HCR MANOR CARE INC
4, 1999-05-10
SKILLED NURSING CARE FACILITIES
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
1. Name and Address of Reporting Person
   Bainum, Jr., Stewart 
   8737 Colesville Road, Suite 800
   Silver Spring, MD  20910
   USA
2. Issuer Name and Ticker or Trading Symbol
   HCR Manor Care
   HCR
3. IRS or Social Security Number of Reporting Person (Voluntary)
   213-44-587
4. Statement for Month/Year
   4/99
5. If Amendment, Date of Original (Month/Year)
   
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
   (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other
   (specify below)
   
7. Individual or Joint/Group Filing (Check Applicable Line)
   (X) Form filed by One Reporting Person
   ( ) Form filed by More than One Reporting Person
<TABLE>
<CAPTION>
___________________________________________________________________________________________________________________________________
 Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned                                                 |
___________________________________________________________________________________________________________________________________|
1. Title of Security       |2.    |3.    |4.Securities Acquired (A)         |5.Amount of        |6.Dir |7.Nature of Indirect       |
                           | Transaction |  or Disposed of (D)              |  Securities       |ect   |  Beneficial Ownership     |
                           |      |      |                                  |  Beneficially     |(D)or |                           |
                           |      |    | |                  | A/|           |  Owned at         |Indir |                           |
                           | Date |Code|V|    Amount        | D |    Price  |  End of Month     |ect(I)|                           |
___________________________________________________________________________________________________________________________________|
<S>                        <C>    <C>  <C><C>               <C> <C>         <C>                 <C>    <C>
Common Stock               |      |J (1| |1,990,896         |A  |           |1,990,896          |I     |Note 2                     |
                           |      |)   | |                  |   |           |                   |      |                           |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |127,725            |I     |Note 3                     |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |214,284            |I     |Note 4                     |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |6,768              |I     |Note 5                     |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |851,669            |I     |Note 6                     |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |G (1|V|1,302             |D  |           |72,484             |I     |Note 7                     |
                           |      |3)  | |                  |   |           |                   |      |                           |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |J (8| |1,657,876         |A  |           |1,657,876          |I     |Note 9                     |
                           |      |)   | |                  |   |           |                   |      |                           |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |700,214            |I     |Note 10                    |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |220,022            |I     |Note 11                    |
- -----------------------------------------------------------------------------------------------------------------------------------|
       "          "        |      |    | |                  |   |           |532,684            |I     |Note 12                    |
- -----------------------------------------------------------------------------------------------------------------------------------|
___________________________________________________________________________________________________________________________________|
<CAPTION>
___________________________________________________________________________________________________________________________________
 Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned                                                   |
___________________________________________________________________________________________________________________________________|
1.Title of Derivative |2.Con-  |3.   |4.    |5.Number of De |6.Date Exer|7.Title and Amount  |8.Price|9.Number    |10.|11.Nature of|
  Security            |version |Transaction | rivative Secu |cisable and|  of Underlying     |of Deri|of Deriva   |Dir|Indirect    |
