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UNITED STATESSECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 20-F☐☒

REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT
OF 1934OR
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934☐

For the fiscal year ended December 31, 2023
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934☐

OR
SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
1934
Commission file number 001-39809
MEDIROM HEALTHCARE TECHNOLOGIES INC.
(Exact name of registrant as specified in its charter)
Japan(Jurisdiction of incorporation or organization)
2-3-1 Daiba,
Minato-ku
Tokyo 135-0091, Japan(Address of principal executive offices)
Fumitoshi Fujiwara
Chief Financial Officer
Telephone: +81-(0)3-6721-7364
Email: ir@medirom.co.jp
2-3-1 Daiba, Minato-ku,
Tokyo 135-0091, Japan(Name, Telephone, E-mail and/or Facsimile Number and Address of Company Contact Person)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
American Depositary Shares, each
representing one common share

Trading Symbol

Name of each exchange on which
registered

MRM

The Nasdaq Stock Market LLC

Common Shares, no par value*
The Nasdaq Stock Market LLC* Not for trading, but only in connection with the listing of the American Depositary Shares on The Nasdaq Stock Market LLC.
Securities registered pursuant to Section 12(g) of the Act: None
Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: None
Indicate the number of outstanding shares of each of the issuer's classes of capital or common stock as of the close of the period
covered by the annual report: 4,882,500 Common Shares
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
Yes ☐ No ☒

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If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to
Section 13 or Section 15(d) of the Securities Exchange Act of 1934.
Yes ☐ No ☒Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports),and (2) has been subject to such filing requirements for the past 90 days.
Yes ☒ No ☐Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted andposted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter periodthat the registrant was required to submit and post such files).
Yes ☒ No ☐Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or an emerging
growth company. See the definitions of "large accelerated filer," "accelerated filer" and "emerging growth company" in Rule 12b-2 ofthe Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐ Non-accelerated filer ☒ Emerging growth company ☒If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, indicate by check mark if theregistrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards†
provided pursuant to Section 13(a) of the Exchange Act. ☐† The term “new or revised financial accounting standard” refers to any update issued by the Financial Accounting Standards Board to
its Accounting Standards Codification after April 5, 2012.
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectivenessof its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registeredpublic accounting firm that prepared or issued its audit report. ☐If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of theregistrant included in the filing reflect the correction of an error to previously issued financial statements. ☐Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive based
compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:
U.S. GAAP ☒ International Financial Reporting Standards as issued by the International Accounting Standards Board ☐ Other ☐If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant
has elected to follow.
☐ Item 17 ☐ Item 18
If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).
Yes ☐ No ☒(APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS DURING THE PAST FIVE YEARS)
Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of
the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.
Yes ☐ No ☐

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TABLE OF CONTENTSCAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

1PART I.

2

ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERSITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLEITEM 3. KEY INFORMATIONITEM 4. INFORMATION ON THE COMPANY
ITEM 4.A. UNRESOLVED STAFF COMMENTS
ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS
ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEESITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONSITEM 8. FINANCIAL INFORMATIONITEM 9. THE OFFER AND LISTINGITEM 10. ADDITIONAL INFORMATIONITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

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PART II.

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ITEM 13. DEFAULTS, DIVIDENDS ARREARAGES AND DELINQUENCIESITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF
PROCEEDSITEM 15. CONTROLS AND PROCEDURESITEM 16A.AUDIT COMMITTEE FINANCIAL EXPERTITEM 16B. CODE OF ETHICS AND BUSINESS CONDUCTITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICESITEM 16D.EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEESITEM 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS
ITEM 16F. CHANGE IN REGISTRANT'S CERTIFYING ACCOUNTANT
ITEM 16G.CORPORATE GOVERNANCE
ITEM 16H.MINE SAFETY DISCLOSUREITEM 16I. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONSITEM 16J. INSIDER TRADING POLICIESITEM 16K.CYBERSECURITY

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PART III.

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ITEM 17. FINANCIAL STATEMENTS
ITEM 18. FINANCIAL STATEMENTS
ITEM 19. EXHIBITS

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CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
Various statements contained in this annual report, including those that express a belief, expectation or
intention, as well as those that are not statements of historical fact, are forward-looking statements. These forwardlooking statements may include projections and estimates concerning our possible or assumed future results ofoperations, financial condition, business strategies and plans, market opportunity, competitive position, industry
environment, and potential growth opportunities. In some cases, you can identify forward-looking statements byterms such as “may”, “will”, “should”, “believe”, “expect”, “could”, “intend”, “plan”, “anticipate”, “estimate”,“continue”, “predict”, “project”, “potential”, “target,” “goal” or other words that convey the uncertainty of future
events or outcomes. You can also identify forward-looking statements by discussions of strategy, plans or intentions.
We have based these forward-looking statements on our current expectations and assumptions about future events.
While our management considers these expectations and assumptions to be reasonable, because forward-looking
statements relate to matters that have not yet occurred, they are inherently subject to significant business,competitive, economic, regulatory and other risks, contingencies and uncertainties, most of which are difficult topredict and many of which are beyond our control. These and other important factors, including, among others, those
discussed in this annual report under the headings “Risk Factors”, “Operating and Financial Review and Prospects”,
and “Business Overview” may cause our actual results, performance or achievements to differ materially from any
future results, performance or achievements expressed or implied by the forward-looking statements in this annual
report. Some of the factors that could cause actual results to differ materially from those expressed or implied by theforward-looking statements in this annual report include:•

our ability to achieve our development goals for our business and execute and evolve our growth strategies,
priorities and initiatives;•

our ability to sell certain of our owned salons to investors, and receive management fees from such soldsalons, on acceptable terms;•

changes in Japanese and global economic conditions and financial markets, including their effects on our
expansion in Japan and certain overseas markets;•

our ability to continue to grow our Digital Preventative Healthcare Segment and achieve and sustain its
profitability;•

the fluctuation of foreign exchange rates, which affects our expenses and liabilities payable in foreign
currencies;•

our ability to hire and train a sufficient number of therapists and place them at salons in need of additional
staffing;•changes in demographic, unemployment, economic, regulatory or weather conditions affecting the Tokyo
region of Japan, where our relaxation salon base is geographically concentrated;•

our ability to maintain and enhance the value of our brands and to enforce and maintain our trademarks andprotect our other intellectual property;•

the financial performance of our franchisees and our limited control with respect to their operations;•

our ability to raise additional capital on acceptable terms or at all;•our level of indebtedness and potential restrictions on us under the our debt instruments;•changes in consumer preferences and our competitive environment;•

our ability to respond to natural disasters, such as earthquakes and tsunamis, and to global pandemics, suchas COVID-19; and•the regulatory environment in which we operate.

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Given the foregoing risks and uncertainties, you are cautioned not to place undue reliance on the forwardlooking statements in this annual report. The forward-looking statements contained in this annual report are notguarantees of future performance and our actual results of operations and financial condition may differ materiallyfrom such forward-looking statements. In addition, even if our results of operations and financial condition are
consistent with the forward-looking statements in this annual report, they may not be predictive of results ordevelopments in future periods.
Any forward-looking statement that we make in this annual report speaks only as of the date of this annual
report. Except as required by law, we do not undertake any obligation to update or revise, or to publicly announce
any update or revision to, any of the forward-looking statements in this annual report, whether as a result of new
information, future events or otherwise, after the date of this annual report.
PART I.
ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS
Not applicable.
ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE
Not applicable.
ITEM 3. KEY INFORMATION
A. [Reserved]
B. Capitalization and Indebtedness
Not applicable.
C. Reasons for the Offer and Use of Proceeds
Not applicable.
D. Risk Factors
RISK FACTORS
We operate in a dynamic and rapidly changing industry that involves numerous risks and uncertainties. You
should carefully consider the factors described below, together with all of the other information contained in thisannual report, including the audited and unaudited financial statements and the related notes included in thisannual report. These risk factors are not presented in the order of importance or probability of occurrence. If anyof the following risks actually occurs, our business, financial condition and results of operations could bematerially and adversely affected. Some statements in this annual report, including statements in the following
risk factors, constitute forward-looking statements. Please refer to the section entitled “Cautionary Note
Regarding Forward-Looking Statements.”
As used this annual report, the terms “the Company”, “Medirom”, “we”, “our” or “us” may, depending upon thecontext, refer solely to the Company, to one or more of the Company’s consolidated subsidiaries or to all of themtaken as a whole.
Our functional currency and reporting currency is the Japanese yen (which we refer to as “JPY” or “¥”). The
terms “dollar,” “USD,” “US$” or “$” refer to U.S. dollars, the legal currency of the United States. Conveniencetranslations included in this annual report of Japanese yen into U.S. dollars have been made at the exchange rate of¥ 140.92 = US$1.00, which was the foreign exchange rate on December 29, 2023 as reported by the Board ofGovernors of the Federal Reserve System (which we refer to as the “U.S. Federal Reserve”) in weekly release on
January 2, 2024. Historical and current exchange rate information may be found atwww.federalreserve.gov/releases/h10/.

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Summary Risk Factors
Investing in our company involves significant risks. You should carefully consider all of the information in thisannual report before making an investment in our company. These risks include the following:
Risks Related to Our Company and Our Business
Risks and uncertainties related to our Company and our business include, but are not limited to, the following:•

We may not achieve our development goals, which could adversely affect our operations and financial
results;•

We are implementing new growth strategies, priorities and initiatives and any inability to execute andevolve our strategy over time could adversely impact our financial condition and results of operations;•

Sale of our salons to investors could depend heavily on a number of factors, and as a result, our annual
revenue from salon sales may vary from year on year;•

We are actively expanding mainly in Japan and overseas markets, and we may be adversely affected if
Japanese and global economic conditions and financial markets deteriorate;•

Our Digital Preventative Healthcare Segment may not continue to grow as we intend or achieve or sustain
profitability;•

Our MOTHER Bracelet® and Gateway incorporate various components, and component inflation may
increase our cost of producing these products;•

Our system-wide relaxation salon base is geographically concentrated in the Tokyo metropolitan area ofJapan, and we could be negatively affected by conditions specific to that region;•

Our past and future acquisitions, minority investments, joint ventures and strategic alliances could fail todeliver the anticipated benefits or otherwise have an adverse effect on our businesses and results ofoperations;•

Our proposed acquisition of Japan Gene Medicine Corporation may not be completed on a timely basis, on
our anticipated terms, or at all, and there are uncertainties and risks to consummating the acquisition andintegrating the acquired business;•

Our success depends substantially on the value of our brands;•

The failure to enforce and maintain our trademarks and protect our other intellectual property could
materially adversely affect our business, including our ability to establish and maintain brand awareness;•

We may need to raise additional capital to meet our business requirements in the future, and such capitalraising may be costly or difficult to obtain and could dilute current shareholders’ ownership interests;•

If we fail to obtain necessary funds for our operations, we will be unable to maintain and improve ourservices, other businesses, and technology, and we will be unable to develop and commercialize ourservices, other businesses, and technologies;•

Our level of indebtedness could materially and adversely affect our business, financial condition and resultsof operations;•

Our outstanding debt agreements may limit our flexibility in operating and expanding our business;•

We depend on key members of our management and advisory team and will need to add and retain
additional leading experts;

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We may suffer losses from litigation or other claims, including if our services cause harm to customers;•

Our prepaid cards are heavily regulated under Japanese law and violations of the relevant law could subject
us to sanctions;•

If we or our franchisees face labor shortages or increased labor costs, our results of operations and our
growth could be adversely affected;•

We are subject to the risks associated with leasing space subject to long-term non-cancelable leases;•

We are exposed to the risk of natural disasters, unusual weather conditions, pandemic outbreaks such as
COVID-19, political events, war and terrorism that could disrupt business and result in lower sales,
increased operating costs and capital expenditures;•

As we expand our businesses internationally, we will become subject to foreign laws and regulations, andwe could be adversely affected by violations of these laws as well as the U.S. Foreign Corrupt Practices Act
and similar worldwide anti-bribery and anti-kickback laws; and•There is a risk that we will be a passive foreign investment company (which we refer to as "PFIC") for thecurrent or any future taxable year, which could result in material adverse U.S. federal income tax
consequences if you are a U.S. holder.

Risks Related to Our Relationships with Franchisees
Risks and uncertainties related to our relationships with franchisees include, but are not limited to, thefollowing:•

The financial performance of our franchisees can negatively impact our business;•

We have limited control with respect to the operations of our franchisees, which could have a negative
impact on our business;•

We rely on franchise agreements that could be breached and may be difficult to enforce, which could resultin franchisees improperly managing relaxation salons;•

We rely in part on the financial health of our franchisees. If we do not screen and monitor themappropriately, it could adversely affect our operations and financial results if they experience financial
hardship;•Franchisee turnover could affect our ability to recruit new franchisees;•Premature termination of franchise agreements can cause losses;•

The interests of our franchisees may conflict with ours in the future and we could face liability from ourfranchisees or related to our relationship with our franchisees; and•We are subject to various Japanese laws that may affect our relationship with our franchisees.

Risks Related to Our Industry
Risks and uncertainties related to our industry include, but are not limited to, the following:•

We are vulnerable to changes in consumer preferences and economic conditions that could harm ourbusiness, financial condition, results of operations and cash flow;•

We may not be able to compete successfully with other relaxation salon businesses, which could materiallyand adversely affect our results of operations;4

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We face significant competition and continuous technological change;•

Information technology system failures or breaches of our network security could interrupt our operations
and adversely affect our business; and•Cybersecurity breaches and other disruptions could compromise our information, result in the unauthorized
disclosure of confidential guest, employee, Company and/or business partners’ information, damage our
reputation, and expose us to liability, which could negatively impact our business.

Risks Related to Ownership of the ADSs
Risks and uncertainties related to our ownership of the American Depositary Shares (the “ADSs”) include, but
are not limited to, the following:•

We are an “emerging growth company” and, as a result of the reduced disclosure and governancerequirements applicable to emerging growth companies, our common shares and ADSs may be lessattractive to investors;•

As a “foreign private issuer” we are permitted, and intend, to follow certain home country corporate
governance and other practices instead of otherwise applicable SEC and NASDAQ requirements, which
may result in less protection than is accorded to investors under rules applicable to domestic U.S. issuers;•

ADSs representing our common shares are listed on the Nasdaq Capital Market. As such, we must meet the
Nasdaq Capital Market’s continued listing requirements and other Nasdaq rules, or we may risk delisting.
Delisting could negatively affect the price of our ADSs, which could make it more difficult for us to sell
securities in a financing and for you to sell your ADSs;•

We may be, and have in the past been, delayed in complying with our periodic reporting obligation under
the Exchange Act;•

Our Chief Executive Officer owns a “golden share” with key veto rights, thereby limiting a shareholder’sability to influence our business and affairs;•

The requirements of being a U.S. public company may strain our resources and divert management’s
attention;•

If we fail to maintain an effective system of internal control to remediate our material weakness overfinancial reporting, we may be unable to accurately report our results of operations, meet our reporting
obligations or prevent fraud;•

We cannot assure you that the ADSs will remain liquid or that it will remain listed on NASDAQ;•

The price of the ADSs may fluctuate substantially; and•We do not intend to pay dividends on our common shares for the foreseeable future.

Risks Related to Japan
Risks and uncertainties related to Japan include, but are not limited to, the following:•

We are incorporated in Japan, and it may be more difficult to enforce judgments against us that are obtainedin courts outside of Japan;•

Substantially all of our revenues are generated in Japan, but an increase of our international presence could
expose us to fluctuations in foreign currency exchange rates, or a change in monetary policy may harm ourfinancial results;

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We have business relationships with enterprises and professionals located outside of Japan and we may
make payment to such parties in foreign currency, which exposes us to market risk associated withexchange rate movements of the Japanese yen against the U.S. dollar and other foreign currencies; and•Rights of shareholders under Japanese law may be different from rights of shareholders in otherjurisdictions.

General Risk Factors
Other general risk factors include, but are not limited to, the following:•

Third party claims with respect to intellectual property assets, if decided against us, may result incompeting uses or require adoption of new, non-infringing intellectual property, which may in turnadversely affect sales and revenues; andRisks Related to Our Company and Our BusinessWe may not achieve our development goals, which could adversely affect our operations and financial results.
Our number of relaxation salons was 314 as of December 31, 2023, which increased from 312 as of December
31, 2022. We opened 16 new salons and closed 14 salons during 2023. We intend to continue our growth either
through developing additional directly-operated salons or through new salon development by acquisition, both inexisting markets and in new markets, particularly in Japan. Such rapid development involves substantial risks,
including the risk of:•

the inability to identify suitable franchisees;•

limited availability of financing for our Company and for franchisees at acceptable rates and terms;•

development costs exceeding budgeted or contracted amounts;•

delays in completion of construction;•

the inability to identify, or the unavailability of, suitable sites at acceptable cost and other leasing orpurchase terms;•

developed properties not achieving desired revenue or cash flow levels once opened;•

the negative impact of a new salon upon sales at nearby existing salons and vice versa;•

the challenge of developing in areas where competitors are more established or have greater penetration oraccess to suitable development sites;•

incurring substantial unrecoverable costs in the event a development project is abandoned prior tocompletion;•

impairment charges resulting from underperforming salons or decisions to curtail or cease investment incertain locations or markets;•in new geographic markets where we have limited or no existing locations, the inability to successfully
expand or acquire critical market presence for our brands, acquire name recognition, successfully market
our products or attract new customers;•

operating cost levels that reduce the demand for, or raise the cost of, developing new salons;•the challenge of identifying, recruiting and training qualified salon management;

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the inability to obtain all required permits;•changes in laws, regulations and interpretations; and•general economic and business conditions.

Although we manage our growth and development activities to help reduce such risks, we cannot provide
assurance that our present or future growth and development activities will perform in accordance with our
expectations. Our inability to expand in accordance with our plans or to manage the risks associated with our growth
could have a material adverse effect on our results of operations and financial condition.
We are implementing new growth strategies, priorities and initiatives and any inability to execute and evolve ourstrategy over time could adversely impact our financial condition and results of operations.
We seek to accelerate the growth of our acquisition model while at the same time improve the performance of
directly-operated salons. Our success also depends, in part, on our ability to grow our franchise model, including
attracting and retaining qualified franchisees. Our ability to open new relaxation salons is dependent upon a numberof factors, many of which are beyond our control, including our and our franchisees’ ability to:•identify available and suitable relaxation salon sites;•

successfully compete for relaxation salon sites;•

reach acceptable agreements regarding the lease or purchase of locations;•obtain or have available the financing required to acquire and operate a relaxation salon, including
construction and opening costs, which includes access to build-to-suit leases at favorable interest andcapitalization rates;•

respond to unforeseen engineering or environmental problems with leased premises;•

avoid the impact of inclement weather, natural disasters and other calamities;•

hire, train and retain the skilled management and other employees necessary to meet staffing needs;•

obtain, in a timely manner and for an acceptable cost, required licenses, permits and regulatory approvals
and respond effectively to any changes in law and regulations that adversely affect our and our franchisees’
costs or ability to open new relaxation salons; and•control construction cost increases for new relaxation salons.

The growth of our acquisition model will take time to execute and may create additional costs, expose us toadditional legal and compliance risks, cause disruption to our current business and impact our short-term operating
results. Further, in order to enhance services to its franchisees, we may need to invest in certain new capabilities
and/or services.
Our success also depends, in part, on our ability to improve sales, as well as both cost of service and productand operating margins at our directly-operated salons. Same-store sales are affected by average ticket and same-store
guest visits. A variety of factors affect same-store guest visits, including the guest experience, salon locations,staffing and retention of therapists and salon leaders, price competition, current economic conditions, marketing
programs and weather conditions. These factors may cause our same-store sales to differ materially from priorperiods and from our expectations.
As part of our longer-term growth strategy, we plan to enter new geographical markets, including the UnitedStates and Southeast Asia, where we have little or no prior operating or franchising experience. The challenges ofentering new markets include: difficulties in hiring experienced personnel; unfamiliarity with local real estatemarkets and demographics; consumer unfamiliarity with our brand; and different competitive and economic

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conditions, consumer tastes and discretionary spending patterns that are more difficult to predict or satisfy than in
our existing markets. Consumer recognition of our brand has been important in the success of both directly-operated
and franchised relaxation salons in our existing markets. Relaxation salons that we open in new markets may takelonger to reach expected sales and profit levels and may have higher construction, occupancy and operating costs
than existing relaxation salons, thereby negatively affecting our operating results. Any failure on our part torecognize or respond to these challenges may adversely affect the success of any new relaxation salons. Expanding
our franchise system could require the implementation, expense and management of enhanced business support
systems, management information systems and financial controls as well as additional staffing, franchise support
and capital expenditures and working capital.
Sale of our salons to investors could depend heavily on a number of factors, and as a result, our annual revenue
from sale of salons may vary from year on year.
Since December 2021, we have implemented our strategy of selling certain of our owned salons to investors andcharging management fees from such sold salons. For the year ended December 31, 2023, the total transaction
amount from such salon sales was JPY1,451 million (US$10 million), while the total transaction amount from suchsalon sales was JPY1,123 million (US$8 million) for the year ended December 31, 2022. Our revenue from salon
sales will depend on a number of factors including the interest of potential investors, financial market conditions,available interest rates, and expected return of other comparable types of investments, none of which we will havecontrol over. In addition, our management fees from the sold salons will depend on the actual contractual terms
subject to our negotiation with potential investors in the future.
Furthermore, our ability to successfully implement this strategy will depend on our ability to maintain highly
profitable salons, revitalize less profitable salons, and otherwise keep salons inventory in good level. The failure tocontinue to implement this growth strategy will adversely affect our business, financial condition and results ofoperations.
We are actively expanding mainly in Japan and overseas markets, and we may be adversely affected if Japaneseand global economic conditions and financial markets deteriorate.
We seek to proactively expand our business overseas in the future including into new regions for us, particularly
the United States and Southeast Asia. We also intend to explore growth opportunities in other markets that we
believe exhibit the following characteristics: low cost of entry, friendly franchising or partnership relationships andthe existence of an economic staying power for our relaxation salon brand locally. We remain opportunistic on
strategic mergers and acquisitions, joint ventures, and partnerships in these international markets. As a result, ourfinancial condition and results of operations may be materially affected by general economic conditions andfinancial markets in Japan and foreign countries, which would be influenced by the changes of various factors.
These factors include fiscal and monetary policies, and laws, regulations and policies on financial markets. In theevent of an economic downturn in Japan or the United States, consumer spending habits could be adversely affected,
and we could experience lower than expected net sales, which could force us to delay or slow our growth strategy
and have a material adverse effect on our business, financial condition, profitability and cash flows. In addition, we
could be impacted by labor shortages in Japan or other markets. Increasing economic inflation in Japan and overseas
may also increase our labor costs and other operating expenses, and we may be unable to adequately reflect suchcost increases in our prices to customers. The deterioration of Japanese and global economic conditions, or financial
market turmoil, could result in a worsening of our liquidity and capital conditions, an increase in our credit costs,
and, as a result, adversely affect our business, financial condition and results of operations.
Our Digital Preventative Healthcare Segment businesses may not continue to grow as we intend or achieve or
sustain profitability.
For the fiscal year ended December 31, 2023, 2.8% of our revenue was derived from our Digital Preventative
Healthcare Segment, which includes our Lav® application supporting the Specific Health Guidance Program and our
MOTHER Bracelet®. By comparison, 89.4% of our revenue was derived from our Relaxation Salon Segment, and7.8% from our Luxury Beauty Segment. Our Digital Preventative Healthcare Segment generated a total revenue of
JPY200,397 thousand (US$1,422 thousand), as compared to a total revenue of JPY386,383 thousand (US$2,742
thousand) for the year ended December 31, 2022, a decrease that we believe was primarily due to a delay in thedevelopment and release of planned products and services. While we aim to continue to grow our Digital
Preventative Healthcare Segment as a proportion of our overall business, we cannot guarantee that we will not

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experience such development delays or other setbacks in the future, or that these businesses or any other businesses
we develop or acquire in the segment will achieve or increase market acceptance. The degree of market acceptanceof our businesses will depend on a number of factors, including the competitive landscape and the adequacy andsuccess of distribution, sales and marketing efforts. Customers, third-party payors or advertisers in general may be
unwilling to accept, utilize or recommend any of our businesses.
Furthermore, the manufacturing of our MOTHER Bracelet® involves a number of third parties and requires ouruse of a patent license, and we may be adversely affected by business relationships with such third parties or theirfinancial soundness. In particular, the self-charging functionality of our MOTHER Bracelet® is derived from thecore semiconductor provided by Matrix Industries, Inc. (“Matrix”), a startup based in California, United States. In
addition, we currently rely on a third-party manufacturer in Japan to manufacture the MOTHER Bracelet®. Should anatural disaster, a labor strike, or any other accident or incident occur at the factory or the manufacturer thatsignificantly increase the assembly price, our sales or profitability could be adversely affected. As a result, we areunable to predict the extent of future losses or the time required to achieve profitability in this business unit, if at all.
Our MOTHER Bracelet® and Gateway incorporate various components, and component inflation may increase
our cost of producing these products.
Following the start of sales of our MOTHER Bracelet® in 2021, we released our “MOTHER Gateway” device
in 2023 as well as our device-based monitoring system, “REMONY®”. These electronic devices utilize an array ofcomponents, a few of which we directly obtain from suppliers, while the others are indirectly purchased by ourcontracted assembly factory and shipped to our warehouse in the form of finished goods. Although most of thecomponents other than the core semiconductor provided by Matrix are commodities, there exists the potential for the
prices of these components to significantly increase in the future, influenced by potential macroeconomic shifts,
prospective supply chain disruptions, embargoes or any other trade restrictions resulting from geopolitical issues,and potential spikes in global demand. If such an upward trend in the cost of these crucial components were tomaterialize, it could place upward pressure on our production expenditures. This, in turn, may adversely affect our
profit margins, especially if we are unable to pass on any such increased costs to our customers.
Our system-wide relaxation salon base is geographically concentrated in the Tokyo metropolitan area of Japan,
and we could be negatively affected by conditions specific to that region.
Approximately 64.0% of our relaxation salons, including our directly-owned, franchised, and investor-owned
salons, are located in the Tokyo metropolitan area of Japan as of December 31, 2023. Adverse changes indemographic, unemployment, economic, regulatory or weather conditions or natural disasters affecting the Kanto
region of Japan have had, and may continue to have, material adverse effects on our business. As a result of ourconcentration in this market, we have been, and in the future may be, disproportionately affected by these adverse
conditions compared to other chain relaxation salons with a greater national footprint.
In addition, our competitors could open additional relaxation salons in the Kanto region of Japan, which could
result in reduced market share for us and may adversely impact our profitability.
We are also implementing a strategy of expanding our relaxation salons business in the Kansai region inwestern Japan. We opened six new salons in the Kansai region during fiscal year 2023, bringing the total number ofour salons in the Kansai region to 15. However, there can be no assurance that our growth strategy to geographically
expand the business will be successful.
Our past and future acquisitions, minority investments, joint ventures and strategic alliances could fail to deliver
the anticipated benefits or otherwise have an adverse effect on our businesses and results of operations.
As part of our business strategy, we actively engage in acquisitions, minority investments, joint ventures andother strategic alliances with third parties to expand our product and service offerings, enter into new business areas
and geographies and acquire related technologies, with a primary focus on businesses operating in Japan. For
example, on October 1, 2021, we acquired a 60% ownership interest in ZACC, a high-end hair salon company
operating in Japan, and we acquired the remaining 40% interest in January 2022. In 2021, we also acquired a 100%
ownership interest in SAWAN CO. LTD., which owns the “Ruam Ruam” brand luxury relaxation salons and also
operates in Japan. In 2019 we acquired a minority interest in Matrix Industries, Inc., which is based in the United

9Table of ContentsStates and develops a thermoelectric generator and boost converter, and we purchased a convertible note from
Matrix in February 2021 which subsequently converted into series A preferred stock in April 2023.
We intend to continue to actively consider acquisitions and other strategic investments or alliances in the future
as attractive opportunities emerge, particularly if we find attractive opportunities to enhance or supplement thecapabilities or product offerings, expand the geographic reach of our salon business or our luxury brand portfolio,
effectively acquire new customers, if we find businesses, technologies, sales forces, or other growth drivers thatmeet our criteria for investment in the Digital Preventative Healthcare Segment, or if we identify acquisitions that
we believe can otherwise allow us to expand into new or related businesses.
As part of our acquisition strategy, we have in the past acquired and may in the future acquire or invest in
unprofitable companies or businesses, or may make minority investments in early stage or emerging companies that
hold or are developing technologies, intellectual property or capabilities that we believe are important for our own
business development. Such prior or future acquisitions or minority investments may adversely affect ourconsolidated results of operations. In addition, we may have difficulty accurately assessing the future viability andgrowth trajectory of the acquired businesses, especially if the synergies we expect to realize in connection with theacquisitions or minority investments do not materialize in the amounts we expect or at all, or if we are unable tomanage the acquired businesses in an effective manner. We may also face uncertainties when we acquire or invest incompanies with limited operating capabilities or a management system that requires improvement, which is often thecase for small privately owned businesses, including potential compliance issues or liabilities that were not
identified in due diligence, poor management by the former owners, or any continuing management personnel who
may lose motivation to meet our financial targets after monetizing their own equity interests in the acquired
business.
Acquisitions, strategic investments and alliances entail a number of risks, including, among others:•

expenses incurred and difficulties in integrating or assimilating the operations, technology, personnel andculture of acquired businesses;•

the inability to realize the synergy effects, such as technological development, expansion of user orcustomer base or cost reductions, that were anticipated in connection with the transaction;•

the potential disruption of, and the distraction of management from, our regular business operations;•difficulties and substantial costs in connection with retaining the customers, key management or employeesof an acquired company;•

the failure to ensure that the companies we acquire operate in accordance with our regulatory compliancestandards;•

the possibility of overestimating the value of an acquired company, underestimating its legal or contingent
liabilities, receiving insufficient indemnification for potential liabilities or being unable to recover suchindemnification from the seller;•

recording significant goodwill and intangible assets that could be subject to future impairment; and•incurrence of additional debt in connection with financing acquisitions and investments.

As a result of such risks, we may not be able to fully realize the benefits that we anticipate from any given
transaction, including increased revenue and profits and other expected strategic benefits, within the expected
timeframe or at all. Although we conduct due diligence reviews of acquisition targets, there can be no assurance thatour due diligence process will disclose all relevant risks, legal, compliance or regulatory issues, losses and otherliabilities or that our assessment of the target’s risks and liabilities will be accurate.
Our proposed acquisition of Japan Gene Medicine Corporation may not be completed on a timely basis, on our
anticipated terms, or at all, and there are uncertainties and risks to consummating the acquisition and integrating
the acquired business.
As part our acquisition strategy, on April 2, 2024, we announced that we had entered into a memorandum of
understanding for the purpose of acquiring all of the shares of stock (the “Acquisition”) of Japan Gene Medicine

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Corporation (“JGMC”). The memorandum of understanding sets forth a non-binding outline of proposed terms andconditions for the Acquisition and for entry into the definitive agreement for the Acquisition. Under the
memorandum of understanding, we and the seller agree to negotiate in good faith for the purpose of entering into thedefinitive agreement for the Acquisition. See “Item 4. Information on the Company—Subsequent Events—Proposed
Acquisition of Japan Gene Medicine Corporation”.
Under the memorandum of understanding, the consummation of the proposed Acquisition is conditioned on,among other factors, our ability to negotiate and enter into a binding definitive agreement for the transaction, ourreceipt of a commitment letter from a financial institution agreeing to provide a loan for the Acquisition in an
amount and on terms satisfactory to us, satisfactory reflection of our due diligence findings in the provisions of thedefinitive agreement, completion of procedures required under the Foreign Exchange and Foreign Trade Act ofJapan, and our ability to meet any applicable disclosure requirements for financial information of JGMC required
under applicable U.S. securities laws, rules, and regulations by the applicable deadlines. We or the seller may
determine not to enter into a definitive agreement for the Acquisition, and the terms of a definitive agreement may
differ from those set forth in the memorandum of understanding. Moreover, we may be unable to consummate theproposed Acquisition, or the Acquisition may be delayed for a significant period of time, if any one of the conditions
to consummation fails to be satisfied or waived, or for other reasons, including those beyond our control.
We face risks and uncertainties due to the proposed Acquisition, including:•failure to consummate the proposed Acquisition could result in negative reactions from the financial markets
or in the investment community, including negative impacts on the market price of the ADSs;•

we will remain liable for significant transaction costs, including legal, financial advisory, accounting andother costs relating to the proposed Acquisition even if it is not consummated; and•the proposed Acquisition could have an adverse impact on the acquiree’s relationships with its employees,
customers and suppliers, and prospective customers or other third parties may delay or decline entering into
agreements with us as a result of the announcement of the proposed Acquisition.

Furthermore, even if the proposed Acquisition is consummated, the Acquisition would remain subject to therisks described above in “—Our past and future acquisitions, minority investments, joint ventures and strategic
alliances could fail to deliver the anticipated benefits or otherwise have an adverse effect on our businesses andresults of operations.”
In particular, even if the proposed Acquisition is completed, our ability to realize the anticipated benefits of theAcquisition will depend, to a large extent, on our ability to integrate JGMC into our business. The combination of
two independent businesses is a complex, costly and time-consuming process and there can be no assurance that wewill be able to successfully integrate JGMC into our business, or if such integration is successfully accomplished,that such integration will not be more costly or take longer than presently contemplated. If we cannot successfully
integrate and manage JGMC within a reasonable time following the Acquisition, we may not be able to realize thepotential and anticipated benefits of the Acquisition, which could have a material adverse effect on our share price,business, cash flows, results of operations and financial position.
Additionally, we may incur substantial additional debt and/or issue a significant amount of equity or equitylinked securities as consideration for the proposed Acquisition. A significant increase in our indebtedness could
adversely affect our business, financial position and results of operations, and the issuance of additional equity or
equity-linked securities may dilute our current shareholders' ownership in us and could also result in a decrease in
the market price of the ADSs. See “—Our level of indebtedness could materially and adversely affect our business,financial condition and results of operations.” and “—We may need to raise additional capital to meet our business
requirements in the future, and such capital raising may be costly or difficult to obtain and could dilute current
shareholders' ownership interests.”
Our success depends substantially on the value of our brands.
Our success is dependent, in large part, upon our ability to maintain and enhance the value of our brands, ourcustomers’ connection to our brands, and a positive relationship with our franchisees. Brand value can be severely
damaged even by isolated incidents, particularly if the incidents receive considerable negative publicity, including
via social media, or result in litigation. Some of these incidents may relate to the way we manage our relationship11

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with our franchisees, our growth strategies, our development efforts, or the ordinary course of our, or our
franchisees’, business. Other incidents may arise from events that are or may be beyond our ability to control andmay damage our brands, such as actions taken (or not taken) by one or more franchisees or their employees relating
to health, safety, welfare, or otherwise; litigation and claims; security breaches or other fraudulent activities
associated with our payment systems; and illegal activity targeted at us or others. Consumer demand for our
products and services and our brands’ value could diminish significantly if any such incidents or other matters erode
consumer confidence in us or our products or services, which would likely result in lower sales and, ultimately,
lower royalty income, which in turn could materially and adversely affect our business and operating results.
The failure to enforce and maintain our trademarks and protect our other intellectual property could materiallyadversely affect our business, including our ability to establish and maintain brand awareness.
We regard our trademarks, trade secrets, know-how, and similar intellectual property as critical to our success.
We have registered 45 trademarks as of December 31, 2023, and other names and logos used by our Company as
trademarks with the Japan Patent Office, two of which are registered with the U.S. Patent and Trademark Office andone of which is registered with the China National Intellectual Property Administration. Our principal intellectual
property rights include the trademark “Re.Ra.Ku®”, which is our core brand, and “MOTHER Bracelet®”, “Lav®”,and “REMONY®”, which are key brands in our Digital Preventative Healthcare Segment, copyrights in our website
and software assets, rights to our domain names, https://medirom.co.jp, https://reraku.jp, and https://motherbracelet.com, trade secrets and know-how with respect to our training, servicing, sales and marketing and otheraspects of our business, and our digital innovations such as the MOTHER application, REMONY® software,
Gateway software, and Lav® application. The success of our business strategy depends on our continued ability touse our existing intellectual property in order to increase brand awareness and develop our branded services. If ourefforts to protect our intellectual property are not adequate, or if any third party misappropriates or infringes on our
intellectual property, whether in print, on the Internet or through other media, the value of our brands may beharmed, which could have a material adverse effect on our business, including the failure of our brands and branded
services to achieve and maintain market acceptance. There can be no assurance that the steps we have taken toprotect our intellectual property in Japan or outside Japan in relevant foreign countries will be adequate. In addition,in light of our intention to expand internationally, the laws of some foreign countries may not protect intellectual
property rights to the same extent as do the laws of Japan. If any of our trademarks, trade secrets or other intellectual
property are infringed, our business, financial condition and results of operations could be materially adversely
affected.
We may need to raise additional capital to meet our business requirements in the future, and such capital raising
may be costly or difficult to obtain and could dilute current shareholders' ownership interests.
We expect that our cash and cash equivalents as of December 31, 2023 of JPY106,347 thousand (US$755
thousand) will not be sufficient to fund our operating expenses, capital expenditure requirements, and debt service
obligations for the 12 months following the issuance date of the audit opinion for the financial statements containedin this annual report and that we will require additional capital. These conditions, among others, raise substantial
doubt about our ability to continue as a going concern. In the short term, we intend to address this in part bygenerating cash through the sales of certain of our owned salons. However, such sales may not successfully raise
sufficient capital, and are subject to other risks as described in “—Sale of our salons to investors could depend
heavily on a number of factors, and as a result, our annual revenue from sale of salons may vary from year on year”
for risks related to sale of our owned salons. See “Item 5. Operating and Financial Review and Prospects—B.
Liquidity and Capital Resources—Going Concern.” Accordingly, we may need to raise additional capital to meet
our business requirements.
Our future capital requirements will depend on many factors, including the speed and geographic area of
relaxation salon and other business growth, progress and results of our businesses, the number and development
requirements of other business that we pursue, including acquisition costs for our potential acquisition of JGMC andfuture costs to develop its business, and the costs of commercialization activities, including marketing and sales.
Because of the numerous risks and uncertainties associated with the development and commercialization of ourbusinesses, we are unable to reasonably estimate the amounts of increased capital outlays and operating expendituresthat our business will require. It is likely that we will need to raise additional funds through public or private debt orequity financings to meet various objectives including, but not limited to:•

pursuing growth opportunities;

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acquiring complementary businesses;•

making capital improvements to our infrastructure;•hiring qualified management and key employees;•

responding to competitive pressures;•complying with regulatory requirements; and•maintaining compliance with applicable laws.

Any additional capital raised through the sale of equity or equity-linked securities may dilute our current
shareholders' ownership in us and could also result in a decrease in the market price of the American Depositary
Shares (which we refer to as “ADSs”). The terms of those securities issued by us in future capital transactions may
be more favorable to new investors and may include preferences, superior voting rights and the issuance of warrants
or other derivative securities, which may have a further dilutive effect. Debt securities convertible into equity could
be subject to adjustments in the conversion ratio pursuant to which certain events may increase the number of equity
securities issuable upon conversion. Preferred shares, if issued, could have a preference with respect to liquidating
distributions or a preference with respect to dividend payments that could limit our ability to pay dividends to theholders of the ADSs.
Furthermore, any debt or equity financing that we may need may not be available on terms favorable to us, or atall. If we are unable to obtain required additional capital, we may have to curtail our growth plans or cut back on
existing business, and we may not be able to continue operating if we do not generate sufficient revenues fromoperations needed to stay in business.
We may incur substantial costs in pursuing future capital financing, including investment banking fees, legal
fees, accounting fees, securities law compliance fees, printing and distribution expenses and other costs. We may
also be required to recognize non-cash expenses in connection with certain securities we issue, such as convertible
notes and warrants, which may adversely impact our financial condition. Thus, holders of the ADSs bear the riskthat our future offerings may reduce the market price of the ADSs and dilute their shareholdings in us.
If we fail to obtain necessary funds for our operations, we will be unable to maintain and improve our services,other businesses, and technology, and we will be unable to develop and commercialize our services, otherbusinesses, and technologies.
Our present and future capital requirements depend on many factors, including:•future revenues and profits generated from the expected launch of new services;•

the level of research and development investment required to develop our services, and maintain andimprove our technology positions;•

our ability and willingness to enter into new agreements with strategic partners and the terms of these
agreements;•

the costs of recruiting and retaining qualified personnel;•

the time and costs involved in obtaining regulatory approvals should such be required; and•the costs of filing, prosecuting, defending, and enforcing trademark, patent claims and other intellectual
property rights.

If we are unable to obtain the funds necessary for our operations, we will be unable to develop andcommercialize our services and technologies, which would materially and adversely affect our business, liquidity
and results of operations.

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Our level of indebtedness could materially and adversely affect our business, financial condition and results ofoperations.
Our total indebtedness as of December 31, 2023 was JPY1,552,234 thousand (US$11,015 thousand) on aconsolidated basis, including the corporate convertible bonds in the aggregate amount of JPY500,000 thousand(US$3,548 thousand) issued to Kufu Company Inc., a Japanese company, in December 2022. We may also take on
additional indebtedness in the future, including in connection with our potential acquisition of JGMC. Our
indebtedness could have significant effects on our business, such as:•

limiting our ability to borrow additional amounts to fund working capital, capital expenditures,acquisitions, debt service requirements, execution of our growth strategy and other purposes;•

requiring us to dedicate a substantial portion of our cash flow from operations to pay principal and interest
on our debt, which would reduce availability of our cash flow to fund working capital, capital expenditures,acquisitions, execution of our growth strategy and other general corporate purposes;•

making us more vulnerable to adverse changes in general economic, industry and competitive conditions, ingovernment regulation and in our business by limiting our ability to plan for and react to changing
conditions;•diluting the economic and voting rights of our existing shareholders or reduce the market price of the ADSs
or both upon redemption of the convertible bonds; and•placing us at a competitive disadvantage compared with our competitors that have less debt.

In addition, we may not be able to generate sufficient cash flow from our operations to repay our indebtedness
when it becomes due and to meet our other cash needs. If we are not able to pay our debts as they become due, wewill be required to pursue one or more alternative strategies, such as selling assets, refinancing or restructuring ourindebtedness or selling additional debt or equity securities. We may not be able to refinance our debt or sell
additional debt or equity securities or our assets on favorable terms, if at all, and if we must sell our assets, it may
negatively affect our ability to generate revenues.
Moreover, the Bank of Japan raised its overnight interest rate from -0.1% to 0-0.1% in March 2024. Long-term
interest rates in Japan have been steadily increasing in recent years in connection with the Bank of Japan scaling
back and then, in March 2024, eliminating most of its measures to control long-term government bond yields.
Interest rates in Japan could further increase in the future due to changes in the interest rate policy pursued by the
Bank of Japan or otherwise. An increase in Japanese interest rates will increase the interest expense associated withour current floating rate debt obligations and any floating or fixed rate debt obligations that we may incur in the
future, including debt that we incur to refinance our existing borrowings. A rapid and significant rise in Japaneseinterest rates may increase our borrowing costs and adversely affect our financial condition and results of operations.
For information regarding our sensitivity to interest rates, see “Item 11. Quantitative and Qualitative Disclosure
About Market Risk—Interest Rate Risk.”
Furthermore, we issued corporate convertible bonds in the aggregate amount of JPY500,000 thousand(US$3,548 thousand) to Kufu Company Inc., a Japanese company, in December 2022. The bonds are unsecured,accrue interest at a rate of 5.0% per annum, payable on June 30, 2023 and semi-annually thereafter, and will mature
on December 28, 2027, unless earlier redeemed or converted. At any time between the six-month anniversary date ofDecember 28, 2022 and before the close of business on December 28, 2027, Kufu Company Inc., as the bond holder,
may convert the bonds at its option, in whole or in part, into our common shares. The bond holder may also exercise
its put option to demand the redemption of the bonds by us, in whole or in part, any time after the six-monthanniversary date of December 28, 2022. If Kufu Company Inc. elects to convert the bonds into our common sharesor demand redemption of the bond prior to the maturity date, our cash flows and financial condition could bematerially adversely affected.
Our outstanding debt agreements may limit our flexibility in operating and expanding our business.
As of December 31, 2023, we had a total of 17 loans with seven Japanese financial institutions for an aggregate
principal amount of JPY1,052,234 thousand (US$7,467 thousand) on a consolidated basis. None of the loan

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agreements contain any material financial covenants, although certain of the government-sponsored loans set a limiton the total loan amount we may borrow from other government-sponsored lenders. However, eight of the loan
agreements have our Chief Executive Officer as a personal guarantor of such debt obligations of our Company. In
addition, Kazuyoshi Takahashi, the representative director of ZACC Kabushiki Kaisha (“ZACC”), is also aguarantor with respect to three out of five corporate loans of ZACC. If we release our Chief Executive Officer or
Mr. Takahashi from such guarantor obligations, the relevant lenders may request that we provide them withalternative collateral and/or seek additional negative covenants under the existing loan agreements. This could limit
our discretion to invest, utilize, and/or dispose of our assets.
Furthermore, we may take on additional indebtedness in the future, including in connection with our potential
acquisition of JGMC. The restrictive covenants contained in any future loan agreements may restrict our access tofuture debt financing, on which our business operations and expansion plans, in part, depend. If our revenues
decrease materially or we experience a significant increase in our interest expenses, we may not have enoughavailable cash or be able to raise additional funds on satisfactory terms, if at all, through equity or debt financings to
make any required prepayment or repay such indebtedness at the time any such event of default occurs. In such an
event, we may be required to delay, limit, reduce or terminate our business development or expansion efforts. Our
business, financial condition and results of operations could be materially adversely affected as a result.
We depend on key members of our management and advisory team and will need to add and retain additional
leading experts.
We are highly dependent on our executive officers, including our Chief Executive Officer, Mr. Kouji Eguchi,
our Chief Financial Officer, Mr. Fumitoshi Fujiwara, and other key management and technical personnel. We do nothave employment agreements with either Mr. Kouji Eguchi or Mr. Fumitoshi Fujiwara.
Furthermore, our ability to manage our salon expansion will require us to continue to train, motivate, andmanage our associates. We will need to attract, motivate, and retain additional qualified executive, managerial, andmerchandising personnel and salon associates. Competition for this type of personnel is intense, and we may not be
successful in attracting, assimilating, and retaining the personnel required to grow and operate our businessprofitably. We presently maintain a "key person" life insurance policy only for our Chief Executive Officer. Therecan be no assurance that we will be able to retain our existing personnel, including our Chief Executive Officer,
Chief Financial Officer and other key management personnel, or attract additional qualified employees. The loss of
key personnel or the inability to hire and retain additional qualified personnel in the future could have a material
adverse effect on our business, financial condition and results of operation.
We may suffer losses from litigation or other claims, including if our services cause harm to customers.
From time-to-time we may be involved in a variety of claims or litigation. Such proceedings may initially beviewed as immaterial but may develop to become significant. Litigation is inherently unpredictable and there is apossibility of unexpectedly large damage awards. Given the inherent uncertainties in litigation, even when we canreasonably estimate the amount of possible loss or range of loss, the actual outcome may differ significantly fromour estimates. In addition, such claims or litigation could involve significant expense and diversion of management’s
attention and resources from other matters.
In particular, although we screen our customers for major illnesses and injury, our services could potentiallycause harm or injury to customers. Unexpected and undesirable side effects caused by our services for which wehave not provided sufficient warnings, which may have been performed negligently, could result in the
discontinuance of our relaxation services or prevent us from achieving or maintaining market acceptance of ourservices. Such side effects or injury incidents could also expose us to liability lawsuits. We currently maintain acomprehensive general liability policy; however, if any general liability lawsuits or claims are successfully brought
against us, we could suffer from increased insurance premiums. Moreover, if damages exceed our policy limits, we
may incur substantial financial losses. These claims could cause negative publicity regarding our Company, or
brand, which could in turn harm our reputation and net revenue, which could have a material adverse effect on ourbusiness, financial condition, profitability, and cash flows.

