Tokushima Prefecture Welfare Agricultural Cooperative Association

What Tokushima Prefecture Welfare Agricultural Cooperative Association does

Tokushima Prefecture Welfare Agricultural Cooperative Association (JA Tokushima Kouseiren / 徳島県厚生農業協同組合連合会) is a private agricultural cooperative federation established on August 14, 1948, that operates an integrated healthcare delivery network across Tokushima Prefecture, Japan. The federation is owned by 8 member organizations (5 agricultural cooperatives and 3 federations) contributing ¥3,064,440,000 in capital, and it is designated as a public medical institution under Japan's Medical Care Act. The organization employs 1,232 people (1,108 regular staff, of whom 280 are male and 828 are female), and is governed by a Board Management Committee system with a representative director serving as CEO (Bando Masato). Its geographic footprint is restricted entirely to Tokushima Prefecture, serving rural and JA-affiliated communities with no expansion beyond the prefecture.

The organization's service portfolio spans three operating layers. First, acute and chronic medical care is delivered through two general hospitals — Anan Medical Center (which integrated Anan Kyoei Hospital and Anan City Medical Association Hospital into a new facility in May 2019, with a palliative care ward added in August 2020) and Yoshinogawa Medical Center (opened May 2017 as a replacement facility) — plus one outpatient Awa Clinic (converted from an inpatient hospital in April 2024). These facilities offer internal medicine, surgery, pediatrics, obstetrics and gynecology, neurosurgery, cardiovascular surgery, orthopedics, rehabilitation, and palliative care, with departments accredited as disaster base hospitals, DMAT-certified, and designated as clinical training hospitals. Second, preventive health is delivered through the Tokushima Prefecture Rural Health Management Center (opened April 1992), which provides day-use comprehensive health checkups, corporate workplace health examinations, women's health screenings (cervical cancer, breast cancer, HPV), and mobile examination services via buses that travel to municipalities and workplaces. Optional diagnostic add-ons include tumor markers, ultrasound examinations, bone density, sleep apnea screening, and dementia screening. Third, welfare and family services include home nursing stations (Visit Nursing Stations Kyodo and Kyoei, established 2008), the Nikoniko and Sakuranbo nursery schools (serving employee children with capacity of ~30 children per facility), and a midwifery scholarship program providing ¥1,000,000 annually with loan forgiveness upon employment.

Revenue mechanics derive from three primary streams: (1) medical services revenue from national health insurance billing under DPC/ fee-for-service reimbursement for inpatient, outpatient, and emergency care at the three hospitals/clinic; (2) health examination services revenue from fee-based preventive screenings (optional add-ons priced ¥580–¥7,700 per test) sold through direct-to-consumer appointments and corporate contracts; and (3) elderly welfare services revenue from insurance reimbursement and user fees for nursery care, visiting nursing, and elderly care programs. The organization is sales-led and direct-to-consumer in its go-to-market, recruiting healthcare professionals via its own website and through third-party platforms such as Mynavi Nursing Students, with a talent pipeline anchored by the midwifery scholarship program and on-site childcare. There are no AI/ML capabilities, digital products, or software offerings disclosed; the technology stack consists of conventional Japanese hospital information systems and standard diagnostic equipment. Recent strategic activity centers on facility rationalization (Awa conversion to clinic), service line additions (palliative ward, in-pharmacy at both major hospitals in February 2026), and academic partnership building (Kitasato University, 2024).

Name

Tokushima Prefecture Welfare Agricultural Cooperative Association

Legal name

徳島県厚生農業協同組合連合会

Website

https://kouseiren.jp

Company type

Private

Founded year

1948

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Tokushima Prefecture Welfare Agricultural Cooperative Association (JA Tokushima Kouseiren) is a Japanese agricultural cooperative federation operating two general hospitals, one outpatient clinic, and a health management center across Tokushima Prefecture, providing medical care, preventive health examinations, and elderly welfare services to regional residents and JA cooperative members.

