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Extendicare REIT Announces Improved 2009 First Quarter Results
Results Demonstrate Success with Operating Plan

MARKHAM, ONTARIO -- (Marketwire) -- 05/06/09 -- Extendicare Real Estate Investment Trust ("Extendicare REIT" or the "REIT") (TSX: EXE.UN) today reported improved 2009 first quarter results.

Highlights:

- EBITDA of $64.8 million in Q1 2009 increased 18.4%, exclusive of the impact of foreign exchange, relative to $46.2 million in Q1 2008.

- EBITDA margins improved to 11.1% in Q1 2009 from 9.7% in Q1 2008 from cost saving initiatives and the back-to-basics plan.

- Medicare Part A and Managed Care rates grew 8.5% and 13.4%, respectively, from Q1 2008; and 2.1% and 2.6%, respectively, from Q4 2008.

- Cash on hand of $120.1 million with no significant debt maturities until 2011 and beyond.

Adjusted funds from continuing operations improved $6.0 million, or 33.0%, to $24.2 million ($0.332 per basic unit) in the 2009 first quarter from $18.2 million ($0.258 per basic unit) in the 2008 first quarter. The stronger U.S. dollar contributed to $4.0 million ($0.055 per basic unit) of the AFFO improvement. Distributions declared in the 2009 first quarter of $15.3 million, or $0.07 per unit per month, represented 63.2% of adjusted funds from continuing operations.

"We are encouraged by the improvement in the first quarter as a result of the implementation of our back-to-basics operating plan," said Tim Lukenda, President and CEO of Extendicare REIT. "While there may be challenges on the horizon, we are confident that we are positioned to be successful in an evolving health care environment. Our balance sheet and cash on hand provide a solid base to weather the current economic environment and continue sustained growth for the long term."

EHSI SKILLED NURSING FACILITY REVENUE RATES

The average daily Medicare Part A rate for our wholly owned U.S. subsidiary, Extendicare Health Services, Inc. (EHSI), grew 8.5% to US$445.71 in the 2009 first quarter from US$410.69 in the 2008 first quarter. The October 1, 2008, market basket inflationary increase accounted for approximately 3.4% of the rate increase, with the remainder primarily related to higher average acuity levels among Medicare patients served. In comparison to the 2008 fourth quarter, our average daily Medicare Part A grew 2.1% due to a continued improvement in the mix of Medicare residents.

Our percentage of Medicare residents in the nine highest Resource Utilization Groupings (RUGs) classifications increased to 41.0% this quarter from 37.2% in the 2008 first quarter, as well as increasing from 38.9% in the 2008 fourth quarter. In addition, we experienced an increase in the percentage of Medicare residents receiving therapy services to 89.4% this quarter from 87.5% in the 2008 first quarter, as well as from the 2008 fourth quarter of 88.0%.

The average revenue rate for Managed Care clients increased 13.4% to US$379.58 this quarter from US$334.86 in the 2008 first quarter, and increased 2.6% from the 2008 fourth quarter. This is an important revenue growth opportunity as it represents the second highest rate component of our quality mix of residents.

EHSI'S TOTAL AND SKILLED CENSUS

While our same-facility average daily census (ADC) remained relatively unchanged from the 2008 fourth quarter level of 14,984, we did see an improvement in our skilled mix of 188, or 5.6%, to 3,544. We experienced a similar trend last year from the 2007 fourth quarter to the 2008 first quarter. Our same-facility ADC from EHSI's skilled nursing centers declined 217, or 1.4%, to 14,981 in the 2009 first quarter from 15,198 in the 2008 first quarter.


2009 FIRST QUARTER FINANCIAL REVIEW

TABLE 1                          Q1                  Q1                  Q4
---------------------------------------------------------------------------
                               2009                2008                2008
---------------------------------------------------------------------------
(millions of dollars unless otherwise noted)
Revenue
U.S. operations (US$)         346.2               333.6               343.0
---------------------------------------------------------------------------
U.S. operations (C$)          431.3               335.0               413.5
Canadian operations           152.9               142.4               162.5
---------------------------------------------------------------------------
Total Revenue                 584.2               477.4               576.0
---------------------------------------------------------------------------
---------------------------------------------------------------------------
EBITDA (1)
U.S. operations (US$)          41.9                36.6                38.2
---------------------------------------------------------------------------
U.S. operations (C$)           52.2                36.8                45.6
Canadian operations            12.6                 9.4                16.6
---------------------------------------------------------------------------
Total EBITDA                   64.8                46.2                62.2
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Average US/Canadian dollar
 exchange rate               1.2456              1.0042              1.2078
---------------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.

