Press ReleaseSource: Extendicare REIT

Extendicare REIT Announces 2008 Second Quarter Results
Thursday August 7, 2008 5:38 pm ET

MARKHAM, ONTARIO--(MARKET WIRE)--Aug 7, 2008 -- Extendicare Real Estate Investment Trust ("Extendicare REIT" or the "REIT") (Toronto:EXE-UN.TO - News) today reported 2008 second quarter results with the following highlights:

- Continued improvement in average Medicare Part A and HMO/CI rates, up 7.4% and 6.9%, respectively, from Q2 2007.

- Increase in same-facility skilled mix census to 25.3%.

- Performance of acquisitions continues to improve.

- Potentially favourable tax announcement concerning health care REITs.

- U.S. congress announces reversal of planned Medicare cuts and 3.4% increase October 1, 2008.

- Distributions remain unchanged at $0.0925 per month for 2008.

Earnings before interest, income taxes, depreciation, amortization, and accretion (EBITDA) for the 2008 second quarter totalled $45.5 million compared to $53.7 million in the same 2007 period. Earnings from continuing health care operations were $9.3 million ($0.13 per diluted unit) for the three months ended June 30, 2008, compared to $27.0 million ($0.39 per diluted unit) for the same period in 2007. Excluding separately reported gains and losses as outlined in Table 2, earnings from continuing health care operations in the 2008 second quarter were $7.4 million ($0.10 per diluted unit) compared to earnings in the 2007 second quarter of $14.1 million ($0.20 per diluted unit).

Tim Lukenda, President and CEO of Extendicare REIT, commented: "The effects of some of the challenges identified in the first quarter lingered into the second quarter. In addition, we experienced increased cost pressures in certain non-wage expenses. As a result, EBITDA was lower than desired despite top line growth from solid rate increases, skilled mix improvements and incremental earnings from our 2007 acquisitions. Our focus now is on improving EBITDA through growth in total census, with continued focus on our skilled mix, and exercising greater control of our non-wage related expenses. The recent decision by U.S. Congress to avert the planned Medicare cuts will have a positive impact on our results going forward. We are confident that our operating strategies will return our margins to more desirable levels in the second half of the year. Over the next several months we plan to review in detail the implications of the recent announcement in Canada involving the rollover rules for SIFT trusts to convert to corporations, and the relaxation of rules governing U.S. REITs to ensure that we are structured in a way that is in the best interests of our securityholders."

DISTRIBUTIONS

Our monthly distributions remain unchanged at $0.0925 per unit and the Board of Trustees of the REIT has indicated its intention to maintain this level of distributions through the balance of 2008.

ACQUISITIONS

Our efforts to improve the operating performance of Tendercare are paying off. We are seeing consistent improvement in our key performance metrics. Since we acquired Tendercare last fall, its skilled average daily census on a same-facility basis has grown by 20.5% or 90 ADC. Medicare rates have increased 10.2% or US$36.83 per Medicare day and twelve month trailing EBITDA has increased by 9% or US$2.0 million to US$24.0 million. The implementation of time-tracking software at the facilities in August 2008 will enhance our ability to manage labour.

We are also pleased with the results from the five other single senior care facility acquisitions in Wisconsin that have generated an unlevered return on our investment of 11.7% based upon their year-to-date performance. Their performance continues to improve as we make enhancements to the facilities and launch programs to attract a higher acuity clientele.

DEVELOPMENT PROJECTS

Our thirteen projects in Canada and the U.S. are in various stages of development and are on track for completion in 2009 and 2010. The successful completion of our $120.6 million financing in June of this year, together with construction financing from Canada Mortgage and Housing Corporation, will finance 100% of these projects. Our recently completed facilities in Washington and Michigan are filling up within our six-month projections and currently have occupancies of 70% and 69%, respectively. Construction projects in Okemos, Michigan and Red Deer, Alberta are underway and in the last half of 2008 we will begin construction in Kingston and Windsor, Ontario and Summit, Wisconsin. The leveraged return on net investment from the U.S., Alberta and Ontario projects are projected at over 30%, 30% and 14%, respectively.

EHSI SKILLED NURSING FACILITY REVENUE RATES

The average daily Medicare Part A rate for Extendicare Health Services, Inc. (EHSI) this quarter was US$417.81, an increase of 7.4% from US$389.04 in the same 2007 period, and an increase of 1.7% from US$410.84 in the 2008 first quarter. Approximately half of the increase from the 2007 second quarter related to a 3.3% market basket inflationary increase effective October 1, 2007, with the remainder primarily related to higher average acuity levels among Medicare patients served. The Centers for Medicare & Medicaid Services have announced a 3.4% market basket increase in Medicare Part A rates effective October 1, 2008, which is expected to increase EHSI's annual revenue by US$14.0 million. Excluding the Tendercare facilities, the percentage of Medicare residents in the nine highest Resource Utilization Groupings (RUGs) classifications increased to 38.1% this quarter from 37.6% in the 2007 second quarter, and from 37.7% in the 2008 first quarter. The percentage of Medicare residents receiving therapy services increased to 87.1% this quarter from 85.7% in the same 2007 period, and from 86.9% in the 2008 first quarter.

