SUPPLEMENTAL INFORMATION Nine Months Ended September 30, 2014 (unaudited) Dated: November 6, 2014 ...helping people live better Extendicare Inc. Non-GAAP Measures Extendicare assesses and measures operating results and financial position based on performance measures referred to as "net operating income", "EBITDA", "Adjusted EBITDA", "earnings (loss) from continuing operations before separately reported gains/losses", "Funds from Operations", and "Adjusted Funds from Operations". These measures are commonly used by Extendicare and its investors as a means of assessing the performance of the core operations in comparison to prior periods. They are presented by Extendicare on a consistent basis from period to period, thereby allowing for consistent comparability of its operating performance. 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 Extendicare to make cash distributions; or (ii) certain ongoing rights and obligations of Extendicare 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 continuing operations, net earnings (loss), cash flow, or other measures of financial performance and liquidity reported in accordance with GAAP. References to "net operating income" in this document are to revenue less operating expenses. References to "EBITDA" in this document are to earnings (loss) from continuing operations before net finance costs, income taxes, depreciation and amortization. References to "Adjusted EBITDA" in this document are to EBITDA adjusted to exclude the impact of property taxes accounted for under IFRIC 21, and the line items "provision for U.S. government investigations" and "loss (gain) from asset impairment, disposals and other items". Management believes that certain lenders, investors and analysts use EBITDA and Adjusted EBITDA to measure a company’s ability to service debt and meet other payment obligations, and as a common valuation measurement in the longterm care industry. For example, certain of EHSI’s EHSI s debt covenants use Adjusted EBITDA in their calculations. References to "earnings (loss) from continuing operations before separately reported gains/losses" in this document are to earnings (loss) from continuing operations excluding the following separately reported line items: "fair value adjustments", "loss (gain) on FX and financial instruments", "provision for U.S. government investigations" and "loss (gain) from asset impairment, disposals and other items". These line items are reported separately and excluded from certain performance measures, because they are transitional in nature and would otherwise distort historical trends. They relate to the change in the fair value of, or gains and losses on termination of, convertible debentures, interest rate agreements and foreign currency contracts, as well as gains or losses on the disposal or impairment of assets, and foreign exchange gains or losses on capital items. In addition, these line items may include provisions for restructuring charges, U.S. government investigations and the write-off of unamortized financing costs on early retirement of debt. The above separately reported line items are reported on a pre-tax and on an after-tax basis as a means of deriving earnings from operations and related earnings per share/unit excluding such items. "Funds from Operations", or "FFO", is defined as Adjusted EBITDA less depreciation for furniture, fixtures, equipment and computers, accretion costs, net interest expense and current income taxes. "Adjusted Funds from Operations", or "AFFO", is defined as FFO plus the non-cash portion of financing and accretion costs and the principal portion of government capital funding payments, less the facility maintenance (nongrowth) capital expenditures not already reflected in the calculation of FFO. 1 EXTENDICARE Quarterly Earnings (Loss) (unaudited) (thousands of Canadian dollars, unless otherwise noted) 2013 2014 Q1 Revenue Nursing centers United States Canada Assisted living centers - U.S. 2 Home health care - Canada Health technology services - U.S. Outpatient therapy - U.S. Other Operating costs Administrative costs Lease costs Earnings before depreciation, amortization, and net finance costs Depreciation and amortization Accretion costs Interest expense Interest income Earnings (loss) before undernoted Provision for U.S. government investigations Gain (loss) on FX and financial instruments Gain (loss) from asset impairment impairment, disposals and other items Earnings (loss) before income taxes Income tax expense (recovery) Current Deferred Net earnings (loss) Add (deduct): Fair value adjustment on convertible debentures Provision for U.S. government investigations, net of ta Loss (gain) on FX and financial instruments, net of tax (Gain) loss from asset impairment, disposals and other items, net of tax Earnings (loss) before separately reported gains/losses 1 2 Q2 326,268 140,669 2,063 42,937 5,686 3,013 7,563 528,199 474,048 16,785 2,843 Q3 322,645 143,986 1,946 45,487 5,820 3,501 8,281 531,666 463,370 16,801 2,880 9 mo's 320,991 146,957 1,998 49,590 5,569 3,252 7,861 536,218 471,112 17,126 2,782 Q1 969,904 431,612 6,007 138,014 17,075 9,766 23,705 1,596,083 1,408,530 50,712 8,505 Q2 300,885 137,407 1,879 42,063 5,508 3,384 6,831 497,957 447,205 16,187 2,784 Q3 296,423 139,959 1,914 44,045 5,745 3,290 7,145 498,521 435,616 16,358 2,697 1 9 mo's 305,583 141,827 1,963 43,262 5,601 3,396 6,981 508,613 444,170 16,270 2,692 902,891 419,193 5,756 129,370 16,854 10,070 20,957 1,505,091 1,326,991 48,815 8,173 Q4 Total 306,002 149,677 1,920 44,717 5,494 3,290 8,274 519,374 466,326 15,443 2,923 1,208,893 568,870 7,676 174,087 22,348 13,360 29,231 2,024,465 1,793,317 64,258 11,096 34,523 18,631 962 16,456 (1,330) (196) (558) 48,615 18,460 953 16,157 (820) 13,865 (42,240) 854 45,198 18,451 956 15,965 (1,023) 10,849 - 128,336 55,542 2,871 48,578 (3,173) 24,518 (42,240) 296 31,781 19,046 828 15,689 (1,182) (2,600) 1,092 43,850 19,404 839 15,757 (1,278) 9,128 1,044 45,481 19,530 850 16,016 (809) 9,894 342 121,112 57,980 2,517 47,462 (3,269) 16,422 2,478 34,682 19,949 863 15,954 (1,369) (715) 102 155,794 77,929 3,380 63,416 (4,638) 15,707 2,580 (510) (1,264) (2,610) (30,131) (12,947) (2,098) (16,067) (33,493) (11) (1,519) (717) 9,455 (578) 9,658 (1,306) 17,594 (8,335) (8,948) (9,641) 8,646 27 (233) (206) (2,096) (7,143) (9,239) 7,865 (3,952) 3,913 5,796 (11,328) (5,532) 482 (1,397) (915) 1,644 1,263 2,907 4,771 (721) 4,050 6,897 (855) 6,042 (2,330) (349) (2,679) 4,567 (1,204) 3,363 (1,058) (20,892) (6,011) (27,961) (604) 6,548 5,608 (6,269) 5,283 (296) 29,723 (1,610) - 558 - (854) 28,946 777 - - - 419 1,822 10,196 12,437 (81) 9,022 4,962 13,903 Results for 2013 have been restated for the adoption of the new standard, IFRIC 21 “Levies”. ParaMed home health care hours (000's) 1,214 1,281 1,304 3,799 Adjusted EBITDA (see Non-GAAP Measures for definition and Quarterly Segmented Information schedule) 42,734 Adjusted EBITDA as a % of revenue 8.1% 45,884 8.6% 42,452 7.9% 131,070 8.2% 2 518 8 (1,044) - (342) - 11,552 (2,996) - (103) - (3,099) - 518 1 519 6,007 7,662 492 1,155 1,655 (1,688) 5,996 6,421 10,729 1,190 1,246 1,221 3,657 39,143 7.9% 41,455 8.3% 42,992 8.5% 123,590 8.2% (364) 1,254 32,153 6.2% 10,365 4,911 155,743 7.7% 1 2 EXTENDICARE INC. Quarterly Segmented Information (unaudited) (thousands of dollars) 4 5 3 6 7 2014 Q1 Revenue U.S. operations in (US$) Translation to Canadian dollars U.S. operations (C$) Canadian operations Net operating income (revenue less operating expenses) U.S. operations in (US$) Translation to Canadian dollars U.S. operations (C$) Canadian operations Adjusted EBITDA (note 2) U.S. operations in (US$) Translation to Canadian dollars U.S. operations (C$) Canadian operations Earnings (loss) before separately reported gains/losses U.S. operations in (US$) Translation to Canadian dollars U.S. operations (C$) Canadian operations Net earnings (loss) U.S. operations in (US$) Translation to Canadian dollars U.S. operations (C$) Canadian operations Fair value adj. on convertible debt 309,753 31,998 