On March 28th, 2019, the Japanese Bank of International Cooperation (JBIC) signed a $400 million USD loan agreement with Mitsui & Co., Ltd for the purchase of shares in Malaysian IHH Healthcare Berhad (IHH). The loan was co-financed by private financial institutions for a further $651 million USD. IHH is a healthcare business that works in the fields of hospital management, contract management, and medical education across all of Asia. Currently, IHH owns 4 hospitals in Singapore, 9 in India, 14 in Malaysia and 21 in Turkey.

Overseas investment loans 
JBIC provides direct loans named overseas investment loans to Japanese companies, overseas affiliates or joint ventures where Japanese companies hold equity interests and governments or financial institutions partying with such overseas affiliates. Loans support projects in specific sectors or with a specific purpose of interest to Japan. Further information can be found on the Bank’s website under overseas investment loans.

The GTA includes state guarantees and other financial incentives that are likely to affect the restructuring and performance of firms facing international competition, whether from imports, in export markets, and from foreign subsidiaries