Extendicare
Extendicare is a publicly traded Canadian senior care provider operating 99 long-term care homes across Alberta, Manitoba, and Ontario, and the country's largest home health care platform through ParaMed (including the recent CBI Home Health acquisition). Revenue is primarily government-funded through provincial healthcare programs.
- Company typePublic
- Founded1968
- HeadquartersMarkham, Canada
- Headcount5,001–10,000
- GTM typeB2B and B2C
- OfferingServices
What Extendicare does
Extendicare is a publicly traded Canadian senior care provider founded in 1968 by Harold Livergant, headquartered in Markham, Ontario, and listed on the Toronto Stock Exchange under ticker EXE. The company operates 99 long-term care (LTC) homes across Alberta, Manitoba, and Ontario, delivering 24/7 nursing care, personal support, meals, social activities, and therapies to elderly residents who can no longer live independently. In parallel, Extendicare runs a home health care platform through its subsidiary ParaMed — made Canada's largest following the April 2026 CBI Home Health acquisition — providing in-home nursing, personal support, physiotherapy, occupational therapy, companionship, and medication management services across seven provinces, with approximately 24.5 million+ hours of home and community care delivered annually.
The company also operates two adjacent B2B service lines: SGP Purchasing Network (a group purchasing organization serving healthcare facilities) and Extendicare Assist (management and consulting for independently owned LTC homes). Revenue is generated primarily through provincial government-funded LTC accommodation charges and home care program contracts, supplemented by private-pay rates. In fiscal 2025, Extendicare reported C$1.66 billion in revenue and C$96.6 million in net earnings; on a pro forma basis including CBI Home Health, fiscal 2025 revenue is C$2.164 billion. Q1 2026 revenue was C$465.2 million (+24.2% YoY) with adjusted EBITDA up 52.2% year-over-year.
Operationally, Extendicare uses PointClickCare as its electronic health record platform for clinical documentation across LTC homes and is actively redeploying capital into a "Building for the Future" redevelopment program — C$692.3 million committed to seven new LTC homes, several already opened in 2025 (Extendicare Beauclaire, Crossing Bridge, Limestone Ridge, Countryside, Elmwood Place, Stoneridge Manor). The workforce stands at over 31,500 (including 8,500 added through the CBI acquisition), making Extendicare one of Canada's largest senior care employers. Capital structure was reinforced in late 2025 and early 2026 through a C$200 million private placement of common shares and a C$450 million BBB-rated senior unsecured notes issuance due 2031.
Extendicare firmographics
Firmographics- Name
- Extendicare
- Legal name
- Extendicare Canada Inc.
- Website
- https://extendicare.com
- Company type
- Public
- Founded year
- 1968
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- Extendicare is a publicly traded Canadian senior care provider operating 99 long-term care homes across Alberta, Manitoba, and Ontario, and the country's largest home health care platform through ParaMed (including the recent CBI Home Health acquisition). Revenue is primarily government-funded through provincial healthcare programs.
- Ownership category
- akta.pro rank
Extendicare industry classification
Industry- Product category
- Senior Care Services
- NAICS
- Nursing Care Facilities (Skilled Nursing Facilities) (62311), Home Health Care Services (621610), Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (624120), Assisted Living Facilities for the Elderly (623312)
- SIC
- Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Facilities Support Management Services (8744)
- akta.pro primary industry
- Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB)
Keywords
Where Extendicare is headquartered
LocationHeadquarters
- HQ city
- Markham
- HQ country
- Canada
- HQ region
- North America
Offices2 records
Markets served
Extendicare business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Others
Revenue model
- Long-Term Care Operations: Revenue from operating 99 long-term care homes across Alberta, Manitoba, and Ontario, funded primarily through provincial government healthcare funding and resident accommodations.
- Home Health Care Services: Revenue from ParaMed home healthcare operations providing approximately 24.5 million+ hours of home and community care annually, including services acquired through CBI Home Health.
- Group Purchasing: Revenue from SGP Purchasing Network providing group purchasing services to healthcare facilities.
- Management & Consulting Services: Revenue from Extendicare Assist providing management and consulting services to independently owned long-term care homes.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Monthly | Government-funded long-term care accommodation charges |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels5 records
Extendicare product offering
Product offeringCore offering
Extendicare operates 99 long-term care homes across Alberta, Manitoba, and Ontario providing 24/7 nursing care, personal support, meals, and activities for seniors. Through its ParaMed subsidiary, the company delivers home health care services including nursing, personal support, and therapy across seven Canadian provinces. Extendicare also operates SGP Purchasing Network for group procurement and Extendicare Assist for management consulting services to independently owned long-term care homes, complemented by a portfolio of retirement residences.
Product overview
Extendicare operates as a diversified senior care company offering a coordinated portfolio of long-term care, home health care, and retirement living services across Canada. The core offerings include Extendicare Long-Term Care homes providing 24/7 nursing care, ParaMed Home Health Care services for in-home support, SGP Purchasing Network for group procurement, and Extendicare Assist for management consulting. The company has expanded through acquisitions including CBI Home Health (integrated into ParaMed) and Closing the Gap Healthcare Group. The portfolio also includes multiple retirement residences across Ontario. The company is actively redeveloping its long-term care footprint through its 'Building for the Future' program, replacing older homes with modern facilities featuring private bedrooms and enhanced care spaces.
Differentiator
Problem solved
Functional benefit
Products and services
- Extendicare Long-Term Care Network of 99 long-term care homes in Alberta, Manitoba, and Ontario providing 24/7 nursing care, personal support, meals, social activities, and therapies for seniors who can no longer be cared for at home. Funded primarily through provincial government healthcare programs and resident accommodations.
