Komori
Care Twentyone (2373) · RiskSoftened

Challenging operating environment due to reductions in long-term care reimbursement

First written in FY2016-Q2. 19 of 26 entries say "Restated". Latest entry: FY2024.

26entries
10years
0from disclosures
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How it moved
ProgressHeldSoftenedWorseRestatedFY2017-Q1 – FY2018-Q1RestatedFY2018-Q3 – FY2019-Q2RestatedFY2020-Q1 – FY2022RestatedFY2023-Q3 – FY2024-Q22016: 220162017: 420172018: 420182019: 320192020: 420202021: 220212022: 220222023: 320232024: 120242025: 1
Same theme, other companies
Impact of Nursing Care Reimbursement System Revisions on Nursing Care Business EarningsA theme 17 companies write about · 16 as a headwind · 3 as a tailwind

Care Twentyone moved to the "Worse" side of this theme in 2025.

The whole theme swung hardest in 2024: 2 of 11 companies on the "Worse" side.

0 other companies' latest entry also says "Softened".

Ridges = years it wrote progress, valleys = years it wrote worse. Most hopeful companies at the back. Drag to turn, scroll to zoom, right-drag to pan. On a phone, two fingers turn and pinch to zoom; one finger scrolls the page.
Showing 14 of the 17 companies compared. The sentences above are computed from all 17.
Full recordFilings, disclosures and news, newest first
  1. FY2024SoftenedAnnual report

    「The revised Long-Term Care Insurance Act came into force and long-term care reimbursement was revised in April 2024. The revision was positive for long-term care reimbursement, but if an unfavorable revision for long-term care operators, such as a reduction in long-term care reimbursement, is made in the future」

    The explanation has shifted from its previous focus on cuts to long-term care reimbursement to stating that the 2024 revision was positive. At the same time, the risk of unfavorable future revisions remains.
  2. FY2024-Q2RestatedAnnual report

    「As one such measure, long-term care reimbursement is revised upward periodically or as necessary. However, average annual income remains relatively lower than that in other industries and occupations, presenting an ongoing challenge in securing personnel.」

    The wording continues to describe periodic or necessary upward revisions, rather than focusing on the previous cuts to long-term care reimbursement. At the same time, relatively low average annual income remains an issue.
  3. FY2023-Q3RestatedAnnual report

    「As one such measure, long-term care reimbursement is revised upward periodically or as necessary. However, average annual income remains relatively lower than that in other industries and occupations, presenting an ongoing challenge in securing personnel.」

    The wording continues to describe periodic or necessary upward revisions, rather than focusing on the previous cuts to long-term care reimbursement. At the same time, relatively low average annual income remains an issue.
  4. FY2023-Q1SoftenedAnnual report

    「As one such measure, long-term care reimbursement is revised upward periodically or as necessary. However, average annual income remains relatively lower than that in other industries and occupations, presenting an ongoing challenge in securing personnel.」

    The wording has shifted from the previous focus on cuts to overall long-term care reimbursement to language describing periodic or necessary upward revisions. At the same time, relatively low average annual income remains an issue.
  5. FY2022RestatedAnnual report

    「Long-term care reimbursement was revised in April 2021, with base reimbursement increased and add-on payments newly established. Accordingly, the company is pursuing initiatives to qualify for add-on payments after assessing the balance between costs and reimbursement.」

    The company continues to explain the support provided by higher long-term care reimbursement and newly established add-on payments, as well as the need to assess the balance between costs and reimbursement.
  6. FY2022-Q2RestatedAnnual report

    「Long-term care reimbursement was revised in April 2021, with base reimbursement increased and add-on payments newly established. Accordingly, the company is pursuing initiatives to qualify for add-on payments after assessing the balance between costs and reimbursement.」

    The company continues to explain the support provided by higher long-term care reimbursement and newly established add-on payments, as well as the need to assess the balance between costs and reimbursement.
  7. FY2021RestatedAnnual report

    「Long-term care reimbursement was revised in April 2021. While the revision included favorable measures for operators, such as an increase in base reimbursement and temporary reimbursement increases to address COVID-19, it also included provisions that increased the burden, including requirements for long-term care operators to undertake new initiatives.」