2009 First Quarter Comparison to 2008 First Quarter

Revenue for the 2009 first quarter grew $106.8 million, or 22.4%, to $584.2 million from $477.4 million in the 2008 first quarter. However, exclusive of the impact of the weaker Canadian dollar, revenue grew $23.2 million, or 4.9%, of which approximately $17.2 million was due to growth in same-facility operations of 3.6% quarter over quarter, as a result of funding improvements, partially offset by lower U.S. occupancy levels.

EBITDA for the 2009 first quarter grew $18.6 million, or 40.3%, to $64.8 million compared to $46.2 million for the 2008 first quarter, and as a percent of revenue improved to 11.1% from 9.7%. Exclusive of the impact of the weaker Canadian dollar, EBITDA grew $8.5 million, or 18.4%, with increased contributions from both the U.S. and Canadian operations.

EBITDA from U.S. operations in U.S. dollars improved US$5.3 million, or 14.5%, this quarter, with US$4.6 million, or 12.4%, attributable to same-facility operations. This improvement included favourable prior period state adjustments of US$1.4 million with the balance of the increase of US$3.2 million due to funding increases and cost controls.

EBITDA from Canadian operations improved $3.2 million to $12.6 million this quarter from $9.4 million in the 2008 first quarter, primarily due to funding enhancements and timing of spending under the Ontario nursing home envelope system.

2009 First Quarter Comparison to 2008 Fourth Quarter

In comparison to the 2008 fourth quarter, revenue this quarter grew $8.2 million, or 1.4%. However, exclusive of a positive impact of the weaker Canadian dollar, revenue declined $5.6 million this quarter. A decline in revenue from the Canadian operations due primarily to seasonality, was partially offset by an improvement in the U.S. operations.

EBITDA for the 2009 first quarter improved $2.6 million to $64.8 million compared to $62.2 million in the 2008 fourth quarter, and excluding a positive impact of the weaker Canadian dollar, EBITDA increased $0.5 million, with improvements from the U.S. operations partially offset by a decline in the Canadian operations. As a percent of revenue, EBITDA improved to 11.1% from 10.8% in the 2008 fourth quarter.

EBITDA from U.S. operations this quarter was higher by US$3.7 million, or 9.7%, from the 2008 fourth quarter. EBITDA between periods was favourably impacted by prior period state adjustments of US$1.0 million. Utility costs were seasonally higher by US$1.2 million this quarter. The balance of the US$3.9 million improvement was primarily due to increases in payor mix, partially offset by two less days in the quarter.

EBITDA from Canadian operations declined $4.0 million this quarter from the 2008 fourth quarter, of which $1.4 million was due to retro funding received in the 2008 fourth quarter. The balance of the decline of $2.6 million was primarily due to a seasonal increase in utility costs, timing of spending under the Ontario nursing home envelope system and lower volumes and increased labour costs in the home health care operations.

Earnings from Continuing Operations

We reported improved earnings from continuing operations in the 2009 first quarter of $4.5 million ($0.06 per diluted unit) compared to $3.6 million ($0.05 per diluted unit) in the 2008 first quarter. Each quarter reflected a loss on our derivative financial instruments and foreign exchange of pre-tax $5.0 million ($5.2 million after tax) and $4.2 million ($3.5 million after tax), respectively, due to the weakening Canadian dollar.


TABLE 2                          Three months ended March 31
-----------------------------------------------------------------
                                     2009             2008
-----------------------------------------------------------------
                                            Per               Per
Components of Earnings from     After   diluted   After   diluted
 Continuing Operations (1)       -tax      unit    -tax      unit
-----------------------------------------------------------------
(thousands of dollars except per unit amounts)
Continuing Operations before Undernoted (1)
U.S. operations (US$)           7,808             7,160
-----------------------------------------------------------------
U.S. operations (C$)            9,732             7,189
Canadian operations              (208)              (69)
-----------------------------------------------------------------
                                9,524     $0.13   7,120     $0.10
Loss on derivative financial instruments
 and foreign exchange          (5,245)    (0.07) (3,529)    (0.05)
Gain from asset impairment,
 disposals and other items        171
-----------------------------------------------------------------
Earnings from continuing
 operations                     4,450     $0.06   3,591     $0.05
-----------------------------------------------------------------
-----------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.