The average revenue rate for Health Maintenance Organization (HMO) and commercial insurance (CI) clients, an important revenue growth opportunity as it represents the second highest rate component of quality mix, increased 6.9% to US$358.45 this quarter from US$335.32 in the 2007 second quarter, and from US$335.38 in the 2008 first quarter.

EHSI'S SKILLED NURSING FACILITY AVERAGE DAILY CENSUS (ADC)

On a same-facility basis, EHSI's skilled mix ADC increased to 3,140 this quarter, or 1.9%, from the 2007 second quarter primarily due to growth in HMO/CI of 200 ADC, or 31.7%. In comparison to the 2008 first quarter, our skilled mix ADC declined slightly from 3,180, with a 7.9% increase in HMO/CI being offset by a decline of 4.2% in Medicare. The increase in our HMO/CI residents is due to our focus on the premium payor market segment and the number of Medicare beneficiaries opting out of traditional Medicare Part A benefits and selecting coverage through a Medicare HMO product. The decline in Medicare ADC this quarter from the 2008 first quarter is not unusual. Medicare admissions generally begin to decline during the latter portion of the second quarter, are at their lowest level during the summer months when fewer elective surgeries are performed, and begin to increase during the third quarter.

Our total ADC from same-facility skilled nursing facilities declined 313, or 2.5%, from the 2007 second quarter. Over a third of this decline, or 128 ADC, was due to clinical challenges we experienced at six facilities, primarily in the State of Washington, which resulted in a voluntary slowdown in admissions. In comparison to the 2008 first quarter, our ADC this quarter declined by 174, of which the six clinically challenged facilities accounted for 34.5% of the decline.

OPERATING FOCUS FOR THE SECOND HALF OF 2008

The management team has adopted a turnaround plan with a number of key initiatives focused on increasing overall occupancy and skilled mix census, and reducing costs. We are optimistic that these efforts will result in an improvement in our operating margins. In addition, we are looking at asset sales and intend to use some of the proceeds to buy back REIT units. We are continuing to invest in our development projects utilizing the proceeds from our recent offering. We are confident that these strategies will deliver enhanced value to our securityholders.

 

2008 SECOND QUARTER FINANCIAL REVIEW

TABLE 1                                  Q2         Q2        Q1
--------------------------------------------------------------------
                                        2008       2007      2008
--------------------------------------------------------------------
(millions of dollars unless otherwise noted)
Revenue
U.S. operations (US$)                   343.1      271.0     343.2
--------------------------------------------------------------------
U.S. operations (C$)                    346.6      297.7     344.6
Canadian operations                     151.4      141.4     142.4
--------------------------------------------------------------------
Total Revenue                           497.9      439.1     487.0
--------------------------------------------------------------------
--------------------------------------------------------------------
EBITDA
U.S. operations (US$)                    32.5       35.8      37.0
--------------------------------------------------------------------
U.S. operations (C$)                     32.8       39.3      37.2
Canadian operations                      12.7       14.4       9.4
--------------------------------------------------------------------
Total EBITDA                             45.5       53.7      46.6
--------------------------------------------------------------------
--------------------------------------------------------------------
Average US/Canadian dollar
 exchange rate                         1.0102     1.0986    1.0042
--------------------------------------------------------------------
(1) Amounts may not add due to rounding.

Revenue Comparison to 2007 Second Quarter and 2008 First Quarter

Revenue for the 2008 second quarter grew 13.4% to $497.9 million from $439.1 million in the 2007 second quarter, and excluding the impact of the stronger Canadian dollar, revenue grew 20.3%. In comparison to the 2008 first quarter, revenue this quarter grew 2.2%.

EBITDA Comparison to 2007 Second Quarter

EBITDA for the 2008 second quarter was $45.5 million compared to $53.7 million for the 2007 second quarter. Excluding the impact of a stronger Canadian dollar, EBITDA declined $5.3 million.

EBITDA from U.S. operations in U.S. dollars declined US$3.3 million this quarter. New facilities contributed EBITDA of US$8.0 million this quarter and broke even in the 2007 second quarter, whereas same-facility EBITDA declined US$11.3 million and was impacted by the following items:

- start-up costs at two facilities and clinical challenges at six facilities of US$2.6 million;

- a decrease of US$1.6 million due to the 2007 second quarter release of actuarial reserve provisions and lower investment earnings in our captive insurance company;

- an increase in workers' compensation and property taxes of US$2.3 million, of which US$1.4 million pertains to prior years;

- an estimated increase in food, supplies and travel costs due to inflationary pressures of US$1.8 million; and

- a US$3.0 million decline in remaining operations, primarily due to lower total census.

