2018 年 桜十字グループは13 年目を迎えます この していく様を表現しています 見聞きしても やはり今の日本は閉塞感のある時代を過ご 間 多くの皆さまにご支援をいただき また 時代のニー しかしながら 昨今の社会情勢はといいますと 財政上 ズという追い風もあり 病院運営と介護事業を中心として

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2 2018 年 桜十字グループは13 年目を迎えます この していく様を表現しています 見聞きしても やはり今の日本は閉塞感のある時代を過ご 間 多くの皆さまにご支援をいただき また 時代のニー しかしながら 昨今の社会情勢はといいますと 財政上 ズという追い風もあり 病院運営と介護事業を中心として の制約 労働人口減少による制約 縮小する市場と地域 患者さま お客さまには もっと良いサービスを 地域 Challenge to the Next というスローガンを掲げまし 業容を拡大してまいりました 社会などややもすると縮小均衡にむかっていくような潮流 の生活水準は もっと高くなることを 現状の社会環境か た 思い描いている未来の実現へ向けて 心 機一転頑 私は常々 Happy Spiralという言葉を好んで使います を感じます 私は あらゆる物事が右肩上がりに進んでい らは縮小均衡をイメージしてしまうけれども あくまで豊 張ってまいりますので これからもご支援ご指導をいただ が これは お客さま 地域社会 そして我々が良い循環 た時代を知りませんので 世の中そんなものか とも思う かな未来を描きたい イノベーションを起こせば やりか ければ幸いです を作りだして そこに関わるもの全てが螺旋状に上昇拡大 のですが 諸先輩方のお話をお聞きしても 海外の事情を たを工夫すれば 豊かなサービス 豊かな地域社会 そう Sakurajyuji Group marks the 13th anniversary in For the past 13 years, we could have expanded our businesses, especially the healthcare and the nursing care business, with the support of many people and by answering the needs of the times. Our society, however, is currently facing fiscal constraints, constraints attributed to decline in the labor force population, shrinking markets and local communities, and would be apt to head for downward spiral. Since I do not know the times when everything was continuously growing, I am able to accept the current social conditions as that s the way it is, yet on the other hand, realize that the majority of Japanese people feel a sense of stagnation by hearing from elders and betters and visiting foreign countries. We would like to provide even better services to patients and consumers. We would like the living standard in the community to be even higher. We would like to paint a prosperous future although I imagine contract equilibrium from the current social environment. We consider that the provision of enriched services and the formation of the prosperous community could be materialized if we are able to be innovative and implement innovation in the right way. Happy Spiral is the phrase that we prefer to use at all times. The phrase expresses that consumers, communities, and we create a virtuous circle by complementing each other, then all grows and expands in a spiral way. G案内18_p2_9.indd 2-3 プロセスシアンプロセスマゼンタ プロセスシアン プロセスマゼンタプロセスイエロー プロセスイエロープロセスブラック プロセスブラック していると感じるのです いうものを実現できるのではないか 私 は そういうもの にチャレンジして いきたいと 桜十字グループ代表 I employ the slogan Challenge to the Next as I would like to strive to paint a prosperous future. For the next future, we will turn over a new leaf and do our best. We will appreciate your further help and encouragement from now on. CEO, Sakurajyuji Group 2018/09/04 13:53

3 Our Business Healthcare Meet new needs for medical care and support community Senior Housing Facility Health Screening Provide the dwelling environment which are safe, secure, and enriched to elderly people who need medical and nursing services Shift from treatment to preventive medicine for realization of affluent society Fulfill the needs of the community Sakurajyuji Group has started out its business with a turnaround of a hospital management in Ever since then, in order to meet the various healthcare needs of the community, we have developed not only hospital management business, but also senior housing facility business, nursing care business, preventive care business, medical information, and so on. Sakurajyuji Group will continue to strive to fulfill the needs of the community from now on. Senior Fitness At-home Service Fertility Treatment Change users mental and physical conditions as I can do whatever I want to do in the Sakurajyuji s rehabilitation gym. Establish total support system user can expect it will work out if I consult with Sakurajyuji. Assist in nurturing new life Overseas Bring out the latest knowledge from Japan to overseas, bring in the latest information from overseas to Japan, and value worldwide trend. Medical Media Contribute to development of healthcare standards by provision of latest medical information 4 GROUP PROFILE