Earnings from continuing operations prior to separately reported items, as outlined in Table 2 above, improved by $2.4 million ($0.03 per diluted unit) to $9.5 million ($0.013 per diluted unit) in the 2009 first quarter from $7.1 million ($0.10 per diluted unit) in the 2008 first quarter. This improvement in earnings was due to the previously discussed improvement in EBITDA, offset by increases in financing costs and depreciation due primarily to the June 2008 convertible debt offering, acquisitions and capital expenditures, and higher income taxes.

ADJUSTED FUNDS FROM OPERATIONS (AFFO)

AFFO from continuing operations improved $6.0 million to $24.2 million ($0.332 per basic unit) in the 2009 first quarter from $18.2 million ($0.258 per basic unit) in the 2008 first quarter. The results were impacted by the weaker Canadian dollar, which increased AFFO by $4.0 million, partially offset by increased facility maintenance capital expenditures of $1.5 million (excluding the impact of the weaker Canadian dollar). The balance of the $3.5 million improvement in AFFO from continuing operations was primarily due to the improvement in EBITDA, offset by increased income taxes and financing costs.

In comparison to the 2008 fourth quarter AFFO from continuing operations improved $2.0 million this quarter from $22.2 million ($0.300 per basic unit), primarily due to the improvements in EBITDA and $2.3 million in lower spending of facility maintenance costs, partially offset by higher income taxes.

Facility maintenance capital expenditures of $7.3 million in the 2009 first quarter were 1.3% of revenue, compared to $4.5 million, or 0.9% of revenue, in the 2008 first quarter, and $9.6 million, or 1.7% of revenue, in the 2008 fourth quarter. The facility maintenance costs fluctuate on a quarterly basis with the timing of projects and seasonality. Certain 2008 planned projects that commenced last year were carried over to 2009. It is our intention to expend between 1.5% and 2.0% of revenue annually, which is consistent with our objective to maintain and upgrade our centers. We are expecting to spend approximately $39.0 million in facility maintenance capital expenditures and approximately $57.0 million in growth capital expenditures in 2009.

DEVELOPMENT PROJECTS

We currently have five construction projects underway, and one to commence construction this summer, with completion dates as indicated in parentheses, as follows:

- 100-bed skilled nursing center in Okemos, Michigan (June 2009);

- 100-bed skilled nursing center in Summit, Wisconsin (December 2009);

- 60-unit assisted living center in Summit, Wisconsin (December 2009);

- 280-bed continuing care center in Red Deer, Alberta (summer 2010);

- 140-bed designated assisted living center in Lethbridge, Alberta (spring 2011); and

- 180-bed nursing center in Edmonton, Alberta (summer 2011).

Proceeds from our $120.6 million financing in June 2008, together with construction financing from Canada Mortgage and Housing Corporation (CMHC), will finance 100% of these projects. Each of these projects is expected to achieve returns that justify the investment in the current economic climate.

LIQUIDITY AND CAPITAL RESOURCES

At March 31, 2009, we had cash and cash equivalents of $120.1 million compared with $123.1 million at December 31, 2008. Cash provided by operating activities grew to $36.9 million in the 2009 first quarter compared to $12.0 million in the 2008 first quarter. This increase reflected the improvement in earnings and a favourable change of $14.7 million in operating assets and liabilities between periods. Accounts receivable improved by $15.6 million in the 2009 first quarter primarily due to improved collections and the receipt in January 2009 of the $8.7 million (US$7.0 million) return premium associated with the exercise in 2008 of our option to commute our reinsurance coverage for the three-year period covering 2005 to 2007.

Capital additions to property and equipment, excluding acquisitions, were $20.6 million in the 2009 first quarter compared to $14.1 million in the 2008 first quarter. Growth expenditures totalled $13.3 million this quarter versus $9.6 million in the 2008 first quarter, while facility maintenance capital expenditures were $7.3 million and $4.5 million, respectively.

