Koutokukai

What Koutokukai does

Koutokukai (社会医療法人 公徳会) is a social medical corporation (non-profit healthcare organization) established in 2006 and headquartered in Nanyo City, Yamagata Prefecture, Japan. The organization operates an integrated medical-nursing-welfare platform across 16+ facilities spanning three cities (Nanyo, Yonezawa, Yamagata) in the Okitama region. Its service portfolio includes three psychiatric hospitals (Satoh Hospital, Wakamiya Hospital, Yonezawa Kokoro Hospital), outpatient clinics (Yonezawa Ekimae Clinic, Total Health Clinic), a prefectural-designated Dementia Disease Medical Center, home-visit nursing stations, a psychiatric day care program "Kakehashi" (210-patient capacity), a dementia day care program "Hatsuratsu" (100-patient capacity), elderly nursing facilities (Domi-ru Nanyo, Hillside Haguro), group homes for dementia patients (Nukumori no Ie, 18 private rooms) and people with mental disabilities (Kunugi-so, ~79 residents across multiple buildings), a Type B employment support center operating grape cultivation, bakery, and subcontracting businesses, a regional activity support center for people with mental disabilities, and an after-school childcare service.

The organization employs 501-1,000 staff across these facilities and uses digital systems including an Online Consultation Reservation System, a Nursing Care DX Information System aligned with the 2025 national nursing care digital transformation mandate, and a Dementia Medical Coordination Pass System that links multiple medical institutions across the Okitama region. Revenue is generated through three streams: medical treatment revenue from consultations, hospitalizations, and procedures covered by Japan's public health insurance; nursing care service revenue from group homes, visiting nursing, day care, short-term stays, and welfare equipment rental under the long-term care insurance system; and disability welfare service revenue from group homes, employment support centers, and daily life support under the disability welfare services system. Pricing is set by national and prefectural reimbursement schedules rather than negotiated individually.

Koutokukai functions as a regional healthcare conglomerate serving psychiatric patients, dementia patients, elderly residents, people with mental and physical disabilities, working families needing childcare, and the general public seeking preventive health services. Distribution is entirely direct through its own facility network, with municipal government partnerships across eight Okitama municipalities for disability welfare and long-term care insurance commissioning. The organization is independently owned with no identified parent company, external investors, or public listing, and is self-sustaining through healthcare service revenue and public insurance reimbursement.

Name

Koutokukai

Legal name

社会医科大学 公徳会

Website

https://koutoku.or.jp

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Koutokukai is a Japanese social medical corporation operating an integrated network of 16+ hospitals, clinics, group homes, day care programs, and welfare services across Yamagata Prefecture's Okitama region, serving psychiatric patients, dementia patients, people with disabilities, and elderly residents through public insurance reimbursement.

Ownership category

akta.pro rank

Product category

Integrated Healthcare and Welfare Services

NAICS

Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (62412), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Other Residential Care Facilities (62399)

SIC

Services-Hospitals (8060), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Inpatient Psychiatric Hospitals (HLAFAHAH)

akta.pro secondary industries

Post-Diagnosis Transition & Hospital-to-Home Dementia Support (HSABAEAL), Nursing Homes (Non-SNF) (HLAFAFAC), In-Home Dementia Care Services (Specialized Personal Care) (HLADACAI)

Keywords

• Psychiatric hospital services
• Elderly nursing care
• Dementia medical care
• Disability welfare services
• Home nursing services

Headquarters

HQ city

Yamagata

HQ country

Japan

HQ region

Asia

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medical Treatment Revenue: Revenue generated from medical consultations, treatments, hospitalizations, and procedures at hospitals and clinics. Covered by public health insurance (national health insurance, late-stage elderly healthcare system), with co-payments from patients.
2. Nursing Care Service Revenue: Revenue from nursing care insurance services including group homes, visiting nursing, day care, short-term stays, and welfare equipment rental. Services are covered under Japan's long-term care insurance system with co-payments.
3. Disability Welfare Service Revenue: Revenue from welfare services for people with disabilities including group homes (くぬぎ荘), employment support centers, and daily life support. Covered under Japan's disability welfare services system.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels9 records

Core offering

Koutokukai operates an integrated network of psychiatric and acute care hospitals, outpatient clinics, a designated Dementia Disease Medical Center, nursing care facilities, group homes, home-visit nursing and care services, disability welfare facilities, vocational rehabilitation centers, and after-school childcare across Yamagata Prefecture. Services are funded primarily through Japan's public health insurance, long-term care insurance, and disability welfare systems with patient co-payments. The organization delivers community-based care spanning emergency psychiatric services, dementia diagnosis and treatment, elderly residential and day care, disability employment support, and family/childcare support programs.

Product overview

Koutokukai is a medical and welfare corporation operating a comprehensive network of healthcare and social welfare facilities in Yamagata Prefecture, Japan. The organization provides a full spectrum of services including: acute care hospitals (Sato Hospital, Wakamiya Hospital, Yonezawa Kokoro Hospital), clinics (Yonezawa Ekimae Clinic, Total Health Clinic), specialized centers (Dementia Disease Medical Center, Visiting Nursing Station), psychiatric and dementia day care programs (Kakehashi and Hatsuratsu), nursing care facilities (Domi-ru Nanyo, Hillside Haguro), group homes for dementia and disabled individuals (Nukumori no Ie, Kunugi Sou), home care services (Honobono Care Service), care management offices, vocational rehabilitation centers (Employment Support Center with bread making and grape cultivation), welfare centers (Life Support Tomarigi), and after-school childcare. The facilities span the Okitama region including Nanyo City, Yonezawa City, Yamagata City, and surrounding areas, offering integrated medical, nursing, and welfare services to support community health and social participation.

