1. Risk Management System

The Group has established the Risk Management Basic Rules in order to respond to the occurrence of management risks or situations that could develop into management risks and to prevent the occurrence of management risks. The Risk Management Basic Rules and related manuals are periodically reviewed and improved by the Group Compliance and Risk Management Committee. The CEO of the Group undertakes the role of chairperson of the Group Compliance and Risk Management Committee and periodically carries out early detection/comprehension of risk factors, improvement of the risk prevention system and formulation of countermeasures at the time of occurrence of a risk.

2. Business Risks

The major risks relevant to business operations and other matters of the Company and the Group are described below. Forward-looking statements were determined by the Company at the end of the consolidated fiscal year ended March 31, 2022 and they do not cover all the risks of the businesses and other aspects of the Company and Group.

(1) Legal Regulations, etc.

The Group’s core businesses and products are sold after obtaining the necessary license, registration, designation and permission in accordance with applicable laws and regulations including the Act on Securing Quality, Efficacy and Safety of Products including Pharmaceuticals and Medical Devices (Act on Pharmaceuticals and Medical Devices.) The Group established the Code of Ethics in 2003 as a code of conduct to be observed by officers and employees in order to comply with these regulations. In 2017, the Group revised the Code of Ethics, positioning it as an important related law to comply with the Antimonopoly Act and the Pharmaceuticals and Medical Devices Act, and making all employees fully aware of the implementation of the code.

However, TOHO PHARMACEUTICAL, our consolidated subsidiary, was sentenced by the Tokyo District Court to a fine and received a cease-and-desist order and a surcharge payment order from the Japan Fair Trade Commission for violating the Antimonopoly Act in connection with bidding on the supply of prescription pharmaceuticals to the Japan Community Health care Organization (JCHO) in 2016 and 2018. The forfeit that is likely to be incurred in connection with this case has been estimated and posted as a provision for loss associated with the Antimonopoly Act. In addition, based on the results of the sentence and administrative dispositions mentioned above, transactions with TOHO PHARMACEUTICAL have been restricted for a certain period by local governments and other customers, and this may affect the Group’s business results.

In the operation of dispensing pharmacies, compliance matters are strictly stipulated in legal regulations such as the Act on Pharmaceuticals and Medical Devices and the Health Insurance Act. If any relevant laws and regulations are violated or revised, the Group’s financial performance may be impacted by such a violation or revision of the laws. PHARMA MIRAI INC., our consolidated subsidiary, has submitted a report to the Regional Bureau of Health and Welfare based on the Group’s internal investigation in 2018 on stores in which improper handling of prescriptions were discovered, and four stores received administrative dispositions in fiscal 2021. Depending on the results of investigations by each Bureau of Health and Welfare, there is a possibility that two stores may be subject to administrative dispositions such as cancellation of the designation as a health insurance pharmacy in the future.

In response to the series of events, the Group will strengthen the functions of the Group Compliance and Risk Management Committee. At the same time, the Group is working to further strengthen compliance by making compliance training mandatory for all employees and making training on the Antimonopoly Act mandatory for all employees involved in sales.

(2) Ramifications of Revision of the NHI Drug Price Standards and Reform of the Health Insurance Regime

The prescription pharmaceuticals that constitute the Group’s primary line of products are listed in the National Health Insurance Drug Price Standards. The standards provide for the scope of use of pharmaceuticals available under the coverage of health insurance and the prices chargeable for pharmaceuticals administered by medical institutions. This means that basically the NHI Drug Price Standards act as ceilings for the sale prices of ethical pharmaceuticals.

The Ministry of Health, Labor and Welfare carries out a survey on the prevailing prices of prescription pharmaceuticals in the marketplace (“drug price survey” hereinafter) and revises the NHI Drug Price Standards once every two years to reflect its findings. Under the fundamental reforms of the drug pricing system in April 2018, the drug price survey and NHI drug price revisions during an interim period have been conducted since April 2021. Expected revisions to the NHI Drug Price Standards and the health insurance system reforms could impact the Group’s sales as well as profit resulting from the influence on sales price for medical institutions, manufacturer invoice prices, sales rebates and sales incentives. Accordingly, the Group’s earnings may be affected.

(3) Unique Business Practices

In the prescription pharmaceutical wholesale industry, which the Group is a part of through its main business, there is a unique form of transactions that has continued from long ago in which pharmaceutical products are delivered to medical institutions and dispensing pharmacies while their prices have not yet been decided, and prices are negotiated later. This practice stems from the understanding that pharmaceutical products are life-related products so deliveries must not be delayed. The government and private sector have been working together to improve this distribution practice, but in cases where negotiations do not go smoothly, the Group books a reasonable estimate of the final price as sales. Cases in which price negotiations drag on for a long period or instances in which the decided prices are different from initial estimates could affect the Group’s financial performance.

We set prices for each product according to its product value and strive to sell products at reasonable prices by operating a price lock system in which approval authority is granted only to the head office if the price falls below the set price.

(4) Guidelines for providing sales information of ethical drugs

Since April 1, 2019, the Guidelines for providing sales information of ethical drugs have been in effect to regulate inappropriate sales and information provision activities. As a supervision section, the Group has established the Product Information Supervision Office in its pharmaceutical wholesaling subsidiaries, including TOHO PHARMACEUTICAL, and is working on compliance with the Guidelines by preparing various manuals to conduct activities appropriately and providing guidance to employees in charge of sales on the preparation and storage of business records. However, if an action that violates the Guidelines is committed, this may affect the Group’s financial performance.