Long-term debt, including current portion, was $1,359.5 million at March 31, 2009, compared to $1,332.8 million at December 31, 2008. The $26.7 million increase in long-term debt was due to the impact of the weaker Canadian dollar of $30.1 million, offset by a net reduction in our long-term debt of $3.4 million. At March 31, 2009, long-term debt (at face value and including current portion) represented 45.7% of adjusted gross book value (39.0% excluding the convertible debentures). Our consolidated leverage ratio, or debt to trailing twelve months EBITDA, has improved to 6.2 times, from 6.7 times at the end of 2008.

We have two mortgages totalling US$7.2 million maturing in July 2009 as well as the renewal in October of our US$120.0 million credit facility, under which we had US$11.0 million drawn at March 31, 2009. Plans are currently underway to refinance the July mortgages and we are currently in process on the renewal of our credit facility by the end of the 2009 second quarter.

We have no significant debt maturities until 2011, when our US$50.0 million Michigan term loan and US$500.0 million in CMBS financings mature in the second and fourth quarters, respectively, followed by our US$90.0 million in CMBS financings maturing in March 2012. We have already commenced steps to refinance this debt. In Canada the majority of our mortgages are CMHC backed, with no significant maturities until 2013, when $110.0 million matures.

We are confident that our cash from operating activities, together with available bank credit facilities, will be sufficient to fund the current requirements of our ongoing operations, facility maintenance capital expenditures, and debt repayment obligations. The REIT structure necessitates raising funds through debt financings and the capital markets to fund strategic acquisitions and growth capital expenditures. The financing completed in June 2008, in addition to other cash on hand, will adequately cover our planned growth capital expenditures and development projects. Given the current economic conditions, we continue to be prudent to ensure we meet our future operational and capital commitments.

MEDICARE AND MEDICAID FUNDING ANNOUNCEMENTS

On May 1, 2009, the Centers for Medicare & Medicaid Services (CMS) announced a market basket increase of 2.1% on October 1, 2009. In addition, CMS announced that it planned to implement the previously discussed recalibration or forecasting error adjustment that would result in a reduction of 3.3% in Medicare rates effective October 1, 2009. The net impact of these two announcements would result in an estimated 1.2% reduction in Medicare rates. CMS also announced its intention to introduce other modifications that would impact resident assessments and rates that would become effective on October 1, 2010. All of these announcements are subject to public comment until June 30, 2009. In 2008, CMS proposed a similar 3.1% recalibration adjustment in May that was subsequently reversed in July 2008. We are currently in the process of examining in full the Notice of Provider Reimbursement document issued by CMS to quantify the potential impact and along with other providers prepare a response. Our preliminary estimates indicate that, should the proposed net rate reduction of 1.2% be implemented, our Medicare revenue would be reduced by approximately US$4.5 million per annum.

Over the next several months the REIT will gain certainty on those reimbursement rates that are effective as of July 1, 2009 for Medicaid. The respective state associations are lobbying hard for continuation of consistent funding in the sector. While certain states may experience rate reductions, we are confident that the majority of states in which we operate will retain funding at least at current levels.

MAY DISTRIBUTION DECLARED

The Board of Trustees of the REIT today declared a cash distribution of $0.07 per unit for the month of May 2009, which is payable to unitholders of record at the close of business on May 29, 2009, and will be paid on June 15, 2009.

Extendicare Limited Partnership (the "Partnership") also announced that it has declared a cash distribution of $0.07 per Class B limited partnership unit for the month of May 2009, which is payable to unitholders of record at the close of business on May 29, 2009, and will be paid on June 15, 2009.

Management estimates that approximately 70% of the 2009 distributions of the REIT and Partnership will be characterized as tax deferred returns of capital for Canadian residents. To the extent the remaining 30% of distributions of the REIT and Extendicare LP to be made in 2009 are taxed as dividends, those paid to Canadian residents are eligible dividends as per the Income Tax Act (Canada) (the "Act"). The REIT is not required to, and does not, calculate its "earnings and profits" pursuant to the United States Internal Revenue Code of 1986, as amended (the "Code"), and therefore no portion of its distributions represent qualified dividend income for U.S. tax purposes.