341,751 186,448 528,199 30,105 3,109 33,214 20,937 54,151 25,187 2,602 27,789 14,945 42,734 Q2 64.7% 35.3% 9.7% 9.7% 11.2% 10.3% 8.1% 8.1% 8.0% 8.1% 310,841 28,076 338,917 192,749 531,666 Q3 63.7% 36.3% 39,588 3,637 43,225 25,071 68,296 12.7% 24,978 2,254 27,232 18,652 45,884 8.0% 12.8% 13.0% 12.8% 8.0% 9.7% 8.6% 308,941 27,489 336,430 199,788 536,218 9mo's 62.7% 37.3% 35,333 3,148 38,481 26,625 65,106 11.4% 20,476 1,798 22,274 20,178 42,452 6.6% 11.4% 13.3% 12.1% 6.6% 10.1% 7.9% Q1 929,535 87,563 1,017,098 578,985 1,596,083 63.7% 36.3% 105,026 9,894 114,920 72,633 187,553 11.3% 70,641 6,654 77,295 53,775 131,070 7.6% 11.3% 12.5% 11.8% 7.6% 9.3% 8.2% 313,677 2,604 316,281 181,676 497,957 28,713 239 28,952 21,800 50,752 23,506 195 23,701 15,442 39,143 Q2 63.5% 36.5% 9.2% 9.2% 12.0% 10.2% 7.5% 7.5% 8.5% 7.9% 304,721 7,229 311,950 186,571 498,521 Q3 62.6% 37.4% 38,254 826 39,080 23,825 62,905 12.6% 23,255 549 23,804 17,651 41,455 7.6% 12.5% 12.8% 12.6% 7.6% 9.5% 8.3% 308,991 11,960 320,951 187,662 508,613 8 9 2013 (note 1) 9mo's 63.1% 36.9% 37,675 1,393 39,068 25,375 64,443 12.2% 22,688 888 23,576 19,416 42,992 7.3% 12.2% 13.5% 12.7% 7.3% 10.3% 8.5% 927,389 21,793 949,182 555,909 1,505,091 10 Q4 63.1% 36.9% 104,642 2,458 107,100 71,000 178,100 11.3% 69,449 1,632 71,081 52,509 123,590 7.5% 11.3% 12.8% 11.8% 7.5% 9.4% 8.2% 307,201 15,121 322,322 197,052 519,374 25,404 1,431 26,835 26,213 53,048 11,904 800 12,704 19,449 32,153 Total 62.1% 37.9% 8.3% 8.3% 13.3% 10.2% 3.9% 3.9% 9.9% 6.2% 1,234,590 36,914 1,271,504 752,961 2,024,465 10.5% 81,353 2,432 83,785 71,958 155,743 6.6% 5,032 493 5,525 3,497 9,022 (1,139) (118) (1,257) 6,219 4,962 2,630 247 2,877 11,026 13,903 (3,836) (31) (3,867) 2,179 (1,688) 2,398 9 2,407 3,589 5,996 1,823 30 1,853 4,568 6,421 385 8 393 10,336 10,729 (5,269) (153) (5,422) 5,058 (364) (4,884) (145) (5,029) 15,394 10,365 (1,236) (125) (1,361) 861 (500) (558) (1,058) (22,400) (1,787) (24,187) 2,441 (21,746) 854 (20,892) (9,781) (991) (10,772) 4,761 (6,011) (6,011) (33,417) (2,903) (36,320) 8,063 (28,257) 296 (27,961) (3,836) (31) (3,867) 1,653 (2,214) 1,610 (604) 2,127 4 2,131 3,373 5,504 1,044 6,548 1,092 6 1,098 4,168 5,266 342 5,608 (617) (21) (638) 9,194 8,556 2,996 11,552 (10,056) (441) (10,497) 4,125 (6,372) 103 (6,269) (10,673) (462) (11,135) 13,319 2,184 3,099 5,283 (30,131) (2,098) (33,493) (1,519) 9,455 9,658 17,594 (8,948) 8,646 (2,731) 18,460 16,290 (2,746) 18,451 15,898 2,734 55,542 48,276 7,362 19,046 15,335 (2,395) 19,404 15,318 (2,489) 19,530 16,057 2,478 57,980 46,710 (2,529) 19,949 15,448 (51) 77,929 62,158 12,947 42,452 58,011 131,070 (1,081) 39,143 (327) 41,455 236 42,992 (1,172) 123,590 8,233 32,153 7,061 155,743 1.0083 1.0234 1.0385 1.0235 1.0489 1.0299 Adjusted EBITDA 42,734 43,996 45,884 Average US/Cdn dollar exchange rate (note 3) 1.1033 1.0904 1.0891 1.0942 Notes: 1 Results for 2013 have been restated for the adoption of the new standard, IFRIC 21 “Levies”. 2 Refer to the above reconcilation of Earnings (Loss) before Income Taxes to Adjusted EBITDA and to the discussion for non-GAAP measures. 3 These are the actual Bank of Canada average rates of exchange for the period. The year-to-date revenue and expenses of self-sustaining foreign operations are translated at the average year-to-date rates of exchange, and the results of the quarters are calculated by deducting the previously reported year-to-date results from the current year-to-date results. In addition, specific transactions such as gains or losses related to restructuring charges, U.S. government investigations, asset disposals, impairment and other items, are translated at rates in effect at the time of the transactions. Therefore, the effective exchange rates calculated from the translated amounts reported above, may differ from the actual average rates of exchange indicated for the period. 