(5) Dispensing Operations

If any error occurs in dispensing operations due to the characteristics of prescription pharmaceuticals, this may damage human bodies. If a dispensing error occurs due to human error, the pharmacy concerned may not only face claims for substantial damages, but also impair credits within existing customers and the society. In this case, the Group’s financial results may be affected according to severity of the error. Ordinances of the Ministry of Health, Labour and Welfare strictly regulates the number of pharmacists stationed in pharmacies. If we are unable to secure the necessary number of pharmacists, it may affect the Group’s earnings. Furthermore, the dispensing pharmacies business generates income mainly from the sale of prescription pharmaceuticals based on NHI drug prices as well as dispensing fees and pharmaceutical management fees based on dispensing fee points set forth in the Health Insurance Act. As such, the Group’s financial performance may be impacted by revisions of NHI drug prices or dispensing fees; and reform of the health insurance regime depending on the contents of the reform.

(6) Pharmaceutical Manufacturing and Sales Business

The pharmaceutical manufacturing and sales business manufactures and sells generic drugs, and manufactures injection drugs on consignment. We strive to ensure manufacturing control, quality assurance and safety in the process from procurement of raw materials and other materials to each production process and shipment in accordance with the GMP Ordinance (the Ministerial Ordinances on Standards for Manufacturing Control and Quality Control for Drugs and Quasi-drugs), the GQP Ordinance (the Ministerial Ordinance on Standards for Quality Assurance for Drugs, Quasi-drugs, Cosmetics and Medical Devices), the GVP Ordinance (the Ministerial Ordinance on Standards for Post-Marketing Safety Control of Drugs, Quasi-drugs, Cosmetics, Medical Devices, and Regenerative Medicine Products) and other relevant laws and regulations. However, the occurrence of unexpected adverse reactions or quality/safety problems in the procurement and manufacturing processes that lead to product recalls or discontinuation of sales or manufacturing may have an impact on the Group’s business results.

Although manufacturing or raw materials may be affected in the event of stagnation or delays in the procurement and manufacturing processes arising from disasters and pandemics, the Group has formulated a business continuity plan (BCP) to minimize the impact.

(7) Impairment Losses

Under impairment accounting for fixed assets, the book value of fixed assets is reduced up to the recoverable amount, and the reduction amount is booked as an impairment loss in the same fiscal year. In the case where the profitability of fixed assets owned by the Group decreases or their market value falls sharply, for example, the application of impairment accounting on fixed assets may make it necessary to book an extraordinary loss, and this may affect the Group’s financial performance and financial Position.

Furthermore, with respect to investment securities with no market value, if the amount of net asset value per share is less than 50% compared with the acquisition value, and it cannot be judged that there is a possibility of a recovery to the acquisition value within a reasonable period, the amount of such decrease shall be treated as a loss on valuation of investment securities, and shall be treated as a loss for the period. In addition, if it is judged that it is reasonable to take the value reflecting future excess earning power, etc. as the real value, the Group examines the necessity of impairment accounting using the real value instead of the amount of net assets. Therefore, if the business plans of the stock-issuing companies held by the Company are not achieved due to changes in the market environment, status of product development, status of competitors, etc., and it is judged that there is no possibility of a recovery in net assets per share or the real value, the Group’s business results and financial position may be affected.

(8) Accounts Receivable

The irrecoverable amount is estimated and provided as the allowance for uncollectible accounts on accounts receivable against trade partners and customers. However, if uncollectible receivables that exceed the expected amount occur owing to deterioration in business conditions or bankruptcy, etc. of a business partner or customer, this may affect the Group's business performance. By referring to credit information, etc. and taking into account qualitative information from sales sites, the Group strives to strengthen its credit management system and thoroughly preserve receivables while periodically reviewing customers' credit risk.

(9) System Trouble

The Group depends on computer systems and their networks to conduct its operations. Therefore, if a system failure occurs owing to large-scale system problems or unexpected unauthorized access from outside, this may impact the Group's earnings. To prepare for such a situation, the Group has established a backup system that fully duplicates its mission-critical systems and peripheral systems. With regard to cybersecurity measures, the Group regularly receives vulnerability assessments for the networks and applications from external IT vendors and makes timely improvements to the identified issues.

(10) Natural Disasters / Pandemics

As a precaution against natural disasters, pandemics and other emergencies, the Group has established crisis management frameworks, prepared a complete copy of its mission-critical systems together with its peripheral systems, automated logistics centers, installation of in-house generators and regular training. In addition, we have formulated a disaster response plan that clarifies risks associated with climate change and other matters for each area and summarizes issues and countermeasures. However, a disaster or a pandemic larger than anticipated could interfere with the Group’s operations in the form of the closure of offices, logistics centers and retail shops, and may have a negative impact on the Group’s earnings depending on the degree of decreased net sales and restoration duration/costs.

When it comes to the impact of the spread of COVID-19, restrictions on business activities and a decrease in the number of prescriptions due to limited clinic visits by patients who are alert to the risk of infection are affecting the Group’s business performance. Although such impact is on a recovery track, it is difficult to forecast when the pandemic will subside as of this moment, and the Group’s business activities and performance may incur a significant impact depending on the pandemic situation. In addition to taking thorough infection prevention measures at each workplace, the Group is working to prevent the spread of the disease by distributing face masks to all employees, including part-time employees, and implementing workplace vaccinations.

(11) Control of Personal Information

The Group is handling a substantial amount of personal data concerning health professionals and patients. Considering the importance of protection of personal data, the Group complies with the Act on the Protection of Personal Information and other regulations, and has built a management system to handle personal data in accordance with the Code of Ethics of Kyoso Mirai Group and the Personal Information Handling Regulations stipulated by the Company. However, with respect to the personal data on health professionals and patients, if there is any irregularity in handling them, the Group may face more severe impairment of credit and claims for compensation compared with leakage of general personal information, due to its value as an asset and high degree of confidentiality.