As previously announced, a portion of the May distribution will be treated as U.S. source interest income in the hands of the unitholders of the REIT and Partnership. The Canadian dollar amount of the U.S. source interest income in the May 2009 distribution is estimated to be $0.02093 per unit. This U.S. source interest income is subject to U.S. withholding tax for non-U.S. residents, and U.S. backup withholding tax for U.S. holders. Unitholders may be eligible for the portfolio interest exemption under Sections 871 and 881 of the Code by submitting a valid Form W-8BEN or Form W-9, as applicable to their broker or administrator.

ABOUT US

Extendicare REIT is a leading North American provider of long-term and short-term senior care services through its network of owned and operated health care centers. We employ 37,900 qualified and experienced individuals dedicated to helping people live better through a commitment to quality service that includes post-acute care, rehabilitative therapies and home health care services. Our 264 senior care centers in North America have capacity for approximately 29,500 residents.

CONFERENCE CALL AND WEBCAST

On May 7, 2009, at 10:00 a.m. (ET), we will hold a conference call to discuss our results for the 2009 first quarter. The call will be webcast live and archived in the investors/presentations & webcasts section of our website at www.extendicare.com. Alternatively, the call-in number is 1-888-789-9572 or 416-695-7806, conference ID number 6552278#. A replay of the call will be available until midnight on May 22, 2009. To access the rebroadcast, dial 1-800-408-3053 or 416-695-5800, followed by the passcode 7056085#. Slides accompanying remarks during the call will be posted to our website as part of the live webcast. Also, a supplemental information package containing historical quarterly financial results and operating statistics can be found on the website under the investors/financial reports section.

Certain 2008 figures have been revised to conform to the presentation in 2009, mainly for discontinued operations.

Non-GAAP Measures

Extendicare REIT assesses and measures operating results and financial position based on performance measures referred to as "EBITDA", "continuing health care operations before undernoted", "continuing operations before undernoted", "Distributable Income", "Funds from Operations", "Adjusted Funds from Operations" and "Adjusted Gross Book Value". These are not measures recognized under GAAP and do not have standardized meanings prescribed by GAAP. These non-GAAP measures are presented in this document because either: (i) management believes that they are a relevant measure of the ability of the REIT to make cash distributions; or (ii) certain ongoing rights and obligations of the REIT may be calculated using these measures. Such non-GAAP measures may differ from similar computations as reported by other issuers and, accordingly, may not be comparable to similarly titled measures as reported by such issuers. They are not intended to replace earnings (loss) from operations, net earnings (loss) for the period, cash flow, or other measures of financial performance and liquidity reported in accordance with Canadian GAAP. Reconciliations of these non-GAAP measures from net earnings and/or from cash provided by operations, where applicable, are provided in this press release. Detailed descriptions of these terms can be found in the disclosure documents filed by Extendicare REIT with the securities regulatory authorities, available at www.sedar.com and on the REIT's website at www.extendicare.com.

Forward-looking Statements

Information provided by Extendicare REIT from time to time, including this release, contains or may contain forward-looking statements concerning anticipated financial events, results, circumstances, economic performance or expectations with respect to the REIT and its subsidiaries, including its business operations, business strategy, and financial condition. Forward-looking statements can be identified because they generally contain the words "expect", "intend", "anticipate", "believe", "estimate", "project", "plan" or "objective" or other similar expressions or the negative thereof. Forward-looking statements reflect management's beliefs and assumptions and are based on information currently available, and the REIT assumes no obligation to update or revise any forward-looking statement, except as required by applicable securities laws. These statements are not guarantees of future performance and involve known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of the REIT to differ materially from those expressed or implied in the statements. Given these risks and uncertainties, readers are cautioned not to place undue reliance on the REIT's forward-looking statements. Further information can be found in the disclosure documents filed by Extendicare REIT with the securities regulatory authorities, available at www.sedar.com and on the REIT's website at www.extendicare.com.


