGTM or Marketing Partner · 21 August 2017Business matching contract for customer referrals in the medical and nursing care field between Accretive and Mie Bank.
• 株式会社トライアルカンパニーminorGTM or Marketing Partner · 2 August 2017Business partnership for operational collaboration between Accretive and Trial Company.
• 株式会社南日本銀行minorGTM or Marketing Partner · 2 August 2017Business matching contract for customer referrals in the medical and nursing care field between Accretive and Minaminihon Bank.
• 株式会社ウィルグループminorGTM or Marketing Partner · 9 May 2017Business partnership for collaboration between Accretive and Will Group.

Scale indicators7 records

Recent moves11 records

Expansion highlights6 records

Broad incumbents

• ORIX Corporation: Diversified Japanese financial services group with leasing, factoring, and outsourced business services, operating at much larger scale but with comparable corporate-finance and back-office offerings.
• NTT Finance Corporation: Large Japanese factoring and leasing arm of NTT Group offering accounts-receivable factoring and BPO-style settlement services across enterprise clients, broadly overlapping Accretive's general-corporate FPS and accounting BPO.
• Mizuho Leasing Company, Limited: Japanese leasing and financial-services firm within the Mizuho financial group, providing receivables and cash-management solutions overlapping with Accretive's corporate FPS and BPO lines.
• transcosmos inc. Large Japanese BPO and contact-center operator with offshore delivery centers, comparable to Accretive's domestic-plus-Cambodia BPO service model across accounting, billing and back-office work.
• Mitsubishi HC Capital Inc. Major Japanese leasing and finance company offering factoring, leasing and BPO-adjacent services across corporate customers, with broader scale than Accretive but overlapping product set.
• Adecco Group Japan (Adecco Ltd.): Global staffing and BPO operator in Japan offering outsourced back-office and finance-process services, broadly comparable to Accretive's accounting and medical-claim BPO lines.
• SMBC Finance Service Co., Ltd. Factoring subsidiary of the SMBC group providing AR/promissory-note factoring and settlement-related services to a wide corporate customer base, comparable to Accretive's general FPS offering.
• Bell System24 Holdings, Inc. Major Japanese contact-center and BPO provider including billing, payments and account-administration centers, structurally overlapping Accretive's Billing/Payments & Account Administration Center proposition.

Emerging players

• Genpact Limited: Global professional-services firm specializing in finance-and-accounting (AP/AR/GL) BPO and digital operations, relevant as an international comparator for Accretive's accounting process outsourcing business.

Direct peers

• Intrust Inc. Japanese listed company focused on medical/nursing-care factoring and guarantee services, head-to-head with Accretive's FPS Medical in the same hospital and care-provider customer segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@アクリーティブ公式

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments2 records

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Accretive