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Our prepaid cards are heavily regulated under Japanese law and violations of the relevant law could subject us to
sanctions.
We began issuing prepaid cards called "Re.Ra.Ku® Cards" to relaxation salon customers on December 1, 2008.
Re.Ra.Ku® Card users can continuously use and also replenish their card at most of our Company's relaxation
salons. Prepaid cards are generally considered "prepaid payment methods" (which we refer to as "PPMs") under the
Act on Settlement of Funds (Act No. 59 of 2009) (which we refer to as the "Settlement Act"). PPMs are regulated
under the Settlement Act so long as there is a possibility that the cards could be valid for a period of more than six
months. The Re.Ra.Ku® Cards do not have expiration dates and therefore are regulated under the Settlement Act.
Moreover, the Re.Ra.Ku® Cards can be used at salons operated by franchisees, and because the franchisees are
considered third parties for the purposes of the Settlement Act, we fall under the category of a Public Use PPM
Provider.
A Public Use PPM Provider must be registered with the relevant Local Financial Bureau and follow detailed
deposit procedures to assure that there are adequate funds for the individuals who are effectively loaning theirmoney to the Public Use PPM Provider, including an obligation to deposit half of the prepaid balance to the Legal
Affairs Bureau. As of December 31, 2023, the total amount we had deposited with the Legal Affairs Bureau inconnection with Re.Ra.Ku Card balances was JPY357,335 thousand (US$2,536 thousand). If we fail to comply withthese procedures, we may be assessed a monetary fine, and in certain circumstances, a member of our Company
could face a criminal penalty of imprisonment, which could adversely impact our financial results as well as ourbrand image.
Furthermore, one of the requirements for issuers of prepaid cards under the Settlement Act is to maintain net
assets of not less than JPY100 million based on Japanese GAAP. While our net assets fell below JPY100 million
based on Japanese GAAP on a standalone basis as of December 31, 2022, we regained compliance by meeting suchstandard as of December 31, 2023.
Given the heavy burden imposed on us as a Public Use PPM Provider, we decided to introduce a new payment
system and developed “Re.Ra.Ku PAY”, a proprietary payment app which works on customers’ smart phones. The
most important difference between the Re.Ra.Ku Card and Re.Ra.Ku PAY is that balances on Re.Ra.Ku PAY havean expiration period of 150 days, while Re.Ra.Ku Card balances do not have an expiration date. The Settlement Act
regulates only prepaid cards with balances that remain effective for more than six months. Hence, by limiting the
expiration period to less than six months, we believe Re.Ra.Ku PAY can be exempted from the regulations andrequirements under the Settlement Act, including the net assets requirement and the Legal Affairs Bureau deposit
obligation.
We disallowed further balance deposits on Re.Ra.Ku Cards beginning on February 1, 2024. Accordingly, we
expect the total balance of funds on Re.Ra.Ku Cards to decrease, as customers can only use their Re.Ra.Ku Cards
for payment, and the amounts deposited to the Legal Affairs Bureau will be refunded to us over time as the totalbalance of funds on Re.Ra.Ku Cards decreases.
However, even after introducing Re.Ra.Ku PAY, we continue to be regulated as a Public Use PPM Provider inconnection with Re.Ra.Ku Cards, and there is no assurance that we will be able to continue satisfying the minimum
net asset requirement. If we fail to meet this requirement, there is a risk that our registration as an issuer of the
prepaid cards (that is, Re.Ra.Ku Cards) may be revoked. While we believe such a revocation would not affect ourability to offer Re.Ra.Ku PAY, we would be required to immediately repay the remaining balances of Re.Ra.Ku
Cards.
If we or our franchisees face labor shortages or increased labor costs, our results of operations and our growth
could be adversely affected.
Labor is a primary component in the cost of operating our directly-operated and franchised relaxation salons. As
of December 31, 2023, we had 390 employees on a full-time basis, 622 employees on a part-time basis, and 89
employees on a fixed-term basis. Most of our employees are therapists who provide services at our directly-operated
salons and franchised salons. If we or our franchisees face labor shortages or increased labor costs because ofincreased competition for employees, higher employee-turnover rates, or increases in the relevant minimum wage,change in employment status standards, or other employee benefits costs (including costs associated with health16

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insurance coverage or workers' compensation insurance), our and our franchisees' operating expenses could increase,and our growth could be adversely affected.
If such events occur, we may be unable to increase our prices in order to pass future increased labor costs on to
our customers, in which case our margins would be negatively affected. Also, reduced margins of franchisees could
make it more difficult to sell franchises. If prices are increased by us and our franchisees to cover increased laborcosts, the higher prices could adversely affect transactions which could lower sales and thereby reduce our margins
and the royalties that we receive from franchisees.
In addition, our success depends in part upon our and our franchisees' ability to attract, motivate and retain asufficient number of well-qualified relaxation salon operators, management personnel and other employees,
including relaxation therapists. Qualified individuals needed to fill these positions can be in short supply in somegeographic areas. In addition, relaxation salons have traditionally experienced relatively high employee turnoverrates. Our and our franchisees' ability to recruit and retain such individuals may delay the planned openings of new
relaxation salons or result in higher employee turnover in existing relaxation salons, which could increase our andour franchisees' labor costs and have a material adverse effect on our business, financial condition, results ofoperations or cash flows. If we or our franchisees are unable to recruit and retain sufficiently qualified individuals,
our business and our growth could be adversely affected. Competition for these employees could require us or our
franchisees to pay higher wages, which would also result in higher labor costs and adversely affect our results ofoperation.
We are subject to the risks associated with leasing space subject to long-term non-cancelable leases.
We generally lease the spaces in which our and our franchisees’ relaxation salons operate, and in the case of ourfranchisees’ salons, we sublease the space to our franchisees. Payments under leases account for a significant portionof our operating expenses and we expect the new salons we operate or franchise in the future will similarly beleased. Our leases generally have terms of three or five years. We enter into one of two types of lease agreements
depending on the lessor—regular lease agreements or term lease agreements, both of which are common in Japan.
Regular leases can be cancelled by the lessee subject to notice periods defined in the lease agreement. However, inprinciple, term leases cannot be cancelled by the lessee. If we or a franchisee decide to close a relaxation salon
subject to a term lease, including due to a lack of profitability, we may nonetheless be committed to perform ourpayment obligations under the applicable term lease. For franchised salons subject to term leases, if the salon issubleased by us to the franchisee, we are exposed to such risk while primarily depending upon the franchisee’s
capabilities to maintain the profitable operation of the salon. In addition, as each of our leases expires, we may fail tonegotiate renewals, either on commercially acceptable terms or at all, which could cause us to pay increased
occupancy costs or to close salons in desirable locations. If we fail to negotiate renewals, we may have to dispose of
assets at such salon locations and incur closure costs as well as impairment of property and equipment. Furthermore,
if we fail to negotiate renewals, we may incur additional costs associated with moving transferable fixtures andequipment. These potential costs, as well as closures of salons, could materially adversely affect our business,financial condition or results of operations.
Macroeconomic conditions, including economic downturns, may cause landlords of our leases to be unable toobtain financing or remain in good standing under their existing financing arrangements, resulting in failure to
perform their lease obligations to us. In addition, other tenants at the shopping centers and commercial areas inwhich our and our franchisees’ salons are located may fail to operate or may cease operations during an economic
slowdown. Decreases in total tenant occupancy in these areas may affect traffic at and around our and our
franchisees’ salons. All of these factors could have a material adverse impact on our business, financial condition or
results of operations.
We are exposed to the risk of natural disasters, unusual weather conditions, pandemic outbreaks such as COVID19, political events, war and terrorism that could disrupt business and result in lower sales, increased operating
costs and capital expenditures.
Our headquarters, directly-operated and franchised relaxation salon locations and other businesses, as well as
certain of our vendors and customers, are located in areas which have been and could be subject to natural disasters
such as floods, typhoons, tsunamis, tornadoes, fires or earthquakes, as well as global pandemics such as COVID-19.
Adverse weather conditions or other extreme changes in weather, including resulting electrical and technological
failures and even nuclear leaks, in areas where our relaxation salons are concentrated, may disrupt our and our17Table of Contents

franchisees' businesses and may adversely affect our and our franchisees' ability to offer services. Such disruptions
could influence customer trends and purchases and negatively impact our and our franchisees' revenues, properties
or operations.
In addition, if we experience the effects of other events, such as natural or other disasters, we could suffer
physical damage to one or more of our or our franchisees' properties, the temporary closure of some or all of ourdirectly-operated relaxation salons and franchised relaxation salons, the temporary lack of an adequate work force ina market, temporary or long-term disruption in the transport of goods, delay in the delivery of goods and supplies toour directly-operated and franchised relaxation salons, disruption of our technology support or information systems,
or fuel or electricity shortages or dramatic increases in fuel or electricity prices, all of which would increase the costof doing business. These events also could have indirect consequences such as increases in the costs of insurance ortaxes if they result in significant loss of property or other insurable damage. Any of these factors, or any
combination thereof, could adversely affect our operations and our financial results.
As we expand our businesses internationally, we will become subject to foreign laws and regulations, and we
could be adversely affected by violations of these laws as well as the U.S. Foreign Corrupt Practices Act andsimilar worldwide anti-bribery and anti-kickback laws.
As we expand our business in Japan and other parts of the world, including in the United States in the future, we
become subject to risks customarily associated with such global operations, including the complexity of laws,
regulations, and markets in the countries in which we operate; the uncertainty of enforcement of remedies in certain
jurisdictions; the effect of currency exchange rate fluctuations; export control laws; the impact of foreign labor lawsand disputes; the ability to attract and retain key personnel; the economic, tax, and regulatory policies of local
governments; compliance with applicable anti-money laundering, anti-bribery, and anti-corruption laws, including
the Foreign Corrupt Practices Act and other anti-corruption laws that generally prohibit persons and companies andtheir agents from offering, promising, authorizing, or making improper payments to foreign government officials forthe purpose of obtaining or retaining business; and compliance with applicable sanctions regimes regarding dealings
with certain persons or countries. Certain of these laws also contain provisions that require accurate recordkeeping
and further require companies to devise and maintain an adequate system of internal accounting controls. We cannot
assure you that we will be successful in preventing our franchisees or other agents from taking actions in violation ofthese foreign laws or regulations. Such violations, or allegations of such violations, could disrupt our business andresult in a material adverse effect on our financial condition, results of operations and cash flows.
There is a risk that we will be a passive foreign investment company (which we refer to as "PFIC") for thecurrent or any future taxable year, which could result in material adverse U.S. federal income tax consequences
if you are a U.S. holder.
A non-U.S. corporation, such as our Company, is classified as a PFIC for any taxable year in which, after
applying relevant look-through rules with respect to the income and assets of its subsidiaries, either: (i) 50% or moreof the value of the corporation's assets either produce passive income or are held for the production of passive
income, based on the quarterly average of the fair market value of such assets; or (ii) at least 75% of thecorporation's gross income is passive income. "Passive income" generally includes, for example, dividends, interest,
certain rents and royalties, certain gains from the sale of stock and securities, and certain gains from commodities
transactions. In determining the value and composition of our assets, cash will generally be considered to be held forthe production of passive income and thus will be considered a passive asset.
The determination of whether a corporation is a PFIC for a taxable year depends, in part, on the application ofcomplex U.S. federal income tax rules that are subject to differing interpretations. In addition, the determination ofwhether a corporation will be a PFIC for any taxable year can only be made after the close of such taxable year.
Furthermore, because we may value our goodwill based on the market price of the ADSs, a decrease in the market
price of our ADSs may also cause us to be classified as a PFIC for the current or any future taxable year. Based upon
the foregoing, we do not believe that we were a PFIC for the taxable year ended December 31, 2023.
If we are a PFIC for any taxable year during which a U.S. holder (as defined below) owns common shares or
ADSs, certain adverse U.S. federal income tax consequences could apply to such U.S. holder. We have notdetermined, if we were to be classified as a PFIC for a taxable year, whether we will provide information necessary
for a U.S. holder to make a "qualified electing fund" election which, if available, would result in tax treatment
different from (and generally less adverse than) the general tax treatment for PFICs. Accordingly, U.S. holders

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should assume that they will not be able to make a qualified electing fund election with respect to the commonshares or ADSs. The PFIC rules are complex, and each U.S. holder should consult its own tax advisor regarding the
PFIC rules, the elections which may be available to it, and how the PFIC rules may affect the U.S. federal income
tax consequences relating to the ownership and disposition of our common shares or ADSs.
Risks Related to Our Relationships with Franchisees
The financial performance of our franchisees can negatively impact our business.
Approximately 30.9% of our relaxation salons were franchised locations as of December 31, 2023. We derive
revenues associated with our franchised locations from royalty fees and other fees to franchised locations. Ourfinancial results are therefore dependent in part upon the operational and financial success of our franchisees. We
have established operational standards and guidelines for our franchisees; however, we have limited control over
how our franchisees' businesses are run. While we are responsible for ensuring the success of our entire system ofrelaxation salons and for taking a longer-term view with respect to system improvements, our franchisees haveindividual business strategies and objectives, which might conflict with our interests. Our franchisees may not beable to secure adequate financing to continue operating their relaxation salons. If they incur too much debt or if
economic or sales trends deteriorate such that they are unable to repay existing debt, our franchisees could
experience financial distress or even bankruptcy. If a significant number of franchisees become financiallydistressed, it could harm our operating results through reduced royalty revenues, and the impact on our profitability
could be greater than the percentage decrease in the royalty revenues. Closure of franchised relaxation salons would
reduce our royalty revenues and could negatively impact margins, because we may not be able to reduce fixed costs
which we continue to incur.
We have limited control with respect to the operations of our franchisees, which could have a negative impact on
our business.
Franchisees are independent business operators and are not our employees. Though we have establishedoperational standards and guidelines, they own, operate and oversee the daily operations of their salon locations. We
provide training and support to franchisees and set and monitor operational standards, but the quality of franchised
relaxation salons may be diminished by any number of factors beyond our control. Consequently, franchisees may
not successfully operate relaxation salons in a manner consistent with our standards and requirements or may nothire and train qualified managers and other relaxation salon personnel, including relaxation therapists. If franchisees
do not operate to our expectations, our image and reputation, and the image and reputation of other franchisees, may
suffer materially, and franchise-wide sales could decline significantly, which would reduce our royalty revenues, andthe impact on profitability could be greater than the percentage decrease in royalties and fees.
In addition, our franchisees are subject to the same general economic risks as our Company, and their results are
influenced by competition for both guests and therapists, market trends, price competition and disruptions in theirmarkets due to severe weather and other external events. Like us, they rely on external vendors for some critical
functions and to protect their company data. They may also be limited in their ability to open new locations by aninability to secure adequate financing, especially since many of them are small businesses with much more limitedaccess to financing than our Company, or by the limited supply of favorable real estate for new salon locations. They
may experience financial distress as a result of over-leveraging, which could negatively affect our operating results
as a result of delayed payments to us.
We rely on franchise agreements that could be breached and may be difficult to enforce, which could result infranchisees improperly managing relaxation salons.
Although we believe that we take reasonable steps to protect the quality of services provided at our franchised
locations, including the use of franchise agreements with detailed and rigorous obligations on the part of franchisees,
the agreements can be difficult and costly to enforce. Although we seek to require strict adherence to properly
structured franchise agreements, disputes may arise related to revenue, financing, or intellectual property rights
associated with our franchise. If a dispute arises, a court may determine that a third party's rights were infringed. In
addition, enforcement of our rights can be costly and unpredictable. We also rely on trade secrets and proprietary19

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know-how that we seek to protect in part by confidentiality agreements with our franchisees, employees, contractors,
consultants, advisors or others. Despite the protective measures we employ, we still face the risks that:•these agreements may be breached;•these agreements may not provide adequate remedies for the applicable type of breach;•our trade secrets or proprietary know-how will otherwise become known; and•our competitors will independently develop similar technology or proprietary information.

We rely in part on the financial health of our franchisees. If we do not screen and monitor them appropriately, it
could adversely affect our operations and financial results if they experience financial hardship.
We rely in part on our franchisees and the manner in which they operate their locations to develop and promote
our business. It is possible that some franchisees could under-report sales, file for bankruptcy or become delinquentin their payments to us, which could have a significant adverse impact on our business due to loss or delay inpayments of royalties and other fees. Bankruptcies by our franchisees could negatively impact our market share andoperating results as we may have fewer well-performing relaxation salons, and adversely impact our ability to attract
new franchisees.
Although we have developed criteria to evaluate and screen prospective franchisees, we cannot be certain thatthe franchisees we select will have the business acumen or financial resources necessary to open and sustainably
operate successful franchises in their franchise areas, and Japanese contract laws may limit our ability to terminate
or modify these franchise arrangements. Moreover, franchisees may not hire qualified managers or may not
successfully operate relaxation salons in a manner consistent with our standards and requirements. The failure ofdevelopers and franchisees to open and operate franchises successfully could have a material adverse effect on us,
our reputation, our brand and our ability to attract prospective franchisees and could materially adversely affect ourbusiness, financial condition, results of operations and cash flows.
Franchisees may not have access to the financial or management resources that they need to open the relaxation
salons contemplated by their agreements with us. Franchisees may not be able to negotiate acceptable lease orpurchase terms for relaxation salon sites, obtain the necessary permits and government approvals or meet
construction schedules. Any of these problems could slow our growth and reduce our franchise revenues.
Additionally, our franchisees typically depend on financing from banks and other financial institutions, which may
not always be available to them, in order to construct and open new relaxation salons. For these reasons, franchisees
may not be able to meet the new relaxation salon opening dates required under franchise agreements.
Franchisee turnover could affect our ability to recruit new franchisees.
Although we make great efforts with the aid of our franchise support team to help franchisees who run into
difficulties, we may suffer from low franchisee retention. Low franchisee retention could harm our image and deter
prospective franchisees. If franchisee turnover increases and we begin to struggle to recruit new franchisees to takeover relinquished salon locations or establish new ones, such an occurrence could harm our financial results.
Premature termination of franchise agreements can cause losses.
Our franchise agreements may be subject to premature termination in certain circumstances, such as failure of afranchisee to cure a monetary default or abandonment of the franchise. If terminations occur for this or otherreasons, we may need to enforce our right to damages for breach of contract and related claims, which may cause us
to incur significant legal fees and expenses and/or to take back and operate such salons as directly-operated. Anydamages we ultimately collect could be less than the projected future value of the fees and other amounts we would
have otherwise collected under the franchise agreement. In addition, with many of our brands, we remain liable
under the lease and, therefore, will be obligated to pay rent or enter into a settlement with the landlord, and we may
not be made whole by the franchisee. A significant loss of franchise agreements due to premature terminations could
hurt our financial performance or our ability to grow our business.

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The interests of our franchisees may conflict with ours in the future and we could face liability from ourfranchisees or related to our relationship with our franchisees.
Franchisees, as independent business operators, may from time to time disagree with us and our strategies
regarding the business or our interpretation of our respective rights and obligations under the respective franchise
agreements and the terms and conditions of the franchisee/franchisor relationship. This may lead to disputes with ourfranchisees, and we expect such disputes to occur from time to time in the future as we continue to offer franchises.
Such disputes may result in legal action against us. To the extent we have such disputes, the attention, time andfinancial resources of our management and our franchisees will be diverted from our relaxation salons and otherbusinesses, which could have a material adverse effect on our business, financial condition, results of operations andcash flows even if we have a successful outcome in the dispute.
We are subject to various Japanese laws that may affect our relationship with our franchisees.
Various Japanese laws govern our relationship with our franchisees and our potential sale of a franchise. A
franchisee and/or a government agency may bring legal action against us based on the franchisee/franchisor
relationships that could result in the award of damages to franchisees and/or the imposition of fines or otherpenalties against us.
The Act on Prohibition of Private Monopolization and Maintenance of Fair Trade (Act No. 54 of 1947, as
amended) (which we refer to as the "Antimonopoly Act") prohibits any activities that inappropriately induce ormislead customers to enter into a business relationship by demonstrating seemingly preferable trade terms andconditions that could create a false impression over other competitor franchisors. The Japan Fair Trade Commission(which we refer to as the "JFTC"), which enforces the Antimonopoly Act and other Japanese antitrust laws, set forth"Guidelines Concerning the Franchise System Under the Antimonopoly Act" which suggest that a franchisor
adequately disclose and explain material trade terms to a potential franchisee (willing to join the franchiserelationship) to prevent any material terms and conditions inappropriately inducing or misleading such potential
franchisee. In addition, when a franchisor markets its franchise, in the event a franchisor provides a prospective
franchisee with an estimate of the revenue or profit that might possibly be earned upon becoming a franchisee, such
estimated revenue or profit must be based on a reasonable method of calculation and established facts, such as theresults of an existing franchise operating in a similar environment. The franchisor is required to present to theprospective franchisee such methods and facts. The guidelines also suggest that, in explaining business hours andtemporary closures, a franchisor should provide to a prospective franchisee then-known information that may
adversely impact management of the franchise, such as the occurrence of a shortage of human resources during
specified business hours or a rapid increase in personnel costs. If the JFTC finds that any of our activities violate theAntimonopoly Act, including any "deceptive customer inducement" and “abuse of superior bargaining positions”,
then the JFTC may order us to cease and desist from engaging in such unlawful activities, delete any relevant
unlawful clauses from the franchise contract, or carry out any other measures necessary to eliminate such unlawful
activities.
In the event the JFTC suspects any violation of the Antimonopoly Act or alleges our Company has misled orwrongly induced based on any particular trade terms, our Company could be exposed to risks including
governmental action against our Company.
Risks Related to Our Industry
We are vulnerable to changes in consumer preferences and economic conditions that could harm our business,financial condition, results of operations and cash flow.
Relaxation salon businesses depend on discretionary consumer spending and are often affected by changes in
consumer tastes, national, regional and local economic conditions, and demographic trends. Factors such as traffic
patterns, weather, local demographics, and the type, number and locations of competing salons may adversely affectthe performance of individual locations. In addition, economic downturns, rapid inflation, tight labor market
conditions and the resulting increase of general wage levels and increases in salon lease expenses could harm therelaxation industry in general and our relaxation salon locations in particular. Adverse changes in any of thesefactors could reduce consumer traffic or impose practical limits on pricing that could harm our business, financial
condition, results of operations and cash flow. There can be no assurance that consumers will continue to regard ourbrand of relaxation salons favorably or that we will be able to develop new services that appeal to consumer

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preferences. Our business, financial condition and results of operations depend in part on our ability to anticipate,
identify and respond to changing consumer preferences and economic conditions. If we are unable to adapt tochanges in consumer preferences and trends, we may lose customers and our revenues may decline.
We may not be able to compete successfully with other relaxation salon businesses, which could materially andadversely affect our results of operations.
We may not be able to compete successfully with other relaxation salon businesses. Intense competition in therelaxation industry could make it more difficult to expand our business and could also have a negative impact on ouroperating results if customers favor our competitors, or if we are forced to change our pricing and other marketingstrategies.
The relaxation industry, particularly in Japan, is intensely competitive. In addition, the Tokyo metropolitan area(consisting of Tokyo, Kanagawa, Saitama, and Chiba) of Japan, the primary market in which we compete, contains
what we believe to be the most competitive relaxation services market in Japan. We expect competition in thismarket to continue to be intense because relaxation salons are comparatively inexpensive to start and operate, andnew competitors are regularly entering the market. Competition in our industry is primarily based on price,
convenience, quality of service, brand recognition, and location of the relaxation salons. If our directly-operated andfranchised relaxation salons cannot compete successfully with other relaxation salon companies in new and existing
markets, we could lose customers and our revenues could decline. Our directly-operated and franchised relaxation
salons compete with national and regional relaxation salon chains for customers, relaxation salon locations andqualified management and other staff, including licensed relaxation therapists. Some of our competitors may havesubstantially greater financial and other resources, may have been in business longer, may have greater brandrecognition, or may be better established in the markets where our relaxation salons are located or are planned to belocated. Any of these competitive factors may materially adversely affect our business, financial condition or resultsof operations.
We face significant competition and continuous technological change.
In our Digital Preventative Healthcare Segment, if our competitors develop and commercialize services fasterthan we do or develop and commercialize services that are superior to ours, our commercial opportunities will be
reduced or eliminated. The extent to which any of our services achieve market acceptance will depend oncompetitive factors, many of which are beyond our control. Competition in the relaxation and health technology
industries is intense. Our main competitors in the Specific Health Guidance Program, promoted by the Ministry of
Health, Labor and Welfare of Japan, include SOMPO Health Support Inc,, Benefit One Inc., and FitsPlus Inc.
Information technology system failures or breaches of our network security could interrupt our operations andadversely affect our business.
We and our franchisees rely on our computer systems and network infrastructure across our operations,
including point-of-sale processing at our relaxation salons. In addition, our Lav® application and the platform underwhich we collect data from our MOTHER Bracelets® are heavily dependent on information technology systems. We
also use Amazon Web Services and Google Cloud Platform as our cloud service providers. Our and our franchisees’
operations depend upon our and our franchisees’ ability to protect our computer equipment and systems against
damage from physical theft, fire, power loss, telecommunications failure or other catastrophic events, as well asfrom internal and external security breaches, viruses, worms and other disruptive problems. Any damage or failureof our computer systems, network infrastructure, or cloud servers that cause an interruption in our operations could
have a material adverse effect on our business and subject us to litigation or actions by regulatory authorities. The
failure of these systems to operate effectively, maintenance problems, upgrading or transitioning to new platforms,
or a material network breach in security of these systems as a result of cyber-attack or any other failure to maintain acontinuous and secure cyber network could further result in substantial harm, or in delays in customer service andreduce efficiency in our and our franchisees’ operations. This could include the theft of our intellectual property or
trade secrets, or the improper use of personal information or other “identity theft.” While we utilize our personnel, as
well as a variety of hardware and software, to monitor our systems, controls, firewalls and encryption and intend tomaintain and upgrade our security technology and operational procedures to prevent damage, breaches or otherdisruptive problems, there can be no assurance that these security measures will be successful. Any such claim,
proceeding or action by a regulatory authority, or any adverse publicity resulting from these allegations, could
adversely affect our business and results of operations.

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Cybersecurity breaches and other disruptions could compromise our information, result in the unauthorized
disclosure of confidential guest, employee, Company and/or business partners’ information, damage our
reputation, and expose us to liability, which could negatively impact our business.
In the ordinary course of our business, we collect and process sensitive and confidential data, including our
proprietary business information and that of our guests, users, suppliers and business partners, and personallyidentifiable information of our guests, users and employees, in our data centers and on our networks. For example,
our customers are asked to complete a survey, often digitally on iPads, prior to first receiving services at our
relaxation salons. The surveys contain questions requesting private health-related information of our relaxation salon
patrons. In connection with credit and debit card sales, we and our franchisees transmit confidential credit and debitcard information by way of secure private retail networks. In addition, we collect a large amount of health-related
information from users of our Lav® smartphone application and our MOTHER Bracelet®.
The secure processing, maintenance, and transmission of this information is critical to our operations. We rely
on commercially available systems, software, tools, and monitoring to provide security for processing, transmission,and storage of confidential information. Despite the security measures we have in place and continual vigilance inregard to the protection of sensitive information, our systems and those of our third-party service providers may bevulnerable to security breaches, attacks by hackers, acts of vandalism, computer viruses, misplaced or lost data,
human errors, or other similar events. Any such breach could compromise our networks and the information stored
there could be accessed, publicly disclosed, lost, or stolen. Any such access, disclosure, or other loss of information
could result in legal claims or proceedings, liability under laws that protect the privacy of personal information,
disrupt our operations, damage our reputation, and cause a loss of confidence in our business, products, and services,which could adversely affect our business, financial condition, profitability, and cash flows.
Furthermore, although we currently carry cyber liability insurance, such insurance has limited coverage to coverliabilities incurred by breaches of our customers’ data caused by security breaches, attacks by hackers, acts ofvandalism, computer viruses, misplaced or lost data, human errors, or other similar events. A significant claim notcovered by our insurance, in full or in part, may result in significant expenditures by us. Moreover, we may not beable to maintain insurance policies in the future at reasonable costs or on acceptable terms, which may adversely
affect our business and the trading price of the ADSs.
Negative publicity could reduce sales at some or all of our relaxation salons.
Although we actively screen all personnel and staff members, including relaxation therapists, who interact withcustomers, we cannot guarantee that our staff or customers will not engage in illegal or inappropriate behavior that
could have a negative effect on our brand image, as well as the health and well-being of our customers or staff, as
the case may be. In addition, negative publicity may adversely affect us, regardless of whether the allegations arevalid or whether we are held to be responsible. Any such negative impact of adverse publicity relating to one
relaxation salon may extend far beyond the relaxation salon involved, especially due to the high geographic
concentration of many of our relaxation salons, to affect some or all of our other relaxation salons, including ourfranchised relaxation salons. The risk of negative publicity is particularly great with respect to our franchised
relaxation salons because we are limited in the manner in which we can regulate them, especially on a real-timebasis, and negative publicity from our franchised relaxation salons may also significantly impact directly-operated
relaxation salons. In addition, the relaxation industry can often be held under legal and legislative scrutiny as a resultof some fringe relaxation businesses that engage in illegal or anti-social activities.
Employee claims against us based on, among other things, wage and hour violations, discrimination,harassment, wrongful termination, or similar claims may also create not only legal and financial liability but
negative publicity that could adversely affect us and divert our financial and management resources that would
otherwise be used to benefit the future performance of our operations. Certain of these types of employee claims,
such as tort claims, could be asserted against us by employees of our franchisees. A significant increase in thenumber of these claims or an increase in the number of successful claims could materially adversely affect ourbusiness, financial condition, results of operations and cash flows.

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We are potentially subject to government regulations, and we may experience delays in obtaining required
regulatory approvals, if required, to market our proposed businesses.
Various aspects of our operations are or may become subject to Japanese law or the laws of another relevant
country or jurisdiction, any of which may change from time to time. Costs arising out of any regulatory
developments could be time-consuming, expensive and could divert management resources and attention and,
consequently, could adversely affect our business operations and financial performance.
Delays in regulatory clearance, approval, limitations in regulatory approval and withdrawals of regulatory
approval, if any are required, may have a negative impact on our results. If we experience significant delays in
obtaining any regulatory approvals, our business development costs will increase and or our ability to commercialize
future businesses will be adversely affected.
Risks Related to Ownership of the ADSs
We are an "emerging growth company" and, as a result of the reduced disclosure and governance requirements
applicable to emerging growth companies, our common shares and ADSs may be less attractive to investors.
We are an "emerging growth company," as defined in the U.S. Jumpstart Our Business Startups Act of 2012
(which we refer to as the "JOBS Act "), and we are eligible to take advantage of certain exemptions from various
reporting requirements applicable to other public companies but not to emerging growth companies, including, but
not limited to, an exemption from the auditor attestation requirement of Section 404 of the Sarbanes-Oxley Act of2002 (which we refer to as the "Sarbanes-Oxley Act"), reduced disclosure about executive compensation
arrangements, no requirement to seek non-binding advisory votes on executive compensation or golden parachutearrangements, and not being required to comply with any requirement that may be adopted by the Public Company
Accounting Oversight Board regarding a supplement to the auditor's report providing additional information about
the audit and the financial statements. We have elected to adopt these reduced disclosure requirements.
Section 102(b)(1) of the JOBS Act exempts emerging growth companies from being required to comply withnew or revised financial accounting standards until private companies (that is, those that have not had a registration
statement declared effective under the Securities Act of 1933, as amended (which we refer to as the "Securities
Act"), or do not have a class of securities registered under the Securities Exchange Act of 1934, as amended (which
we refer to as the "Exchange Act")) are required to comply with the new or revised financial accounting standards.
In addition, Section 107 of the JOBS Act provides that an "emerging growth company" can take advantage of theextended transition period provided in Section 7(a)(2)(B) of the Securities Act for complying with new or revised
financial accounting standards. An emerging growth company can, therefore, delay the adoption of certain
accounting standards until those standards would otherwise apply to private companies. We have elected to use theextended transition period for complying with new or revised accounting standards under Section 102(b)(2) of the
JOBS Act. This election allows us to delay the adoption of new or revised accounting standards that have different
effective dates for public and private companies until those standards apply to private companies. As a result, ourfinancial statements may not be comparable to companies that comply with public company effective dates.
We would cease to be an "emerging growth company" upon the earliest of (i) December 31, 2025, (ii) the last
day of the fiscal year during which our annual gross revenues are US$1.235 billion or more, (iii) the date on which
we have, during the previous three-year period, issued more than US$1.0 billion in non-convertible debt securities,or (iv) as of the end of any fiscal year in which the market value of our common shares held by non-affiliates
exceeded US$700 million as of the end of the second quarter of that fiscal year (and we have been a public company
for at least 12 months and have filed at least one annual report on Form 20-F).
We cannot predict if investors will find the ADSs less attractive as a result of our taking advantage of these
exemptions. If some investors find the ADSs less attractive as a result of our choices, there may be a less active
trading market for the ADSs and our stock price may be more volatile.

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As a "foreign private issuer" we are permitted, and intend, to follow certain home country corporate governanceand other practices instead of otherwise applicable SEC and NASDAQ requirements, which may result in lessprotection than is accorded to investors under rules applicable to domestic U.S. issuers.
Our status as a foreign private issuer exempts us from compliance with certain SEC laws and regulations andcertain regulations of The Nasdaq Capital Market (which we refer to as "NASDAQ"), including certain governancerequirements such as independent director oversight of the nomination of directors and executive compensation.
Further, consistent with corporate governance practices in Japan, we do not have a standalone compensationcommittee or nomination and corporate governance committee under our board. In addition, we are not required
under the Exchange Act to file current reports and financial statements with the U.S. Securities and Exchange
Commission (which we refer to as the "SEC") as frequently or as promptly as U.S. domestic companies whose
securities are registered under the Exchange Act, and we are generally exempt from filing quarterly reports with theSEC. Also, we are not required to provide the same executive compensation disclosures regarding the annualcompensation of our five most highly compensated senior executives on an individual basis as are required of U.S.
domestic issuers. As a foreign private issuer, we are permitted to disclose executive compensation on an aggregate
basis and need not supply a Compensation Discussion & Analysis, as is required for domestic companies.
Furthermore, as a foreign private issuer, we are also not subject to the requirements of Regulation FD (Fair
Disclosure) promulgated under the Exchange Act. These exemptions and accommodations will reduce the frequency
and scope of information and protections to which you are entitled as an investor.
ADSs representing our common shares are listed on the Nasdaq Capital Market. As such, we must meet the
Nasdaq Capital Market’s continued listing requirements and other Nasdaq rules, or we may risk delisting.
Delisting could negatively affect the price of our ADSs, which could make it more difficult for us to sell securities
in a financing and for you to sell your ADSs.
ADSs representing our common shares are listed on the Nasdaq Capital Market. As such, we are required tomeet the continued listing requirements of the Nasdaq Capital Market and other Nasdaq rules, including thoseregarding director independence and independent committee requirements, minimum shareholders’ equity,
minimum share price and certain other corporate governance requirements. In particular, we are required to satisfy
the listing standards set forth in Nasdaq Listing Rule 5550(b), which sets forth minimum standards for stockholders’equity, the market value of listed securities and net income, at least one of which must be satisfied.
As previously disclosed in reports on Form 6-K filed with the SEC and in our report on Form 20-F filed on May
30, 2023, we were not in compliance with the $35 million market value of listed securities requirement set forth in
Nasdaq Listing Rule 5550(b)(2) as of December 27, 2022. After the hearing before a Nasdaq Hearings Panel (the“Panel”) for continued listing on Nasdaq, we regained compliance on June 1, 2023 based on the net income standard
set forth in Nasdaq Listing Rule 5550(b)(3), which requires a minimum net income from continuing operations of$500,000 in the most recently completed fiscal year or two of the last three most recently completed fiscal years.
While we are currently in compliance with the Nasdaq listing standards, there is no assurance that we will remain incompliance with these standards in the future. We cannot guarantee that any actions we take to prevent future noncompliance or to regain compliance with Nasdaq’s listing requirements in the future will be successful.
If we do not meet these continued listing requirements, our ADSs could be delisted. Delisting of our ADSs fromthe Nasdaq Capital Market would cause us to pursue eligibility for trading on other markets or exchanges, including
over-the-counter (“OTC”) markets. In such case, our shareholders’ ability to trade, or obtain quotations of themarket value of, our ADSs would be severely limited because of lower trading volumes and transaction delays.
These factors could contribute to lower prices and larger spreads in the bid and ask prices for our securities. Therecan be no assurance that our ADSs, if delisted from the Nasdaq Capital Market in the future, would be listed on anational securities exchange, a national quotation service or the OTC markets. Delisting from the Nasdaq CapitalMarket, or even the issuance of a notice of potential delisting, would also result in negative publicity, make it moredifficult for us to raise additional capital, adversely affect the market liquidity of our common shares, reduce security
analysts’ coverage of us and diminish investor, supplier and employee confidence. Additionally, the threat ofdelisting or a delisting of our ADSs from the Nasdaq Capital Market could reduce the number of investors willing tohold or acquire our common shares, thereby further restricting our ability to obtain equity financing, and it could
reduce our ability to retain, attract and motivate our directors, officers and employees. In addition, as a consequenceof any such delisting, our share price could be negatively affected and our shareholders would likely find it moredifficult to sell, or to obtain accurate quotations as to the prices of, our ADSs.

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We may be, and have in the past been, delayed in complying with our periodic reporting obligations under the
Exchange Act.
We are subject to the periodic reporting obligations under the Exchange Act. In particular, as our fiscal year
ends December 31 of each year, the prescribed due date for us to file our annual report on Form 20-F is, in principle,
April 30 of each year. However, we did not file this annual report for the fiscal year ended December 31, 2023 until
June 18, 2024 due to delays in completing the audit of our consolidated financial statements for the year ended
December 31, 2023. In addition, for the fiscal year ended December 31, 2022, we did not file our annual report until
May 30, 2023, and we experienced delays with respect to prior fiscal years as well. While we believe we have madecertain improvements to our internal controls over financial reporting, material weaknesses in such internal controls
remain, and we may be delayed in complying with our periodic reporting obligations in the future. See “—We haveidentified material weaknesses in our internal control over financial reporting. If we fail to maintain an effective
system of internal control to remediate our material weakness over financial reporting, we may be unable toaccurately report our results of operations, meet our reporting obligations or prevent fraud.”
Further, any failure by us to comply with our SEC reporting obligations in the future may materially andadversely affect investors’ investment in the ADSs. For instance, in the event that we fail to timely file any periodic
reports or current reports, investors in our ADSs may not receive up-to-date disclosure of matters affecting theirinvestment decisions, and the ADSs may be considered more risky than those of other issuers as a result.
Additionally, under Nasdaq Listing Rule 5250(c)(1), a foreign private issuer listed on Nasdaq is required to timely
file all required periodic financial reports with the SEC, and noncompliance creates a risk that our ADSs could bedelisted. In the event that the ADSs are delisted from Nasdaq, the value and liquidity of investors’ investment in the
ADSs would be materially and adversely affected. See also “—ADSs representing our common shares are listed on
the Nasdaq Capital Market. As such, we must meet the Nasdaq Capital Market’s continued listing requirements andother Nasdaq rules, or we may risk delisting. Delisting could negatively affect the price of our ADSs, which could
make it more difficult for us to sell securities in a financing and for you to sell your ADSs.”
Our Chief Executive Officer owns a "golden share" with key veto rights, thereby limiting a shareholder's ability
to influence our business and affairs.
Kouji Eguchi, our Chief Executive Officer and director, is the sole holder of our Class A common share, which
we refer to as a "golden share," entitling him to certain veto rights on key matters presented to our shareholders.
Consequently, Mr. Eguchi is able to control key corporate decisions, thus limiting the ability of the holders of the
ADSs to influence matters affecting our Company. As a shareholder, Mr. Eguchi may be able to influence theoutcome of matters submitted to shareholders for approval, including amendments of our organizational documents,
issuance of additional common shares, approval of any merger, sale of assets, or other major corporate transactions.
This may prevent or discourage unsolicited acquisition proposals or offers for our common shares or ADSs that you
may feel are in your best interest as one of our shareholders. Circumstances may occur in which the interests of ourChief Executive Officer could be in conflict with your interests or the interests of other shareholders. Accordingly, ashareholder's ability to fully influence our business and affairs through voting its common shares may be limited.
The requirements of being a U.S. public company may strain our resources and divert management's attention.
As a public company with ADSs listed on NASDAQ, we incur significant legal, accounting, and other expenses
that we did not incur as a private company. The reporting requirements of the Exchange Act, the Sarbanes-Oxley
Act, the Dodd-Frank Act, and the listing standards of NASDAQ as applicable to a foreign private issuer, which are
different in some material respects from those required for a U.S. public company, impose various requirements on
the corporate governance practices of public companies. Compliance with these rules and regulations will increase
our legal and financial compliance costs, make some activities more difficult, time-consuming or costly, andincrease demand on our systems and resources, particularly after we are no longer an “emerging growth company.”
Further, these rules and regulations may make it more difficult and more expensive for us to obtain directors’ andofficers’ liability insurance, and we may be required to accept reduced policy limits and coverage or incur
substantially higher costs to obtain the same or similar coverage, which could make it more difficult for us to attract
and retain qualified members of our board of directors.
Pursuant to Section 404 of the Sarbanes-Oxley Act, once we are no longer an emerging growth company, we
may be required to furnish an attestation report on internal control over financial reporting issued by our independent
registered public accounting firm. When our independent registered public accounting firm is required to undertake26

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an assessment of our internal control over financial reporting, the cost of complying with Section 404 of the
Sarbanes-Oxley Act will significantly increase, and management's attention may be diverted from other businessconcerns, which could adversely affect our business and results of operations. We may need to hire more employees
in the future or engage outside consultants to comply with the requirements of Section 404 of the Sarbanes-Oxley
Act, which will further increase our cost and expense. In addition, enhanced legal and regulatory regimes andheightened standards relating to corporate governance and disclosure for public companies result in increased legal
and financial compliance costs and make some activities more time-consuming.
As a result of disclosure of information in this annual report and in filings required of a public company, ourbusiness and financial condition will become more visible, which may result in threatened or actual litigation,
including by competitors, shareholders or third parties. If such claims are successful, our business and operating
results could be harmed, and even if the claims do not result in litigation or are resolved in our favor, these claims,
and the time and resources necessary to resolve them, could divert the resources of our management and harm ourbusiness, financial condition and results of operations.
We have identified material weaknesses in our internal control over financial reporting. If we fail to maintain an
effective system of internal control to remediate our material weakness over financial reporting, we may beunable to accurately report our results of operations, meet our reporting obligations or prevent fraud.
In connection with the preparation of our financial statements for the fiscal year ended December 31, 2023, wehave identified several material weaknesses and other control deficiencies including significant deficiencies in ourinternal control over financial reporting. As defined in the standards established by the Public Company Accounting
Oversight Board of the United States, or PCAOB, a “material weakness” is a deficiency, or combination of
deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material
misstatement of the annual or interim financial statements will not be prevented or detected on a timely basis. As ofand for the fiscal year ended December 31, 2023, we have identified material weaknesses in our financial reporting
related to the following:•

Insufficiency of effective processes to ensure that all journal entries were properly reviewed and approved
prior to posting to the general ledger;•

Insufficient management review controls over key financial information including lack of evidence of review
and approval of financial information; and•Internal controls not being updated in a timely manner due to rapid changes in our new business operations
and environment.

We have already taken some steps and have continued to implement measures to remediate the material
weaknesses identified, including but not limited to, (i) developing and implementing sufficient review and approval
processes for the journal entries with the support of professionals, (ii) enhancing, recording, and retaining sufficientevidence of internal controls, including review and approval by the appropriate level of personnel, (iii) assigningappropriate personnel to be in charge of accounting and internal control to update and improve the business process
and the design of internal controls in a timely manner.
Section 404 of the Sarbanes-Oxley Act (which we refer to as “Section 404”), requires that as a U.S. publiccompany, we assess the effectiveness of our internal control over financial reporting at the end of each fiscal year. In
addition, once we cease to be an “emerging growth company” as defined in the JOBS Act, our independent
registered public accounting firm must attest to and report on the effectiveness of our internal control over financial
reporting. Our independent registered public accounting firm, after conducting its own independent testing, may
issue a report that is qualified if it is not satisfied with our internal control or the level at which our controls are
documented, designed, operated or reviewed, or if it interprets the relevant requirements differently from us. In
addition, our reporting obligations may place a significant strain on our management, operational and financial
resources and systems for the foreseeable future. We may be unable to timely complete our evaluation testing andany required remediation.
We cannot assure you that our remedial measures will successfully remediate the material weaknesses identified
so far, or that other material weaknesses will not be discovered in the future. In addition, if we fail to maintain theadequacy of our internal control over financial reporting, as these standards are modified, supplemented or amended27

Table of Contentsfrom time to time, we may not be able to conclude on an ongoing basis that we have effective internal control overfinancial reporting in accordance with Section 404. If we fail to maintain an effective internal control environment,
we could suffer material misstatements in our financial statements and fail to meet our reporting obligations, which
would likely cause investors to lose confidence in our reported financial information. This could in turn limit ouraccess to capital markets, harm our results of operations, and lead to a decline in the trading price of the ADSs.
Additionally, ineffective internal control over financial reporting could expose us to increased risk of fraud or
misuse of corporate assets and subject us to potential delisting from NASDAQ, regulatory investigations and civil or
criminal sanctions. We may also be required to restate our financial statements for prior periods.
We cannot assure you that the ADSs will remain liquid or that they will remain listed on NASDAQ.
Our ADSs representing our common shares are listed on The Nasdaq Capital Market; however, we cannot
assure you that we will be able to maintain such listing. See “—ADSs representing our common shares are listed on
the Nasdaq Capital Market. As such, we must meet the Nasdaq Capital Market’s continued listing requirements andother Nasdaq rules, or we may risk delisting. Delisting could negatively affect the price of our ADSs, which could
make it more difficult for us to sell securities in a financing and for you to sell your ADSs.” In addition, if we fail tomeet the criteria set forth in SEC regulations, various requirements would be imposed by law on broker-dealers who
sell our securities to persons other than established customers and accredited investors. Consequently, such
regulations may deter broker-dealers from recommending or selling ADSs representing our common shares, which
may further affect the liquidity of the ADSs. This would also make it more difficult for us to raise additional capitalor attract qualified employees or partners.
Although the ADSs are currently listed on NASDAQ under the symbol “MRM”, an active trading market for
the ADSs may never develop or be sustained. If an active trading market does not develop or is not sustained, you
may have difficulty selling your ADSs at an attractive price, or at all. An inactive market may also impair our ability
to raise capital by selling our common shares or ADSs, and it may impair our ability to attract and motivate our
employees through equity incentive awards and our ability to acquire other companies, products or technologies byusing our common shares or ADSs as consideration.
The price of the ADSs may fluctuate substantially.
The stock market in general, and the price for the ADSs are subject to fluctuation, and changes in the price of
our ADSs may be unrelated to our operating performance. Some factors that may cause the market price of the
ADSs to fluctuate, in addition to the other risks mentioned in this section of the annual report, are:•any failure to meet or exceed revenue and financial projections we provide to the public;•

actual or anticipated variations in our quarterly financial condition and operating results or those of othercompanies in our industry;•

our failure to meet or exceed the estimates and projections of the investment community;•

announcements of significant acquisitions, strategic partnerships, joint ventures or capital commitments by
us or our competitors;•

additions or departures of our key management personnel;•

issuances by us of debt or equity securities;•

litigation involving our Company, including shareholder litigation; investigations or audits by regulators into
the operations of our Company; or proceedings initiated by our competitors, franchisees, or customers;•changes in the market valuations of similar companies;•

ADS price and volume fluctuations attributable to inconsistent trading volume levels of the ADSs;•

significant sales of the ADSs or common shares by our insiders or our shareholders in the future;•

the trading volume of the ADSs in the United States; and28

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general economic and market conditions.

These and other market and industry factors may cause the market price and demand for the ADSs to fluctuate
substantially, regardless of our actual operating performance, which may limit or prevent investors from readily
selling their ADSs and may otherwise negatively affect the liquidity of the ADSs. Future market fluctuations may
also materially adversely affect the market price of the ADSs.
In the past, following periods of volatility in the market price of a company's securities, shareholders have often
instituted securities class action litigation against that company. Any such class action suit or other securities
litigation would divert the attention of our senior management, require us to incur significant expense and, whether
or not adversely determined, could materially adversely affect our business, financial condition, results of operations
and prospects.
We do not currently intend to pay dividends on our common shares for the foreseeable future.
We currently do not intend to pay any dividends to holders of our common shares for the foreseeable future. We
currently intend to invest our future earnings, if any, to fund our growth. Any determination to pay dividends in the
future will be at the discretion of our board of directors and subject to limitations under applicable law. Therefore,
you are not likely to receive any dividends on your ADSs for the foreseeable future, and the success of aninvestment in the ADSs will depend upon any future appreciation in its value. Moreover, any ability to pay may be
restricted by the terms of any future credit agreement or any future debt or preferred equity securities of us or our
subsidiaries. Consequently, investors may need to sell all or part of their holdings of our common shares after priceappreciation, which may never occur, as the only way to realize any future gains on their investment. There is no
guarantee that the ADSs will appreciate in value or even maintain the price at which our shareholders havepurchased the ADSs.
The future issuance of additional common shares in connection with our stock option plan, convertible bonds,
acquisitions or otherwise may adversely affect the market of the ADSs.
As of December 31, 2023, there were an aggregate of 589,500 of our common shares issuable upon exercise ofoutstanding stock options, at a weighted average exercise price of JPY 866 (US$6.15) per share. During the period
from January 1 to March 31, 2024, out of those issuable common shares, 3,500 shares have been issued pursuant to
the exercise of options that are part of our fifth series of stock acquisition rights for common shares and 52,350
shares have been issued pursuant to the exercise of stock options that are part of our ninth series of stock acquisitionrights for common shares. As a result, 55,850 shares of our common stock were issued upon exercise of stock
options during the period from January 1 to March 31, 2024. If and when more options are exercised for ourcommon shares, the number of common shares outstanding will increase. Such an increase in our outstanding
securities, and any sales of such shares, could have a material adverse effect on the market for the ADSs, and themarket price of the ADSs.
On March 8, 2024, our board of directors adopted the MEDIROM Healthcare Technologies Inc. 2024 Equity
Incentive Compensation Plan (the “Plan”), which was approved at our annual meeting of the shareholders held on
March 29, 2024. Under the plan, we may grant stock options, stock appreciation rights, restricted stock, restricted
stock units and performance share awards to our Company's directors, internal corporate auditors, officers,
employees and consultants. A total of 497,500 shares of common stock are authorized for issuance under the Plan.
We currently plan to continue granting stock options and other incentives so that we can continue to secure talented
personnel in the future. We may issue all of these common shares without any further action or approval by ourshareholders, subject to certain exceptions. Any common shares, issued in connection with our stock option plan, theexercise of outstanding stock options, or otherwise, would dilute your ownership interest.
The right of holders of ADSs to participate in any future rights offerings may be limited, which may cause
dilution to their holdings and holders of ADSs may not receive cash dividends if it is impractical to make themavailable to them.
We may, from time to time, distribute rights to our shareholders, including rights to acquire our securities.
However, we cannot make any such rights available to the ADS holders in the United States unless we register suchrights and the securities to which such rights relate under the Securities Act or an exemption from the registration
requirements is available. In addition, the deposit agreement provides that the depositary bank will not make rights

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available to ADS holders unless the distribution to ADS holders of both the rights and any related securities areeither registered under the Securities Act or exempted from registration under the Securities Act. We are under noobligation to file a registration statement with respect to any such rights or securities or to endeavor to cause such aregistration statement to be declared effective. Moreover, we may not be able to establish an exemption fromregistration under the Securities Act.
The depositary has agreed to pay ADS holders the cash dividends or other distributions it or the custodianreceives on our common shares or other deposited securities after deducting its fees and expenses. However, becauseof these deductions, ADS holders may receive less, on a per share basis with respect to their ADSs than they would
if they owned the number of shares or other deposited securities directly. ADSs holders will receive these
distributions in proportion to the number of common shares the ADSs represent. In addition, the depositary may, atits discretion, decide that it is not lawful or practical to make a distribution available to any holders of ADSs. For
example, the depositary may determine that it is not practicable to distribute certain property through the mail, orthat the value of certain distributions may be less than the cost of mailing them. In these cases, the depositary may
decide not to distribute such property and ADS holders will not receive such distribution.
Holders of ADSs may be subject to limitations on transfer of their ADSs.
ADSs are transferable on the books of the depositary. However, the depositary may close its transfer books at
any time or from time to time when it deems expedient in connection with the performance of its duties. In addition,
the depositary may refuse to deliver, transfer or register transfers of ADSs generally when our books or the books ofthe depositary are closed, or at any time if we or the depositary deems it advisable to do so because of any
requirement of law or of any government or governmental body, or under any provision of the deposit agreement, orfor any other reason.
We may amend the deposit agreement without consent from holders of ADSs and, if such holders disagree with
our amendments, their choices will be limited to selling the ADSs or withdrawing the underlying common shares.
We may agree with the depositary to amend the deposit agreement without consent from holders of ADSs. If an
amendment increases fees to be charged to ADS holders or prejudices a material right of ADS holders, it will not
become effective until 30 days after the depositary notifies ADS holders of the amendment. At the time anamendment becomes effective, ADS holders are considered, by continuing to hold their ADSs, to have agreed to theamendment and to be bound by the amended deposit agreement. If holders of ADSs do not agree with anamendment to the deposit agreement, their choices will be limited to selling the ADSs or withdrawing theunderlying common shares. No assurance can be given that a sale of ADSs could be made at a price satisfactory to
the holder in such circumstances.
Holders of ADSs may not receive distributions on our common shares or any value for them if it is illegal or
impractical to make them available to such holders.
The depositary of ADSs has agreed to pay holders of ADSs the cash dividends or other distributions it or thecustodian for the ADSs receives on common shares or other deposited securities after deducting its fees andexpenses. Holders of ADSs will receive these distributions in proportion to the number of our common shares thatsuch ADSs represent. However, the depositary is not responsible for making such payments or distributions if it isunlawful or impractical to make a distribution available to any holders of ADSs. For example, it would be unlawful
to make a distribution to a holder of ADSs if it consists of securities that require registration under the Securities
Act, but that are not properly registered or distributed pursuant to an applicable exemption from registration. The
depositary is not responsible for making a distribution available to any holders of ADSs if any government approvalor registration required for such distribution cannot be obtained after reasonable efforts made by the depositary. We
have no obligation to take any other action to permit distributions on our common shares to holders of ADSs. Thismeans that holders of ADSs may not receive the distributions we make on our common shares if it is illegal or
impractical to make them available to such holders. These restrictions may materially reduce the value of the ADSs.
ADS holders may not be entitled to a jury trial with respect to claims arising under the deposit agreement, which
could result in less favorable outcomes to the plaintiff(s) in any such action.
The deposit agreement governing the ADSs representing our common shares provides that, to the fullest extent
permitted by law, ADS holders waive the right to a jury trial for any claim they may have against us or the30

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depositary arising out of or relating to our common shares, the ADSs or the deposit agreement, which may include
any claim under the U.S. federal securities laws.
If we or the depositary were to oppose a jury trial based on this waiver, the court would have to determine
whether the waiver was enforceable based on the facts and circumstances of the case in accordance with applicablestate and federal law. To our knowledge, the enforceability of a contractual pre-dispute jury trial waiver inconnection with claims arising under the federal securities laws has not been finally adjudicated by the United States
Supreme Court. However, we believe that a contractual pre-dispute jury trial waiver provision is generally
enforceable, including under the laws of the State of New York, which govern the deposit agreement, or by a federal
or state court in the City of New York, which has non-exclusive jurisdiction over matters arising under the deposit
agreement. In determining whether to enforce a contractual pre-dispute jury trial waiver, courts will generally
consider whether a party knowingly, intelligently and voluntarily waived the right to a jury trial. We believe that thiswould be the case with respect to the deposit agreement and the ADSs. It is advisable that you consult legal counsel
regarding the jury waiver provision before investing in the ADSs.
If you or any other holders or beneficial owners of ADSs bring a claim against us or the depositary inconnection with matters arising under the deposit agreement or the ADSs, including claims under federal securities
laws, you or such other holder or beneficial owner may not be entitled to a jury trial with respect to such claims,
which may have the effect of limiting and discouraging lawsuits against us or the depositary. If a lawsuit is brought
against us or the depositary under the deposit agreement, it may be heard only by a judge or justice of the applicable
trial court, which would be conducted according to different civil procedures and may result in different outcomesthan a trial by jury would have, including outcomes that could be less favorable to the plaintiff(s) in any such action.
Nevertheless, if this jury trial waiver is not permitted by applicable law, an action could proceed under the terms ofthe deposit agreement with a jury trial. No condition, stipulation or provision of the deposit agreement or the ADSs
serves as a waiver by any holder or beneficial owner of ADSs (including purchasers of our ADSs in the secondary
market) or by us or the depositary of compliance with any substantive provision of the U.S. federal securities laws
and the rules and regulations promulgated thereunder.
Risks Related to JapanWe are incorporated in Japan, and it may be more difficult to enforce judgments against us that are obtained incourts outside of Japan.
We are incorporated in Japan as a joint stock corporation (kabushiki kaisha) with limited liability. All of ourdirectors are non-U.S. residents, and a substantial portion of our assets and the personal assets of our directors arelocated outside the United States. As a result, when compared to a U.S. company, it may be more difficult forinvestors to effect service of process upon us in the United States, or to enforce against us, or our directors or
executive officers, judgments obtained in U.S. courts predicated upon civil liability provisions of U.S. federal orstate securities laws or similar judgments obtained in other courts outside of Japan. There is doubt as to theenforceability in Japanese courts, in original actions or in actions for enforcement of judgments of U.S. courts, ofcivil liabilities predicated solely upon U.S. federal and state securities laws.
Substantially all of our revenues are generated in Japan, but an increase of our international presence could
expose us to fluctuations in foreign currency exchange rates, or a change in monetary policy may harm ourfinancial results.
Our functional currency and reporting currency is the Japanese yen. Substantially all of our revenues are
generated in Japan, but an increase in our international presence could expose us to fluctuations in foreign currency
exchange rates. We are subject to the effects of exchange rate fluctuations with respect to any of these currencies
which, among other factors, may be influenced by governmental policies and domestic and international economic
and political developments. If our non-Japanese revenues increase substantially in the future, any significant change
in the value of the currencies of the countries in which we do business against the Japanese yen could adversely
affect our financial condition and results of operations due to translational and transactional differences in exchange
rates.
We cannot predict the effects of exchange rate fluctuations upon our future operating results because of thenumber of currencies involved, the amount of our revenues that will be generated in other countries, the variability

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Table of Contentsof currency exposures, and the potential volatility of currency exchange rates. We do not take actions to manage ourforeign currency exposure, such as entering into hedging transactions.
We have business relationships with enterprises and professionals located outside of Japan and we may makepayment to such parties in foreign currency, which exposes us to market risk associated with exchange rate
movements of the Japanese yen against the U.S. dollar and other foreign currencies.
Our Japanese yen expenses consist principally of compensation, subcontractor expenses, and rent. While manyof our business partners are Japanese domestic enterprises, we also have relationships with foreign enterprises andprofessionals to which our expenses may be paid in foreign currency. As our business expands overseas, our foreign
currency exposure gives rise to more market risk associated with exchange rate movements of the Japanese yen
mainly against the U.S. dollar, because most of our revenues are denominated in Japanese yen, while such expansion
efforts outside Japan will cause us to incur more expenses in foreign currencies. Going forward, we anticipate that acertain portion of our expenses will continue to be denominated in foreign currencies. If such expansion efforts
outside Japan are successful, however, a substantial amount of revenue could also be denominated in foreign
currencies, particularly if we are able to develop and expand sales of MOTHER Bracelet® to markets outside Japanin the future. Our financial position, results of operations and cash flow are subject to fluctuations due to changes inforeign currency exchange rates and may be adversely affected in the future due to changes in such exchange rates.
To date, we have not engaged in hedging our foreign currency exchange risk. In the future, we may enter into
formal currency hedging transactions to decrease the risk of financial exposure from fluctuations in the exchange
rates of our principal operating currencies. These measures, however, may not adequately protect us from theadverse effects of such fluctuations.
Rights of shareholders under Japanese law may be different from rights of shareholders in other jurisdictions.
Our articles of incorporation and the Companies Act of Japan (which we refer to as the "Companies Act")
govern our corporate affairs. Legal principles relating to matters such as the validity of corporate procedures,
directors' fiduciary duties and obligations, and shareholders' rights under Japanese law may be different from, or lessclearly defined than, those that would apply to a company incorporated in any other jurisdiction. Shareholders' rights
under Japanese law may not be as extensive as shareholders' rights under the laws of other countries. For example,
under the Companies Act, only holders of 3% or more of our total voting rights or our outstanding shares are entitled
to examine our accounting books and records. Furthermore, there is a degree of uncertainty as to what duties the
directors of a Japanese joint stock corporation may have in response to an unsolicited takeover bid, and such
uncertainty may be more pronounced than that in other jurisdictions.
Holders of ADSs have fewer rights than shareholders under Japanese law, and their voting rights are limited by
the terms of the deposit agreement.
The rights of shareholders under Japanese law to take actions, including with respect to voting their shares,
receiving dividends and distributions, bringing derivative actions, examining our accounting books and records, andexercising appraisal rights, are available only to shareholders of record. Because the depositary, through its
custodian agents, is the record holder of our common shares underlying the ADSs, only the depositary can exercise
those rights in connection with the deposited shares. ADS holders will not be able to bring a derivative action,
examine our accounting books and records, or exercise appraisal rights through the depositary.
Holders of ADSs may exercise their voting rights only in accordance with the provisions of the deposit
agreement. Upon receipt of voting instructions from the ADS holders in the manner set forth in the deposit
agreement, the depositary will make efforts to vote the common shares underlying the ADSs in accordance with the
instructions of the ADS holders. The depositary and its agents may not be able to send voting instructions to ADS
holders or carry out their voting instructions in a timely manner. Furthermore, the depositary and its agents will not
be responsible for any failure to carry out any instructions to vote, for the manner in which any vote is cast, or forthe effect of any such vote. As a result, holders of ADSs may not be able to exercise their right to vote.

