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Our History

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Toledo, Ohio-based Owens-Illinois, Inc. (O-I), the world's largest glass container manufacturer, entered the health care field in 1929 when Owens Bottle Company merged with Illinois Glass Company, a manufacturer of glass products for the drug and medical fields, to form Owens-Illinois Glass Company. 

In 1982, O-I created a health care group which included pharmaceutical packaging operations that made scientific glassware. That same year, an investment started O-I on the road to nursing home ownership.


O-I invests in Health Group Inc. (HGI) of Nashville, Tennessee, a hospital management group that owned specialty hospitals and several nursing homes.


O-I acquires Health Care and Retirement Corporation of America (HCRA), headquartered in Lima, Ohio. Starting as a lumber company in 1944, HCRA expanded into constructing nursing homes for third parties and in 1974 began management of its first facility. HCRA owned 46 facilities with over 5,000 beds when acquired by O-I.


O-I acquires the nursing homes of Health Group Care Centers, a division of HGI, in exchange for its equity position in HGI. The acquisition includes 26 facilities in 10 states.

Headquarters of O-I’s health care business moves from Lima to Toledo.


O-I acquires Care Corporation, headquartered in Grand Rapids, Michigan. This company adds 41 nursing homes, with 5,300 beds, in six states.


O-I is a major skilled nursing provider with 135 facilities and more than 17,500 beds.

Ancillary Services Inc., a supplier of Medicare Part B products and supplies, is formed.

Heartland Health Care Centers Orange Park, Miami Lakes and Fort Myers  open.


Health Care and Retirement Corporation (HCR) is created to purchase O-I’s health care businesses, and HCR goes public on the New York Stock Exchange.

Heartland Health Care Centers Prosperity Oaks and Boynton Beach open.


HCR forms Heartland Rehabilitation Services and acquires Sylvania Therapy Services, a Toledo-based provider of rehabilitation services in Michigan and Ohio. In ensuing years, several acquisitions expand outpatient rehabilitation operations into New Jersey, Virginia, Kentucky and Florida.

Eleven skilled nursing centers in Connecticut and Massachusetts purchased as part of the Care Corporation transaction are sold.


Heartland Health Care Center Sarasota opens.


Heartland Healthcare Services, a 50/50 partnership with Omnicare Inc., forms to supply and distribute pharmaceutical products.

Heartland Health Care Center Boca Raton opens.


HCR forms a subsidiary to enter the home health care and hospice field. It launches with the acquisition of Allen Home Care, a Michigan-based home health care provider. Today there are home health care and hospice agencies in 25 states.


Danto Health Care Center opens.


The Balanced Budget Act of 1997 (BBA) passes, precipitating a watershed structural change in the skilled nursing industry by introducing a Medicare Prospective Payment System (PPS) that replaces a cost-based system. By full implementation, five of HCR ManorCare’s six largest competitors and numerous other providers file for bankruptcy protection. HCR remains an investment grade company. The industry’s structural changes launch the company’s focus on caring for high-acuity patients.

HCR acquires Milestone, a contractor with hospitals for managing their rehabilitation units that also includes a staffing business.

Heartland Health Care Center Ann Arbor opens.


HCR acquires Manor Care, Inc., a large nursing home company based in Gaithersburg, Maryland, which adds 171 skilled nursing centers, 42 assisted living facilities and an acute care hospital. Acquisition creates the largest skilled nursing provider in the industry, with annual revenues exceeding $2 billion. Company is renamed HCR Manor Care, Inc.

ManorCare had introduced the Arden Courts brand in 1994. The following assisted living facilities open: Arden Courts of Hamden, Arden Courts of Northbrook, Arden Courts of Largo, Arden Courts of Palm Harbor, Arden Courts of Pikesville, Arden Courts of Sarasota, Arden Courts of Seminole, Arden Courts of West Orange, Arden Courts of Wayne, Arden Courts of Wilmington, Arden Courts of Monroeville, Arden Courts of Delray Beach, Linden Village and Springhouse of Pikesville.