EBITDA from Canadian operations declined $1.7 million to $12.7 million this quarter from $14.4 million in the 2007 second quarter. The 2008 second quarter results included a $2.4 million charge for our former CEO's compensation arrangements. If not for this charge, EBITDA would have improved by $0.7 million, primarily due to funding enhancements and timing of spending under the Ontario nursing home envelope system.

EBITDA Comparison to 2008 First Quarter

EBITDA for the 2008 second quarter was $45.5 million compared to $46.6 million in the 2008 first quarter.

EBITDA from U.S. operations this quarter was lower by US$4.5 million from the 2008 first quarter, with the improvement from new facilities of US$1.4 million offset by a decline in same-facility EBITDA of US$5.9 million, which was impacted by the following items:

- start-up costs at two facilities and clinical challenges at six facilities of US$0.6 million;

- an increase in workers' compensation and property taxes of US$2.4 million, of which US$1.2 million pertains to prior years;

- an estimated increase in food, supplies and travel costs due to inflationary pressures of US$0.8 million; and

- lower earnings of US$4.1 million from remaining operations; partially offset by

- an improvement of US$2.0 million due to lower bad debts and utility costs.

EBITDA from Canadian operations improved by $3.2 million this quarter despite the $2.4 million charge for compensation arrangements. Operations otherwise improved by $5.6 million between quarters primarily due to funding enhancements, timing of spending under the Ontario envelope system, a 3.2% increase in home health care volumes, and a seasonal decline in utility costs of $1.7 million.

 

Earnings from Continuing Operations

TABLE 2                              Three months ended June 30
--------------------------------------------------------------------
                                        2008             2007
--------------------------------------------------------------------
                                             Per               Per
Components of Earnings from        After   diluted  After    diluted
 Continuing Operations (1)         -tax      unit   -tax       unit
--------------------------------------------------------------------
(thousands of Canadian dollars except per unit amounts)
Continuing Health Care Operations before Undernoted (1)
U.S. operations (US$)              4,932           10,522
--------------------------------------------------------------------
U.S. operations (C$)               4,992           11,526
Canadian operations                2,400            2,545
--------------------------------------------------------------------
                                   7,392    $0.10  14,071     $0.20
Gain on derivative financial instruments
 and foreign exchange              1,927     0.03  11,521      0.17
Gain from asset disposals and other items           1,428      0.02
--------------------------------------------------------------------
Earnings from continuing health
 care operations                   9,319    $0.13  27,020     $0.39
Share of equity accounted earnings                    961      0.01
--------------------------------------------------------------------
Earnings from continuing
 operations                        9,319    $0.13  27,981     $0.40
--------------------------------------------------------------------
--------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.

Earnings from continuing health care operations prior to separately reported items, as outlined in Table 2 above, were $7.4 million ($0.10 per diluted unit) in the 2008 second quarter compared to $14.1 million ($0.20 per diluted unit) in the 2007 second quarter. The $6.7 million decline in earnings was impacted by the following items:

- stronger Canadian dollar reduced earnings by $0.4 million;

- 2007 second quarter release of actuarial reserve provision and lower investment earnings in our captive insurance company of $1.8 million; and

- a $1.6 million after-tax charge for our former CEO's compensation arrangements; partially offset by

- additional SIFT tax included in the 2007 second quarter of $1.1 million related to the 2007 first quarter.

Exclusive of the above, health care net earnings declined by $4.0 million this quarter due to the previously discussed decline in EBITDA, and increases in depreciation and financing costs due primarily to acquisitions and capital expenditures.

 

2008 SIX MONTH FINANCIAL REVIEW

TABLE 3                                   Six months ended June 30
--------------------------------------------------------------------
                                              2008         2007
--------------------------------------------------------------------
(millions of dollars unless otherwise noted)
Revenue
U.S. operations (US$)                         686.2        539.4
--------------------------------------------------------------------
U.S. operations (C$)                          691.2        612.2
Canadian operations                           293.8        278.5
--------------------------------------------------------------------
Total Revenue                                 984.9        890.7
--------------------------------------------------------------------
--------------------------------------------------------------------
EBITDA
U.S. operations (US$)                          69.5         70.9
--------------------------------------------------------------------
U.S. operations (C$)                           70.0         80.5
Canadian operations                            22.1         25.2
--------------------------------------------------------------------
Total EBITDA                                   92.1        105.7
--------------------------------------------------------------------
--------------------------------------------------------------------
Average US/Canadian dollar exchange rate     1.0072       1.1349
--------------------------------------------------------------------
(1) Amounts may not add due to rounding.

EBITDA Comparison to First Half of 2007

EBITDA for the first half of 2008 was $92.1 million compared to $105.7 million for the same 2007 period. Excluding the impact of a stronger Canadian dollar, EBITDA declined $4.7 million.

