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Company Description

Contact Info

3000 Steeles Avenue East

Suite 700

Markham, ON L3R 9W2


Phone: 905-470-4000


Extendicare Real Estate Investment Trust operates as an unincorporated, open-ended limited purpose trust. It provides long-term care and related services in North America. As of December 31, 2007, the company, through its subsidiaries, operated 269 nursing and assisted living facilities in the United States and Canada, with capacity for 30,333 residents. The company’s operations are divided into two operating groups, Extendicare Health Services, Inc. (EHSI) in the United States and Extendicare (Canada) Inc. (ECI) in Canada. It self-insures its general and professional liability risks through its 100% owned subsidiaries: Laurier Indemnity Company, Ltd.; Laurier Indemnity Company; and LTC Professional Insurance Company, Ltd. Through The Progressive Step Corporation, EHSI operates primarily nursing facilities, and assisted living facilities in the United States, through which it offers a continuum of health care services, including nursing home care, assisted living and related medical specialty services, such as subacute care and rehabilitative therapy on an inpatient and outpatient basis. It also offers information technology services to smaller long-term care providers through Virtual Care Provider, Inc. (VCPI). Home health care services are provided in Canada through ParaMed Home Health Care (ParaMed). It also offers management and consulting services, and group purchasing of supplies to third parties across North America. OPERATIONS United States Nursing Care: EHSI provides various long-term nursing care, including skilled nursing services, subacute care and rehabilitative therapy services to assist patients who are recovering from acute illness or injury but do not require the specialized services of a hospital. The nursing homes provide daily dietary services, social services and recreational activities, as well as basic services, such as housekeeping and laundry. As of December 31, 2007, EHSI operated 180 nursing facilities and one inpatient rehabilitation hospital with 18,711 beds in 12 states. Assisted and Independent Living Services: Assisted living care encompasses various senior living services and care options, which include independent living, assisted living and different levels of skilled nursing care. EHSI primarily operates assisted living facilities; it does operate independent living facilities. Assisted living meets the needs of seniors seeking accommodation with supportive care and services or who require rehabilitative services. Independent living is designed to serve the needs of seniors who choose to live in an environment surrounded by their peers, where they would receive such services as housekeeping, meals and activities, but are not reliant on assistance with daily living activities, such as bathing, eating and dressing. In its assisted living facilities, EHSI provides residential accommodations, activities, meals, security, housekeeping, and assistance in the activities of daily living to seniors who require support, but not the level of nursing care provided in a nursing facility. The assisted living facilities primarily offer studio and one or two-bedroom units. As of December 31, 2007, EHSI operated four owned (339 units) and six managed (206 units) assisted living facilities in six states (Michigan, Pennsylvania, Washington, Ohio, Indiana and Wisconsin). Management and Selected Consulting Services: EHSI uses its long-term care operating expertise to provide third parties with management services through Partners Health Group, LLC, or selected consulting services through Fiscal Services Group, LLC, two wholly owned subsidiaries of EHSI. On a regional level, EHSI provides consultants in the areas of nursing, dietary, laundry and housekeeping to long-term care operators under a consulting or management services basis. Similarly, through its head office support group, EHSI provides professionals to assist other operators in the areas of cost reimbursement and accounting services. As of December 31, 2007, EHSI had seven nursing facilities (813 beds) and six assisted living facilities (206 units) under full management contracts and 72 facilities (9,574 beds) under consulting


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Valuation EXE Industry Range
Price/Earnings 34.6x
Price/Sales 0.8x
Price/Book 5.1x
Price/Cash Flow 3.2x
TEV/Sales 0.3x

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