3 37.2% 130,046 3,889 133,935 97,213 231,148 (1,263) (128) (1,391) 1,310 (81) Reconcilation of Earnings (Loss) before Income Taxes to Adjusted EBITDA: Earnings (loss) before income taxes (1,264) Add (deduct): Property taxes under IFRIC 21 8,211 Depreciation and amortization 18,631 Net finance costs 16,088 Loss (gain) from fair value adjustments, FX, financial instruments, asset impairment, U.S. gov't investigations, disposals and other items 1,068 62.8% 10.5% 12.9% 11.4% 6.6% 9.6% 7.7% Extendicare (unaudited) Reconciliation of Adjusted EBITDA to AFFO (1) 2014 (thousands of Canadian dollars, unless otherwise noted) Q1 Q2 Adjusted EBITDA Depreciation for FFEC Accretion costs Interest expense, net 42,734 (5,558) (962) (15,126) 45,884 (5,500) (953) (15,337) 42,452 (5,467) (956) (14,942) Pre-tax adjusted earnings from operations 21,088 24,094 (2) 3,255 15.4% FFO Amortization of financing costs and accretion costs Principal portion of government capital funding payments Additional facility maintenance capital expenditures AFFO Current income tax expense (recovery) Current income taxes as a % of pre-tax adj. earnings Per Basic Share ($) FFO AFFO Per Diluted Share ($) FFO AFFO Basic weighted average number of shares (thousands) Diluted weighted average number of shares (thousands) Growth expenditures Facility Maintenance Expenditures U.S. operations (C$) Canadian operations (C$) Total facility maintenance expenditures Total Capital Additions Q2 Q3 131,070 (16,525) (2,871) (45,405) 39,143 (5,597) (828) (14,507) 41,455 (5,504) (839) (14,479) 42,992 (5,510) (850) (15,207) 123,590 (16,611) (2,517) (44,193) 32,153 (5,407) (863) (14,585) 155,743 (22,018) (3,380) (58,778) 21,087 66,269 18,211 20,633 21,425 60,269 11,298 71,567 10,967 45.5% 5,170 24.5% 19,392 29.3% 3,394 18.6% 868 4.2% 3,786 17.7% 8,048 13.4% (3,307) -29.3% 4,741 6.6% 17,833 1,822 1,008 808 13,127 1,821 1,011 (427) 15,917 1,745 1,008 (1,398) 46,877 5,388 3,027 (1,017) 14,817 1,798 730 878 19,765 1,714 850 (229) 17,639 1,894 869 (22) 52,221 5,406 2,449 627 14,605 1,713 940 (6,847) 66,826 7,119 3,389 (6,220) 21,471 15,532 17,272 54,275 18,223 22,100 20,380 60,703 10,411 71,114 0.204 0.246 0.150 0.177 0.181 0.196 0.535 0.619 0.172 0.211 0.228 0.255 0.203 0.235 0.603 0.701 0.167 0.119 0.770 0.820 0.199 0.232 87,386 87 386 104,355 0.155 0.178 87,628 87 628 102,710 0.179 0.185 87,854 87 854 99,099 0.533 0.595 87,624 87 624 102,035 0.172 0.203 86,221 86 221 103,192 0.219 0.240 86,658 86 658 103,628 0.197 0.217 86,922 86 922 103,892 0.588 0.660 86,603 86 603 103,573 0.168 0.124 87,140 87 140 104,109 0.756 0.784 86,738 86 738 103,708 2014 Q1 U.S. operations (US$) U.S. operations (C$) Canadian operations (C$) AFFO 1. 2. Q2 Q3 YTD Sep Q1 Q2 Q3 2013 YTD Sep Q4 Total Q4 Total 1,405 427 684 2,516 12,069 12,399 3,681 28,149 598 28,747 4,389 361 4,750 6,155 4,498 1,429 5,927 6,354 4,023 2,842 6,865 7,549 12,910 4,632 17,542 20,058 4,319 400 4,719 16,788 5,002 731 5,733 18,132 4,374 1,158 5,532 9,213 13,695 2,289 15,984 44,133 6,462 5,792 12,254 12,852 20,157 8,081 28,238 56,985 2014 Q2 Q3 5,233 6,549 5,654 7,121 9,878 10,151 15,532 17,272 YTD Sep 24,410 26,709 27,566 54,275 Q1 9,789 9,868 8,355 18,223 Q2 11,631 11,893 10,207 22,100 Q3 8,678 9,045 11,335 20,380 YTD Sep 30,098 30,806 29,897 60,703 Q4 2,689 2,961 7,450 10,411 Total 32,787 33,767 37,347 71,114 Segmented AFFO (thousands of Canadian dollars, unless otherwise noted) YTD Sep 2013 YTD Sep Q1 Capital Additions (thousands of Canadian dollars) Q3 Q1 12,628 13,934 7,537 21,471 “Adjusted EBITDA”, “funds from operations” and “adjusted funds from operations” are not recognized measures under GAAP and do not have a standardized meaning prescribed by GAAP. Refer to discussion of non-GAAP measures. Excludes current income tax with respect to the property taxes accounted for under IFRIC 21, provision for U.S. government investgations, gains or losses from derivative financial instruments, foreign exchange, asset impairment, disposal and other items that are excluded from the computation of AFFO. 4 Extendicare (unaudited) Reconciliation of Net Earnings (Loss) to Funds from Operations and Adjusted Funds from Operations (1) 2014 Q3 (1,058) (20,892) (6,011) (27,961) (604) 