4 Sakurajyuji Group History Sakurajyuji Medical Corporation Miyukikibe, Minami-ku, Kumamoto-shi, Kumamoto, Sakurajyuji Co., Ltd Miyukikibe, Minami-ku, Kumamoto-shi, Kumamoto, Fukuoka Fukuoka Sakurajyuji Medical Corporation Watanabe dori, Chuo-ku, Fukuoka-shi, Fukuoka, Kumamoto Yatsushiro Kyoto Osaka Yatsushiro Sakurajyuji Medical Corporation 8-9 Tori-cho, Yatsushiro-shi, Kumamoto, Sakurajuji Rojana Medical Co,. Ltd. 18F Emporium Tower, 622 Sukhumvit Soi 24, Klongton, klongtoey, Bangkok Tokyo Tokyo Sakurajyuji Medical Corporation 3F Shiroyama Trust Tower, Toranomon, Minato-ku, Tokyo, Medical Tribune, Inc. 7F, Toranomon33 Mori Buillding, Toranomon, Minato-ku, Tokyo, Nipponrinshosha Co., Ltd. 7F, Toranomon33 Mori Buillding, Toranomon, Minato-ku, Tokyo, Kinpodo Publishing Inc. 34 Nishiteranomaemachi, Shishigatani, Sakyo-ku, Kyoto-shi, Kyoto, Osaka Sakurajyuji Medical Corporation 6F, Grand Front Osaka (North Bldg.), 3-1 Ofukacho, Kita-ku, Osaka, Thailand Philippines Singapore Japan Nippon Medical Care Pte. Ltd #03-31, Annexe Block Gleneagles Hospital 6A Napier Road, Singapore Indonesia TDG Nishikawa Nippon Academy G/F YWCA Building, 1144A General Luna St. Ermita, Manila Philippines Gross sales Consolidated Total number of employees Consolidated Affiliated companies KYUSHU-KEIBIHOSHO Co., Ltd Q-NET SECURITY Co., Ltd Saishunkan Pharmaceutical Co., Ltd Saishunkan System Co., Ltd Saishunkan Reassurance and Safety Laboratory Co., Ltd QUALITY LIFE CONCIERGE Co., Ltd Hibali Academy Jl.Pulau Maluku GG pondok Remaja No.1 Denpasar Bali, Indonesia Gross sales of Nishikawa Group / 65.4 billion yen Total number of employees of Nishikawa Group / 7,147 6 GROUP PROFILE

5 CSR / Environmental Activities Philosophy Sakurajyuji Thanks Illumination Sakurajyuji Thanks Illumination takes place during the Christmas season every year. All the illuminated statures are fully made by hand and decollated by the employees. Also, because LED lights are used, the impressive brilliance is materialized at low cost. This event attracts more than 20,000 visitors in one season and becomes a feature of winter in the community. Kumamoto Volters Basketball2013 Roasso Kumamoto Football2010 In Kumamoto which is our hometown, there are two professional sport teams: Roasso Kumamoto (football), and Kumamoto Volters (basketball). Because Sakurajyuji group sympathizes with their team slogan: giving Kumamoto dream and energy, we continue to support the both teams as their official sponsor ever since they were established. Aim at establishing the model that patients, local communities, and employees become happy through healthcare, welfare, and preventive healthcare, diffusing the model nationwide, and improving community healthcare all over Japan. To Patient To Local Community To Employees Healthcare and nursing services provided to patients must be backed by solid techniques and patient-focused. If a patient needs to get a medical treatmenet, the patient s medical treatment life must be dignified and abundant. The businesses that Sakurajyuji undertakes play crucial roles in the cooperation of local healthcare and contribute to improvement of local healthcare. Also, we aim to be told by local people that they feel safe and happy because there is Sakurajyuji and increase the value of community with our businesses. Sakurajyuji s businesses provide the stage where employees are able to develop as medical professionals, grow as humans, and contribute to society. Moreover, Sakurajyuji s workplaces must be the places where the employees are able to feel proud in terms of social significance of their duties, working environments, and so forth. Sifting from incandescent lights to LED lights In 2009, we refurbished the lighting program of Sakurajyuji hospital and replaced incandescent lights with LED lights. By the refurbishment, we realized energy saving by achieving an actual reduction rate in carbon dioxide emissions of 49.7% while providing a gentle light environment to the patients. Consequently, we were adopted as an energy-efficient lighting design model business hosted by the ministry of the environment and granted the certification. Implementation of demolition work achieving recycle rate of 99.5% In 2006, Sakurajyuji hospital implemented the demolition work to build the new ward. Under the slogan of zerowaste, we succeeded not to dispose of 200 truckloads of industrial wastes. As a result, we achieved the recycle rate of 99.5%, although the Construction Material Recycle Law at the time set the achievement of the recycle rate of 95% by GROUP PROFILE

