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Extendicare (EXE) investor relations material

Extendicare M&A Announcement summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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M&A Announcement summary19 Nov, 2025

Deal rationale and strategic fit

  • Acquisition creates the largest home health care platform in Canada, expanding national reach and market presence, especially in Alberta.

  • Advances a services-focused growth strategy, adding scale to technology platforms and enabling innovative care models and hospital partnerships.

  • Capitalizes on demographic trends and government investment in home health care, addressing rising demand and system strain.

  • Broadens service offerings and supports more Canadians to live independently at home.

Financial terms and conditions

  • Purchase price is CAD 570 million, representing 9.4x Adjusted EBITDA, or 8.4x post-synergies.

  • Funded by upsized credit facilities, a $200 million private placement equity offering, and cash on hand.

  • Pro forma combined revenue will be CAD 2.2 billion and Adjusted EBITDA approximately CAD 228 million.

  • Pro forma total debt to Adjusted EBITDA is 3.3x post-acquisition.

  • Includes $13.6 million in estimated lease liabilities under IFRS 16.

Synergies and expected cost savings

  • Approximately CAD 7.4 million in IT and back-office cost synergies expected within two years post-closing.

  • Additional $5–7 million in longer-term efficiencies anticipated through technology and productivity gains.

  • Post-synergy, AFFO per share expected to increase by 20% and earnings per share by 15%.

  • Further efficiencies anticipated through scale and technology, not included in initial synergy estimates.

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Frequently asked questions

Extendicare Inc provides senior care and related services across Canada, operating long-term care homes and retirement living communities. The company also offers home health care services, including nursing, personal support, and rehabilitation. Extendicare supports its operations through clinical, administrative, and management services, addressing a broad range of needs for aging populations. The company is headquartered in Markham, Canada, and its shares are listed on the TSX.

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