PROSPECTUS SUPPLEMENT NO. 4 Filed pursuant to Rule 424(b)(3)

(To Prospectus Dated December 16, 2005) File Number 333-129107

$400,000,000

Manor Care, Inc.

2.125% Convertible Senior Notes due 2035

Shares of Common Stock Issuable Upon Conversion of the Notes

        This prospectus supplement no. 4 supplements the prospectus dated December 16, 2005 relating to the resale from time to time by certain securityholders of up to $400,000,000 of our 2.125% Convertible Senior Notes due 2035 and the shares of common stock issuable upon conversion of the notes. You should read this prospectus supplement in conjunction with the prospectus. This prospectus supplement no. 4 is qualified by reference to the prospectus, except to the extent that the information in this prospectus supplement no. 4 supersedes the information contained in the prospectus.

      The information appearing under the heading “Selling Securityholders” in the prospectus is hereby amended by the addition or substitution, as applicable, of the following:

	Principal
	Amount of Notes
	Beneficially Owned		Percentage		Percentage of		Common
	and Offered		of Notes		Common Stock		Stock Offered
Name	Hereby		Outstanding		Outstanding(1)		Hereby(2)
Tribeca Global Convertible Investments LTD.	$	6,000,000		1.50%		0.20%		160,901
Virginia Retirement System	$	5,355,000		1.34%		0.18%		143,604

(1)

Calculated based on 78,766,487 shares of our common stock outstanding as of September 30, 2005. In calculating this amount for each holder, we treated as outstanding the number of shares of our common stock issuable upon conversion of all that holder’s notes, but we did not assume conversion of any other holder’s notes.

(2)

Represents the maximum number of shares of our common stock issuable upon conversion of all of the holder’s notes, based on the maximum conversion rate of 26.8168 shares of our common stock per $1,000 principal amount at maturity of the notes. This conversion rate is subject to adjustment, however, as described in the prospectus under “Description of notes—Conversion rights—Conversion rate adjustments.” As a result, the maximum number of shares of our common stock issuable upon conversion of the notes may increase or decrease in the future.

       You should carefully consider matters discussed under the caption “Risk Factors” beginning on page 6 of the prospectus.

       Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or passed upon the accuracy or adequacy of this prospectus supplement or the accompanying prospectus. Any representation to the contrary is a criminal offense.

The date of this prospectus supplement is January 24, 2006