                                EXTENDICARE REIT
                         Condensed Consolidated Earnings

                                                         Three months ended
(thousands of Canadian dollars except per unit amounts)       March 31
---------------------------------------------------------------------------
                                                        2009           2008
---------------------------------------------------------------------------
Revenue                                                            (revised)
Nursing and assisted living centers
 United States                                       415,717        323,414
 Canada                                              114,384        105,574
Home health - Canada                                  36,004         34,311
Outpatient therapy - United States                     3,731          2,992
Other                                                 14,413         11,141
---------------------------------------------------------------------------
                                                     584,249        477,432
Operating expenses                                   495,847        411,709
Administrative costs                                  19,923         16,448
Lease costs                                            3,692          3,069
---------------------------------------------------------------------------
EBITDA (1)                                            64,787         46,206
Depreciation and amortization                         17,719         13,505
Accretion expense                                        444            357
Interest expense                                      25,837         21,350
Interest income                                       (1,128)        (1,450)
Loss on derivative financial instruments
 and foreign exchange                                  4,950          4,212
Gain from asset impairment, disposals
 and other items                                        (257)
---------------------------------------------------------------------------
Earnings from continuing operations
 before income taxes                                  17,222          8,232
---------------------------------------------------------------------------
Income tax expense (recovery)
Current                                               11,171          6,285
Future                                                 1,601         (1,644)
---------------------------------------------------------------------------
                                                      12,772          4,641
---------------------------------------------------------------------------
Earnings from continuing operations                    4,450          3,591
Discontinued operations                                 (793)           (13)
---------------------------------------------------------------------------
Net earnings                                           3,657          3,578
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Basic and Diluted Earnings per Unit ($)
Earnings from continuing operations                     0.06           0.05
Net earnings                                            0.05           0.05
---------------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.
---------------------------------------------------------------------------



                                EXTENDICARE REIT
                        Condensed Consolidated Cash Flows
                                                         Three months ended
(thousands of Canadian dollars)                              March 31
---------------------------------------------------------------------------
                                                        2009           2008
---------------------------------------------------------------------------
Operating Activities
Net earnings                                           3,657          3,578
Adjustments for:
 Depreciation and amortization                        17,883         14,063
 Provision for self-insured liabilities                5,325          3,907
 Payments for self-insured liabilities                (3,120)        (4,214)
 Future income taxes                                   1,595         (1,139)
 Loss on derivative financial instruments
  and foreign exchange                                 4,950          4,212
 Gain from asset impairment, disposals
  and other items                                       (257)
 Gain from asset impairment, disposals and other
  items from discontinued operations                  (1,426)          (368)
 Other                                                 3,339          1,685
---------------------------------------------------------------------------
                                                      31,946         21,724
---------------------------------------------------------------------------
Net change in operating assets and liabilities
 Accounts receivable                                  15,583        (17,609)
 Supplies and prepaid expenses                        (6,610)        (8,083)
 Accounts payable and accrued liabilities             (7,509)        12,574
 Income taxes                                          3,502          3,363
---------------------------------------------------------------------------
                                                       4,966         (9,755)
---------------------------------------------------------------------------

                                                      36,912         11,969
---------------------------------------------------------------------------
Investing Activities
Capital additions                                    (20,595)       (14,065)
Net proceeds from dispositions                         9,995          1,528
Other assets                                          (2,094)           722
---------------------------------------------------------------------------
                                                     (12,694)       (11,815)
---------------------------------------------------------------------------
Financing Activities
Issue of long-term debt                                5,712            962
Issue on line of credit                                               9,038
Repayment of long-term debt                          (10,240)        (9,073)
Decrease in investments held for
 self-insured liabilities                                555            893
Purchase of securities for cancellation               (6,189)          (117)
Distributions paid                                   (16,282)       (18,917)
Other                                                 (1,567)           726
---------------------------------------------------------------------------
                                                     (28,011)       (16,488)
---------------------------------------------------------------------------

Foreign exchange gain on cash held in
 foreign currency                                        853            216
---------------------------------------------------------------------------
Decrease in cash and cash equivalents                 (2,940)       (16,118)
Cash and cash equivalents at beginning of period     123,084         44,234
---------------------------------------------------------------------------
Cash and cash equivalents at end of period           120,144         28,116
---------------------------------------------------------------------------
---------------------------------------------------------------------------