                      |or Exer |     |      | rities Acqui  |Expiration |  Securities        |vative |tive        |ect|Beneficial  |
                      |cise    |     |      | red(A) or Dis |Date(Month/|                    |Secu   |Securities  |(D)|Ownership   |
                      |Price of|     |      | posed of(D)   |Day/Year)  |                    |rity   |Benefi      |or |            |
                      |Deriva- |     |      |               |Date |Expir|                    |       |ficially    |Ind|            |
                      |tive    |     |      |           | A/|Exer-|ation|   Title and Number |       |Owned at    |ire|            |
                      |Secu-   |     |    | |           | D |cisa-|Date |   of Shares        |       |End of      |ct |            |
                      |rity    |Date |Code|V|  Amount   |   |ble  |     |                    |       |Month       |(I)|            |
___________________________________________________________________________________________________________________________________|
<S>                   <C>      <C>   <C>  <C><C>        <C> <C>   <C>   <C>          <C>     <C>     <C>          <C> <C>
Common Stock Option   |        |     |    | |           |   |     |     |            |       |       |164,000     |   |            |
- -----------------------------------------------------------------------------------------------------------------------------------|
                      |        |     |    | |           |   |     |     |            |       |       |            |   |            |
___________________________________________________________________________________________________________________________________|
</TABLE>
Explanation of Responses:
Note 1:  Liquidating distribution from Bainum Associates Limited Partnership 
("BA") and MC Investments Limited 
Partnership ("MC").  The Stewart Bainum, Jr. Trust was the Managing General 
Partner of both BA and MC.
Note 2:  Shares owned by the Stewart Bainum, Jr. Declaration of Trust ("Stewart 
Bainum, Jr. Trust") in which Mr. 
Bainum is the sole 
trustee.
Note 3:  The proportionate interest of the Stewart Bainum, Jr. Trust in shares 
(1,779,628) owned by Mid Pines 
Associates, 
L.P.
Note 4:  The proportionate interest of the Stewart Bainum, Jr. Grantor Retained 
Annuity Trust dated September 10, 
1996, the sole trustee of which is Mr. Bainum, Jr. in shares (1,779,628) owned 
by Mid Pines Associates, L.P.
Note 5:  The proportionate interest of various trusts, the beneficiaries of 
which are Mr. Bainum, Jr.'s two minor 
children in shares (1,779,628) owned by Mid Pines Associates, 
L.P.
Note 6:  The proportionate interest of the Stewart Bainum, Jr. Trust in shares 
(3,567,869) owned by Realty 
Investment Company, Inc., a real estate investment and management company in 
which Mr. Bainum, Jr. owns 
indirectly 23.9% of the outstanding common stock.  Also includes 128,591 shares 
indirectly held through certain 
trusts for  the benefit of Mr. Bainum, Jr.'s two minor 
children.
Note 7:  The proportionate interest of the Roberta Bainum Irrevocable Trust in 
shares (1,779,628) owned by Mid 
Pines Associates, L.P.  Mr. Bainum, Jr. is a co-trustee and his sister is the 
beneficiary.  Beneficial ownership is 
disclaimed.
Note 8:  Liquidating distribution from BA and MC.  The Roberta Bainum 
Irrevocable Trust was a limited partner.
Note 9:  Shares owned by the Roberta Bainum Irrevocable Trust.  Mr. Bainum, Jr. 
is a co-trustee and his sister is 
the beneficiary.  Beneficial ownership is 
disclaimed.
Note 10:  The proportionate interest of the Roberta Bainum Irrevocable Trust in 
shares (3,567,869) owned by 
Realty Investment Company, Inc.  Mr. Bainum, Jr. is a co-trustee and his sister 
is the beneficiary.  Beneficial 
ownership is 
disclaimed.
Note 11:  The proportionate interest of certain trusts in shares (1,779,628) 
owned by Mid Pines Associates, L.P. 
for the benefit of Mr. Bainum, Jr.'s nephews.  Mr. Bainum is the trustee and 
his nephews are the beneficiaries.  
Beneficial ownership is 
disclaimed.
Note 12:  The proportionate interest of certain trusts in shares (3,567,869) 
owned by Realty Investment Company, 
Inc. for the benefit of Mr. Bainum, Jr.'s nephews.  Mr. Bainum is the trustee 
and his nephews are the 
beneficiaries.  Beneficial ownership is disclaimed. 
Note 13:  Distribution from the Roberta Bainum Irrevocable Trust to Roberta 
Bainum.  Mr. Bainum, Jr. is a co-trustee 
and his sister is the beneficiary.  Beneficial ownership is 
disclaimed.
SIGNATURE OF REPORTING PERSON
Stewart Bainum, Jr.
DATE
5/7/99



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