EBITDA from U.S. operations declined US$1.4 million in the first half of 2008. New facilities contributed EBITDA of US$14.6 million to EBITDA in the first half of 2008 and broke even in the same 2007 period, whereas same-facility EBITDA declined US$16.0 million and was impacted by the following items:

- start-up costs at two facilities and clinical challenges at six facilities of US$4.8 million;

- a decrease of US$3.4 million due to the 2007 release of actuarial reserve provisions and lower investment earnings in our captive insurance company, which is expected to have a similar impact in the latter half of 2008;

- an increase in bad debts of US$2.6 million, primarily due to specific facilities in Pennsylvania;

- an increase in workers' compensation and property taxes of US$3.6 million, of which US$1.7 million pertains to prior years; and

- an estimated increase in food, supplies and travel costs due to inflationary pressures of US$2.5 million; partially offset by

- a US$0.9 million improvement in remaining operations.

EBITDA from Canadian operations declined $3.1 million to $22.1 million in the first half of 2008 from $25.2 million in the first half of 2007, due to a $3.9 million increase in administrative costs, of which $2.4 million related to the compensation arrangements recorded this quarter. Prior to administrative costs, net operating income improved by $0.8 million due primarily to funding enhancements.

 

Earnings from Continuing Operations

TABLE 4                               Six months ended June 30
--------------------------------------------------------------------
                                        2008             2007
--------------------------------------------------------------------
                                             Per               Per
Components of Earnings from        After   diluted  After    diluted
 Continuing Operations (1)         -tax      unit   -tax       unit
--------------------------------------------------------------------
(thousands of Canadian dollars except per unit amounts)
Continuing Health Care Operations before Undernoted (1)
U.S. operations (US$)             12,085           23,166
--------------------------------------------------------------------
U.S. operations (C$)              12,174           26,315
Canadian operations                2,331            5,272
--------------------------------------------------------------------
                                  14,505    $0.20  31,587     $0.45
Gain(loss) on derivative financial instruments
 and foreign exchange             (1,602)   (0.02) 12,418      0.18
Gain from asset disposals and other items           1,428      0.02
--------------------------------------------------------------------
Earnings from continuing health
 care operations                  12,903    $0.18  45,433     $0.65
Share of equity accounted earnings                  1,541      0.02
--------------------------------------------------------------------
Earnings from continuing
 operations                       12,903    $0.18  46,974     $0.67
--------------------------------------------------------------------
--------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.

Earnings from continuing health care operations prior to separately reported items, as outlined in Table 4 above, were $14.5 million ($0.20 per diluted unit) in the first half of 2008 compared to $31.6 million ($0.45 per diluted unit) in the same 2007 period. The $17.1 million decline in earnings was impacted by the following items:

- stronger Canadian dollar reduced earnings by $1.6 million;

- 2007 tax adjustment pertaining to the 2006 reorganization of $1.4 million;

- a decrease of $3.8 million due to the 2007 release of actuarial reserve provisions and lower investment earnings in our captive insurance company, which is expected to have a similar impact in the latter half of 2008;

- a $1.6 million after-tax charge for our former CEO's compensation arrangements; and

- interest costs associated with the March 2007 US$90.0 million financing for payment of taxes associated with the distribution of Assisted Living Concepts, Inc. of $0.7 million.

Exclusive of the above, health care net earnings declined by $8.0 million due to the previously discussed decline in EBITDA, and increases in depreciation and financing costs due primarily to acquisitions and capital expenditures.

ADJUSTED FUNDS FROM OPERATIONS

2008 Second Quarter AFFO

AFFO from continuing operations was $15.5 million ($0.217 per basic unit) in the 2008 second quarter compared to $21.6 million ($0.307 per basic unit) in the 2007 second quarter, representing a decline of $6.1 million ($0.09 per basic unit). The results were impacted by the following items:

- stronger Canadian dollar reduced AFFO by $1.0 million;

- a $1.6 million after-tax charge for our former CEO's compensation arrangements; and

- 2007 second quarter release of actuarial reserve provision and lower investment earnings in our captive insurance company of $1.8 million; partially offset by

- additional SIFT tax included in the 2007 second quarter of $1.1 million related to the 2007 first quarter.

Exclusive of the above, AFFO declined by $2.8 million due to a decline in EBITDA and an increase in financing costs.

In comparison to the 2008 first quarter, AFFO from continuing operations in the 2008 second quarter declined by $3.1 million, primarily due to timing of spending of the facility maintenance costs, which were $3.1 million more this quarter.

2008 Six Month AFFO

AFFO from continuing operations was $34.1 million ($0.481 per basic unit) in the first half of 2008 compared to $47.6 million ($0.677 per basic unit) in the first half of 2007, representing a decline of $13.5 million ($0.196 per basic unit). The results were impacted by the following items:

- stronger Canadian dollar reduced AFFO by $3.5 million;

- a $1.6 million after-tax charge for our former CEO's compensation arrangements;

- 2007 first quarter tax adjustment pertaining to the Reorganization of $1.4 million;

- 2007 first half release of actuarial reserve provision and lower investment earnings in our captive insurance company of $3.8 million; and

- interest costs associated with the March 2007 US$90.0 million financing for payment of taxes associated with the distribution of Assisted Living Concepts, Inc. of $0.7 million; partially offset by

- lower maintenance capital expenditures of $1.6 million between periods.

