Investor presentation
Logotype for Extendicare Inc

Extendicare (EXE) Investor presentation summary

Event summary combining transcript, slides, and related documents.

Logotype for Extendicare Inc

Investor presentation summary

1 Jun, 2026

Strategic positioning and growth drivers

  • Largest seniors' care provider in Canada, focused on long-term and home health care, with 58 years of experience and a strong acquisition pipeline in a fragmented market.

  • Over 90% of revenue comes from government contracts, providing revenue stability and insulation from economic cycles.

  • Capital-efficient growth through a joint venture with Axium Infrastructure, enabling expansion of long-term care homes with minimal capital requirements.

  • Strong balance sheet with low leverage (pro forma debt to adjusted EBITDA ~2.8x) and significant available liquidity (~$228M).

  • Annual dividend per share of $0.5292 and a payout ratio of ~41%.

Market opportunity and demographic trends

  • Canadian seniors aged 85+ are growing at ~4% per year, with a projected need for over 200,000 new LTC beds by 2035.

  • Ontario's LTC bed ratio has declined from 99 to 57 beds per 1,000 people aged 75+ since 2006, with a waitlist exceeding 50,000.

  • Home health care volumes are growing faster than the seniors' population, helping bridge the LTC shortfall.

Business segments and performance

  • Home health care segment delivered 14.5M ParaMed hours and added ~10M hours from CBI Home Health, with adjusted NOI margin at a multi-year high of 13.5%.

  • Long-term care segment operates 59 fully owned homes (8,147 beds), with occupancy above 98% and adjusted NOI margin at 11.6%.

  • Managed services (Extendicare Assist and SGP) serve ~157,100 beds, with consistent NOI margins of 50-55%.

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