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Direct acquisition of our common shares, in lieu of ADSs, is subject to a prior filing requirement under recent
amendments to the Japanese Foreign Exchange and Foreign Trade Act and related regulations.
Under recent amendments in 2019 to the Japanese Foreign Exchange and Foreign Trade Act and related
regulations (which we refer to as “FEFTA”), direct acquisition of our common shares, in lieu of ADSs, by a Foreign
Investor (as defined herein under “Memorandum and Articles of Association—Exchange Controls”) could be
subject to the prior filing requirement under FEFTA. A Foreign Investor wishing to acquire direct ownership of ourcommon shares, rather than ADSs, will be required to make a prior filing with the relevant governmental authorities
through the Bank of Japan and wait until clearance for the acquisition is granted by the applicable governmental
authorities, which approval may take up to 30 days and could be subject to further extension.
A prior filing requirement as set forth above is not triggered for acquiring or trading the ADSs because thedepositary received clearance for the acquisition of our common shares underlying the ADS. Without suchclearance, the Foreign Investor will not be permitted to acquire our common shares directly. As such, prior toaccepting our common shares for deposit, the depositary obtained such pre-clearance from the applicable Japanese
governmental authority. In addition, any Foreign Investor expecting to receive delivery of our common shares uponsurrender of ADSs must also obtain pre-clearance from the applicable Japanese governmental authority prior toaccepting delivery, which approval may take up to 30 days and could be subject to further extension. Although suchprior filing requirement is not triggered for trading our ADSs once the depositary receives clearance for the depositof the underlying common shares, we cannot assure you that there will not be delays for additional Foreign Investors
who wish to acquire our common shares or for holders of the ADSs who are Foreign Investors and who wish tosurrender their ADSs and acquire the underlying common shares. In addition, we cannot assure you that theapplicable Japanese governmental authorities will grant such clearance in a timely manner or at all.
Dividend payments and the amount you may realize upon a sale of ADSs that you hold will be affected byfluctuations in the exchange rate between the U.S. dollar and the Japanese yen.
Cash dividends, if any, in respect of our common shares represented by the ADSs will be paid to the depositaryin Japanese yen and then converted by the depositary into U.S. dollars, subject to certain conditions. Accordingly,
fluctuations in the exchange rate between the Japanese yen and the U.S. dollar will affect, among other things, theamounts a holder of ADSs will receive from the depositary in respect of dividends, the U.S. dollar value of theproceeds that a holder of ADSs would receive upon sale in Japan of our common shares obtained upon surrender of
ADSs, and the secondary market price of ADSs. Such fluctuations will also affect the U.S. dollar value of dividends
and sales proceeds received by holders of common shares.
General Risk Factors
Third party claims with respect to intellectual property assets, if decided against us, may result in competing uses
or require adoption of new, non-infringing intellectual property, which may in turn adversely affect sales andrevenues.
There can be no assurance that third parties will not assert infringement or misappropriation claims against us,
or assert claims that our rights in our trademarks, patents and other intellectual property assets are invalid or
unenforceable. Any such claims could have a material adverse effect on us or our franchisees if such claims were to
be decided against us. If our rights in any intellectual property were invalidated or deemed unenforceable, it could
permit competing uses of intellectual property which, in turn, could lead to a decline in relaxation salon, Digital
Preventative Healthcare business, and other revenues. If the intellectual property became subject to third party
infringement, misappropriation or other claims, and such claims were decided against us, we may be forced to pay
damages, be required to develop or adopt non-infringing intellectual property or be obligated to acquire a license to
the intellectual property that is the subject of the asserted claim. There could be significant expenses associated withthe defense of any infringement, misappropriation, or other third-party claims.
Changes in regulatory requirements, or in application of current regulatory requirements, may have an adverse
effect on our business and results of operations.
Relaxation salons such as ours are not currently regulated by the Japanese government. The main law in Japan
governing the massage industry is the Act on Practitioners of Massage, Acupressure, Acupuncture and Moxibustion,and etc. (Act No. 217 of 1947) (which we refer to as the “Massage Act”). However, our Company does not market

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or provide massage, acupressure, acupuncture, moxibustion or other services regulated under the Massage Act, andthis information is clearly provided to all customers prior to receiving our services, as well as all franchisees toprevent unauthorized services. Moreover, all of our customers are required to sign a waiver acknowledging this prior
to receiving our services. Nevertheless, the Japanese government could later include our industry within the meaningof the Massage Act, or enact a separate law to regulate our industry. If such an occurrence were to happen, our costs
associated with licensing and training staff, as well as any additional wages required for hiring licensed staff, as
necessary, could add to our expenses and harm our results of operation.
Matters relating to employment and labor law may adversely affect our business.
Various Japanese labor laws govern our relationships with our employees and affect operating costs. These laws
include employment classifications of employee, independent contractor, or contract worker; minimum wage
requirements; employer contributions to social security, unemployment insurance, and workers’ accident
compensation insurance, and other wage and benefit requirements. Significant additional government regulations
and new laws, including mandating increases in minimum wages, changes in employment status requirements, orother labor law changes could materially affect our business, financial condition, operating results or cash flow.
Additionally, if our or our franchisees’ employees unionize, it could materially affect our business, financial
condition, operating results or cash flow.
We are also subject in the ordinary course of business to employee claims against us based, among other things,
on discrimination, harassment, wrongful termination, or violation of labor laws. Such claims could also be asserted
against us by employees of our franchisees. These claims may divert our financial and management resources thatwould otherwise be used to benefit our operations. The ongoing expense of any resulting lawsuits, and any
substantial settlement payment or damage award against us, could adversely affect our business, brand image,
employee recruitment, financial condition, operating results or cash flows.
If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about ourbusiness, the price of the ADSs and trading volume could decline.
The trading market for the ADSs depends in part on the research and reports that securities or industry analysts
publish about us or our business. We are not currently aware of coverage by any such securities or industry analysts.
If few or no securities or industry analysts cover us, the trading price for the ADSs could be negatively impacted. In
the future, if one or more of the analysts who covers us downgrades the ADSs, publishes incorrect or unfavorable
research about our business, ceases coverage of our Company, or fails to publish reports on us regularly, demand for
the ADSs could decrease, which could cause the price of the ADSs or trading volume to decline.
Sales of a substantial number of our common shares or ADSs in the public markets by our existing shareholders
in the future could cause the price of the ADSs to fall.
Sales of a substantial number of our common shares or ADSs in the public market in the future or the perceptionthat these sales might occur, could depress the market price of the ADSs and could impair our ability to raise capitalthrough the sale of additional equity securities from time to time. We are unable to predict the effect that any suchsales may have on the prevailing market price of the ADSs.
ITEM 4. INFORMATION ON THE COMPANY
A. History and Development of the Company
Our Company was originally incorporated in Japan on July 13, 2000 under the name “Kabushiki Kaisha Young
Leaves.” In January 2017, we changed our name to “MEDIROM Inc.” In April 2018, we established three whollyowned subsidiaries, Bell Epoc Wellness Inc., JOYHANDS WELLNESS Inc., and Medirom Human Resources Inc.
In October 2018, we acquired our fourth wholly-owned subsidiary, Decollte Wellness Corporation. In March 2020,
our Company’s English name was changed to “MEDIROM Healthcare Technologies Inc.” In December 2020, theCompany listed its ADSs representing its common shares on The Nasdaq Capital Market. We are a joint-stock
corporation incorporated in Japan under the Companies Act.

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On May 6, 2021, we acquired control of SAWAN CO. LTD. (“SAWAN”) by purchasing 100% ownershipinterest of SAWAN for cash. As a result, “Ruam Ruam”, which is a luxury relaxation salon brand held by SAWAN,
has become part of the Company’s directly-operated salons.
Effective July 1, 2021, Bell Epoc Wellness Inc., a subsidiary of the Company, was merged with Decollte
Wellness Corporation, another subsidiary of the Company, pursuant to an absorption-type company split agreement,with Bell Epoc Wellness Inc. being the successor entity. Bell Epoc Wellness Inc. changed its name to Wing Inc.
effective November 1, 2021.
On October 1, 2021, we acquired a 60% ownership interest in ZACC, a high-end hair salon company, and we
acquired the remaining 40% interest in ZACC in January 2022. ZACC owns and operates four luxury hair salons
under three brands (ZACC vie, ZACC raffine, and ZACC ginza), all of which have been recognized by customers
for over 30 years for their high level of techniques and hospitality. Additional information regarding our acquisitionsof SAWAN and ZACC is included in Note 2 to our consolidated financial statements for the years ended December
31, 2023, 2022 and 2021 included elsewhere in this Annual Report.
On May 31, 2023, our board of directors approved a second reorganization (the “Second Reorganization”),
consisting of an incorporation-type company split plan and an absorption-type company split agreement. Under theincorporation-type company split plan, the Company spun off its Digital Preventative Healthcare business andtransferred it to MEDIROM MOTHER Labs Inc. (“MML”), a newly established wholly-owned subsidiary, which is
expected to conduct our entire Digital Preventative Healthcare business going forward, and under the absorptiontype company split agreement, the Company spun off its existing salon development department, which is
responsible for sourcing and setting up store spaces, and general corporate departments, which include accounting,legal, general affairs, human resources, IT and other corporate functions, and had Bell & Joy Power Partners Inc., an
existing wholly-owned subsidiary, assume such operations going forward. On the same day, Bell & Joy PowerPartners Inc. was renamed MEDIROM Shared Services Inc. (“MSS”). The Second Reorganization became effectiveon July 3, 2023.
As of December 31, 2023, the Company has entered into six share transfer agreements, pursuant to which wehave agreed to sell and transfer an aggregate of 1,781 shares in MML, or approximately 3.56% of its total shares
outstanding, to certain third-party investors. The purpose of our 2023 reorganization and the transfer of MML shares
was to make quicker decisions and seek external equity financing of MML as a spun-off startup to accelerate its
growth. We intend to maintain our status as the controlling shareholder of MML.
As of December 31, 2023, we had the following subsidiaries: JOYHANDS WELLNESS Inc., Wing Inc.,
MEDIROM Shared Services Inc. (formerly known as Bell & Joy Power Partners, Inc.), SAWAN, ZACC,
MEDIROM MOTHER Labs Inc., and Medirom Human Resources Inc.
Our agent for service of process in the United States is Cogency Global Inc., located at 122 East 42nd Street,
18th Floor, New York, NY 10168. Our principal executive offices are located in 2-3-1 Daiba, Minato-ku, Tokyo
135-0091, Japan, and our main telephone number is +81(0)3-6721-7364. Our website is https://medirom.co.jp/en/.
The information contained in, or that can be accessed through, our website is not incorporated by reference into, andis not a part of, this annual report. You should not consider any information on our website to be a part of this annual
report. We have included our website address in this annual report solely for informational purposes.
The SEC maintains an internet site (http://www.sec.gov), which contains reports, information we are required toprovide to our shareholders or otherwise make public under our home country laws, and other information regarding
us that we file electronically with the SEC.
B. Business Overview
We are one of the leading holistic health services providers in Japan. Medirom is a franchiser and operator ofhealthcare salons across Japan, an operator of luxury hair salons in select central Tokyo locations, and a preferred
platform partner for healthcare service providers and government entities to affect positive health outcomes.
Through our well-known retail salon brands, including primarily Re.Ra.Ku®, growing technology platforms, andtargeted health consulting and marketing, we have formed a "healthtech" segment. The healthtech segment's goal is
to improve health outcomes and the satisfaction of our customers, as well as offer corporations data-rich, targeted
advertising and promotional opportunities.

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We operate three synergistic lines of businesses: (1) Relaxation Salon Segment (retail); (2) Luxury Beauty
Segment (retail); and (3) Digital Preventative Healthcare Segment (healthtech). By combining brand strength andcore retail competencies, including a broad physical footprint in population dense areas across the country, with
proprietary technologies and partnerships, our business provides unique, value-added healthcare services to ourcustomers with scale, customization, and cross-network effects that we believe few other companies in the industry
can emulate. As of April 30, 2024, all of our principal business activities were focused on Japan.
As of December 31, 2023, the Relaxation Salon Segment had 314 locations across Japan, located within the
country’s major cities. Our customer management system is a cloud-based customer relationship management
system which we use to record all customer data and which facilitates reservation, point-of-sale and businessintelligence functions at the 290 salons integrated into such system as of December 31, 2023. Our salons are
generally located in metro stations/subways, shopping malls, plazas and high-traffic streets.. The Relaxation Salon
Segment is our core business and accounted for ¥6,060 million (US$43.0 million), or approximately 88.8% of our
total revenue for the year ended December 31, 2023 and ¥5,973 million (US$42.4 million), or approximately 85.9%
of our total revenue for the year ended December 31, 2022.
The Luxury Beauty Segment consists of ZACC, our high-end hair salon, which accounted for ¥568 million(US$4.0 million), or approximately 8.3% of our total revenue for the year ended December 31, 2023, and ¥595
million (US$4.5 million), or approximately 8.5% of our total revenue for the year ended December 31, 2022. Thisdecrease of revenue was primarily due to a decrease in customers caused by the resignation of one of ZACC’s top
stylists (we call hairdressers who have completed required training and are permitted to cut customers’ hair“stylists”) in February 2023, because this stylist was frequently requested by customers.
The Digital Preventative Healthcare Segment mainly consists of the following operations: a governmentsponsored Specific Health Guidance program, utilizing our internally-developed on-demand health monitoring
smartphone application, Lav®; our MOTHER Bracelet® for fitness applications; and preventative healthcare services
utilizing our experienced nutritionists and health nurses. The Digital Preventative Healthcare Segment accounted for¥200 million (US$1.4 million), or approximately 2.9% of our total revenue for the year ended December 31, 2023,
and ¥386 million (US$2.7 million), or approximately 5.6% of our total revenue for the year ended December 31,
2022.
Consumers increasingly recognize the value of services in the relaxation sector after the COVID-19 pandemic.
The relaxation sector continues to offer a service that we believe many consumers view as nearly non-discretionary,as bodily health, joint alignment, and therapeutic bodyworks impact the health and wellness of our customers andrequire physical contact—continuing to buoy our core Salon business. We believe general interest among consumers
in managing and maintaining personal health is also growing, especially with respect to balancing sleep, diet andexercise, which are critical factors for heath. With this growing interest in health, we believe services such as ours
are being viewed as a more necessary item of consumer spending that we expect will increase demand for ourservices given the strength of our brand.
Relaxation Salon Segment
The Relaxation Salon Segment is the core of our business and consists of directly-operated salons (including
salons which we have sold to third party investors who then outsource the management of such salons back to us) as
well as franchised relaxation salons in Japan. Our salon locations cover major cities throughout Japan, with strong
market presence in the Tokyo metropolitan area, which includes Tokyo, Kanagawa, Saitama and Chiba. According
to the Survey on Basic Resident Registration System as of October 1, 2022, by the Ministry of Internal Affairs andCommunications, the population (registered residents) of the Tokyo metropolitan area was estimated to be 36.9
million. According to the 2022 Yano Report (the most recent version available as of the date hereof) issued by Yano
Research Institute, one of the leading market research firms (the “Yano Report”), in terms of the number of salons,
we are one of the top three companies, on a consolidated basis, in the Kanto region (Tokyo, Kanagawa, Saitama,
Chiba, Gunma, Ibaraki and Tochigi), and in the top four nationwide.
Our goal is to improve our customers' quality of life by providing alternative, non-invasive wellness care. We
use therapeutic techniques encompassing finger-pressure style bodywork therapy, stretch therapy, posture and jointalignment, as well as physical therapy elements. Our salons are designed to appeal to individuals seeking to improvetheir mental and/or physical well-being. Our customers vary from individuals seeking stress and pain relief to otherindividuals who are just looking to improve their overall mental and physical health. We offer a variety of individual36

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services at our salons, including anti-fatigue therapy, athletic support therapy, slim-down therapy and reflexology.
Each therapy is unique and designed to target specific areas of the body.
Our salons operate under several brand names. Our core brand is Re.Ra.Ku®. Our salons are generally located in
metro stations/subways, shopping malls, plazas and high-traffic streets. On average, our salons measureapproximately 722 square feet (which excludes data from salons in spa facilities and salons where the franchisees
have direct contracts with the landlords) and contain a reception area and treatment space. A typical salon under theRe.Ra.Ku® brand is staffed by six relaxation therapists.
From our founding in 2000 until the COVID-19 pandemic, we steadily increased the number of Re.Ra.Ku®branded salons. We intend to continue to grow our salon business over time through both organic growth, including
acquisition and turnaround of underperforming franchised salons, and opportunistic acquisition and consolidation ofcompetitor salons. As of December 31, 2023, we had 314 salons in operation throughout Japan under all of ourbrands. However, the rate of growth of our Re.Ra.Ku®-branded salons in recent years has slowed or paused due toour shift to focus on the acquisition of third-parties’ salons.
Our largest source of revenue derives from our directly-operated salons. Revenue from operating our directlyoperated salons accounted for 59.5% of our consolidated revenue for the year ended December 31, 2023. Revenue
from our franchise business consists of recurring franchise royalty, franchise membership fees, staffing services fees,
sublease revenue and other franchise revenues and accounted for 11.8% of our consolidated revenue for the year
ended December 31, 2023. As part of our new growth strategy, we have sold, and plan to continue to sell, certain of
our owned salons to investors and we charge management fees to the owners of such sold salons. Our revenue fromsalon sales accounted for 14.8% of our consolidated revenue for the year ended December 31, 2023.
Our franchisees are expected to meet the same quality and customer service standards as our Company-operated
locations. We select potential franchisees based on a set of strict qualification criteria which includes backgroundchecks, financial net worth assessment and personal interviews. We enter into a franchise agreement with each of
our franchisees, stipulating a standard set of terms and conditions for operating the salons and each party's duties andresponsibilities.

Customers
Our relaxation salons are designed to appeal to individuals seeking to improve their mental and/or physicalwell-being. Our customers include individuals who are health conscious and other individuals seeking stress andpain relief, therapeutic reflexology, or to improve their overall mental and physical health. The majority of ourcustomers are employed females with disposable income, but our demographic mix varies by salon and geography.
Our customer base has grown each year with the opening of new salons. We benefit from and rely on the value andrecognition of our Re.Ra.Ku® and other brands which drive word of mouth and direct referrals. Additionally, we
utilize an omnichannel advertising strategy across print, affiliate referrals and digital marketing to reach out to andcultivate potential customers.
Services
Our relaxation salons offer a variety of individual services, each with multiple price ranges, including: antifatigue therapy; athletic support therapy; slim-down therapy; and reflexology. Anti-fatigue therapy is designed torelieve fatigue and discomfort, and concentrates on the shoulder blades, neck, lower back and posture. We suggestthat first-time customers begin with anti-fatigue therapy because most new customers visit our salons with stiff
muscles and are unable to do more difficult stretches. Anti-fatigue therapy helps enhance the customer's stretchingability. Athletic support therapy is intended to provide quick gains in active and passive range of motion to help

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improve athletic performance and increase flexibility, by performing shoulder blade alignment adjustments andresistance exercise. Slim-down therapy focuses on pelvic and shoulder blade alignment and is intended to help
dieting by moving the muscles near the pelvis, which normally get little exercise, thereby increasing metabolism andimproving posture. Our reflexology therapy is designed to target specific pressure points and areas on the feet topromote relaxation, improve circulation and reduce pain. While most Re.Ra.Ku® locations offer these four therapies,some individual salons offer other select therapy methods, such as Thai traditional stretching. Pursuant to the termsof our standard franchise agreements, our approval is required for any changes to the services provided in franchisedsalons.
Our customers can arrive at our salons with or without appointments at times convenient to their schedule. Uponchecking in, salon staff provides customers with a questionnaire that asks for their contact information and certain
health information to help the therapist identify the service that is most appropriate for the customer and whether thecustomer is experiencing muscle pain or other health problems. Upon completion of the therapy, the therapist willmeet with the customers to obtain feedback on the services provided.
Prepayment Systems
In December 2008, we began issuing prepaid cards, called the Re.Ra.Ku® Card, to relaxation salon customers.
Users of the Re.Ra.Ku® Card can continuously use the card at most of our Company's relaxation salons. The
customer receives rewards on a tiered basis, so the more the customer spends on the Re.Ra.Ku® Card, the greater the
reward that can be used at Re.Ra.Ku® locations. In addition, following the acquisition of SAWAN, we started toissue another line of prepaid cards, called the Free Pass, which can be used at Ruam Ruam branded salons. In
addition, as a special 20th anniversary campaign after the opening of the first Re.Ra.Ku® salons, we sold prepaid
tickets called “Thanksgiving Tickets”, each of which was sold at JPY10,000 (US$71) and could be used to pay for
JPY11,000 (US$78) worth of services at our salons and included a right to participate in a lottery for prizes. The
Thanksgiving Tickets expired on March 31, 2024. As of December 31, 2023, customers’ aggregate prepaid balanceon the Re.Ra.Ku® Cards, the Free Pass, and the Thanksgiving Tickets was JPY573 million (US$4.1 million).
In 2023, the Company decided to decrease our reliance on the Re.Ra.Ku® Card and introduce a new payment
system. To this end, we developed and launched “Re.Ra.Ku PAY”, a proprietary payment app which works oncustomers’ smart phones. Customers can charge the balance at our salons or remotely with their own credit cards
and use the app to pay at our salons (Re.Ra.Ku PAY can be used at Re.Ra.Ku branded salons, Bell Epoc brandedsalons, and Ruam Ruam branded salons). The most important difference between the Re.Ra.Ku Card and Re.Ra.Ku
PAY is that Re.Ra.Ku PAY balances have an expiration period of 150 days, while the Re.Ra.Ku Card balances do
not have an expiration date. Moreover, rather than giving customers a certain percentage of points when they chargea certain amount of the card balance on the Re.Ra.Ku Card, we give customers using Re.Ra.Ku PAY a certain
percentage of points when they pay with the app in accordance with each customer’s loyalty status, which is either“Bronze”, “Silver”, “Gold”, “Platinum”, or “Diamond”. We believe this approach contributes to more revenue
generation by giving customers points at payment rather than at charging. The Company aims to utilize Re.Ra.Ku
PAY for various marketing campaigns and to expand the scope of possible payments from only relaxation services
at present to merchandise or other uses. We launched Re.Ra.Ku PAY on February 1, 2024, and disallowed furtherbalance deposits on Re.Ra.Ku Cards beginning on the same date. As a result, Re.Ra.Ku Card users can pay with
their current balances but cannot add to their balances. Except for limited circumstances, the prepaid balances on theRe.Ra.Ku® Card, the Free Passes, and Re.Ra.Ku PAY are generally non-refundable. See “Item 4. Information on the
Company—B. Business Overview—Introduction of New Payment App “Re.Ra.Ku PAY”” for more details.
MarketMost of our relaxation salons are located in the Kanto region of Japan. Kanto is commonly considered theeconomic and political center of Japan, and includes cities such as Tokyo, Yokohama, and Saitama, among otherlarge cities and prefectures. According to the Statistics Bureau of Japan, as of October 1, 2022, the population of
Kanto was 43.5 million, which accounted for 34.8% of the total population of Japan (124.9 million). According to
the 2022 Yano Report, in terms of the number of salons, we are one of the top three companies, on a consolidated

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nationwide.

Our long-term goal is to have 1,000 salons nationwide and become the number one salon network in Japan. In
order to achieve this goal, we opportunistically look for acquisition targets to roll up the industry, while continuing
to organically develop our own branded salons. In addition, we may pursue opportunities to acquire similarbusinesses in the United States and Southeast Asia subject to favorable terms.

Seasonality
Our Relaxation Salon Segment experiences seasonal trends due primarily to changes in weather and in line withholiday schedules. Generally, our revenue is strongest from May to October. Sales tend to slow in November due tothe shorter day length and lower temperatures in Japan, but then increase in December for the holiday season. Fewer
operating days and cold weather lead to weaker sales figures in January and February. March and April aretransition months before the high season. We carry out spring sales promotion in April to boost the sales in May.
Franchises
As of December 31, 2023, 97 of our 314 salons were operated by franchisees. We strive to ensure that each of
our franchise locations meets the same quality and customer service standards as our directly-operated locations inorder to preserve the consistency and reliability of our brand and maintain the trust of our customers.
We are committed to providing the tools that our franchisees need to succeed before, during and after a salon
opening, including guidance with site selection and development, training, operations and marketing support. We
have a franchisee support team that we use to help provide continuous assistance to franchisees. This support team issent directly to meet with franchisees to help identify any areas that could be improved with regard to thefranchisee's business, and devise strategies to overcome such obstacles the franchisees may be facing.
We identify potential franchisees through a variety of methods, including word-of-mouth and referrals fromexisting franchise owners. We also employ qualification criteria in the selection of franchisees, including reviewing
the candidates' backgrounds and financial situations, conducting interviews and determining the candidates'

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compatibility with our Company's culture. Our franchise agreements set forth a high standard of conduct across all
franchised locations. As such, our franchisees are curated to confirm with the high standards of quality, expertise,and customer centricity which form the core of our brand and culture. We provide our franchisees with ongoingtraining and advertising support. We continuously monitor the financial performance of each franchised location
using customized software called Peak Manager.
Additionally, all of our franchisees join an organization, the "Franchisees' Friendship Club", that facilitates
discussion among the franchisees regarding our Company's business model and shared know-how. The Club also
makes proposals to our Company regarding the franchise agreement, Company business and other matters related to
the franchisor-franchisee relationship, to maximize mutual benefits. The Franchisees' Friendship Club holds a
meeting once per month. Apart from the Franchisees' Friendship Club, our Company holds a "Franchise Owners
Meeting" every quarter to share our Company's salon business strategy, key performance indicators, and othermatters of common interest. Our Chief Executive Officer attends meetings to interact directly with the franchisees.
Franchise Agreements
Our franchise model requires minimal capital expenditures by our Company while generating recurring revenue
streams from franchise fees and salon sales. For each franchised salon, we enter into a franchise agreement
stipulating a standard set of terms and conditions.
A franchise agreement allows an owner to open a single salon at a specific location. The initial term of afranchise agreement is five years from the salon's opening date. Unless either party provides notice of nonrenewal byat least six (6) months prior to the franchise agreement's expiration, the franchise term extends for an additional fiveyear period, and the same provision applies thereafter. Franchisees must pay an initial fee for our salons at the time
the franchise agreement is signed. Franchisees that renew their franchises after the initial term must pay a renewal
fee on a per salon basis. Under our standard franchise agreements, franchisees are also required to pay a monthly
royalty fee. The royalty rates vary depending on the number of salons operated by a franchisee, ranging from 6-8%of the total revenue of the franchisee.
Our franchise agreements set forth certain material duties and responsibilities of the franchisees, including, but
not limited to: (i) cooperating with our Company's advertising initiatives prior to and after the opening of a salon;(ii) maintaining the design, layout and equipment of a salon as designated by our Company; (iii) undergoing periodic
skills training in accordance with our policies; and (iv) complying with restrictions on transfer of the franchise. We
provide our franchisees with license to use our registered marks, including CLP CARE LIFE PLANNER®, inconnection with the operation of their franchised salons. We utilize this mark in our franchise agreements todesignate therapists who have completed a required technique training program. We retain the right to approve anychange to a salon location, the service menu and the types of products sold at the salon other than those products
supplied or purchased from us. Franchisees are subject to non-compete provisions during the term of the franchise
agreement and for one year after termination thereof. Franchisees are responsible for hiring and compensating theirown employees.
We have the right to terminate the franchise agreement for cause, including failure of the franchisees to pay ourfees as set forth in the franchise agreement or failing to meet our established profitability metrics. Either we or the
franchisee may terminate the franchise agreement without cause upon six months' prior written notice to the otherparty and prior consultation to attempt to resolve any disputes and prior consultation with the franchisees. The
franchisee may be required to pay us a termination fee under certain circumstances. The franchise agreement may
only be amended upon mutual consent of both parties in writing. In exceptional circumstances, we may temporarily
waive our right to receive franchise royalties under a franchise agreement if we have agreed to temporarily take over
the operations of a poorly performing franchised salon to turn around the salon’s performance.
Site Selection, Design and Construction
Our real estate department identifies and recommends the salon sites for directly-operated and franchiselocations. The real estate department analyzes the sites based on criteria such as the average population, income andgender demographics, proximity to train stations and foot traffic in front of the salon. A score is then assigned toeach potential site location. Once our Company identifies a potential site, it will enter into a lease agreement with thelandlord. Street locations generally have a three-year lease term, while locations inside train stations or shopping
centers have a five-year lease term. Our Company subleases salon locations to franchisees and passes through all of40

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the associated rental costs. Franchisees are required to pay us an upfront fee for design and construction of the leased
location as well as a nominal monthly management fee during the term of the lease to cover processing and service
charges. It takes approximately 90 days to complete the design and construction of a new salon. We believe thesublease arrangements are more suitable for our business because our reputation and size allow us to negotiate formore favorable lease terms than would otherwise be provided to individual franchisees.
Recruiting and Training
As a complement to our salons, we also operate Re.Ra.Ku® College (which we refer to as the "College"). The
flagship College is located in the Odaiba area in Tokyo. The College offers continuing training for franchise owners,
home office staff, and salon staff, covering topics such as customer service, salon operations, and relaxation
techniques. The College also provides training for students who wish to become qualified as "Relaxation
Therapists", which is a private qualification granted by the Association of Japan Relaxation Industry, an industry
group for relaxation services providers. In addition, franchise owners, salon managers and relaxation therapists
engage in recurring monthly education at the College. We do not charge students any fees for the training provided
at the College. However, upon completion of the initial training program, we assist students with obtaining
employment at our franchised salons in exchange for a fixed monthly payment from the franchise owners. We also
employ students at our directly-operated salons. The College enables us to implement and promote our corporate
culture and mission and we believe it helps improve job satisfaction and employee retention.

To be admitted into the College, students must pass a qualification check and an interview. This initialqualification program consists of 41 courses that typically extend for a month. The curriculum used at the College
teaches 133 skills to students via a combination of live training and online videos. Although there is no qualification
requirement for a therapist in Japan, students have to pass this initial qualification program before working at oursalons. Currently, our Company has College campuses in Tokyo, Nagoya and Osaka.
Luxury Beauty Segment
Our Luxury Beauty Segment consists of the management and operation of high-end hair salon brands under
ZACC. On October 1, 2021, we acquired a 60% ownership interest in ZACC, a high-end hair salon company, andwe acquired the remaining 40% interest in ZACC in January 2022. ZACC salons are located in Omote-sando andGinza, which are fashion center areas in Tokyo. The Aoyama flagship salon located in Omote-sando has 443 square
meters of store space and 44 seats. The Ginza salon has 81 square meters of store space and 10 seats.
ZACC operates three luxury hair salon brands, ZACC vie, ZACC raffine, and ZACC ginza. At ZACC’s salons,
only qualified “stylists” cut customers’ hair at the salons’ standard prices. “Stylists” are hairdressers who arepermitted to provide haircuts after completing a certain period of trainee work experience as “assistants.” In 2023,
ZACC began permitting assistants to provide haircuts to consenting customers at a discounted price to accelerate thetraining of assistants and their qualification as stylists. More than 98% of ZACC’s service revenue is generated from
customers who specifically request their preferred stylists. The average price per customer is more than JPY14,000(US$99.30), and more than 85% of customers are repeat customers.

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Revenue contributed by ZACC branded salons decreased by JPY27,066 thousand (US$192 thousand) from
JPY594,761 thousand (US$4,512 thousand) for the year ended December 31, 2022 to JPY567,695 thousand(US$4,028 thousand) for the year ended December 31, 2023. ZACC had total customers of 41,548 and 36,883 in
2022 and 2023, respectively, and this reduction in customers was the primary cause of the decreased revenue,
despite revenue per customer increasing from JPY14,307 (US$102) in 2022 to JPY15,331 (US$109) in 2023.
The primary reason for the decreased number of customers was that one of ZACC’s top stylists resigned in
February 2023. Because most of ZACC’s customers specifically request their preferred stylists, if a stylist with abroad network of customers resigns, ZACC typically loses most of the stylist’s customers, who generally continue torequest services from the resigning stylist at his or her new salon rather than request services from an alternative
stylist at ZACC. In addition, while ZACC had 29 stylists as of December 31, 2022, that number decreased to 26
stylists as of December 31, 2023. The decrease in the number of stylists reduced ZACC’s capacity to serve
customers. In order to offset the lost customer base, we made an effort to accelerate the training and promotion ofassistants to stylists as quickly as possible. However, these efforts were not sufficient to offset the decrease in thenumber of customers caused by the loss of one of our top stylists and the reduction in the total number of stylists
during the year ended December 31, 2023.
We are working to improve ZACC’s financial performance through efforts to hire additional talented assistants
who have the potential to become top stylists and train the current stylists to better promote their services via social
networking services such as Instagram.
Digital Preventative Healthcare Segment
Our Digital Preventative Healthcare Segment consists of the following businesses.
Specific Health Guidance Program via Lav® Application (For Businesses). We serve small businesses, large
corporations, and government entities in their implementation of health and wellness programs as outlined by the
Ministry of Health, Labor and Welfare of Japan's Specific Health Guidance Program. Japan is confronting a rapidlyaging society, as well as inflation of medical expenses from increasing occurrences of fatal diseases, such as
diabetes, heart attack and stroke. To tackle this nationwide issue, the government initiated the Specific Health
Guidance Program in April 2008. In this program, 40-through-74-year-old people who have received a diagnosis
warning of lifestyle diseases at a health check-up are requested by a doctor to take a series of courses that are
tailored to reduce the risk of developing certain lifestyle diseases. Because Japanese citizens and permanent
residents are required to maintain health insurance through government or employer sponsored programs, it isgenerally the health insurance providers' responsibility to have participants take the courses if they are requested to
do so. By partnering with a number of health insurance providers, we provide support to connect those who need totake the courses with health care professionals via our on-demand health monitoring application for smartphones
called Lav®. We charge fees to health insurance providers, depending on how many participants use the program andwhich type of program is used. A portion of these fees is subsidized by the Japanese government. In addition to theSpecific Health Guidance Program, we provide similar services to younger generations as well. Certain large
Japanese companies work in collaboration with their own corporate-sponsored health insurance associations toprovide their younger employees, who are not covered by the Specific Health Guidance Program, with services
similar to those we provide under the government-sponsored program. We receive payment for these services fromthe sponsoring companies or their corporate-sponsored health insurance associations. Because these programs are
not regulated by the government, we are able to engage our in-house therapists as coaches to provide guidance andfeedback to the program participants through the Lav® app.
Lav® Application (For Consumers). We launched an upgraded version of Lav® as a consumer application in July
2021. The updated Lav® application offers options such as detox, weight control, and exercise programs. On thisconsumer version of the Lav® application, we also currently engage our in-house therapists as coaches to provide
guidance and feedback through the app. We also have been promoting the Lav® consumer application to our existingcustomers at salon locations.
MOTHER Bracelet®. In 2019, we acquired a minority interest in Matrix Industries, Inc. (“Matrix”) based in
California, United States, a developer of a thermoelectric generator and boost converter. In furtherance of ourrelationship, we entered into a production and development agreement with Matrix in August 2020 to develop andmanufacture a health monitoring wearable device called MOTHER Bracelet®. Our MOTHER Bracelet® fitness42

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device is designed to track and collect the health data of the wearer, such as calorie consumption, activity and sleep
patterns.
The agreement grants us exclusivity as to third parties in the Asia territory, except for certain prior contractual
obligations of Matrix, for use of their thermoelectric power module and software in our MOTHER
Bracelet® wearable device for one year following receipt of the sample product, or end of 2022, whichever is earlier.
On December 8, 2022, the exclusivity agreement was extended to December 31, 2024.
We believe the MOTHER Bracelet® is the only fitness tracker that requires no electric charging, as it utilizes
innovative technology such as Gemini TEG (Thermoelectric Generator) and Mercury Boost Converter to enable theuser's body heat to generate electricity. We are not aware of any other wearable devices equipped with near fieldcommunication (“NFC”) functionality currently in the market with equivalent capabilities. MOTHER Bracelet® is
our registered trademark in Japan. We intend to pursue other opportunities in Japan and the United States for largescale private label contracts for our device.
Rather than selling MOTHER Bracelet® devices on a stand-alone basis to individual consumers, we believe
corporate customers are a more ideal customer base for this product, because they are able to benefit frommonitoring the health data of a large number of MOTHER Bracelet® users, such as patients in hospitals, residents innursing homes, drivers or employees in transportation or construction businesses. Hence, in 2023, we developed aplatform consisting of MOTHER Bracelet®, Gateway, which is a telecommunication tool containing a subscriber
identity module, and REMONY®, which is a centralized monitoring software system. Through this platform, data
are collected from each MOTHER Bracelet® worn by a large number of users, this data is then sent to REMONY®
via Gateway, and our business customers can centrally monitor all individual users’ health data on a nearly real timebasis. This platform has been generating revenue since September 2023.
Our Digital Preventative Healthcare Segment is entering a growth phase. We have entered into contracts with68 corporate insurance associations for our Specific Health Guidance Program provided by Lav®, our on-demand
training app, as of December 31, 2023. We also provided lifestyle improvement programs via Lav® for people under
40 years of age, and have entered into service agreements with 12 corporate insurance associations as of December
31, 2023. In addition, we launched an upgraded version of Lav® as a subscription-based consumer application on
July 1, 2021. The updated Lav® application offers options such as detox, weight control, and exercise programs.
During the year ended December 31, 2023, we sold a total of 4,203 MOTHER Bracelet® units and 45 Gateway units,
generating total revenue of JPY 125,280 thousand (US$889 thousand). Our aim is that our diverse health related
product and service offerings will help us collect and manage healthcare data from users and customers and enable
us to become a leader in big data in the healthcare industry
Customers
Specific Health Guidance Program. Although we have developed an on-demand health monitoring
application, this business sector has not adopted a subscription business model to date. We charge fees to healthinsurance providers, depending on how many participants use the program and which type of program is used. We
plan on continuing to grow both provider count, including corporate sponsors, insurance providers, and government
entities, as well as the end-participant pool, which are end users of our Lav® application. Our consumer
Lav® application has not adopted a subscription business model and charges fees for fixed-term health coaching
services to date.
MOTHER Bracelet ®. As of April 1, 2024, our existing customers are hospitals, nursing homes, acupuncture
clinics, sports clubs (gyms), transportation companies, wholesellers to electronics retail stores, foreign government
entities as well as individual consumers.

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Services
Specific Health Guidance Program. Through our Lav® application, we provide participants in a healthinsurance plan the ability to search for professionals tailored to each individual’s preferences, lifestyle, and healthconditions. Participants can enjoy benefits from specific health guidance based on provided information. In addition,
our therapists, composed of licensed nutritionists and registered dieticians, provide coaching services to program
participants. This allows us to leverage idle time from therapists to generate additional revenue, which effectively
results in improved efficiency ratios. We will continue to favor recruiting recent graduates with an added preference
for those with nutritionist or dietetics pedigrees.

MOTHER Bracelet®. Our MOTHER Bracelet® is designed to monitor and collect the health data of the wearer
and can work seamlessly with our Lav® application and most of the other health monitoring applications that areavailable on the market. We also offer a Software Development Kit, or SDK, to our partners for their application orsoftware development convenience. Furthermore, rather than selling MOTHER Bracelet® devices on a stand-alone
basis to individual consumers, we believe corporate customers are a more ideal customer base for this product,
because they are able to benefit from monitoring the health data of a large number of MOTHER Bracelet® users,
such as patients in hospitals, residents in nursing homes, drivers or employees in transportation or construction
businesses. Hence, in 2023, we developed a platform consisting of MOTHER Bracelet®, Gateway, which is atelecommunication tool containing a subscriber identity module, and REMONY®, which is a centralized monitoring
software system. Through this platform, data are collected from each MOTHER Bracelet® worn by a large numberof users, this data is then sent to REMONY® via Gateway, and our business customers can centrally monitor all
individual users’ health data on a nearly real time basis. The system is designed to notify facility managers andfamily members when it detects abnormal health-related signs and signals on the wearers.
MarketOur Lav® healthcare application and its Specific Health Guidance Program primarily competes in the Specific
Health Guidance Program market sponsored by Ministry of Health, Labor and Welfare of Japan. According to the
Ministry, approximately 1.29 million participants completed the Specific Health Guidance Program in thegovernmental fiscal year ended March 31, 2021. Based on the participant data from that fiscal year and theassumption (based in part on data from certain local medical associations from the year ended March 31, 2024) thatthe average service fees per participant paid by health insurers is JPY20,000 (US$142), the estimated market size for44

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the Specific Health Guidance Program is JPY26 billion (US$182 million). In addition, we have been providing
similar services through the Lav® healthcare app to members of younger generations who are participants incompany-sponsored health insurance programs. The market size of medical services in Japan exceeded JPY45
trillion (US$319 billion) in the governmental fiscal year ended March 31, 2021, and is expected to continue to growdue to Japan’s rapidly aging demographics. As a response, the Japanese government has been focusing more on
preventative care. Hence, the preventative healthcare sub-segment of the broader medical and healthcare market in
Japan has received proportionally increasing funding from the Japanese government’s health insurance budget, as
have the participants in the Specific Health Guidance Program. Secular shifts toward prevention versus treatment,
increasing insurance premiums and greater government subsidies make this a growing and attractive submarket tocapture.
The Japanese healthcare system itself is well-regarded worldwide, leading most other countries on key
outcomes including availability of hospital beds, public expenditure as a percentage of GDP, and infant mortality.
These qualities allow leaders in the market to capture significant revenues and receive favorable prioritization in thebudgets of both the public and private sectors. One notable deficiency is in the low number of practicing physicians
per population density, which reflects both the highly populous cities of Japan and the relative dearth of medical
practitioners.
Our Lav® app was created to address the aforementioned shortfall by leveraging co-medical practitioners andtherapists to advise patients digitally. This telehealth approach to medical service and healthcare is further fortified
by our strong brand, retail scale which allows for drop-in appointments, and both technical and live support
leveraging our broad employee base and scope of customer service.
Our MOTHER Bracelet® operates in the wearable device space though we focus on specific market segments
tailored towards business clientele, hospitals, nursing homes and medical facilities serving the elderly population,and the transportation, construction, and national security sectors where employers have a strong incentive tomonitor the health conditions of the their employees or officials.
Components and Materials
The self-charging functionality of our MOTHER Bracelet® is derived from the core semiconductor provided by
Matrix Industries, Inc., a startup based in California, United States. In addition, our MOTHER Bracelet® and“MOTHER Gateway” utilize an array of components, a few of which we directly obtain from suppliers, while theothers are indirectly purchased by our contracted assembly factory and shipped to our warehouse in the form offinished goods. Although most of the components other than the core semiconductor provided by Matrix arecommodities, the available supply and price of these components are influenced by potential macroeconomic shifts,
supply chain integrity, embargoes or any other trade restrictions resulting from geopolitical issues, and global
demand. See also “Item 3. Key Information—D. Risk Factors—Our MOTHER Bracelet® and Gateway incorporate
various components, and component inflation may increase our cost of producing these products.”
The Roots of our Business
Our Company was originally incorporated as “Kabushiki Kaisha Young Leaves” in Japan on July 13, 2000. On
January 1, 2017, our Company’s name was changed to MEDIROM Inc. and on March 26, 2020, our Company’s
English name was changed to MEDIROM Healthcare Technologies Inc. The chart below illustrates our corporate
structure as of April 1, 2024.

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Through a series of transactions in 2018, we expanded our relaxation salon business by acquiring three brandedbusinesses: Bell Epoc Wellness Inc. (which we refer to as “BEW”), Decollte Wellness Corporation (which we referto as “DW”), JOYHANDS WELLNESS Inc. (which we refer to as “JW”). We operate these businesses throughthree separate wholly-owned subsidiaries, along with an additional subsidiary, Medirom Human Resources Inc.
(which we refer to as “MHR”). All of the foregoing subsidiaries are organized and existing under the laws of Japan.
BEW, DW, and JW each operate relaxation salons and MHR operates a therapist dispatch business. Our Company
provides administrative functions, such as accounting, finance, human resources, and legal affairs to each of thesubsidiaries. In exchange for such administrative functions, we receive a monthly service fee from each subsidiary.
On April 17, 2018, we established BEW. On May 28, 2018, 46 relaxation salons with the brand name “BellEpoc” were transferred from Kabushiki Kaisha Bell Epoc to BEW for cash. Pursuant to an operating agreement
entered into in 2018, by and between Kabushiki Kaisha Bell Epoc and BEW, Kabushiki Kaisha Bell Epoc has
continued to manage the relaxation salons and BEW pays operation fees to Kabushiki Kaisha Bell Epoc based onrevenue.
On April 20, 2018, we formed JW to acquire the relaxation business operated by Kabushiki Kaisha Joyhands.
Kabushiki Kaisha Joyhands was party to a number of outsource agreements with various public bath operators,
whereby Kabushiki Kaisha Joyhands provided relaxation services to customers of public bath houses. JW began
entering into assignment and novation agreements with such public bath service providers, whereby Kabushiki
Kaisha Joyhands would be substituted by JW as the counterparty to the existing outsource agreements with the
public bath operators.
On April 27, 2018, we established MHR under the trade name Re.Ra.Ku Wellness Inc. MHR operates ourtherapist dispatch business. Previously, we hired therapists pursuant to an exemption that allowed us to forego
obtaining permission from the Ministry of Health, Labor and Welfare of Japan under the Act for Securing the Proper
Operation of Worker Dispatching Undertakings and Improved Working Conditions for Dispatched Workers anddispatched such therapists to our franchisees. When the Ministry of Health, Labor and Welfare of Japan eliminatedthe exemption in September 2018, we created MHR and transferred the therapist dispatch business to it.
On October 1, 2018, we acquired DW from Decollte Corporation for cash. On May 6, 2021, we acquired 100%of the interests in SAWAN, an operator of relaxation salons under the “Ruam Ruam” brand from BOX GROUP Co.,
Ltd., a Japanese holding company specializing in beauty and spa products and services. Ruam Ruam is a luxury
relaxation salon brand which utilizes oriental relaxation techniques to fit the needs and preferences of the Japanese
consumer. This acquisition resulted in the addition of 13 directly-operated salons under the brand of “Ruam Ruam”
to our relaxation salon segment.
In July 2021, in order to speed up the decision-making process, improve business efficiency, and maximize
business value, we reorganized and re-designated certain parts of our wholly-owned subsidiaries by business
function.
As part of the reorganization, DW merged with and into BEW with BEW being the surviving entity. As a resultof the merger between DW and BEW, BEW (currently known as Wing Inc.) now operates the salons previously

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owned by DW, and since July 1, 2021, it has been managing a majority of our relaxation salon operations, excluding
those located in spa facilities or under the “Ruam Ruam” brand. In addition, we established Bell Epoc PowerPartners Inc., which succeeded to the rights and obligations relating to the salon management entrusted divisionpreviously operated by BEW.
On October 1, 2021, we acquired a 60% ownership interest in ZACC, a high-end hair salon company
recognized by customers for their high-level techniques and hospitality for over 30 years. ZACC’s flagship hairsalon is located in Omotesando, one of the fashion centers in Tokyo, and ZACC opened its Ginza salon prior to theacquisition. We are working to facilitate ZACC’s multi-store management and opening of new ZACC brandedsalons by sharing our expertise in store management, franchising and employee independence programs. We
acquired the remaining 40% interest in ZACC in January 2022.
In November 2021, BEW changed its name to “Wing Inc.” and Bell Epoc Power Partner Inc. changed its nameto “Bell & Joy Power Partners Inc.”On May 31, 2023, our board of directors approved the Second Reorganization, consisting of an incorporationtype company split plan and an absorption-type company split agreement. Under the incorporation-type company
split plan, the Company spun off its Digital Preventative Healthcare business and transferred it to MEDIROM
MOTHER Labs Inc., or MML, a newly established wholly-owned subsidiary, which is expected to conduct our
entire Digital Preventative Healthcare business going forward. Under the absorption-type company split agreement,
the Company spun off its existing salon development department, which is responsible for sourcing and setting up
store spaces, and general corporate departments, which include accounting, legal, general affairs, human resources,
IT and other corporate functions, and had Bell & Joy Power Partners Inc., an existing wholly-owned subsidiary,
assume such operations going forward. On the same day, Bell & Joy Power Partners Inc. was renamed MEDIROM
Shared Services Inc., or MSS. The Second Reorganization became effective on July 3, 2023.
As of December 31, 2023, the Company has entered into six share transfer agreements, pursuant to which wehave agreed to sell and transfer an aggregate of 1,781 shares in MML, or approximately 3.56% of its total shares
outstanding, to certain third-party investors. The purpose of our 2023 reorganization and the transfer of MML shares
was to make quicker decisions and seek external equity financing of MML as a spun-off startup to accelerate its
growth. We intend to maintain our status as the controlling shareholder of MML.
Our Growth Strategy
Our goal is not only to capture a significant share of the existing market for relaxation salons but also to expand
our Digital Preventative Healthcare business lines. We expect to employ a variety of strategic initiatives, including
increasing the number of directly-operated and franchised salons and expanding marketing and advertising efforts
throughout strategic locations.
Organic Growth in the Japanese Market. According to the 2022 Yano Report, in terms of the number ofsalons, we are one of the top three companies, on a consolidated basis, in the Kanto region (Tokyo, Kanagawa,
Saitama, Chiba, Gunma, Ibaraki and Tochigi), and in the top four nationwide. The total number of relaxation salons
under major brands in Japan, according to the 2022 Yano Report, was 2,944, with the largest operator having 613
salons. We believe that the Japanese market has capacity for approximately 1,000 of our salons in the future, based
upon our assessment of suitable real estate that fits the underwriting requirements for our business. We aim toachieve this capacity goal through a combination of franchising, direct ownership, and our salon sales andmanagement contract model. We also plan to expand our relaxation salons business in the Kansai region in westernJapan. We opened three new salons in the Kansai region in 2022, six new salons in the region in 2023, and we intend
to continue exploring more business opportunities in that region. If we are able to achieve this goal, we believe that
we would then have the largest salon network in Japan.
Lead Industry Consolidation Via Targeted Acquisitions. As the domestic Japanese relaxation sector faces
structural changes that accelerate consolidation, we believe that we are positioned strategically to harness value,acquire synergies, and maximize our pipeline of suitable bids at bargain prices. Our corporate acquisitions team aims
to buy businesses at a small multiple to ours, leveraging our brand, the well-regarded reputation of our founder CEO,and the halo effect of joining Japan’s first relaxation company to be publicly listed in the United States. We believe
we have a competitive advantage and significant negotiating power to structure accretive deals, integrate both
culture and operations of target companies, and grow long-term value.

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Update of Business Model. Currently, Wing Inc. (formerly Bell Epoc Wellness, Inc.), our wholly owned
subsidiary, manages a majority of our relaxation salon operations, excluding those located in spa facilities or underthe “Ruam Ruam” brand. While we continue to grow the total number of our franchised salons, we expect to become
more selective in approving new franchise salon owners. In the fourth quarter of 2021, we started a new businessmodel under which we sell our directly-owned salons to third-party investors and enter into service agreements tomanage the operation of the salons on behalf of the investors. Under this model, we are entitled to a contingent fee
equal to 80 to 90% of the amount of profit that exceeds a 6% to 8% investment yield on the purchase price of eachpurchased salon. Through this model we aim to maximize the return on capital investment in our relaxation salon
segment, accelerate salon openings by allowing us to reinvest the proceeds from the sales of salons, improve
operational efficiency by allowing us to focus on salon operations, and generate additional income from the salonsthat were sold to investors and are under our management. Since the inception of this model, we have gradually
decreased the yield to investors of the salons we sell, and we have repurchased certain salons we had previously soldat higher investment yields in order to later resell them at lower yields, meaning generally at higher prices, to otherinvestors, while also continuing to sell our owned salons. As of December 31, 2023, 38 investor-owned salons were
under our management, as compared to 31 salons as of December 31, 2022.
Focus on Margin Improvement and Leveraged Use of Infrastructure. We believe our corporate infrastructure
is positioned to support a customer base greater than our existing footprint. As we are still recovering from theimpact of the COVID-19 pandemic, we believe we have significant potential to attract more customers, utilize ourcurrently idle capacities at certain salons, and improve our workforce management. We have been closely
monitoring our operational metrics such as sales per salon, number of customers served per salon, sales per
customer, total working hours per salon and total hours in service per salon. We also implemented new employee
evaluation and incentive programs in 2022 to better motivate our employees to meet certain financial performancetargets assigned to them. The programs aim to reward employees who make continuous efforts to improve theirskills and performance and raise the overall quality level of our employees. These rewards are generally provided in
the form of a salary increase, promotion, or both, and one-time cash bonus payments are also possible.
As we continue to grow, we expect to drive greater efficiencies across our operations and development andmarketing organizations and further leverage our technology and existing support infrastructure. We believe we will
be able to reduce the percentage of corporate costs to revenue over time to enhance margins as general andadministrative expenses are expected to grow at a slower rate due to expected efficiencies of scale as we expand oursalon network.
Marketing and Advertising Strategy. We conduct most of our marketing and advertising on our website andthrough HOT PEPPER Beauty, a dominant web aggregator of salon businesses. In addition, our salons are
strategically located in areas near train stations and shopping centers that are advertising and marketing drivers.
Furthermore, in addition to our effort to improve margins at our relaxation salons, we are working to enhance ourdigital marketing initiatives to increase revenue, including through our smart phone apps, to retain our repeat
customers and improve the frequency of customer visits. The Re.Ra.Ku® application, which is specialized app forour relaxation salons, was released in October 2022. The application had 139,889 cumulative downloads as of theend of December 2023, and 11.9% of all reservations at our relaxion salons were made through the application in themonth of December 2023.
Healthtech Strategy. We plan to invest in and grow the Digital Preventative Healthcare Segment and increase
the segment’s profit margin. We intend to increase the number of Lav® users via the Specific Health Guidance
Program promoted by the Ministry of Health, Labor and Welfare of Japan. In addition, we expect to expand thebilling user base for the upgraded Lav® application. We also intend to accelerate the production of our MOTHER
Bracelet®. We are actively expanding revenue streams from the MOTHER Bracelet® in both the business-tobusiness (“B2B”) and business-to-consumer (“B2C”) domains. In order to increase our sales to business customers,
we have developed and launched sales of Gateway, which is a telecommunication tool containing a subscriber
identity module, and REMONY®, a centralized monitoring system that allows hospitals and nursing home operators
to remotely monitor health data of their patients or residents using the MOTHER Bracelets® on the condition thatsuch patients or residents agree to sharing their personal health data with their healthcare or health service providers.
We believe no other wearable device manufacturer or service provider supplies such a product comparable to the
MOTHER Bracelet®, which enables our business customers to collect data from a large number of customers
through a centralized monitoring system. Health data generated from other similar devices is often only available inthe device itself and smartphone applications linked to the individual subscribers due to the closed SDK policies for
those devices.

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We experience significant competition, in all aspects of our business, including for highly skilled relaxation
therapists and for the best salon locations. Our directly-operated and franchised relaxation salons compete withnational and regional relaxation salon chains for customers, relaxation salon locations and qualified management andother staff, including relaxation therapists. Competition in our industry is primarily based on price, convenience,
quality of service, brand recognition, and location. We consider our biggest competitors to be K.K. Factory Japan(Karada Factory) and K.K. Bodywork (Raffine), both of which are operators of relaxation salons in Japan.
Although the Luxury Beauty Segment also experiences competition, ZACC is comparatively less susceptible toprice competition due to the strength of its brand. A key factor for brand strength is the retention rate of the seniorhair stylists employed by ZACC.
In our Digital Preventative Healthcare Segment, we face competition from large incumbents in the traditionaland digital advertising space and, to a lesser extent, startups in the health tech industry. Given the unique value
proposition and startup nature of our growth segments, we remain focused on transaction level priorities, winningclients through our platform capabilities and features and benefits and leveraging relationships over what otherincumbents may be doing in the space.
Our Competitive Strengths
We are a defined leader in Japan’s health and wellness space. We provide ground-up educational and training
services for aspiring specialists, as well as trusted, high quality health services for our customers. As we continue togrow and expand, we are working to leverage the brand recognition that we enjoy across Japan to promote our new
digital business lines. We believe the following strengths have contributed to our success to date and will position us
well for future growth:Innovative Services. Our salon services are innovative and differ from traditional shiatsu-style bodywork. For
example, we created our unique wing stretch method, which focuses especially on the shoulder blades. This isimportant because the shoulder blades are a critical part of the body, as they connect and balance the bones from theneck to the lower back and support the body to ensure the body moves smoothly. Further, traditional shiatsu-style
bodywork therapists typically use their body weight to put pressure on the muscles, which can cause damage. Our
relaxation therapists use stretch techniques on the muscles, rather than body weight pressure, thereby preventing
damage. We believe our non-pressure method mitigates the risk of severe malpractice and other similar claims.
Finally, our relaxation therapists are trained to converse with our customers, to ask our customers questions in orderto tailor the therapy to the customer’s unique needs, and to promote self-care by communicating with our customers
about their current body ailments and to give advice for future visits.

