Care Twentyone

What Care Twentyone does

Care Twentyone (株式会社ケア21, TSE Standard ticker 2373) is a publicly listed Japanese comprehensive welfare enterprise (総合福祉企業) founded in 1993 in Osaka. As of FY2025 (ending October 2025), the company operates 338 home-visit care stations and 148 facility-based care establishments across Kansai, Kanto, Chubu, Kyushu, Tohoku, and Hiroshima, with additional subsidiaries in Vietnam (Hanoi, 2020) and China (Shanghai, 2020). The company delivers 16+ distinct service lines spanning home-based care (visiting care, home-visit nursing, acupuncture/massage, pharmacy), residential senior housing under the PLAISANT brand series (Luxe, Grand, Maison), dementia group homes and small-scale multifunctional care under the Tanoshii-ie (たのしい家) brand, day services, disability employment support (Relees series), licensed childcare, caregiver training schools, dining operations, and real estate brokerage for facility development.

Revenue is generated primarily through fee-for-service claims under Japan's national long-term care insurance (介護保険制度) and disability welfare system, supplemented by out-of-pocket copayments and premium-tier housing fees. Pricing is government-regulated at the service-unit level with monthly billing cadence, varying by care need level (要支援1-2, 要介護1-5). Distribution is direct through owned-and-operated care stations, residential facilities, day centers, a phone inquiry hotline (0120-944-821), and a dedicated facility search portal (tanoshii-ie.jp). The customer base consists of individual elderly Japanese citizens and their families as the primary segment, with secondary segments in disability employment support and licensed childcare.

Care Twentyone reported consolidated FY2025 revenue of ¥48.158 billion (6.1% YoY growth) with 9,322 total employees (6,319 full-time + 3,003 part-time). The company is led by President Yoda Masashi (依田雅) and Chairman/CCO Yoda Hira (依田平), with the founding Yoda family retaining significant ownership. The "9 Management Principles" philosophy emphasizing human dignity and "100-year company" framing underpins the corporate culture and HR practices (notably a 92% regular employment ratio for mid-career hires in FY2023).

Name

Care Twentyone

Legal name

CARE TWENTYONE CORPORATION

Website

https://care21.co.jp

Company type

Public

Founded year

1993

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Care Twentyone is a Japanese publicly listed comprehensive welfare enterprise operating 338 home-visit care stations and 148 residential facilities across Japan, delivering 16+ service lines including paid senior housing (PLAISANT brand), dementia care, disability employment support, and licensed childcare under the national long-term care insurance system.

Ownership category

akta.pro rank

Product category

Senior Care Services

NAICS

Assisted Living Facilities for the Elderly (623312), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Services for the Elderly and Persons with Disabilities (624120), Nursing Care Facilities (Skilled Nursing Facilities) (62311)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082), Services-Skilled Nursing Care Facilities (8051), Services-Social Services (8300)

akta.pro primary industry

Luxury / High-End Assisted Living Communities (HLADABAD)

akta.pro secondary industries

Social Adult Day Care (Non-Medical Senior Day Programs) (HLADAIAB), Care Navigation & Service Coordination (Medical, Social, Community) (HSABAIAB), Dementia & Alzheimer’s Respite Care (HSABAGAF), Elder Services & Aging Support (BPAGAEAF)

Keywords

• Senior care services
• Home visit care
• Dementia group homes
• Nursing facility operations
• Disability employment support

Headquarters

HQ city

Osaka

HQ country

Japan

HQ region

Asia

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Others

Revenue model

1. Facility Operations Revenue: Revenue from operating paid senior housing (有料老人ホーム), dementia group homes (グループホーム), day care services (デイサービス), and small-scale multi-functional facilities. Includes accommodation fees, care service fees, and meal service fees under national long-term care insurance system.
2. Visiting Care Services: Home-visit nursing, home medical care support, acupuncture/massage visits, and pharmacy services. Revenue primarily from national insurance claims and out-of-pocket payments.
3. Disability Support Services: Short-term stays, day services, employment support (Type A/B), and disability employment programs for people with disabilities. Includes rehabilitation services and job placement assistance.
4. Childcare Services: Operating licensed nursery schools (認可保育園) providing early childhood education and care services.
5. Human Resources Services: Caregiver certification training schools, human resources introduction/recruitment services, and life support services.
6. Dining and Meal Services: Facility dining operations and meal delivery services (おいしい食卓便) for facility residents and external customers.
7. Real Estate Services: Property owner services for developing and establishing care facilities, disability facilities, and childcare facilities on owned land.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels4 records

Core offering

Care Twentyone operates a comprehensive welfare enterprise delivering 17 service lines including home-visit care, fee-based senior nursing homes, dementia group homes, day services, home nursing, disability support and employment programs, licensed childcare, caregiver training, dining, and welfare equipment rental. Services are delivered directly through 338 home-visit care stations and 148 owned residential and day-care facilities across Japan, with revenue sourced primarily from the national long-term care insurance system, supporting insurance schemes, and out-of-pocket fees.