18,631 (5,558) 8,211 18,460 (5,500) (2,731) 18,451 (5,467) (2,746) 55,542 (16,525) 2,734 1,068 43,996 12,947 20 (3,248) (233) (14,144) 1,081 (7,143) Funds from operations Amortization of financing costs and accretion costs Principal portion of government capital funding payments Additional facility maintenance capital expenditures (2) 17,833 1,822 1,008 808 Adjusted funds from operations Net earnings (loss) Adjustments: Depreciation and amortization expense Deduct depreciation/amortization for FFE and computers Property taxes accounted for under IFRIC 21 Loss (gain) on fair value adjustments, FX, financial instruments, asset impairment, disposals, other other items Current tax on fair value adjustments, gain/loss on FX, financial instruments, provision for U.S. government investigations, asset impairment, disposals and other items Current tax expense on property taxes accounted for under IFRIC 21 Deferred income taxes Per Share ($) FFO - basic FFO - diluted AFFO - basic AFFO - diluted Di id d /di t ib ti d l d Dividends/distributions declared Dividends/distributions declared per share Basic weighted average number of shares (thousands) Diluted weighted average number of shares (thousands) Q1 2013 Q2 (thousands of Canadian dollars unless otherwise noted) YTD Sep Q1 Q2 Q3 YTD Sep Q4 Year 6,548 5,608 11,552 (6,269) 5,283 19,046 (5,597) 7,362 19,404 (5,504) (2,395) 19,530 (5,510) (2,489) 57,980 (16,611) 2,478 19,949 (5,407) (2,529) 77,929 (22,018) (51) 58,011 (1,081) (327) 236 (1,172) 8,233 7,061 1,609 1,086 (3,952) (12,515) (1,081) (11,328) (2,912) (1,397) (171) 947 1,263 985 (721) (23) 1,000 (349) (194) 20 (1,204) 13,127 1,821 1,011 (427) 15,917 1,745 1,008 (1,398) 46,877 5,388 3,027 (1,017) 14,817 1,798 730 878 19,765 1,714 850 (229) 17,639 1,894 869 (22) 52,221 5,406 2,449 627 14,605 1,713 940 (6,847) 66,826 7,119 3,389 (6,220) 21,471 15,532 17,272 54,275 18,223 22,100 20,380 60,703 10,411 71,114 0.204 0.199 0.246 0.232 10 491 10,491 0.1200 87,386 104,355 0.150 0.155 0.177 0.178 10 520 10,520 0.1200 87,628 102,710 0.181 0.179 0.196 0.185 10 547 10,547 0.1200 87,854 99,099 0.535 0.533 0.619 0.595 31 558 31,558 0.3600 87,624 102,035 0.172 0.172 0.211 0.203 18 122 18,122 0.2100 86,221 103,192 0.228 0.219 0.255 0.240 13 004 13,004 0.1500 86,658 103,628 0.203 0.197 0.235 0.217 10 435 10,435 0.1200 86,922 103,892 0.603 0.588 0.701 0.660 41 561 41,561 0.480 84,806 98,797 0.167 0.168 0.119 0.124 10 462 10,462 0.1200 87,140 104,109 0.770 0.756 0.820 0.784 52 023 52,023 0.6000 86,738 103,708 Q2 21,891 Q3 27,600 YTD Sep 73,492 Q4 24,424 Year 97,916 (4,675) 14,374 - 9,699 - (171) (980) (855) Reconciliation of Cash Provided by Operating Activities to Adjusted Funds from Operations (1) 2014 2013 Q1 36,037 Q2 21,442 Q3 11,235 Year 68,714 Q1 24,001 (17,523) - (23,663) 42,240 12,522 - (28,664) 42,240 (4,869) - (369) - Current income taxes on items excluded from AFFO (3) Net provisions and payments for self-insured liabilities Property taxes accounted for under IFRIC 21 Depreciation for FFEC Principal portion of government capital funding payments Other (3,228) 1,716 8,211 (5,558) 1,008 - (13,063) (3,777) (2,731) (5,500) 1,011 - 2,695 (577) (2,746) (5,467) 1,008 - (13,596) (2,638) 2,734 (16,525) 3,027 - (2,912) (1,698) 7,362 (5,597) 730 328 776 7,078 (2,395) (5,504) 850 2 985 (1,619) (2,489) (5,510) 869 3 (1,151) 3,761 2,478 (16,611) 2,449 333 977 (15,523) (2,529) (5,407) 940 2 (174) (11,762) (51) (22,018) 3,389 335 Additional facility maintenance capital expenditures(2) Adjusted funds from operations 808 21,471 (427) 15,532 (1,398) 17,272 (1,017) 54,275 878 18,223 (229) 22,100 (22) 20,380 627 60,703 (6,847) 10,411 (6,220) 71,114 (thousands of Canadian dollars) Net cash from operating activities Add (Deduct): Net change in operating assets and liabilities, including interest and taxes Provision for U.S. government investigations 1. 2. 