TSURUHA HOLDINGS INC.
3391・Prime Market・Retail Trade
Business
Tsuruha Holdings Inc. is a drugstore holding company that traces its origins to its founding in Asahikawa City, Hokkaido, in 1929. Through 11 consolidated subsidiaries, including Tsuruha Co., Ltd., Kusurino Fukutaro Co., Ltd., Redi Yakkyoku Co., Ltd., Kyorindo Group Holdings Co., Ltd., and Drug Eleven Co., Ltd., the company operates Retail Sales Business (Single Segment) centered on pharmaceuticals, cosmetics, sundries, and food. As of the end of February 2025, it operated 2,658 directly managed stores domestically (including 967 stores with attached Dispensing Pharmacy operations), 22 overseas stores (in Thailand), and 7 franchise stores. The company has a broad nationwide presence spanning Hokkaido, Tohoku, Kanto, Chushikoku, and Kyushu, providing community-based healthcare support to its primary customers, general consumers. Following the business integration with Welcia Holdings in December 2025, the company plans to expand to approximately 5,676 directly managed domestic stores.
Business Model
Merchandise sales of pharmaceuticals (23.7% of sales composition), sundries (26.0%), food (25.9%), cosmetics (13.9%), and others form the core of revenue. Tsuruha Group Merchandising Co., Ltd. centrally manages merchandise procurement, logistics, and PB development, creating a structure that enhances group-wide purchasing efficiency and gross margin. Co-located Dispensing Pharmacies (967 stores) also capture prescription revenue. Gross profit margin stands at 30.5%, and after deducting the SG&A ratio of 26.0%, operating margin is approximately 4.5%. Funding is sourced through a combination of internal funds and bank borrowings.
Company Strengths
As of the end of February 2025, the company operated 2,658 directly-managed stores domestically. Stores are distributed nationwide with 437 in Hokkaido, 593 in Tohoku, 528 in Kanto-Koshinetsu, 269 in Chubu-Kansai, 374 in Chugoku, 225 in Shikoku, and 232 in Kyushu-Okinawa, pursuing a dominant strategy while diversifying region-specific dependency risk. The company also has an overseas presence with 22 stores in Thailand.
As of the end of February 2025, 967 of the domestic directly-managed stores had an attached Dispensing Pharmacy. Pharmaceutical sales for the 9.5-month irregular fiscal period totaled ¥200,746 million (23.7% of composition). Increases in the number of prescriptions from newly opened Dispensing Pharmacy locations have supported sales in the pharmaceutical segment, forming a stable demand base amid an aging society.
Tsuruha Group Merchandising Co., Ltd. is responsible for the planning, development, and sales promotion of the Private Brand (PB) Products "Kurashi Rhythm" and "Kurashi Rhythm MEDICAL." Even during the 9.5-month irregular fiscal period, gross profit margin was maintained and improved at 30.5% (versus 30.4% for the previous 12-month period). The company aims to differentiate itself from competitors and improve gross margin through joint development with major manufacturers and the expansion of food PB products.
ENVALITH's Perspective
Performance Trend
Revenue expanded from ¥919,303 million in FY2021 (ending March 2021) to ¥1,450,585 million in FY2026 (ending March 2026), and following the Welcia HD integration, Q1 FY2027 (ending March 2027) revenue accelerated sharply to ¥636,886 million (up 133.7% year-on-year). Meanwhile, the operating margin has continued to decline, from 5.3% in FY2021 (ending March 2021) to 4.3% in FY2026 (ending March 2026), remaining at 3.8% in Q1 FY2027 (ending March 2027). Goodwill amortization surged to ¥6,173 million per quarter (approximately ¥24,692 million on an annualized basis), squeezing profits. On an EBITDA basis, ¥39,480 million (up 131.6% year-on-year) confirms an expansion in underlying earning power. As an external factor, growing demand for dispensing pharmacy services amid an aging population and increased store visit frequency driven by enhanced food offerings are supporting revenue.
Growth Strategy
Building the largest healthcare chain in the industry through the realization of integration synergies, expansion of dispensing pharmacy operations, strengthening of PB products, and system integration
The business integration was completed on December 1, 2025. Under the medium-term management plan (FY2027–FY2029, ending February 2027 to February 2029), the company is advancing the "establishment of a value-creation platform." It is progressing with the organizational integration of merchandising departments, mutual introduction of PB products, and optimal store openings under a nationwide six-block system, aiming for the phased realization of integration synergies.
Building on a base of 3,324 stores handling dispensing pharmacy services (as of the end of May 2026), the company aims to capture prescription demand associated with an aging population. Against the backdrop of industry-wide efforts by various companies to expand dispensing pharmacy co-location, industry-wide dispensing pharmacy sales are on an upward trend, and the company plans to continue promoting dispensing pharmacy co-location.
The company is rolling out a Drug & Food model with an expanded food category in areas where demand is expected. Aiming to increase visit frequency and expand trade areas, it is also actively conducting renovations to strengthen the competitiveness of existing stores.
A new Private Brand (PB) Products line combining the strengths of both Tsuruha and Welcia has been developed, along with mutual introduction of existing PB Products. The company is advancing the organizational integration of its merchandising departments with a view to unifying merchandising, aiming to improve gross margin.
The company is developing its organizational structure with a view to core system integration, and is working on building data infrastructure including core systems and customer management. The aim is to improve customer convenience and operational efficiency across the group.
In the first quarter of FY2027 (ending February 2027), the company opened 36 new stores and closed 47 stores, resulting in a net decrease of 11 stores. The company plans to continue reviewing unprofitable stores while promoting quality-focused store development to improve profitability.
Last updated: July 17, 2026