6 Sakurajyuji Hospital 01 Healthcare Meet new needs for medical care and support community Ever since 2005 when we have entered into the healthcare industry, the needs required for hospitals have dramatically changed due to: 1. change of population composition, 2. change of healthcare system, and 3. change in patients sense of values. We have captured the needs of the times with extraordinary speed, expanded the business by adapting our hospitals to the needs of various areas and then made contributions to the local community. At the present day, we play an indispensable role in everywhere. Sakurajyuji Hospital (641 beds) / Kumamoto-shi Sakurajyuji Fukuoka Hospital (199 beds) / Fukuoka-shi Sakurajyuji Kumamoto-higashi Hospital (46 beds) / Kumamoto-shi Sakurajyuji Yatsushiro Hospital (106 beds) / Yatsushiro-shi, Kumamoto Maruta Hospital (167 beds) / Yatsushiro-shi, Kumamoto Kego Hospital (40 beds) / Fukuoka-shi Hanabatake Hospital (135 beds) / Kurume-shi, Fukuoka Long term care health facility Le habilis Sakurajyuji (100 beds) / Fukuoka-shi Le habilis Sakurajyuji Kumamoto-higashi (120 beds) / Kumamoto-shi Sakurajyuji Fukuoka Hospital Topics New entrance area produced by Mr. Kundo Koyama The renovation of the entrance area of Sakura-kan, the symbolic building of Sakurajyuji hospital, will be implemented under the direction of Mr. Kundo Koyama, one of the representative writers of Japan in the spring of In the motif of view of the world of Matteru (waiting), the picture book which became a big hit in France and translated into Japanese by Mr. Koyama, a café-lounge, a library, and a letter room will newly open. 10 GROUP PROFILE

7 Hospitalment Fukuoka Tenjin Hospitalment Sakura Nishikan 02 Senior Housing Facility Provide the dwelling environment which are safe, secure, and enriched to elderly people who need medical and nursing services Hospitalment Sakurajyuji Hakata Hospitalment Itabashi Tokiwadai Sakurajyuji Group has launched Hospitalment (senior housing facility) business as we realized the necessity of the senior housing where the elderly could feel safe in terms of both medical and nursing services and affluence throughout operating hospitals. We always ask ourselves whether we are able to let our own parents live in the place when considering nursing-care services. Currently, we operate seven facilities in Kumamoto, Fukuoka, and Tokyo with the support of people in the community. Hospitalment Sakurajyuji (101 rooms) / Kumamoto-shi Hospitalment Sakura Nishikan (155 rooms) / Kumamoto-shi Hospitalment Sakura Higashikan (109 rooms) / Kumamoto-shi Hospitalment Fukuoka Tenjin (102 rooms) / Fukuoka-shi Hospitalment Musashino Hospitalment Sakura Higashikan Hospitalment Sakurajyuji Hakata (108 rooms) / Fukuoka-shi Hospitalment Musashino (114 rooms) / Musashino-shi, Tokyo Hospitalment Itabashi Tokiwadai (92 rooms) / Itabashi-ku, Tokyo Topics In 2019, four brand-new hospitalment are launched in excellent dwelling areas such as Yayoi, Bunkyo-ku, Tokyo, Sendagi, Bunkyo-ku, Tokyo, and Shirokane, Minato-ku, Tokyo as well as Ashiya, Hyogo where the first hospitalment in Kansai area is built. We further refine a customer service that we have cultivated in the past and provide an abundant and secure living environment. Hospitalment Ashiya (59 rooms) / Ashiya-shi, Hyogo January, 2019 Hospitalment Bunkyo Yayoi (50 rooms) / Bunkyo-ku, Tokyo April, 2019 Hospitalment Bunkyo Sendagi (50 rooms) Bunkyo-ku, Tokyo April, 2019 Hospitalment Shirokane (55 rooms) Minato-ku, Tokyo December, 2019 Hospitalment Sakurajyuji Hospitalment Ashiya Hospitalment Bunkyo Yayoi Hospitalment Bunkyo Sendagi 12 GROUP PROFILE

