100 Most Influential People in Healthcare – 2018

ProMedica this summer closed on its acquisition of HCR ManorCare, forming the 15th-largest not-for-profit health system by revenue. ProMedica bought the bankrupt post-acute provider for about $1.4 billion through a complex deal, requiring the conversion of HCR's for-profit facilities into not-for-profit assets. "When you look at the trends in inpatient care and how care is shifting to those settings, either you continue to fight it or you say, 'We've got to get all-in,'" Oostra said when the deal was first announced. "It's a little bit of a leap." Oostra has served as CEO since 2009.