                                EXTENDICARE REIT
                     Condensed Consolidated Balance Sheets

                                                    March 31    December 31
                                                        2009           2008
---------------------------------------------------------------------------
(thousands of Canadian dollars, unless otherwise noted)           (revised)
Assets
Current assets
 Cash and short-term investments                     120,144        123,084
 Invested assets                                         932            947
 Accounts receivable, less allowances                270,377        274,044
 Future income tax assets                             43,534         40,888
 Supplies and prepaid expenses                        26,200         19,137
---------------------------------------------------------------------------
                                                     461,187        458,100
Property and equipment                               991,173        970,612
Goodwill and other intangible assets                 228,422        225,629
Other assets                                         153,005        151,641
---------------------------------------------------------------------------
                                                   1,833,787      1,805,982
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Liabilities and Unitholders' Deficiency
Current liabilities
 Accounts payable                                     41,799         51,434
 Accrued liabilities                                 262,910        252,098
 Accrual for self-insured liabilities                 14,124         12,533
 Current portion of long-term debt                    35,082         42,217
 Income taxes payable                                  8,363          4,594
---------------------------------------------------------------------------
                                                     362,278        362,876
Accrual for self-insured liabilities                  37,776         37,838
Long-term debt                                     1,324,405      1,290,596
Other long-term liabilities                           81,493         79,198
Future income tax liabilities                         69,255         65,006
---------------------------------------------------------------------------
                                                   1,875,207      1,835,514
Unitholders' deficiency                              (41,420)       (29,532)
---------------------------------------------------------------------------
                                                   1,833,787      1,805,982
---------------------------------------------------------------------------
---------------------------------------------------------------------------

Closing US/Cdn. dollar exchange rate                  1.2613         1.2180
---------------------------------------------------------------------------



                                EXTENDICARE REIT
                       Financial and Operating Statistics

                                                         Three months ended
                                                              March 31
---------------------------------------------------------------------------
(amounts in Canadian dollars, unless otherwise noted)   2009           2008
---------------------------------------------------------------------------
Earnings from Continuing Operations (millions)
United States (US$)                                     $5.6           $3.0
---------------------------------------------------------------------------
United States                                           $7.0           $3.0
Canada                                                  (2.5)           0.6
---------------------------------------------------------------------------
                                                        $4.5           $3.6
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Net Earnings (millions)
United States (US$)                                     $4.9           $3.0
---------------------------------------------------------------------------
United States                                           $6.2           $3.0
Canada                                                  (2.5)           0.6
---------------------------------------------------------------------------
                                                        $3.7           $3.6
---------------------------------------------------------------------------
---------------------------------------------------------------------------
U.S. Skilled Nursing Center Statistics
 Percent of Revenue by Payor Source (same-facility basis, excluding prior
  period settlement adjustments)
 Medicare (Part A and B)                                34.4%          35.8%
 Managed Care                                           10.0            8.2
---------------------------------------------------------------------------
 Skilled mix                                            44.4           44.0
 Private/other                                           9.0            9.6
---------------------------------------------------------------------------
 Quality mix                                            53.4           53.6
 Medicaid                                               46.6           46.4
---------------------------------------------------------------------------
 Average Daily Census by Payor Source (same-facility basis)
 Medicare                                              2,579          2,817
 Managed Care                                            965            865
---------------------------------------------------------------------------
 Skilled mix                                           3,544          3,682
 Private/other                                         1,560          1,608
---------------------------------------------------------------------------
 Quality mix                                           5,104          5,290
 Medicaid                                              9,877          9,908
---------------------------------------------------------------------------
                                                      14,981         15,198
---------------------------------------------------------------------------
---------------------------------------------------------------------------
 Average Revenue per Resident Day by Payor Source (excluding prior period
  settlement adjustments) (US$)
 Medicare Part A only                                $445.71        $410.69
 Medicare (Part A and B)                              488.49         447.87
 Managed Care                                         379.58         334.86
 Private/other                                        210.89         208.81
 Medicaid                                             172.80         164.99
 Weighted average                                     244.75         231.72
---------------------------------------------------------------------------
Average Occupancy (excluding managed centers) (same-facility basis)
U.S. skilled nursing centers                            88.9%          89.1%
U.S. assisted living centers                            82.5           84.7
Canadian centers                                        97.6           97.6
---------------------------------------------------------------------------
Capital Additions to Property and Equipment (thousands)
Growth expenditures                                   13,271          9,561
Facility maintenance                                   7,324          4,504
---------------------------------------------------------------------------
Consolidated reported                                 20,595         14,065
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Average US/Cdn. dollar exchange rate                  1.2456         1.0042
---------------------------------------------------------------------------