Brand Value. We believe our trademarks and other intellectual property create a strong competitive advantage
in our Relaxation Salon Segment, Luxury Beauty Segment and Digital Preventative Healthcare Segment. Withwidespread recognition in the Kanto region and across Japan, our Company benefits from a loyal customer base andbrand recognition that allows for smooth scaling of growth businesses.

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Employee Satisfaction. We employ a majority of our therapists on a salaried basis, rather than a commissionbased contractor model normally used in the industry. High turn-over rates and difficulty in hiring skilled labor are
challenges facing the relaxation industry. We have invested culturally and economically to create a career
progression for our therapists so they will stay and grow with our Company. We believe that our employee
satisfaction levels contributed to employees’ high morale, which is evidenced by the fact that we were awarded theGrand Prix for the relaxation sector’s top therapist and best salon award in Japan in 2019, as well as the SemiGrand Prix for the individual therapist and the Grand Prix for the best salon award in 2021, which, as of April 30,
2024, is the most recent year in which these awards were provided due to the impact of COVID-19. This isparticularly important as high turnover reduces or disrupts available investment in capital because of the costs
associated with hiring and training new employees. We continue to optimize our working environment for therapists
in an effort to improve morale and productivity and cultivate a long-term orientation among our therapists toward
their work and status within the Company.
Re.Ra.Ku® College. We believe we own one of the largest in scale and best in-class education and training
facilities for relaxation therapists in the Japanese relaxation industry, which enables us to provide continuous
training to our franchise owners and salon staff, as well as continuous direct access to a pool of newly trained andjob-ready staff. We focus on providing constant training and learning opportunities to our therapists to ensure thequality of our services is consistent throughout our salons. We require a certain level of relaxation therapist training
before therapists are allowed to work with clients at our salons, and we believe the level of required training for ourtherapists is one of the highest among leading relaxation service providers in Japan. We find that this rigorous skill
training system better prepares our students and has proven effective for our salons. We provide 54 hours of training
programs. Each training module can be taken on demand, rather than in a series, for the trainee’s convenience.
Moreover, we provide follow-up training courses based on how we evaluate and grade the practitioner's skills. We
believe this is a different approach from certain of our competitors, who tend to utilize practitioners on a contract
basis. Our training package enables our therapists to improve their treatment skills continuously and, importantly, tomaintain high morale.

Specific Health Guidance Program via Lav® Application (For Businesses). As a leading provider of holistic
health services, we have been engaged in the government-initiated Specific Health Guidance Program, for the use of
our on-demand health monitoring application, Lav®. As a government (Ministry of Health, Labour and Welfare)subsidized program, participating companies need to maintain quality controls. Partners and service providers arevetted and must adhere to standards that are established by each of the health insurance providers. This business iscurrently entering into a growth phase. As of December 31, 2023, we had entered into contracts with 68 corporate
insurance associations for the use of Lav® in the Specific Health Guidance Program.
Until recently, the goals of health checkups and health guidance have been early identification and treatment ofsickness. By focusing on visceral-fat obesity, specific health checkups and specific health guidance are intended as
preventative measures to decrease the numbers of persons who suffer from, or are at risk of, lifestyle-related
conditions such as diabetes, through providing health guidance to patients for improving living habits that cause
visceral-fat obesity. Since lifestyle-related conditions progress with no visible symptoms, specific health checkups,
which are comprised of health screenings intended to identify those who require health guidance to prevent lifestylerelated conditions, are considered to be an excellent opportunity to review the individual’s living habits. Healthguidance is provided to help the individual change his or her behavior. All those who have undergone specific healthcheckups are provided with information suited to their own individual circumstances.
Based on the results of specific health checkups, persons eligible for specific health guidance are identified bylevel (that is, those eligible for motivational support and those eligible for active support) in accordance with their50

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risk levels, by focusing on the degree of visceral fat buildup and the presence of other of risk factors. The goals of
specific health guidance are to enable eligible persons to be aware of their own health conditions and makevoluntary efforts, on a continual basis, to improve their own living habits. Participants are provided with a variety ofmotivational information and advice to help them live healthier lifestyles on their own. Motivational support
provides support to encourage improvements in living habits, in principle, one time.
The Specific Health Guidance Program provides continual support in multiple sessions over three months or
longer. An action plan is prepared with the guidance of the specialists such as doctors, health nurses, andnutritionists, and provides motivational support to improve the patients’ daily habits that are related to eachindividual’s heath. We have engaged several experienced nutritionists and healthcare professionals as designatedcoaches by entering into service agreements for this purpose. These therapists and nutritionists help provide
integrated bodywork (physical body), encouragement and inspiration (mental), and dietary guidelines(metabolic/diet). Specialists provide regular, continual support for efforts to improve living habits over a period of
three months or longer.

Lav® Application (For Consumers). We launched an upgraded version of Lav® application for consumers inJuly 2021. The updated Lav® application offers options such as detox, weight control, and exercise programs. For
this consumer version of the Lav® application, we are engaging more in-house therapists as coaches with the aim ofincreasing their income. We are also focused on increasing the sales of the Lav® program targeting our existingcustomers at our salon locations. We believe that the Lav® application is unique in that it provides comprehensive
support and guidance for not only nutrition but also exercise and sleep based on physician-supervised methods. We
have advantages in securing a sufficient number of coaches as needed since we can recruit our existing therapists tobe coaches for such purposes.
MOTHER Bracelet®. Our MOTHER Bracelet® fitness device is designed to track and collect the user’s healthdata, such as calorie consumption, activity and sleep patterns. The MOTHER Bracelet® records user’s activities,
sleep duration and patterns, body temperature, and heart rate continuously without the need for re-charging. We havealso developed a MOTHER application, which synchronizes with the MOTHER Bracelet® and allows users toaccess such records.
We believe our MOTHER Bracelet® is the only fitness tracker that requires no electric charging as it utilizes
innovative technology such as Gemini TEG (Thermoelectric Generator) and Mercury Boost Converter to enable the51Table of Contents

user’s body heat to generate electricity. As of April 1, 2024, we are not aware of any other wearable devices
equipped with NFC functionality currently in the market with equivalent capabilities.

We are actively expanding revenue streams from the MOTHER Bracelet® in both B2B and B2C fields. We
believe we are particularly strong in the B2B field due to our open SDK policy. By making the SDK publicly
available, we allow and encourage software and hardware developers to customize the management of healthcare
data for their own purposes.
Rather than selling MOTHER Bracelet® devices on a stand-alone basis to individual consumers, we believe
corporate customers are a more ideal customer base for this product, because they are able to benefit frommonitoring the health data of a large number of MOTHER Bracelet® users, such as patients in hospitals, residents innursing homes, drivers or employees in transportation or construction businesses. Hence, in 2023, we developed aplatform consisting of MOTHER Bracelet®, Gateway, which is a telecommunication tool containing a subscriber
identity module, and REMONY®, which is a centralized monitoring software system. Through this platform, data
are collected from each MOTHER Bracelet® worn by a large number of users, and this data is then sent to
REMONY® via Gateway, and our business customers can centrally monitor all individual users’ health data on anearly real time basis. This platform has been generating revenue since September 2023.
In the year ended December 31, 2023, we sold a total of 4,203 units of MOTHER Bracelet®and 45 units ofGateway, generating total revenue of JPY125,280 thousand (US$889 thousand) from such sales.
Our standard character trademark application for MOTHER Bracelet® was approved and registered by the Japan
Patent Office in February 2022. The MOTHER Bracelet logo was also approved and registered by the Japan Patent
Office in July 2023.
Attractive Market Opportunity
Relaxation Industry Growth
According to the 2022 Yano Report, the Japanese relaxation sector is expected to continue to lead overall GDP
growth, which is expected to increase 1.72% from JPY114 billion (US$990 million) in 2022 to JPY120 billion

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Table of Contents(US$1 billion) in 2025, while national GDP is expected to grow by 1.2% from 2022 to 2026, according to Daiwa
Research Institute Economic Report (dated January 24, 2022).

Source: 2022 Yano Report
We believe the sector continues to see outsized growth as consumers in an already health-conscious country
increasingly value health and wellness of both body and mind. Concurrently, large companies, in partnership with or
through subsidies received from the government, increasingly factor in employee wellness for both productivity andfor retention, loyalty, and satisfaction with the employer. This has led to the creation of corporate budgets, oftenwith government subsidies, earmarked for employee health and wellness programs, insurance programs, fitness andgym memberships which further increases spend in the market. While 51% of the market is occupied by mid to large
chains like ours, most of the market consists of small, locally-owned salons, 68.9% of which are estimated to be
individual-run single outlets, according to the 2022 Yano Report.
M&A, Consolidation, and Industry Rationalizations
The relaxation sector in Japan faces structural changes that have accelerated mergers and acquisitions andconsolidations. As smaller, private operators either fail to grow sufficient revenue to cover costs and owners oflarger, established companies seek to exit for retirement or other reasons, an increasing number of sellers haveattracted both industry players as well as financial sponsors. We believe the gating factors remain synergies between
the acquirer and target, including a pragmatic approach to M&A integration, post-acquisition operations, andpreservation of brand and customer base. Purchase price remains a more muted factor which affords compelling
value-creation opportunities for the right strategic acquirer.
Integrated Health Solutions, Analytics and Targeting
The Japanese government and major corporate sponsors in the country have accelerated needs for preventative
care and ascribing key factors affecting health outcomes. As demographics continue to focus on the elderly andinsurance plans face uncertain or insufficient returns relative to premiums, major health insurance companies and thegovernment require solutions to target problems, streamline costs, and save lives through a preventative focus. This
has resulted in government budgets and subsidies earmarked for improving employee health and increased
incentives for understanding, diagnosing, and creating action plans to address health issues. We believe our platform
and technology allow us to serve government and corporate entities with a one-stop shop, data-driven and targeted
solution service.
Global Expansion Opportunities
We focus on core competencies within the local markets of Japan, although we opportunistically assessfranchising or partnerships abroad for our core salon business, and business-to-business-to-consumer distribution
models for MOTHER Bracelet® and other digital businesses through online marketing, commerce, and joint
ventures. We believe the wearables market and omnichannel distribution trends, particularly online commerce,
remain attractive avenues of growth for our Digital Preventative Healthcare Segment.

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Employees
As of December 31, 2023, we had 390 employees on a full-time basis, 622 employees on a part-time basis, and89 employees on a fixed-term basis. Most of our employees are directly employed by our wholly-owned subsidiary,
Medirom Human Resources Inc. Our Company is not currently, and has not in the past, been unionized. As such,neither we nor our franchisees are required to engage in collective bargaining procedures with any unions underJapanese labor laws.
Although we do not use contract employees hired by any third-party agencies in our relaxation salons, we doengage a portion of our relaxation therapists directly as self-employed independent contractors to work at our salons.
The majority of our relaxation therapists are employed by us under permanent, term or part-time employment
contracts, and all of our relaxation therapists, including those we engage as independent contractors, receive training
at Re.Ra.Ku® College before starting work at our salons. Our employees are paid on a salary basis. We also offer
various incentive programs which vary based on employment status. Our new incentive program, which became
effective on July 1, 2022, aims to reward employees who make continuous efforts to improve their skills andperformance and raise the overall quality level of our employees. These rewards are generally provided in the formof a cash bonus, promotion, or both. In addition, we introduced a new equity incentive compensation plan in 2024,
under which employees are eligible to receive stock options and other types of equity awards. However, at present,
we plan to provide equity compensation awards only to certain key personnel who drive our growth and profitability
such as executives, directors, corporate auditors, and certain senior managers. See “Item 6. Directors, Senior
Management and Employees—B. Compensation—Employee Stock Options.”
Property and Equipment
As of December 31, 2023, we have 314 relaxation salons, each of which is leased at train and subway stations,
shopping malls, plazas, and high-traffic streets throughout Japan. We invest in leasehold improvement, equipment,
and furniture in our directly-operated salons. The terms and conditions of the lease arrangements vary by agreement.
Our corporate headquarters are located at 2-3-1 Daiba, Minato-ku, Tokyo, Japan. The term of our lease for thislocation was renewed on December 1, 2022 for an additional term of two years. Our Re.Ra.Ku® College is annexed
to our corporate headquarters, and we also have branch school locations in Nagoya and Osaka.
Intellectual Property
To establish and protect our proprietary rights, we rely on a combination of trademarks, confidentiality policies
and procedures, non-disclosure agreements with third parties, employee non-disclosure agreements, and othercontractual and implicit rights worldwide. We have registered 45 trademarks as of December 31, 2023, and othernames and logos used by our Company as trademarks with the Japan Patent Office, two of which are registered with
the U.S. Patent and Trademark Office and one of which is registered with the China National Intellectual Property
Administration. Our principal intellectual property rights include the trademark “Re.Ra.Ku®”, which is our core
brand, and “MOTHER Bracelet®”, “Lav®”, and “REMONY®”, which are key brands in our Digital Preventative
Healthcare Segment, copyrights in our website and software assets, rights to our domain names,
https://medirom.co.jp, https://reraku.jp, and https://mother-bracelet.com, trade secrets and know-how with respect toour training, servicing, sales and marketing and other aspects of our business, and our digital innovations such as the
MOTHER application, REMONY® software, Gateway software, and Lav® application.
Our intellectual property is subject to certain risks described under “Item 3. Key Information—D. Risk Factors”,
including the risks described under “Item 3. Key Information—D. Risk Factors—Risks Related to Our Company
and Our Business—The failure to enforce and maintain our trademarks and protect our other intellectual property
could materially adversely affect our business, including our ability to establish and maintain brand awareness” and“Item 3. Key Information—D. Risk Factors—General Risk Factors—Third party claims with respect to intellectual
property assets, if decided against us, may result in competing uses or require adoption of new, non-infringing
intellectual property, which may in turn adversely affect sales and revenues.” Furthermore, the manufacturing of our

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MOTHER Bracelet® requires our use of a patent license, and we may be adversely affected by changes in ourbusiness relationships with the licensor or its financial soundness.
Financial Contracts
As of December 31, 2023, we have 17 business loans outstanding from seven Japanese financial institutions.
None of the loan agreements contain any material financial covenants, although certain of the government-sponsoredloans set a limit on the total loan amount we may borrow from other government-sponsored lenders. See “Item 5.
Operating and Financial Review and Prospects—B. Liquidity and Capital Resources—Business Loans.”
Introduction of New Payment App “Re.Ra.Ku PAY”
One of the requirements for issuers of prepaid cards under the Settlement Act is to maintain net assets of notless than JPY100 million based on Japanese GAAP. As of December 31, 2022, our net assets had fallen below
JPY100 million based on Japanese GAAP on a standalone basis. On March 20, 2023, we reported this matter to the
Kanto Local Financial Bureau.
In order to address this issue, as well as to increase convenience for our customers, the Company decided to
introduce a new payment system and developed “Re.Ra.Ku PAY”, a proprietary payment app which works oncustomers’ smart phones. Customers can charge the balance at our salons or remotely with their own credit cards
and use the app to pay at our salons (Re.Ra.Ku PAY can be used at Re.Ra.Ku branded salons, Bell Epoc brandedsalons, and Ruam Ruam branded salons). The most important difference between the Re.Ra.Ku Card and Re.Ra.Ku
PAY is that Re.Ra.Ku PAY balances have an expiration period of 150 days, while the Re.Ra.Ku Card balances do
not have an expiration date. The Settlement Act regulates only prepaid cards with balances that remain effective formore than six months. Hence, by limiting the expiration period to less than six months, we believe Re.Ra.Ku PAY
can be exempted from the regulations and requirements under the Settlement Act, which include the net assets
requirement and an obligation to deposit half of the prepaid balance with the Legal Affairs Bureau.
Moreover, rather than giving customers a certain percentage of points when they charge their card balances on
the Re.Ra.Ku Card, we give customers a certain percentage of points when they pay with the Re.Ra.Ku PAY app inaccordance with each’s customer loyalty status, which is either “Bronze”, “Silver”, “Gold”, “Platinum”, or“Diamond”. We believe this approach contributes to more revenue generation by giving customers points atpayment rather than at charging. The Company aims to utilize Re.Ra.Ku PAY for various marketing campaigns andto expand the scope of possible payments from only relaxation services at present to merchandise or other uses. We
launched Re.Ra.Ku PAY on February 1, 2024, and disallowed further balance deposits on Re.Ra.Ku Cards
beginning on the same date. As a result, Re.Ra.Ku Card users can pay with their current balances but cannot add totheir balances.
Although we have introduced Re.Ra.Ku PAY and disallowed new balance deposits on Re.Ra.Ku Cards, we arestill regulated under the Settlement Act because some of our customers still have outstanding Re.Ra.Ku Cardbalances. However, as of December 31, 2023, our net assets exceeded the JPY100 million threshold on a standalone
basis, meaning that we satisfied the net asset test as of that date. See “—Regulations Governing Prepaid Cards”
below for more detail.
Legal and Administrative Matters
We are currently not a party to any material legal or administrative proceedings. We may from time to time be
subject to various legal or administrative claims and proceedings arising in the ordinary course of our business,
including matters involving our franchisees, among others. Any litigation or other legal or administrative
proceedings, regardless of the outcome, are likely to result in substantial costs and a diversion of our resources,
including our management's time and attention.
Subsequent Events
Proposed Acquisition of Japan Gene Medicine Corporation
On April 2, 2024, we announced that our board of directors had approved our entry into a memorandum of
understanding on such date for the purpose of acquiring all of the shares of stock of Japan Gene Medicine

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Corporation (“JGMC”) and making JGMC our subsidiary, and commencing negotiations necessary to enter into thedefinitive agreement for the transaction. We commenced due diligence following the execution of the memorandumof understanding.
JGMC is a company engaged in a prenatal diagnosis business providing genetic testing and analysis services.
By understanding the condition of the fetus and the presence of any diseases or disorders before birth, we believe it
is possible for medical professionals to consider the most appropriate method of delivery and therapeutic education
tailored to the condition of the fetus. The target age group for these services is women in their 20s to 40s, whichmatches the main users of our core brand, “Re.Ra.Ku®”. We believe that business synergies will be generated as we
aim to improve the value of the customer experience through our proposed acquisition of JGMC. The proposed
acquisition is in line with our ongoing strategy of obtaining assets which can contribute to expanding our presence inJapan. Through this acquisition, we will further aim to realize our vision of becoming a “healthcare general trading
company that can provide comprehensive services from prevention to treatment” and to enhance the corporate valueof our group.
The memorandum of understanding sets forth a non-binding outline of proposed terms and conditions for theacquisition and for entry into the definitive agreement for the acquisition. Under the memorandum of understanding,the proposed total price for the acquisition is ¥2,400,000 thousand. The proposed price is subject to revision afterdue diligence, by reference to the amount of JGMC’s adjusted earnings before interest, taxes, depreciation, andamortization in its testing business (which will be determined through due diligence), multiplied by five, withdetailed terms and conditions to be set forth in the definitive agreement. The proposed method for the transaction isthe acquisition of JGMC’s shares by cash payment, pursuant to a share exchange or other methods, or a combination
thereof. The proposed sources we will use to fund the acquisition are our cash on hand and one or more loans fromfinancial institutions.
Under the memorandum of understanding, we and the seller agree to negotiate in good faith for the purpose ofentering into a definitive agreement for the acquisition. We are still in the process of negotiating the definitive
agreement for this transaction. However, under the non-binding terms set forth in the memorandum of
understanding, the execution of the definitive agreement and/or closing of the transaction by us are conditioned on
and subject to the following:•

We receive a commitment letter from a financial institution that agrees to provide a loan in an amount andon terms and conditions satisfactory to us.

•

The business of JGMC will continue after the contemplated transaction as it was at the time of execution of
the memorandum of understanding.

•

Related party transactions of JGMC are resolved to our satisfaction.

•

Due diligence does not reveal issues such as connections or transactions with anti-social forces that could
preclude the transaction.

•

Matters confirmed during the due diligence process are reflected in the definitive agreement to oursatisfaction.

•

The procedures required under the Foreign Exchange and Foreign Trade Act of Japan are completed.

•

It is possible for us to meet any applicable disclosure requirements for financial information of JGMC
required under applicable U.S. securities laws, rules, and regulations by the applicable deadlines.

•

Other general conditions precedent, representations and warranties, covenants, and indemnification clauses
as set forth in the definitive agreement.

We may be unable to consummate the proposed JGMC acquisition if any one of these conditions fails to besatisfied or for other reasons, in which case we would not realize any of the anticipated benefits of the proposed
acquisition. Furthermore, even if the proposed acquisition is consummated, the acquisition would remain subject tovarious risks as described in “Item 3. Key Information—D. Risk Factors—Risks Related to Our Company and Our
Business—Our past and future acquisitions, minority investments, joint ventures and strategic alliances could fail to56

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deliver the anticipated benefits or otherwise have an adverse effect on our businesses and results of operations” and“Item 3. Key Information—D. Risk Factors—Risks Related to Our Company and Our Business—Our proposed
acquisition of Japan Gene Medicine Corporation may not be completed on a timely basis, on our anticipated terms,
or at all, and there are uncertainties and risks to consummating the acquisition and integrating the acquired
business.”
Regulations Governing our Relaxation Salons
Relaxation salons such as ours are not currently regulated by the Japanese government. The main law in Japan
governing the massage industry is the Act on Practitioners of Massage, Acupressure, Acupuncture and Moxibustion,and etc. (Act No. 217 of 1947). However, we do not market or provide massage, finger pressure, acupuncture, moxacauterization or other services regulated under this Act, and this information is clearly provided to all customers
prior to them receiving our salon services.
Regulations Governing our Franchises
Japan has antitrust laws that protect consumers and regulate how companies operate their businesses. Amongthe various Japanese antitrust laws, the seminal antitrust law is the Act on Prohibition of Private Monopolization and
Maintenance of Fair Trade (Act No. 54 of 1947, as amended) (which we refer to as the “Antimonopoly Act”). The
Antimonopoly Act prohibits certain activities that inappropriately induce or mislead persons into entering into abusiness relationship with us through our granting of seemingly preferable trade terms and conditions that could
create false impressions in relation to other franchisors we compete with.
The Japan Fair Trade Commission (which we refer to as the “JFTC”) enforces the Antimonopoly Act and otherJapanese antitrust laws. The JFTC issued the “Guidelines Concerning the Franchise System Under the
Antimonopoly Act” on April 24, 2002 (last amended on April 28, 2021) (which we refer to as the “Guidelines”),
under which the JFTC suggests that, prior to entering into a franchise relationship, a franchisor should adequately
disclose and explain material trade terms to a potential franchisee in order to prevent any misunderstanding of thematerial trade terms, and to prevent such potential franchisee from being misled or improperly induced into entering
into such franchise relationship. Material trade terms include terms relating to the following:•

the supply of products after the party becomes a franchisee (such as a system for recommending suppliers);•

guidance, procedures, frequency, and cost to the franchisee relating to the business activities of the
franchise;•nature and amount of payments to be collected when the party joins the franchise, whether the payments arerefundable or may be returned, and the conditions for refunding or returning the payments;•

royalties that the franchisee pays to the franchisor for use of trademarks and trade names and for guidance
relating to management procedures, including the amount of, procedure for calculating, and the time andmethod of payment, of royalties;•

loans the franchisor extends to the franchisee, including the interest rate and the mechanism and conditionsof settlement;•compensation for any losses the business incurs, including the details of such compensation and whether
there is management support from the franchisor in the event of a decline in business;•

terms of the franchise agreement and the conditions and procedures for renewing or terminating the
franchise agreement, including early termination prior to the expiration of its term; and•restrictions with respect to the franchisor or other franchisees of the franchise setting up an identical orsimilar business near the proposed business of the potential party to join the franchise, including whether
there are any plans to set up additional businesses and the details of such plans.

In addition, when a franchisor markets its franchise, in the event such franchisor provides a prospective
franchisee with an estimate of the revenue or profit that could possibly be generated upon becoming a franchisee,57

Table of Contentssuch estimated revenue or profit must be based on a reasonable method of calculation and established facts, such as
the results of an existing franchise operating in a similar environment. The franchisor is required to present to theprospective franchisee such methods and facts. The Guidelines also suggest that, in explaining business hours andtemporary closures, a franchisor should provide to a prospective franchisee then-known information that may
adversely impact management of the franchise, such as the occurrence of a shortage of human resources during
specified business hours or a rapid increase in personnel costs.
In terms of trades between a franchisor and franchisees after entry into a franchise agreement, the Guidelines
provide suggestions that the franchisor should not place franchisees at an undue disadvantage, which could be
deemed an “abuse of superior bargaining position” or other violation of law.
If the JFTC finds any activities that violate the Antimonopoly Act, including any “deceptive customer
inducement”, then the JFTC may order the offending franchisor to cease and desist from engaging in such unlawful
activities, delete any applicable unlawful clauses from the franchise contract, or carry out any other measuresnecessary to eliminate such unlawful activities.
In the event the JFTC suspects any violation of the Antimonopoly Act or alleges that we have misled orwrongly induced any of our franchisees based upon any particular trade terms, we could be exposed to risks,
including governmental action against us.
Regulations Governing Prepaid Cards
We began issuing our prepaid Re.Ra.Ku® Cards to relaxation salon customers starting in December 2008.
Re.Ra.Ku® Card users can continuously use and, until February 1, 2024, could also replenish their card balances at
our relaxation salons. Prepaid cards are generally considered “prepaid payment methods” (which we refer to as“PPMs”) under the Act on Settlement of Funds (Act No. 59 of 2009) (which we refer to as the “Settlement Act”).
PPMs are regulated under the Settlement Act so long as there is a possibility that the cards could be valid for aperiod of more than six months. The Re.Ra.Ku® Cards currently do not have expiration dates and therefore areregulated under the Settlement Act.
Issuers of prepaid cards with a validity of longer than six months are referred to as “PPM Providers.” There are
two categories of PPM Providers:(i) a provider of prepaid cards that can only be used to purchase goods or services from that same provider or
its affiliates, referred to as a “Private Use PPM Provider”; and(ii) a provider of prepaid cards that can be used at third party establishments, referred to as “Public Use PPM
Providers.”
The Re.Ra.Ku® Card can be used at salons operated by our franchisees, which are considered third parties forthe purposes of the Settlement Act. As such, we are considered a Public Use PPM Provider. A Public Use PPM
Provider must file an application with the Kanto Local Financial Bureau and be allowed for a registration to issue
PPM cards. On September 30, 2016, our registration was accepted by the Kanto Local Financial Bureau.
A PPM Provider typically holds a certain amount of its customers’ cash in the form of prepaid amounts on thecards that have not yet been exchanged for goods or services. The total of such amounts for all customers of a PPM
Provider is referred to as the “Outstanding Amount.” A Public Use PPM Provider is required to maintain deposits ofat least half of its Outstanding Amount at the local Legal Affairs Bureau (although other arrangements are possible),in order to ensure that there are adequate funds for the card holders who are effectively loaning their money to the
Public Use PPM Provider through their purchase of the prepaid card. At the end of March and September each year,
the Public Use PPM Provider must calculate its Outstanding Amount and deposit half that amount at the Legal
Affairs Bureau within two months. In the following year, if the Outstanding Amount has increased, the Public Use
PPM Provider must pay the difference between such Outstanding Amount and the amount deposited with the Legal
Affairs Bureau. We made our initial deposit of our Outstanding Amount with the Legal Affairs Bureau on
November 28, 2016, in the amount of JPY125,261 (US$950 thousand), and made additional deposits andadjustments with each semi-annual reporting.

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One of the requirements for issuers of prepaid cards under the Settlement Act is to maintain net assets of notless than JPY100 million based on Japanese GAAP. As of December 31, 2022, our net assets had fallen below
JPY100 million based on Japanese GAAP on a standalone basis. On March 20, 2023, we reported the matter to the
Kanto Local Financial Bureau. However, as of December 31, 2023, our net assets exceeded the JPY100 million
threshold on a standalone basis, meaning that we satisfied the net asset test as of that date.
Given the heavy burden imposed on us as a Public Use PPM Provider, we decided to introduce a new payment
system and developed “Re.Ra.Ku PAY”, a proprietary payment app which works on customers’ smart phones. The
most important difference between the Re.Ra.Ku Card and Re.Ra.Ku PAY is that balances on Re.Ra.Ku PAY havean expiration period of 150 days, while Re.Ra.Ku Card balances do not have an expiration date. The Settlement Act
regulates only prepaid cards with balances that remain effective for more than six months. Hence, by limiting the
expiration period to less than six months, Re.Ra.Ku PAY can be exempted from the regulations and requirements
under the Settlement Act, which include the net assets requirement and an obligation to deposit half of the prepaidbalance to the Legal Affairs Bureau.
We disallowed further balance deposits on Re.Ra.Ku Cards beginning on February 1, 2024. Accordingly, we
expect the total balance of funds on Re.Ra.Ku Cards to decrease, as customers can only use their Re.Ra.Ku Cards
for payment, and the deposited amount to the Legal Affairs Bureau to be refunded to us over time as the totalbalance of funds on Re.Ra.Ku Cards decreases. As of December 31, 2023, the total amount we had deposited with
the Legal Affairs Bureau in connection with the Re.Ra.Ku Card balances was JPY184,463 thousand (US$1,309
thousand).
Personal Information Protection
We are subject to laws and regulations regarding privacy and protection of user data and personal information,
due to our customer data collection operations in connection with our Digital Preventative Healthcare Segment. The
application and interpretation of these and other similar international laws and regulations regarding privacy andprotection of user data and personal information is often uncertain, particularly with respect to the new and rapidly
evolving industry in which we operate.
In Japan, the Act on the Protection of Personal Information (which we refer to as the “APPI”) and its related
guidelines impose various requirements on businesses, including us, that use databases containing personal
information. Under the APPI, we are required to lawfully use personal information we have obtained within the
purpose of use we have specified and take appropriate measures to maintain the security of such personal
information. We are also restricted from providing personal information to third parties without the consent of theapplicable user. The APPI also includes regulations relating to the handling of sensitive personal data andanonymous personal data and the transfer of personal information to foreign countries. We collect information fromour relaxation salon customers through the questionnaire completed by each first-time customer. Some of theinformation we collect through that questionnaire could fall under the category of sensitive personal data under the
APPI.
We obtained the “PrivacyMark” certification in Japan in July 2022. “PrivacyMark” is a certification which is
given to enterprises that take appropriate measures to protect personal information. The “PrivacyMark” System wasestablished by the Japan Information Processing Development Corporation (JIPDEC) in April 1998, and the“PrivacyMark” is certified and granted by JIPDEC as well as other designated organizations. Such private
enterprises are granted the right to display "PrivacyMark" in the course of their business activities. The system is incompliance with Japan Industrial Standards (JIS Q 15001: [Personal Information Protection Management System Requirements]). This “PrivacyMark” certification is highly valued and provides credibility. Therefore, it is often
required by our business associates in the Digital Preventative Healthcare Segment, including health insurance
providers, hospitals, and nursing homes. We intend to continue to take actions necessary to maintain thiscertification.

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C. Organizational Structure
Our principal operating subsidiaries at December 31, 2023 are as follows:

MEDIROM Shared Services Inc.
WING Inc.
JOYHANDS WELLNESS Inc.
Medirom Human Resources Inc.

SAWAN CO. LTD.
ZACC Kabushiki Kaisha
MEDIROM MOTHER Labs Inc.

Jurisdiction

Percentage Interest Held

Japan
Japan
Japan
Japan
Japan
Japan
Japan

100%
100%
100%
100%
100%
100%
96.44%

D. Property, Plants and Equipment
Please see a detailed discussion of our property, plants and equipment under “Item 4. Information of theCompany—Property and Equipment”.
ITEM 4.A. UNRESOLVED STAFF COMMENTS
None.
ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS
The following discussion and analysis of our financial condition and results of operations should be read in
conjunction with the sections of this annual report entitled “Selected Financial Data” and “Business”, and ourconsolidated financial statements and related notes thereto, included elsewhere in this annual report. In addition tohistorical financial information, the following discussion contains forward-looking statements that reflect ourcurrent plans, expectations, estimates and beliefs. Our actual results could differ materially from those discussed in
the forward-looking statements. Factors that could cause or contribute to these differences include those discussed
below and elsewhere in this annual report, particularly in the sections entitled “Risk Factors” and “Cautionary
Note Regarding Forward-Looking Statements.”
We have prepared our consolidated financial statements in accordance with U.S. GAAP. Our fiscal year ends
on December 31 and references to fiscal years 2021, 2022, and 2023 are to the fiscal years ended December 31,
2021, 2022 and 2023, respectively. In accordance with Instruction 6 to Item 5 of Form 20-F, we are omitting fromthis annual report a discussion of our results of operations for fiscal year 2021. For a discussion of our results ofoperations for the fiscal year ended December 31, 2021 compared with the fiscal year ended December 31, 2022,
see “Item 5. Operating and Financial Review and Prospects—A. Operating Results” from our Annual Report on
Form 20-F for the fiscal year ended December 31, 2022, as filed with the SEC on May 30, 2023.
Overview
Our principal business is to own, develop, operate, manage, and support relaxation salons through franchising,through direct ownership of such salons, or through selling salons to investors and managing such salon operations
on behalf of the investors, throughout Japan. We seek to be the leading provider of relaxation and bodywork services

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in the markets we serve and to become the most recognized brand in our industry through the steady and focused
expansion of relaxation salons in key markets throughout Japan and potentially abroad.
As of December 31, 2023, we and our franchisees operated 314 salons, of which 180 were operated as
Company-owned salons, 96 were operated by our franchisees, and 38 were investor-owned salons which theCompany operated on their behalf. We consider both Company-owned salons and investor-owned salons which aremanaged by us as “directly-operated salons”.
Our current strategy is to grow our business through development of additional franchises, and to continue toexpand the number of our directly-operated salons in a deliberate and measured manner. In addition, we believe that
we can continue the development of, and revenue generation from, Company-operated salons through further
selective acquisition of existing franchised salons and the opening of greenfield units. We will seek to acquire
existing franchised salons that meet our criteria for demographics, site attractiveness, proximity to other salons, andother suitability factors.
Key Financial Definitions
Revenue. Revenue consists of the following items: revenue from directly-operated salons, franchise revenue,
and other revenues.
Cost of Revenue. The total cost of delivering services to customers consists of the following items: cost of
goods sold, subcontract expenses, cost of franchise royalty and affiliation revenue, salon operating cost, salaries fortherapists, legal and welfare expenses, provision for paid annual leave, travelling expenses, salon rent, depreciation
and amortization, gain/loss from asset retirement obligation, interest expenses for asset retirement obligation,business consignment expenses, and others.
Selling, General and Administrative Expenses. Selling, general and administrative expenses, or SG&A,
includes the costs to sell and deliver services and the costs to manage the company as follows: directors’compensations, salaries and allowances, bonuses, legal welfare expenses, provision for paid annual leave, recruiting
expenses, travel expenses, advertising expenses, rent, taxes and duties, commission fees, compensations,depreciation and amortization, provision for doubtful accounts, and others.
Impairment Loss on Long-lived Assets. Long-lived assets include property and equipment, right-of-use leaseassets, internal use software, and definite-lived intangible assets. The Company reviews the carrying value of longlived assets for impairment whenever events or circumstances occur that indicate that the carrying value of the assets
may not be recoverable. If the assets are not deemed to be recoverable, an impairment is recorded if the fair value ofthe asset grouping is less than the carrying value.
Non-U.S. GAAP Measures
Adjusted EBITDA. We define Adjusted EBITDA as net income (loss), adjusted to exclude: (i) dividend andinterest income, (ii) interest expense, (iii) gain from bargain purchases, (iv) income tax expense, (v) depreciation andamortization, (vi) losses on sales of directly-owned salons to franchisees, (vii) gains (losses) on disposal of property
and equipment, and other intangible assets (viii) impairment loss on long-lived assets and (ix) stock-based
compensation expense. Management considers Adjusted EBITDA to be a measurement of performance which
provides useful information to both management and investors. Adjusted EBITDA should not be considered analternative to net income or other measurements under GAAP. Adjusted EBITDA is not calculated identically by allcompanies and, therefore, our measurements of Adjusted EBITDA may not be comparable to similarly titledmeasures reported by other companies.
We use Adjusted EBITDA to enhance our understanding of our operating performance, which represents ourviews concerning our performance in the ordinary, ongoing and customary course of our operations. We historicallyhave found it helpful, and believe that investors have found it helpful, to consider an operating measure that
excludes certain expenses relating to transactions not reflective of our core operations. Stock-based compensation
expense represents non-cash charges related to equity awards granted by us. We recognized stock-based
compensation expense in 2021. Our management believes the measurement of these amounts can vary considerablyfrom period to period and depend substantially on factors that are not direct consequences of the performance of ourCompany and are not within our management’s control. Therefore, our management believes that excluding these61

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expenses facilitates comparisons of our operational results and financial performances in different periods, as well ascomparisons against similarly determined non-GAAP financial measures of comparable companies.
The information about our operating performance provided by this financial measure is used by ourmanagement for a variety of purposes. We regularly communicate Adjusted EBITDA results to our board of
directors, and we discuss with the board our interpretation of such results. We also compare our Adjusted EBITDA
performance against internal targets as a key factor in evaluating our periodic operating performance at each salon
level, segment level, and consolidated level, largely because we believe that this measure is indicative of how thefundamental business is performing and is being managed.
Adjusted EBITDA Margin. Adjusted EBITDA margin is calculated by dividing Adjusted EBITDA for aperiod by total revenue for the same period.
Key Performance Indicators
In assessing the performance of our relaxation business, we consider several key performance indicators used bymanagement. We receive monthly performance reports from our system and our relaxation salons which include key
performance indicators per salon including sales, number of customers, number of newly-acquired customers,
number of repeat customers, sales per customer, and operation ratio. We believe these indicators provide us with
useful data with which to measure our performance and to measure the performance of our own and our franchisees’
relaxation salons.
These key indicators include:•

Number of Salons. The number of relaxation salons, including both directly-operated relaxation salonsand franchisees’ relaxation salons.

•

Number of Salons with Data. The number of relaxation salons for which comparable financial andcustomer data is available because they are integrated with our cloud-based customer relationshipmanagement, point of sale and reservation system, “PeakManager,” We refer to such salons as “Salons with
Data.” When we expand our services to salons with existing operations, including through acquisitions, weseek to transition such salons to PeakManager when practicable. Accordingly, the proportion of Salonswith Data has increased over time compared to the overall Number of Salons.

•

Total Customers Served. The number of customers served at Salons with Data, based on the total numberof visits regardless of the customer’s identity.

•

Sales Per Customer. Total salon sales divided by total customer served at Salons with Data.

•

Repeat Ratio. The ratio of customers served who visited multiple times during the applicable month orother stated period to Total Customers Served in the applicable month or other stated period for Salons with
Data.

•

Operation Ratio. The ratio of therapists’ in-service time to total therapists’ working hours (including
stand-by time) for the applicable month or other stated period for Salons with Data.

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The following table sets forth the above key performance indicators for the periods presented:
NumberofSalons22-Jan22-Feb22-Mar
22-Apr22-May22-Jun22-Jul
22-Aug22-Sep22-Oct
22-Nov
22-Dec23-Jan23-Feb23-Mar
23-Apr23-May23-Jun23-Jul23-Aug23-Sep23-Oct23-Nov23-Dec

312
310
310
309
308
307
309
311
312
313
312
312
312
312
311
313
314
314
315
316
315
315
313
314

Numberof Salons
with Data

221
219
217
232
232
231
231
232
233
234
232
231
266
266
273
284
284
287
290
291
290
291
289
290

Total
Customers
Served62,74754,443
61,417
69,986
77,291
73,25976,521
72,25071,77072,25265,724
68,571
77,65771,70778,063
83,13086,89581,28088,24087,22484,39382,24975,29083,124

63

Sales Per
Customer

JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY
JPY

6,570
6,662
6,595
6,616
6,461
6,511
6,668
6,705
6,505
6,630
6,717
6,913
6,624
6,612
6,680
6,669
6,660
6,801
6,985
6,946
6,991
6,891
7,045
7,271

Repeat
Ratio

82.4%
83.8%
82.4%
82.0%
79.6%
80.4%
80.6%
80.1%
80.8%
81.8%
82.6%
82.8%
77.9%
78.5%
77.4%
77.0%
75.7%
76.0%
76.0%
74.6%
76.7%
77.4%
77.5%
77.7%

Operation
Ratio

48.2%
46.4%
46.5%
48.3%
50.1%
50.3%
50.3%
49.8%
50.3%
50.0%
48.8%
50.1%
48.3%
47.3%
45.8%
47.2%
47.5%
46.7%
48.1%
48.0%
47.0%
45.4%
43.9%
46.7%

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Our Number of Salons was 314 as of December 31, 2023, compared to 312 as of December 31, 2022.
The number of Salons with Data was 290 as of December 31, 2023, an increase of 59 salons from 231 as ofDecember 31, 2022.
Total Customers Served was 979,252 for the year ended December 31, 2023, compared to 826,231 in the year
ended December 31, 2022. We believe this increase was primarily due to an increase in the number of Salons with
Data since we have been progressively installing PeakManager to our salons located at spa facilities and RuamRuam
branded salons acquired in 2021.
Sales per Customer was JPY6,852 (US$48.6) in the year ended December 31, 2023, an increase from JPY6,627(US$47.0) in the year ended December 31, 2022. We believe the increase is primarily attributable to our new pricing
introduced in 2023 and the promotion of value-added services.
Our Repeat Ratio was 76.8% in the year ended December 31, 2023, a slight decrease from 81.5% in the year
ended December 31, 2022. We believe the primary reason for this decrease was our expansion in the Kansai region,
as salons in the Kansai region have so far had significantly lower Repeat Ratios compared to the average Repeat
Ratio of salons in other regions.
Our Operation Ratio was 46.8% in the year ended December 31, 2023, a slight decrease from 49.2% in the year
ended December 31, 2022. We believe the decrease is primarily attributable to our new salon developments in the
Kansai region.
Factors Impacting our Operating Results
We expect that our results of operations will be affected by a number of factors and will primarily depend on the
global economy, issues related to the COVID-19 pandemic in Japan and elsewhere, general market conditions,customer preference, and the competitive environment.
Our revenues, operating results and financial performance are impacted by a multitude of factors, including, but
not limited to:Business Environment. According to the 2022 Yano Report, the relaxation market continues to see industry
consolidation and notable category entrants from athletic and personal training services, and body stretching. We
believe that market share will be further transferred to the category leaders in the industry, as smaller, private
operators sell their businesses for retirement and/or market competition reasons, which industry trends, as we
believe, may benefit us if realized.
Cost of Services. The cost of service of relaxation business has been increasing. In our relaxation business, a
substantial majority of our personnel are paid wages at or close to the statutory minimum wage. For the past decade,such minimum wage has been continuously increasing throughout Japan. In 2012, the minimum wage in Tokyo was
JPY850 (US$6.03), but had to risen to JPY1,072 (US$7.61) as of December 31, 2022, according to the Ministry of
Health, Labor and Welfare. The trend continued in 2023. The minimum wage in Tokyo increased by 3.8% to
JPY1,113 (US$7.90) as of December 31, 2023.
In addition, we are facing inflationary trends in general prices, including utility costs, due to factors such as geopolitical developments and the recovery of the Japanese economy. We have updated our service prices as part of a64

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renewal of our primary service lines in order to deal with such increased costs, as well as to adjust to the long-term
trend of minimum wage increases. After testing the renewal and new pricing structure at six of our directly-operated
salons beginning in October 1, 2022 to confirm market acceptance, we implemented the service line renewal andnew pricing at all of our directly-operated salons under the Re.Ra.Ku brand, excluding all but one salon in the
Kansai region. We also expanded the service line renewal and new pricing to a few franchised salons. In addition,
we increased service prices at all of our Ruam Ruam branded salons in April 2023.
Update of Business Model. Since the fourth quarter of 2021, we have sought to become more asset-light by
selling our owned salons to third-party investors and continue to operate these sold salons on behalf of the investors.
We believe this model will maximize the return on capital investment in our relaxation salon segment, acceleratesalon openings by reinvesting the proceeds from the sales of salons, improve operational efficiency by focusing on
salon operations, and generate additional income from the salons that were sold to investors and are under ourmanagement. In 2023, we sold 30 salons, after selling 19 salons in 2022.
Specific Health Guidance Program. In our Digital Preventative Healthcare Segment, we have been
continuously involved in the Specific Health Guidance Program, promoted by the Ministry of Health, Labor andWelfare of Japan, which utilizes our upgraded Lav® application. We have active subscription orders from 74
corporate insurance associations as of December 31, 2023, an increase from 64 as of December 31, 2022. The
number of users under the Specific Health Guidance Program was 2,389 as of December 31, 2023, an increase ofusers by 622 from 1,767 as of December 31, 2022. In addition, we began to provide similar services to members ofyounger generations who are employed at large corporations and are not eligible for the Specific Health Guidance
Program. We believe large-sized Japanese corporations are showing more interest in the health conditions of theirown employees. This trend benefited us by adding subscription orders from 12 corporate insurance associations as ofDecember 31, 2023 for their younger employees who were not previously covered by the Specific Health Guidance
Program.
A. Operating Results
Comparison of the Results for the Year Ended December 31, 2023 and December 31, 2022
(in thousands, except change % data andAdjusted EBITDA margin )Consolidated Statement of Operations:
Revenues:
Relaxation Salon
Luxury Beauty
Digital Preventative Healthcare

Year ended December 31,2023($)$

Total revenue
Cost of revenues and operating expenses:
Cost of revenues
Selling, general and administrative expenses
Impairment loss on long-lived assets
Total cost of revenues and operating expenses
Operating income (loss)2022(¥)

43,0024,029
1,422¥ 6,059,851
567,695
200,397¥ 5,972,913
594,761
386,383

48,453

6,827,943

6,954,057(895)

37,32013,912—

5,259,075
1,960,447—

5,051,600
1,805,490
—

1,472
1,100
—

7,219,522

6,857,090

51,232$

Change (2023 vs 2022)

2023(¥)(2,779)¥(391,579) ¥96,967

$
$

$

¥

617
(193)
(1,320)86,938(27,066)(185,986)

1.5 %(4.6)%(48.1)%(126,114)(1.8)%

207,475
154,957
—

4.1 %
8.6 %
—%

2,572

¥
¥
¥
¥

362,432

5.3 %(3,467)¥(488,546)(503.8)%—(4,961)(27,068)
413,678(52,255)—%(81.7)%
276.2 %—%
(60.4)%

329,394(125,236)

397.8 %—%

(33,916)(74,140)(22.8)%(19.5)%

Other income (expenses):Dividend income
Interest income
Interest expense
Gain from sales of salons
Other, net

—
8
(262)
2,936
243

2
1,111
(36,868)
413,678
34,2782
6,072(9,800)—86,533

—
(35)
(192)
2,936
(371)

Total other income
Income tax (benefit) expense

2,925
(670)

412,201(94,427)

82,80730,809

2,337
(889)

Net income (loss)
Adjusted EBITDA(1)Adjusted EBITDA margin
(1)

$

816
2,173

¥

115,049
306,324

4.5 %

4.5 %

¥

148,965
380,464

$

(241)
(526)

¥

¥
¥
¥

¥
¥
¥
¥
¥
¥
¥

5.5 %

For a reconciliation of Adjusted EBITDA to net loss, the most comparable U.S. GAAP measure, see thefollowing table.

65%(1.0)pt.

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Reconciliation of non-GAAP measures:(in thousands, except Adjusted EBITDA margin)
Net income (loss)$

Dividend income and interest income
Interest expense
Income tax expense (benefit)
Depreciation and amortization
Losses on sales of directly-owned salons to franchisees
Losses on disposal of property and equipment, net andother intangible assets, net
Impairment loss on long-lived assets
Stock-based compensation expense
Adjusted EBITDA
Adjusted EBITDA margin

816

Year ended December 31,2023(¥)¥
115,049

(8)
262
(670)
1,792
—

(1,113)36,868(94,427)
252,595—(6,074)9,800
30,809184,056—(19)(2,648)12,908

—
—

0
—

—
—

2023($)

$

2,173
4.5 %

¥

306,324
4.5 %2022(¥)
148,965¥¥

380,464
5.5 %Revenues
Revenues derived from our Relaxation Salon Segment were JPY6,059,851 thousand (US$43,002 thousand) inthe year ended December 31, 2023 and JPY5,972,913 thousand (US$42,385 thousand) in the year ended December
31, 2022.
The revenue from our Relaxation Salon Segment consists of revenue from directly-operated salons, revenue
from franchising, and other revenues. In the year ended December 31, 2023, our revenue from directly-operated
salons increased to JPY5,096,635 thousand (US$36,167 thousand) from JPY4,852,009 thousand (US$34,431
thousand) in 2022. Our revenue from franchising decreased to JPY922,550 thousand (US$6,547 thousand) from
JPY1,093,533 thousand (US$7,760 thousand) in 2022.
The primary factor for the increase in revenues from directly-operated salons between 2022 and 2023 wasincreased Sales per Customer. In 2022, our Sales per Customer (based on Salons with Data) were JPY6,627, ascompared to JPY6,852 in 2023, which we believe is primarily attributable to our new pricing introduced in 2023
and the promotion of value-added services. In addition, we sold 30 salons to third-party investors in 2023 under thesale-and-outsource business model.
The primary reason for the decrease in revenues from franchising was a decrease in the number of franchisedsalons. As of December 31, 2023, the number of franchised salons decreased to 96 from 113 salons as of December
31, 2022, due to our acquisitions of franchised salons and franchisees’ withdrawal from the business.
Our initial franchise fees and expected renewal franchise fees are recognized as revenue ratably over the
expected average franchising contract life (seven -10 years) on the opening date of the new franchised salons. In
addition, our revenue from franchise royalties includes revenues from recurring royalty income, rental income fromsubleased salon properties, construction of franchised salons, uniforms and training sales.
Revenue from our Digital Preventative Healthcare Segment decreased by JPY185,986 thousand (US$1,320
thousand) from JPY386,384 thousand (US$2,742 thousand) in 2022 to JPY200,397 thousand (US$1,422 thousand)in 2023. This decrease was primarily due to delay in the development of our REMONY® system and MOTHER
Gateway device, with which corporate customers can benefit from our SDK open policy and monitor healthconditions of a large number of MOTHER Bracelet® users, partially offset with an increase in the number ofparticipants in the Health Guidance Program and launch of Lav® app services.
Revenue from our Luxury Beauty Segment was JPY567,695 thousand (US$4,029 thousand) in 2023, a decrease
from JPY594,761 thousand (US$4,512 thousand) in 2022. The primary reason for this decrease was that ZACC’s
total number of customers served decreased from 41,548 in 2022 to 36,883 in 2023. This decrease was primarily due
to the resignation of one our top stylists in February 2023. Since most of our customers designate their stylists, oncea stylist who has a strong network of customers resigns from a salon, the salon loses most of such stylists’customers. In addition, in addition to the stylist’sresignation, our number of stylists at ZACC salons decreased from29 at the end of 2022 to 26 at the end of 2023. Such a decrease in the number of stylists reduced our capacity toserve customers. In order to recover the lost customer base, we made an effort to foster assistants and promote themto stylists more quickly. Nevertheless, we could not fully replace the number of lost customers with increase incustomers who designate existing stylists or newly designate the newly promoted stylists. On the other hand, our66Table of Contents

revenue per customer at ZACC salons increased from JPY14,307 (US$102) in 2022 to JPY15,331 (US$109) in2023.
We are still in the process of improving the current situation by hiring additional talented assistants who webelieve have the potential to be top stylists, and training existing stylists to better promotethemselves via social
networking services such as Instagram.
As a result of the foregoing, our total revenues were JPY6,827,943 thousand (US$48,453 thousand) in the year
ended December 31, 2023 as compared to JPY6,954,057 thousand (US$49,348 thousand) in the year ended
December 31, 2022.
Cost of Revenues
For the year ended December 31, 2023 and 2022, the cost of revenues was JPY5,259,075 thousand (US$37,320
thousand) and JPY5,051,600 thousand (US$35,847 thousand), respectively. The increase was primarily due to anincrease in the cost of operation of salons outsourced from investors corresponding to an increased number ofinvestor-owned salons, an increase in payroll of our salon staff and an increase in outsourcing costs of contractbased therapists, partially offset by decreased cost of franchising due to a decrease in the number of franchisees anddecreased unit costs of the MOTHER Bracelet® due to a decrease in the number of MOTHER Bracelet® units sold.
The cost of revenues as a percentage of total revenues was 77.0% during the year ended December 31, 2023 and72.6% during the year ended December 31, 2022.
The cost of revenue from directly-operated salons increased by JPY452,190 thousand (US$3,209 thousand)from JPY4,129,240 thousand (US$29,302 thousand) in the year ended December 31, 2022 to JPY4,552,408
thousand (US$32,305 thousand) in the year ended December 31, 2023. The cost of revenue from franchising
activities decreased by JPY122,403 thousand (US$868 thousand) from JPY645,733 thousand (US$4,582 thousand)in the year ended December 31, 2022 to JPY523,330 thousand (US$3,714 thousand) in the year ended December 31,
2023.
Selling, General, and Administration Expenses
For the years ended December 31, 2023 and 2022, the selling, general, and administration expenses were
JPY1,960,447 thousand (US$13,911 thousand) and JPY1,805,490 thousand (US$12,812 thousand), respectively.
Selling, general, and administration expenses as a percentage of total revenues in the years ended December 31,
2023 and 2022 was 28.7% and 26.0%, respectively. The increase in 2023 was primarily due to increase inprofessional fees, increase in advertising and promotion expenses, and increase in payroll.
Impairment Loss on Long-lived Assets
We did not recognize impairment loss on long-lived assets for either of the years ended December 31, 2023 and2022.
Interest Expense
Interest expense increased from JPY9,800 thousand (US$70 thousand) in 2022 to JPY36,868 thousand (US$262
thousand) in 2023, primarily due recognition of interest for a full year with respect to the JPY500,000 thousand(US$3,548 thousand) convertible bonds issued to Kufu Company Inc. in December 2022.
Gain from Sales of Salons
We newly started to recognize gain from sales of salons in 2023, due to change of accounting policies for thesales of salons to the investors from whom we also purchased previously sold salons back and settled the sales andpurchase-back cosiderations without cash. We excluded such transactions from revenue from sales of salons in 2023.
The gain from sales of salons was JPY413,678 thousand (US$2,936 thousand).