3. “Adjusted EBITDA”, “funds from operations” and “adjusted funds from operations” are not recognized measures under GAAP and do not have a standardized meaning prescribed by GAAP. Refer to discussion of non-GAAP measures. Represents total facility maintenance capital expenditures less depreciation for furniture, fixtures, equipment and computers (FFEC) already deducted in determining Funds from Operations. Represents current income tax with respect to the property taxes accounted for under IFRIC 21, provision for U.S. government investigations, gains or losses from derivative financial instruments, foreign exchange, asset impairment, disposal and other items that are excluded from the computation of AFFO. 5 563 - 2014 Q1 Q2 Q3 EXTENDICARE HEALTH SERVICES, INC. OPERATING STATISTICS (unaudited) 2013 9 mo's Q1 Q2 Q3 9 mo's Q4 Total 2012 Total 2011 Total 2010 Total 6 CENSUS - same-facility basis (excludes managed facilities) 7 Average occupancy 8 Nursing 9 Assisted living 10 Combined 84.9% 75.1% 84.7% 84.9% 73.2% 84.7% 85.3% 73.9% 85.0% 85.0% 74.1% 84.8% 11 Skilled nursing facility - average daily census by payor source 12 Medicare 1,807 1,726 1,607 1,713 13 Managed Care 823 745 749 772 14 Skilled Mix 2,630 2,471 2,356 2,485 15 Private/other 1,159 1,168 1,173 1,166 16 Quality Mix 3,789 3,639 3,529 3,651 17 Medicaid 7,575 7,576 7,693 7,615 18 Total 11,364 11,215 11,222 11,266 19 Skilled nursing facility - percent of average daily census by payor source 20 Medicare 15.9% 15.4% 14.3% 15.2% 21 Managed Care 7.2% 6.6% 6.7% 6.9% 22 Skilled Mix 23.1% 22.0% 21.0% 22.1% 23 Private/other 10.2% 10.4% 10.4% 10.3% 24 Quality Mix 33.3% 32.4% 31.4% 32.4% 25 Medicaid 66.7% 67.6% 68.6% 67.6% 26 Assisted living facility - average daily census by payor source 27 Private/other 168 160 161 35 38 38 28 Medicaid 29 Total 203 198 199 163 37 200 30 Assisted living facility - percent of average daily census by payor source 82.9% 80.8% 80.8% 81.5% 31 Private/other 32 Medicaid 17.1% 19.2% 19.2% 18.5% 85.5% 79.0% 85.4% 1,961 778 2,739 1,148 3,887 7,654 11,541 83.5% 78.5% 83.4% 1,800 737 2,537 1,193 3,730 7,529 11,259 82.8% 78.6% 82.7% 1,686 722 2,408 1,196 3,604 7,560 11,164 83.9% 78.7% 83.8% 1,815 745 2,560 1,179 3,739 7,581 11,320 83.4% 76.3% 83.3% 1,696 735 2,431 1,218 3,649 7,543 11,192 83.8% 78.1% 83.7% 1,785 743 2,528 1,189 3,717 7,571 11,288 17.0% 6.7% 23.7% 10.0% 33.7% 66.3% 16.0% 6.5% 22.5% 10.6% 33.1% 66.9% 15.1% 6.5% 21.6% 10.7% 32.3% 67.7% 16.0% 6.6% 22.6% 10.4% 33.0% 67.0% 15.2% 6.5% 21.7% 10.9% 32.6% 67.4% 15.8% 6.6% 22.4% 10.5% 32.9% 67.1% 183 30 213 178 34 212 180 32 212 180 32 212 174 33 207 179 32 211 85.8% 14.2% 84.1% 15.9% 84.8% 15.2% 84.9% 15.1% 84.2% 15.8% 84.7% 15.3% 84.6% 79.0% 84.5% 82.6% 78.5% 82.5% 81.8% 78.6% 81.8% 83.0% 78.7% 82.9% 82.5% 76.3% 82.4% 82.9% 78.1% 82.8% 33 CENSUS - total operations (excludes managed facilities) 34 Average occupancy 35 Nursing 36 Assisted living 37 Combined 84.0% 75.1% 83.9% 84.0% 73.2% 83.8% 84.3% 73.9% 84.1% 84.1% 74.1% 83.9% 38 Skilled daily Skill d nursing i ffacility ilit - average d il census by b payor source 39 Medicare 1,881 1,809 1,677 1,789 40 Managed Care 866 785 778 809 41 Skilled Mix 2,747 2,594 2,455 2,598 42 Private/other 1,222 1,232 1,235 1,229 43 Quality Mix 3,969 3,826 3,690 3,827 44 Medicaid 8,100 8,088 8,221 8,137 45 Total 12,069 11,914 11,911 11,964 46 Skilled nursing facility - percent of average daily census by payor source 47 Medicare 15.6% 15.2% 14.1% 14.9% 48 Managed Care 7.2% 6.6% 6.5% 6.8% 49 Skilled Mix 22.8% 21.8% 20.6% 21.7% 50 Private/other 10.1% 10.3% 10.4% 10.3% 51 Quality Mix 32.9% 32.1% 31.0% 32.0% 52 Medicaid 67.1% 67.9% 69.0% 68.0% 53 Assisted living facility - average daily census by payor source 54 Private/other 168 160 161 55 Medicaid 35 38 38 56 Total 203 198 199 163 37 200 57 Assisted living facility - percent of average daily census by payor source 82.9% 80.8% 80.8% 81.5% 58 Private/other 59 Medicaid 17.1% 19.2% 19.2% 18.5% 2,055 821 2,876 1,209 4,085 8,169 12,254 1,887 770 2,657 1,256 3,913 8,035 11,948 1,765 756 2,521 1,271 3,792 8,070 11,862 1,902 782 2,684 1,245 3,929 8,091 12,020 1,767 770 2,537 1,289 3,826 8,064 11,890 1,868 779 2,647 1,256 3,903 