- ParaMed Home Health Care Home health care services including nursing, personal care, physiotherapy, occupational therapy, companionship, and medication management enabling seniors to remain in their homes. Following the CBI Home Health acquisition, ParaMed operates across seven provinces and provides approximately 24.5 million hours of home and community care annually.
- SGP Purchasing Network Group purchasing organization providing procurement services and purchasing power to long-term care and senior living providers across Canada, leveraging scale to negotiate supply costs for healthcare facilities.
- Extendicare Assist Management and consulting services for independently owned long-term care homes, providing back-office support, operational expertise, and consulting to help non-Extendicare operators meet quality and regulatory standards.
- Extendicare Retirement Residences Portfolio of retirement residences across Ontario offering independent living, assisted living, and enhanced living options with various suite types, amenities, and access to support services for relatively independent seniors.
Quantifiable outcome
- Q1 2026 Adjusted EBITDA increased 52.2% year-over-year to $44.2 million
- +4 more outcomes
Companies that use Extendicare
Customer profileNamed customers1 record
Segments4 records
Ideal customer profiles4 records
Extendicare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Extendicare partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core and minor.
- Guelph Wellington Ontario Health TeamcoreParaMed's partnership with Guelph Wellington OHT's Integrated Patient Care Team (IPCT) Home Care Program provides coordinated patient care through shared documentation and care planning. The program has shown strong patient outcomes with 100% reporting being treated with respect and 93% satisfaction with care planning involvement.
- Health Standards OrganizationminorHSO recognized Extendicare's REACH (Resident Experience Action Council for Homes) program as a Leading Practice for its approach to resident engagement and co-design. HSO develops standards and assessment programs for healthcare quality improvement.
Scale indicators20 records
Recent moves6 records
Expansion highlights6 records
Extendicare competitors and assessment
Company assessmentEmerging players
- Aveanna Healthcare: U.S. home health and private duty nursing provider serving medically complex pediatric and adult patients. Comparable in private duty home health service line to ParaMed's extended care offerings.
Direct peers
- Revera Inc. Privately held Canadian senior care provider operating retirement residences and long-term care homes. Competes directly with Extendicare in LTC and also sells home health (formerly divested the home health business to Extendicare in 2015).
- Chartwell Retirement Residences: Major Canadian owner/operator of retirement residences and long-term care homes across multiple provinces. Closely comparable in senior care service mix, public-company structure, and provincial funding exposure.
- Bayshore HealthCare: One of Canada's largest home and community health care providers offering nursing, personal care, and therapy services. Direct peer to ParaMed/CBI Home Health across home health services and provincial contracts.
- Amica Senior Lifestyles: Canadian owner/operator of premium retirement residences, primarily in Ontario and British Columbia. Comparable retirement living service line within Extendicare's portfolio.
- SE Health (Saint Elizabeth Health Care): Major Canadian not-for-profit home and community health care provider. Directly comparable to ParaMed in delivering nursing, personal support, and rehabilitation services across multiple provinces.
- Sienna Senior Living: One of Canada's largest senior living and LTC operators with a similar footprint across Ontario and British Columbia. Directly comparable in LTC and retirement living services, market, and government-funded revenue model.
Broad incumbents
- Brookdale Senior Living: Largest U.S. operator of senior living communities offering independent living, assisted living, memory care, and home health. Comparable broader senior care portfolio though geographically focused on the U.S.
- Encompass Health: U.S. provider of post-acute care, home health, and hospice services. Comparable in home health and rehabilitation services to ParaMed/CBI, though broader in inpatient rehabilitation.
- Welltower Inc. U.S. healthcare REIT that invests in senior housing, post-acute care, and outpatient medical facilities. Comparable as a capital partner/operator in senior care real estate, though operating model differs.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Extendicare social profiles
Digital presenceExtendicare compliance and trust
Trust signalCompliance1 record
Extendicare financial estimates
Financial estimateRevenue estimate
Valuation estimate
Extendicare leadership team
Management profileNumber of profiles
Profiles7 records
Extendicare subsidiaries and ownership
Company hierarchySubsidiaries5 records
Extendicare funding detail
Funding detailFunding overview
Funding rounds4 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Extendicare M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Extendicare
What does Extendicare do?
Extendicare operates 99 long-term care homes across Alberta, Manitoba, and Ontario providing 24/7 nursing care, personal support, meals, and activities for seniors. Through its ParaMed subsidiary, the company delivers home health care services including nursing, personal support, and therapy across seven Canadian provinces. Extendicare also operates SGP Purchasing Network for group procurement and Extendicare Assist for management consulting services to independently owned long-term care homes, complemented by a portfolio of retirement residences.
Is Extendicare a public or private company?
Extendicare is a public company. It is classified as public and is currently operating.
When was Extendicare founded?
Extendicare was founded in 1968. It employs 5,001 to 10,000 people.
Where is Extendicare based?
Extendicare is headquartered in Markham, Canada, in the North America region.
How does Extendicare make money?
Four revenue lines are on record. Long-Term Care Operations are the primary driver. The others are home Health Care Services, group Purchasing and management & Consulting Services.
Who are Extendicare's main competitors?
Aveanna Healthcare is listed as an emerging player. Direct peers are Revera Inc., Chartwell Retirement Residences, Bayshore HealthCare, Amica Senior Lifestyles, SE Health (Saint Elizabeth Health Care) and Sienna Senior Living. Broad incumbents are Brookdale Senior Living, Encompass Health and Welltower Inc..
Does Extendicare have an API?
No public API is recorded for Extendicare.
What industry is Extendicare in?
Extendicare's product category is Senior Care Services. Its primary akta.pro industry code is HLADADAB, Long-Term Care Nursing Homes (Custodial LTC). Its NAICS code is 62311 and its SIC code is 8051.