Prices as of 2026/10/30 close
Company comparison · Pharmaceutical & Medical Distribution



Medipal is the largest by revenue at ¥3.8T, followed by Alfresa (¥3.1T), Toho Holdings (¥1.6T) and Ship Healthcare (¥718.2B).
Ship Healthcare has the highest operating margin at 3.4%, 2.3 points above the lowest, Toho Holdings (1.1%).
Revenue growth in the latest results: Ship Healthcare +5.9%, Alfresa +4.8%, Medipal +4.0%, Toho Holdings +2.3%. For next year, Ship Healthcare guides for the fastest operating profit growth (+6.2%).
Alfresa pays the most on average (¥8.39M), ¥1.60M more than Toho Holdings (¥6.79M).
Over the past year the shares moved Medipal +37.9%, Alfresa +16.4%, Ship Healthcare +11.5%, Toho Holdings −18.3%.
Head-to-head wins17 metrics
One win per metric for the company with the best value. Metrics with no better or worse (P/E, average age, employees) are excluded.
ScaleInvestors
Medipal aheadMedipal 3 : Alfresa 0 : Toho Holdings 0 : Ship Healthcare 0
Revenue: Medipal ¥3.8T / Alfresa ¥3.1T / Toho Holdings ¥1.6T / Ship Healthcare ¥718.2B
ProfitabilityInvestors
EvenMedipal 0 : Alfresa 2 : Toho Holdings 0 : Ship Healthcare 2
Operating margin: Medipal 1.4% / Alfresa 1.2% / Toho Holdings 1.1% / Ship Healthcare 3.4%
GrowthInvestors
Ship Healthcare aheadMedipal 1 : Alfresa 0 : Toho Holdings 0 : Ship Healthcare 4
Revenue growth (YoY): Medipal +4.0% / Alfresa +4.8% / Toho Holdings +2.3% / Ship Healthcare +5.9%
Stock & balance sheetInvestors
Medipal aheadMedipal 2 : Alfresa 0 : Toho Holdings 1 : Ship Healthcare 0
Share price, 1 year: Medipal +37.9% / Alfresa +16.4% / Toho Holdings −18.3% / Ship Healthcare +11.5%
Pay & workforceJob seekers
EvenMedipal 1 : Alfresa 1 : Toho Holdings 0 : Ship Healthcare 0
Average salary: Medipal ¥8.14M / Alfresa ¥8.39M / Toho Holdings ¥6.79M
| Metric | Medipal | Alfresa | Toho Holdings | Ship Healthcare |
|---|---|---|---|---|
| Revenue | ◎¥3.8T | ¥3.1T | ¥1.6T | ¥718.2B |
| Operating profit | ◎¥53.2B | ¥36.2B | ¥16.6B | ¥24.5B |
| Net income | ◎¥42.5B | ¥41.7B | ¥17.3B | ¥13.4B |
| Metric | Medipal | Alfresa | Toho Holdings | Ship Healthcare |
|---|---|---|---|---|
| Operating margin | 1.4% | 1.2% | 1.1% | ◎3.4% |
| Net margin | 1.1% | 1.3% | 1.1% | ◎1.9% |
| ROE | — | ◎8.4% | 6.6% | — |
| Revenue per employee | ¥20.6B | ◎¥46.3B | ¥7.8B | — |
| Metric | Medipal | Alfresa | Toho Holdings | Ship Healthcare |
|---|---|---|---|---|
| Revenue growth (YoY) | +4.0% | +4.8% | +2.3% | ◎+5.9% |
| Operating profit growth (YoY) | −4.4% | −5.0% | −12.3% | ◎−1.2% |
| Revenue CAGRlast 5 years | +3.5% | — | — | ◎+7.6% |
| Guidance: revenue growthnext FY plan | ◎+3.3% | +1.3% | +3.1% | +3.0% |
| Guidance: op. profit growthnext FY plan | +3.4% | −6.3% | −10.8% | ◎+6.2% |
| Metric | Medipal | Alfresa | Toho Holdings | Ship Healthcare |
|---|---|---|---|---|
| Share price, 1 year | ◎+37.9% | +16.4% | −18.3% | +11.5% |
| Share price, 3 months | ◎+14.6% | +3.4% | −4.2% | −2.0% |
| P/E (trailing)lower = cheaper | — | 10.8x | 14.8x | — |
| Equity ratio | — | 33.7% | ◎36.7% | — |
| Share price (close) | ¥3,441 | ¥2,469 | ¥4,004 | ¥2,531.5 |
◎ marks the best value for each metric. Revenue and profit are from the latest full-year earnings release; share prices are closing-price references; P/E = latest close ÷ trailing EPS. For banks and some other financials, revenue means ordinary income.
| Metric | Medipal | Alfresa | Toho Holdings | Ship Healthcare |
|---|---|---|---|---|
| Average salary | ¥8.14M | ◎¥8.39M | ¥6.79M | — |
| Starting salary (monthly) | — | — | ¥215,000 | — |
| Average tenure | ◎19.8 yrs | 14.0 yrs | 18.9 yrs | 9.3 yrs |
| Average age | 48.6 | 46.6 | 48.3 | 42.9 |
| Employees | 185 | 67 | 199 | 22 |
Average salary is for the reporting (parent) company and is affected by average age and job mix. Holding companies with few employees are left out of the salary comparison.
Close (Oct 30, 2026)
¥3,441+37.9% (1Y)
Medipal +37.9% over 1Y. Compared: Alfresa +16.4%, Toho Holdings -18.3%, Ship Healthcare +11.5%.
Reference chart of daily closing prices, not real-time quotes (split-adjusted; weekly closes before the last year). Each line shows the % change from the start of the period. Updated Oct 30, 2026.
Medipal3 segments
Alfresa4 segments
Toho Holdings4 segments
Ship Healthcare4 segments
AAverage annual salary from the securities filings: Alfresa ¥8.39M, Medipal ¥8.14M, Toho Holdings ¥6.79M. Alfresa pays the most. Averages also depend on staff age and job mix, so check the average age too (Medipal 48.6, Alfresa 46.6, Toho Holdings 48.3, Ship Healthcare 42.9).
ARevenue in the latest results: Medipal ¥3.8T, Alfresa ¥3.1T, Toho Holdings ¥1.6T, Ship Healthcare ¥718.2B. Medipal is the largest by revenue at ¥3.8T, followed by Alfresa (¥3.1T), Toho Holdings (¥1.6T) and Ship Healthcare (¥718.2B).
AOperating margins: Ship Healthcare 3.4%, Medipal 1.4%, Alfresa 1.2%, Toho Holdings 1.1%. Ship Healthcare turns the highest share of sales into operating profit.
AShare price change over the past year (closing prices, for reference): Medipal +37.9%, Alfresa +16.4%, Ship Healthcare +11.5%, Toho Holdings −18.3%. Medipal has risen the most.



Comparing 4 companies (up to 4)
Sources: earnings releases (kessan tanshin), annual securities reports and other public information. Share prices are closing-price references, not real-time. Our data may contain errors; investment decisions are your own responsibility.