    The company continues to explain both the favorable aspect of the April 2021 revision, namely higher reimbursement, and the increased burden from new initiatives.
  8. FY2021-Q3RestatedAnnual report

    「Long-term care reimbursement was revised in April 2021. While the revision included favorable measures for operators, such as an increase in base reimbursement and temporary reimbursement increases to address COVID-19, it also included provisions that increased the burden, including requirements for long-term care operators to undertake new initiatives.」

    The company continues to explain both the favorable aspects of the April 2021 revision, namely higher base reimbursement and temporary reimbursement increases, and the increased burden from new initiatives.
  9. FY2021-Q1Clarify the specific favorable and unfavorable aspects of the revisionAnnual report

    「In January 2021, the Long-Term Care Fee Subcommittee published an outline of the fiscal 2021 long-term care reimbursement revision. While the revision included favorable measures for operators, such as increases in base reimbursement and temporary reimbursement increases to address COVID-19, it also included provisions that increased the burden, including requirements for long-term care operators to undertake new initiatives.」

    The company specifies both the favorable aspects of the fiscal 2021 long-term care reimbursement revision, namely higher base reimbursement and temporary reimbursement increases to address COVID-19, and the increased burden from new initiatives.
  10. FY2020-Q3RestatedAnnual report

    「As one such measure, in October 2019 base reimbursement was revised upward and the special add-on for improving treatment of long-term care workers was established to mitigate the increased burden resulting from the consumption tax increase.」

    The company continues to identify the impact of the long-term care reimbursement system as a business-environment issue. It explains the October 2019 upward revision of base reimbursement and establishment of the special add-on for improving treatment of long-term care workers.
  11. FY2020-Q2RestatedAnnual report

    「As one such measure, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established. In addition, as a measure to address the consumption tax increase in October 2019, base reimbursement was revised upward and the special add-on for improving treatment of long-term care workers was established.」

    The company continues to identify the impact of the long-term care reimbursement system as a business-environment issue. It explains the modest increase in April 2018 and the October 2019 upward revision of base reimbursement and establishment of the special add-on for improving treatment of long-term care workers.
  12. FY2020-Q1RestatedAnnual report

    「As one such measure, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established.」

    The company explains the modest April 2018 increase in long-term care reimbursement and the establishment of requirements for add-on and deduction payments, and continues to identify the impact of the long-term care reimbursement system as a business-environment issue.
  13. FY2019SoftenedAnnual report

    「In addition, as a measure to address the consumption tax increase in October 2019, base reimbursement was revised upward and the special add-on for improving treatment of long-term care workers was established.」

    Although the long-term care reimbursement system remains a business-environment risk, the company explains that base reimbursement was revised upward and the special add-on for improving treatment of long-term care workers was established in October 2019.
  14. FY2019-Q2RestatedAnnual report

    「As one such measure, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established.」

    The company explains the modest April 2018 increase in long-term care reimbursement and the establishment of requirements for add-on and deduction payments, and continues to identify the impact of the long-term care reimbursement system as a business-environment issue.
  15. FY2019-Q1RestatedAnnual report

    「As one such measure, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established.」

    While explaining the modest April 2018 increase in long-term care reimbursement and the establishment of requirements for add-on and deduction payments, the company continues to identify the impact of the long-term care reimbursement system as a business-environment issue.
  16. FY2018RestatedAnnual report

    「Long-term care reimbursement was revised upward, albeit modestly, for the first time in 6 years, but if an unfavorable revision for long-term care operators, such as a reduction in long-term care reimbursement, is made in the future」

    While acknowledging the modest positive revision in April 2018, the company continues to indicate the possibility of a challenging environment caused by future reductions in long-term care reimbursement and other factors.
  17. FY2018-Q3RestatedAnnual report

    「On the other hand, overall long-term care reimbursement was substantially reduced, resulting in a challenging operating environment. In addition, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established.」

    While continuing to indicate the challenging environment caused by substantial cuts to overall long-term care reimbursement, the company explains that the April 2018 revision included a modest increase and introduced requirements for add-on and deduction payments.
  18. FY2018-Q2SoftenedAnnual report

    「Overall long-term care reimbursement was substantially reduced, resulting in a challenging operating environment. In addition, a long-term care reimbursement revision was implemented in April 2018, raising reimbursement for the first time in 6 years, albeit modestly, while various requirements for add-on and deduction payments were established.」

