Message from Vice Chairperson
- Vice Chairperson of
Kaikoukai Healthcare Group
President of Kaikoukai Healthcare Corporation - Tetsuya Yamada

Nagoya Kyoritsu Hospital was established in February 1979 as a small town hospital . At that time, the hospital had 20 beds and 21 dialysis beds, and I heard that there were only about 40 staff members.
About 45 years have passed since then, and the Kaikoukai Healthcare Group now has 40 sites throughout Japan, including four hospitals. Its core business is the provision of dialysis treatment, which has grown to be one of the largest in Japan in terms of both quantity and quality. We are the third largest dialysis medical group in Japan and our dialysis technology is becoming recognized worldwide.
During this period, the environment surrounding medical care has changed significantly. The social background has changed drastically, with the advent of highly specialized medical technology, the rapid advent of a super-aging society, and the severe financial situation to support social security, and the services required have also changed. Large general hospitals have the advantage, while small and medium-sized private hospitals are in a difficult situation. In spite of this situation, I feel that the Kaikoukai Healthcare Group's belief that we want to do something for our patients and provide the best medical care for them has been consistently passed down through the years, as it was when the group was first established. For the past 10 years or so, Kaikoukai Healthcare Group has also viewed medical care as a business, and has strongly pursued a global strategy that includes promotion of medical tourism, provision of dialysis treatment technology overseas, and active recruitment of foreign personnel. For the aging population, our goal is to provide seamless and comprehensive medical care as well as services that bridge the gap between medical and nursing care.
Based on the belief of "Daily Innovation" advocated by our founder, Hirohisa Kawahara, we will continue to move forward with the goal of becoming a "medical corporation that will last for 100 years," with each and every employee always being aware of problems and responding flexibly to social and economic conditions without being satisfied with the current situation.
- Vice Chairperson of
Kaikoukai Healthcare Group
Chief Operating Officer of Kaikoukai Healthcare Corporation - Makoto Kawahara

Since the establishment of Nagoya Kyoritsu Hospital in 1979, Kaikoukai Healthcare Group has continued to take on the challenges of changing times by centering its efforts on dialysis care, while introducing advanced medical technologies, expanding multiple long-term care services, and promoting medical collaboration with overseas healthcare institutions and universities. Today, the healthcare industry has entered an unprecedented period of rapid change, influenced by factors such as population decline and rising costs. Even under these circumstances, in order for Kaikoukai Healthcare Group to achieve sustainable growth and continue providing “truly patient-centered care,” we must recognize that maintaining the current situation leads to decline.
I would like to once again embrace the spirit of “Daily Innovation,” which represents the DNA of continuous challenge built by our predecessors, and accelerate investment and transformation toward the next era. To advance initiatives that will shape the future, such as the introduction of new medical technologies, human resource development, the enhancement of IT and digital infrastructure, and the promotion of international medical care, it is essential to create a profit structure that enables continuous investment. Through our daily clinical practice, I am convinced that building a sustainable management foundation is what ultimately leads to the greatest contribution to our patients and the community.
At the same time, the growth of our organization is supported by each staff member’s willingness to view the future of the organization from their own perspective and to engage proactively. We must not overlook the sense of discomfort or questions that arise in our daily work. Instead, we should pause, reflect, and make proposals.
These accumulated efforts will shape the future of Kaikoukai Healthcare Group. In an era where clear answers are often difficult to find, it is especially important to maintain a broad perspective while staying mindful of “our philosophy and medical policy”, without being constrained by fixed ideas. I believe that this continuous commitment will become a solid driving force that enables Kaikoukai Healthcare Group to move forward to the next stage.