Exclusive of the above, AFFO declined by $4.1 million due to a decline in EBITDA and an increase in financing costs.

Annual facility maintenance costs are anticipated to be between 1.5% to 2% of revenue, which is consistent with our objective to maintain and upgrade our facilities.

The reported AFFO from continuing operations does not reflect the incremental benefit of our U.S. dollar distributions of US$4.0 million a month at the locked-in exchange rate of 1.1141 until November 2009. Based on an exchange rate of par and 74.1 million units outstanding, this amounts to approximately $0.046 per unit annually.

LIQUIDITY AND CAPITAL RESOURCES

At June 30, 2008, we had cash and cash equivalents of $116.3 million compared with $44.2 million at December 31, 2007. Cash provided by operating activities was $18.7 million in the first half of 2008 compared to $53.7 million in the first half of 2007. The decline reflected a reduction in earnings and an unfavourable change of $21.6 million in operating assets and liabilities between periods primarily related to an increase in accounts receivable and income taxes payable, partially offset by an increase in accounts payable. The 2008 increase in accounts receivable primarily resulted from trade receivables due to funding improvements and the number of HMO residents served. The comparability of changes in income taxes and accounts payable were impacted by a net income tax refund in 2007 related to 2006, and the payment in 2007 of a prior year Medicare settlement.

Capital additions to property and equipment, excluding acquisitions, were $30.3 million in the first half of 2008 compared to $35.1 million in the first half of 2007. Growth expenditures totalled $18.2 million in the first half of 2008 versus $21.3 million in the same 2007 period, while facility maintenance costs were $12.1 million and $13.8 million, respectively. These costs fluctuate on a quarterly basis with the timing of projects and seasonality.

Long-term debt, including current portion, was $1,170.6 million at June 30, 2008, and was net of $30.6 million of financing costs. At June 30, 2008, long-term debt (at face value and including current portion) represented 45.2% of adjusted gross book value (37.5% excluding the convertible debentures).

For 2008, we are confident that our cash from operating activities, together with available bank credit facilities, and debt refinancings in process, will be sufficient to fund the current requirements of our ongoing operations, including an expected $32.0 million of maintenance capital expenditures, as well as to meet debt obligations and pay declared distributions to unitholders. The REIT raises funds through debt financings and the capital markets to fund strategic acquisitions and growth capital expenditures, the latter of which are expected to total $50.0 million in 2008.

AUGUST DISTRIBUTION DECLARED

The Board of Trustees of the REIT today declared a cash distribution of $0.0925 per unit for the month of August 2008, payable to unitholders of record at the close of business on August 29, 2008, and will be paid on September 15, 2008.

Extendicare Limited Partnership (the "Partnership") also announced that it has declared a cash distribution of $0.0925 per Class B limited partnership unit for the month of August 2008, payable to unitholders of record at the close of business on August 29, 2008, and will be paid on September 15, 2008.

Management estimates that approximately 70% of the 2008 distributions of the REIT and Partnership will be characterized as tax deferred returns of capital for Canadian residents. The remaining 30% of distributions of the REIT paid in 2008 are expected to be taxed as dividends and those paid to Canadian residents are eligible dividends as per the Income Tax Act (Canada) (the "Act"). To the extent a portion of the remaining 30% of distributions of the Partnership allocated in 2008 is taxed as dividends, those paid to Canadian residents are eligible dividends as per the Act. Extendicare 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.

ABOUT US

Extendicare REIT, through its wholly owned subsidiaries, is a major provider of short and long-term care services for seniors in North America. We operate 268 nursing and assisted living facilities in North America, with capacity for approximately 30,300 residents. As well, we offer medical specialty services such as subacute care and rehabilitative therapy services in the United States, and home health care services in Canada, and employ approximately 38,100 people in North America.

On August 8, 2008, at 10:00 a.m. (ET), we will hold a conference call to discuss our results for the 2008 second 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 1-877-323-2090 or 416-641-6140. A taped rebroadcast of the call will be available until midnight on August 22, 2008. To access the rebroadcast, dial 1-800-408-3053 or 416-695-5800, conference ID number 3266398. 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 sections.