Ownership category

akta.pro rank

Product category

Rural Healthcare Services

NAICS

General Medical and Surgical Hospitals (6221)

SIC

Services-Hospitals (8060), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro industry

PRIMARYHLAFAEAH

Hospital-at-Home / Acute Care at Home Programs

Healthcare & Life Sciences/Healthcare Providers & Systems/Home Health & Hospice Providers

SECONDARYHLAFAFAB

Skilled Nursing Facilities (SNF)

Healthcare & Life Sciences/Healthcare Providers & Systems/Post-Acute Care & Rehabilitation Facilities

Keywords

• Rural healthcare services
• Hospital medical care
• Preventive health examinations
• Elderly welfare services
• Occupational health screenings

Headquarters

HQ city

Tokushima

HQ country

Japan

HQ region

Asia

Offices6 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Medical Services Revenue: The organization operates medical institutions (Anan Medical Center, Yoshinogawa Medical Center, Awa Clinic) providing medical consultations, treatments, surgeries, hospitalizations, and other healthcare services to patients covered by public health insurance, generating revenue through national health insurance billing (DPC/Fee-for-service).
2. Health Examination Services: The Rural Health Management Center provides fee-based health examination services including day-use comprehensive health checkups, corporate wellness examinations, women's cancer screenings, and mobile health examinations, charged per examination or through insurance/coverage schemes.
3. Elderly Welfare Services: The organization provides welfare services for elderly residents, including nursery care (Nikoniko Hoikuen), visiting nursing stations, and other elderly care programs, funded through insurance and user fees.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

JA Tokushima Kouseiren operates a network of hospitals, clinics, and health examination facilities across Tokushima Prefecture, providing inpatient and outpatient medical care, preventive health screenings (day-use comprehensive checkups, women's cancer screenings, mobile examinations), elderly welfare and visiting nursing services, and on-site childcare for employees. Services are reimbursed through Japan's national health insurance system, supplemented by per-examination fees and corporate contracts.

Product overview

Tokushima Prefecture Welfare Agricultural Cooperative Association (JA徳島厚生連) operates a network of medical and health services across Tokushima Prefecture. The organization provides healthcare through three hospitals (Anan Medical Center, Yoshinogawa Medical Center, and Awa Clinic), a health management center offering day-use health examinations, corporate health screenings, women's health screenings, and mobile examination services. Additionally, the association operates a nursery school for employee children and provides scholarship programs for midwifery students. The core offering consists of hospital-based medical services supplemented by preventive health examination services, creating an integrated healthcare delivery system for rural Tokushima.

Differentiator

Problem solved

Functional benefit

Brands

• にこにこ保育園: Childcare facility operated by the organization for children of employees, located at Yoshinogawa Medical Center site
• さくらんぼ保育園
• 奨学金制度

Products and services

• Anan Medical Center (阿南医療センター) A general hospital in Anan City providing comprehensive inpatient and outpatient services including internal medicine, surgery, pediatrics, OB/GYN, neurosurgery, orthopedics, palliative care, rehabilitation, diagnostic imaging, and clinical laboratory. Also includes a Recovery Rehabilitation Ward and a Palliative Care Ward. Serves as a clinical training hospital, regional medical support hospital, and DMAT-certified facility.
• Yoshinogawa Medical Center (吉野川医療センター) A general hospital in Yoshinogawa City providing inpatient and outpatient medical services including internal medicine, surgery, cardiovascular surgery, pediatrics, OB/GYN, rehabilitation, diagnostic imaging, and clinical laboratory. Designated disaster base hospital (since 1997) and clinical training hospital.
• Awa Clinic (阿波医院) A non-bed outpatient clinic in Awa City providing internal medicine, pediatrics, orthopedics, and urology services for walk-in patients.
• Tokushima Prefecture Rural Health Management Center (徳島県農村健康管理センター) A dedicated health examination center in Awa City providing day-use comprehensive health checkups (日帰り人間ドック), corporate/office workplace health examinations (事業所ヘルス評価), women's cancer screenings (cervical, breast, HPV), mobile health examinations, and a broad menu of optional diagnostic add-on tests. Certified by the Health Assessment Facility Inspection Organization.
• Mobile Health Examination Service (巡回健診) Mobile health examination buses visit municipalities, workplaces, and JA offices across Tokushima Prefecture to provide health checkups, X-ray, ECG, blood tests, and cancer screenings for residents who have difficulty visiting the fixed facility. Includes mobile cancer screening via chest X-ray, stomach X-ray, fecal occult blood tests, and electrocardiogram examinations.
• Corporate Workplace Health Examination (企業・事業所健診) Lifestyle disease prevention health examinations for corporate employees aged 35–74 under Japan's national health insurance program. Conducted on-site at employer premises or at the Rural Health Management Center, covering medical history, physical measurements, vision, hearing, blood tests, and imaging.
• Women's Health Screening (婦人検診) Women's health examinations offered at the Rural Health Management Center, including cervical cancer screening (Pap smear ¥5,100; HPV-DNA ¥5,240), breast cancer screening (mammography ¥5,420), and uterine ultrasound for early detection of women's cancers.
• Visiting Nursing Stations (訪問看護ステーション協同 / 共栄) Home visiting nursing services operating under long-term care insurance, providing in-home nursing care to elderly and post-discharge patients across Tokushima.
• Nikoniko Nursery School (にこにこ保育園) A nursery school operated at the Yoshinogawa Medical Center grounds for children of JA employees, offering childcare services (ages 2 months to 6 years), extended hours, night care, and rhythmic education programs, supporting the medical workforce.
• Midwifery Scholarship Program (奨学金制度) Scholarship program for midwifery students providing ¥1,000,000/year with loan forgiveness upon employment at JA-operated hospitals, building the future nursing/midwifery workforce pipeline.