8,084 11,987 85.2% 69.9% 84.9% 2,081 795 2,876 1,334 4,210 8,997 13,207 85.7% 67.4% 85.3% 2,379 841 3,220 1,401 4,621 9,508 14,129 86.0% 65.4% 85.6% 2,387 831 3,218 1,522 4,740 9,822 14,562 16.8% 6.7% 23.5% 9.8% 33.3% 66.7% 15.8% 6.4% 22.2% 10.6% 32.8% 67.2% 14.9% 6.4% 21.3% 10.7% 32.0% 68.0% 15.8% 6.5% 22.3% 10.4% 32.7% 67.3% 14.9% 6.5% 21.4% 10.8% 32.2% 67.8% 15.6% 6.5% 22.1% 10.5% 32.6% 67.4% 15.8% 6.0% 21.8% 10.1% 31.9% 68.1% 16.8% 6.0% 22.8% 9.9% 32.7% 67.3% 16.4% 5.7% 22.1% 10.4% 32.5% 67.5% 183 30 213 178 34 212 180 32 212 180 32 212 174 33 207 179 32 211 178 33 211 173 36 209 163 39 202 85.8% 14.2% 84.1% 15.9% 84.8% 15.2% 84.9% 15.1% 84.2% 15.8% 84.7% 15.3% 84.1% 15.9% 83.0% 17.0% 80.7% 19.3% 6 2014 Q1 Q2 Q3 EXTENDICARE HEALTH SERVICES, INC. OPERATING STATISTICS (unaudited) 2013 9 mo's Q1 Q2 Q3 9 mo's Q4 Total 2012 Total 2011 Total 2010 Total 60 REVENUE - same-facility basis (excludes managed facilities) 61 Skilled nursing facility - percent of revenue by payor source (includes prior period settlement adjustments) 62 Medicare 30.1% 29.8% 27.9% 29.3% 32.2% 30.0% 28.7% 63 Managed Care 11.8% 10.9% 11.2% 11.3% 10.9% 10.8% 10.7% 64 Skilled Mix 41.9% 40.7% 39.1% 40.6% 43.1% 40.8% 39.4% 65 Private/other 9.0% 9.3% 9.6% 9.3% 8.9% 9.6% 9.5% 66 Quality Mix 50.9% 50.0% 48.7% 49.9% 52.0% 50.4% 48.9% 67 Medicaid 49.1% 50.0% 51.3% 50.1% 48.0% 49.6% 51.1% 30.3% 10.8% 41.1% 9.3% 50.4% 49.6% 28.6% 10.9% 39.5% 10.1% 49.6% 50.4% 29.9% 10.8% 40.7% 9.5% 50.2% 49.8% 68 Skilled nursing facility - percent of revenue by payor source (excludes prior period settlement adjustments) 69 Medicare 30.1% 29.8% 27.8% 29.2% 32.2% 30.0% 29.0% 70 Managed Care 11.8% 10.9% 11.2% 11.3% 10.9% 10.8% 10.8% 71 Skilled Mix 41.9% 40.7% 39.0% 40.5% 43.1% 40.8% 39.8% 72 Private/other 9.0% 9.3% 9.6% 9.3% 8.9% 9.6% 9.5% 73 Quality Mix 50.9% 50.0% 48.6% 49.8% 52.0% 50.4% 49.3% 74 Medicaid 49.1% 50.0% 51.4% 50.2% 48.0% 49.6% 50.7% 30.3% 10.8% 41.1% 9.3% 50.4% 49.6% 28.6% 10.9% 39.5% 10.0% 49.5% 50.5% 29.9% 10.8% 40.7% 9.5% 50.2% 49.8% 75 Assisted living facility - percent of revenue by payor source 76 Private/other 89.8% 88.0% 87.8% 77 Medicaid 10.2% 12.0% 12.2% 90.4% 9.6% 90.4% 9.6% 89.8% 10.2% 90.3% 9.7% 79 Skilled nursing facility - percent of revenue by payor source (includes prior period settlement adjustments) 80 Medicare 29.8% 29.6% 27.7% 29.0% 32.0% 29.9% 28.6% 81 Managed Care 11.8% 10.8% 11.0% 11.2% 10.9% 10.6% 10.6% 82 Skilled Mix 41.6% 40.4% 38.7% 40.2% 42.9% 40.5% 39.2% 83 Private/other 9.0% 9.3% 9.6% 9.3% 8.9% 9.7% 9.6% 84 Quality Mix 50.6% 49.7% 48.3% 49.5% 51.8% 50.2% 48.8% 85 Medicaid 49.4% 50.3% 51.7% 50.5% 48.2% 49.8% 51.2% 30.2% 10.7% 40.9% 9.4% 50.3% 49.7% 28.4% 10.8% 39.2% 10.0% 49.2% 50.8% 29.7% 10.7% 40.4% 9.6% 50.0% 50.0% 31.0% 10.0% 41.0% 9.2% 50.2% 49.8% 35.1% 10.0% 45.1% 8.4% 53.5% 46.5% 33.4% 9.5% 42.9% 9.1% 52.0% 48.0% 86 Skilled nursing facility - percent of revenue by payor source (excludes prior period settlement adjustments) 87 Medicare 29.8% 29.6% 27.6% 29.0% 32.0% 29.9% 28.8% 88 Managed Care 11.7% 10.8% 11.0% 11.2% 10.9% 10.7% 10.7% 89 Skilled Mix 41.5% 40.4% 38.6% 40.2% 42.9% 40.6% 39.5% 90 Private/other 9.0% 9.3% 9.5% 9.3% 8.9% 9.6% 9.7% 91 Quality Mix 50.5% 49.7% 48.1% 49.5% 51.8% 50.2% 49.2% 92 Medicaid 49.5% 50.3% 51.9% 50.5% 48.2% 49.8% 50.8% 30.2% 10.7% 40.9% 9.4% 50.3% 49.7% 28.3% 10.8% 39.1% 10.0% 49.1% 50.9% 29.7% 10.7% 40.4% 9.6% 50.0% 50.0% 31.0% 10.1% 41.1% 9.2% 50.3% 49.7% 34.9% 10.0% 44.9% 8.5% 53.4% 46.6% 33.3% 9.5% 42.8% 9.2% 52.0% 48.0% 93 Skilled nursing and assisted living facility - percent of revenue by payor source (includes prior period settlement adjustments) 94 Medicare 29.6% 29.4% 27.6% 28.9% 31.9% 29.7% 28.4% 30.0% 28.2% 95 Managed Care 11.7% 10.7% 10.9% 11.1% 10.8% 10.6% 10.5% 10.6% 10.7% 96 Skilled Mix 41.3% 40.1% 38.5% 40.0% 42.7% 40.3% 38.9% 40.6% 38.9% 97 Private/other 9.6% 9.8% 10.0% 9.8% 9.4% 10.1% 10.1% 9.9% 10.6% 98 Quality Mix 50.9% 49.9% 48.5% 49.8% 52.1% 50.4% 49.0% 50.5% 49.5% 99 Medicaid 49.1% 50.1% 51.5% 50.2% 47.9% 49.6% 51.0% 49.5% 