Certain 2007 figures have been revised to conform to the presentation in 2008, 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", "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", "plan" or "objective" or other similar expressions. Forward-looking statements reflect management's beliefs and assumptions and are based on information currently available, and the REIT assumes no obligation to update any forward-looking statement. 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    Six months ended
                                 June 30             June 30
-------------------------------------------------------------------
                               2008      2007      2008      2007
-------------------------------------------------------------------
      (thousands of Canadian dollars except per unit amounts)
                                     (revised)            (revised)
Revenue
 Nursing and assisted living centres
  United States              334,949   284,726   667,938    585,141
  Canada                     108,763   104,114   214,337    203,674
 Home health - Canada         39,503    35,023    73,814     70,403
 Outpatient therapy
  - United States              3,134     3,241     6,126      6,495
 Other                        11,593    11,995    22,734     25,002
-------------------------------------------------------------------
                             497,942   439,099   984,949    890,715
Operating expenses           429,057   366,461   849,306    745,758
Administrative costs          20,118    15,897    37,191     32,967
Lease costs                    3,259     3,030     6,336      6,241
-------------------------------------------------------------------
EBITDA (1)                    45,508    53,711    92,116    105,749
Depreciation and
 amortization                 14,456    12,152    28,358     24,640
Accretion expense                372       326       742        661
Interest expense              21,226    19,266    42,576     37,108
Interest income               (1,434)   (1,487)   (2,885)    (3,134)
Loss (gain) on derivative financial instruments
 and foreign exchange         (2,045)  (15,557)    2,167    (17,054)
Gain from asset disposals and
 other items                            (2,192)              (2,192)
-------------------------------------------------------------------
Earnings from continuing health care operations
 before income taxes          12,933    41,203    21,158     65,720
-------------------------------------------------------------------
Income tax expense (recovery)
 Current                       5,058     8,262    11,345     14,416
 Future                       (1,444)    5,921    (3,090)     5,871
-------------------------------------------------------------------
                               3,614    14,183     8,255     20,287
-------------------------------------------------------------------
Earnings from continuing health
 care operations               9,319    27,020    12,903     45,433
Share of equity accounted earnings         961                1,541
-------------------------------------------------------------------
Earnings from continuing
 operations                    9,319    27,981    12,903     46,974
Discontinued operations        1,358       328     1,352     (3,299)
-------------------------------------------------------------------
Net earnings                  10,677    28,309    14,255     43,675
-------------------------------------------------------------------
-------------------------------------------------------------------
Basic and Diluted Earnings per Unit($)
 Earnings from continuing
  operations                    0.13      0.40      0.18       0.67
 Net earnings                   0.15      0.40      0.20       0.62
-------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.


                            EXTENDICARE REIT
                   Condensed Consolidated Cash Flows
                                 Three months        Six months
                                ended June 30       ended June 30
-------------------------------------------------------------------
                                2008      2007      2008      2007
-------------------------------------------------------------------
                                     (thousands of Canadian dollars)

Operating Activities
Net earnings                    10,677    28,309    14,255   43,675
Adjustments for:
  Depreciation and amortization 14,593    12,335    28,656   25,123
  Provision for self-
   insured liabilities           3,207     3,790     7,114    6,054
  Payments for self-
   insured liabilities         (10,108)   (6,330)  (14,322) (12,299)
  Future income taxes              (22)    3,527    (1,161)   3,499
  Loss (gain) on derivative financial instruments
   and foreign exchange         (2,045)  (15,557)    2,167  (17,054)
  Gain from asset disposals
   and other items                        (2,192)            (2,192)
  Loss (gain) from asset impairment,
   disposals and other items
   from discontinued operations   (106)     (170)     (474)   5,675
  Undistributed share of earnings from equity
   accounted investments                    (961)            (1,541)
  Other                          2,035     1,483     3,720    2,429
-------------------------------------------------------------------
                                18,231    24,234    39,955   53,369
 Net change in operating assets and liabilities
  Accounts receivable            7,385     3,815   (10,224)   4,694
  Supplies and prepaid expenses    598      (663)   (7,485)  (5,527)
  Accounts payable and
   accrued liabilities          (6,967)     (626)    5,607  (15,187)
  Income taxes                 (12,549)   (3,426)   (9,186)  16,332
-------------------------------------------------------------------
                                 6,698    23,334    18,667   53,681
-------------------------------------------------------------------
Investing Activities
 Capital additions             (16,277)  (19,746)  (30,342) (35,089)
 Acquisitions                             (2,796)           (11,489)
 Net proceeds from dispositions  1,041               2,569    2,228
 Return of equity investment              41,637             41,637
 Other assets                    1,057    (2,012)    1,779   (2,666)
-------------------------------------------------------------------
                               (14,179)   17,083   (25,994)  (5,379)
-------------------------------------------------------------------
Financing Activities
 Issue of long-term debt       143,367   115,000   144,329  246,695
 Repayment on line of credit    (9,038)  (19,917)
 Repayment of long-term debt   (53,305)   (2,663)  (62,378)  (5,421)
 Decrease in investments held
  for self-insured liabilities   6,956     2,170     7,849   10,008
 Distributions paid            (18,929)  (18,205)  (37,846) (43,050)
 Issue of units                 34,580              34,580
 Financial costs                (9,100)   (6,088)   (9,410)  (9,950)
 Income taxes paid re: the distribution of ALC             (120,220)
 Other                           1,002     3,162     1,921    2,323
-------------------------------------------------------------------
                                95,533    73,459    79,045   80,385
-------------------------------------------------------------------
Foreign exchange gain (loss) on cash
 held in foreign currency          123    (4,835)      339   (4,845)
-------------------------------------------------------------------
Increase in cash and
 cash equivalents               88,175   109,041    72,057  123,842
Cash and cash equivalents
 at beginning of period         28,116    42,858    44,234   28,057
-------------------------------------------------------------------
Cash and cash equivalents
 at end of period              116,291   151,899   116,291  151,899
-------------------------------------------------------------------
-------------------------------------------------------------------