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Other Income—Net
Total other income decreased by JPY52,255 thousand (US$371 thousand) to JPY34,278 thousand (US$243
thousand) in the year ended December 31, 2023 from JPY86,533 thousand (US$614 thousand) in the year ended
December 31, 2022. The decrease in other income was primarily due to an decrease in miscellaneous gains lessmiscellaneous losses.
Income Tax (Benefit) Expense
Income tax benefit for 2023 was JPY94,427 thousand (US$670 thousand), compared to an income tax expenseof JPY30,809 thousand (US$219 thousand) in 2022. In 2023, we reorganized our corporate structure and Medirom
began to be able to utilize its loss carryforward on a standalone basis with more stabilized sources of earnings due tothe reorganization. Based on that, our recognition of valuation allowance over our deferred tax assets of JPY625,615
thousand (US$4,440) was partial, resulting in net deferred tax assets of JPY101,636 thousand (US$721 thousand) asof December 31, 2023, compared to full valuation allowance of JPY742,122 thousand (US$5,630 thousand) against
our deferred tax assets as of December 31, 2022.
Net Income and Adjusted EBITDA
Our consolidated net income in the year ended December 31, 2023 was JPY115,049 thousand (US$817
thousand), or 1.6% of our consolidated revenue, while our consolidated net income for the year ended December 31,
2022 was JPY148,945 thousand (US$1,057 thousand), or 2.1% of our consolidated revenue, as a result of the key
factors described above. Our Adjusted EBITDA decreased from JPY380,464 thousand (US$2,700 thousand) to
JPY306,324 thousand (US$2,173 thousand), resulting in a decrease in Adjusted EBITDA margins from 5.5% in2022 to 4.2% in 2023.
Comparison of the Results for the Year Ended December 31, 2022 and December 31, 2021
For a discussion of our results of operations for the fiscal year ended December 31, 2022 compared with thefiscal year ended December 31, 2021, see “Item 5. Operating and Financial Review and Prospects—A. Operating
Results” from our Annual Report on Form 20-F for the fiscal year ended December 31, 2022, as filed with the SEC
on May 30, 2023.
B. Liquidity and Capital Resources
Liquidity is a measure of our ability to meet potential cash requirements. As of December 31, 2023, we had cash
and cash equivalents of JPY106,347 thousand (US$755 thousand). We have generally funded our operations withcash flow from operations and sales of relaxation salons, and, when needed, with borrowings from Japanesefinancial institutions and other debt or equity financings. Our principal uses for liquidity have been to funddevelopment of new salons, acquisitions of salons or relaxation businesses from franchisees or third parties, ourdaily operations, and general working capital purposes. In order to accelerate our growth strategy, particularly
through the development of our new businesses, acquisitions of franchised or third-party relaxation salons, and/ororganic development of new salons, and to fund our general working capital, we plan to continuously sell our
existing salons to investors under the new operating model as described in “Our Growth Strategy” in Item 4.
Information on the Company.
Going Concern
We expect that our cash and cash equivalents as of December 31, 2023 of JPY106,347 thousand (US$755
thousand) will not be sufficient to fund our operating expenses, capital expenditure requirements, and debt service
obligations for the 12 months following the issuance date of the audit opinion for the financial statements containedin this annual report and that we will require additional capital. These conditions, among others, raise substantial
doubt about our ability to continue as a going concern. Management believes that we will be able to generate cash in
the short-term through the sales of certain of our owned salons, which represented approximately 40% of the total
number of our salons as of December 31, 2023. In 2023, we generated a total revenue of JPY1,450,500 thousand(US$10,293 thousand) from selling our company-owned salons or reacquiring and reselling previously sold salons toother investors at higher prices. From January 2024 to April 2024, we entered into 12 salon sales agreements withinvestors for aggregate gross contractual value of JPY546,000 thousand (US$3,875 thousand), or net proceeds of68

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JPY496,000 thousand (US$3,520 thousand). We have identified additional owned salons for sale in 2024, and are
currently marketing them to investors. We believe this model will provide upfront capital as well as maximize thereturn on capital investment in our relaxation salon segment, accelerate salon openings by reinvesting the proceedsfrom the sales of salons, and generate additional income from the salons that were sold to investors and are undermanagement by us.
In addition, in 2023, we newly entered into two loan agreements with two major banks in Japan with anaggregate borrowing amount of JPY400,000 thousand (US$2,838 thousand). In March 2024, upon the expiration of
one of the two borrowings, we refinanced the expiring portion, which had an amount of JPY200,000 thousand(US$1,419 thousand), and entered into an additional borrowing of JPY100,000 thousand (US$710 thousand).
Furthermore, in May 2024, upon expiration of the other borrowing, we successfully refinanced the expiring portion
for one year until May 30, 2025. We may also consider additional financings through the issuance and sale of ourcommon shares or through other equity or debt financings, and we may also look into refinancing our existing debt
obligations. However, there can be no assurances that we will be successful in securing any debt or equity financing
on terms favorable to us, or at all, and it is not possible to predict whether any financing efforts will be successful orif we will obtain the necessary financing.
For more information, see “Going Concern and Liquidity” in Note 1: Basis of Presentation and Summary of
Significant Accounting Policies to our audited consolidated financial statements for the years ended December 31,
2023, 2022 and 2021 included elsewhere in this annual report.
Cash FlowsThe following table sets forth a summary of our cash flows for the periods indicated.
(in thousands)
2023($)Net income (loss)$
816
Net cash used in operating activities(4,483)
Net cash (used in) provided by investing activities(2,332)
Net cash provided by (used in) financing activities
3,273
Net (decrease) increase of cash and cash equivalents during the period(3,542)
Cash and cash equivalents at beginning of period$
4,296
Cash and cash equivalents at end of period$
754

Year ended December 31,2023(¥)
2022(¥)
2021(¥)
115,049 ¥ 148,965 ¥ (990,731)(631,737)(685,697)(557,231)(328,576) ¥ 580,437 ¥ (83,936)
461,206
340,097(427,949)(499,107)
234,837(1,069,116)
605,454
370,617
1,439,733
106,347 ¥ 605,454 ¥ 370,617

Operating Activities
Net cash used in operating activities decreased from JPY(685,697) thousand (US$(4,866) thousand) in the year
ended December 31, 2022 to JPY(631,737) thousand (US$(4,483) thousand) in the year ended December 31, 2023.
The primary factors for the decrease were accelerated cash collection from accounts receivable-trade, net, andincreased non-cash expenses of depreciation and amortization for amortization of store operating rights for salonsreacquired, offset by an increase in gains from sales of salons, which were reclassified as cash provided byinvestment activities due to an increased amount of sales of salons.
Net cash used in operating activities increased from JPY(557,231) thousand (US$(3,954) thousand) in the year
ended December 31, 2021 to JPY(685,697) thousand (US$(4,866) thousand) in the year ended December 31, 2022,
primarily due to reclassification of gain from sales of directly-owned salons, increase in accounts receivable-trade,net, increase in accounts receivable-other, net, decrease in advances received, and increase in prepaid expenses andother current assets, partially offset by increase in accrued expenses, and decrease in contract liabilities.
Investing Activities
Net cash provided by investing activities was JPY580,437 thousand (US$4,119 thousand) in the year ended
December 31, 2022 as compared to to net cash used in investing activities of JPY(328,576) thousand (US$(2,332)
thousand) in the year ended December 31, 2023. The primary uses of cash for investment activities were acquisitionsof intangible assets for reacquisitions of salons from investors and franchisees, development of internally usedsoftware (for our Digital Preventative Healthcare Segment, Re.Ra.Ku PAY, our point of sale system and reservation
website, and back-office functions), and acquisitions of property and equipment for the development of new salons,molds for MOTHER Bracelet®, and back-office facilities.

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The total amount of capital investments made in the year ended December 31, 2023 was JPY925,112 thousand(US$6,565 thousand). The main investments were JPY711,021 thousand (US$5,046 thousand) for repurchase ofsalon assets from investors, JPY135,840 thousand (US$964 thousand) for acquisitions of property and equipment,
and JPY75,157 thousand (US$533 thousand) for cost additions for internal use software.
Net cash used in investing activities was JPY(83,936) thousand (US$(596) thousand) in the year ended
December 31, 2021 as compared to net cash provided by investing activities of JPY580,437 thousand (US$4,119
thousand) in the year ended December 31, 2022. The increase in net cash provided was primarily due to an increasein proceeds from sales of salons reclassified from cash provided by operating activities to cash provided byinvestment activities, partially offset by acquisition of tangible and intangible salon assets, and cost additions ofinternal use software.
The total amount of capital investments made in the year ended December 31, 2022 was JPY314,501 thousand(US$2,232 thousand). The main investments were JPY268,740 thousand (US$1,907 thousand) for acquisitions ofsalon assets and JPY45,761 thousand (US$325 thousand) for cost additions for internal use software.
Conversion of Convertible Note with Matrix into Series A Shares
On February 3, 2021, we purchased a convertible note issued by Matrix Industries, Inc. (“Matrix”) for
JPY52,520 thousand (US$398 thousand). The convertible note was issued to us in connection with financing thefurther development and manufacturing of certain modules of the MOTHER Bracelet®. The convertible note was
unsecured, had an initial maturity of six months, and accrued interest at a rate of 5.0% per annum. On April 26,
2023, the convertible note was converted into shares of Matrix’s series A preferred stock.
Financing Activities
Net cash provided by financing activities increased from JPY340,097 thousand (US$2,413 thousand) in 2022 to
JPY461,206 thousand (US$3,273 thousand) in the year ended December 31, 2023. The primary factors for theincrease were that proceeds from new borrowings from Japanese banks (less repayments of borrowings) andproceeds from sales of subsidiary shares in 2023, which exceeded the proceeds from issuance of convertible bonds(less repayments of borrowings) in 2022.
Net cash used in financing activities was JPY(427,949) thousand (US$(3,037) thousand) in 2021, as comparedto net cash provided by financing activities of JPY340,097 thousand (US$2,413 thousand) in the year ended
December 31, 2022. The primary factor for the increase in net cash provided was proceeds from the issuance of
convertible bonds, partially offset by repayments of short-term and long-term borrowings.
Business Loans
As of December 31, 2023, we have 17 business loans outstanding from seven Japanese financial institutions.
The balance on the outstanding principal as of December 31, 2023 was JPY1,052,234 thousand (US$7,467
thousand), with interest rates ranging from 0.20% to 3.30%, and a weighted average interest rate of 1.20%. The
loans mature at various dates through 2035. Our Chief Executive Officer and a director, Kouji Eguchi, is a guarantor
with respect to 8 of our 17 outstanding loans. Additionally, Kazuyoshi Takahashi, the representative director of
ZACC, is a personal guarantor of three of five outstanding loans for ZACC. None of the loan agreements containany material financial covenants, although certain of the government-sponsored loans set a limit on the total loan
amount we may borrow from other government-sponsored lenders. Additional information regarding our businessloans is included in Note 6 to our consolidated financial statements for the years ended December 31, 2023, 2022
and 2021 included elsewhere in this Annual Report.
In addition, we have a fundamental funding and treasury policy of (i) maintaining a balanced ratio of debt toequity, and (ii) aligning our repayment of loans with our cash flow from business. Our primary use of funds fromour loans is capital expenditures on newly opened directly-owned salons. Therefore, we have sought debt financing
with longer than three-year terms and equal monthly repayment amounts of principal and interest in order to alignour debt repayment schedule with our cash flows from our salon business operations. In order to avoid interest raterisk during the terms of the loans, we generally enter into borrowings with fixed interest rates, and accordingly do
not enter into hedging arrangements. Since our primary business operations are in Japan, our borrowings to datehave been made solely with Japanese financial institutions and in Japanese yen.

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Cash Commitments from Contractual and Other Obligations
Payments of contractual obligations and commitments will require considerable resources. In our ordinary
course of business, we routinely enter into commercial commitments and financial obligations for various aspects of
our operations. The following table sets forth the amount of our contractual obligations as of December 31, 2023.
(in thousands JPY)
Debt obligations
Operating lease obligations
Other obligations
Total

Total
1,151,217
2,192,493
10,227
3,353,937

Payments due by period:
Less than 1 year
1-3 years
96,895
777,497783,761
1,189,654
1,950
5,850
882,606
1,973,001

More than 3 years
276,825
219,078
2,427
498,330

C. Research and Development, Patents and Licenses, etc.
Our research and development activities have been focusing on development of Lav® which is our on-demandhealth monitoring smartphone application, embedded software or smartphone application for our MOTHER
Bracelet®, and development of REMONY®, a centralized monitoring system through which health data generated
from MOTHER Bracelet® worn by end users can be collected and monitored by the faculty staff of hospitals,
nursing homes, and any other business clients. Costs and expenses in connection with these development activities
are capitalized as software assets, which are amortized over three years.
D. Trend Information
For a discussion of material trends, uncertainties and other events that are reasonably likely to have a material
impact on the Company, see “Operating Results” in Item 5.A. and “Liquidity and Capital Resources” in Item 5.B.
above.
E. Critical Accounting Estimates
Our consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make anumber of estimates and assumptions that affect the reported amounts and disclosures in the consolidated financial
statements. These estimates and assumptions affect the reported amounts of assets and liabilities and disclosure ofcontingent assets and liabilities at the date of the consolidated financial statements, and the reported amounts ofrevenues and expenses during the reporting period. We base our accounting estimates and assumptions on historicalexperience and other factors that we believe to be reasonable under the circumstances. However, actual results may
differ from those estimates. Our critical accounting policies are those that materially affect our consolidated
financial statements and are subject to complex judgment by our management.
Revenue Recognition
Revenues are recognized when control of the promised goods or services are transferred to the customers, in an
amount that reflects the consideration to which the company expects to be entitled in exchange for those goods orservices.
The Company determines revenue recognition through the following steps:
Step 1: identification of the contract with a customer;
Step 2: identification of the performance obligations in the contract;
Step 3: determination of the transaction price;
Step 4: allocation of the transaction price to the performance obligations in the contract;
Step 5: recognition of revenue when, or as, the Company satisfies a performance obligation.
Revenue from Directly-Operated Salons
Revenues from directly-operated salons (including sales in the Luxury Beauty segment) are recognized whenservices are provided at the salons. The promised services for directly-operated salons are the services ordered by
the end customer from the service menu. The services are provided in one appointment. Therefore, there is only one

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performance obligation. As the customer simultaneously receives and consumes the benefits of the relaxation
services, the revenue is recognized over time using the delivery output method.
Revenue from prepaid cards is recognized when the services are transferred. When value is added to a prepaid
card, the Company records a contract liability for its performance obligation to stand ready to transfer services in the
future (or transfer funds to franchisee who provides service). When the services or funds are transferred, itderecognizes the contract liability and correspondingly recognizes revenue net of any funds transferred tofranchisees. The Company expects to be entitled to a certain amount of breakage and recognizes revenue frombreakage proportionately to the redemptions exercised by the customer.
The Company also sells salons that it owns to third-party investors. Such investors are required to enter into
Service Agreements with the Company to allow it to manage the operations of the salons and the Company charges
a fee for the management services provided. As this is a recurring source of income for the Company as part of thelarger strategy for the relaxation salons segment, the sale of salons is considered part of the Company’s ongoing
major or central operations and thus ordinary activities for the Company. Therefore, the Company applies ASC 606
to these contracts. Revenue from the sale of directly-owned salons is comprised of the (i) transfer of the salon assets
and business rights and (ii) outsourced salon operation services. The revenue for the transfer of salon assets andbusiness rights is recognized at a point in time when the agreement is signed, and control is transferred to thecustomer. The consideration for the transfer of the salon is generally collected upfront. There is no significant
financing component. The proceeds from the transfer of the salon are presented as cash flows from investing
activities on the consolidated statements of cash flow to be consistent with how the cash outflows and inflows areclassified related to the salon’s purchase and sale. Revenue from the relevant Service Agreement is recognized over
the term of the agreement as services are provided. The customer benefits from the integrated service over thecontract term and each time increment is substantially the same. Therefore, the outsourced salon operations are
considered a “series” of distinct services and are treated as a single performance obligation. The term of the Service
Agreement is typically five years. Under the Service Agreement, the Company is reimbursed for the costs ofoperating the salon and will recognize revenue from the reimbursement of costs using the as-invoiced practical
expedient. Furthermore, the Company will receive a certain portion of the excess profit, which is considered variableconsideration. This success fee will be constrained until there is greater than 70% probability that there will be no
future reversal of revenue.
Franchise Revenue
Franchise revenue is comprised of (i) franchise fees, (ii) royalty income, (iii) staffing service revenue,(iv) sublease revenue, and (v) other franchise revenues. The Company and the franchisee enter into a franchise
agreement which sets forth the standard terms and conditions of operating the franchised salon, as well as the feesand royalties over the term of the agreement. In most cases, an outsourcing agreement is also entered into in
conjunction with the franchise agreement that specifies the terms of the sublease arrangement with the franchisee.
Upon the franchisee's request, the Company's therapists are dispatched to franchise locations and franchisees must
pay dispatch fees in accordance with the dispatched employees' position.
(i) Franchise fees
The Company receives the entire non-refundable initial franchise fees from the franchisee based on franchise
agreement. The franchise agreement typically has an initial term of five years. The services for operating the
franchised salon provided by the Company under franchise contract are not separately identifiable within thecontract, and are interrelated with the franchise right granted in the franchise agreement. As such the services are
considered to represent a single performance obligation. The franchise agreement could be renewed prior to
expiration by mutual consent and renewal franchise fees are paid by franchisee upon renewal of agreement. Initialfranchise fees and expected renewal franchise fees are recognized as revenue ratably using the time-based input
method over the expected average contract life (7-10 years), instead of the contract term, as there is a material right
related to renewals.
(ii) Royalty income
The Company collects royalties, an amount calculated by multiplying a certain percentage to gross sales, ona monthly basis. The royalties are subject to the sales- and usage-based royalties constraint and are recognized as72

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revenues based on the monthly royalty earned where such amount is determined on the basis of gross sales madefrom each salon.
(iii) Staffing service revenue
The Company also generates revenue from providing its therapists to franchisees, which are recognized asrevenues based on the total number of working hours of the agency worker during the dispatched period. The
Company has elected the 'as-invoiced' practical expedient for its staffing services where the fixed rate per hour isinvoiced to the customer.
(iv) Sublease revenue
The Company leases the premises in which the majority of its franchisees operate, where the Company retains
the head lease primary obligation, and has entered into corresponding sublease arrangements with franchisees.
Revenues from sublease transactions with franchisees are recognized on a straight-line basis over the respective
operating lease terms, or at the time of the underlying sales for variable lease payments, in accordance withAccounting Standards Codification ("ASC") 842 Leases ("ASC 842").
(v) Other franchise revenues
Other franchise revenues include other services provided to franchisees separately from the franchise
agreements and include advertising, training, studio construction and hiring support. These services are primarily
recognized as revenues when services are provided. The Company has elected the 'as-invoiced' practical expedientfor its studio construction services where the consideration is invoiced to the customer.
Other Revenues
Other revenues are primarily from the Digital Preventive Healthcare segment, which includes revenues fromserving implementation of health and wellness programs (Specific Health Guidance Program), as well as wearable
device service (MOTHER Bracelet®), and are recognized when services are provided or the ownership of products
are transferred. The Company offers standard assurance-type warranties for its MOTHER Bracelet® which are notaccounted for as a separate performance obligation and do not contain acceptance clauses.
See Note 13 to the consolidated financial statements under Item 18 for further disclosures required under ASC
606.
Revenue is recognized net of consumption tax collected from customers and subsequently remitted togovernmental authorities.
LeasesThe Company considers whether a contract is a lease or if it contains a lease element when a contract is
executed. If a contract conveys the right to control the use of the identified asset for a period of time in exchange forconsideration, such contract is determined to contain a lease element. When the contract contains a lease element, alease is either classified as operating lease or finance lease when the Company is a lessee, and a sales-type lease or
direct financing lease when the Company is a lessor.
The Company, as a lessee, applies the right-of-use model to account for lease transactions. Under the right-ofuse model, right-of-use asset and lease liability are recognized at commencement date. The Company measures its
lease liability at present value of future lease payments over the remaining term. The Company uses its incremental
borrowing rate for the discount rate to calculate the present value of the payments since it is difficult and notpractical to determine the interest rate implicit in the lease. The Company’s incremental borrowing rate is the rate ofinterest that a lessee would have to pay to borrow on a collateralized basis over a similar term an amount equal to thelease payments in a similar economic environment. Right-of-use asset is initially measured as the initial amount of
the lease liability, plus any lease payments made to the lessor before the lease commencement date, plus any initial
direct costs incurred, minus any lease incentives received. When the Company determines a lease term, if a lease
contract contains an option to extend its lease term, the Company is reasonably certain to exercise such option. Thisis mainly due to the severe economic loss the Company may face for not exercising the right of extension, such as

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recognizing impairment loss of attached facilities and loss resulting from failure to receive the franchise fee
originally obtainable. Therefore, the lease term includes the extended term if the option to extend is exercised. Initiallease terms are generally between 3 and 10 years.
For operating leases, the Company recognizes the minimum lease payments where it is the lessee and theminimum lease income where it is the lessor on a straight-line basis over the lease term, and reflects them as rental
expenses and rental revenues, respectively, in the consolidated statements of operations. The Company elected toseparate lease and non-lease components and not to recognize leases with an initial term of 12 months or less.
Operating rental expense includes amortization of right-of-use assets and interests on lease liability. Variable
lease expenses are primarily linked to sales and are excluded from the measurement of lease liability.
Rental expenses are recorded in the consolidated statements of (loss) income based on the nature of theunderlying lease. Rental expense related to leases for directly-operated salons and for leased properties that aresubsequently subleased to franchisees are recorded to “Cost of revenues,” and rental expense related to leases forcorporate offices is recorded to “selling, general and administrative expenses.”
Rental income for operating leases on properties subleased to franchisees is recorded to “Franchise revenue”.
Terms and conditions of the sublease agreements are arranged to pass through lease obligations under head leases tothe franchisees. Sublease income is presented on a gross basis on the accompanying consolidated statements ofincome, as the Company remains the primary obligor.
For newly executed contracts, renewal and revision related to leases, estimates and certain assumptions are used
to determine asset value, useful lives, discount rate, lease term, etc. and these have effects on (1) classification oflease, (2) measurement of rental payments and (3) measurement of lease asset. These results may differ if varying
estimates and assumptions are used.
Impairment of Long-lived Assets, Excluding Goodwill
The Company assesses impairment of long-lived assets at the individual salon level, as this is the lowest level
for which identifiable cash flows are largely independent of other groups of assets and liabilities. Long-lived assets
include property and equipment, right-of-use lease assets, internal use software, and definite-lived intangible assets.
The Company reviews the carrying value of long-lived assets for impairment whenever events or circumstances
occur that indicate that the carrying value of the assets may not be recoverable. The assets are considered to be
impaired when the estimated undiscounted cash flows expected to result from the use of the assets and their eventual
disposition are less than their carrying values. The impairment loss is measured as the amount by which the carrying
value of the asset or asset group exceeds its fair value. In determining the fair value, the Company uses present value
techniques, if appropriate, based on the estimated future cash flows expected to result from the use of the assets andtheir eventual dispositions. During 2023, we recognized no impairment loss of long-lived assets.
Income Taxes
Deferred income taxes reflect the impact of temporary differences between assets and liabilities recognized forfinancial reporting purposes and such amounts recognized for tax purposes and tax loss carryforwards. Thesedeferred taxes are measured using the currently enacted tax rates in effect for the year in which the temporary
differences or tax loss carryforwards and tax credits are expected to reverse.
Valuation allowances are provided against deferred tax assets when it is more likely than not that a tax benefit
will not be realized. The Company considers all available evidence (both positive and negative) when determining
whether a valuation allowance is required, with emphasis on its past operating results, the existence of cumulative
losses in the most recent years and its forecast of near-term taxable income. The Company recognizes the financial
statement effect of uncertain tax positions when it is more likely than not, based on the technical merits, that the tax
positions will be sustained upon examination by the tax authorities. Benefits from tax positions that meet the morelikely-than-not recognition threshold are measured at the largest amount of benefit that is greater than 50%
likelihood of being realized upon settlement. Accrued interest and penalties related to the unrecognized tax benefits
are included in income tax benefit in the consolidated statements of operations.

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Acquisitions
The Company evaluates acquisitions of assets and other similar transactions to assess whether or not thetransaction should be accounted for as a business combination or asset acquisition by first applying a screen test to
determine if substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset
or group of similar identifiable assets. If the screen is met, the transaction is accounted for as an asset acquisition. If
the screen is not met, further determination is required as to whether or not we have acquired inputs and processes
that have the ability to create outputs which would meet the definition of a business. Significant judgment is requiredin the application of the screen test to determine whether an acquisition is a business combination or an acquisitionof assets.
If an acquisition is determined to be a business combination, the assets acquired and liabilities assumed arerecorded at their respective estimated fair values at the date of the acquisition. Any excess of the purchase price overthe estimated fair values of the identifiable net assets acquired is recorded as goodwill.
If an acquisition is determined to be an asset acquisition, the cost of the asset acquisition, including transaction
costs, are allocated to identifiable assets acquired and liabilities assumed based on a relative fair value basis. If thecost of the asset acquisition is less than the fair value of the net assets acquired, no gain is recognized in earnings.
The excess fair value of the acquired net assets acquired over the consideration transferred is allocated on a relative
fair value basis to the identifiable net assets (excluding non-qualifying assets).
Determining estimated fair value requires a significant amount of judgment and estimates. If assumptions
change or errors are determined in our calculations, the fair value could materially change resulting in a change ingoodwill or identifiable net assets acquired.
Recently Adopted Accounting Pronouncements
Credit Losses
In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments—Credit Losses (Topic 326):
Measurement of Credit Losses on Financial Instruments, which requires measurement and recognition of expectedcredit losses for financial assets measured at amortized cost, including accounts receivable, upon initial recognitionof that financial asset using a forward-looking expected loss model, rather than an incurred loss model. In November
2019, the FASB issued ASU No. 2019-10, Financial Instruments—Credit Losses (Topic 326), Derivatives andHedging (Topic 815), and Leases (Topic 842). The standard defers the effective dates of ASU 2016-13 for SEC
filers that are eligible to be smaller reporting companies, non-SEC filers and all other companies. As a result, Topic
326 is effective for interim and annual reporting periods beginning in 2023. The adoption of this standard did nothave a material effect on our financial position or results of operations.
Recently Issued Accounting Pronouncements Not Yet Adopted
Disclosure Improvements
In October 2023, the FASB issued ASU No. 2023-06, Disclosure Improvements-Codification Amendments in
Response to the SEC’s Disclosure Update and Simplification Initiative. This new standard modified the disclosure
and presentation requirements of a variety of codification topics by aligning them with the SEC’s regulations. ASU
2023-06 will become effective for each amendment on the effective date of the SEC's corresponding disclosure rulechanges. The Company is currently evaluating the impact on its consolidated financial statements.
Segments
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280), Improvements toReportable Segment Disclosures. The new standard requires enhanced disclosures about segment information andsignificant segment expenses. It does not change how a public entity identifies its operating segments. ASU 2023-07
is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning
after December 15, 2024, with early adoption permitted. The new standard should be applied retrospectively to allprior periods presented in the financial statements. The Company is currently evaluating the impact on its
consolidated financial statements.

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Income Taxes
In December 2023, the FASB issued 2023-09, Income Taxes (Topic 740), Improvements to Income Tax
Disclosures. The new standard requires public business entities to disclose information about income taxes paid,
specific categories in the rate reconciliation, and additional information for reconciling items that meet a quantitative
threshold. The guidance should be applied on a prospective basis. For public business entities, ASU 2023-08 is
effective for fiscal years beginning after December 15, 2024, with early adoption permitted. For all other entities, thestandard is effective for annual periods beginning after December 15, 2025. The Company is currently evaluating
the impact on its consolidated financial statements.
ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES
A. Directors and Senior Management
The following table sets forth the names, ages and positions of our executive officers and members of our boardof directors and of our board of corporate auditors as of the date of this annual report. The business address of all of
persons identified below is 2-3-1 Daiba, Minato-ku, Tokyo 135-0091, Japan.
Name

Age

Position(s) with our Company

Kouji Eguchi
50
Chief Executive Officer and Representative Director
Fumitoshi Fujiwara
58
Chief Financial Officer and Director
Akira Nojima
59
Independent Director
Tomoya Ogawa
47
Independent Director
Tsukasa Karyu*
68
Corporate Auditor
Osamu Sato*
63
Corporate Auditor
Toshiaki Komatsu*
50
Corporate Auditor* Members of our statutory Board of Corporate Auditors are not members of our Board of Directors.
Biographical Information
The following is a summary of certain biographical information concerning our executive officers, directors,
and corporate auditors.
Kouji Eguchi. Mr. Eguchi is the founder of our Company and has served as our Chief Executive Officer andas the representative director since our inception. Prior to founding our Company, he served as the head of theinternet division at Carchs Co., Ltd (formerly Jac Holding Co., Ltd.) from April 1998 to April 1999, and as a board
member of a subsidiary of Jac Holding Co., Ltd. from 1998 to 2002. Mr. Eguchi has also served as a director of the
Association of Japan Relaxation Industry since 2010. Mr. Eguchi received a Bachelor of Science degree in Marine
Science and Technology from Tokai University.
Fumitoshi Fujiwara. Mr. Fujiwara has served as our Chief Financial Officer and a director on our board of
directors since March 2017. Mr. Fujiwara founded Eaglestone Capital Management and has served as its Chief
Executive Officer since 2009, and founded Linden Capital Partners LLC and has served as its Managing Partner
since 2023. Prior to Eaglestone, Mr. Fujiwara founded AC Capital Inc., a private equity company, in 2003. During
his time at AC Capital, Mr. Fujiwara was instrumental in raising JPY20 billion of investment in Tully’s Coffee
Japan leading up to its initial public offering, and also served as a representative director of AC Capital Inc. from
June 2002 to June 2009. Prior to AC Capital, Mr. Fujiwara founded Star Capital Partners, Inc. in 2000 and served as
its Chief Executive Officer until October 2001. Prior to Star Capital Partners, Mr. Fujiwara served as an executive
partner and director of Spiralstar Japan, Inc. from October 2000 to October 2001. Prior to Spiralstar Japan, Mr.
Fujiwara founded other companies and also held numerous positions at Shuwa Corporations and Koei Tecmo
Holdings Co., Ltd. (formerly Koei Co. Ltd.), including those in the finance, real estate and investor relations
departments. Mr. Fujiwara served as a director of the Japanese Association of Turnaround Professionals from 2003
to 2018, and also as an absentee director at Due Diligence Meister Inc., from October 2000 to March 2009. Mr.
Fujiwara received a Bachelor of Arts degree in Law from Meiji Gakuin University.
Akira Nojima. Mr. Akira Nojima is an independent director and has served on our board of directors sinceApril 2020. Mr. Nojima is also currently the Chief Executive Officer of No Track Inc. He is concurrently a professor

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at May Ushiyama Academy’s Hollywood Graduate School, teaching courses including management strategy ofbeauty salon, creative business theory, salon marketing theory, and bridal business theory. Prior to his current
positions, Mr. Nojima worked at Recruit Holdings Co., Ltd. (formerly known as Recruit Co., Ltd.) for 27 years,
where he held various positions, including officer in charge of education and learning, branch office president, andmedia production manager. Mr. Nojima has served as the vice president of Japan Cosmetic Licensing Association
and a director of Academy of Beauty Business. Mr. Nojima holds the national license of career consultant and hasreceived the Global Career Development Facilitator (Japan) credential. He is also a licensed workers’ health andsafety manager in Japan. Mr. Nojima received a Bachelor of Arts degree in Law from Meiji Gakuin University.
Tomoya Ogawa. Mr. Ogawa is an independent director and has served on our board of directors since March
2014. Mr. Ogawa has diverse professional experience, including serving as the general manager of corporate
planning at DeNA Inc. from 2010 to 2014, an attorney at the Abe, Ikubo & Katayama Law Firm from 2007 to 2010,
and as a management consultant at Monitor Group from 2001 to 2004. Mr. Ogawa served as a director of Akatsuki
Inc. until June 2020 and has been serving as an outside director of iSGS Investment Works Inc. since 2016. Mr.
Ogawa currently serves as the CEO of Kreation Inc. Mr. Ogawa received a Juris Doctor degree from Hitotsubashi
University School of Law, and a Bachelor of Arts degree in Economics from the University of Tokyo.
Tsukasa Karyu. Mr. Karyu has served as a corporate auditor of our Company since May 2018. Mr. Karyu
founded the Karyu Tsukasa Tax Advisor Office in 2016, where he has been serving as outside tax advisor andproviding tax related accounting services to various companies in Japan. Prior to founding Karyu Tsukasa Tax
Advisor Office, he held various positions, including as Chief Tax Counselor at the Tokyo National Tax Bureau andits tax offices for 42 years until his retirement in 2016. Mr. Karyu received a Bachelor of Business and Commerce
degree from Senshu University.
Osamu Sato. Mr. Sato has served as a corporate auditor of our Company since March 2014. Mr. Sato has
served as a professor, director and research manager at Aoyama Gakuin University’s School of Business since April
1997. Prior to Aoyama Gakuin University, Mr. Sato was an assistant professor at Aomori Kouritsu University’s
Economics Department from April 1993 to March 1997, and an assistant professor at Meijo University’s
Commercial Science Department from 1991 to 1993. Mr. Sato has served as an outside director of Sanko TechnoCo., Ltd., a Japanese company publicly listed on the Tokyo Stock Exchange, and as a non-executive corporate
auditor of I.G.M. Holdings Inc. and Associa Small Amount and Short-Term Insurance Inc. Mr. Sato received aDoctor of Philosophy degree in Economics and Management from Tohoku University.
Toshiaki Komatsu. Mr. Komatsu was elected as a corporate auditor of our Company at the Ordinary General
Meeting of Shareholders on March 29, 2021. Previously, Mr. Komatsu worked for Fujitsu Limited, and founded
Photocreate Co., Ltd. In 2020. Currently, Mr. Komatsu serves as the chairman of the board of directors at
Photocreate Taiwan Corp. Mr. Komatsu received a Master of Science from Graduate School of Engineering Science,
Osaka University.
There is no family relationship among any of the directors, corporate auditors and officers. There is noarrangement or understanding among any of our directors and corporate auditors or any other person pursuant towhich our directors and corporate auditors are appointed.
Board Diversity
On August 6, 2021, the SEC approved NASDAQ’s proposal to amend its listing standards to encourage greaterboard diversity and to require board diversity disclosures for NASDAQ-listed companies. Pursuant to the amended
listing standards, our Company, as a “foreign private issuer” with a board of directors of five or fewer members, isrequired to have at least one diverse board member or explain the reasons for not meeting this objective by the endof 2022. The table below provides certain demographic information regarding our current board of directors. To see

77Table of Contents

our Board Diversity Matrix as of April 1, 2023, please see our Annual Report on Form 20-F filed with the SEC on
May 30, 2023.
Board Diversity Matrix (As of April 1, 2024)
Country of Principal Executive Offices
Japan
Foreign Private Issuer
Yes
Disclosure Prohibited under Home Country Law
No
Total Number of Directors
4
Female Male Non-Binary Did Not Disclose GenderPart I: Gender Identity
Directors—
4——
Part II: Demographic Background
Underrepresented Individual in Home Country—
Jurisdiction
LGBTQ+—
Did Not Disclose Demographic Background—
While we have not adopted a formal board diversity policy, we are mindful of the benefit that diversity canprovide in maximizing the effectiveness and decision-making abilities of our board. In this regard, we are committed
to increasing diversity on our board. In searches for new director candidates, we will consider the level of diversity,
including representation of underrepresented individuals and female representation, on the board, which will be oneof several factors used in the search process. Further, we will continuously monitor the level of diversity and recruit
qualified diverse candidates, including underrepresented individuals and/or female candidates, as part of our overall
recruitment and selection process to fill openings, as the need arises, through vacancies, growth or otherwise.
B. Compensation
Compensation of our Directors and Corporate Auditors
In accordance with the Companies Act and our articles of incorporation, the amount of compensation for our
directors and corporate auditors is decided by first setting the maximum amount of total compensation for all of ourdirectors and corporate auditors through a resolution adopted by our shareholders at a shareholders meeting. The
representative director authorized by our board of directors and our board of directors then decide on the amount ofcompensation for each director based on certain criteria established by our Company, and the amount ofcompensation for each corporate auditor is decided through discussions among the corporate auditors.
In December 2016, our shareholders approved an aggregate compensation allowance of no more than
JPY200,000,000 per year for our directors, and no more than JPY50,000,000 per year for our corporate auditors.
Remuneration to our directors and corporate auditors is comprised of base compensation and stock options. In
the fiscal year ended December 31, 2023, we paid an aggregate of approximately JPY52,148 thousand (US$370
thousand) to our directors, and an aggregate of approximately JPY5,400 thousand (US$38 thousand) to our
corporate auditors. We did not grant stock options or provide discretionary bonuses during the fiscal year ended
December 31, 2023. We have not set aside pension, retirement, or other benefits for our directors, corporate auditors
or executive officers. None of the members of our board of directors is party to a service contract with us or any of
our subsidiaries that provides for benefits upon termination of service.

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The following table summarizes the total amount of remuneration paid to each category of our directors andcorporate auditors in fiscal year 2023, including by the type of remuneration and the number of persons in eachcategory.
Number ofCategory of directors and corporate auditors

Total amountof
remuneration

Base compensation

Executive directors(1)Outside directors(2)Full-time corporate auditors(3)Outside corporate auditors(4)

¥
¥
¥
¥

¥
¥
¥
¥

(in thousands, except stock options and number of persons in category)

48,998
3,150
3,300
2,100

persons

48,998
3,150
3,300
2,100

in category

2
2
1
2

(1)

Consist of Messrs. Kouji Eguchi and Fumitoshi Fujiwara.

(2)

Consist of Messrs. Akira Nojima and Tomoya Ogawa. Reflects payments made directly to our outside directors
beginning in April 2023. From January 2023 through March 2023, Messrs. Ogawa and Nojima received indirect
payments of JPY300,000 (US$2,129) and JPY50,000 (US$355) per month from us through Kabushiki Kaisha
LTW and Kabushiki Kaisha No Track, respectively, as consulting fees.

(3)

Consist of Messr. Toshiaki Komatsu.

(4)

Consist of Messrs. Tsukasa Karyu and Osamu Sato. Reflects payments made directly to our outside corporate
auditors in the year ended December 31, 2023. Between January 2023 through March 2023, we indirectly paid
Mr. Sato’s compensation through Ebis 20 Co., Ltd., where he works on a part-time basis.
Employee Stock Options

We have granted stock options to purchase our common shares, as authorized by our shareholders in December
2015, December 2016, and August 2020 (the “Pre-2024 Options”). In addition, On March 8, 2024, our board of
directors adopted the MEDIROM Healthcare Technologies Inc. 2024 Equity Incentive Compensation Plan (the“Equity Incentive Plan”), which was approved at our annual meeting of shareholders held on March 29, 2024. Under
the Equity Incentive Plan, we may grant stock options, stock appreciation rights, restricted stock, restricted stock
units and performance share awards to our Company's directors, internal corporate auditors, officers, employees andconsultants. A total of 497,500 shares of common stock are authorized for issuance under the Equity Incentive Plan.
As of April 1, 2024, we had not issued any awards under the Equity Incentive Plan.
The purpose of these stock option grants and other equity-based awards is to enable our directors, corporate
auditors, officers, employees and consultants to share in our success and to reinforce a corporate culture that aligns
employee interests with those of our shareholders. Stock options granted prior to 2015 have all expired without
having been exercised. The transfer of our Pre-2024 Options is generally prohibited, and the transfer of awards
granted under the Equity Incentive Plan is also generally prohibited. A holder of Pre-2024 Options forfeits suchstock options if they are no longer a director, corporate auditor, or employee of our Company, except under limited
circumstances or as otherwise determined by our board of directors. Similarly, the Equity Incentive Plan provides
that awards generally terminate upon the termination of an award recipient’s continuous service relationship with theCompany and its affiliates, and following termination the award recipient will have a limited window in which toexercise awards that have vested, except that in the case of termination for cause the award recipient will forfeit theirawards.

(per share)

Number ofCommonSharesGranted

400
2,000
2,000
128

285,500
174,000
150,000
300,000

Exercise Price
Name of IssuanceIssuance Date

Expiration Date

Fifth Series
Seventh Series
Eighth Series
Ninth Series(1)12/24/2015
12/22/2016
10/30/2020
10/30/2020

12/21/2025
12/21/2026
9/30/2026
9/30/2024

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¥
¥
¥
¥

Table of Contents(1)

The exercise can take place only when the Company achieves an annual consolidated revenue target of
JPY3,908,264 thousand (US$33,935 thousand) under U.S. GAAP, with the revenue from sublease of franchisedsalon properties being recalculated on a net basis for satisfying this condition, in any of our 2020, 2021 or 2022
fiscal years. This condition was satisfied in 2021 and as such, the stock options became exercisable.

Of the stock options granted pursuant to the above-mentioned grants, stock options to acquire an aggregate of
320,000 of our common shares have been extinguished, and stock options to acquire an aggregate of 589,500 of ourcommon shares remain outstanding, as of December 31, 2023. For additional details, see Notes 10 to our audited
consolidated financial statements as of and for the years ended December 31, 2023 and 2022 included elsewhere inthis annual report.
The following table summarizes the outstanding stock options with respect to our common shares that we had
granted to our directors and corporate auditors as of December 31, 2023:

Name
Tomoya Ogawa
Fumitoshi Fujiwara
Akira Nojima
Tsukasa Karyu
Kouji Eguchi

Grant Date
12/24/2015
12/22/2016
12/22/2016
12/22/2016
10/30/2020

End ofBeginning of
Exercise
Exercise Period
Period
12/22/2017
12/21/2025
12/31/2021 (3) 9/30/2024
12/31/2021 (3) 9/30/2024
12/31/2021 (3) 9/30/2024
10/1/2021
9/30/2026

ExercisePrice(per share)
¥
400
¥
128
¥
128
¥
128
¥
2,000

Total
Number of
Stock
Options
Granted25 (1)
40,000 (2)1,200 (2)1,200 (2)150,000 (2)Total Numberof Common
SharesUnderlying
Stock Options
12,50040,0001,200
1,200
150,000(1)

Each stock option is exercisable for 500 common shares.

(2)

Each stock option is exercisable for one common share.

(3)

The exercise can take place only when the Company achieves an annual consolidated revenue target of
JPY3,908,264 thousand (US$27,734 thousand) under U.S. GAAP, with the revenue from sublease of franchisedsalon properties being recalculated on a gross basis for satisfying this condition, in any of our 2020, 2021 or
2022 fiscal years. This condition was satisfied in 2021 and as such, the stock options became exercisable.
C. Board Practices

Our board of directors has the ultimate responsibility for the administration of our affairs. Our board of directors
meets no less than once every three months. Under the Companies Act and our articles of incorporation, ourCompany must have at least three, but no more than ten, directors on our board of directors. Our board of directors iscurrently comprised of four directors. Directors are typically nominated at the board level and are elected at general
meetings of the shareholders. The term of office of any director expires at the close of the ordinary general meetingof shareholders held with respect to the last fiscal year ended within one year after such director’s election to office.
Our directors may, however, serve any number of consecutive terms.
Our board of directors appoints from among its members one or more representative directors, who serve ashead administrator(s) over our Company’s affairs and represent our Company in accordance with the resolutions ofour board of directors. Mr. Kouji Eguchi, our Chief Executive Officer and a director, is currently the sole
representative director of our Company. Our board of directors may appoint from among its members a chairman, apresident or one or more deputy presidents, senior managing directors, or managing directors.
Under our Company’s current corporate structure, the Companies Act does not require our board of directors tohave any independent directors. However, our board of directors is currently comprised of four directors, two of
which (Messrs. Akira Nojima and Tomoya Ogawa), are considered “independent”, as determined in accordance withthe applicable NASDAQ rules, and also satisfy the requirements for an outside (or independent) director under theCompanies Act.
Board of Corporate Auditors
As permitted under the Companies Act, we have elected to structure our corporate governance system as acompany with a separate board of corporate auditors instead of an audit committee of our board of directors. Our

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articles of incorporation provide for not more than three corporate auditors. Corporate auditors are typicallynominated at the board level and are elected at general meetings of shareholders by a majority of shareholders
entitled to vote, where a quorum is established by shareholders holding one-third or more of the voting rights of
those who are entitled to vote being present at the shareholders’ meeting. The normal term of office of any corporate
auditor expires at the close of the annual general meeting of shareholders held with respect to the last fiscal year
ended within four years after such corporate auditor’s election to office. Our corporate auditors may, however, serve
any number of consecutive terms. Corporate auditors may be removed by a special resolution of a general meetingof shareholders.
Our corporate auditors are not required to be certified public accountants. Our corporate auditors may notconcurrently serve as directors, employees or accounting advisors (kaikei sanyo) of our Company or any of our
subsidiaries or serve as corporate officers of our subsidiaries. Under the Companies Act, at least one-half of thecorporate auditors of a company must be persons who satisfy the requirements for an outside corporate auditor, andat least one of the corporate auditors must be a full-time corporate auditor.
The function of our board of corporate auditors and each corporate auditor is similar to that of independent
directors, including those who are members of the audit committee of a U.S. public company. Each corporate auditor
has a statutory duty to supervise the administration by the directors of our affairs, to examine our financial
statements and business reports to be submitted by a representative director at the general meetings of shareholders,
and to prepare an audit report. Our corporate auditors are obligated to participate in meetings of our board of
directors and, if necessary, to express their opinion at such meetings, but are not entitled to vote. Our corporate
auditors must inspect the proposals, documents and any other materials to be submitted by our board of directors to
the shareholders at the shareholders’ meeting. If a corporate auditor finds a violation of statutory regulations or our
articles of incorporation, or another significant improper matter, such auditor must report those findings to theshareholders at the shareholders’ meeting.
Furthermore, if a corporate auditor believes that a director has engaged in, or is likely to engage in, misconduct
or acts that are significantly improper, or that there has been a violation of statutory regulations or our articles ofincorporation, the corporate auditor: (i) must report that fact to our board of directors; (ii) can demand that a director
convene a meeting of our board of directors; and (iii) if no such meeting is convened in response to the demand, canconvene the meeting under the corporate auditor’s own authority. If a director engages in, or is likely to engage in,an activity outside the scope of the objectives of our Company or otherwise in violation of laws or regulations or our
articles of incorporation, and such act is likely to cause significant damage to our Company, then a corporate auditor
can demand that the director cease such activity.
Our board of corporate auditors has a statutory duty to prepare an audit report based on the audit reports issued
by the individual corporate auditors and submit such audit reports to a relevant director and, in the case of audit
reports related to financial statements, the independent auditors of our Company each year. A corporate auditor may
note an opinion in an audit report issued by our board of corporate auditors, if the opinion expressed in suchcorporate auditor’s individual audit report is different from the opinion expressed in the audit report issued by ourboard of corporate auditors. Our board of corporate auditors is empowered to establish the audit principles, themethod of examination by our corporate auditors of our affairs and financial position, and any other matters relating
to the performance of our corporate auditors’ duties.
Additionally, our corporate auditors must represent our Company in: (i) any litigation between our Company
and a director; (ii) dealing with shareholders’ demands seeking a director’s liability to our Company; and (iii)
dealing with notices of litigation and settlement in a derivative suit seeking a director’s liability to our Company. A
corporate auditor can file court actions relating to our Company within the authority of our corporate auditors, suchas an action to nullify the incorporation of our Company, the issuance of shares, or a merger, or to cancel aresolution at a shareholders’ meeting.
Risk Management
One of the key functions of our board of directors is informed oversight of our risk management process. Ourboard of directors does not have a standing risk management committee, but rather administers this oversightfunction directly through our board of directors as a whole, as well as through various standing committees of ourboard of directors that address risks inherent in their respective areas of oversight. In particular, our board of
directors is responsible for monitoring and assessing strategic risk exposure, including risks associated with

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cybersecurity and data protection, and our board of corporate auditors is responsible for overseeing and evaluating
our major financial risk exposures and the steps our management has taken to monitor and control these exposures,
including guidelines and policies to govern the process by which risk assessment and management is undertaken.
Our board of corporate auditors also reviews legal, regulatory and compliance matters that could have a significant
impact on our financial statements. While each standing committee of our board of directors will be responsible for
evaluating certain risks and overseeing the management of such risks, our entire board of directors will be regularly
informed through committee reports about such risks.
Limitation of Liability of Directors and Corporate Auditors
In accordance with Article 27 and Article 35 of our articles of incorporation, and pursuant to the provisions ofArticle 427 of the Companies Act, we are authorized to enter into agreements with our non-executive directors andcorporate auditors, respectively, to limit his or her liability to our Company for any losses or damages arising fromthe conduct specified under Article 423 of the Companies Act; provided, that, the amount of such limited liability iseither: (i) an amount set out in an agreement which shall be not less than one million (1,000,000) yen, or (ii) theamount stipulated in applicable laws and regulations, whichever is higher. Messrs. Akira Nojima and Tomoya
Ogawa are considered independent, non-executive directors within the meaning of the Companies Act. We have not,however, executed any such limitation of liability agreements with any of our non-executive directors or corporate
auditors.
Our articles of incorporation include limitation of liability provisions for independent directors and corporate
auditors, pursuant to which our board of directors can authorize our Company to exempt the independent directors
and corporate auditors from liabilities arising in connection with any failure to execute their respective duties ingood faith or due to simple negligence (excluding gross negligence and willful misconduct), within the limits
stipulated by applicable laws and regulations, including Article 426, Paragraph 1 of the Companies Act.
D. Employees
Most of our Company’s group employees are employed by our wholly-owned subsidiary, Medirom Human
Resources Inc. As of December 31, 2023, Medirom Human Resources Inc. had 199 employees on a full-time basis,483 employees on a part-time basis, and 88 employees on a fixed-term basis. In total, as of December 31, 2023, we
had 390 employees on a full-time basis, 622 employees on a part-time basis, and 89 employees on a fixed-termbasis. In connection with our reorganization on July 3, 2023, we transferred our employees of the parent company toour subsidiaries. As a result, as of December 31, 2023, MEDIROM Healthcare Technologies Inc. did not have any
employees.
We do not use contract employees hired by any third-party agencies in the relaxation salon. We dispatch
therapists and other employees to our franchisees from time to time and receive a fee for such services. Our
employees are paid on a salary basis. We also offer an incentive program whereby relaxation therapists earn points
for various reasons such as continuing as a Medirom relaxation therapist for certain designated periods of time or
taking additional relaxation courses at our College. As the number of collected points increase, the relaxation
therapist’s salary also increases.
E. Share ownership
For information regarding the share ownership of our directors and executive officers, please see “Item 7.A.
Major Shareholders.”
For information regarding employee stock options and our Equity Incentive Plan, see “—B. Compensation—
Employee Stock Options.”
F. Disclosure of a registrant’s action to recover erroneously awarded compensation
Not applicable.

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ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS
A. Major Shareholders
The following table and accompanying footnotes set forth certain information with respect to the beneficial
ownership of our common shares as of December 31, 2023:•

each of our named executive officers, directors, and corporate auditors;•

all of our named executive officers, directors, and corporate auditors as a group; and•each person or entity (or group of affiliated persons or entities) known by us to be the beneficial owner of
5% or more of our common shares.

To our knowledge, each shareholder named in the table has sole voting and investment power with respect to allof our common shares shown as “beneficially owned” (as determined by the rules of the SEC) by such shareholder,
except as otherwise set forth in the footnotes to the table. The SEC has defined “beneficial” ownership of a security
to mean the possession, directly or indirectly, of voting power and/or investment power.
The percentages reflect beneficial ownership (as determined in accordance with Rule 13d-3 under the ExchangeAct).
The calculations of percentage ownership in the table below are based on (i) 4,882,500 common shares issued
and outstanding and (ii) 589,500 common shares that are immediately issuable upon exercise of certain stock options
as of December 31, 2023. Except as noted in the footnotes to the table below, the address for all of the shareholders
in the table below is c/o MEDIROM Healthcare Technologies Inc., 2-3-1 Daiba, Minato-ku, Tokyo 135-0091, Japan.
Common Shares
Beneficially Owned(1)SharesPercentage

Name of Beneficial Owner

Named Executive Officers, Directors, and Corporate Auditors:
Kouji Eguchi(2)Fumitoshi Fujiwara (3)Akira Nojima (4)Tomoya Ogawa(5)Tsukasa Karyu(6)Osamu Sato
Toshiaki Komatsu
All named executive officers, directors, and corporate auditors as a group (seven)persons)
5% or more Shareholders:Kouji Eguchi(2)2,034,960
80,0001,200
41,0001,200
17,500—37.12%
1.46%
*
*
*
*
*

2,175,860

39.65%

2,034,960

37.12%*

Represents less than 1% of the number of common shares outstanding.

(1)

Beneficial ownership is determined in accordance with Rule 13d-3 under the Exchange Act. A person is deemed
to be the beneficial owner of any common shares if that person has or shares voting power or investment powerwith respect to those shares or has the right to acquire beneficial ownership at any time within 60 days.

(2)

Mr. Kouji Eguchi also holds one Class A Share with special voting rights. See “Item 10.B. Memorandum andArticles of Association.” The aggregate number of common shares beneficially owned by Mr. Kouji Eguchi
reflects (i) 1,884,960 common shares, (ii) 22,543 ADSs owned by COZY LLC, a private company 100% owned
by Mr. Eguchi, and (iii) an aggregate of 150,000 common shares that may be issued upon exercise of stock
options, held by Mr. Eguchi.

(3)

The aggregate number of common shares beneficially owned by Mr. Fumitoshi Fujiwara reflects (i) 40,000
common shares, and (ii) an aggregate of 40,000 common shares that may be issued upon exercise of stock
options, held by Mr. Fujiwara.

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The aggregate number of common shares beneficially owned by Mr. Akira Nojima reflects an aggregate of
1,200 common shares that may be issued upon exercise of stock options held by Mr. Nojima.

(5)

The aggregate number of common shares beneficially owned by Mr. Tomoya Ogawa reflects (i) 28,500
common shares, and (ii) an aggregate of 12,500 common shares that may be issued upon exercise of stock
options, held by Mr. Ogawa.

(6)

The aggregate number of common shares beneficially owned by Mr. Tsukasa Karyu reflects an aggregate of
1,200 common shares that may be issued upon exercise of stock options held by Mr. Karyu.

As of December 31, 2023, we have 24 common shareholders, none of whom are record holders in the UnitedStates. We are not aware of any arrangement that may, at a subsequent date, result in change of control of ourCompany. To our knowledge, we are not directly or indirectly owned or controlled by another corporation(s), by any
foreign government, or by any other natural or legal person(s) severally or jointly.
For additional information about our principal shareholders, please see “Item 7.B. Related Party Transactions.”
B. Related Party Transactions
Arrangements with our Founder
Mr. Eguchi is a guarantor for 5 bank loans on behalf of our Company. As of December 31, 2023, theoutstanding amount of loans guaranteed by the CEO was JPY213,782 thousand (US$1,771 thousand).
In June 2020, we entered into a Trademark License Agreement with Mr. Eguchi, pursuant to which Mr. Eguchi
has granted us a non-exclusive, non-royalty bearing license to use CLP CARE LIFE PLANNER® in connection withthe operation of our franchised salons in Japan. We utilize this mark in our franchise agreements to define therapists
who have completed a required technique training program. The Trademark License Agreement provides that its
term will expire upon the expiration of the trademark registration. At present, the trademark registration is scheduled
to expire on October 24, 2033, and the registration can be further extended by the timely submission of an
application for extension to the Japan Patent Office. We may not grant a sub-license to use the trademark to a third
party without the prior written consent of Mr. Eguchi. Either party may terminate the Trademark License Agreement
without notice in the event of a breach by the other party of its obligations (without cure) under the agreement,
bankruptcy, reorganization, insolvency, dissolution, fraud, or criminal acts, among other events, as set forth infurther detail in the Trademark License Agreement.
On January 19, 2023, COZY LLC (“COZY”), a company owned and controlled by Kouji Eguchi, the CEO andcontrolling shareholder of our Company, entered into a stock repurchase plan (the “Plan”) with a U.S. investmentbank, for the purchase, from time to time during the period commencing on February 13, 2023 and ending on March
31, 2023 in accordance with the terms of the Plan, of up to JPY50 million of the ADSs. On January 18, 2023, ourBoard of Directors approved the Plan. The Plan was made in accordance with Rules 10b5-1 and 10b-18 of the
Securities Exchange Act of 1934, as amended. The timing and manner of the purchases and the price and amount of
ADSs to be purchased would depend on a number of factors, including without limitation, market price of ADSs,
general market and economic conditions, applicable legal requirements and other price, market, volume and timing
constraints specified in the Plan. There was no assurance that any ADSs would be purchased under the Plan. All
purchases of ADSs made under the Plan were funded by Mr. Eguchi personally. As of March 31, 2023 when thePlan ended, a total of 22,543 ADSs (representing a total purchase price of approximately JPY19.0 million) was
purchased by COZY under the Plan.
Agreements with Directors, Corporate Auditors, and Officers
Tomoya Ogawa, an independent director of our Company, is the sole owner of Kabushiki Kaisha LTW, a
Japanese company. Kabushiki Kaisha LTW received JPY300,000 (US$2,2761) per month (plus 10% consumptiontax) from our Company as a consulting fee through March 2023. Following March 2023, he has been receiving
director’s remuneration in place of the consulting fee. As of December 31, 2023 and 2022, the outstanding accrued
expenses to Kabushiki Kaisha LTW were zero and JPY330 thousand, respectively.

