Dormant ICHSC/Specialty Licences

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Dormant ICHSC/Specialty Licences2026-10-19T17:02:03-04:00

Dormant ICHSC/Specialty Licences

What Are the Benefits and Disadvantages of Purchasing a Dormant ICHSC Licence Instead of Purchasing a Running Centre?

A dormant licence is a Ministry-issued authorization to operate the listed modalities in accordance with the Ministry requirements. On the registration of the sale with the MOHLTC, after Ministry approvals for Transfer and Relocation have been obtained, the dormant licence will be issued a unique Billing number, and it is good to go.

Please note: A dormant licence usually comes with no location (it usually has to be relocated from its current location), no clinic, no equipment, no lease.

The purchaser just buys the piece of paper that authorizes it to operate the DI centre with the allowed modalities in a location that has been approved by the Ministry.

Dormant ICHSC licence: start a new diagnostic imaging clinic

Dormant ICHSC Licence

Pros and Cons

PROS

  • Purchasing an ICHSC licence is usually the cheapest option.
  • There is the possibility of starting a new clinic at the location of your choice.
  • You get to choose the clinic layout, equipment and staff from the start.
  • You start with a brand-new reputation.

CONS

  • New clinics do not start making money right away. It will be a few months before they start generating some decent numbers.
  • Banks and financial institutions will not offer any financing for ICHSC licences. So, they have to be paid for in cash from readily available funds.
  • It takes time to build a good reputation and create awareness in the local area about available services.
  • The learning curve for a new operator can be steep, requiring specialized help from our clinic specialists to create clinic protocols, policies & procedures, etc.

Running DI Clinic

What Are the Benefits and Disadvantages of Purchasing a Running DI Clinic Compared to Purchasing an ICHSC Licence?

PROS

  • You are buying a well-oiled machine, with a documented track record of generating the stated incomes.
  • The lease, leasehold improvements, equipment and staff are all in place, requiring no changes, or a few tweaks for optimization over time.
  • The financing institutions and banks will offer financing for running DI centres. The amount offered will depend on the purchaser’s credibility as well as the financial health of the location under consideration. For example, a family physician may get 100% financing, if they also decide to open their practice in the centre.
  • You get the benefit of the existing clinic reputation.
  • The learning curve is gentler, as usually the vendor and the existing admin staff will chip in to help out, until you are comfortable with the intricacies of the business.

CONS

  • You have to accept the leasehold improvements, equipment and the staff as they are. Any changes need to be slow and meaningful.
  • Unfortunately, it may take time and effort to erase unsavoury reputations amongst the referring doctors or neutralize the 1-star reviews on Google.
  • In the purchase price of a running DI centre, 3 costs are factored in: the cost of the ICHSC licence, the cost of leasehold improvements, equipment and all other assets, and the cost of the goodwill of the business. So, the buyer pays a premium for the goodwill, whose cost rises steeply in high-demand markets of the GTA.

Frequently Asked Questions

Answers to the questions we hear most about this service. Do not see yours? Ask us directly.

Some people say ICHSC Licence. Others say IHF Licence. What is the difference? What is this Licence anyway?2026-10-19T17:02:03-04:00

Diagnostic imaging centres in Ontario operate under licences issued by the Ministry of Health — historically called Independent Health Facility (IHF) licences and now issued as Integrated Community Health Services Centre (ICHSC) licences under the Integrated Community Health Services Centres Act, 2023. Whichever term you may prefer to use, the underlying point is the same:

  • A licence is basically an authorization from the MOHLTC to operate a DI centre for the modalities allowed under that licence, as per the requirements and standards of MOHLTC and Accreditation Canada. So long as the centre is being operated up to the Ministry standards, it is in good standing and all is good. But if it is not being operated up to their specified standards, it may be revoked permanently after appropriate warnings and chances to improve.
  • There is a finite supply of these licences in the market, and no new ones are being issued, except special types like CT, MRI, etc.
  • This licence is not a private asset you can simply hand over to the buyer. Transferring it requires MOHLTC regulatory approval. MedSalesGTA will take care of the regulatory approvals on your behalf.
  • Since ultimately, an ICHSC licence is the property of the MOHLTC, you cannot obtain any bank loan for its purchase, nor put any lien against it.
Can I open multiple franchises or branches using 1 ICHSC Licence?2026-10-19T17:02:03-04:00

No. An ICHSC licence is tied to a specific address. You cannot even operate in another unit in the same building without express approval of the Ministry. Each location requires a separate ICHSC licence.

Contact MedSalesGTA for the various possible options.

Does a licence transfer need Ministry approval?2026-10-15T21:33:08-04:00

Yes. An ICHSC/IHF licence transfer is subject to Ministry of Health approval after the terms of the sale are agreed upon between the two parties. A sale, share transfer, or change of control of the licensed entity requires a formal approval from the Director.

How long does the Ministry take to approve a transfer?2026-10-15T21:33:08-04:00

Review timelines are set by the Ministry and can vary from one application to the next, so we cannot promise a specific date. Certain aspects of the applications absolutely need appropriate responses, otherwise there is a risk of the application being rejected. We help with the application process so that it does not hold up the sale.

Can I relocate my clinic or licence?2026-10-15T21:33:08-04:00

Yes. We charge a flat fee for relocation projects. This fee is refundable if you are purchasing the DI clinic or ICHSC licence through MedSalesGTA and the application is successful. We help identify optimal locations, and the commercial realtors in our team help secure competitive leases or purchase agreements, taking into consideration medical zoning, city by-laws and Ministry requirements.

Can you help with ICHSC licence expansions?2026-10-15T21:33:08-04:00

Yes. MedSalesGTA has helped several clients with ICHSC licence expansions. Our Ministry of Health specialists prepare and submit applications at a cost that is a fraction of the actual value of the modalities added. We have played an active role in the past calls for applications for CT, MRI, GI Endoscopy and Orthopedics, and we are well prepared for the next round.

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