Heartland Health Care Center Pewaukee and ManorCare Health Services  - Delray open.


HCR Manor Care moves its headquarters to 333 N. Summit St. in downtown Toledo.

HCR ManorCare forms a strategic alliance with Alterra Healthcare Corporation; sells 29 assisted living residences to Alterra.

Whitehall Borough, ManorCare Health Services - Northbrook and ManorCare Health Services - Fort Myers open.

Arden Courts of Lely Palms, Arden Courts of Bath, Arden Courts of Bingham Farms, Arden Courts of Chagrin Falls, Arden Courts of Fort Myers, Arden Courts of Jefferson Hills, Arden Courts of Livonia, Arden Courts of Parma, Arden Courts of Richardson, Arden Courts of Tampa, Arden Courts of Winter Springs, Arden Courts of Palos Heights and Arden Courts of Arlington open.


HCR Manor Care acquires the remaining 59 percent equity interest in In Home Health, Inc.

Arden Courts of Anderson, Arden Courts of Austin, Arden Courts of Avon, Arden Courts of Geneva, Arden Courts of Kenwood, Arden Courts of Louisville, Arden Courts of San Antonio, Arden Courts of Susquehanna, Arden Courts of Towson, Arden Courts of Whippany and Arden Courts of Warminster open.

Company divests two skilled nursing centers -- one in Oklahoma and one in Florida. This begins a rationalization over the next decade of skilled nursing centers that no longer fit the company’s strategic direction, resulting in divesting 35 skilled nursing centers.


The company focuses on skilled nursing and dementia assisted living and ends its assisted living development joint venture formed with Alterra.

Heartland Health Care Center Old Orchard opens.

Arden Courts of Glen Ellyn opens.

Company divests two skilled nursing centers—one in Wisconsin and one in Ohio.


HCR Manor Care sells its only acute care hospital.

Arden Courts of Kensington, Arden Courts of Annandale and Arden Courts of Hazel Crest open.

Company divests a skilled nursing center in Wisconsin.


HCR Manor Care achieves annual revenues of $3 billion.

Company divests five skilled nursing centers—three in Texas, one in Indiana and one in Florida.


Heartland of Marion opens.

The company divests 16 skilled nursing centers—seven in Florida, four in Texas, two in Oklahoma, and one each in Pennsylvania, Tennessee and Wisconsin.


HCR ManorCare opens its first long-term acute care hospital (LTACH) in Norman, Oklahoma.

ManorCare Health Services - Woodbridge Valley and Heartland Health Care Center Canton open.

Company divests four skilled nursing centers—three in New Mexico and one in Illinois.


Company sells its medical transcription business, Heartland Information Services. Other non-core businesses are sold, including the company’s vision business and urgent care centers.

Heartland Health Care Center - Oakland, ManorCare Health Services - Parma, ManorCare Health Services - West Des Moines and ManorCare Health Services - Voorhees open.


The company is taken private with The Carlyle Group as the majority owner. The name of the company changes to HCR ManorCare.


Company achieves $4 billion in annual revenues.

ManorCare Health Services - Utica Ridge opens.

Company divests three skilled nursing centers—two in California and one in Indiana.


Company divests two skilled nursing centers—one in Illinois and one in Ohio.


ManorCare Health Services - Wingfield Hills and ManorCare Health Services - Washington Township open.


In a sale/leaseback transaction, company sells 338 post-acute, skilled nursing and assisted living facilities to HCP, a real estate investment trust (REIT) headquartered in California, for $6.1 billion. HCR ManorCare continues to operate and manage all of the assets sold.


ManorCare Health Services - Salmon Creek and ManorCare Health Services - Lacey open.


Heartland Health Care Center - Sterling Heights opens.  Company divests skilled nursing center in West Virginia.


Heartland of Dublin and Heartland of Twinsburg open.

Company divests two skilled nursing centers – one in West Virginia and one in Illinois.


Heartland at ProMedica opens. Company begins divesting 50 skilled nursing, memory care and assisted living facilities in 18 states.

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