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Akira Nojima, an independent director of our Company, is the sole owner of Kabushiki Kaisha No Track, aJapanese company. Kabushiki Kaisha No Track received JPY50,000 (US$379) per month (plus 10% consumptiontax) from our Company as a consulting fee through March 2023. Following March 2023, he has been receiving
director’s remuneration in place of the consulting fee. As of December 31, 2023 and 2022, the outstanding accrued
expenses to Kabushiki Kaisha No Track were zero and JPY110 thousand, respectively.
Osamu Sato, a corporate auditor of our Company, is a part-time employee of Ebis 20 Co., Ltd., a Japanesecompany. Ebis 20 Co., Ltd. received JPY100,000 (US$759) per month (plus 10% consumption tax) from ourCompany as a consulting fee through March 2023. Following March 2023, he has been receiving corporate auditor’s
remuniation in place of the consulting fee. As of December 31, 2023 and 2022, the outstanding accrued expenses toEbis 20 Co., Ltd were zero and JPY110 thousand, respectively.
ZACC Loan Guarantees
Mr. Kazuyoshi Takahashi, the representative director of ZACC, is the guarantor for three bank loans on behalfof ZACC, which were borrowed by ZACC from two banks prior to the acquisition of ZACC. As of December 31,
2023, Mr. Takahashi’s guarantee has not been released and the outstanding amount of the loans guaranteed by Mr.
Takahashi was JPY56,407 thousand (US$400 thousand).
There is no family relationship among any of the directors, corporate auditors and officers.
C. Interests of Experts and Counsel
Not applicable.

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ITEM 8. FINANCIAL INFORMATION
A. Consolidated Statements and Other Financial Information
See the Consolidated Financial Statements and the Notes to the Consolidated Financial Statements andFinancial Statements Schedules in Item 18 of this annual report.
Legal Proceedings
For information about our legal proceedings, see Note 17 to our audited consolidated financial statements
included elsewhere in this annual report and “Item 4. Information on the Company— Legal and Administrative
Matters.
Dividend Policy
We currently intend to retain any future earnings to finance the development and expansion of our businesses
and, therefore, do not intend to pay any cash dividends in the foreseeable future. Since our inception, we have notdeclared or paid any cash dividends on our common shares. Any decision to pay dividends in the future will be
subject to a number of factors, including our financial condition, results of operations, the level of our retained
earnings, capital demands, general business conditions, and other factors our board of directors may deem relevant.
Accordingly, we cannot give any assurance that any dividends may be declared and paid in the future.
If declared, holders of outstanding common shares on a dividend record date will be entitled to the full dividend
declared without regard to the date of issuance of the common shares or any transfer of the common shares
subsequent to the dividend payment date. Payment of declared annual dividends in respect of a particular year, ifany, will be made in the following year after approval by our shareholders at the annual general meeting ofshareholders, subject to certain provisions of our articles of incorporation. Any dividend we declare will be paid by
the depositary bank to the holders of ADSs, subject to the terms of the deposit agreement, to the same extent as
holders of our common shares, to the extent permitted by applicable law and regulations, less the fees and expenses
payable under the deposit agreement.
B. Significant Changes
See Note 19 to the Consolidated Financial Statements in Item 18 for a disclosure of events subsequent to year
end and prior to the date of filing.
ITEM 9. THE OFFER AND LISTING
A. Offer and Listing Details
Our ADSs have been listed on The Nasdaq Capital Market under the symbol “MRM” since December 29, 2020.
Prior to that date, there was no public trading market for our ADSs.
B. Plan of Distribution
Not applicable.
C. Markets
See “Item 9.C. Offer and Listing Details” above.
D. Selling Shareholders
Not applicable.

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E. Dilution
Not applicable.
F. Expenses of the Issue
Not applicable.
ITEM 10. ADDITIONAL INFORMATION
A. Share Capital
Not applicable.
B. Memorandum and Articles of Association
The information set forth in Exhibit 2.3 “Description of Securities” to the Company’s Annual Report on Form
20-F filed with the SEC on May 17, 2021 is incorporated herein by reference.
C. Material Contracts
Development and Production Agreement
In 2019, we acquired a minority interest in Matrix, a developer of a thermoelectric generator and boost
converter. In furtherance of our relationship, we entered into a production and development agreement with Matrix
on August 9, 2020 to develop and manufacture a health monitoring wearable device called MOTHER Bracelet®. Our
MOTHER Bracelet® fitness device is designed to track and collect the health data of the wearer, such as calorie
consumption, activity and sleep patterns. The agreement grants us exclusivity as to third parties in the Asia territory,
except for certain prior contractual obligations of Matrix, for use of their thermoelectric power module and softwarein our MOTHER Bracelet® wearable device for one year following receipt of the sample product, or end of 2022,
whichever is earlier. On December 8, 2022, the exclusivity agreement was extended to December 31, 2024.
We have not entered into any other material contracts for the year ended December 31, 2023, other than in theordinary course of business and those described in “Item 4. Information on the Company” or elsewhere in thisAnnual Report.
D. Exchange Controls
The Foreign Exchange and Foreign Trade Act and related regulations (which we refer to as “FEFTA”) regulate
certain transactions involving a “Non-Resident of Japan” or a “Foreign Investor”, including “inward direct
investments” by Foreign Investors, and payments from Japan to foreign countries or by residents of Japan to NonResidents of Japan.
“Non-Residents of Japan” are defined as individuals who are not residents in Japan and corporations whose
principal offices are located outside of Japan. Generally, branches and other offices of Japanese corporations which
are located outside of Japan are regarded as Non-Residents of Japan, and branches and other offices of non-resident
corporations which are located within Japan are regarded as residents of Japan.
“Foreign Investors” are defined as:•

individuals who are Non-Residents of Japan;•

entities which are organized under the laws of foreign countries or whose principal offices are locatedoutside of Japan;

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companies of which 50% or more of their voting rights are held by individuals who are Non-Residents ofJapan and/or corporations which are organized under the laws of foreign countries or whose principal
offices are located outside of Japan;•

partnerships engaging in investment activities and investment limited partnerships (including partnerships
formed under the laws of foreign countries) which satisfy one of the following conditions:•

50% or more of contributions to the partnership were made by (i) individuals who are Non-Residents ofJapan, (ii) entities which are organized under the laws of foreign countries or whose principal offices arelocated outside of Japan, (iii) companies of which 50% or more of their voting rights are held byindividuals who are Non-Residents of Japan and/or corporations which are organized under the laws offoreign countries or whose principal offices are located outside of Japan, (iv) entities a majority of whose
officers, or officers having the power of representation, are individuals who are Non-Residents of Japan, or(v) partnerships a majority of whose executive partners fall within items (i) through (iv) above;•a majority of the executive partners of the partnership are (A) any persons or entities who fall within items(i) through (v) above, (B) any partnerships to which 50% or more of contribution were made by persons or
entities who fall within items (i) through (v) above, or (C) limited partnerships a majority of whose
executive partners fall within Non-Residents of Japan, persons or entities who fall within (A) or (B), or any
officers of entities which fall within (A) or (B); and•entities, a majority of whose officers are individuals who are Non-Residents of Japan.

Under FEFTA, among other triggering events, a Foreign Investor who desires to acquire shares in a Japanesecompany which is not listed on any stock exchange in Japan, is subject to a prior filing requirement, regardless of
the acquired amount of shares, if such Japanese company engages any business in certain industries related to thenational security. Such industries include, among other things, manufacturing in relation to weapons, aircraft, space,and nuclear power, as well as agriculture, fishery, mining, and utility service. Additionally, due to today’s growing
awareness of cybersecurity, the recent amendment to FEFTA expanded the scope of the prior filing requirement,
broadly covering industries related to data processing businesses and information and communication technologies
service. Since our Digital Preventative Healthcare Segment could potentially involve the processing of data bycollecting, processing, and retaining customers’ health information, direct acquisition of our common shares, rather
than ADSs, by a Foreign Investor could be subject to the prior filing requirement under FEFTA.
A Foreign Investor wishing to acquire or hold our common shares directly will be required to make a priorfiling with the relevant government authorities through the Bank of Japan and wait until clearance for the acquisitionis granted by the applicable governmental authorities. Without such clearance, the Foreign Investor will not be
permitted to acquire or hold our common shares directly. Once clearance is obtained, the Foreign Investor may
acquire shares in the amount and during the period indicated in the filing. While the standard waiting period to
obtain clearance is 30 days, the waiting period could be expedited to two weeks, at the discretion of the applicablegovernmental authorities, depending on the level of potential impact to national security.
In addition to the prior filing requirement above, when a Foreign Investor who completed a prior filing andreceived clearance has acquired shares in accordance with the filed information, such Foreign Investor will be
required to make a post-acquisition notice filing to report the completed purchase. Such post-acquisition notice filingmust be made no later than 45 days after the acquisition of the shares.
Under FEFTA, in each case where a resident of Japan receives a single payment of more than JPY30 million
from a Non-Resident of Japan for a transfer of shares in a Japanese company, such resident of Japan is required toreport each receipt of payment to the Minister of Finance of Japan.
E. Taxation
The following description is not intended to constitute a complete analysis of all tax consequences relating tothe ownership or disposition of our common shares, including the ADSs. You should consult your own tax advisor
concerning the tax consequences of your particular situation, as well as any tax consequences that may arise under
the laws of any local, state, foreign, including Japan, or other taxing jurisdiction.

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Taxation in Japan
Generally, a non-resident of Japan or non-Japanese entity (which we refer to as a “Non-Resident Holder”) is
subject to Japanese withholding tax on dividends paid by Japanese corporations. Stock splits are not subject toJapanese income tax. A conversion of retained earnings or legal reserve (but not additional paid-in capital, in
general) into stated capital (whether made in connection with a stock split or otherwise) is not treated as a deemed
dividend payment to shareholders for Japanese tax purposes. Thus, such a conversion does not trigger Japanese
withholding taxation (Article 2(16) of the Japanese Corporation Tax Law and Article 8(1)(xiii) of the JapaneseCorporation Tax Law Enforcement Order).
Pursuant to the Convention Between the Government of the United States of America and the Government ofJapan for the Avoidance of Double Taxation and the Prevention of Fiscal Evasion with Respect to Taxes on Income(which we refer to as the “Treaty”), dividend payments made by a Japanese corporation to a U.S. resident or entity,
unless the recipient of the dividend has a “permanent establishment” in Japan, and the common shares or ADSs withrespect to which such dividends are paid are effectively connected with such “permanent establishment”, aregenerally subject to a withholding tax at rate of: (i) 10% for portfolio investors who are qualified U.S. residents
eligible for benefits of the Treaty; and (ii) 0% (i.e., no withholding) for pension funds which are qualified U.S.
residents eligible for benefits of the Treaty, provided that the dividends are not derived from the carrying on of abusiness, directly or indirectly, by such pension funds. Japan is a party to a number of income tax treaties,
conventions and agreements, (which we refer to collectively as the “Tax Treaties”), whereby the maximum
withholding tax rate for dividend payments is set at, in most cases, 15% for portfolio investors who are NonResident Holders. Specific countries with which such Tax Treaties have been entered into include Canada,
Denmark, Finland, Germany, Ireland, Italy, Luxembourg, New Zealand, Norway, Republic of Singapore, and Spain.
Japan’s income tax treaties with Australia, Belgium, France, The Netherlands, Sweden, Switzerland and the United
Kingdom have been amended to generally reduce the maximum withholding tax rate to 10%.
On the other hand, unless one of the applicable Tax Treaties reducing the maximum rate of withholding tax
applies, the standard tax rate applicable to dividends paid with respect to listed shares, such as those paid by ourCompany on shares or ADSs, to Non-Resident Holders is 15% under the Japanese Income Tax Law, except for
dividends paid to any individual shareholder who holds 3% or more of the issued shares, in which case theapplicable rate is 20% (Article 182(2) of the Japanese Income Tax Law and Article 9-3(1)(i) of the Japanese Special
Tax Measures Law, including its relevant temporary provision for these withholding rates). On December 2, 2011,
the “Special measures act to secure the financial resources required to implement policy on restoration of the East
Japan Earthquake” (Act No. 117 of 2011) was promulgated and special surtax measures on income tax andwithholding tax were introduced thereafter to fund the restoration effort for the earthquake. Income tax andwithholding tax payers need to pay a surtax, calculated by multiplying the standard tax rate by 2.1% for 25 years
starting from January 1, 2013 (which we refer to as “Surtax”). As a result, the withholding tax rate applicable todividends paid with respect to listed shares to Non-Resident Holders increased to 15.315% (which we refer to as“Withholding Tax Rate”) which is applicable for the period from January 1, 2014 until December 31, 2037.
Taking this Withholding Tax Rate into account, the treaty rates such as the 15% rate (or 10% for eligible U.S.
residents subject to the Treaty and/or eligible residents subject to other similarly renewed treaties mentioned above)
apply, in general, except for dividends paid to any individual holder who holds 3% or more of the total issued shares,
in which case the applicable rate is 20.42% (standard tax rate of 20% imposed by Surtax). The treaty rate normallyoverrides the domestic rate, but due to the so-called “preservation doctrine” under Article 1(2) of the Treaty, and/or
due to Article 3-2 of the Special Measures Law for the Income Tax Law, Corporation Tax Law and Local Taxes
Law with respect to the Implementation of Tax Treaties, if the tax rate under the domestic tax law is lower than that
promulgated under the applicable income tax treaty, then the domestic tax rate is still applicable. Currently, the tax
rate under the applicable tax treaty is lower than that under the domestic tax law and thus the treaty override
treatment applies. As such, the tax rate under the Treaty applies for most holders of shares or ADSs who are U.S.
residents or entities. In the case where the treaty rate is applicable, no Surtax is imposed, but in order to enjoy thelower treaty rate, the taxpayer must file a treaty application in advance with the Japanese National Tax Agency
through our Company. Gains derived from the sale outside Japan of a Japanese corporation’s shares or ADSs by
Non-Resident Holders, or from the sale of a Japanese corporation’s shares or ADSs within Japan by a non-residentof Japan as an occasional transaction or by a non-Japanese entity not having a permanent establishment in Japan, aregenerally not subject to Japanese income or corporation taxes, provided that the seller is a portfolio investor.
Japanese inheritance and gift taxes at progressive rates may apply to an individual who has acquired a Japanese
corporation’s shares or ADSs as a distributee, legatee or donee.

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Certain U.S. Federal Income Tax Considerations for U.S. Holders
The following discussion is a summary of U.S. federal income tax considerations generally applicable to theownership and disposition of our common shares or ADSs by a U.S. holder (as defined below). This summary is forgeneral information purposes only and does not purport to be a complete discussion of all potential tax
considerations that may be relevant to a particular person’s decision to acquire common shares or ADSs.
This summary is based on the U.S. Internal Revenue Code of 1986, as amended (the “Code”), the regulations
promulgated under the Code (the “U.S. Treasury Regulations”), the income tax treaty between Japan and the UnitedStates (the “Treaty”), published rulings of the U.S. Internal Revenue Service (the “IRS”), published administrative
positions of the IRS, and U.S. court decisions that are applicable and, in each case, as in effect and available, as ofthe date hereof. Any of the authorities on which this summary is based could be changed in a material and adverse
manner at any time, and any such change could be applied on a retroactive or prospective basis which could affectthe U.S. federal income tax considerations described in this summary. There can be no assurance that the IRS or a
court will not take a contrary position to those in this summary.
For purposes of this discussion, a “U.S. holder” is a beneficial owner of the common shares or ADSs that is, for
U.S. federal income tax purposes:•

an individual who is a citizen or resident of the United States;•

a corporation (or other entity treated as a corporation for U.S. federal income tax purposes) that is createdor organized in or under the laws of the United States, any state thereof, or the District of Columbia;•

an estate the income of which is includable in gross income for U.S. federal income tax purposes regardlessof its source; or•a trust (i) the administration of which is subject to the primary supervision of a court within the UnitedStates and which has one or more U.S. persons who have the authority to control all substantial decisions of
the trust, or (ii) that has validly elected to be treated as a U.S. person under the Code or applicable U.S.
Treasury Regulations.

If an entity or arrangement that is classified as a partnership for U.S. federal income tax purposes holds thecommon shares or ADSs, the U.S. federal income tax consequences to such partnership and its partners of theownership and disposition of the common shares or ADSs generally will depend in part on the activities of thepartnership and the status of such partners. This summary does not address the tax consequences to any such partner
or partnership. Partners of entities or arrangements that are classified as partnerships for U.S. federal income tax
purposes should consult their own tax advisors regarding the U.S. federal income tax consequences of the ownershipand disposition of the common shares or ADSs.
This discussion applies only to a U.S. holder that holds common shares or ADSs as “capital assets” under the
Code (generally, property held for investment). Unless otherwise provided, this summary does not discuss reporting
requirements. In addition, this discussion does not address any tax consequences other than U.S. federal income tax
consequences, such as U.S. state and local tax consequences, U.S. estate and gift tax consequences, and non-U.S. tax
consequences, and does not describe all of the U.S. federal income tax consequences that may be relevant in light ofa U.S. holder’s particular circumstances, including minimum tax consequences, the Medicare tax on certain net
investment income, and tax consequences to holders that are subject to special provisions under the Code, including,but not limited to, holders that:•are tax exempt organizations, qualified retirement plans, individual retirement accounts, or other tax
deferred accounts;•

are financial institutions, underwriters, insurance companies, real estate investment trusts, or regulated
investment companies;•

are brokers or dealers in securities or currencies or holders that are traders in securities that elect to apply amark-to-market accounting method;90

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have a “functional currency” for U.S. federal income tax purposes that is not the U.S. dollar;•

own common shares or ADSs as part of a straddle, hedging transaction, conversion transaction,
constructive sale, or other arrangement involving more than one position;•acquire common shares or ADSs in connection with the exercise of employee stock options or otherwise ascompensation for services;•

are partnerships or other pass-through entities for U.S. federal income tax purposes (or investors in suchpartnerships and entities);•

own or will own (directly, indirectly, or constructively) 10% or more of our total combined voting power orvalue;•

hold the common shares or ADSs in connection with trade or business conducted outside of the UnitedStates or in connection with a permanent establishment or other fixed place of business outside of theUnited States; or•are former U.S. citizens or former long-term residents of the United States.

Each U.S. holder is urged to consult its tax advisor regarding the application of U.S. federal taxation to its
particular circumstances, and the state, local, non-U.S. and other tax considerations of the ownership and dispositionof our common shares or ADSs.
Treatment of ADSs
For U.S. federal income tax purposes, a U.S. holder of ADSs generally will be treated as the beneficial owner ofthe underlying shares represented by the ADSs. The remainder of this discussion assumes that a U.S. holder of our
ADSs will be treated in this manner. Accordingly, deposits or withdrawals of common shares for ADSs generally
will not be subject to U.S. federal income tax.
Passive Foreign Investment Company Considerations
A non-U.S. corporation, such as our company, is classified as a passive foreign investment company (“PFIC”)
for any taxable year in which, after applying relevant look-through rules with respect to the income and assets of its
subsidiaries, either: (i) 50% or more of the value of the corporation’s assets either produce passive income or are
held for the production of passive income, generally based on the quarterly average of the fair market value of such
assets; or (ii) at least 75% of the corporation’s gross income is passive income. “Passive income” generally includes,for example, dividends, interest, certain rents and royalties, certain gains from the sale of stock and securities, andcertain gains from commodities transactions. In determining the value and composition of our assets, cash will
generally be considered to be held for the production of passive income and thus will be considered a passive asset.
The determination of whether a corporation is a PFIC for a taxable year depends, in part, on the application ofcomplex U.S. federal income tax rules that are subject to differing interpretations. In addition, the determination ofwhether a corporation will be a PFIC for any taxable year can only be made after the close of such taxable year. Our
Furthermore, because we may value our goodwill based on the market price of the ADSs, a decrease in the market
price of our ADSs may also cause us to be classified as a PFIC for the current or any future taxable year. Based upon
the foregoing, we do not believe that we were a PFIC for the taxable year ended December 31, 2023.
We must make a separate determination each year as to whether we are a PFIC. As a result, our PFIC status
may change. If we are a PFIC for any year during which you hold the common shares or ADSs, we will generally
continue to be treated as a PFIC for all succeeding years during which you hold such common shares or ADSs.
However, if we cease to be a PFIC, provided that you have not made a mark-to-market election, as described below,
you may avoid some of the adverse effects of the PFIC regime by making a deemed sale election with respect to thecommon shares or ADSs, as applicable.
The discussion below under “—Distributions on the Common Shares or ADSs” and “—Sale or Other
Disposition of the Common Shares or ADSs” is written on the basis that we will not be classified as a PFIC for U.S.
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federal income tax purposes. The U.S. federal income tax rules that generally would apply if we are treated as a
PFIC are discussed below under “—Passive Foreign Investment Company Rules.”Distributions on the Common Shares or ADSs
The gross amount of any distributions paid on our common shares or ADSs will generally be included in the
gross income of a U.S. holder as dividend income on the date actually or constructively received by the U.S. holder,in the case of common shares, or by the depositary, in the case of ADSs, but only to the extent that the distribution ispaid out of our current or accumulated earnings and profits (computed on the basis of U.S. federal income tax
principles). Because we do not intend to determine our earnings and profits on the basis of U.S. federal income tax
principles, we expect that distributions will generally be reported to U.S. holders as dividends. Dividends received
on our common shares or ADSs generally will not be eligible for the dividends received deduction allowed tocorporations in respect of dividends received from U.S. corporations.
Individuals and other non-corporate U.S. holders will be subject to tax on any such dividends at the lower
capital gains tax rate applicable to “qualified dividend income,” provided that certain conditions are satisfied,including that (i) the common shares or ADSs on which the dividends are paid are readily tradable on an establishedsecurities market in the United States or we are eligible for the benefits of the Treaty, (ii) we are not a PFIC nortreated as such with respect to a U.S. holder (as discussed below) for either our taxable year in which the dividend
was paid or for the preceding taxable year, and (iii) certain holding period requirements are met. As mentioned
above, on December 27, 2022, we received notification from NASDAQ that we were not in compliance with certain
listing requirements. However, we regained compliance on June 1, 2023. While we currently follow the NASDAQ
listing standards, there is no assurance that we will remain in compliance with the listing requirements of NASDAQ
in the future. See “Item 3. Key Information—D. Risk Factors—Risks Related to Ownership of the ADSs—ADSs
representing our common shares are listed on the Nasdaq Capital Market. As such, we must meet the Nasdaq CapitalMarket’s continued listing requirements and other Nasdaq rules, or we may risk delisting. Delisting could negatively
affect the price of our ADSs, which could make it more difficult for us to sell securities in a financing and for you tosell your ADSs.” For this purpose, ADSs listed on the NASDAQ will generally be considered to be readily tradableon an established securities market in the United States. Only the ADSs and not the common shares will be listed on
the NASDAQ. Consequently, dividends received with respect to common shares that are not represented by ADSs
may not be treated as qualified dividends. You should consult your tax advisor regarding the availability of the lower
rate for dividends paid with respect to our common shares or ADSs.
For U.S. foreign tax credit purposes, dividends paid on our common shares or ADSs generally will be treated as
foreign source income and generally will constitute passive category income. The amount of a dividend will include
any amounts withheld by us in respect of Japanese income taxes. Subject to applicable limitations, some of whichvary depending upon the U.S. holder’s particular circumstances, Japanese income taxes withheld from dividends onthe common shares or ADSs, at a rate not exceeding any reduced rate pursuant to the Treaty, may be creditableagainst the U.S. holder’s U.S. federal income tax liability. However, as a result of changes to the U.S. foreign tax
credit rules, a withholding tax generally will need to satisfy certain additional requirements in order to be considereda creditable tax for a U.S. holder. We have not determined whether these requirements have been met with respect
to Japanese withholding taxes that may be imposed on dividends paid by us and, accordingly, no assurance can begiven that such taxes will be creditable. In lieu of claiming a foreign tax credit, U.S. holders may, at their election,
deduct foreign taxes, including any Japanese income taxes, in computing their taxable income, subject to generally
applicable limitations under U.S. law. An election to deduct foreign taxes instead of claiming foreign tax credits
applies to all foreign taxes paid or accrued in the taxable year. The rules governing foreign tax credits are complex
and U.S. holders should consult their tax advisers regarding the creditability or deductibility of foreign taxes in their
particular circumstances.
The amount of any dividend paid in Japanese yen will equal the U.S. dollar value of the Japanese yen received,
calculated by reference to the exchange rate in effect on the date the dividend is received by you, in the case ofcommon shares, or by the depositary, in the case of ADSs, regardless of whether the Japanese yen are converted into
U.S. dollars. If the Japanese yen received as a dividend are converted into U.S. dollars on the date of receipt, a U.S.
holder generally will not be required to recognize foreign currency gain or loss in respect of the dividend income. If
the Japanese yen received as a dividend are not converted into U.S. dollars on the date of receipt, a U.S. holder will
have a basis in the Japanese yen equal to their U.S. dollar value on the date of receipt. Any gain or loss realized on asubsequent conversion or other disposition of the Japanese yen will be treated as U.S. source ordinary income or
loss.

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Sale or Other Disposition of the Common Shares or ADSs
A U.S. holder will recognize gain or loss on the sale or other disposition of a common share or ADS equal to thedifference between the amount realized for the common share or ADS and the holder’s tax basis in the commonshare or ADS. Such gain or loss will generally be capital gain or loss and will be long-term capital gain or loss if the
U.S. holder’s holding period for such common share or ADS was more than one year as of the date of the sale orother disposition. Long-term capital gain recognized by a non-corporate U.S. holder is subject to U.S. federal
income tax at rates lower than the rates applicable to ordinary income and short-term capital gains, while short-term
capital gains are subject to U.S. federal income tax at the rates applicable to ordinary income. The deductibility ofcapital losses is subject to various limitations. Any gain or loss recognized will generally be U.S. source gain or loss
for foreign tax credit purposes. Consequently, a U.S. holder may not be able to use the foreign tax credit arisingfrom any Japanese tax imposed on the disposition of the common share or ADS unless such credit can be applied(subject to applicable limitations) against tax due on other income treated as derived from non-U.S. sources.
Passive Foreign Investment Company Rules
If we are a PFIC for any taxable year during which you hold our common shares or ADSs, you will be subject
to special tax rules with respect to any “excess distribution” that you receive and any gain you realize from a sale orother disposition (including a pledge) of the common shares or ADSs, unless you make a mark-to-market election as
discussed below. Distributions you receive from us in a taxable year that are greater than 125% of the averageannual distributions you received from us during the shorter of the three preceding taxable years or your holding
period for the common shares or ADSs will be treated as an excess distribution. Under these special tax rules:•

the excess distribution or gain will be allocated ratably over your holding period for the common shares or
ADSs,

•

the amount allocated to the current taxable year, and any taxable year prior to the first taxable year in which
we became a PFIC, will be treated as ordinary income, and•the amount allocated to each of the other taxable years will be subject to tax at the highest rate of tax ineffect for you for such year and will be increased by an additional tax calculated as an interest charge on the
resulting tax deemed deferred with respect to each such other taxable year at the rates generally applicableto underpayments of tax payable in those years.

If we are a PFIC for any taxable year during which a U.S. holder holds our common shares or ADSs and any of
our subsidiaries or other corporate entities in which we own equity interests is also a PFIC, such U.S. holder would
be treated as owning a proportionate amount (by value) of the shares of the lower-tier PFIC for purposes of theapplication of these rules. U.S. holders are urged to consult their tax advisors regarding the application of the PFIC
rules to any of our subsidiaries.
As an alternative to the foregoing rules, a U.S. holder may make a mark-to-market election with respect to ourcommon shares or ADSs, provided such common shares or ADSs are treated as “marketable stock.” The commonshares or ADSs generally will be treated as marketable stock if the common shares or ADSs are regularly traded ona “qualified exchange or other market,” as defined in applicable U.S. Treasury Regulations. Our ADSs will bemarketable stock as long as they remain listed on the NASDAQ, which is a qualified exchange for this purpose, andare regularly traded. As mentioned above, on December 27, 2022, we received notification from NASDAQ that wewere not in compliance with certain listing requirements. However, we regained compliance on June 1, 2023. While
we currently follow the NASDAQ listing standards, there is no assurance that we will remain in compliance with thelisting requirements of NASDAQ in the future. See “Item 3. Key Information—D. Risk Factors—Risks Related to
Ownership of the ADSs—ADSs representing our common shares are listed on the Nasdaq Capital Market. As such,
we must meet the Nasdaq Capital Market’s continued listing requirements and other Nasdaq rules, or we may risk
delisting. Delisting could negatively affect the price of our ADSs, which could make it more difficult for us to sell
securities in a financing and for you to sell your ADSs.” We anticipate that our ADSs should qualify as being
regularly traded but no assurances can be given in this regard. Only the ADSs and not the common shares will belisted on the NASDAQ. Consequently, a U.S. holder of common shares that are not represented by ADSs generally
will not be eligible to make the mark-to-market election.

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If a U.S. holder makes a valid mark-to-market election with respect to the ADSs, the holder generally will (i)include as ordinary income for each taxable year that we are a PFIC the excess, if any, of the fair market value of
ADSs held at the end of the taxable year over the adjusted tax basis of such ADSs and (ii) deduct as an ordinary loss
in each such taxable year the excess, if any, of the adjusted tax basis of the ADSs over the fair market value of such
ADSs held at the end of the taxable year, but such deduction will only be allowed to the extent of the net amountpreviously included in income as a result of the mark-to-market election. The U.S. holder’s adjusted tax basis in the
ADSs would be adjusted to reflect any income or loss resulting from the mark-to-market election. If a U.S. holder
makes a mark-to-market election in respect of our ADSs and we cease to be classified as a PFIC, the holder will not
be required to take into account the gain or loss described above during any period that we are not classified as a
PFIC. If a U.S. holder makes a mark-to-market election, any gain such U.S. holder recognizes upon the sale or otherdisposition of our ADSs in a year when we are a PFIC will be treated as ordinary income and any loss will be treatedas ordinary loss, but such loss will only be treated as ordinary loss to the extent of the net amount previously
included in income as a result of the mark-to-market election.
Because a mark-to-market election cannot be made for any lower-tier PFICs that we may own, a U.S. holder
may continue to be subject to the general PFIC rules described above with respect to such U.S. holder’s indirectinterest in any investments held by us that are treated as an equity interest in a PFIC for U.S. federal income tax
purposes.
We have not determined whether, if we were to be classified as a PFIC for a taxable year, we will provide
information necessary for a U.S. holder to make a “qualified electing fund” election which, if available, would resultin tax treatment different from (and generally less adverse than) the general tax treatment for PFICs described above.
Accordingly, U.S. holders should assume that they will not be able to make a qualified electing fund election withrespect to the common shares or ADSs.
If a U.S. holder owns common shares or ADSs during any year in which we are a PFIC, the holder generally
must file an annual report containing such information as the U.S. Treasury may require on IRS Form 8621 (or any
successor form). A failure to file this report generally will suspend the statute of limitations with respect to any tax
return, event, or period to which such report relates (potentially including with respect to items that do not relate to a
U.S. holder’s investment in common shares or ADSs).
The PFIC rules are complex, and each U.S. holder should consult its own tax advisor regarding the PFIC rules,
the elections which may be available to it, and how the PFIC rules may affect the U.S. federal income tax
consequences relating to the ownership and disposition of common shares or ADSs.
Reporting Obligations for Certain Owners of Foreign Financial Assets
Certain U.S. holders may be required to file information returns with respect to their investment in commonshares or ADSs. For example, U.S. return disclosure obligations (and related penalties) are imposed on individuals
who are U.S. holders that hold certain specified foreign financial assets in excess of certain thresholds. The
definition of “specified foreign financial assets” includes not only financial accounts maintained in non-U.S.
financial institutions, but also, unless held in accounts maintained by a financial institution, any stock or security
issued by a non-U.S. person, any financial instrument or contract held for investment that has an issuer orcounterparty other than a U.S. person, and any interest in a non-U.S. entity.
U.S. holders may be subject to these reporting requirements unless their common shares or ADSs are held in an
account at certain financial institutions.
The discussion of reporting obligations set forth above is not intended to constitute an exhaustive description of
all reporting obligations that may apply to a U.S. holder. A failure to satisfy certain reporting obligations may resultin an extension of the period during which the IRS can assess a tax, and under certain circumstances, such an
extension may apply to assessments of amounts unrelated to any unsatisfied reporting obligation. Penalties for
failure to comply with these reporting obligations are substantial. U.S. holders should consult with their own tax
advisors regarding their reporting obligations under these rules, including the requirement to file an IRS Form 8938.
U.S. Holders should consult their tax advisors regarding any reporting obligations that may arise withrespect to the acquisition, ownership or disposition of our common shares or the ADSs. Failure to comply
with applicable reporting requirements could result in substantial penalties.

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The foregoing discussion of certain U.S. federal income tax considerations is for general information only
and is not intended to constitute a complete analysis of all tax consequences relating to the acquisition,
ownership and disposition of our common shares or the ADSs. U.S. Holders should consult their own tax
advisors concerning the tax consequences applicable to their particular situations.
F. Dividends and Paying Agents
Not applicable.
G. Statement by Experts
Not applicable.
H. Documents on Display
We are subject to the information reporting requirements of the Exchange Act applicable to foreign private
issuers and under those requirements we file reports with the SEC. Those reports may be inspected without charge
on the websites described below. As a foreign private issuer, we are exempt from the rules under the Exchange Act
related to the furnishing and content of proxy statements, and our officers, directors and principal shareholders are
exempt from the reporting and short-swing profit recovery provisions contained in Section 16 of the Exchange Act.
In addition, we are not required under the Exchange Act to file periodic reports and financial statements with the
SEC as frequently or as promptly as United States companies whose securities are registered under the ExchangeAct. Nevertheless, we will file with the SEC an Annual Report on Form 20-F containing financial statements thathave been examined and reported on, with and opinion expressed by an independent registered public accounting
firm.
We maintain a corporate website at https://medirom.co.jp/en/. We intend to post our Annual Report on our
website promptly following it being filed with the SEC. Information contained on, or that can be accessed through,our website does not constitute a part of this annual report. We have included our website address in this annual
report solely as an inactive textual reference.
The SEC maintains a website (www.sec.gov) that contains reports, proxy and information statements and otherinformation regarding registrants, such as Medirom, that file electronically with the SEC.
With respect to references made in this annual report to any contract or other document relating to Medirom,
such references are not necessarily complete and you should refer to the exhibits attached or incorporated byreference to this annual report for copies of the actual contract or document.
I.

Subsidiary Information

Not applicable.
J.

Annual Report to Security Holders

Not applicable.
ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Market Risk
Market risk is the risk that the fair value of future cash flows of a financial instrument will fluctuate because ofchanges in market prices. Market risk comprises three types of risk: interest rate risk, currency risk and other pricerisk, such as equity price risk and commodity risk. Financial instruments affected by market risk include borrowings
and other financial liabilities. The sensitivity analyses in the following sections relate to our positions as ofDecember 31, 2023.

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The sensitivity analyses have been prepared on the basis that the amount of net debt, the ratio of fixed tofloating interest rates of the debt and derivatives, and the proportion of financial instruments in foreign currencies
are all constant, and on the basis of the hedge designations in place as of December 31, 2023. The analyses exclude
the impact of movements in market variables on provisions. The analyses also assume that the sensitivity of therelevant statement of profit or loss item is the effect of the assumed changes in respective market risks. This is basedon the financial assets and financial liabilities held on December 31, 2023, including the effect of hedge accounting.
Interest Rate Risk
Interest rate risk is the risk that the fair value or future cash flows of a financial instrument will fluctuatebecause of changes in market interest rates. Our exposure to the risk of changes in market interest rates relates
primarily to our long-term debt obligations with floating interest rates. We manage our interest rate risk by having abalanced portfolio of fixed and variable rate borrowings.
Japanese interest rates have been at historically low levels during the past two decades. The environment inwhich we operate our business is subject to the Japanese government’s stimulus-oriented monetary policy, which ischaracterized by these low interest rates. Despite recent policy changes and statements by the Bank of Japan
regarding a potential further shift in its interest rate policies, we expect Japanese monetary policy to continue to be
expansionary or stimulative in the near future. In addition, with respect to most of our borrowings, our interest rates
have been fixed to mitigate interest rate risk. Therefore, we believe that our present exposure to interest rate risk ismanageable, as is reflected in the sensitivity analysis below.
Our borrowings of JPY1,052,234 thousand (US$7,467 thousand) as of December 31, 2023 consist of fixedinterest rate loans of JPY838,452 thousand (US$5,950 thousand) and variable interest rate loans of JPY213,782
thousand (US$1,517 thousand). An increase of interest rates by 100 basis points on our variable interest rate loans
would increase our interest expense by JPY1,472 thousand (US$10 thousand). If the increase were applied to all thefixed interest rate loans, the total impact to our interest expense would be JPY15,179 thousand (US$108 thousand).
Foreign Currency Exchange Risk
Our foreign currency exposures give rise to market risk associated with exchange rate movements of theJapanese yen mainly against the U.S. dollar, and vice versa, because most of our expenses are denominated inJapanese yen.
Our Japanese yen expenses consist principally of compensation, subcontractor expenses, and rent. We anticipate
that a sizable portion of our expenses will continue to be denominated in Japanese yen. Our financial position,
results of operations and cash flow are subject to fluctuations due to changes in foreign currency exchange rates. Our
results of operations and cash flow are, therefore, subject to fluctuations due to changes in foreign currency
exchange rates and may be adversely affected in the future due to changes in foreign currency exchange rates.
While many of our business partners are Japanese domestic enterprises, we also have relationships with foreign
enterprises and professionals to which our expenses may be paid in foreign currency. As our business expands
overseas, our foreign currency exposure gives rise to more market risk associated with exchange rate movements of
the Japanese yen mainly against the U.S. dollar, because most of our revenues are denominated in Japanese yen,while such expansion efforts outside Japan will cause us to incur more expenses in foreign currencies. Goingforward, we anticipate that a certain portion of our expenses will continue to be denominated in foreign currencies.
If such expansion efforts outside Japan are successful, however, a substantial amount of revenue could also bedenominated in foreign currencies, particularly if we are able to develop and expand sales of MOTHER Bracelet® tomarkets outside Japan in the future. If our non-Japanese revenues increase substantially in the future, any significant
change in the value of the currencies of the countries in which we do business against the Japanese yen could
adversely affect our financial condition and results of operations due to translational and transactional differences inexchange rates. During the year ended December 31, 2023 a hypothetical 10% depreciation in the value of theJapanese yen to the U.S. dollar would have resulted in a JPY24,510 thousand (US$174 thousand) decrease in our net
income (before income tax).
To date, we have not engaged in hedging our foreign currency exchange risk. In the future, we may enter into
formal currency hedging transactions to decrease the risk of financial exposure from fluctuations in the exchange

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rates of our principal operating currencies. These measures, however, may not adequately protect us from theadverse effects of such fluctuations.
Credit Risk
Credit risk is the risk that a counterparty will not meet its obligations under a financial instrument or customer
contract, leading to a financial loss. We are exposed to credit risk from our operating activities, primarily withrespect to trade receivables, and from our financing activities, including with respect to deposits with banks andfinancial institutions, and other financial instruments.
Our primary customers are consumers who visit our Company-owned relaxation salons, franchisees who havepayment obligations for our franchise services such as initial membership fees, recurring royalties, training fees, andtherapist staffing fees, public bath operators and other business clients for whom we operate their salons on theirbehalf. With respect to consumer credit risk, consumers pay in cash or with credit cards for the services we provide
them. For our salons located in shopping malls, all the daily service fees are collected by the shopping mall
operators, reported to us as revenue on a monthly basis, and paid to us in the following month. As such, we areexposed to credit risk of the shopping mall operators and credit card companies for our salon services.
With respect to credit risk of our franchisees, we are at risk of unpaid franchise services charges. However, inmost cases, we control the daily bank accounts of franchised salons, from which we can collect our franchise service
charges and pay to franchises their net proceeds after such deductions. We believe this can mitigate the credit risk
with respect to our franchisees. Regardless of that, we are still exposed to credit risk with respect to our franchisees,
especially in cases where they terminate their franchise contracts or declare bankruptcy without paying franchiseservice charges which exceed the balances of their bank accounts under our control, and without paying their salon
lease obligations and rental property restoration obligations they owe to us in cases where they subleased salons
which we have leased from property owners.
We also operate salons for public bath operators and other business clients. We are exposed to the risk of
uncollectible receivables to the extent that these clients delay payments to us after their salons under our operation
have collected relaxation service fees from consumers.
Customer credit risk is managed by each business unit subject to our established policies, procedures andcontrols relating to customer credit risk management. Credit quality of a customer is assessed based on an extensive
credit rating scorecard, and individual credit limits are defined in accordance with this assessment. Outstanding
customer receivables are regularly monitored.
An impairment analysis is performed at each reporting date for major accounts on an individual basis. The
maximum exposure to credit risk at the reporting date is the carrying value of each class of financial assets disclosed
in Note 1 to our audited consolidated financial statements as of and for the years ended December 31, 2023 and 2022
included elsewhere in this annual report. We do not hold collateral as security. We believe that the concentration ofrisk with respect to trade receivables is low, since our receivables from consumers are collected directly at salons or
through credit card companies or shopping malls, whose credit ratings are quite high, we control the daily bankaccounts of our franchisees, and the geographic location of public bath operators and other business clients arehighly diversified. No single customer accounted for 10% or more of our total revenue for the years ended
December 31, 2021, 2022 and 2023.
Financial instruments and cash deposits
We manage credit risk with respect to balances with banks and financial institutions in accordance with ourpolicies. Investments of surplus funds are made only with approved counterparties and within credit limits assigned
to each counterparty. The limits are set to minimize the concentration of risks, and therefore mitigate financial loss
through a counterparty’s potential failure to make payments.
ITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES
A. Debt Securities
Not applicable.

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B. Warrants and Rights
Not applicable.
C. Other Securities
Not applicable.
D. American Depositary Shares
The Bank of New York Mellon, as depositary, registers and delivers American Depositary Shares, also referred
to as ADSs. Each ADS represents one common share (or a right to receive one common share) deposited with
MUFG Bank Ltd., as custodian for the depositary in Japan. Each ADS also represents any other securities, cash orother property that may be held by the depositary. The deposited shares together with any other securities, cash orother property held by the depositary are referred to as the deposited securities. The depositary’s office at which the
ADSs will be administered and its principal executive office are located at 240 Greenwich Street, New York, NewYork 10286.
The form of deposit agreement for the ADSs and the form of ADRs that represents an ADS have been
incorporated by reference as exhibits to this annual report.
Fees and Expenses
Persons depositing or withdrawing commonshares or ADS holders must pay:

$5.00 (or less) per 100 ADSs (or portion of 100 ADSs)$.05 (or less) per ADS
A fee equivalent to the fee that would be payable if
securities distributed to you had been common sharesand the common shares had been deposited for issuanceof ADSs$.05 (or less) per ADS per calendar year
Registration or transfer fees
Expenses of the depositary
Taxes and other governmental charges the depositary or
the custodian has to pay on any ADSs or common shares
underlying ADSs, such as stock transfer taxes, stamp
duty or withholding taxes
Any charges incurred by the depositary or its agents forservicing the deposited securities

For:

Issuance of ADSs, including issuances resulting from a
distribution of shares or rights or other property
Cancellation of ADSs for the purpose of withdrawal,
including if the deposit agreement terminates
Any cash distribution to ADS holders
Distribution of securities distributed to holders ofdeposited securities (including rights) that are distributedby the depositary to ADS holders
Depositary services
Transfer and registration of shares on our share registerto or from the name of the depositary or its agent when
you deposit or withdraw shares
Cable (including SWIFT) and facsimile transmissions(when expressly provided in the deposit agreement)
Converting foreign currency to U.S. dollars
As necessary

As necessary

The depositary collects its fees for delivery and surrender of ADSs directly from investors depositing shares orsurrendering ADSs for the purpose of withdrawal or from intermediaries acting for them. The depositary collects
fees for making distributions to investors by deducting those fees from the amounts distributed or by selling a
portion of distributable property to pay the fees. The depositary may collect its annual fee for depositary services bydeduction from cash distributions or by directly billing investors or by charging the book-entry system accounts ofparticipants acting for them. The depositary may collect any of its fees by deduction from any cash distribution
payable (or by selling a portion of securities or other property distributable) to ADS holders that are obligated to pay
those fees. The depositary may generally refuse to provide fee-attracting services until its fees for those services are
paid.
From time to time, the depositary may make payments to us to reimburse us for costs and expenses generally
arising out of establishment and maintenance of the ADS program, waive fees and expenses for services provided to
us by the depositary or share revenue from the fees collected from ADS holders. In performing its duties under the98Table of Contents

deposit agreement, the depositary may use brokers, dealers, foreign currency dealers or other service providers thatare owned by or affiliated with the depositary and that may earn or share fees, spreads or commissions.
The depositary may convert currency itself or through any of its affiliates, or the custodian or we may convert
currency and pay U.S. dollars to the depositary. Where the depositary converts currency itself or through any of its
affiliates, the depositary acts as principal for its own account and not as agent, advisor, broker or fiduciary on behalfof any other person and earns revenue, including, without limitation, transaction spreads, that it will retain for its
own account. The revenue is based on, among other things, the difference between the exchange rate assigned to thecurrency conversion made under the deposit agreement and the rate that the depositary or its affiliate receives whenbuying or selling foreign currency for its own account. The depositary makes no representation that the exchange
rate used or obtained by it or its affiliate in any currency conversion under the deposit agreement will be the mostfavorable rate that could be obtained at the time or that the method by which that rate will be determined will be themost favorable to ADS holders, subject to the depositary’s obligation to act without negligence or bad faith. The
methodology used to determine exchange rates used in currency conversions made by the depositary is available
upon request. Where the custodian converts currency, the custodian has no obligation to obtain the most favorable
rate that could be obtained at the time or to ensure that the method by which that rate will be determined will be themost favorable to ADS holders, and the depositary makes no representation that the rate is the most favorable rate
and will not be liable for any direct or indirect losses associated with the rate. In certain instances, the depositary
may receive dividends or other distributions from the us in U.S. dollars that represent the proceeds of a conversionof foreign currency or translation from foreign currency at a rate that was obtained or determined by us and, in suchcases, the depositary will not engage in, or be responsible for, any foreign currency transactions and neither it nor we
make any representation that the rate obtained or determined by us is the most favorable rate and neither it nor wewill be liable for any direct or indirect losses associated with the rate.
Payment of Taxes
You will be responsible for any taxes or other governmental charges payable on your ADSs or on the deposited
securities represented by any of your ADSs. The depositary may refuse to register any transfer of your ADSs or
allow you to withdraw the deposited securities represented by your ADSs until those taxes or other charges are paid.
It may apply payments owed to you or sell deposited securities represented by your ADSs to pay any taxes owed andyou will remain liable for any deficiency. If the depositary sells deposited securities, it will, if appropriate, reduce
the number of ADSs to reflect the sale and pay to ADS holders any proceeds, or send to ADS holders any property,
remaining after it has paid the taxes.

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PART II.
ITEM 13. DEFAULTS, DIVIDENDS ARREARAGES AND DELINQUENCIESNone.
ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF
PROCEEDSNone.
ITEM 15. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
We have performed an evaluation of the effectiveness of our disclosure controls and procedures that aredesigned to ensure that the material financial and non-financial information required to be disclosed to the SEC isrecorded, processed, summarized, and reported timely. Based on our evaluation, our management, including thechief executive officer and chief financial officer, has concluded that our disclosure controls and procedures (asdefined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended) as of the end of theperiod covered by this report were not effective due to material weaknesses over financial reporting as discussed
below.
Management’s Annual Report on Internal Control over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial
reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934, as amended).
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements.
In addition, projections of any evaluation of effectiveness of our internal control over financial reporting to future
periods are subject to the risk that controls may become inadequate because of changes in conditions, or that thedegree of compliance with the policies and procedures may deteriorate.
Our management evaluated the effectiveness of our internal control over financial reporting based on criteria
established in the framework in Internal Control-Integrated Framework (2013) issued by the Committee ofSponsoring Organizations of the Treadway Commission. A material weakness is a deficiency, or a combination of
deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a material
misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
Based on this evaluation, our management has concluded that our internal control over financial reporting was
not effective and does not provide reasonable assurance as to the reliability of our financial reporting due to thefollowing material weaknesses:
Material weaknesses• Insufficiency of effective processes to ensure that all journal entries were properly reviewed and approved prior to
posting to the general ledger;• Insufficient management review controls over key financial information including lack of evidence of review andapproval of financial information; and• Internal controls not being updated in a timely manner due to rapid changes in our new business operations andenvironment.
Notwithstanding the material weaknesses discussed above, our management, including our CEO and CFO,
has concluded that the audited consolidated financial statements included in this Annual Report fairly present, in all100

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material respects, our financial condition, results of operations and cash flows for the periods presented inconformity with accounting principles generally accepted in the United States.
Remediation Plan
Our management has taken steps and will continue to implement measures in the financial reporting process toremediate control deficiencies that result in material weaknesses including but not limited to, (i) developing andimplementing sufficient review and approval processes for the journal entries with the support of professionals, (ii)enhancing, recording, and retaining sufficient evidence of internal controls, including review and approval by theappropriate level of personnel, (iii) assigning appropriate personnel to be in charge of accounting and internal
control to update and improve the business process and the design of internal controls in a timely manner.
However, we cannot assure you that we will remediate our material weaknesses in a timely manner. The processof designing and implementing an effective financial reporting system is a continuous effort that requires us toanticipate and react to changes in our business and the economic and regulatory environments in which we operate
and to expend significant resources to maintain a financial reporting system that is adequate to satisfy our reporting
obligation.
See “Item 3. Key Information—D. Risk Factors—If we fail to implement and maintain an effective system ofinternal control, we may fail to meet our reporting obligations or be unable to accurately report our results ofoperations or prevent fraud, and investor confidence and the market price of the ADSs may be materially andadversely affected.”
Changes in Internal Control over Financial Reporting
We are currently in the process of remediating the material weaknesses described above. In 2024, we willcontinue to implement additional measures to remediate them. Other than the material weaknesses and remediation
measures as described above, there were no other changes to our internal control over financial reporting (as definedin Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the year ended December 31, 2023
that have materially affected, or are reasonably likely to materially affect, our internal control over financial
reporting.
ITEM 16A. AUDIT COMMITTEE FINANCIAL EXPERTUnder the Companies Act, we have elected to structure our corporate governance system as a company with aseparate board of corporate auditors and therefore do not have an audit committee. The function of our board ofcorporate auditors and each corporate auditor is similar to that of independent directors, including those who aremembers of the audit committee of a U.S. public company. Our board of corporate auditors is comprised of three
directors, each member of which will meet the requirements of Rule 10A-3 under the Exchange Act.
ITEM 16B. CODE OF ETHICS AND BUSINESS CONDUCTOur board of directors has adopted a written code of ethics and business conduct that applies to our directors,
corporate auditors, officers, and employees (including our principal executive officer, principal financial officer,
principal accounting officer or controller, and other persons performing similar functions), and our agents. Our codeof ethics and business conduct is available on our website at https://medirom.co.jp/en/. If we amend the provisionsof our code of ethics and business conduct that apply to our directors, corporate auditors, officers, and employees(including our principal executive officer, principal financial officer, principal accounting officer or controller, andother persons performing similar functions), and our agents, or if we grant any waiver of such provisions, we will
disclose such amendment or waiver on our website at the same address.
ITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES
The following table sets out the aggregate fees for professional audit services and other services rendered by
TAAD, LLP, our independent registered public accounting firm since December 15, 2022, and Baker Tilly US, LLP,

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our independent registered public accounting firm prior to the appointment of TAAD, LLP, for each of the years
ended December 31, 2023 and 2022. The engagement of the auditor is pre-approved by the Board of the Company’s
Corporate Auditors with consideration of the auditor’s independence, capabilities, understanding of our business andJapanese commercial customs, and audit and other audit-related service fees.
Year ended December 31(in thousands)

2023

Audit Fees (1)Audit-Related Fees (2)Tax Fees (3)All Other Fees (4)¥93,742
—
—
—

2022

¥

68,264———(1) Audit Fees for 2023 and 2022 were for professional services associated with the annual audit of our audited

consolidated financial statements, the reviews of our semi-annual condensed consolidated financial statements
and the issuance of consents and comfort letters in connection with registration statement filings with the SEC.
(2) Audit-related fees consist of fees billed for assurance and related services that are reasonably related to theperformance of the audit or review of our consolidated financial statements and are not reported under “Audit
Fees.” No such services were incurred in 2023 or 2022.
(3) Tax Fees consist of fees for tax compliance, tax advice and tax planning. No such services were incurred in 2023

or 2022.
(4) All Other Fees include any fees billed that are not audit, audit-related or tax fees. No such services were incurredin 2023 or 2022.
ITEM 16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES
Under the Companies Act, we have elected to structure our corporate governance system as a company with aseparate board of corporate auditors and therefore do not have an audit committee. For foreign private issuers, use of
a board of corporate auditors in compliance with home country rules is permitted under Rule 10A-3(c)(3) of the
Exchange Act. Our reliance on Rule 10A-3(c)(3) does not, in our opinion, materially adversely affect the ability ofour board of corporate auditors to act independently and to satisfy the other requirements of Rule 10A-3.
ITEM 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED
PURCHASERS
Not applicable.
ITEM 16F. CHANGE IN REGISTRANT'S CERTIFYING ACCOUNTANT
There has been no change in independent accountants for our Company during the two most recent fiscal years
or any subsequent interim period except as previously reported in our Report of Foreign Private Issuer on Form 6-K(File No. 001-39809), filed with the SEC on December 16, 2022. There have been no disagreements of the typerequired to be disclosed by Item 16F(b).
ITEM 16G. CORPORATE GOVERNANCE
We are a “foreign private issuer” as defined under the federal securities laws of the United States and the
NASDAQ listing standards. Under the federal securities laws of the United States, foreign private issuers are subject
to different disclosure requirements than U.S.-domiciled public companies. We intend to take all actions necessary
for us to maintain our status as a foreign private issuer under the applicable corporate governance requirements of
the Sarbanes-Oxley Act, the Exchange Act and other applicable rules adopted by the SEC, and the NASDAQ listing
standards. Under the SEC rules and the NASDAQ listing standards, a foreign private issuer is subject to lessstringent corporate governance requirements. Subject to certain exceptions, the SEC and the NASDAQ permit aforeign private issuer to follow its home country practice in lieu of their respective rules and listing standards. In

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general, our articles of incorporation and the Companies Act of Japan (which we refer to as the “Companies Act”)
govern our corporate affairs.
In particular, as a foreign private issuer, we will follow Japanese law and corporate practice in lieu of thecorporate governance provisions set out under NASDAQ Rule 5600, the requirement in NASDAQ Rule 5250(b)(3)
to disclose third party director and nominee compensation, and the requirement in NASDAQ Rule 5250(d) to
distribute annual and interim reports. Of particular note, the following rules under NASDAQ Rule 5600 differ fromJapanese law requirements:•

NASDAQ Rule 5605(b)(1) requires that at least a majority of a listed company’s board of directors be
independent directors, and NASDAQ Rule 5605(b)(2) requires that independent directors regularly meet in
executive session, where only independent directors are present. Under our current corporate structure, theCompanies Act does not require independent directors. However, our board of directors is currently
comprised of four directors, two of whom are considered “independent”, as determined in accordance withthe applicable NASDAQ rules. We expect our independent directors to regularly meet in executive
sessions, where only the independent directors are present.

