Health Care & Retirement Corporation

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Health Care & Retirement Corporation

One SeaGate
Toledo, Ohio 43604-2616
(419) 252-5500
Fax: (419) 252-5510

Public Company
Founded: 1944 as Lima Lumber Company
Employees: 20,000
Sales: $782 million (1996)
Stock Exchanges: New York
SICs: 8051 Skilled Nursing Care Facilities; 8361 Residential Care

With operations in 16 states, Health Care & Retirement Corporation (HCR) ranks among Americas top five providers of long-term care and skilled nursing services through a network of more than 300 facilities with about 16,500 beds. At the core of the company is a network of 128 retirement and nursing homes, known in the industry as long-term care facilities. In the late 1980s and early 1990s, HCR expanded into subacute care, including rehabilitation clinics, home healthcare, and pharmacy services. By the end of 1996, it had 66 outpatient therapy clinics and 33 home healthcare offices. Many of these adjunct facilities were connected to its nursing and retirement homes. These more recent developments are considered a key to future growth.

HCRs history stretches back more than 50 years, but the company has only been involved in the operation of nursing homes since 1974. Its stock has been publicly traded since late 1991, when HCR was spun off from parent Owens-Illinois Inc., which had owned the nursing home group since 1984. Fueled by a combination of organic growth, diversification, and acquisitions, the companys sales and profits recorded double-digit annual percentage increases in the early and mid-1990s. Revenues increased from $497.1 million in 1992 to $782 million in 1996, and net income more than doubled from $26.5 million to $59.4 million during the period.

Origins in 1940s

This company has undergone a half-century metamorphosis from a lumberyard to a diversified construction concern, to a nursing home company. Health Care & Retirement Corporations roots stretch back to a family-owned lumber business headquartered in northwest Ohio. In 1944, C. V. Wolfe and two partners acquired the Lima Lumber Company. Though the lumber business was then a sideline to his regular employment, Wolfe had by the end of the decade bought out his partners and added lumberyards in the nearby towns of Wapakoneta and St. Marys. Perceiving an opportunity for growth in the post-World War II housing boom, Wolfe finally quit his day job in 1952 and diversified into construction with the creation of C.V. Wolfe & Co. C.V.s son F. D. Wolfe, an alumnus of Harvard Business School, joined the growing family business soon after his graduation in 1955.

Together they created the Lima Mortgage Co. in 1957 to offer mortgage services to their construction clients. Just three years later, the Wolfes boosted their loan servicing operations to over $10 million via the acquisition of a controlling interest in First Toledo Corporation, an FHA mortgage lender. In 1962, the family changed the name of this company to Western Ohio Corp. and divested the mortgage business to concentrate on real estate development, most notably the development of nursing homes. The family built its first long-term care facility in 1963, and it leased that first property to an outside operator.

The Wolfes continued to develop their construction interests throughout the 1960s as well, adding several quarries, concrete and asphalt plants, and even trucking operations.

F. D. Wolfe succeeded his father as chairman of the family business upon his fathers death in 1967. This change in leadership presaged a 1970 reorganization that transformed the wide-ranging conglomeration still known as Lima Lumber into Wolfe Industries, Inc., a business with four primary subsidiaries: Lima Lumber, Inc., in charge of building materials; Wolfe Industries Construction Company, builder of nursing homes; Western Ohio Corporation, with trucking, investment, and other operations; and Western Ohio Transportation Company, a stone hauler.

Nursing Homes Come to the Fore in 1970s

In the early 1970s, F. D. Wolfe created a publicly-owned real estate investment trust (REIT), the Health Care Fund (later renamed Health Care REIT, Inc.) to finance nursing home construction projects. According to SEC documents, the fund was the first real estate investment trust to invest exclusively in health care facilities. Within two years, Wolfe Industries was busy building eight nursing homes, most under contract to be operated by outside interests. The company undertook management of its first facility in 1974, when it acquired Indian Lake Manor, a 62-bed nursing home. In 1975 the company created Heartland Health Care Company to acquire Heartland of Perrysburg (Ohio), an upscale 136-bed nursing home. In 1977, the company expanded its reach into the neighboring state of West Virginia through the acquisition of two more nursing homes, thereby adding over 400 beds to its total capacity.

