The number of bankruptcies among medical and nursing care providers in Japan reached a total of 478 in fiscal 2025, marking the highest level since 1988, when Japan¡¯s bubble economy peaked, according to a new report released Monday by credit reporting agency Tokyo Shoko Research.

The agency attributed the surge in bankruptcies mostly to staff shortages and rising costs. In Japan, prices that medical and nursing care providers can charge for their services are largely regulated by the government.

Tokyo Shoko Research¡¯s analysis included hospitals and clinics, dental offices, quarantine centers, nursing care providers and disability welfare service operators who went under with more than ?10 million ($63,800) in debt.