Differentiator

Problem solved

Functional benefit

Brands

• 佐藤病院: Acute care hospital with emergency care systems
• 若宮病院
• 米沢こころの病院
• 米沢駅前クリニック
• _tot alヘルスクリニック
• ドミール南陽
• ヒルサイド羽黒
• ぬくもりの家
• くぬぎ荘
• 公徳会就労支援センター
• かけはしデイケア
• はつらつ

Products and services

• Sato Hospital (佐藤病院)
• Wakamiya Hospital (若宮病院)
• Yonezawa Kokoro Hospital (米沢こころの病院)
• Yonezawa Ekimae Clinic (米沢駅前クリニック)
• Nanyo Visiting Nursing Station (南陽訪問看護ステーション)
• Dementia Disease Medical Center (認知症疾患医療センター)
• Total Health Clinic (トータルヘルスクリニック)
• Psychiatric Day Care Kakehashi (精神科デイケア かけはし)
• Dementia Day Care Hatsuratsu (認知症デイケア はつらつ)
• Domi-ru Nanyo (ドミール南陽)
• Hillside Haguro (ヒルサイド羽黒)
• Nukumori no Ie (ぬくもりの家)
• Kunugi Sou (くぬぎ荘)
• Honobono Care Service (ほのぼのケアサービス)
• Home Care Management Office (居宅介護支援事業所)
• Koutokukai Employment Support Center (公徳会就労支援センター)
• Life Support Tomarigi (ライフサポートとまり木)
• Miyauchi After-School Child Care (宮内学童保育)

Quantifiable outcome

• 4 consecutive championships at Yamagata Prefecture Disability Sports Festival volleyball competition
• +3 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and moderate.

• Nanyo Higashiokitama District Medical Association (南陽市東置賜郡医師会)coreStrategic or Co-development PartnerProfessional medical association network connecting Koutokukai with regional physicians and medical institutions for referral coordination, medical education, and collaborative patient care in the Okitama region.
• Japan Psychiatric Hospitals Association (社団法人日本精神科病院協会)coreStrategic or Co-development PartnerNational professional association of psychiatric hospitals providing industry standards, policy advocacy, training, and networking for psychiatric healthcare providers like Koutokukai.
• Japan Medical Association (日本医師会)coreStrategic or Co-development PartnerNational medical professional organization providing policy guidance, continuing medical education, and professional standards for member physicians and institutions.
• National Association of Paid Nursing Homes (社団法人全国有料老人ホーム協会)moderateStrategic or Co-development PartnerIndustry association for paid nursing homes providing quality standards, industry best practices, and regulatory guidance for nursing home operators including Koutokukai's Hill Side Eboshigake facility.
• Okitama Region Municipalities (置賜地区各市町)coreStrategic or Co-development PartnerMunicipal governments of Nanyo City, Takahata Town, Kawanishi Town, Yonezawa City, Nagai City, Iide Town, Shirataka Town, and Oguni Town that commission disability welfare services and coordinate long-term care insurance services with Koutokukai.

Scale indicators5 records

Recent moves8 records

Expansion highlights5 records

Regional players

• Saku General Hospital (JA Saku General / 佐久総合病院): Iconic rural integrated hospital in Nagano Prefecture known for community-based integrated care delivery. Highly comparable to Koutokukai's regional integration model serving rural Japanese aging populations.

Broad incumbents

• Saiseikai Foundation (社会福祉法人恩賜財団済生会): Japan's national charity hospital network with 80+ hospitals and welfare services. Compares to Koutokukai as a large-scale Japanese integrated healthcare operator with overlapping inpatient, elderly care, and welfare capabilities.
• National Hospital Organization (NHO / 独立行政法人国立病院機構): Operates a national network of 140+ hospitals including numerous psychiatric and long-term care facilities. Comparable as a Japanese quasi-governmental integrated healthcare provider with significant psychiatric and elderly care focus.
• Tokushukai Medical Group (徳洲会): One of Japan's largest private hospital groups with 70+ facilities nationwide, including acute care, psychiatric, and long-term care. Comparable as a multi-facility integrated healthcare group with similar service breadth to Koutokukai.

Direct peers

• Kameda Medical Center (亀田総合病院): Large integrated private hospital group headquartered in Chiba with hospitals, clinics, and care services. Comparable as a private Japanese integrated medical-care operator with multi-facility footprints.
• Seirei Social Welfare Group (Seirei Fukushi Jigyodan): One of Japan's largest integrated social welfare / medical corporations operating hospitals, nursing care facilities, and welfare services. Directly comparable to Koutokukai's integrated medical-care-welfare model across multiple prefectures.
• Social Medical Corporation Kouenkai (幸縁会): Japanese social medical corporation with integrated hospitals, group homes, and welfare services. Directly comparable as a Japanese social medical corporation operating a similar integrated medical and welfare service network.

Emerging players

• Nichii Gakkan Company (日総工販 / ニチイ): Large Japanese nursing care and medical services operator with home care, day care, and group home operations. Comparable as a Japanese operator providing similar nursing care, dementia care, and home care services at greater scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key highlights7 records

Customer concentration

• Xtwitter.com/koutokukai
• YouTubeyoutube.com/channel/UCioG5AoXgBAmUCo-hc5LYgQ
• Facebookfacebook.com/koutokukai

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries16 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Koutokukai