Our Culture

More Than Just Healthcare

Patient care has always been our priority; however, our commitment to care goes much farther than the walls of our facilities.

Our Vision

We strive to make HCR ManorCare the preeminent care provider, committed to standards of performance which serve as the hallmark of the industry. This level of performance will require:

  • Employee commitment to excellence
  • Attractive, highly functional facilities
  • Clear, appropriate and measurable performance targets
  • A healthy working atmosphere

Satisfying the needs of our most discriminating customers is the truest indicator of how well we are meeting these standards. By meeting them consistently, we will further the success of this enterprise and enhance the future for us all. As members of the HCR ManorCare team, our exceptional performance will create the greatest possibility for personal development and recognition. Through our success, the company will continue to grow and broaden its opportunities in diverse health care markets.


Our Commitment

The healthcare landscape is constantly changing. One thing that isn’t is our commitment to care. Our patients and residents are what give us purpose each day and they deserve the most courteous and attentive treatment we can give. We continually provide training and education to employees so they can provide high-quality care to even the most acute patients.


Circle Of Care

For nearly 30 years, our Circle of Care program has welcomed employees into a culture that promotes helpful, caring and responsive quality care. The program provides employees with tools to help them with their caregiving, helps prepare them for the myriad situations that come up in their workday, and encourages them to feel good about themselves and the career they have chosen. Three workshops comprise Circle of Care.

Circle of Care for Employees

Defines the helpful, caring and responsive service expectations and is a program that is taken by all employees, usually during their general orientation when they join the company. More than 80 percent of our employees have participated in this program.

Circle of Care for Managers

Requirement for all supervisors and managers. The program teaches managers how to create and sustain a caring service culture by training, coaching and holding employees accountable. Over 4,000 managers have graduated from the Circle of Care for Managers.

Circle of Care for Leaders

Designed for all new administrative and clinical leaders and serves as part of their job orientation. The leaders are taught how to build and sustain the Circle of Care culture for our customers and employees.

Our Promises To Hospice And Home Health Care

We promise to care for the mind, body and spirit in a way that is comforting and compassionate.

We promise to be the difference in our customers’ day, working to make every connection a personal one and creating memorable moments that define their Heartland experience.

We promise to discover what is important to our customers, respect their choices and customize our service specifically to their needs.

We promise to be leaders in care delivery, corporate responsibility and community action.


Lives Touched

This map shows HCR ManorCare Skilled Nursing, Assisted Living, Home Health Care and Hospice admissions by patient/resident zipcode in 2018.

Our History

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. Eventually this small business grew into a large healthcare entity serving the needs of our seniors.


HCR ManorCare is acquired by ProMedica to become the 15th largest healthcare system in the nation.


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.


Company achieves $4 billion in annual revenues.


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


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.


HCR Manor Care achieves annual revenues of $3 billion.


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


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.


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.


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


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.


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.


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.


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

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Join Our Team

Every team member makes a difference at HCR ManorCare. Late nights. Early mornings. Our results don't always conform to a set schedule. The lives we touch, the change we inspire, the independence we create—our work is just as critical as the ER. And it all begins with our patients in mind.

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