This new business proved quite profitable. Sales more than doubled, from $25 million in 1975 to $59 million by 1979, while net increased from $1 million to $2 million.

The company finally abandoned all its non-healthcare operations in 1981, when it spun off these businesses as Wolfe Industries, Inc. and retained the nursing home business as Health Care and Retirement Corporation of America. The company went public that same year, raising $4.7 million via the sale of an 18 percent stake (525,000 shares) at $9 per share. A second offering of 825,000 shares at about $14.50 per share raised $12 million in 1983.

HCR continued to grow through acquisition in the early 1980s, purchasing two dozen relatively small facilities in Ohio, Indiana, West Virginia, and Kentucky in 1982 and six more in 1983. During this period, HCRs construction arm also built more than three dozen nursing home facilities for lease and purchase by other companies. By the end of 1984, the company owned a total of 46 facilities with over 5,000 beds, and had broken into the nursing home industrys top 10. Net income had grown to $7.3 million on revenues of $96 million. That December, HCR was acquired by Owens-Illinois, Inc. (O-I), a Toledo, Ohio-based industrial firm. F. D. Wolfe resigned at that time, ending 40 years under the direction of a member of the Wolfe family.

HCR prospered under O-I. Acquisitions and new construction quadrupled the business from less than $100 million revenues in 1984 to $418.3 million in 1990. The number of facilities owned increased from 46 to 135 during this period, and the number of beds grew from about 5,000 to over 17,500. Oddly enough, only HCRs profitability suffered under O-I. Net profit rose to a high of $12.8 million in 1987 before sliding to $6.5 million in 1990.

The 1990s and Beyond

Owens-Illinois, which had itself been taken private through a leveraged buyout in 1987, spun off HCR to the public in October 1991, netting O-I nearly $250 million. The following year, HCR concentrated its operations in the states of Ohio, Michigan, and Florida by divesting all its Connecticut and Massachusetts centers and acquiring an Ohio-based rehabilitation therapy company, Heartland Rehabilitation Services, Inc. Growth through acquisition continued in 1994, when HCR purchased two privately held businesses in the Mid-Atlantic region.

Under the direction of Paul Ormond, who served as presk dent from 1986 and CEO after the spinoff, the company distinguished itself not only by its size, but also by its strategies for profitable expansion. For example, HCR sought to maintain a quality mix of patients. This industry terminology refers to the percentage of Medicare and private-paying (i.e., non-Medicaid) residents in its long-term facilities. Since Medicare reimbursements were higher than those made by Medicaidand private individuals paid even moremore quality clients meant higher profits. HCRs well-designed and -furnished, upscale facilities attracted residents who could afford such niceties. At about 68 percent, HCRs ranked among the industrys highest quality mix ratios.

HCR also broadened its areas of specialization to include home and hospice care, vision care, pharmacy service, rehabilitation therapy, and other subacute services. This diversification promised several benefits. Many of these services commanded higher fees and reaped higher profit margins than routine long-term care. They also expanded HCRs potential client base to include people of all ages who required short-term rehabilitation to recover from orthopedic or cardiac surgery as well as wound care and intravenous therapy. And while HCR made more money on these services, its facilities were 30 percent to 60 percent cheaper than care at a hospital, making it an attractive alternative for third-party payers seeking to cut costs in the increasingly competitive healthcare industry.

HCRs revenue and net income rose dramatically in the early 1990s. Sales expanded from $418.3 million in 1990 to $782 million in 1996. At the same time, HCR became more efficient at what it did, reducing basic operating expenses from 84.1 percent of sales in 1990 to just under 80 percent in 1996, helping to push net income from $6.5 million to $59.4 million.

Company Perspectives:

Health Care & Retirement Corporation is a company that puts genuine caring into health care. We create a caring environment in our nursing centers that is a way of life for our residents, as well as our employees.

We have the foresight to adapt to a constantly changing industry, and the insight to offer compassionate care to each individual resident.

Our Vision is focused on the single purpose of providing the best care for each resident. And with that goal never out of sight, Our Vision is never out of mind.