Product overview

Care Twentyone operates as a comprehensive welfare enterprise (総合福祉企業) offering a diverse portfolio of care and welfare services across Japan. The company's service offerings span 17 distinct service lines organized into facility-based care (有料老人ホーム, グループホーム, デイサービス), home-based care (訪問介護, 訪問看護, 居宅介護支援), and social support services (障がい者支援, 保育, 海外事業). Key product sub-brands include the PLAISANT series (プレザンリュクス, プレザングラン, プレザンメゾン) for fee-based nursing homes, and たのしい家 for dementia group homes and small-scale multifunctional care. Recent expansions include Relees (リールス) brand for disability and rehabilitation services. The company operates across four main business segments: home-based care, facility-based care, other welfare services, and overseas operations, serving Japan's aging population through a network of stations and facilities nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• PLAISANT（プレザン）: Series of paid elderly homes including PLAISANT LUXE, PLAISANT GRAND, and PLAISANT MAISON
• たのしい家
• プレザングラン
• プレザンリュクス
• プレザンメゾン
• たのしい家
• たのしい家
• Life Plus（ライフプラス）

Products and services

• Home-Visit Care Service (訪問介護事業) Professional in-home care assistance enabling elderly individuals to live independently; delivered through 338 care stations nationwide.
• PLAISANT LUXE (プレザンリュクス) Senior Living

Named customers1 record

Segments3 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.

• Benesse Style Care (ベネッセスタイルケア)minorStrategic or Co-development Partner · 1 February 2009In February 2009, Care21 took over operation of nursing care insurance and non-insurance care services in Fukuoka City from Benesse Style Care (based in Shibuya, Tokyo). This acquisition marked Care21's entry into the Fukuoka market.

Scale indicators6 records

Recent moves9 records

Expansion highlights5 records

Direct peers

• Message Co., Ltd. (株式会社メッセージ, 2405): TSE Standard-listed operator focused on paid elderly homes (primarily "Ayakami" and other branded senior housing), with group homes and home care. Closely matches Care21's facility-based core and its TSE Standard listing profile.
• Benesse Style Care Co., Ltd. Subsidiary of Benesse Holdings operating fee-based nursing homes, group homes, and home care services across Japan. Care21 acquired its Fukuoka operations from Benesse Style Care in 2009, demonstrating direct overlap in service mix and target customer.
• Care Service Co., Ltd. (株式会社ケアサービス, 2425): TSE Standard-listed comprehensive care provider operating home-visit care, day services, and welfare equipment rental with a strong Tokyo-area footprint. Direct comparable on home-based care delivery model and exchange-listing scale.
• Sompo Care Inc. Subsidiary of Sompo Holdings operating paid elderly homes, group homes, day services, and home-visit care across Japan. One of the largest comprehensive care operators in the country and the most directly comparable scaled peer to Care21's multi-service welfare model.
• Charm Care Corporation (株式会社チャーム・ケア, 7082): TSE Standard-listed operator of fee-based nursing homes ("Charm" brand) focused primarily on the Kansai region. Highly comparable to the PLAISANT Maison/Grand mid-range tier of Care21's portfolio and a direct facility-level competitor.
• Yasashii Te Co., Ltd. (株式会社やさしい手, 2164): TSE Growth-listed home-visit care specialist offering in-home care, facility operations, and life support services. Strong overlap with Care21's home-visit and care management segment, though smaller and less diversified into paid elderly homes.
• Tsukui Co., Ltd. (株式会社ツクイ, 2398): TSE Standard-listed comprehensive welfare company offering day services, home-visit care, group homes, and paid elderly homes across Japan. Highly comparable in scope, public-market listing tier, and revenue scale to Care21.

Broad incumbents

• Nichii Gakkan Co., Ltd. (株式会社ニチイ学館, 9792): Large, long-established operator of home-visit nursing/care, medical-related staffing, and educational services across Japan. Substantially larger than Care21 and broader in scope (includes medical staffing and BPO), but the home-visit care business directly overlaps with Care21's 338 stations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/care21official
• YouTubeyoutube.com/@21100
• Instagraminstagram.com/care21official

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Care Twentyone