                                EXTENDICARE REIT
                     Supplemental Information - FFO and AFFO

The following table provides a reconciliation of EBITDA to Funds from
Operations (FFO), Distributable Income (DI) and Adjusted Funds from
Operations (AFFO) for the periods ended March 31, 2009 and 2008. (1)

                                                         Three months ended
                                                              March 31
---------------------------------------------------------------------------
(thousands of Canadian dollars unless otherwise noted)  2009           2008
---------------------------------------------------------------------------
                                                                   (revised)
EBITDA from continuing operations                     64,787         46,206
Depreciation for furniture, fixtures, equipment
 and computers                                        (6,066)        (4,166)
Interest expense, net                                (24,709)       (19,900)
---------------------------------------------------------------------------
                                                      34,012         22,140
Current income tax expense (2)                       (11,681)        (5,705)
---------------------------------------------------------------------------
FFO (continuing operations)                           22,331         16,435
Amortization of financing costs                        2,524          1,562
Principal portion of government capital
 funding payments                                        576            541
---------------------------------------------------------------------------
DI (continuing operations)                            25,431         18,538
Additional maintenance capital expenditures (3)       (1,258)          (338)
---------------------------------------------------------------------------
AFFO (continuing operations)                          24,173         18,200
AFFO (discontinued operations) (4)                       204            229
---------------------------------------------------------------------------
AFFO                                                  24,377         18,429
---------------------------------------------------------------------------
---------------------------------------------------------------------------
Per Basic Unit ($)
FFO (continuing operations)                            0.306          0.233
AFFO (continuing operations)                           0.332          0.258
AFFO                                                   0.334          0.262
---------------------------------------------------------------------------
Per Diluted Unit ($)
FFO (continuing operations)                            0.289          0.233
AFFO (continuing operations)                           0.302          0.252
AFFO                                                   0.304          0.255
---------------------------------------------------------------------------
Distributions declared                                15,285         19,558
Distributions declared per unit ($)                   0.2100         0.2775
---------------------------------------------------------------------------
Basic weighted average number of
 units (thousands)                                    72,911         70,471
Diluted weighted average number of
 units (thousands)                                    86,736         76,250
---------------------------------------------------------------------------

(1) "EBITDA", "funds from operations", "distributable income" and "adjusted
    funds from operations" are not recognized measures under GAAP and do
    not have a standardized meaning prescribed by GAAP. Refer to the
    discussion of non-GAAP measures.
(2) Excludes current tax with respect to the loss (gain) from derivative
    financial instruments, foreign exchange, asset impairment, disposals
    and other items that are excluded from the computation of AFFO.
(3) Represents total facility maintenance capital expenditures less
    depreciation for furniture, fixtures, equipment and computers already
    deducted in determining DI.
(4) The impact of discontinued operations reduces FFO, DI and AFFO by the
    same amount.
---------------------------------------------------------------------------


Reconciliation of Cash Provided by Operating             Three months ended
 Activities to DI & AFFO                                      March 31
---------------------------------------------------------------------------
(thousands of Canadian dollars)                         2009           2008
---------------------------------------------------------------------------
Cash provided by operating activities                 36,912         11,969
Add (Deduct):
Net change in operating assets and liabilities        (4,966)         9,755
Current tax expense on gain or loss from derivative
 financial instruments, foreign exchange, asset
 impairment, disposals and other items                 1,740            104
Net provisions and payments for
 self-insured liabilities                             (2,205)           307
Depreciation for furniture, fixtures, equipment
 and computers                                        (6,066)        (4,166)
Other                                                   (356)           257
Principal portion of government capital
 funding payments                                        576            541
---------------------------------------------------------------------------
DI                                                    25,635         18,767
Additional maintenance capital expenditures           (1,258)          (338)
---------------------------------------------------------------------------
AFFO                                                  24,377         18,429
---------------------------------------------------------------------------
---------------------------------------------------------------------------

Contacts:
Extendicare Real Estate Investment Trust
Douglas J. Harris
Senior Vice President and Chief Financial Officer
(414) 908-8855
(905) 470-4003 (FAX)
Email: djharris@extendicare.com
Visit Extendicare's Website @ www.extendicare.com

About Marketwired .
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