Extendicare

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.

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

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

• Long-term care services
• Senior home healthcare
• Retirement living services
• Healthcare group purchasing
• Long-term care management

Headquarters

HQ city

Markham

HQ country

Canada

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Others

Revenue model

1. 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.
2. 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.
3. Group Purchasing: Revenue from SGP Purchasing Network providing group purchasing services to healthcare facilities.
4. Management & Consulting Services: Revenue from Extendicare Assist providing management and consulting services to independently owned long-term care homes.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core 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

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Partnerships

Two partnerships are on record, tiered core and minor.

• Guelph Wellington Ontario Health TeamcoreStrategic or Co-development Partner · 1 January 2026ParaMed'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 OrganizationminorOthers · 1 January 2026HSO 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

Emerging 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

• Xx.com/extendicare
• Facebookfacebook.com/ExtendicareCAN
• LinkedInlinkedin.com/company/163748
• Instagraminstagram.com/extendicarecanada

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries5 records

Funding overview

Funding rounds4 records

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Extendicare