HCR Manor Care is a lord of the manor in the nursing home kingdom. The company operates about 500 nursing homes, assisted living centers, and rehabilitation facilities in more than 30 states. Its facilities, which operate under the names Heartland, ManorCare Health Services, and Arden Courts, provide not only long-term nursing care, but also rehabilitation services and short-term, post-acute care for patients recovering from serious illness or injury. Many of its facilities house special units for Alzheimer's patients. In addition to its nursing and assisted-living facilities, HCR Manor Care offers hospice and home health care through offices across the US. It is owned by private equity firm The Carlyle Group.
The company operates more than 275 post-acute skilled nursing and rehabilitation centers, most of which provide care under the Heartland and ManorCare Health Services names. Its Alzheimer's and dementia care services are administered through about 55 Arden Care residences.
In addition to its long-term care, hospice, and home health operations, HCR Manor Care provides rehabilitation therapy at its own outpatient clinics, as well as third-party sites, such as workplaces and hospitals. To this end, the company contracts with more than 200 managed care organizations nationally for providing post-hospital rehabilitation services.
HCR Manor Care generates most of its long-term care revenue from Medicare and Medicaid. In response to falling reimbursement rates, the company has shifted its focus to seeking out patients who require more complex care (over a shorter period of time) that is reimbursed at higher levels. This shift in patient mix has resulted in the growth of its post-acute business, which cares for patients recovering from chronic illness, serious injury, or surgery.
The company continues to expand, investing more than $350 million in new construction, renovation, and expansion of existing facilities (including therapy areas and state-of-the-art gyms), new equipment, and information technology. The company undertook about 40 expansion projects for additional beds or therapy areas, more than 1,200 renovations, and four new skilled nursing centers between 2007 and 2010.
Over the objections of the Service Employees International Union and some lawmakers, The Carlyle Group took Manor Care private in late 2007, in a deal worth about $6.3 billion. – less