HCR MANORCARE INC

SKILLED NURSING AND REHABILITATION SERVICES:HCR MANORCARE'S SKILLED NURSING FACILITIES (SNF), THE MAJORITY OF WHICH DO BUSINESS UNDER THE TRADE NAMES "HEARTLAND AND "MANORCARE HEALTH SERVICES," PROVIDE SKILLED NURSING AND REHABILITATION SERVICES DURING RECOVERY AFTER A HOSPITALIZATION STAY. HCR MANORCARE IS THE POST-ACUTE DIVISION OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION FOCUSED ON THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. HEADQUARTERED IN TOLEDO, OHIO, HCR MANORCARE OPERATES 157 SKILLED NURSING CENTERS WHICH PROVIDE SHORT TERM REHABILITATION AND LONG-TERM CARE ASSISTANCE 24 HOURS A DAY TO THOSE WHO MEET THE SKILLED NURSING REQUIREMENTS AND CANNOT LIVE INDEPENDENTLY. REHABILITATION SERVICES PROVIDE PATIENTS WITH THE TOOLS THEY NEED TO RETURN HOME OR TO FUNCTION AT THEIR HIGHEST POTENTIAL. THESE SERVICES INCLUDE PHYSICAL AND OCCUPATIONAL THERAPIES, AS WELL AS SPEECH AND LANGUAGE PATHOLOGY. ADDITIONAL SERVICES SUCH AS PALLIATIVE AND HOSPICE CARE CAN ALSO BE PROVIDED IN THE SKILLED NURSING SETTING. IN 2023, HCR MANORCARE'S SNFS PROVIDED OVER 979,266 CARE DAYS TO ITS PATIENTS AND RESIDENTS.IN 2023, HCR MANORCARE'S SNFS EXPENDED 237,356,793 IN NET PAYROLL. A TOTAL OF $6,720,184 WAS WITHHELD IN EMPLOYEE STATE AND LOCAL TAXES. PROMEDICA SENIOR CARE'S SKILLED NURSING AND REHABILITATION CENTERS, PRIMARILY OPERATING UNDER THE BRAND NAMES PROMEDICA, HEARTLAND AND MANORCARE, DEMONSTRATE PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY HEALTH CARE TO ALL ELIGIBLE PATIENTS REGARDLESS OF THEIR RACE, CREED, NATIONAL ORIGIN, DISABILITY OR AGE. THE CENTERS PROVIDE PATIENTS WITH HOME ASSESSMENTS AND COMMUNITY RESOURCES FOR A SAFE AND HEALTHY TRANSITION HOME. THE CENTERS GRANT PATIENTS AND RESIDENTS THEIR WISHES THROUGH THE ORGANIZATION'S HEARTS' DESIRE PROGRAM.

HOME HEALTH AND HOSPICE SERVICES:HCR MANORCARE'S HOME HEALTH AND HOSPICE SERVICES (HHH), THE MAJORITY OF WHICH DO BUSINESS AS HEARTLAND HOME HEALTH CARE AND HEARTLAND HOSPICE CARE, PROVIDE NURSING, REHABILITATION, SOCIAL SERVICES, PALLIATIVE CARE, BEREAVEMENT AND PATIENT AND FAMILY COUNSELING SERVICES FOR PATIENTS RECOVERING FROM A HOSPITAL STAY OR DIAGNOSED WITH A TERMINAL ILLNESS. HCR MANORCARE IS THE POST-ACUTE DIVISION OF PROMEDICA HEALTH SYSTEM, INC. (PROMEDICA), A MISSION BASED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION FOCUSED ON THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. HCR MANORCARE PROVIDES HOME HEALTH AND HOSPICE SERVICES IN MORE THAN 115 MARKETS ACROSS THE COUNTRY.HOME HEALTH CAREGIVERS PROVIDE NURSING AND REHABILITATION SERVICES TO PATIENTS AT HOME AND IN SKILLED NURSING OR ASSISTED LIVING FACILITIES. HOME HEALTH CARE SERVICES ARE DESIGNED TO ASSIST THOSE INDIVIDUALS WHO WISH TO STAY AT HOME OR IN ANOTHER RESIDENTIAL SETTING BUT STILL REQUIRE SOME DEGREE OF MEDICAL