8 Sakurajyuji Hospital Medical Checkup Center Sakurajyuji Fukuoka Hospital Medical Checkup Center 03 Health Screening Shift from treatment to preventive medicine for realization of affluent society Shiroyama Garden Sakurajyuji Clinic Yebisu Garden Place Clinic In order to materialize an affluent society, healthy life expectancy has to be maintained and improved. The key to doing so is preventive medicine. The conventional role of healthcare providers has been treatment, however, healthcare providers are required to play a more aggressive role in the field of preventive medicine in accordance with the needs of the times. Because we would like more people to access to health checkup, one of features of our health screening centers is very high user-friendliness. Sakurajyuji Hospital Medical Checkup Center / Kumamoto-shi Sakurajyuji Fukuoka Hospital Medical Checkup Center / Fukuoka-shi Shiroyama Garden Sakurajyuji Clinic/ Minato-ku, Tokyo Yebisu Garden Place Clinic / Shibuya-ku, Tokyo Ebisu Sakurajyuji Clinic Izumi Garden Clinic Ebisu Sakurajyuji Clinic / Shibuya-ku, Tokyo Izumi Garden Clinic / Minato-ku, Tokyo Akasaka Sakurajyuji Clinic / Minato-ku, Tokyo Sakurajyuji Hakataeki Medical Checkup Center / Fukuoka-shi Upcoming clinic Okachimachi Sakurajyuji Clinic / Taito-ku, Tokyo December, 2019 Topics In August, 2018, Sakurajyuji Grand Front Osaka Clinic opens in the complex directly connected to JR Osaka station and in March, 2019, Shinjuku Sakurajyuji Clinic opens in a brand-new office building named O-Guard Shinjuku. We propose preventive medicine including the improvement of adult lifestyle habits with various health checkup programs. Akasaka Sakurajyuji Clinic Sakurajyuji Hakataeki Medical Checkup Center Sakurajyuji Grand Front Osaka Clinic / Kita-ku, Osaka August, 2018 Shinjujku Sakurajyuji Clinic / Shinjuku-ku, Tokyo March, 2019 Sakurajyuji Grand Front Osaka Clinic Shinjujku Sakurajyuji Clinic 14 GROUP PROFILE

9 04 Senior Fitness Change users mental and physical conditions as I can do whatever I want to do in the Sakurajyuji s rehabilitation gym. Our rehabilitation staff assess appropriate ways to exercise and exercise load amount for each user and provide safe and effective rehabilitation programs which help users build muscles they need. Also, we support users cheerful and affluent days by trying to change their minds and bodies in a positive way then make all their desires like playing golf again, going shopping alone, walking easily, going bird-watching, resuming dog-walking, and so on come true. Day service Let's Reha! Yomogi / Kumamoto-shi Let's Reha! Tomiai / Kumamoto-shi Let's Reha! Chikami / Kumamoto-shi Let's Reha! Kengun / Kumamoto-shi Let's Reha! Koshi / Koshi-shi, Kumamoto Let's Reha! Kuromon / Fukuoka-shi Let's Reha! Arae / Fukuoka-shi Let's Reha! Watanabedori / Fukuoka-shi Let's Reha! Harada / Fukuoka-shi Let's Reha! Chikushigaoka / Fukuoka-shi Let's Reha! Ozasa / Fukuoka-shi Let's Reha! Hakataekiminami / Fukuoka-shi Let's Reha! Ashiya / Ashiya-shi, Hyogo Let's Reha! in the mall Sanpian / Kumamoto-shi Let's Reha! in the mall Hamasen / Kumamoto-shi Let's Reha! in the mall Oe / Kumamoto-shi Let's Reha! in the mall youme town Yatsushiro / Yatsushiro-shi, Kumamoto Day care Let's Reha! PLUS Sakurajyuji / Kumamoto-shi Let's Reha! PLUS Kumamoto-higashi / Kumamoto-shi Let's Reha! PLUS Fukuoka Tenjin / Fukuoka-shi Let s Reha! in the mall Let s Reha! in the mall provide delightful super practical rehabilitation. We strive to create the day care center where the users can realize the results with personalized rehabilitation program based on assessment of body function with the latest rehabilitation machines. Topics Four Let s Reha! newly open in Tokyo. With fitness equipment of Technogym of Italy, we offer a new life style in a high-quality rehabilitation environment. Let's Reha! Hakusan Ekimae / Bnkyo-ku, Tokyo September, 2018 Let's Reha! Yanaka Kototoi / Taito-ku, Tokyo October, 2018 Let's Reha! Musashino / Musashino-shi, Tokyo December, 2018 Let's Reha! Kichijoji / Musashino-shi, Tokyo December, GROUP PROFILE