    The company continues to indicate that the substantial cuts to overall long-term care reimbursement have created a challenging environment, while explaining that the April 2018 revision included an increase for the first time in 6 years, albeit modestly.
  19. FY2018-Q1RestatedAnnual report

    「Overall long-term care reimbursement remained substantially reduced, resulting in a challenging operating environment. In addition, a long-term care reimbursement revision was scheduled for April 2018, and an outline of the revision had already been published.」

    The company also refers to the scheduled April 2018 reimbursement revision amid the continuing challenging environment caused by substantial cuts to overall long-term care reimbursement.
  20. FY2017RestatedAnnual report

    「The revised Long-Term Care Insurance Act came into force and long-term care reimbursement was revised in April 2015. Under the revision, long-term care reimbursement was cut by 2.27% overall, affecting the performance of companies across the industry.」

    The company continues to explain the challenging operating environment caused by cuts to overall long-term care reimbursement, including the 2.27% revision rate.
  21. FY2017-Q3RestatedAnnual report

    「Further measures to improve treatment have been implemented since April this year, but overall long-term care reimbursement was substantially reduced, resulting in a challenging operating environment.」

    The company states that, while measures to improve treatment have been implemented, the challenging operating environment caused by substantial cuts to overall long-term care reimbursement continues.
  22. FY2017-Q2RestatedAnnual report

    「Further measures to improve treatment have been implemented since April this year, but overall long-term care reimbursement was substantially reduced, resulting in a challenging operating environment.」

    The company states that, while measures to improve treatment have been implemented, the challenging operating environment caused by substantial cuts to overall long-term care reimbursement continues.
  23. FY2017-Q1RestatedAnnual report

    「Although further measures to improve the treatment of nursing-care staff were scheduled to be implemented in fiscal 2017, nursing-care reimbursement overall had been reduced substantially, resulting in a challenging operating environment.」

    While referring to planned measures to improve treatment going forward, the company states that the challenging operating environment caused by substantial cuts to overall long-term care reimbursement continues.
  24. FY2016MaterialisedAnnual report

    「However, the impact of the cuts in nursing-care reimbursement was significant, and impairment losses were recorded for locations whose profitability had declined at the company and its consolidated subsidiary 株式会社EE21.」

    The challenging environment caused by the overall cut in nursing-care reimbursement was reflected in the company’s results through impairment losses of ¥417 million at locations with declining profitability and a net loss of ¥230 million.
  25. FY2016-Q3RestatedAnnual report

    「As one of the measures taken in response, amendments to the long-term care insurance system were implemented last year, increasing funding to improve the treatment of nursing-care staff. However, nursing-care reimbursement overall was cut substantially, and the challenging operating environment continued through the cumulative third quarter of the current consolidated fiscal year.」

    Although funding for improving staff treatment increased, the substantial overall cut in nursing-care reimbursement meant that the challenging environment continued.
  26. FY2016-Q2First statedAnnual report

    「Although funding for improving care-worker compensation was increased, long-term care reimbursements as a whole were cut substantially, and the challenging operating environment continued during the six-month period ended September 30.」

    States that the operating environment remained challenging because of substantial overall cuts to long-term care reimbursements despite increased funding for compensation improvements.
Moved together

"Higher labor costs due to expanded social insurance coverage and improved employee compensation" moved the same way as this thread, in the same document, in 3 of its 26 moves.

333322★123456
  1. ★This thread
  2. 1Higher labor costs due to expanded social insurance coverage and improved employee compensation3×
  3. 2Increase in lease assets and lease liabilities accompanying new openings3×
  4. 3Economic uncertainty caused by slowing emerging-market economies, foreign-exchange volatility and a sharp decline in crude oil prices3×
  5. 4High reliance on interest-bearing debt and funding and interest-rate risk3×
  6. 5Labor shortage risk, with securing care personnel as the top priority2×
  7. 6Turning operating and ordinary losses into profits year on year2×

★ is this thread; numbers match the list above. The number on a line is how many documents both moved the same way in; lines between the other threads count the documents they moved together in too. Threads that move together often sit closer.

When this could move next
No upcoming earnings preview for Care Twentyone yet.
News
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