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International Hospitals & Healthcare

When every case matters: repatriating the most difficult cases

Assistance & Repatriation
1 Jun 2026 | Editorial Team
Featured in ITIJ 305 | June 2026
Sponsored by Japanese Funeral Support
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Plane over a sunset

Robert Hoey, President of Funeral Support Services, tells ITIJ about a deeply tragic case, which they handled extremely sensitively

Funeral Support Services is a repatriation company based in Japan. Most of what we do follows a familiar rhythm: paperwork, logistics, coordinating transfers across borders. It can start to feel routine. And then a case comes in that stops everything. This was one of those cases.

A family’s worst fear

A young man had come to Japan from his home country. A regular trip, the kind anyone takes. About a week in, his family got the call no family should ever receive. He’d been struck by a train while taking photos near the tracks, a moment of distraction, the kind that can happen to anyone. The injuries were catastrophic. Decapitation at the jawline, traumatic amputation of both feet, significant trauma throughout.

His family was thousands of kilometers away, trying to make sense of something that doesn’t make sense. And through all of it, they had one wish: they wanted to see their son one last time.

The work that followed

Cases like this are extraordinarily difficult. The preparation involved advanced embalming and careful restorative work, and it demanded everything our team had. Not just technically, but in terms of what it means to treat someone with real dignity when their body has been through what his had.

It took time. From the day we took on the case to the day he was on a flight back home, just over three weeks had passed. That’s not a typical timeline, but nothing about this case was typical. Alongside the preparation itself, there was also the process to work through: Japanese mortuary requirements, BioSeal and casketing, arranging for international remains transfer, embassy liaison, regulatory compliance on both ends. Every piece, as always, had to be right.

His family was thousands of kilometers away, trying to make sense of something that doesn’t make sense

Why this work matters

The truth is, most of the cases we handle are straightforward transfers that move through the process without issue. That’s the reality of repatriation work, and we’re proud to handle those cases with the same care and professionalism as any other.

But we also prepare for the cases that aren’t straightforward, the ones that are complex, traumatic, and deeply difficult: because those families deserve exactly the same outcome. Funeral Support Services exists to ensure that no matter where in the world a tragedy occurs, families are not left without options or without hope.

The final result

When the family arrived in Japan, our director discussed the possibility of a family viewing even though everyone was telling them it was not possible. They had already been told by the receiving funeral home to expect a closed casket. They were prepared, or as prepared as one can be for the possibility that they may never truly be able to say a proper goodbye.

When they returned home what happened instead was something none of them had anticipated. Upon viewing their son, they were struck by how peaceful and presentable he appeared. What had been planned as a strictly private family viewing became something more. The family made the decision to hold an open casket service: allowing friends, extended family, and loved ones the opportunity to pay their respects in a way they had never thought possible.

A few months later the father of the deceased called to thank us personally for the care we took preparing his son along with all of the other processes that are involved with a repatriation overseas.

That’s what we’re here for.

Robert Hoey

President, Funeral Support Services

Robert has been a licensed funeral director and embalmer since 1987. He started his career in Ottawa, Canada and moved to Japan in 1993. He started his company, Funeral Support Services, in 2017 in order to provide embalming for local funeral homes as well as repatriations and support for the foreign community in Japan.

ITIJ 305 Cover

June 2026
 Issue

Welcome to your June issue! In this month’s magazine we look at medical escorts – a critical part of patient transport, with direct implications for patient safety, clinical outcomes, operational efficiency and cost. We also examine the interplay between governments and private business when responding to a disaster. 

Read full issue
Assistance & Repatriation
1 Jun 2026
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Editorial Team

The Editorial Team updates the ITIJ website daily, and works on features for the print edition. With expert industry knowledge and years of experience in writing about complex travel insurance issues, the Editorial Team is ready to investigate and report on the topics that matter most to ITIJ's readers.

Japanese Funeral Support

Funeral Support Services Japan

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