10 05 At-home Service 06 Fertility Treatment Establish total support system user can expect it will work out if I consult with Sakurajyuji. Assist in nurturing new life We strive to enhance at-home services which enable patients after discharge from a hospital and the elderly to live with peace of mind. As a healthcare provider serving as bridge between acute medical care and being at home, we provide all types of at-home care services. In each area we strive to establish the support system as we would like users to anticipate that appropriate services are provided if I consult with Sakurajyuji. Due to the change in the definition of infertility in 2015, the number of object persons of fertility treatment is increasing, yet many of them have so-called unexplained infertility in which the factors are not uncertain even at the present day. We consider the most appropriate treatment to suit each patient s needs, and always provide the latest safe treatment while strengthening collaboration with surrounding medical facilities and universities. In-home Care Services Care Center Sakurajyuji / Kumamoto-shi Sakurajyuji Fukuoka Hospital Care Plan Service / Fukuoka-shi Sakurajyuji Care Plan Service Kuromon / Fukuoka-shi Sakurajyuji Hospital Care Plan Service / Kumamoto-shi Sakurajyuji Kumamoto-higashi Care Plan Service / Kumamoto-shi Sakurajyuji Yatsushiro Hospital Care Plan Service / Yatsushiro-shi, Kumamoto Home-visit Nursing Home-visit Nursing Station Sakurajyuji / Kumamoto-shi Sakurajyuji Fukuoka Hospital Home-visit Nursing Station / Fukuoka-shi Home-visit Nursing Station Sakurajyuji Kumamoto-higashi / Kumamoto-shi Sakurajyuji Shibuya Birth Clinic In May, 2018, Sakurajyuji Shibuya Birth Clinic offering various examinations, the general fertility treatment, the assisted reproduction technologies (ART), the infertility treatment, and a day surgery regarding the fertility treatment opened in Shibuya, Tokyo. Our experienced staff provide made-to-order treatments for every single patient in a cozy space. Home-visit Rehabilitaion Home-visit Rehabilitation Sakurajyuji / Kumamoto-shi Sakurajyuji Fukuoka Hospital Home-visit Rehabilitation / Fukuoka-shi Home-visit Care Home-visit Care Station Sakurajyuji / Kumamoto-shi Sakurajyuji Fukuoka Hospital Home-visit Care Station / Fukuoka-shi Sakurajyuji Home-visit Care Station Kuromon / Fukuoka-shi Waiting space Home visit care supports daily life of the elderly. The best care plan including the creation of a barrier-free home and the support of using nursing care products is proposed. Reception Powder room 18 GROUP PROFILE