                           EXTENDICARE REIT
                Condensed Consolidated Balance Sheets
                                              June 30   December 31
                                                2008       2007
-------------------------------------------------------------------
            (thousands of Canadian dollars, unless otherwise noted)
                                                          (revised)
Assets
Current assets
 Cash and short-term investments               116,291       44,234
 Invested assets                                 1,521        2,439
 Accounts receivable, less allowances          228,111      214,305
 Income taxes recoverable                       12,174        2,640
 Future income tax assets                       29,518       27,504
 Supplies and prepaid expenses                  28,039       25,467
-------------------------------------------------------------------
                                               415,654      316,589
Property and equipment                         854,806      842,648
Goodwill and other intangible assets           169,259      162,481
Other assets                                   129,260      118,445
-------------------------------------------------------------------
                                             1,568,979    1,440,163
-------------------------------------------------------------------
-------------------------------------------------------------------
Liabilities and Unitholders' Deficiency
Current liabilities
 Accounts payable                               36,839       35,963
 Accrued liabilities                           215,927      203,084
 Accrual for self-insured liabilities           15,704       12,392
 Current portion of long-term debt              19,433       75,241
-------------------------------------------------------------------
                                               287,903      326,680
Accrual for self-insured liabilities            26,540       30,018
Long-term debt                               1,151,153      996,470
Other long-term liabilities                     65,563       63,978
Future income tax liabilities                   47,428       46,595
-------------------------------------------------------------------
                                             1,578,587    1,463,741
Unitholders' deficiency                         (9,608)     (23,578)
-------------------------------------------------------------------
                                             1,568,979    1,440,163
-------------------------------------------------------------------
-------------------------------------------------------------------
Closing US/Cdn. dollar exchange rate            1.0197       0.9913


                            EXTENDICARE REIT
                   Financial and Operating Statistics
(amounts in Canadian dollars, unless otherwise noted)
                               Three months         Six months
                               ended June 30       ended June 30
--------------------------------------------------------------------
                             2008      2007      2008       2007
--------------------------------------------------------------------
Health Care Earnings from Continuing Operations (millions)
 United States (US$)          $5.8     $17.2      $8.8      $30.7
--------------------------------------------------------------------
 United States                $5.8     $19.0      $8.8      $34.7
 Canada                        3.5       8.0       4.1       10.8
--------------------------------------------------------------------
                              $9.3     $27.0     $12.9      $45.4
--------------------------------------------------------------------
--------------------------------------------------------------------
Health Care Net Earnings (millions)
 United States (US$)          $7.1     $17.5     $10.1      $27.8
--------------------------------------------------------------------
 United States                $7.2     $19.3     $10.2      $31.4
 Canada                        3.5       8.0       4.1       10.8
--------------------------------------------------------------------
                             $10.7     $27.3     $14.3      $42.1
--------------------------------------------------------------------
--------------------------------------------------------------------
U.S. Skilled Nursing Facility Statistics
 Percent of Revenue by Payor Source (same-facility basis, excluding
  prior period settlement adjustments)
   Medicare (Part A and B)    35.8%     36.6%     36.3%      36.7%
   HMO/CI                      9.9       7.5       9.2        7.2
--------------------------------------------------------------------
    Skilled mix               45.7      44.1      45.5       43.9
   Private/other               8.6       9.4       8.7        9.6
--------------------------------------------------------------------
    Quality mix               54.3      53.5      54.2       53.5
   Medicaid                   45.7      46.5      45.8       46.5
--------------------------------------------------------------------
 Average Daily Census by Payor Source (same-facility basis)
   Medicare                  2,309     2,451     2,360      2,462
   HMO/CI                      831       631       800        633
--------------------------------------------------------------------
    Skilled mix              3,140     3,082     3,160      3,095
   Private/other             1,259     1,364     1,255      1,360
--------------------------------------------------------------------
    Quality mix              4,399     4,446     4,415      4,455
   Medicaid                  8,045     8,311     8,116      8,328
--------------------------------------------------------------------
                            12,444    12,757    12,531     12,783
--------------------------------------------------------------------
--------------------------------------------------------------------
 Average Revenue per Resident Day by Payor Source
  (excluding prior period settlement adjustments)(US$)
   Medicare Part A only    $417.81   $389.04   $414.27    $388.43
   Medicare (Part A and B)  453.68    423.00    450.80     422.99
   HMO/CI                   358.45    335.32    347.44     323.67
   Private/other            200.09    194.51    204.03     200.10
   Medicaid                 166.59    158.52    165.98     158.18
   Weighted average         234.03    221.92    232.82     221.82
--------------------------------------------------------------------
Average Occupancy (excluding managed facilities)
 (same-facility basis)
 U.S. skilled nursing
  facilities                  88.6%     90.6%     89.2%      90.8%
 U.S. assisted living
  facilities                  84.5      82.7      83.2       81.8
 Canadian facilities
  average occupancy           97.9      98.3      97.8       98.0
--------------------------------------------------------------------
Capital Additions to Property and Equipment (thousands)
 Growth expenditures         8,638    11,988     18,199    21,311
 Facility maintenance        7,639     7,758     12,143    13,778
--------------------------------------------------------------------
Consolidated reported       16,277    19,746     30,342    35,089
--------------------------------------------------------------------
--------------------------------------------------------------------
Average US/Cdn. dollar
 exchange rate              1.0102    1.0986     1.0072    1.1349
--------------------------------------------------------------------
(1) Amounts may not add due to rounding.