•

NASDAQ Rule 5605(c)(2)(A) requires a listed company to have an audit committee composed entirely of
not less than three directors, each of whom must be independent. Under Japanese law, a company may havea statutory auditor or a board of auditors. We have a three-member Board of Corporate Auditors, eachmember of which will meet the requirements of Rule 10A-3 under the Exchange Act. See “—Board of
Corporate Auditors” below for additional information.

•

NASDAQ Rule 5605(d) requires, among other things, that a listed company’s compensation committee becomprised of at least two members, each of whom is an independent director as defined under such rule.
Our board of directors will collectively participate in the discussions and determination of compensation forour executives, directors and corporate auditors, and other compensation related matters.

•

NASDAQ Rule 5605(e) requires that a listed company’s nomination and corporate governance committee
be comprised solely of independent directors. Our board of directors will not have a standalone nominationand corporate governance committee. Our board of directors will collectively participate in the nomination
process of potential directors and corporate auditors and oversee our corporate governance practices.

•

NASDAQ Rule 5620(c) sets out a quorum requirement of 331⁄3% applicable to meetings of shareholders.
In accordance with Japanese law and generally accepted business practices, our articles of incorporation
provide that there is no quorum requirement for a general resolution of our shareholders. However, under
the Companies Act and our articles of incorporation a quorum of not less than one-third of the total numberof voting rights is required in connection with the election of directors, statutory auditors and certain othermatters.

ITEM 16H. MINE SAFETY DISCLOSURE
Not applicable.
ITEM 16I. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not applicable.
ITEM 16J. INSIDER TRADING POLICIESWe have adopted written Insider Trading Policies governing the purchase, sale, and other dispositions of our
securities by our directors, corporate auditors, executive officers, employees, and our agents that are designed topromote compliance with applicable insider trading laws, rules and regulations in the United States and Japan, andthe Nasdaq listing standards, A copy of our Insider Trading Policies is included in Exhibit 11.2 to this Annual
Report.

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ITEM 16K. CYBERSECURITY
We recognize the importance of assessing, identifying, and managing material risks associated withcybersecurity threats. We have processes in place to assess, identify, manage, and address material cybersecurity
threats and incidents, and management regularly assesses risks from cybersecurity and technology threats andmonitors our information systems for potential vulnerabilities and have integrated cybersecurity risk management
into our broader risk management framework.
We did not identify any cybersecurity incidents during the year ended December 31, 2023 that materiallyaffected or are reasonably likely to materially affect our business strategy, results of operations, or financial
condition.
We acknowledge that cybersecurity threats are continually evolving, and the possibility of future cybersecurity
incidents remains. For additional information, see “Item 3. Key Information—D. Risk Factors—Risks Related to
Our Industry—Cybersecurity breaches and other disruptions could compromise our information, result in theunauthorized disclosure of confidential guest, employee, Company and/or business partners’ information, damage
our reputation, and expose us to liability, which could negatively impact our business.”
Our board of directors has overall responsibility for the oversight of risk management, which includes
cybersecurity risks. Members of the board of directors receive updates on a regular basis regarding matters of risk
management, including cybersecurity, as applicable.

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PART III.
ITEM 17. FINANCIAL STATEMENTS
See Item 18 of this annual report.
ITEM 18. FINANCIAL STATEMENTS
The financial statements required by this item are found at the end of this annual report, beginning on page F-1.

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INDEX TO AUDITED CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED FINANCIAL STATEMENTS OF MEDIROM HEALTHCARE TECHNOLOGIES INC.
Audited Consolidated Financial Statements as of and for the years ended December 31, 2023, 2022 and 2021
Report of Independent Registered Public Accounting Firm (PCAOB ID No. 05854)

F-2

Report of Independent Registered Public Accounting Firm (PCAOB ID No.23)

F-3

Consolidated Balance Sheets as of December 31, 2023 and 2022

F-4

Consolidated Statements of Operation for the Years Ended December 31, 2023, 2022 and 2021

F-5

Consolidated Statements of Shareholders’ Equity (Deficit) for the Years Ended December 31, 2023, 2022 and 2021 F-6
Consolidated Statements of Cash Flows for the Years Ended December 31, 2023, 2022 and 2021

F-7

Notes to Audited Consolidated Financial Statements for the Years Ended December 31, 2023, 2022 and 2021

F-9

F-1

Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the shareholders and the board of directors of MEDIROM Healthcare Technologies Inc:
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheet of MEDIROM Healthcare Technologies Inc. (the"Company") as of December 31, 2023 and 2022, the related consolidated statements of operations, shareholders’ equity(deficit) and cash flows, for the years ended December 31, 2023 and 2022, and the related notes (collectively referred toas the "consolidated financial statements"). In our opinion, the consolidated financial statements present fairly, in allmaterial respects, the financial position of the Company as of December 31, 2023 and 2022, and the results of its operations
and its cash flows for the years ended December 31, 2023 and 2022, in conformity with accounting principles generally
accepted in the United States of America.
Going Concern Matter
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as agoing concern. As discussed in Note 1 to the consolidated financial statements, the Company has a net working capital
deficiency that raises substantial doubt about its ability to continue as a going concern. Management’s plans in regard tothese matters are also described in Note 1. The consolidated financial statements do not include any adjustments that might
result from the outcome of this uncertainty.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is toexpress an opinion on the Company’s consolidated financial statements based on our audit. We are a public accounting
firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be
independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules andregulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan andperform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material
misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, anaudit of its internal control over financial reporting. As part of our audit, we are required to obtain an understanding ofinternal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of theCompany’s internal control over financial reporting. Accordingly, we express no such opinion.
Our audit included performing procedures to assess the risks of material misstatement of the consolidated financial
statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included
examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our
audit also included evaluating the accounting principles used and significant estimates made by management, as well as
evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonablebasis for our opinion.
/s/ TAAD, LLP
We have served as the Company's auditor since 2022.
Diamond Bar, California
June 18, 2024

F-2

Table of Contents

REPORT OF INDEPENDENT REGISTERED
PUBLIC ACCOUNTING FIRM
To the shareholders and the board of directors of MEDIROM Healthcare Technologies Inc.:
Opinion on the Financial Statements
We have audited the accompanying consolidated statements of operations, shareholders’ (deficit) equity and cash flows
of MEDIROM Healthcare Technologies Inc. (the "Company") for the year ended December 31, 2021, and the related
notes (collectively referred to as the "consolidated financial statements"). In our opinion, the consolidated financial
statements present fairly, in all material respects, the results of its operations and its cash flows for the year ended
December 31, 2021, in conformity with accounting principles generally accepted in the United States of America.
Basis for Opinion
These consolidated financial statements are the responsibility of the Company's management. Our responsibility is toexpress an opinion on the Company's consolidated financial statements based on our audit. We are a public accounting
firm registered with the Public Company Accounting Oversight Board (United States) ("PCAOB") and are required to be
independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules andregulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan andperform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material
misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, anaudit of its internal control over financial reporting. As part of our audit we are required to obtain an understanding ofinternal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of theCompany's internal control over financial reporting. Accordingly, we express no such opinion.
Our audit included performing procedures to assess the risks of material misstatement of the consolidated financial
statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures
included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial
statements. Our audits also included evaluating the accounting principles used and significant estimates made bymanagement, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our
audits provide a reasonable basis for our opinion.
/s/ Baker Tilly US, LLP
We served as the Company's auditor from 2019 to 2022.
Irvine, California
November 14, 2022

F-3

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
CONSOLIDATED BALANCE SHEETSAS OF DECEMBER 31, 2023 AND 2022
(Yen in thousands, except share data)
December 31,
2023
ASSETS
Current assets:
Cash and cash equivalents
Time deposits
Accounts receivable-trade, net
Accounts receivable-other, net
Inventories
Prepaid expenses and other current assets
Total current assets
Property and equipment, net
Goodwill
Other intangible assets, net
Investments
Long-term accounts receivable-other, net
Right-of-use asset - operating lease, net
Lease and guarantee deposits
Deferred tax assets, net
Other assets
Total assets
LIABILITIES AND SHAREHOLDERS’ DEFICIT
Current liabilities:
Accounts payable
Accrued expenses
Short-term borrowings
Current portion of long-term borrowings
Accrued income taxes
Current portion of contract liability
Advances received
Current portion of lease liability
Other current liabilities
Total current liabilities
Borrowings - net of current portion
Deposit received
Contract liability - net of current portion
Lease liability - net of current portion
Asset retirement obligation
Other liabilities
Total liabilities
COMMITMENTS AND CONTINGENCIES (NOTE 17)
SHAREHOLDERS’ EQUITY (DEFICIT):
Common stock, no par value; 19,899,999 shares authorized; 4,975,000 shares issued and 4,882,500 shares outstanding at
December 31, 2023 and 2022
Class A common stock, no par value; 1 share authorized; 1 share issued and 1 share outstanding at December 31, 2023 and2022
Treasury stock, at cost- 92,500 common shares at December 31, 2023 and 2022
Additional paid-in capital
Retained earnings (accumulated deficit)
Total 'equity (deficit) attributable to shareholders of the Company
Noncontrolling interests
Total equity (deficit)
Total liabilities and shareholders' equity (deficit)

¥

¥

¥

2022

106,347
26,502621,867
606,074
139,982
257,932
1,758,704
451,498
484,564
920,700
81,542
95,7972,089,402
848,691
101,636
16,655
6,849,189¥

137,697
1,261,909
400,000
100,415
14,888109,307402,742
763,422370,2133,560,593
1,050,802
261,922
71,134
1,334,630
344,346
9,801
6,633,228¥

19,900¥207,581
1,383,579―
99,16859,89489,008507,405
769,769
525,5633,641,967
1,149,769
304,577
156,431
1,212,629
310,929
30,4226,806,724

1,223,134

100

100

(3,000)113,60280,277
210,879
5,082
215,961
6,849,189(3,000)1,265,456(2,545,068)(59,378)－(59,378)
6,747,346

The accompanying notes are an integral part of the consolidated financial statements.

F-4¥

605,454
26,500534,686
789,819
114,109292,6432,363,211
424,288539,490403,674
53,02099,2991,955,354
895,344―
13,666
6,747,346¥

Table of Contents

MEDIROM HEALTHCARE TECHNOLOGIES INC.
CONSOLIDATED STATEMENTS OF OPERATIONSFOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
(Yen in thousands, except share and per share data)
Years Ended December 31,
2023
2022
2021
Revenues:
Revenue from directly-operated salonsFranchise revenue
Other revenues
Total revenues
Cost of revenues and operating expenses:
Cost of revenue from directly-operated salons
Cost of franchise revenue
Cost of other revenues
Selling, general and administrative expenses
Impairment loss on long-lived assets
Total cost of revenues and operating expenses
Operating income (loss)
Other income (expense):
Dividend income
Interest income
Interest expense
Gain from sales of salons
Subsidies
Foreign exchange income
Other, net
Total other (expense) income
Income (loss) before income tax expense¥ 5,656,519
971,027
200,397
6,827,943¥ 5,396,294
1,163,998
393,765
6,954,057¥ 4,006,834
1,359,026
43,9655,409,825

4,552,408
523,330
183,337
1,960,447―
7,219,522(391,579)

4,129,240
645,733
276,627
1,805,490―
6,857,090
96,967

3,281,781
691,286
21,347
1,822,787
63,2115,880,412(470,587)

2
1,111(36,868)
413,678
21,376
26,825(13,923)
412,201
20,622

2
6,072(9,800)―20,625
14,83051,07882,807
179,7742
839(11,950)―
27,84614,992
24,377
56,106(414,481)

Income tax (benefit) expense(94,427)30,809576,250

Net income (loss)
Less: Net loss attributable to noncontrolling interests
Net income (loss) attributable to shareholders of the Company¥

115,049(355)
115,404¥

148,965―
148,965(990,731)―¥ (990,731)

Net earnings (loss) per share attributable to shareholders of the Company
Basic
Diluted

¥
¥

23.64
22.34

¥
¥

30.54
27.23

¥ (203.13)¥ (203.13)

4,877,405
5,470,655

4,877,405
4,877,405

Weighted average shares outstanding
Basic
Diluted

4,882,501
5,166,653

The accompanying notes are an integral part of the consolidated financial statements.

F-5

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (DEFICIT)FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
(Yen in thousands, except share data)
Common stock

Balance, January
1, 2021Issuance ofcommon stock forexercise of overallotment, net ofissuance costs
Net loss
Stock-based
compensation
Vesting of option
purchaseconsideration
Balance,
December 31,
2021
Net income
Balance,
December 31,
2022
Reduction incommon stock andadditional paid-in
capital
Net income
Gain on sale ofshares of
subsidiaries
Balance,
December 31,
2023

Class A common
stockTreasury stock

AmountSharesAmountAdditional
paid-in
capitalRetainedearnings(accumulated
deficit)

Noncontrollinginterest¥

100

92,500¥(3,000)¥ 1,018,146¥ (1,703,302)¥

SharesAmountShares4,915,000¥ 1,179,313

1

60,00043,821――――

43,821

―

―

―

―

―

―

―

―

―

―

―

―

―

―

―

4,975,000¥ 1,223,134

1

―

―

―

4,975,000¥ 1,223,134

1―(1,203,234)

―

―

―
―

―

―

―

19,9001

4,975,000

¥

¥

¥

¥

Total

―

¥ 491,257――

87,642―(990,731)―(990,731)―

196,853――

196,853

―

―

6,636

―

―

6,636

100

92,500¥(3,000)¥ 1,265,456¥ (2,694,033)―¥(208,343)

―

―

―

―

148,965―

148,965

100

92,500¥(3,000)¥ 1,265,456¥ (2,545,068)

―
―

―
―

―
―

(1,306,707)

2,509,941―――

115,404(355)

115,049―――

154,853―

5,437

160,290100

92,500¥(3,000)

5,082¥ 215,961¥

113,602¥80,277¥¥¥―

The accompanying notes are an integral part of the consolidated financial statements.

F-6¥ (59,378)

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
CONSOLIDATED STATEMENTS OF CASH FLOWSFOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
(Yen in thousands)
2023
Cash flows from operating activities:
Net income (loss)
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization
Losses on sales of directly-owned salons to franchisees
Gain from sales of directly-owned salons
Bad debt
Stock-based compensation
Foreign currency exchange (gain) loss
(Gains) losses on disposal of property and equipment, net, other intangible assets, net andgoodwill
Impairment loss on long-lived assets
Deferred income taxes, net
Other non-cash losses – net
Changes in operating assets and liabilities:
Accounts receivable-trade, net
Accounts receivable-other, net
Inventories
Prepaid expenses and other current assets
Lease and guarantee deposits
Accounts payable
Accrued expenses
Accrued income taxes
Contract liability
Advances received
Other current liabilities
Deposit received
Other assets and other liabilities – net
Net cash used in operating activities
Cash flows from investing activities:
Purchases of time deposits
Proceeds from maturities of time deposits
Acquisition of investments
Acquisition of property and equipment
Proceeds from sale of property and equipment
Acquisition of intangible assets
Proceeds from sale of salonsAcquisition of businesses – net of cash acquired
Payment received on short-term loans receivable
Payment received on long-term accounts receivable-other, net
Proceeds from insurance cancellations
Net cash (used in) provided by investing activities¥¥

Years Ended December 31,
2022
2021

115,049¥

148,965(990,731)

252,595―(1,244,240)
1,958―(17,402)

184,056―(858,548)(36,355)――(2,648)12,9083,614―(101,636)
45,718―――63,211
551,483819

580,681
43,382(25,873)(530)
46,652(69,884)
97,045(45,006)(64,999)(104,663)(77,447)(42,656)(17,833)(631,737)(222,384)(210,476)(95,406)(181,477)(27,185)(23,318)
517,714
19,173(82,636)(111,109)
254,742(24,411)50,050(685,697)(37,024)(87,148)(2,441)(74,799)(70,662)
58,437
195,541(2,897)(162,793)
96,198130,110(46,501)
5,228(557,231)――(3,094)(135,840)―(786,178)
584,768―
113
11,655―(328,576)―――(120,740)
40,620(45,761)
851,719(148,000)―
2,599―
580,437(26,402)6,000(52,520)(95,651)―(18,127)
430,000(375,757)
450
9,488
38,583(83,936)¥

The accompanying notes are an integral part of the consolidated financial statements.

F-7¥

126,243
2,692(541,472)
28,808
196,853―¥

Table of Contents

MEDIROM HEALTHCARE TECHNOLOGIES INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS—(CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
(Yen in thousands)
2023

Cash flows from financing activities:
Proceeds from issuance of common stock for exercise of over-allotment, netof issuance costs
Proceeds from short-term borrowings
Repayment of short-term borrowings
Proceeds from long-term borrowings
Repayment of long-term borrowings
Proceeds from sale of subsidiary stock
Payment of installment payables related to business acquisitions
Payment of deferred offering costs
Net cash provided by (used in) financing activities
Net (decrease) increase in cash and cash equivalents
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year¥

Years Ended December 31,
2022
2021
―

¥

―

¥

87,642400,000――(99,084)
160,290―――(162,252)
547,619(45,270)
―
―
―

―
―
―
(251,084)―(2,888)(261,619)

461,206

340,097(427,949)(499,107)
605,454234,837
370,617(1,069,116)
1,439,733¥

106,347¥

605,454¥

370,617¥

34,575
52,105¥

7,535
30,809¥10,86545,505

Supplemental disclosures of cash flow information:
Cash paid during the year for:
Interest
Income taxes
Non-cash investing and financing activities:
Right-of-use assets obtained in exchange for lease liabilities
Purchases of property and equipment included in accrued expenses
Purchases of intangible assets included in accrued expenses
Sales of salons included in accounts receivable
Payable related to acquisition of noncontrolling interests included in
mandatorily redeemable noncontrolling interests
Reduction in common stock and additional paid-in capital

931,5214,624
9,480
455,464

673,468――
134,876

917,135
23,488
14,236129,000――

148,000

2,509,941――

Refer to Note 8, "Leases" for supplemental cash flow information related to leases.
The accompanying notes are an integral part of the consolidated financial statements.

F-8

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
1. Basis of Presentation and Summary of Significant Accounting Policies
Description of Business
MEDIROM Healthcare Technologies Inc. ("Parent") and its seven subsidiaries (collectively, the "Company")are one of the leading holistic health services providers in Japan. The Company is a franchisor and operator ofhealthcare salons across Japan and is a preferred platform partner for large consumer brands, healthcare service
providers, and government entities to affect positive health outcomes. The Company primarily engages in three linesof business: Relaxation Salon Segment (retail), Luxury Beauty (retail) and Digital Preventative Healthcare Segment(healthtech). Refer to description below and Note 11 for segment information.
Parent was originally incorporated in Japan on July 13, 2000 under the name "Kabushiki Kaisha Young
Leaves." In January 2017, Parent changed Parent’s name to "MEDIROM Inc." In March 2020, Parent changed
Parent’s name to "MEDIROM Healthcare Technologies Inc."
Relaxation Salon Segment (See Note 11 for segment information)
The Relaxation Salon Segment is the core of our business, whereby we own, develop, operate, or franchise andsupport relaxation salons. The salon locations cover major cities throughout Japan, with strong market presence in
the Tokyo metropolitan area. The Segment includes several Relaxation Salon brands including Re.Ra.Ku®, and as ofDecember 31, 2023, 2022 and 2021, it has a total of 314, 312 and 312 salons, respectively. The following table
presents total number of salons by operation type:
Number of
Relaxation Salons
2023
2022
217
199
97
113
314
312

Directly-operated
Franchised
Total

2021
188
124
312

The number of salons in Directly-operated includes 41, 31 and 4 investor-owned salons as of December 31,
2023, 2022 and 2021, respectively.
Digital Preventative Healthcare Segment (See Note 11 for segment information)
The Digital Preventative Healthcare Segment mainly consists of the following operations: governmentsponsored Specific Health Guidance program, utilizing our internally-developed on-demand health monitoring
smartphone application, or Lav®; our MOTHER Bracelet® for fitness applications.
Luxury Beauty Segment (See Note 2 for business combination and Note 11 for segment information)
In October 2021, the Company acquired 60% of the ownership interest in ZACC Kabushiki Kaisha (“ZACC”), ahigh-end hair salon company, and acquired the remaining outstanding common stock in January 2022. ZACC owns
and operates 3 luxury hair salon brands (ZACC vie, ZACC raffine, and ZACC ginza), all of which have beenrecognized by customers for over 30 years for their high level of techniques and hospitality. The remaining 40% of
the ownership interest in ZACC was transferred to the Company on January 1, 2022, for ¥148,000 thousand.
Basis of Presentation
The accompanying consolidated financial statements are presented in Japanese yen, the currency of the country
in which the Company is incorporated and principally operates. The accompanying consolidated financial statements
have been prepared on the basis of accounting principles generally accepted in the United States of America ("U.S.
GAAP").

F-9

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Reclassification
The Company reclassified certain amounts in the Consolidated Statements of Cash Flows in the prior year to
conform to the current year's presentation.
Going Concern and Liquidity
The Company had a working capital deficit for the last three years and an accumulated deficit in 2022 and 2021.
Despite having a positive net assets position as of December 31, 2023, and positive net income for the year ended
December 31, 2023, we had negative cash flows from operations in 2023. We expect that our cash and cash
equivalents as of December 31, 2023 of JPY106,347 thousand (US$755 thousand) may not be sufficient to fund ouroperating expenses, capital expenditure requirements, and debt service obligations for the 12 months following theissuance date of the audit opinion for the financial statements contained in this annual report. These conditions,among others, raise substantial doubt about the ability of the Company to continue as a going concern. The
continuation as a going concern is dependent upon the Company’s ability to meet its financial requirements, raise
additional capital, and the success of its future operations.
Management plans to alleviate the conditions that raise substantial doubt by raising additional capital throughthe issuance of common stock, other equity or debt financings, or refinancing of existing debt obligations. However,
the Company’s ability to issue equity securities or obtain debt financing on acceptable terms, or at all, will depend
on, among other things, its financial performance, general economic factors, including inflation and then-current
interest rates, the condition of the credit and capital markets and other events, some of which may be beyond theCompany’s control. The Company refinanced the existing loan agreement and renewed the credit facility agreement
subsequent to the year-ended December 31, 2023. See subsequent event footnote for the further detail. There are
currently no written agreements in place for such funding or issuance of securities except for the debt refinances
described in the subsequent event footnote and there can be no assurance that such plans will be effectively
implemented. Accordingly, the Company has concluded that substantial doubt exists about the Company’s ability tocontinue as a going concern for a period of at least 12 months following the issuance date of these financial
statements.
The Company’s consolidated financial statement as of December 31, 2023, were prepared on a going concern
basis, which contemplates the realization of assets and the settlement of liabilities and commitments in the normal
course of business.
Consolidation and Variable Interest Entities
Effective July 1, 2021, Bell Epoc Wellness Inc., a subsidiary of the Company, was merged with Decollte
Wellness Corporation, another subsidiary of the Company pursuant to an absorption-type company split agreement,with Bell Epoc Wellness Inc. being the successor entity. The purpose of this reorganization is to achieve more
efficiency in training therapists and operating the relaxation salons, and to integrate the brands. As these subsidiaries
were under common control, there was no impact to the consolidated financial statements. Bell Epoc Wellness Inc.
changed its name to Wing Inc. effective November 1, 2021.
On May 31, 2023, the board of directors approved a second reorganization (the “Second Reorganization”),
which consists of (i) an Incorporation-type Company Split Plan, pursuant to which the Company spun off the Digital
Preventative Healthcare business and transferred and assigned it to MEDIROM MOTHER Labs Inc. (“MML”), a
newly established wholly-owned subsidiary, which is expected to solely conduct the Digital Preventative Healthcare
business going forward; and (ii) an Absorption-type Company Split Agreement, pursuant to which the Company
spun off the existing salon development department (which is responsible for sourcing and setting up store spaces)
and general corporate department (which includes accounting, legal, general affairs, human resources, IT and anyother corporate functions) and had Bell & Joy Power Partners Inc., an existing wholly-owned subsidiary, assume
such operations going forward (on the same day, Bell & Joy Power Partners Inc. was renamed into MEDIROM
Shared Services Inc.). As these subsidiaries were under common control, there was no impact to the consolidated
financial statements. The Second Reorganization became effective on July 3, 2023.

F-10

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
The consolidated financial statements for the year ended December 31, 2023 include the accounts of Parent andthe following subsidiaries: Medirom Healthcare Technologies Inc, JOYHANDS WELLNESS Inc., Wing Inc.,
MEDIROM Shared Services Inc., SAWAN Co., Ltd., ZACC Kabushiki Kaisha (“ZACC”), Medirom Human
Resources Inc., and MEDIROM MOTHER Labs Inc. For those consolidated subsidiaries where the Company’sownership is less than 100%, the portion of the net income or loss allocable to the noncontrolling interests isreported as “Net income attributable to noncontrolling interests” in the Consolidated Statements of Operations. Allintercompany transactions have been eliminated in consolidation. Investments in companies over which theCompany has significant influence but not control are accounted for by the equity method. The Company evaluates
its investments and other significant relationships to determine whether any investee is a variable interest entity(“VIE”). If the Company concludes that an investee is a VIE, the Company evaluates its power to direct theactivities of the investee, its obligation to absorb the expected losses of the investee and its right to receive theexpected residual returns of the investee to determine whether the Company is the primary beneficiary of theinvestee. If the Company is the primary beneficiary of a VIE, the Company consolidates such entity and reflects thenoncontrolling interest of other beneficiaries of that entity. There is no VIE where the Company is the primary
beneficiary as of December 31, 2023 and 2022.
Use of Estimates
The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management tomake certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure ofcontingent assets and liabilities at the date of the consolidated financial statements and the reported amounts ofrevenues and expenses during the reporting period. Significant estimates and assumptions reflected in the
consolidated financial statements include, but are not limited to, the allowance for doubtful accounts, fair value of
intangible assets acquired through business combination, impairment of long-lived assets and goodwill, asset
retirement obligations, valuation of stock-based compensation, going concern and valuation of deferred tax assets.
Management bases these estimates on assumptions that it believes to be reasonable under the circumstance,
including considerations for the unwinding of the COVID-19 pandemic.
Foreign Currency Translation
Assets and liabilities denominated in foreign currencies are translated into Japanese yen at the respective yearend exchange rates. All revenue and expenses from assets and liabilities denominated in foreign currencies areconverted to Japanese yen at the exchange rate prevailing when transactions occur. Exchange gains and losses
resulting from foreign currency transactions and the conversion of monetary assets and liabilities denominated inforeign currencies are included in foreign exchange income in the consolidated statements of operation.
Noncontrolling Interests
Noncontrolling interests represent the portion of profit or loss, net assets, and comprehensive income or loss thatis not allocable to the Company as a result of the sale of ownership interest in MML to certain third-party investors.
At the end of each reporting period, the Company determines the amount of equity (at book value) that is allocable
to non-controlling interests based upon the respective ownership interests.
Cash and Cash Equivalents
Cash and cash equivalents consist of cash on hand or other highly liquid investments placed with banks or otherfinancial institutions which are unrestricted as to withdrawal or use and have original maturities of less than
three months. There are no cash equivalents balances for the periods presented.
Time Deposits
Time deposits presented in the consolidated balance sheets are short-term investments, whose maturity dates are
longer than three months but less than one year. Time deposits with maturity dates of longer than one year are
included in other assets in the consolidated balance sheets.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Accounts Receivable—Trade, Net
The accounts receivable-trade on the Company's consolidated balance sheets primarily includes accounts
receivables from franchisees. The balance is presented net of an allowance for expected losses (i.e., doubtful
accounts), primarily related to receivables from the Company's franchisees. The Company monitors the financial
condition of its franchisees and records provisions for estimated losses on receivables when it believes franchisees
are unable to make their required payments based on factors such as delinquencies, aging trends and expectations offorward-looking loss estimates. The allowance for doubtful accounts is the Company's best estimate of the amountof probable credit losses incurred related to existing accounts and receivables. The allowance for doubtful accounts
related to accounts receivable-trade was ¥15,925 thousand and ¥5,873 thousand at December 31, 2023 and 2022,
respectively.
Accounts Receivable—Other, Net and Long-Term Accounts Receivable—Other, Net
The accounts receivable—other on the Company's consolidated balance sheets primarily includes accounts
receivable from commercial facility landlords and credit card companies related directly-operated salon's revenue
and franchisee's revenue collected by these entities on behalf of the Company. As of December 31, 2023 and 2022,
accounts receivable from commercial facilities and credit card companies of ¥439,340 thousand and¥877,372 thousand, respectively, are included in the accounts receivable—other, net on the consolidated balance
sheets. The balance is presented net of an allowance for expected losses (i.e., doubtful accounts). The Company
monitors the financial condition of its debtor and records provisions for estimated losses on receivables when it
believes debtors are unable to make their required payments based on factors such as delinquencies and aging trends.
The allowance for doubtful accounts is the Company's best estimate of the amount of probable credit losses incurred
related to existing accounts and receivables. As of December 31, 2023, the allowance for doubtful accounts related
to accounts receivable-other was ¥ 457 thousand. There was no allowance for doubtful accounts related to accounts
receivable-other as of December 31, 2022.
Long-term accounts receivable—other mainly consists of a non-interest bearing receivable due from anunrelated business entity, with a monthly repayment amount of ¥1,063 thousand and maturity of July 31, 2038. Asof December 31, 2023 and 2022, the principal balance due was ¥199,325 thousand and ¥225,380 thousand,respectively. The short-term principal balance due was ¥12,750 thousand and ¥14,400 thousand as of December 31,
2023 and 2022, which are included in accounts receivable-other, net in the consolidated balance sheets. Long-term
accounts receivable—other includes other long-term accounts receivable of ¥13,019 thousand as of December 31,
2023 and 2022. The Company monitors the financial condition of its obligor and records provisions for estimatedlosses on receivables when it believes the obligors are unable to make their required payments. As of December 31,
2023 and 2022, the related allowance for doubtful accounts on long-term accounts receivable—other was¥116,547 thousand and ¥157,052 thousand, respectively.
Concentrations
Financial instruments, which potentially subject the Company to concentrations of credit risk, consist
principally of cash. The Company primarily places its cash with high-credit quality financial institutions. The
Company's cash deposits, of up to ¥10,000 thousand are insured by the Japanese government. From time to time, theCompany has deposits in excess of the insured amounts.
Inventories
Inventories consist principally of finished goods and raw materials of Mother Bracelet. Inventories are stated at
the lower of cost or net realizable value, cost being determined by the first-in, first-out method for merchandise. The
Company reviews its inventories for obsolete or unsalable items and adjusts the carrying value to reflect estimatedrealizable values.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Investments
Investments in equity securities, in which the Company does not have significant influence, and for which there
is not a readily determinable fair value, are recorded at cost, minus impairment, if any, plus or minus changes
resulting from observable price changes in orderly transactions for identical or similar investments in the same
issuer.
When the Company evaluates whether these non-marketable equity securities are impaired or not, the Company
evaluates first whether an event or change in circumstances has occurred in the period that may have significant
adverse effect on the fair value of the securities (an impairment indicator).
The Company uses such impairment indicators as follows:(1) A significant deterioration in the earnings performance or business prospects of the investee.
(2) A significant adverse change in the regulatory, economic, or technological environment of the investee.
(3) A significant adverse change in the general market condition of either the geographic area or the industry
in which the investee operates.
(4) A recent example of the new issuance of a security, in which the issue price is less than our cost.
The Company estimates the fair value of the non-marketable equity securities when an impairment indicator ispresent. The fair value is determined as a result of considering various unobservable inputs which are available to
the Company, including expectation of future income of the investees, net asset value of the investees, and material
unrealized losses to be considered in assets and liabilities held by the investees. The Company recognizes
impairment of non-marketable equity securities when the fair value is below the carrying amount and the decline infair value is considered to be other-than-temporary.
LeasesThe Company considers whether a contract is a lease or if it contains a lease element when a contract is
executed. If a contract conveys the right to control the use of the identified asset for a period of time in exchange forconsideration, such contract is determined to contain a lease element. When the contract contains a lease element, alease is either classified as operating lease or finance lease when the Company is a lessee, and a sales-type lease or
direct financing lease when the Company is a lessor.
The Company, as a lessee, applies the right-of-use model to account for lease transactions. Under the right-ofuse model, right-of-use asset and lease liability are recognized at commencement date. The Company measures its
lease liability at present value of future lease payments over the remaining term. The Company uses its incremental
borrowing rate for the discount rate to calculate the present value of the payments since it is difficult and notpractical to determine the interest rate implicit in the lease. The Company's incremental borrowing rate is the rate ofinterest that a lessee would have to pay to borrow on a collateralized basis over a similar term an amount equal to thelease payments in a similar economic environment. Right-of-use asset is initially measured as the initial amount of
the lease liability, plus any lease payments made to the lessor before the lease commencement date, plus any initial
direct costs incurred, minus any lease incentives received. When the Company determines a lease term, if a lease
contract contains an option to extend its lease term, the Company is reasonably certain to exercise such option. Thisis mainly due to the severe economic loss the Company may face for not exercising the right of extension, such asrecognizing impairment loss of attached facilities and loss resulting from failure to receive the franchise fee
originally obtainable. Therefore, the lease term includes the option to extend. Initial lease terms are generally
between 3 and 10 years.
For operating leases, the Company recognizes the minimum lease payments where it is the lessee and theminimum lease income where it is the lessor on a straight-line basis over the lease term, and reflects them as rental

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
expenses and rental revenues, respectively, in the consolidated statements of operation. The Company elected toseparate lease and non-lease components and not to recognize leases with an initial term of 12 months or less.
Operating rental expense includes amortization of right-of-use assets and interests on lease liability. Variable
lease expenses are primarily linked to sales and are excluded from the measurement of lease liability.
Rental expenses are recorded in the consolidated statements of operation based on the nature of the underlying
lease. Rental expense related to leases for directly-operated salons and for leased properties that are subsequently
subleased to franchisees are recorded to cost of revenue from directly-operated salons and cost of franchise revenue,
respectively, and rental expense related to leases for corporate offices is recorded to selling, general andadministrative expenses.
Rental income for operating leases on properties subleased to franchisees is recorded to franchise revenue.
Terms and conditions of the sublease agreements are arranged to pass through lease obligations under head leases tothe franchisees. Sublease income is presented on a gross basis on the accompanying consolidated statements ofoperation, as the Company remains the primary obligor.
For newly executed contracts, renewal and revision related to leases, estimates and certain assumptions are used
to determine asset value, useful lives, discount rate, lease term, etc. and these have effects on (1) classification oflease, (2) measurement of rental payments and (3) measurement of lease asset. These results may differ if varying
estimates and assumptions are used.
Property and Equipment, Net
Property and equipment are recorded at cost, less accumulated depreciation. Depreciation of property andequipment is computed principally using the straight-line method based on the estimated useful life of the assets.
The useful lives for depreciation by major asset classes are as follows:
Leasehold improvements
VehiclesTools, furniture and fixtures

Lesser of 15 years or the remaining lease term
2-6 years
3-13 years

Other Intangible Assets, Net
Other intangible assets with finite useful lives consist primarily of capitalized software, reacquired franchiserights, definite-lived trademarks, customer relationships, and store operating rights. The Company capitalizes both
eligible internal and external costs of developing or obtaining computer software for internal use. Costs incurred todevelop internal-use software during the application development stage are capitalized until the software issubstantially complete and ready for its intended use. Costs related to data conversion, training and maintenancecosts associated with internal-use software are expensed as incurred. Capitalized software is amortized over theestimated useful life (3-5 years) using the straight-line method. The Company amortizes the fair value of reacquired
franchise rights over the remaining contractual terms of the reacquired franchise rights at the time of the acquisition,
which generally range from 1-5 years. The Company amortizes the fair value of trademarks over the estimateduseful life (10 years). The Company amortizes the fair value of customer relationships and store operating rights
over the estimated useful life (3-7 years). Other intangible assets with indefinite useful lives consist primarily of
trademarks that are generally recorded in connection with business combinations at their fair value. Indefinite-lived
intangibles should be tested for impairment annually and more frequently if events or changes in circumstancesindicate that it is more likely than not that the asset is impaired. Due to the Company’s internal reorganization in
July 2021, the Company is no longer using the indefinite-lived trademark and therefore recorded an impairment of¥38,922 thousand in 2021 which is included in impairment loss on long-lived assets in the consolidated statementsof operation. There was no impairment in intangible assets recorded in 2023 and 2022.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Impairment of Long-lived Assets, Excluding Goodwill
The Company assesses impairment of long-lived assets at the individual salon level, as this is the lowest level
for which identifiable cash flows are largely independent of other groups of assets and liabilities. Long-lived assets
include property and equipment, right-of-use lease assets, internal use software, and definite-lived intangible assets.
The Company reviews the carrying value of long-lived assets for impairment whenever events or circumstances
occur that indicate that the carrying value of the assets may not be recoverable. The assets are considered to be
impaired when the estimated undiscounted cash flows expected to result from the use of the assets and their eventual
disposition are less than their carrying values. The impairment loss is measured as the amount by which the carrying
value of the asset or asset group exceeds its fair value. In determining the fair value, the Company uses present value
techniques, if appropriate, based on the estimated future cash flows expected to result from the use of the assets andtheir eventual dispositions. During 2021, long-lived assets impairment charges related to continuing operations of¥3,165 thousand, ¥39,067 thousand and ¥20,979 thousand were recorded on property and equipment, otherintangible assets and right-of-use asset—operating leases, respectively. Long-lived assets impairments are recorded
in impairment loss on long-lived assets in the consolidated statements of operation. There was no impairment loss inthe year ended December 31, 2023 and 2022.
Acquisitions
The Company evaluates acquisitions of assets and other similar transactions to assess whether or not thetransaction should be accounted for as a business combination or asset acquisition by first applying a screen test to
determine if substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset
or group of similar identifiable assets. If the screen is met, the transaction is accounted for as an asset acquisition. If
the screen is not met, further determination is required as to whether or not we have acquired inputs and processes
that have the ability to create outputs which would meet the definition of a business. Significant judgment is requiredin the application of the screen test to determine whether an acquisition is a business combination or an acquisitionof assets.
If an acquisition is determined to be a business combination, the assets acquired and liabilities assumed arerecorded at their respective estimated fair values at the date of the acquisition. Any excess of the purchase price overthe estimated fair values of the identifiable net assets acquired is recorded as goodwill.
If an acquisition is determined to be an asset acquisition, the cost of the asset acquisition, including transaction
costs, are allocated to identifiable assets acquired and liabilities assumed based on a relative fair value basis. If thecost of the asset acquisition is less than the fair value of the net assets acquired, no gain is recognized in earnings.
The excess fair value of the acquired net assets acquired over the consideration transferred is allocated on a relative
fair value basis to the identifiable net assets (excluding non-qualifying assets). The Company often purchases salonsfrom third-party investors and franchisees through salon operation right transfer agreement, and the Company
recognizes store operating rights and reacquired rights, respectively from the salon purchase transactions.
Determining estimated fair value requires a significant amount of judgment and estimates. If assumptions
change or errors are determined in our calculations, the fair value could materially change resulting in a change ingoodwill or identifiable net assets acquired.
Goodwill
Goodwill represents the excess of cost over fair value of identifiable net assets acquired and assumed inbusiness combinations. The Company generally records goodwill in connection with the acquisition of relaxation
salons from franchisees. Upon the sale of relaxation salons to franchisees, goodwill is decremented. In addition, theCompany records goodwill when the Company acquires other entities. Goodwill and intangible assets that are
deemed to have indefinite useful lives are subject to impairment testing. Impairment testing is performed annually or
more frequently if events or changes in circumstances indicate that the asset might be impaired. Goodwill
impairment assessments are performed at the reporting unit level, which is the same as the Company's operating
segments. The Company utilizes a qualitative assessment for determining whether step one of the goodwill
impairment analysis is necessary. If a step one test is considered necessary based on the qualitative factors, theCompany compares the estimated fair value of a reporting unit to its carrying value. The carrying value of each
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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
reporting unit is based on the assets and liabilities associated with the operations of the reporting unit. The Company
calculates estimated fair values of the reporting units based on discounted future cash flows utilizing estimates inannual revenue, service and product margins, fixed expense rates, allocated corporate overhead, directly-operated
and franchise salon counts, and long-term growth rates for determining terminal value. If the carrying amount of areporting unit exceeds its fair value, a loss will be recorded for the excess of the carrying value of the reporting unit
over the fair value of the reporting unit. The Company did not recognize impairment losses for any goodwill during
the years ended December 31, 2023, 2022 and 2021.
Asset Retirement Obligations
The Company records asset retirement obligations when the obligation is incurred. The obligation is measured
at fair value and included in other current liabilities and asset retirement obligations. When the liability is initially
recorded, the Company capitalizes the related cost by increasing the carrying amount of the related long-lived asset.
The liability is accreted to its present value, and the capitalized cost is depreciated over the asset's useful life.
Revenue Recognition
Revenues are recognized when control of the promised goods or services are transferred to the customers, in an
amount that reflects the consideration to which the company expects to be entitled in exchange for those goods orservices.
The Company determines revenue recognition through the following steps:
Step 1: identification of the contract with a customer;
Step 2: identification of the performance obligations in the contract;
Step 3: determination of the transaction price;
Step 4: allocation of the transaction price to the performance obligations in the contract;
Step 5: recognition of revenue when, or as, the Company satisfies a performance obligation.
Revenue from Directly-Operated Salons
Revenues from directly-operated salons (including sales in the Luxury Beauty segment) are recognized whenservices are provided at the salons. The promised services for directly operated studios are the services ordered by
the end customer from the service menu. The services are provided in one appointment. Therefore, there is only one
performance obligation. As the customer simultaneously receives and consumes the benefits of the relaxation
services, the revenue is recognized as the service is delivered using the delivery output method.
Revenue from prepaid cards is recognized when the services are transferred. When value is added to a prepaid
card, the Company records a contract liability for its performance obligation to stand ready to transfer services in the
future (or transfer funds to franchisee who provides service). When the services or funds are transferred, itderecognizes the contract liability and correspondingly recognizes revenue. The Company expects to be entitled to acertain amount of breakage and recognizes revenue from breakage proportionately to the redemptions exercised by
the customer. The amount of breakage recognized for the years ended December 31, 2023, 2022 and 2021 were¥46,426 thousand, ¥64,600 thousand and ¥61,247 thousand, respectively.
The Company also sells salons to third-party investors. As this is a recurring source of income for the Company
as part of the larger strategy for the relaxation salons segment, the sale of salons is considered part of the Company’s
ongoing major or central operations and thus ordinary activities for the Company, and the third-party investors are
considered as “customers”. Therefore, the Company applies ASC 606 to these contracts. Revenue from the sale ofdirectly-owned salons is comprised of the (i) transfer of the salon assets and business rights and (ii) outsourced salon
operation services. The revenue for the transfer of salon assets and business rights is recognized at a point in time
when the agreement is signed, and control is transferred to the customer.
Furthermore, the Company may purchase the sold salons from the third-party investors after a certain period
time from the initial salon sales based on the third-party investors’ demands and the Company’s business strategy.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Depending on the negotiation with the investors, the Company may sell additional salons to the third-party investors,
which can be on the same date of the salon purchase or in the future.
If the Company enters into a salon purchase and sales agreement with the same investor on the same date ornear the same date, the Company recognizes the salon purchase and sales agreements as a combined arrangement.
Under the combined arrangement, the proceeds from the sale of salon and the payment for the purchase of salon are
offset with each other. Therefore, the Company recognizes the noncash consideration and the difference of thecarrying value of the sold salon and the transaction of salon sales as other income or loss, which is included in gainfrom sales of salons in the consolidated statements of operation.
Furthermore, the Company often enters into a salon purchase agreement with an third-party investor and sells
the purchased salon to a different third-party investor on the same date. When these transactions happen, theCompany’s performance obligation is to make an arrangement for the provision of the good by another, and theseller effectively controls the salon before it is sold to the new third-party investor. Therefore, the Company isconsidered to be an agent in this type of transaction and the Company records the revenue resulted from this type oftransaction at net. There is no significant financing component. The proceeds from the transfer of the salons areclassified based on the intention.
Also, the buyers of salons are entitled to enter into Service Agreements with the Company to manage theoperations of the salons and the Company charges a fee for the management services to be provided. Revenue fromthe Service Agreement are recognized over the term of the agreement as services are provided. The customer
benefits from the integrated service over the contract term and each time increment is substantially the same.
Therefore, the outsourced salon operations are considered a “series” of distinct services and are treated as a single
performance obligation. The term of the Service Agreement is typically five years. Under the Service Agreement,
the Company is reimbursed for the costs of operating the salon including leases and will recognize revenue from thereimbursement of costs using the as-invoiced practical expedient. Furthermore, the Company will receive a certain
portion of the excess profit, which is considered variable consideration. This success fee will be constrained until
there is greater than 70% probability that there will be no future reversal of revenue.
Franchise Revenue
Franchise revenue is comprised of (i) franchise fees, (ii) royalty income, (iii) staffing service revenue,(iv) sublease revenue, and (v) other franchise revenues. The Company and the franchisee enter into a franchise
agreement which sets forth the standard terms and conditions of operating the franchised salon, as well as the feesand royalties over the term of the agreement. In most cases, an outsourcing agreement, is also entered into in
conjunction with the franchise agreement that specifies the terms of the sublease arrangement with the franchisee.
Upon the franchisee's request, the Company's therapists are dispatched to franchise locations and franchisees must
pay dispatch fees in accordance with the dispatched employees' position.
(i) Franchise fees
The Company receives the entire non-refundable initial franchise fees from the franchisee based on franchise
agreement. The franchise agreement typically has an initial term of five years. The services for operating the
franchised salon provided by the Company under franchise contract are not separately identifiable within thecontract and are interrelated with the franchise right granted in the franchise agreement. As such the services are
considered to represent a single performance obligation. The franchise agreement could be renewed prior to
expiration by mutual consent and renewal franchise fees are paid by franchisee upon renewal of agreement. Initialfranchise fees and expected renewal franchise fees are recognized as revenue ratably using the time-based input
method over the expected average contract life (7-10 years), instead of the contract term, as there is a material right
related to renewals.
(ii) Royalty income
The Company collects royalties, an amount calculated by multiplying a certain percentage to gross sales, ona monthly basis. The royalties are subject to the sales- and usage-based royalties constraint and are recognized as

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
revenues based on the monthly royalty earned where such amount is determined on the basis of gross sales madefrom each salon.
(iii) Staffing service revenue
The Company also generates revenue from providing its therapists to franchisees, which are recognized asrevenues based on the total number of working hours of the agency worker during the dispatched period. The
Company has elected the 'as-invoiced' practical expedient for its staffing services where the fixed rate per hour isinvoiced to the customer.
(iv) Sublease revenue
The Company leases the premises in which the majority of its franchisees operate, where the Company retains
the head lease primary obligation, and has entered into corresponding sublease arrangements with franchisees.
Revenues from sublease transactions with franchisees are recognized on a straight-line basis over the respective
operating lease terms, or at the time of the underlying sales for variable lease payments, in accordance withAccounting Standards Codification ("ASC") 842 Leases ("ASC 842").
(v) Other franchise revenues
Other franchise revenues include other services provided to franchisees separately from the franchise
agreements and include advertising, training, studio construction and hiring support. These services are primarily
recognized as revenues when services are provided. The Company has elected the 'as-invoiced' practical expedientfor its studio construction services where the consideration is invoiced to the customer.
Other Revenues
Other revenues are primarily from the Digital Preventive Healthcare segment, which include revenues fromserving implementation of health and wellness programs (Specific Health Guidance Program), as well as wearable
device service (MOTHER Bracelet®), and are recognized when services are provided or the ownership of products
are transferred. The Company offers standard assurance-type warranties for its MOTHER Bracelet® which are notaccounted for as a separate performance obligation and do not contain acceptance clauses.
See Note 13 for further disclosures required under ASC 606.
Revenue is recognized net of consumption tax collected from customers and subsequently remitted togovernmental authorities.
Advertising Expenses
Advertising costs are expensed as incurred and are recorded in selling, general and administration expenses in
the consolidated statements of operation. Advertising expenses for the years ended December 31, 2023, 2022 and2021 were ¥162,033 thousand, ¥135,127 thousand and ¥130,959 thousand, respectively.
Stock-Based Compensation
The Company measures the cost of employee services received in exchange for an award of equity instruments
at the fair value of the award on the grant date and recognizes the cost over the requisite service period which theemployee is required to provide services in exchange for the award. Compensation expenses are recognized on astraight-line basis over the requisite service period of the awards which are expected to be vested. The Company
accounts for forfeitures as they occur. The Company uses option pricing methods that require the input of subjective
assumptions, including the expected term, expected volatility, dividend yield and risk-free interest rate.
The Company estimates the likelihood and the rate of achievement for performance sensitive stock-based
awards at the end of each reporting period. Changes in the estimated rate of achievement can have a significant

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
effect on the recorded stock-based compensation expense as the effect of a change in the estimated achievementlevel is recognized in the period the change occurs.
Income Taxes
Deferred income taxes reflect the impact of temporary differences between assets and liabilities recognized forfinancial reporting purposes and such amounts recognized for tax purposes and tax loss carryforwards. Thesedeferred taxes are measured using the currently enacted tax rates in effect for the year in which the temporary
differences or tax loss carryforwards and tax credits are expected to reverse.
Valuation allowances are provided against deferred tax assets when it is more likely than not that a tax benefit
will not be realized. The Company considers all available evidence (both positive and negative) when determining
whether a valuation allowance is required, with emphasis on its past operating results, the existence of cumulative
losses in the most recent years and its forecast of near-term taxable income. The Company recognizes the financial
statement effect of uncertain tax positions when it is more likely than not, based on the technical merits, that the tax
positions will be sustained upon examination by the tax authorities. Benefits from tax positions that meet the morelikely-than-not recognition threshold are measured at the largest amount of benefit that is greater than 50% likely of
being realized upon settlement. Accrued interest and penalties related to the unrecognized tax benefits are included
in income tax expense (benefit) in the consolidated statements of operation.
The Company recognizes penalties related to income taxes within the selling, general and administrative
expenses line in the consolidated statements of operations. Interest related to income taxes will be recognized ininterest expense in the consolidated statements of operations.
Earnings (Loss) Per Share
Basic and diluted earnings (loss) attributable to the Company’s shareholders per common share are presented inconformity with the two-class method required for participating securities. Basic net income (loss) attributable to theCompany’s shareholders per common share is computed by dividing net income (loss) attributable to the Company
by the weighted-average number of shares of common stock outstanding during the year. Diluted net income (loss)
attributable to the Company’s shareholders per common share reflects the potential dilutive effect of stock options.
(See Note 14)
Recently Issued Accounting Pronouncements Adopted
Credit Losses
In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments—Credit Losses (Topic 326):
Measurement of Credit Losses on Financial Instruments, which requires measurement and recognition of expectedcredit losses for financial assets measured at amortized cost, including accounts receivable, upon initial recognitionof that financial asset using a forward-looking expected loss model, rather than an incurred loss model. In November
2019, the FASB issued ASU No. 2019-10, Financial Instruments—Credit Losses (Topic 326), Derivatives andHedging (Topic 815), and Leases (Topic 842). The standard defers the effective dates of ASU 2016-13 for SEC
filers that are eligible to be smaller reporting companies, non-SEC filers and all other companies. As a result, Topic
326 is effective for interim and annual reporting periods beginning in 2023. The adoption of this standard did nothave a material effect on its financial position or results of operations.
Recently Issued Accounting Pronouncements Not Yet Adopted
Disclosure Improvements
In October 2023, the FASB issued ASU No. 2023-06, Disclosure Improvements-Codification Amendments in
Response to the SEC’s Disclosure Update and Simplification Initiative. This new standard modified the disclosure
and presentation requirements of a variety of codification topics by aligning them with the SEC’s regulations. ASU

F-19

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
2023-06 will become effective for each amendment on the effective date of the SEC's corresponding disclosure rulechanges. The Company is currently evaluating the impact on its consolidated financial statements.
Segments
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280), Improvements toReportable Segment Disclosures. The new standard requires enhanced disclosures about segment information andsignificant segment expenses. It does not change how a public entity identifies its operating segments. ASU 2023-07
is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning
after December 15, 2024, with early adoption permitted. The new standard should be applied retrospectively to allprior periods presented in the financial statements. The Company is currently evaluating the impact on its
consolidated financial statements.
Income Taxes
In December 2023, the FASB issued 2023-09, Income Taxes (Topic 740), Improvements to Income Tax
Disclosures. The new standard requires public business entities to disclose information about income taxes paid,
specific categories in the rate reconciliation, and additional information for reconciling items that meet a quantitative
threshold. The guidance should be applied on a prospective basis. For public business entities, ASU 2023-08 is
effective for fiscal years beginning after December 15, 2024, with early adoption permitted. For all other entities, thestandard is effective for annual periods beginning after December 15, 2025. The Company is currently evaluating
the impact on its consolidated financial statements.
2. Business Combinations
Acquisition of ZACC
On August 31, 2021, the Company entered into a share transfer agreement with all the existing shareholders of
ZACC, a Japanese hair salon operator of “ZACC” brand, pursuant to which it will acquire 100% of the outstanding
shares of ZACC for cash consideration of ¥370,000 thousand. The total consideration net of the settlement of a preexisting borrowing was ¥270,000 thousand. ZACC owns and operates 3 luxury hair salon brands (ZACC vie, ZACC
raffine, and ZACC ginza), all of which have been recognized by customers for over 30 years for their high level oftechniques and hospitality. The purchase price was paid by cash on hand, and an initial payment of ¥69,014
thousand was made on August 31, 2021. The acquisition date was October 1, 2021, when the Company acquired acontrolling interest (60% of the common shares) for ¥152,986 thousand and was required to consolidate ZACC. The
remaining shares of ZACC were transferred to the Company on January 1, 2022 for ¥148,000 thousand. The
acquisition was accounted for by the acquisition method. The consideration paid by the Company approximated theCompany’s total fair value. Therefore, the price per share paid by the Company equals the mandatorily redeemablenoncontrolling interest per share fair value.
The allocation of the purchase price was based on the estimated fair values of the assets acquired and liabilities
assumed as of the acquisition date.
The estimated fair values of the assets acquired and liabilities assumed at the acquisition date were as follows:

Cash
Accounts receivable-other
Inventories
Prepaid expenses and other current assets
Property and equipment
Other intangible assets
Right-of-use asset-operating lease
Other assets
Total assets acquired
Accounts payable

¥

F-20

Thousands of Yen
Fair value of
assets/liabilities
81,802
49,573
5,408
2,234
39,232240,000
202,196
68,497
688,942(6,041)

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Accrued expenses and other current liabilities
Mandatorily redeemable noncontrolling interests in ZACC
Lease liability
Borrowings
Asset retirement obligation
Deferred tax liability
Total liabilities assumed
Net liabilities assumed
Fair value of the consideration transferred
Goodwill(42,168)(148,000)(201,076)(249,263)(14,147)(73,488)(734,183)(45,241)
122,000¥

167,241

The intangibles of ¥240,000 thousand is comprised of customer relationships of ¥150,000 thousand and ¥90,000
thousand of tradename. The goodwill recorded primarily relates to the growth potential from expanding ZACC’spresence in Japan by implementing a franchising model with the help of the Company’s expertise in this area and theacquired assembled workforce. Almost all of the goodwill is expected to be nondeductible for income tax purposes.
There were no acquisition-related costs incurred.
Acquisition of SAWANOn May 6, 2021, the Company acquired control of SAWAN CO. LTD. (“SAWAN”) by purchasing all
outstanding shares for cash consideration of ¥140,697 thousand. As a result, “Ruam Ruam,” which is a luxury
relaxation salon brand held by SAWAN, has become part of the Company’s directly-operated salons. The
acquisition was accounted for by the acquisition method. Acquisition-related costs of ¥12,000 thousand wererecognized as expenses when incurred, which is included in selling, general and administrative expenses in the
consolidated statements of operation.
The allocation of the purchase price was based on the estimated fair values of the assets acquired and liabilities
assumed as of the acquisition date.
The estimated fair values of the assets acquired and liabilities assumed at the acquisition date were as follows:

Cash
Accounts receivable-other
Inventories
Prepaid expenses and other current assets
Property and equipment
Other intangible assets
Right-of-use asset-operating lease
Other long-term assets
Total assets acquired
Accounts payable
Accrued expenses
Advances received
Lease liability
Asset retirement obligation
Deferred tax liabilities
Other liabilities
Total liabilities assumed
Net assets acquired
Fair value of the consideration transferred
Goodwill¥¥Thousands of Yen
Fair value of
assets/liabilities
7,824
18,2283,391
16,64370,497100,000
168,242
57,259442,084(99,405)(16,271)(60,651)(165,560)(25,060)(30,620)(14,701)(412,268)
29,816140,697
110,881

The intangible assets of ¥100,000 thousand is comprised of customer relationships of ¥30,000 thousand andtradename of ¥70,000 thousand. The goodwill recorded primarily relates to the sales growth potential of therelaxation salons held by SAWAN and acquired assembled workforce. Almost all of the goodwill is expected to be
nondeductible for income tax purposes.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Acquisition of relaxation salonsDuring 2021, the Company acquired 18 relaxation salons for cash consideration of ¥202,686 thousand. The
cash consideration paid in these transactions is included within acquisition of businesses - net of cash acquired in theinvesting activities, payment of installment payables related to business acquisitions in the financing activities andpayables related to acquisition of businesses included in accrued expenses in the non-cash investing and financing
activities sections of the consolidated statements of cash flows. During 2022 and 2023, there were no salon
acquisitions to be accounted for as business combination.
Acquisition-related costs were recognized as expenses when incurred, which were immaterial in amount. The
results of operations, and assets and liabilities, of these relaxation salons were included in the consolidated financial
statements from the date of acquisition. The purchase price allocation was based on the estimated fair values of theassets acquired and liabilities assumed, as of the acquisition date.
The estimated fair values of the assets acquired and liabilities assumed at the acquisition date were as follows:

2021
Property and equipment
Other intangible assets
Total assets acquired
Asset retirement obligation
Total liabilities assumed
Net assets acquired
Fair value of the consideration transferred
Goodwill
Gain from bargain purchases¥¥

36,29915,00051,299(33,876)(33,876)
17,423
202,686
185,263―

The goodwill recorded primarily relates to the sales growth potential of the relaxation salon locations acquired
and is expected to be deductible for income tax purposes. In 2021, the fair value of the reacquired franchise rights
was estimated using the excess earnings method and relief from royalty method with Level 3 unobservable inputs. In
order to develop these Level 3 fair value measurements, the Company used 1.2% - 6.0% royalty rate and 11.3% 25.0% discount rate as significant unobservable inputs. The amount of reacquired franchise rights was ¥15,000
thousand in 2021. Reacquired franchise rights are subject to amortization and are amortized over an estimated usefullife of approximately one to three years.
For some relaxation salons acquired, the Company recognized the excess of the fair value of the net assets
assumed over the fair value of the consideration transferred as a gain from bargain purchases.
The amount of revenue from the acquired relaxation salons included in the Company's results of operations forthe year ended December 31, 2021 was ¥208,600 thousand. The amount of loss from the acquired relaxation salons
included in the Company's results of operations for the years ended December 31, 2021 was ¥13,788 thousand.
Disclosure of pro forma information is omitted as the information is not easily available.
3. Property and Equipment, Net
As of December 31, 2023 and 2022, property and equipment, net consist of the following:

Leasehold improvements
VehiclesTools, furniture and fixtures
Total
Accumulated depreciation and amortization

¥

¥

F-22

Thousands of Yen
2023
2022
560,639¥
539,553
25,58618,089161,666
114,663
747,891
672,305(296,393)(248,017)
451,498¥424,288

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Depreciation expense was ¥107,040 thousand, ¥82,795 thousand and ¥80,463 thousand for the years ended
December 31, 2023, 2022 and 2021, respectively.
For the years ended December 31, 2023, 2022 and 2021 the Company recognized impairment loss of nil, nil and¥3,165 thousand , respectively, for the Relaxation Salon segment on leasehold improvements used in certain
relaxation salons, respectively. The Company conducted strategic reviews of its future profitability forecast.
Following these reviews, the Company reduced the corresponding estimated future cash flows of these assets and theestimated ability to recover the carrying amount of the long-lived assets within the period applicable to theimpairment determination, resulting in the impairment charges.
4. Goodwill and Other Intangible Assets, Net
The components of intangible assets as of December 31, 2023 and 2022 are as follows:
Thousands of Yen
2023
2022

Intangible assets subject to amortization:
Software for internal use
Customer relationship
Store operating rights
Trademark
Other
Total
Accumulated amortization
Net carrying amount¥

Intangible assets not subject to amortization:
Goodwill
Telephone rights
Total
Total intangible assets¥

220,343
180,000
637,138
160,000750
1,198,231(277,900)
920,331484,564369
484,933
1,405,264¥¥

156,236
180,000
43,777160,000
750
540,763(137,458)
403,305
539,490369
539,859
943,164

The aggregate amortization expense was ¥145,555 thousand, ¥85,918 thousand and ¥45,780 thousand forthe years ended December 31, 2023, 2022 and 2021, respectively. As of December 31, 2023 and 2022, the weighted
average amortization period for internal-use software, customer relationships, Store operating rights and trademarks
was 4 years, 6 years, 3 years and 10 years, respectively.
The indefinite-lived trademark intangible relates to the relaxation salon segment and was considered abandoned
due to the internal reorganization in 2021. The Company recorded an impairment charge for the full carrying valueof ¥38,922 thousand in the year ended December 31, 2021. In addition, the Company recorded an impairment loss of¥145 thousand on reacquired rights of certain relaxation salons in the relaxation segment for the year ended
December 31, 2021. The Company conducted strategic reviews of its future profitability forecast. Following thesereviews, the Company reduced the corresponding estimated future cash flows of these assets and the estimatedability to recover the carrying amount of the reacquired rights within the period applicable to the impairment
determination, resulting in the impairment charges. There were no impairment charges recorded during the years
ended December 31, 2023 and 2022.