50.5% 29.5% 10.7% 40.2% 10.1% 50.3% 49.7% 30.8% 10.0% 40.8% 9.6% 50.4% 49.6% 34.9% 9.9% 44.8% 8.8% 53.6% 46.4% 33.2% 9.4% 42.6% 9.5% 52.1% 47.9% 88.6% 11.4% 91.1% 8.9% 89.7% 10.3% 78 REVENUE - total operations (excludes managed facilities) 100 SKILLED NURSING FACILITY AVERAGE REVENUE PER RESIDENT DAY BY PAYOR SOURCE (US $) (includes prior period settlement adjustments) 101 Medicare Part A only 470.01 472.68 476.03 472.81 476.08 463.72 471.62 470.59 468.55 470.10 461.41 507.03 472.68 102 103 104 105 106 Medicare (Parts A & B) Managed Care Private/other Medicaid Weighted average 520.48 446.35 243.61 200.31 272.25 532.05 447.10 246.03 202.22 272.96 529.85 453.41 246.83 201.67 269.00 527.34 448.88 245.51 201.40 271.40 516.86 439.44 245.04 195.43 270.58 503.64 440.04 244.29 197.35 266.31 517.47 448.82 241.26 203.06 269.60 512.68 442.69 243.49 198.63 268.84 508.72 445.03 247.79 199.54 266.62 511.73 443.27 244.60 198.86 268.29 508.88 432.38 235.39 189.70 259.22 550.19 442.81 224.91 182.82 264.34 517.54 421.11 221.85 180.99 254.13 107 SKILLED NURSING FACILITY AVERAGE REVENUE PER RESIDENT DAY BY PAYOR SOURCE (US $) (excludes prior period settlement adjustments) 108 Medicare Part A only 470.01 472.68 473.95 472.16 476.08 464.30 471.20 470.66 468.78 470.21 461.45 503.75 470.11 109 110 111 112 113 Medicare (Parts A & B) Managed Care Private/other Medicaid Weighted average 520.48 446.35 243.61 200.88 272.63 532.05 447.10 246.03 202.15 272.91 527.78 453.41 246.83 202.48 269.27 526.69 448.88 245.51 201.84 271.60 516.86 439.44 245.04 195.39 270.56 504.22 440.04 244.29 197.14 266.26 517.06 448.82 241.26 199.76 267.29 512.74 442.69 243.49 198.48 268.75 508.95 445.03 247.79 200.80 267.51 511.84 443.27 244.60 199.07 268.44 508.92 432.38 235.39 188.87 258.66 546.91 442.81 224.91 182.49 263.56 514.96 421.11 221.85 180.27 253.22 Note: Managed Care refers to Health Maintenance Organization and Commercial Insurance, each of which provide a form of health coverage in the U.S. 7 EXTENDICARE Facility Location and Resident Capacity at September 30, 2014 By State/Province Owned # of Resident Centers Capacity Nursing Centers Leased Managed # of Resident # of Resident Centers Capacity Centers Capacity United States 1 Pennsylvania 2 Michigan 3 Wisconsin 4 Ohio 5 Washington 6 Indiana 7 Minnesota 8 Idaho 9 Oregon 10 Delaware 11 West Virginia Total United States 20 26 27 21 12 17 8 2 2 1 1 137 2,502 2,521 2,254 2,169 1,311 1,470 831 179 166 120 120 13,643 1 1 2 4 120 108 191 419 4 4 399 399 Canada 1 Ontario 2 Alberta 3 Manitoba 4 Saskatchewan Total Canada TOTAL 25 13 5 5 48 185 3,979 1,295 762 649 6 685 6,685 20,328 9 9 13 1,155 1 155 1,155 1,574 30 1 1 32 36 3,897 102 120 4 119 4,119 4,518 Total Centers operated: United States Canada TOTAL Assisted Living and Retirement Centers Owned Leased Managed # of Resident # of Resident # of Resident Centers Capacity Centers Capacity Centers Capacity (note 1) (note 1) (note 1) 6 159 3 190 30 1 50 4 270 6 159 1 1 5 Nursing Centers # of Resident Centers Capacity 145 14,461 89 11,959 234 26,420 200 200 470 - 76 76 76 4 440 8 668 1 48 13 1 156 1,156 19 1,315 Assisted Living and Retirement # of Resident Centers Capacity 10 429 14 1,432 24 1,861 Chronic Care Unit Total # of Resident # of Resident Centers Capacity Centers Capacity (note 2) 30 3,060 27 2,641 30 2,444 22 2,307 15 1,552 17 1,470 8 831 2 179 2 166 1 120 1 120 155 14,890 1 1 1 69 23 7 5 104 259 9,667 2,265 930 649 13 511 13,511 28,401 Chronic Care Unit Total # of Resident # of Resident Centers Capacity Centers Capacity 155 14,890 1 120 104 13,511 1 120 259 28,401 Notes: (1) Some of the assisted living and retirement units are in wings attached to nursing centers. In this case, the center is only counted once in the "Nursing Centers - # of Centers" column, and the related nursing center beds and assisted living units are reported separately in the related "Resident Capacity" columns (2) ECI manages a chronic care hospital unit in Ontario, Canada. 8 120 120 120
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