Quantifiable outcome

• 1,232 employees serving across 3 hospitals/clinics and 1 health management center
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• 北里大学北里研究所病院 (Kitasato University Kitasato Institute Hospital)minorStrategic or Co-development Partner · 1 July 2024Academic partnership for clinical training, medical education, and knowledge exchange. Referenced in JA Tokushima Kouseiren newsletter as hosting a joint symposium/agreement ceremony in October 2025.

Scale indicators6 records

Recent moves8 records

Expansion highlights6 records

Broad incumbents

• Tokushukai Medical Group (徳洲会): Japan's largest private acute-care hospital chain with rural-area coverage emphasis. Differs in private/church-affiliated ownership but directly competes for physicians, nurses, and inpatient volume in Japanese regional markets.
• Japan Community Health care Organization (JCHO): Publicly operated network of 57+ former social insurance hospitals now focused on community healthcare and rural/regional care delivery. Highly comparable mission and catchments to JA Tokushima Kouseiren's prefecture-wide service model.
• Social Welfare Organization Saiseikai Imperial Gift Foundation: Operates one of Japan's largest welfare-oriented hospital networks (~80+ facilities) with a mission emphasis on social welfare. Although structurally a public-interest foundation rather than a JA federation, it competes in the same welfare-hospital category and serves rural catchments comparable to JA Tokushima.
• Seirei Social Welfare Group (聖隷福祉事業団): Operates a multi-prefecture network of hospitals, home nursing, and welfare/elderly services under a welfare-union structure. Provides integrated acute, preventive, and home-care comparable to JA Tokushima's full-continuum approach.

Regional players

• Yamanashi Prefecture Welfare Agricultural Cooperative Association (JA Yamanashi Kousei): Holds the same cooperative welfare federation role in Yamanashi, operating hospitals, health management, and home care services under the JA Group framework. Provides a directly comparable organizational structure for benchmarking.
• Hiroshima Prefecture Welfare Agricultural Cooperative Association (JA Hiroshima Kouseiren): Operates a similar JA Kouseiren model in Hiroshima Prefecture with multiple hospitals, health examination centers, and home nursing stations. Structurally and operationally identical to JA Tokushima Kouseiren, serving as the closest functional twin in a different geography.
• Fukuoka Prefecture Welfare Agricultural Cooperative Association (JA Fukuoka Kouseiren): A JA Kouseiren welfare federation in Fukuoka Prefecture operating hospitals, clinics, health examination services, and elderly welfare programs. Direct structural peer to JA Tokushima at a larger population scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Instagraminstagram.com/ananmedicalcenter

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries8 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 Tokushima Prefecture Welfare Agricultural Cooperative Association