11 Hospitalment in Shanghai FOSUNグループ Shanghai Sungin Capital Co., Ltd.とMOUを締結 上海での有料老人ホームの展開 を計画しています Sakurajyuji Group signed a MOU with Shanghai Sungin Capital Co., Ltd of FOSUN group. We plan to develop nursing homes in Shanghai. 07 海 外 事 業 Overseas 日本の最新の知見を海外へ 海外の最新情報を日本に 世界の潮流を大切に Bring out the latest knowledge from Japan to overseas, bring in the latest information from overseas to Japan, and value worldwide trend. Sakurajyuji Rojana Medical Co., Ltd. バンコクの中心スクンビット地区にあるBTSプロンポ Shanghai ン駅直結の エンポリアムタワー に日系では最大規 CHCヘルスケアグループとMOUを締結 台湾内での 模の健診クリニック Sakura Cross Clinic を開業予 定 2018年末 日本の最先端の予防医療に基づく Taiwan サービスを提供し タイ在住の日本人および現地富裕 層の方々の健康増進を目指して参ります Sakura Cross Clinic, one of the largest Japanese health screening clinics in Thailand will open in Emporium Tower directly connected to Phrom Phong station (BTS) in Sukhumvit area, the center of Bangkok in December, We will strive for the health promotion of Japanese residents living in Thailand and wealthy Thais by providing healthcare service based on the leading-edge preventive medicine of Japan. Hospitalment in Taiwan Thailand 有料老人ホームの展開を計画しています Sakurajyuji Group signed a MOU with CHC Healthcare Group. We plan to develop nursing homes in Taiwan. Philippines Singapore Indonesia Nippon Medical Care Pte. Ltd シンガポール最大の病院グループである パークウェ イと共同事業会社を運営 日本語による医療サービ スを提供しており シンガポール国内および近隣諸国 の邦人の健康維持に貢献しております Nippon Medical Care Pte. Ltd is the joint company with Parkway Group, the largest healthcare provider in Singapore. We provide healthcare service in Japanese and make contributions to maintaining the health of Japanese people who live in Singapore and neighbor countries. TDG Nishikawa Nippon Academy Hibali Academy TDG 社と共同でTDG 西川日本語アカデミーをフィリ ヒバリアカデミーはバリ島をはじめ日本での就学や就 ピンに設立 日本語教育を通じてグローバルな人材 職の夢を持つインドネシアの若人に基礎的な日本語を 教えると共に 若い人材を必要とする日本の学校およ の輩出を目指しております び企業等へのかけ橋となる事を目的として設立されま TDG Nishikawa Nippon Academy was established with Transnational Diversified Group, Philippines. Throughout Japanese language education, we cultivate global human resources then strive to produce human resources who contribute to the economic development of both Japan and Philippines. した Hibali Academy was established to teach fundamental Japanese to young Indonesian who have dreams about going to school or working in Japan and play role as a bridge with Japanese schools and companies which require young Indonesian manpower. 20 G案内18_p10_23.indd プロセスシアンプロセスマゼンタ プロセスシアン プロセスマゼンタプロセスイエロー プロセスイエロープロセスブラック プロセスブラック を育成 日本とフィリピンの経済発展に寄与する人材 G R O U P P R O F I L E /09/04 13:52

12 Media/Digital Business 08 Medical Media Contribute to development of healthcare standards by provision of latest medical information Medical Tribune has provided the latest medical information as the leader company in the medical media, ever since it issued the first edition of Medical Tribune, a medical newspaper, in It has also launched a website with the same name providing medical and healthcare information with evidence to the registered member doctors, while sending medical information to Japanese consumers through the website named Kenko100 Encyclopedia for Consumer Healthcare and various information to pharmacists through Pharma Tribune which is a membership system web site. Moreover, other business such as event / convention business supporting holdings of conferences and seminars, editing / PR support business editing and producing academic journals, survey business utilizing its member doctors and pharmacists as respondents to panel inquiries, and outplacement business continues to expand. Events and Convention Internet Surveys Academic Society Services Employment information for doctors Affiliated companies Kinpodo Publishing Inc. Kinpodo, a book publishing company, is an affiliated company of Medical Tribune established in It publishes books relating to nursing and welfare as well as medical science. Journal for academic society Pamphlet for doctors Nipponrinshosha Co., Ltd. Nipponrinshosha is a long established medical publishing company founded in It has continued to publish a medical magazine named Nippon Rinsho for more than 70 years and became an affiliated company of Medical Tribune in News paper for physicians Topics Medical Tribune marked its 50th anniversary in April, Ever since 1968 when it was first published, the mission of Medical Tribune has been to precisely provide the latest needed medical science and healthcare information to doctors and healthcare professionals. Although environment surrounding the media is changing dramatically, we will retain the mission and strive to create a new form of the healthcare media. Printed matters for academic society Medical Tribune Web Website for pharmacists Medical Tribune Career website 22 GROUP PROFILE

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