F-23

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
The estimated aggregate amortization expense for other intangible assets for the next five years and thereafter is
as follows:
Thousands of Yen

Year ending December 31:
2024
2025
2026
2027
2028
Thereafter
Total

¥

285,138
279,186
206,059
60,29245,545
44,111
920,331¥

The following table shows changes in carrying amount of goodwill for the years ended December 31, 2023,
2022 and 2021:
Thousands of Yen

Balance at December 31, 2021
Sale of directly-owned salons, and closure of directly-owned salons
Balance at December 31, 2022
Sale of directly-owned salons, and closure of directly-owned salons
Balance at December 31, 2023¥¥¥

600,329(60,839)
539,490(54,926)
484,564

The Company performed a step 1 quantitative assessment for its annual goodwill impairment test on December
31, 2023,2022 and 2021. Based on the results of the step 1 test, the fair value of the reporting unit exceeded thecarrying value and no impairment was recorded. The fair value of all reporting units was determined using an
income approach based upon estimates of future discounted cash flows. Significant judgments and unobservable
inputs categorized as Level III in the fair value hierarchy are inherent in the impairment tests performed and include
assumptions about the amount and timing of expected future cash flows, growth rates, and the determination of
appropriate discount rates. The Company believes that the assumptions used in its annual impairment test arereasonable, but variations in any of the assumptions may result in different calculations of fair values andimpairment charges. The impacts of any adverse business and market conditions which impact the overall
performance of the Company's reporting units will continue to be monitored. If the Company's reporting units do notachieve the financial performance that the Company expects, it is possible that goodwill impairment charges may
result. There can therefore be no assurance that future events will not result in an impairment of goodwill. No
impairment losses on goodwill were recognized for the years ended December 31, 2023, 2022 and 2021.
5. Investments
Investments at Cost
The breakdown of non-marketable securities as of December 31, 2023 and 2022 are as follows:

Matrix Industries, Inc.
Other
Total

¥
¥

Carrying amountThousands of Yen
2023
2022
77,948¥52,5203,594
500
81,542¥53,020Ownership
2023
2022
2.89%
0.09%
―
―

The Company acquired a convertible note from Matrix Industries, Inc. for ¥52,520 thousand on February 3,
2021. In 2023, the Company converted the convertible note into shares. The carrying amount of non-marketablesecurities are recorded at cost as fair value is not readily determinable. The Company did not recognize any
impairments or adjustments to the carrying value for the years ended December 31, 2023 and 2022.

F-24

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
6. Borrowings
The Company has borrowings with financial institutions. Some borrowings are secured. As of December 31,
2023 and 2022, time deposits with an aggregating book value of ¥26,002 thousand and ¥26,000, respectively, arepledged as collateral. Some borrowings are guaranteed by Credit Guarantee Association, a Japanese governmental
affiliate agency which supplements private companies with credit. The borrowings accrue interest using fixedinterest rates of 0.21% – 3.30% and 0.20% – 3.30% per annum as of December 31, 2023 and 2022, respectively.
Debt issuance costs related to these borrowings are immaterial.
The Company issued corporate convertible bonds in the aggregate amount of ¥500,000 thousand to Kufu
Company Inc., a Japanese company, in December 2022. The bonds are unsecured, accrue interest at a rate of 5.0%
per annum, payable on June 30, 2023 and semi-annually thereafter, and will mature on December 28, 2027, unlessearlier redeemed or converted. At any time between the six-month anniversary date of December 28, 2022 (which
may be earlier in case of the limited event provided for in the indenture) and before the close of business on
December 28, 2027, Kufu Company Inc., as the bond holder, may convert the bonds at its option, in whole or inpart, into common shares. The Company granted a total of 40 share options, and one share option is attached to eachbond equivalent to ¥12,500,000. The price per share used to calculate the number of the Company’s common shares
to be delivered upon the exercise of the share options shall be ¥755. The bond holder may also exercise its put
option to demand the redemption of the bonds by the Company, in whole or in part, any time after the six-monthanniversary date of December 28, 2022.
The carrying value of the Company’s borrowings as of December 31, 2023 and 2022 are as follow:

Short-term borrowings
Borrowings (Due through 2035 with weighted average interest rates of 1.12% as of December 31, 2022,
due through 2035 with weighted average interest rates of 0.66% as of December 31, 2021)
Corporate convertible bondCurrent portion of borrowings
Borrowings, net of current portion¥¥

Thousands of Yen
2023
2022
400,000¥―
651,217

748,937

500,000(500,415)
1,050,802

500,000(99,168)
1,149,769¥

The carrying value of the Company’s borrowings approximate fair value at each balance sheet date because thestated rate of interest of the debt approximates the market interest rate at which the Company can borrow similar
debt. As of December 31, 2023 and 2022, the Company did not have any borrowings measured at fair value.
The following is a summary of maturities of borrowings subsequent to December 31, 2023:
Thousands of Yen
Year ending December 31:
2024
2025
2026
2027
2028
2029 and thereafter
Total

¥

¥

100,415
86,603
94,587594,627
94,664
180,321
1,151,217

Parent has short-term and long-term borrowings. These borrowings are primarily made under generalagreements, which are to provide security and guarantees for present and future indebtedness or to secure aguarantor upon request of the bank, and that the banks shall have the right to offset cash deposits against any debts
and obligations that have become due or, in the case of default, against all obligations to the banks. Kouji Eguchi,
the representative director and the shareholder of Parent (holds 38.61% of common stock and all Class A common
stock as of December 31, 2023) is a guarantor for five bank loans on behalf of our Company. As of December 31,
2023, the outstanding amount of loans guaranteed by Mr. Eguchi was ¥213,782 thousand. Kazuyoshi Takahashi, therepresentative director of ZACC is the guarantor for two bank loans on behalf of ZACC, which were borrowed by
ZACC from three banks prior to the acquisition of ZACC. As of December 31, 2023, Mr. Takahashi’s guarantee has

F-25

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
not been released and the outstanding amount of loans guaranteed by Mr. Takahashi was ¥56,407 thousand. None of
the borrowing agreements contain any financial covenants.
In addition, the Company entered into a ¥200,000 thousand credit facility with a bank on August 7, 2023 whichmatured on May 31, 2024. As of December 31, 2023, the Company had used ¥200,000 thousand of the credit
facility. The credit facility was subsequently renewed in 2024. See subsequent events footnote.
7. Asset Retirement Obligation
Asset retirement obligation primarily consists of estimated costs arising from a contractual obligation to alandlord to remove leasehold improvements from leased properties at the end of the lease contracts for its
headquarters and directly-operated salons.
Reconciliation of the beginning and ending amount of asset retirement obligation for the years ended
December 31, 2023 and 2022 is as follows:

Beginning balance
Liabilities incurred
Liabilities settled
Accretion expense
Ending balance¥¥

Thousands of Yen
2023
2022
310,929¥
298,994
34,1602,150(3,838)(14,639)
3,095
24,424344,346¥
310,929

The balances as of December 31, 2023 and 2022 are included in asset retirement obligation in the consolidatedbalance sheets.
8. Leases
The Company mainly leases commercial space for its relaxation salon from external third parties, which areeither operated by the Company or a franchisee and also enters into contracts with franchisees subleasing partial
spaces of leased properties under the terms and conditions that are substantially the same as the head lease contracts.
As of December 31, 2023, 2022 and 2021, the Company had 232, 235 and 235 leased salons, respectively, of which
89, 104 and 115 salons, respectively were subleased.
Operating Leases
LesseeThere are no lease transactions classified as finance leases for the years ended December 31, 2023, 2022 and2021.
The table below summarizes the components of operating lease costs related to operating leases for the year
ended December 31, 2023, 2022 and 2021:

Fixed lease cost (a)Variable lease cost (b)Short-term cost
Total
(a)
(b)

¥
¥

2023
893,347
45,41044,115982,872

Thousands of Yen
2022¥
866,730¥
40,661
19,977¥927,368¥2021
801,292
33,16738,876873,335

This includes amounts recoverable from sublessees as fixed sublease income. See the table of sublease income
in Subleases below for more details.
This includes amounts recoverable from sublessees as variable sublease income. See the table of sublease
income in Subleases below for more details.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
There are no sale-and leaseback transactions conducted in the years ended December 31, 2023, 2022 and 2021.
Supplementary information on cash flow and other information for leasing activities for the year ended
December 31, 2023, 2022 and 2021 are as follows:
Thousands of Yen
2022

2023
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows
Right-of-use assets obtained in exchange for lease liabilities¥

Weighted average remaining lease term (in years)
Weighted average discount rate

982,872
931,521¥938,095
673,4682021¥

881,822
917,135

3.7

3.7

3.2

2.02%

2.12%

1.64%

Maturity analysis of future minimum lease payments under non-cancellable leases subsequent to December 31,
2023 are as follows:
Thousands of Yen
Year ending December 31:
2024
2025
2026
2027
2028
2029 and thereafter
Total
Less: Interest component
Present value of minimum lease payments¥

783,761
560,888
389,086
239,680
132,40986,6692,192,493(94,441)
2,098,052¥

The amount of ¥763,422 thousand and ¥1,334,630 thousand of the discounted present value of minimum lease
payment are included in current portion of lease liability and lease liability — net of current portion, respectively, inthe consolidated balance sheets.
Subleases
The Company leases space from commercial facility landlords which in turn it subleases to certain franchiseesof its relaxation salons. Sublease revenues are as follows for the years ended December 31, 2023, 2022 and 2021,
and included in franchise revenues:

Fixed sublease income
Variable sublease income
Total

¥
¥

2023
344,875
19,492364,367

Thousands of Yen
2022¥
429,419¥
22,256¥451,675¥2021
420,138
17,838437,976

Expected future minimum lease collections to be received under non-cancellable subleases subsequent toDecember 31, 2023 are as follows:
Thousands of Yen
Year ending December 31:
2024
2025
2026
2027
2028
2029 and thereafter
Total

¥

¥

250,565
180,614103,085
46,20325,043
21,340626,850

There are no lease transactions classified as sale-type leases and direct financing leases for the years ended
December 31, 2023, 2022 and 2021.

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Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
9. Shareholders' Equity (Deficit)
Common stock and Class A common stock
Parent's capital consists of common stock and Class A common stock. On March 29, 2021, the Company heldits 21st Ordinary General Meeting of Shareholders, whereby the proposal to amend the Articles of Incorporation toincrease the total number of authorized shares was approved. The total number of authorized shares increased to
19,900,000 shares, and the total number of authorized class shares increased to 19,899,999 common shares and one(1) Class A common share.
The same rights are granted to common stock and Class A common stock on the right to claim a dividend and toclaim a liquidation distribution.
Class A common stock is entitled to no voting rights at ordinary shareholders’ meetings. However, when Parent
makes decisions on the following matters stipulated in laws or regulations or the articles of incorporation that need
to be approved by the resolution of the Board of Directors, in addition, Parent needs approval at the Class General
Meetings of respective shareholders, which is constituted by the shareholders of Class A common stock.
1.
2.
3.
4.
5.
6.
7.

Subject to a demand for sale of treasury stock from inheritors;
Reverse stock split, stock split, issuance of stock and issuance of stock acquisition right;
Dismissal of Parent's corporate auditor;
Decrease of common stock;
Dividend paid in property other than money;
Change in the articles of incorporation, business transfer, dissolution and liquidation of Parent; andOrganizational change, merger, stock exchange and stock transfer;

All issued Class A common stock are held by Parent's representative director, Kouji Eguchi. The holders ofClass A common share can claim anytime to acquire Class A common share at market price.
Japanese companies are subject to the Companies Act of Japan (the "Companies Act"). The significant
provisions in the Companies Act that affect financial and accounting matters are summarized below:
Common stock
Under the Companies Act, issuances of common stock are required to be credited to the common stock accountfor at least 50% of the proceeds and to the additional paid-in capital account for the remaining amounts.
Dividends
Under the Companies Act, companies can pay dividends at any time during the year in addition to the year-end
dividend upon resolution at the shareholders’ meeting. The Companies Act permits companies to distributedividends-in-kind (non-cash assets) to shareholders’ subject to certain limitations and additional requirements.
Semiannual dividends may also be paid upon resolution by the Board of Directors. The Companies Act provides
certain limitations on the amounts available for dividends or the purchase of treasury stock. The limitation is definedas the amount available for distribution to the shareholders, but the amount of net assets after dividends must be
maintained at no less than ¥3 million.
Increases / decreases and transfer of common stock, reserve and surplus
The Companies Act requires that an amount equal to 10% of dividends must be appropriated as legal reserve (acomponent of retained earnings) or as additional paid-in capital (a component of capital surplus) depending on theequity account charged upon the payment of such dividends until the total of the aggregate amount of legal reserve
and additional paid-in capital equals 25% of common stock. Under the Companies Act, the total amount ofadditional paid-in capital and legal reserve may be reversed without limitation. The Companies Act also provides

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Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
that common stock, legal reserve, additional paid-in capital, and other capital surplus and retained earnings can betransferred among the accounts under certain conditions upon resolution of the shareholders.
On March 31, 2023, upon the resolution of the stockholders, a reduction in the registered capital and additional
reserved capital amount for common stock was approved in accordance with the Companies Act. As a result, ¥1,203
million and ¥1,306 million were reclassified from registered capital and additional reserved capital for common
stock, respectively, to accumulated deficit.
Treasury Stock
The Companies Act also provides for companies to purchase treasury stock and dispose of such treasury stockby resolution of the Board of Directors. The amount of treasury stock purchased cannot exceed the amount available
for distribution to the shareholders which is determined by a specific formula.
Sale of shares of subsidiaries.
In November and December 2023, the Company entered into share transfer agreements with several investors
and transferred 1,781 out of 50,000 shares of MEDIROM MOTHER Labs Inc. to third-party investors, representing
3.56% of the ownership interest. The Company received the cash proceeds of approximately ¥160 million and thedifference between the consideration received and the amount by which the noncontrolling interest was adjusted wasrecognized in as additional paid-in capital. The Company recorded ¥155 million and ¥5 million to additional paid-in
capital and noncontrolling interest from the sale of subsidiaries’ shares, respectively.
10. Stock-based Compensation
The fair value of stock options as part of employee incentive plans is estimated at the date of grant of thepurchase rights using the Black-Sholes option-pricing model. The model requires the input of highly subjective
assumptions such as the expected stock price volatility and the expected term.
According to the resolutions at the general meetings of shareholders held in December 2015, as Fifth Series ofStock Subscription Rights, stock options to purchase 285,500 shares of common stock were granted to theCompany's employees on December 21, 2015. The exercise term of stock options is 8 years commencing from
December 22, 2017 and they must be employed by the Company at the time of exercise to exercise their rights. The
stock option's fair value as of grant date was ¥2.96 per share. The exercise price of the stock option is ¥400 per
share.
According to the resolutions at the general meetings of shareholders held in December 2016, as Seventh
Series of Stock Subscription Rights, stock options to purchase 174,000 shares of common stock were granted to theCompany's director and the Company's employees on December 21, 2016. The exercise term of stock options is 8
years commencing from December 22, 2018 and they must be employed by the Company at the time of exercise to
exercise their rights. The stock option's fair value as of grant date was ¥0.82 per share. The exercise price of thestock option is ¥2,000 per share.
According to the resolutions at the extraordinary general meetings of shareholders held in August 2020, as
Eighth Series of Stock Subscription Rights, stock options to purchase 150,000 shares of common stock were granted
to the Company’s director on October 2, 2020. The amount to be paid in for the stock option was ¥1.00 per share.
The exercise term of stock options is 5 years commencing from October 1, 2021 and they must be employed by theCompany at the time of exercise to exercise their rights. The stock option’s fair value as of grant date was ¥104.64
per share. The exercise price of the stock option is ¥2,000 per share.
According to the resolutions at the extraordinary general meetings of shareholders held in August 2020, as
Ninth Series of Stock Subscription Rights, stock options to purchase 300,000 shares of common stock were granted
to the Company’s director, the Company’s corporate auditor, the Company’s employees and outside service
providers on October 2, 2020. The amount to be paid in for the stock option was ¥22.00 per share. The exercise termof stock options is 3 years commencing from October 1, 2021 and they must be employed by the Company at thetime of exercise to exercise their rights (however, this shall not apply to outside service providers). In addition, theF-29

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
exercise can take place only when the Company achieves an annual consolidated revenue target of ¥3,908,264
thousand under U.S. GAAP in any of our 2020, 2021 or 2022 fiscal years. The stock option’s fair value as of grant
date was ¥637.02 per share. The exercise price of the stock option is ¥128 per share.
The Company did not grant any stock options during 2023 and 2022.
A summary of the activity of the Company's employee stock option plans as of and for the years ended
December 31, 2023, 2022 and 2021 is presented below:
Yen
Weightedaverage
exercise
price

Number ofsharesOutstanding at December 31, 2021
Exercisable at December 31, 2021
Forfeited/Expired
Outstanding at December 31, 2022
Exercisable at December 31, 2022
Reinstated
Forfeited/Expired
Outstanding at December 31, 2023
Exercisable at December 31, 2023

599,800
599,800(6,550)593,250593,250
3,200(6,950)589,500
589,500

¥

¥

857
857
128
865
865
128
402
867
867

Years
Weightedaverageremaining
contractual
term
3.5
3.5

Thousands of Yen
Aggregate intrinsic
value
192,570
192,570

2.7
2.7

¥

150,696
150,696

1.5
1.5

¥

228,719
228,719

On August 29, 2023, the board of directors approved a resolution to waive the forfeiture related to the Fifth
Series, Seventh Series, and Ninth Series of Stock Subscription Rights. This resolution retrospectively applies to theemployees who resigned after December 31, 2022 for the stock options related to Fifth Series and Seventh Series ofStock Subscription Rights and resigned after April 30, 2022 for the stock options related to Ninth Series of Stock
Subscription Rights. The board of directors passed the resolution due to the delay in filing the Form 20-F for the
year-ended December 31, 2021, which resulted in forfeiting the employees’ opportunity to exercise their options.
Considering the fact that the employees paid cash consideration in exchange of the stock options, the Company
relieved the stock option forfeiture for the certain employees. The Company retrieved 3,200 forfeited stock options
during the year-ended December 31, 2023 due to this resolution.
For the year ended December 31, 2023 and 2022, there was no compensation cost recognized for stock options
as all stock options previously granted have been fully vested. As of December 31, 2023, there was no unrecognizedcompensation cost.
For the year ended December 31, 2021, there was ¥ 15,545 thousand of compensation cost recognized for the
8th stock options. As of December 31, 2021, the performance condition for the 9th series stock option was deemed
probable and the full compensation cost of ¥ 181,308 thousand for the non-forfeited options was recorded in the year
ended December 31, 2021.
11. Segment Information
The Company operates its business in three segments: Relaxation Salon, Digital Preventative Healthcare, andLuxury Beauty, which are based on the organizational structure and information reviewed by the Company's Chief
Operating Decision Maker, who is the Chief Executive Officer, to evaluate its operating results and allocation of
resources.
The accounting policies of the segments are substantially the same as those described in the significant
accounting policies in Note 1.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Information about operating results and assets for each segment as of and for the years ended December 31,
2023, 2022 and 2021 is as follows:
Thousands of Yen
DigitalPreventative
Healthcare

Relaxation
Salon
Year ended December 31, 2023
Revenues
Operating income (loss)
Depreciation and amortization
Total assets
Year ended December 31, 2022
Revenues
Operating income (loss)
Depreciation and amortization
Total assets
Year ended December 31, 2021
Revenues
Operating income (loss)
Depreciation and amortization
Total assets

LuxuryBeautyCorporateandelimination

Consolidated¥

6,059,851
848,047
157,804
4,814,248¥

200,397(173,138)
27,574
458,535¥

567,695(84,490)
35,729611,925¥―(981,998)
31,488964,481¥6,827,943(391,579)
252,595
6,849,189¥

5,972,913
1,272,093
78,825
4,693,660¥

386,383(60,190)
20,100189,933¥

594,761(23,735)
11,454
822,354¥―(1,091,201)
73,677
1,041,399¥

6,954,057
96,967
184,056
6,747,346¥

5,196,540
699,105
80,917
4,002,005¥

43,965(144,857)
11,113
161,945¥

169,320(6,538)
10,736
701,172¥―(1,018,297)
23,477887,939¥5,409,825(470,587)
126,243
5,753,061

Expenses not directly associated with specific segments are allocated based on the most reasonable measuresapplicable. Corporate expenses include certain corporate general and administrative expenses and back-office
expenses.
Assets attributed to each segment are accounts receivable-trade, net, accounts receivable-other, net, inventories,
prepaid expenses, right-of-use asset - operating lease, property and equipment, goodwill, intangible assets,
investments, and lease and guarantee deposits. Corporate assets primarily consist of cash and cash equivalents, time
deposits, long-term accounts receivable-other, net, deferred tax assets, and property and equipment.
Substantially all revenues are from customers operating in Japan. Geographic information is omitted due toimmateriality of revenue and operating income attributable to international operations for the years ended
December 31, 2023, 2022 and 2021.
12. Income Taxes
The following table shows a summary of income taxes for the years ended December 31, 2023, 2022 and 2021:

Income (loss) before income taxes
Income taxes
Current
Deferred
Total

Thousands of
Yen
2023
Total
¥
20,622Thousands of
Yen
2022
Total
¥
179,774

Thousands of
Yen
2021
Total
¥
(414,481)

7,209(101,636)(94,427)30,809―30,80924,767551,483
576,250¥¥¥

Parent and its subsidiaries are subject to a number of taxes based on income, in the aggregate resulted in an
effective statutory rate of approximately 34.6% for the year ended December 31, 2023 and 30.6% for the years
ended December 31, 2022 and 2021.

F-31

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
A reconciliation of the differences between the effective income tax rates reflected in the accompanying
consolidated statements of operation and Japanese statutory tax rates for the years ended December 31, 2023, 2022
and 2021 is as follows:
2023
Statutory tax rate
Increases (reductions) in taxes due to:Change in valuation allowance
Nondeductible expenses
Inhabitant tax-per capita*
Stock-based compensation
Use of operating loss carryforwards
Change in statutory tax rate
Other-net
Effective income tax rate

*

2022
34.6

2021

%

30.6 %

30.6 %

1709.318.8
35.0―(1807.5)(448.1)0.0(457.9) %(32.7)
―
―
―
―
―
19.2
17.1 %(155.9)(1.1)(3.9)(14.5)
3.9―
1.9(139.0)%Inhabitants tax is imposed on resident corporations in Japan. It consists of the corporation tax calculated asa percentage of national corporation tax and the per capita levy determined based on capital and the number of
employees. For the year ended December 31, 2021, the impact of inhabitant tax per capita on the effective tax
rate decreased due to fluctuation of (loss) income before income taxes.

The tax effects of the major items of temporary differences giving rise to the deferred tax assets and liabilities asof December 31, 2023, 2022 and 2021 are as follows:
2023
Deferred tax assets:
Accounts receivable-trade
Provision for bad debt
Goodwill
Accrued Vacation
Asset retirement obligation
Operating lease liability
Operating loss carryforwards
Other
Gross deferred tax assets
Valuation allowance
Total deferred tax assets¥

Deferred tax liabilities:
Property and equipment
Goodwill
Intangible assets
Right-of-use asset - operating lease
Acquisition Costs
Other
Total deferred tax liabilities
Net deferred tax assets¥

15,23442,338―22,624
119,049
725,716
689,21052,553
1,666,724(662,100)
1,004,624(67,454)(34,070)(78,137)(722,724)―(604)(902,988)
101,636

Thousands of Yen
2022
¥

¥

69,203
16,871
6,351
17,52082,506591,108
717,01154,244
1,554,814(712,685)
842,129(51,925)―(142,789)(558,538)(20,003)(68,874)(842,129)
―

2021
¥

¥

13,48550,551――
91,552576,867
716,518
69,603
1,518,576(771,441)
747,135(65,590)(15,018)(101,025)(558,538)―(6,964)(747,135)―

Valuation allowance for deferred tax assets have decreased by ¥50,585 thousand, ¥58,756 thousand andincreased by ¥646,065 thousand for the years ended December 31, 2023, 2022 and 2021, respectively.
Based on the level of historical taxable income and projections for future taxable income over the periods which
the net deductible temporary differences are expected to reverse, the Company believes it is more likely than not that
the Company will realize the benefits of these tax assets, net of valuation allowance, at December 31, 2023.

F-32

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
At December 31, 2023, the Company had operating loss carryforwards of ¥1,992,512 thousand, which areavailable to offset future taxable income. These carryforwards are scheduled to expire as follows:
Operating loss
carryforwards(Thousands of Yen)
Years ending December 31:
Between 2024 and 2027
Between 2028 and 2031
2032 and thereafter
Total

¥
¥

―
511,939
1,480,573
1,992,512

The Company does not recognize any deferred tax liabilities for undistributed earnings of domestic subsidiaries
since dividends from these subsidiaries are not subject to taxation under Japanese tax law.
At December 31, 2023, 2022 and 2021, current unrecognized tax benefit is not material in amount. Even in thenext twelve months after the end of 2023, it is unlikely that the total amount would change dramatically.
The penalties and interest expenses related to income taxes are recognized in the consolidated statements ofoperation for the years ended December 31, 2023, 2022 and 2021, however, the amounts are immaterial.
In 2023, the Company underwent examination by the tax authorities. The tax authorities routinely challenge
certain deductions and credits reported by the Company on its income tax returns. In November 2023, the tax
authorities concluded examinations, which did not have a material impact to the Company’s consolidated financial
statements.
Parent and its subsidiaries are subject to taxation in Japan and in the local Japanese governments where theCompany’s salons or offices are located. As of December 31, 2023, the fiscal year ending December 31, 2018 andsubsequent years remain open to examination by the tax authority (National Tax Agency and Tokyo Metropolitan
Government).
13. Revenue Recognition
Disaggregation of revenue
For the year ended December 31, 2023, 2022 and 2021 revenues are disaggregated by revenue stream andreconciled to reportable segment revenues as follows.

Revenue Stream*

Relaxation Salon

Year ended December 31, 2023
Revenue from directly-operated salons
Revenue from the sale of directly-owned salonsFranchise fees
Royalty income
Staffing service revenue
Sublease revenue
Other franchise revenues
Other revenues
Total revenues¥ 4,081,024
1,007,800
106,916
181,417
136,570
364,367
181,757―¥ 6,059,851

F-33

Thousands of Yen
DigitalPreventative
LuxuryHealthcare
Beauty

¥

―
―
―
―
―
―
―
200,397¥ 200,397¥ 567,695
―
―
―
―
―
―
¥ 567,695

Consolidated¥ 4,648,719
1,007,800
106,916
181,417
136,570
364,367
181,757
200,397¥ 6,827,943

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021

Revenue Stream*

Relaxation Salon

Year ended December 31, 2022
Revenue from directly-operated salons
Revenue from the sale of directly-owned salonsFranchise fees
Royalty income
Staffing service revenue
Sublease revenue
Other franchise revenues
Other revenues
Total revenues¥ 3,121,649
1,122,595
155,952
403,170
86,975
411,698
630,227
40,647¥ 5,972,913

Revenue Stream*

Relaxation Salon

Year ended December 31, 2021
Revenue from directly-operated salons
Revenue from the sale of directly-owned salonsFranchise fees
Royalty income
Staffing service revenue
Sublease revenue
Other franchise revenues
Other revenues
Total revenues*¥ 3,278,514
559,000
199,889
209,848
263,962
437,976
247,351—¥ 5,196,540

Thousands of Yen
DigitalPreventative
LuxuryHealthcare
Beauty

¥

—
—
—
—
—
—
—
386,383¥ 386,383¥ 594,761
—
—
—
—
—
—
—
¥ 594,761

Thousands of Yen
DigitalPreventative
LuxuryHealthcare
Beauty

¥

—
—
—
—
—
—
—
43,965¥ 43,965¥ 169,320
—
—
—
—
—
—
—
¥ 169,320

Consolidated¥ 3,716,410
1,122,595
155,952
403,170
86,975
411,698
630,227
427,030¥ 6,954,057

Consolidated¥ 3,447,834
559,000
199,889
209,848
263,962
437,976
247,351
43,965¥ 5,409,825

All revenue streams are recognized over time, with the exception of hiring support within other franchiserevenues and revenue from the sale of directly-owned salons, which are recognized at a point in time. Revenue
related to hiring support was not material in the periods presented.

Contract balance
Information about receivables and contract liabilities from contracts with customers is as follows:
Thousands of Yen
As of
As of
December 31, December 31,
2023
2022

Balance sheet classification

Receivables¥ 621,867 ¥ 534,686

Accounts receivable-trade, net

Contract liabilities:
Current
Long-term
Total

109,307
89,00871,134
156,431¥ 180,441 ¥ 245,439

Current portion of contract liability
Contract liability - net of current portion

Prepaid card liability¥ 402,742 ¥ 507,405

Advances received

Receivables relate primarily to payments due for royalty income, staffing service revenue and sublease revenue.
With respect to the payment term, payment for these revenues is generally collected monthly. As such, no significant
financing component has been identified. The receivables balance is presented net of an allowance for expected
losses (i.e., doubtful accounts), and are primarily related to receivables from the Company’s franchisees. Refer to

F-34

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
“Accounts Receivables – Trade, Net” on Note 1 for details on the components of the receivables balance and theallowance. Contract liabilities primarily represent the Company’s remaining performance obligations under its
franchise agreement at the end of the year, for which consideration has been received and revenue had not beenrecognized, and is generally recognized as revenues ratably over the remaining customer life that the expected
services are to be provided. Prepaid card liabilities mainly relate to the unused balance of ReRaKu and SAWAN
cards that can be redeemed at company-operated salons for services. Revenue for prepaid cards is recognized andthe corresponding liability is reduced as the services are provided. As of December 31, 2023 and 2022, contract
assets under contracts with customers were immaterial and they are included in prepaid expenses and other current
assets and other assets in the consolidated balance sheets.
Changes in the Company’s contract liabilities for the year ended December 31, 2023 are as follows:
Thousands of Yen
Contract liabilities

Balance at December 31, 2022
Revenues recognized during 2023 which were included in the contract liabilities balance at
December 31, 2022
Remaining amounts at December 31, 2023 which were newly recognized as contract liabilities
during 2023
Balance at December 31, 2023¥

245,439(101,666)¥

36,668
180,441

For the year ended December 31, 2023, there were no revenues recognized under performance obligations
which were satisfied for past fiscal years by change of transaction price, etc. Changes in receivables and contract
liabilities are primarily due to the timing of revenue recognition, billings and cash collections.
Transaction price allocated to remaining performance obligations
Estimated revenue expected to be recognized in the future related to performance obligations that are unsatisfied
as of December 31, 2023 is as follows:
Thousands of Yen

Year ending December 31:
2024
2025
2026
2027
2028
Total

¥

¥

109,30744,261
17,6908,377
806
180,441

14. Earnings (loss) Per Share
Earnings (loss) per common share is allocated based on each right of common stock and Class A common
stock, on the assumption that income (loss) from current year has been distributed. Common stock and Class A
common stock have equal rights with respect to surplus dividend and residual assets distribution as net income (loss)
attributable to shareholders of the Company is allocated proportionally.

F-35

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Reconciliations of net income (loss) and weighted average number of common shares outstanding used for thecomputation of basic and diluted earnings (loss) per common share for the years ended December 31, 2023, 2022
and 2021 are as follows:
2023
CommonClass A
(Thousands of Yen)

Income (Numerator)
Net income (loss) attributableshareholders of the Company

to¥115,404―

Shares (Denominator)(Number of shares)
Weighted
averagecommonshares4,882,500
1
outstanding
Effect of dilutive instruments:
Stock options
284,152―
Weighted average common shares for diluted
5,166,652
1
computation
Earnings (loss) per common share attributable toshareholders of the Company

Basic
Diluted2022
CommonClass A
(Thousands of Yen)

¥

¥

―

¥ (990,731)(Number of shares)

4,877,404

1

4,877,404

1

593,250

―

―

―

1

4,877,404

1

5,470,654
(Yen)

23.64
22.34

―

(Number of shares)

(Yen)
¥

148,965

2021
CommonClass A
(Thousands of Yen)

¥ 23.64¥¥ 22.34

¥

30.54
27.23

(Yen)
¥ 30.54¥¥ 27.23¥(203.13) ¥(203.13)(203.13) ¥(203.13)

For periods in which the Company reports net loss, diluted net loss per common share attributable to commonshareholders is the same as basic net loss per common share attributable to common shareholders. Options topurchase 599,800 shares have been excluded from the diluted net loss per common share attributable to commonshareholders calculation for the year ended December 31, 2021 because the effect of inclusion would have been antidilutive. In addition, the share options from the convertible bond were excluded from the diluted net income percommon share attributable to common shareholders because the effect of inclusion would have been anti-dilutive forthe year ended December 31, 2023.
15. Fair Value of Financial Instruments
Fair value of financial instruments
The estimated fair values of the Company's financial instruments at December 31, 2023, 2022 and 2021 are set
forth below:
The following summary excludes cash and cash equivalents, time deposits, accounts receivable-trade, accounts
receivable-other, investments, long-term accounts receivable-other, lease and guarantee deposits, current portion ofborrowings, accounts payable-trade, accrued expenses, deposit received and operating lease liability for which fairvalues approximate their carrying amounts. Long-term accounts receivable-other approximates fair value as it isF-36

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
calculated based on the discounted future cash flows. The summary also excludes investments which are disclosed in
Note 5.
Borrowings
The Company's borrowings instruments are classified as Level 2 instruments and valued based on the present
value of future cash flows associated with each instrument discounted using current market borrowing rates for
similar borrowings instruments of comparable maturity. The value of current portion of borrowings approximate fairvalue due to the short-term nature of these liabilities, and the carrying value of the Company’s long-term borrowings
approximate fair value at each balance sheet date because the stated rate of interest of the debt approximates themarket interest rate at which the Company can borrow similar debt.
Assumptions used in fair value estimates
Fair value estimates are made at a specific point in time, based on relevant market information available anddetails of the financial instruments. These estimates are practically conducted by the Company which involve
uncertainties and matters of significant judgment; therefore, these cannot be determined with precision. Changes inassumptions could significantly affect the estimates.
16. Fair Value Measurements
Fair value is the price that would be received to sell an asset or paid to transfer a liability (an exit price) in theprincipal or most advantageous market for the asset or liability in an orderly transaction between market participantsat the measurement date. A three-level fair value hierarchy that prioritizes the inputs used to measure fair value is asfollows:
Level 1
Inputs are quoted prices in active markets for identical assets or liabilities.
Level 2
Inputs are quoted prices for similar assets or liabilities in active markets, quoted prices for identical or similar
assets or liabilities in markets that are not active, inputs other than quoted prices that are observable, and inputs thatare derived principally from or corroborated by observable market data by correlation or other means.
Level 3
Inputs are derived from valuation techniques in which one or more significant inputs or value drivers areunobservable, which reflect the reporting entity's own assumptions about the assumptions that market participants
would use in establishing a price.
The only asset or liability to be measured at fair value on a “recurring” basis during 2021 related to the
mandatorily redeemable noncontrolling interest as part of the ZACC acquisition in October 2021, which isconsidered a level 3 input. As of December 31, 2021, the carrying value approximated the fair value due to the shorttimeframe before redemption and there were no other adjustments during the year. The Company subsequently
purchased the shares related to the noncontrolling interest in January 2022.

F-37

Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
Long-lived assets and liabilities that have been measured at fair value on "nonrecurring" basis include leasehold
improvements, right-of-use assets — operating lease, trademark, and reacquired franchise rights. Assets andliabilities measured at fair value on "nonrecurring" basis as of December 31, 2023, 2022 and 2021 are as follows:
Thousands of Yen
Level 1

Year ended December 31, 2023
AssetsLeasehold improvements
Right-of-use asset - operating lease
Trademark
Total

¥
¥

Year ended December 31, 2022
AssetsLeasehold improvements
Right-of-use asset - operating lease
Trademark
Total

¥
¥

Year ended December 31, 2021
AssetsLeasehold improvements
Right-of-use asset - operating lease
TrademarkReacquired franchise rights
Total

¥

¥

Level 2

―
―
―
―

¥

―
―
―
―

¥

―
―
―
―
―

¥

¥

¥

¥

Level 3

Impairment
loss

―
―
―
―

¥ 349,244
2,089,402
121,308¥ 2,559,954

¥

―
―
―
―

¥ 353,425
1,955,354
137,351¥ 2,446,130

¥

―
―
―
―
―

¥ 359,376
1,824,095
153,458
8,639¥ 2,345,568

¥

¥

¥

―
―
―
―

―
―
―
―

3,165
20,97938,922145¥ 63,211

Impairment of long-lived assets
Significant judgments and unobservable inputs categorized as Level 3 in the fair value hierarchy are inherent in
the impairment tests performed and include assumptions about the amount and timing of expected future cash flows,
growth rates, and the determination of appropriate discount rates. The Company believes that the assumptions usedin its annual and any interim date impairment tests are reasonable, but variations in any of the assumptions may
result in different calculations of fair values and impairment charges.
The Company's primary business is the operations of Relaxation Salons. It regularly conducts reviews of past
performances and future profitability forecast for individual Salons. Based on the evaluation, if the Company
determines that the Salon assets are impaired and not fully recoverable, it reduces the carrying amounts of theSalon's long-lived assets to the estimated fair value. Fair value is determined based on income approach using
Level 3 inputs under ASC 820 Fair Value Measurement. The income approach is calculated using projected future(debt-free) cash flows that are discounted to present value. The future cash flows are based on the estimates made bymanagement concerning forecast of sales, operating expenses and operating profit and loss, etc. with due
consideration of industry trend and market circumstances, business risks and other factors, adjusted by market
participants assumptions, if different from the Company's assumptions. These cash flows are then discounted at thereporting unit's calculated weighted average cost of capital ("WACC") of 11.3% - 21.0%. The discount rate
(WACC) takes into consideration the characteristics of relevant peer companies, market observable data, andcompany-specific risk factors. Because of changing market conditions (i.e., rising interest rates and/or lessmarketplace demand), it is reasonably possible that the estimate of expected future cash flows may change resulting
in the need to adjust our determination of fair value in the future.
For the years ended December 31, 2023 and 2022, the Company recognized no impairment loss upon
conducting strategic reviews of its future profitability forecast for the salons.

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Table of Contents
MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
For the year ended December 31, 2021, the Company recognized an impairment loss of ¥24,289 thousand on
leasehold improvements, right-of-use asset — operating lease and reacquired franchise rights directly related tocertain relaxation salons. The Company conducted strategic reviews of its future profitability forecast for the salons.
Following these reviews, the Company reduced the corresponding estimated future cash flows of these assets and theestimated ability to recover the carrying amount of the long-lived assets within the period applicable to theimpairment determination, resulting in the impairment charges. The company also recognized an impairment loss of¥38,922 thousand related to the Bell Epoque trademark. As a result of the Company’s internal reorganization in July
2021, the Company will no longer use the trademark.
17. Commitments and Contingencies
Operating leases
The Company mainly in addition to its headquarters facility, leases salon spaces from external third parties,
which are either directly-operated salons or franchised salons. Refer to Note 8 Leases and Note 7 Asset Retirement
Obligation for details on the components of operating lease costs and future minimum lease payments under noncancellable leases and asset retirement obligation, respectively.
Borrowings
The Company has borrowings that are primarily made under general agreements. Refer to Note 6 Borrowings
for future debt payments.
Litigation
The Company is involved in various claims and legal actions arising in the ordinary course of business. The
Company has recorded provisions for liabilities when it is probable that liabilities have been incurred and theamount of loss can be reasonably estimated. The Company reviews these provisions at least on a yearly basis andadjusts these provisions to reflect the impact of the negotiations, settlements, rulings, advice of legal counsel andother information and events pertaining to a particular case. Based on its experience, although litigation is inherently
unpredictable, the Company believes that any damage amounts claimed in outstanding matters are not a meaningfulindicator of the Company's potential liability. In the opinion of management, any reasonably possible range of losses
from outstanding matters would not have a material adverse effect on the Company's consolidated financial position,
results of operations, or cash flows.
18. Related Party Transactions
Transactions with the Company's representative director
Mr. Eguchi is the guarantor with respect to some of the Company’s borrowings. See Note 6, Borrowings formore detail.
Transactions with the Company’s director
Akira Nojima, Parent’s independent director, is the sole owner of Kabushiki Kaisha No Track.
As of December 31, 2023 and 2022, the outstanding accrued expenses to Kabushiki Kaisha No Track are nil and¥110 thousand (included in accrued expenses), respectively. The Company paid annual consulting fees of ¥150
thousand, ¥600 thousand and ¥600 thousand (included in selling, general and administrative expenses), respectively,
to Kabushiki Kaisha No Track, in the years ended December 31, 2023, 2022 and 2021.
Tomoya Ogawa, Parent's independent director and the shareholder of the Company (holds 0.58% of common
stock as of December 31, 2023, 2022 and 2021), is the sole owner of Kabushiki Kaisha LTW.

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MEDIROM HEALTHCARE TECHNOLOGIES INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS- (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 2023, 2022 AND 2021
As of December 31, 2023 and 2022, the outstanding accrued expenses to Kabushiki Kaisha LTW are nil and¥330 thousand (included in accrued expenses), respectively. The Company paid consulting fees of ¥1,200 thousand,¥3,000 thousand and ¥3,000 thousand (included in selling, general and administrative expenses) to Kabushiki Kaisha
LTW, in the years ended December 31, 2023, 2022 and 2021, respectively.
Kazuyoshi Takahashi, the representative director of ZACC and the shareholder of ZACC is the guarantor withrespect to some of the Company’s borrowings. See Note 6, “Borrowings” for more detail.
Transactions with the Company's corporate auditor
Osamu Sato, Parent's corporate auditor and the shareholder of Parent (holds 0.36% of common stock as ofDecember 31, 2023, 2022 and 2021), is a part-time employee of Ebis 20 Co., Ltd.
As of December 31, 2023 and 2022, the outstanding accrued expenses to Ebis 20 Co., Ltd were nil and¥110 thousand (included in accrued expenses), respectively. The Company paid annual consulting fees of¥400 thousand, ¥1,200 thousand and ¥1,200 thousand (included in selling, general and administrative expenses),
respectively, to Ebis 20 Co., Ltd in the years ended December 31, 2023, 2022 and 2021.
Transactions with COZY LLC
On January 20, 2023, the Company’s CEO and major shareholder Koji Eguchi’s 100% funded joint venture
COZY LLC (“COZY”) implemented a stock repurchase program based on the US SEC Rule 10b5-1 through a US
investment bank. Under this plan, COZY can purchase up to 50 million yen of the company’s American Depositary
Shares (ADS). This plan was approved by the Company’s board of directors on January 18, 2023. During the period
from January to March 2023, COZY has repurchased the Company’s 22,543 shares.
19. Subsequent Events
Short-term loan refinance
On March 29, 2024, The Company reached an agreement with its lender and refinanced its 200 million yen
short-term loan with a new 300 million yen short-term loan maturing on September 30, 2024 at an interest rate of 1month TIBOR plus 1.2%.
Credit facility agreement
On May 31, 2024, the Company renewed the 200 million yen credit facility agreement entered into with a bankon August 7, 2023. The agreement, which had reached its maturity date, was extended for an additional year on thesame terms, with a fixed interest rate of 1.475% and a new maturity date of May 30, 2025.
Stock Option Exercise
On March 31, 2024, employees of the Company exercised the Fifth and Ninth series of stock options with an
exercise price of ¥400 and ¥128 per share, respectively, resulting in the Company issuing 55,850 shares to theemployees and receiving JPY8,101 thousand.

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ITEM 19. EXHIBITSEXHIBIT INDEXExhibit
1.1

Description
Articles of Incorporation of the Registrant (English translation), filed as Exhibit 3.1 to Form F-1 (File No.
333-250762) filed on November 20, 2020 and incorporated herein by reference.

2.1

Form of Deposit Agreement among the Registrant, the depositary, and holders of the American Depositary
Receipts, filed as Exhibit 4.1 to Form F-1 (File No. 333-250762) filed on November 20, 2020 andincorporated herein by reference.

2.2

Specimen American Depositary Receipt of the Registrant, included as Exhibit A in Exhibit 4.1 to Form F-1(File No. 333-250762), filed on November 20, 2020 and incorporated herein by reference.

2.3

Description of Securities, filed as Exhibit 2.3 to the Company’s Form 20-F filed on May 17, 2021 andincorporated herein by reference.

2.4

Purchase Agreement, dated December 9, 2022, by and between the Company and the Bond Holder Kufu
Company Inc., filed as Exhibit 4.1 to the Registrant’s Form 6-K filed with the SEC on December 9, 2022
and incorporated herein by reference.

2.5

Indenture, dated December 9, 2022 Kufu Company Inc., filed as Exhibit 4.2 to the Registrant’s Form 6-K
filed with the SEC on December 9, 2022 and incorporated herein by reference.

4.1*

Capital Alliance Agreement, dated December 9, 2022, by and between the Company and the Bond Holder
Kufu Company Inc., filed as Exhibit 10.1 to the Registrant’s Form 6-K filed with the SEC on December 9,2022 and incorporated herein by reference.

4.2*

Development and Production Agreement, dated as of August 4, 2020, by and between the Company, as
Customer, and Matrix Industries, Inc., as Supplier, filed as Exhibit 10.4 to Form F-1 (File No. 333-250762)
filed on November 20, 2020 and incorporated herein by reference.

4.3

Second Amendment to Development and Production Agreement, dated December 8, 2022, by and between
Matrix Industries, Inc. and the Company, filed as Exhibit 10.2 to the Company’s Form 20-F filed on May 30,
2023 and incorporated herein by reference.

4.4

MEDIROM Healthcare Technologies Inc. 2024 Equity Incentive Compensation Plan, as approved by theshareholders of the Company on March 29, 2024, filed herewith.

8.1

List of Subsidiaries of the Registrant, filed herewith.

11.1

Code of Ethics and Business Conduct of the Registrant, filed as Exhibit 11.1 to the Company’s Form 20-F
filed on May 17, 2021 and incorporated herein by reference.

11.2

Insider Trading Policies of the Registrant, filed as Exhibit 11.2 to the Company’s Form 20-F filed on May
30, 2023 and incorporated herein by reference..

12.1

Certification of the Chief Executive Officer pursuant to rule 13a-14(a) of the Securities Exchange Act of1934, filed herewith.

12.2

Certification of the Chief Financial Officer pursuant to rule 13a-14(a) of the Securities Exchange Act of1934, filed herewith.

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Exhibit
13.1

Description
Certification of the Chief Executive Officer pursuant to 18 U.S.C. 1350, furnished herewith.

13.2

Certification of the Chief Financial Officer pursuant to 18 U.S.C. 1350, furnished herewith.

97.1
101.INS

Executive Officer Clawback Policy, as approved by the board of directors of the Company on November 28,
2023, filed herewith.
Inline XBRL Instance Document

101.SCH

Inline XBRL Taxonomy Extension Schema Document

101.CAL Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF

Inline XBRL Taxonomy Extension Definition Linkbase Document

101.LAB Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE

Inline XBRL Taxonomy Extension Presentation Linkbase Document

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

* Certain confidential information contained in this exhibit, marked by brackets therein, has been omitted because it is both notmaterial and is the type of information that the registrant treats as private or confidential.

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SIGNATURE
The registrant hereby certifies that it meets all of the requirements for filing on Form 20-F and that it has duly
caused and authorized the undersigned to sign this annual report on its behalf.
MEDIROM Healthcare Technologies Inc.
June 18, 2024

By:
Name:
Title:

108/s/ Fumitoshi Fujiwara
Fumitoshi Fujiwara
Chief Financial Officer and Director