CARE OR ASSISTANCE WITH DAILY ACTIVITIES, AS WELL AS PATIENTS WHO CONTINUE TO REQUIRE SERVICES AFTER HAVING BEEN DISCHARGED FROM A HIGHER ACUITY SETTING. NURSES AND THERAPISTS PROVIDE SERVICES SUCH AS WOUND CARE, INFUSION THERAPY, REHABILITATION, AND ASSIST PATIENTS WITH DAILY ACTIVITIES. HOSPICE SERVICES ARE DESIGNED TO PROVIDE A BROAD RANGE OF SERVICES TO PATIENTS NEARING THE END OF LIFE. HOSPICE SERVICES CAN INCLUDE PAIN AND SYMPTOM MANAGEMENT, SKILLED NURSING CARE, PHYSICIAN SERVICES, HOME HEALTH AIDE, PATIENT COUNSELING, AND FAMILY BEREAVEMENT COUNSELING. SERVICES ARE PROVIDED BY AN INTERDISCIPLINARY TEAM CONSISTING OF NURSES, SOCIAL WORKERS, SPIRITUAL CARE COORDINATORS, BEREAVEMENT COORDINATORS AND NURSE PRACTITIONERS. IN 2023, HCR MANORCARE'S HOSPICE CARE PROVIDED 23,672 STARTS OF CARE TO ITS PATIENTS.IN 2023, HCR MANORCARE'S HOME HEALTH CARE PROVIDED 184,587 TOTAL VISITS TO ITS PATIENTS.IN 2023, HCR MANORCARE'S HHHS EXPENDED $321,274,802 IN NET PAYROLL. A TOTAL OF $10,532,894 WAS WITHHELD IN EMPLOYEE STATE AND LOCAL TAXES. PROMEDICA SENIOR CARE'S HOME HEALTH AND HOSPICE AGENCIES, PRIMARILY OPERATING UNDER THE BRAND NAMES PROMEDICA AND HEARTLAND, DEMONSTRATE PROMEDICA'S MISSION AND CORE VALUES BY PROVIDING HIGH-QUALITY CARE AND SUPPORT TO ALL ELIGIBLE PATIENTS AND FAMILIES REGARDLESS OF THEIR RACE, CREED, NATIONAL ORIGIN, DISABILITY OR AGE. AS WE NAVIGATE THROUGH COVID AND ADDRESS WORKFORCE CHALLENGES, THE FACILITIES ARE WORKING WITH OUR SOCIAL DETERMINANTS OF HEALTH TEAM TO HELP ASSESS EMPLOYEES' NEEDS SUCH AS TRANSPORTATION, ACCESS TO NUTRITIOUS FOOD AND CHILDCARE. ALSO, IN 2021, THE ORGANIZATION LAUNCHED A CUSTOM APP, PURPOSEFUL AND RESOURCEFUL WELL-BEING RESOURCES, TO EMPLOYEES. IN 2021, THE ORGANIZATION LAUNCHED DEI INITIATIVES ACROSS THE SYSTEM BY SPONSORING INCLUSION INNOVATION COMMUNITIES FOR EMPLOYEES AND HOSTING VIRTUAL AND IN-PERSON MEETINGS TO SHARE THE ORGANIZATION'S STRATEGIC DEI COMMITMENT TO INCREASE DIVERSITY, EQUITY AND INCLUSION FOR OUR EMPLOYEES, PATIENTS, RESIDENTS, VENDORS, AND THE COMMUNITIES WE SERVE. THE HOSPICE AGENCIES PREPARE PATIENTS AND THEIR FAMILY MEMBERS FOR END OF LIFE AND PROVIDE BEREAVEMENT COUNSELING AND FOLLOW-UP TO FAMILIES A YEAR AFTER THE PATIENT PASSES. THE AGENCIES ALSO PROVIDE UNIQUE SERVICES TO VETERANS, HOLIDAY SUPPORT, SUPPORT GROUPS, AND WORKSHOPS TO ANYONE IN THE COMMUNITY WHO NEEDS ADDITIONAL HELP TO GET THROUGH THE LOSS OF A LOVED ONE. PATIENTS' WISHES ARE GRANTED THROUGH THE ORGANIZATIONS HEART'S DESIRE PROGRAM. THROUGH GRANTS FROM THE HOSPICE MEMORIAL FUND, GRIEF CAMPS FOR CHILDREN AND ADULTS ARE OFFERED AS WELL AS EDUCATIONAL SESSIONS AND LIFE CELEBRATION EVENTS. THE FUND ALSO PROVIDES STABILIZING RESOURCES FOR HOSPICE PATIENTS AND FAMILIES IN FINANCIAL DISTRESS DUE TO THE LACK OF OR REDUCTION IN INCOME FROM TERMINAL ILLNESS OR DISEASE.