                         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 June 30, 2008 and
2007. (1)
                               Three months         Six months
                               ended June 30       ended June 30
--------------------------------------------------------------------
                             2008      2007       2008       2007
--------------------------------------------------------------------
(thousands of Canadian dollars unless otherwise noted)
EBITDA from continuing
 health care operations      45,508    53,711     92,116    105,749
  Depreciation for furniture, fixtures,
   equipment and computers   (4,567)   (3,509)    (8,733)    (7,040)
  Interest expense, net     (19,792)  (17,779)   (39,691)   (33,974)
--------------------------------------------------------------------
                             21,149    32,423     43,692     64,735
  Current income tax
   expense (2)               (4,779)   (8,255)   (10,486)   (13,652)
--------------------------------------------------------------------
FFO (continuing operations)  16,370    24,168     33,206     51,083
 Amortization of deferred
  financing costs             1,622     1,159      3,184      2,238
 Principal portion of government
  capital funding payments      540       514      1,081      1,024
--------------------------------------------------------------------
DI (continuing operations)   18,532    25,841     37,471     54,345
Additional maintenance capital
 expenditures (3)            (3,072)   (4,249)    (3,410)    (6,738)
--------------------------------------------------------------------
AFFO (continuing operations) 15,460    21,592     34,061     47,607
AFFO (discontinued
 operations) (4)              1,265       439      1,093        662
--------------------------------------------------------------------
AFFO                         16,725    22,031     35,154     48,269
--------------------------------------------------------------------
--------------------------------------------------------------------
Per Basic Unit ($)
FFO (continuing operations)   0.230     0.344      0.469      0.727
FFO                           0.249     0.350      0.485      0.736
--------------------------------------------------------------------
Per Basic Unit ($)
AFFO (continuing operations)  0.217     0.307      0.481      0.677
AFFO                          0.235     0.313      0.497      0.687
--------------------------------------------------------------------
Per Diluted Unit ($)
AFFO (continuing operations)  0.213     0.305      0.470      0.675
AFFO                          0.229     0.310      0.484      0.684
--------------------------------------------------------------------
Distributions declared       19,902    19,519     39,460     39,012
Distributions declared
 per unit ($)                0.2775    0.2775     0.5550     0.5550
--------------------------------------------------------------------
Basic weighted average number
 of units (thousands )       71,109    70,324     70,790     70,279
Diluted weighted average number of
 units (thousands)           77,869    70,896     77,058     70,568
--------------------------------------------------------------------

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, restructuring
   charges, asset 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 Activities to DI
and AFFO
--------------------------------------------------------------------
                               Three months         Six months
                               ended June 30       ended June 30
--------------------------------------------------------------------
                              2008      2007       2008       2007
--------------------------------------------------------------------
(thousands of Canadian dollars)
Cash provided by operating
 activities                   6,698    23,334     18,667     53,681
Add (Deduct):
 Net change in operating assets
  and liabilities            11,533       900     21,288      (312)
 Current tax recovery on loss (gain) from
  derivative financial instruments, foreign
  exchange, asset impairment,
  disposals and other items  (1,272)    2,478     (1,168)      891
 Net provisions and payments for
  self-insured liabilities    6,901     2,540      7,208     6,245
 Depreciation for furniture, fixtures,
  equipment and computers    (4,567)   (3,509)    (8,733)   (7,040)
 Other                          (36)       23        221       518
 Principal portion of government capital
  funding payments              540       514      1,081     1,024
--------------------------------------------------------------------
DI                           19,797    26,280     38,564    55,007
Additional maintenance
 capital expenditures        (3,072)   (4,249)    (3,410)   (6,738)
--------------------------------------------------------------------
AFFO                         16,725    22,031     35,154    48,269
--------------------------------------------------------------------
--------------------------------------------------------------------


Contact:
     Contacts:
     Extendicare REIT
     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 @ http://www.extendicare.com
      

Source: Extendicare REIT


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