Amvis Holdings

What Amvis Holdings does

Amvis Holdings Co., Ltd. (株式会社アンビスホールディングス, TSE Prime: 7071) operates a network of 130 "Ishinkan" (医心館) medical facility-type hospice nursing homes across Japan, specializing in chronic and terminal care for patients with high medical dependency, including terminal cancer patients, ventilator users, tracheostomy cases, and individuals with neurodegenerative diseases. Founded in September 2013 as Amvis Inc. in Kuwana, Mie Prefecture and reorganized as a holding company in October 2016, the company pioneered Japan's "physician function outsourcing" (医師機能のアウトソーシング) and "regional healthcare sharing platform" (シェアリング病床) models, which substitute in-house resident physicians with outsourced physician coverage from local family doctors to create home-like "hospital beds" at lower cost while maintaining 24/7 nursing coverage. The Ishinkan concept addresses a structural shortage of post-discharge care destinations in Japan, accepting patients that conventional nursing homes typically refuse, achieving a 98% end-of-life care rate across facilities.

The company's revenue derives primarily from resident fees and Japanese long-term care insurance payments for paid nursing home (有料老人ホーム) services across 6,706 beds (4,665 currently occupied), supplemented by a Regional Healthcare Revitalization consulting business and a 0.8%-commission medical/nursing care receivables factoring service operated through consolidated subsidiary Ashitano Iryo (明日の医療). The operating model relies on centralized headquarters functions providing direct support to facility managers, enabling standardized quality control and efficient resource allocation across the network. The company also operates Canvi (キャンビ), a children's hospice sub-brand for children with severe motor and intellectual disabilities. Growth is funded through facility-level capex supplemented by capital markets; the company IPO'd on JASDAQ in October 2019, moved to Standard market in April 2022, and to the Prime market in March 2023. With FY2025 (ended September 2025) revenue of ¥491.7 billion and EBITDA of ¥89.6 billion, Amvis employed 5,834 consolidated staff including 853 part-time employees and 5,157 medical workers across facilities.

Strategic positioning is anchored by a strategic alliance with Nexus Care Co., Ltd. for co-located facility openings and the February 2025 acquisition of Midoril Co., Ltd. The company serves all major Japanese regions (Kanto, Chubu, Kansai, Tohoku, Hokkaido, Chugoku, Shikoku, Kyushu, Hokuriku), with 29 new facilities opened in FY2025 and a stated run-rate of approximately 25 new facilities per year. Recent corporate actions include a May 2025 home nursing care business transfer and a September 2025 announcement of partial business transfer by a consolidated subsidiary, signaling portfolio refinement alongside expansion.

Name

Amvis Holdings

Legal name

株式会社アンビスホールディングス

Website

https://amvis.com

Company type

Public

Founded year

2016

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Amvis Holdings operates 130 Ishinkan hospice nursing homes across Japan, providing 24/7 chronic and terminal care for high medical dependency patients through a physician-outsourcing model, with FY2025 revenue of ¥491.7 billion and operations spanning all major Japanese regions.

Ownership category

akta.pro rank

Product category

Hospice and Chronic Care Nursing Services

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (623110), Home Health Care Services (62161), Nursing and Residential Care Facilities (623)

SIC

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

akta.pro primary industry

Inpatient Hospice (General Inpatient Care) (HLADAHAB)

akta.pro secondary industries

Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG)

Keywords

• Hospice care services
• Chronic care nursing
• Terminal care facilities
• Regional healthcare revitalization
• Elderly nursing homes

Headquarters

HQ city

Tokyo

HQ country

Japan

HQ region

Asia

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Ishinkan Hospice Facility Operations: Revenue from operating paid nursing homes (有料老人ホーム) providing chronic and terminal care. Facilities accept patients with high medical dependency including end-stage cancer, ventilator users, and those requiring end-of-life care. Revenue comes from resident fees and nursing care insurance payments.
2. Healthcare Revitalization Consulting: Management consulting services for medical institutions and care facilities through subsidiary Ashitano Iryo. Services include operational support, organizational development, and facility management assistance.
3. Medical/Nursing Care Factoring: Early payment service for medical and nursing care receivables. The company purchases receivables from healthcare providers before the standard payment date from social insurance funds, charging a 0.8% commission for approximately 1.5 months earlier access to funds.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

Amvis Holdings operates medical facility-type hospice nursing homes under the Ishinkan (医心館) brand, providing 24-hour nursing and caregiving services for patients with high medical dependency, including terminal cancer patients, ventilator users, and those with neurodegenerative diseases. Through subsidiary Ashitano Iryo, the company also delivers management consulting, operational support, and early-payment factoring services for medical and nursing care receivables to other healthcare providers. The Ishinkan facilities deliver chronic and end-of-life care under Japan's long-term care insurance system, with each facility supported by attached home nursing and home care offices.

Product overview

Amvis Holdings operates a healthcare platform centered on its core brand 'Ishinkan' (医心館), medical facility-type hospice nursing homes that specialize in chronic and terminal care for patients with high medical dependency. The portfolio includes Ishinkan facilities with attached home nursing and home care offices, the Regional Healthcare Revitalization Project operated through subsidiary Ashitano Iryo (明日の医療) offering management consulting and medical fee factoring services, and the children's hospice sub-brand Canvi (キャンビ). The company functions as a holding company overseeing subsidiaries engaged in nursing home operations, home healthcare services, disability welfare services, and consulting. The group operates approximately 130 Ishinkan facilities nationwide as of September 2025.