HCRs savvy strategizing positioned it well for the late 1990s and early 21st century. Aging baby boomers with rising life expectancies promised a growing pool of potential retirement and nursing home residents. Demographic experts forecast that the number of Americans aged 85 and over would double from 3.3 million to 6.6 million by 2010. Furthermore, cost-cutting pressures on the healthcare industry overall fueled a shift from long, expensive hospital stays to subacute facilities like those being developed by HCR. Any seniors who managed to avoid the nursing home were still potential candidates for HCRs specialized outpatient and rehabilitation services. Even the companys Heartland service mark, which graces almost half of these long-term care centers, has the potential to become an important brand in the elder-oriented market to come.

Principal Subsidiaries

HCRC Inc.; Ancillary Services Management, Inc.; RVA Management Services, Inc.; Vision Management Services, Inc.; HCR Acquisition Corp.; Heartland CarePartners, Inc.; HCR Home Health Care and Hospice, Inc.; Heartland Home Health Care Services, Inc.; Heartland Hospice Services, Inc.; Heartland Services Corp.; HCR Rehabilitation Corp.; Heartland Rehabilitation Services, Inc.; Health Care and Retirement Corp. Of America; Care Corp.; Georgian Bloomfield, Inc.; Georgian Court Nursing Home of Tulsa, Inc.; Heartland of Indian Lake Rehab. Center, Inc.; Heartland of Martinsburg, Inc.; HGCC of Allen town, Inc.; Lincoln Health Care, Inc.; River Hills Nursing Home, Inc.; Washtenaw Hills Manor, Inc.; HCRA of Texas, Inc.; Care Corporation Holdings, Inc.; Care Real Estate, Inc.; Canterbury Village, Inc.; Care Manors, Inc.; Birchwood Manor, Inc.; Donahoe Manor, Inc.; East Michigan Care Corporation; Green view Manor, Inc.; Ionia Manor, Inc.; Knoll view Manor, Inc.; Marina View Manor, Inc.; Ridgeview Manor, Inc.; Spring-hill Manor, Inc.; Sun Valley Manor, Inc.; Three Rivers Manor, Inc.; Washington Manor Nursing Home, Inc.; Whitehall Manor, Inc.; Care Manors of New England, Inc.; Birch Manor Nursing Home, Inc.; Crescent Hill Manor, Inc.; Elms Manor Nursing Home, Inc.; Kensington Manor, Inc.; Mapleview Nursing Home, Inc.; Meadows Manor, Inc.; Oak Manor Nursing Home, Inc.; Pine Manor Nursing Home, Inc.; Spruce Manor Nursing Home, Inc.; Union Square Nursing Center, Inc.; Valley View Manor, Inc.; Waterbury Manor, Inc.

Further Reading

ABN AMRO Chicago Corporation, Health Care & Retirement Corp., The Investext Group, May 15, 1997.

Donaldson, Lufkin & Jenrette Securities, Health Care and RetirementCompany Report, The Investext Group, December 3, 1993.

Going for the Geezers, Fortune, December 25, 1995, p. 86.

Goodwin, William, Continental Wins Lead Bank Role for Owens Unit, American Banker, September 9, 1991, pp. 16-17.

Health Care and Retirement Corporation of America Chronological History, Toledo, OH: Health Care & Retirement Corporation, 1994.

McDonald & Company Securities, Inc., Health Care & Retirement CorporationCompany Report, The Investext Group, January 31, 1996.

Merrill Lynch Capital Markets, Healthcare Retirement Corporation Company Report, The Investext Group, July 18, 1997.

Meyer, Richard S., Total Quality Management and The National Labor Relations Act, Labor Law Journal, November 1994, pp. 718-721.

Update and Stay Tuned, Monthly Labor Review, July 1995, p. 79.

Weiss, Gary, Excellent Prognosis: The Outlook for Nursing Home Chains Is Glowing, Barrons, May 28, 1984, pp. 6-7.

Yarborough, Mary Helen, LPNs As Supervisors: Far-Reaching Impact? HR Focus, August 1994, p. 3.

April Dougal Gasbarre

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