Differentiator

Problem solved

Functional benefit

Brands

• 医心館 (Ishinkan): Medical facility-type hospice specializing in chronic and terminal care nursing, with home nursing care and home care offices. Caters to patients with high medical dependency including terminal cancer, ventilator users, neurodegenerative diseases, and end-of-life care.
• キャンビ (Canvi)

Products and services

• Ishinkan (医心館) Hospice Facilities Medical facility-type hospice nursing homes specializing in chronic and terminal care, offering 24-hour nursing and caregiving services for patients with high medical dependency such as terminal cancer, ventilator users, and those with neurodegenerative diseases. Operated as paid nursing homes (有料老人ホーム) under Japan's long-term care insurance system.
• Home Nursing Care (訪問看護) Home-based nursing care services delivered through visiting nursing offices attached to Ishinkan facilities.
• Home Care (訪問介護) Home-based caregiving services delivered through visiting care offices attached to Ishinkan facilities.
• Paid Nursing Home Business (有料老人ホーム事業) Operation of paid nursing homes (Iyūro Hōmu) providing residential care for elderly and high medical dependency patients, encompassing disability welfare services and ancillary businesses.
• Regional Healthcare Revitalization Services (地域医療再生事業) Comprehensive management support and consulting services for medical institutions and care providers, including operational funding, organizational development, and coordination with Ishinkan facilities for chronic/terminal bed outsourcing.
• Medical/Nursing Care Receivables Factoring Early-payment service purchasing medical and nursing care receivables from healthcare providers before the standard social insurance payment date, providing approximately 1.5 months earlier access to funds at a 0.8% commission.
• Canvi (キャンビ) Children's Hospice Children's hospice for children with severe motor and intellectual disabilities (重症心身障害児), offering child development support and after-school day services.

Quantifiable outcome

• End-of-life care rate of 98% at Ishinkan facilities
• +2 more outcomes

Named customers4 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• Nexus Care Co., Ltd. (株式会社ネクサスケア)coreStrategic or Co-development Partner · 19 January 2021Strategic alliance with Nexus Care to open Ishinkan facilities within their existing care facilities. The first collaboration opened Ishinkan Hongo in Tokyo's Bunkyo ward, where Ishinkan operates floors 3-5 of Nexus Court's 9-floor building. The partnership enables mutual referral of residents between facilities with different target patient groups.
• Ashitano Iryo, Inc. (株式会社 明日の医療)coreStrategic or Co-development Partner · 1 March 2020Consolidated subsidiary established in March 2020 to provide comprehensive management support for medical institutions and care facilities. The subsidiary coordinates partnerships between Ishinkan facilities and external healthcare providers, offers consulting services including operational support and organizational development, and provides factoring services for early payment of medical/nursing care receivables.

Scale indicators8 records

Recent moves4 records

Expansion highlights3 records

Broad incumbents

• Benesse Style Care: Subsidiary of Benesse Holdings operating a large network of paid nursing homes and senior residences in Japan. Comparable in operating paid elderly nursing facilities, but with a more independent/assisted-living orientation rather than high-acuity hospice specialization.
• Sompo Care (Sompo Holdings): Major Japanese operator of nursing homes, group homes, and in-home care services, part of Sompo Holdings. Comparable in scale and breadth of elder care services though it does not specialize in the high-medical-dependency hospice segment Amvis dominates.
• Nichii Gakkan Company: Large TSE-listed (9792) Japanese healthcare services conglomerate operating nursing homes, home care, and educational services. Overlaps with Amvis across multiple care service lines but operates at much greater scale with a broader, less specialized portfolio.

Emerging players

• The Pennant Group: US-listed (PNTG) operator of home health, hospice, and senior living services. Comparable in providing hospice and home-based clinical care services, though US-focused and smaller in scale than Amvis's Japan platform.
• Encompass Health Corporation: US-listed (EHC) operator of inpatient rehabilitation and skilled nursing facilities focused on post-acute and chronic care. Comparable in operating facility-based clinical care for medically complex patients, though US-centric and post-acute oriented rather than end-of-life hospice.

Direct peers

• Chaonoki Group (Tsukamoto Corporation): One of the most direct competitors in Japan's medical-facility-type hospice category, operating nursing homes for high-medical-dependency patients. Highly comparable business model, customer cohort (terminal cancer, ventilator users), and facility-based delivery as Amvis's Ishinkan.
• SMS Co., Ltd. TSE-listed (2175) Japanese operator of visiting nursing stations and medical/nursing-care staffing services with a similar elder-care focus. Comparable in operating home-based nursing services and serving Japan's aging population, with overlapping customer profiles to Amvis's home nursing offices.
• Welbe, Inc. Japanese company operating visiting nursing stations and home-based care services focused on high-acuity patients. Comparable in serving patients with high medical needs and integrating home nursing operations, similar to Amvis's attached home nursing office model.
• Tsukui Holdings (Tsukui Senior Care): Japanese operator of day-care, group homes, and nursing-care facilities for the elderly with a large multi-region footprint. Comparable in delivering facility-based elder care services at scale across Japan, though the resident acuity profile skews lower than Ishinkan's.
• Saint-Care Holding Corporation: TSE-listed (2374) operator of nursing care facilities, home care, and in-home nursing services in Japan. Direct overlap with Amvis's nursing home, home nursing, and home care service lines for the elderly population.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/Ishinkan_Amvis
• Facebookfacebook.com/amvis.co.jp
• Instagraminstagram.com/ishinkan_amvis

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

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

M&A

Investments1 record

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

Frequently asked questions about Amvis Holdings