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Extendicare REIT Announces 2008 First Quarter Results

Extendicare Real Estate Investment Trust ("Extendicare REIT" or the "REIT") (TSX: EXE.UN) today reported 2008 first quarter results with the following highlights:

- revenue growth, excluding foreign exchange impact, 20.5% in Q1/08 over Q1/07;

- average Medicare Part A rate of US$410.86, up 5.9% from the 2007 first quarter;

- same-facility skilled mix census increased to 25.1% in Q1/08 from 24.1% in Q1/07;

- integration of Tendercare exceeding expectations; and

- May distribution of $0.0925 per unit declared.

Tim Lukenda, President and CEO of Extendicare REIT, commented: "While the results for the quarter are not at the level we would like them to be, there are a number of items that make the comparison of the first quarter 2008 to the first quarter of 2007 less favourable. Some isolated challenges that have been identified and plans have been implemented to rectify them. I plan to build on the core strengths of Extendicare's past and drive future performance through a refocused effort on fundamentals of the business including census growth and cost containment. I believe our strategy to be fundamentally sound and the company's outlook positive. We will continue with our program of new facility developments and enhancements to our current portfolio, and will continue to seek accretive acquisitions subject to the availability of funding from the credit and capital markets."

Earnings from continuing health care operations were $3.9 million ($0.05 per diluted unit) for the three months ended March 31, 2008, compared to $18.7 million ($0.26 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 first quarter were $7.4 million ($0.10 per diluted unit) compared to earnings in the 2007 first quarter of $17.8 million ($0.25 per diluted unit). Earnings before interest, income taxes, depreciation, amortization, and accretion (EBITDA) for the 2008 first quarter totalled $47.2 million compared to $52.6 million in the same 2007 period. However, excluding a $6.3 million negative impact of the stronger Canadian dollar, EBITDA improved $0.9 million from the prior period level.

Acquisitions and Development Projects

The most significant acquisition made in 2007 was the purchase of Tendercare (Michigan) Inc. and affiliated entities (collectively "Tendercare"), which added 30 senior care facilities (3,301 operational beds), with two additional facilities (177 beds) under development. For the 2008 first quarter, Tendercare's operations contributed $56.5 million (US$56.3 million) of revenue and $5.8 million (US$5.8 million) of EBITDA. We made significant progress in the integration of the Tendercare portfolio within the Extendicare operations. In the month of March 2008, we benefited from the implementation of our marketing programs, resulting in an average daily increase of 47 Medicare residents, or 12%, from the month of February 2008.

In January 2008 we opened two newly constructed skilled nursing facilities in the U.S: a 100-bed replacement facility in Sequim, Washington, including an 11-bed addition completed in April, and a 77-bed facility in Holland, Michigan. An existing older skilled nursing facility in Washington was closed in January 2008 and the residents were relocated to the newly built facility. The Michigan facility only had 10 of its 77 beds operational for private-pay residents during the first quarter because it did not receive its Medicare and Medicaid certification until April 2008. Lastly, we reduced occupancy levels as we remodelled a newly acquired facility in Milwaukee, Wisconsin, that was completed in March 2008. In aggregate the start-up losses associated with these facilities were $0.5 million in the 2008 first quarter.

EHSI Skilled Nursing Facility Revenue Rates

As shown in the table entitled, "Financial and Operating Statistics", the average daily Medicare Part A rate for Extendicare Health Services, Inc. (EHSI) in the 2008 first quarter was US$410.86, an increase of 5.9% from US$387.95 in the same 2007 period, and down slightly from US$411.87 in the 2007 fourth quarter. Approximately half of the increase from the 2007 first 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. Excluding the Tendercare facilities, the percentage of Medicare residents in the nine highest Resource Utilization Groupings (RUGs) classifications was 37.7% in each of the 2008 and 2007 first quarters, and decreased slightly from 38.5% in the 2007 fourth quarter. The percentage of therapy residents increased to 86.9% in the 2008 first quarter from 86.7% in the same 2007 period, and from 85.9% in the 2007 fourth quarter.

The average revenue rate for Health Maintenance Organization (HMO) and commercial insurance (CI) clients, another important area of growth for EHSI that represents the highest rate component of private and other, increased to US$335.74 in the 2008 first quarter from US$311.38 in the 2007 first quarter, and US$334.10 in the 2007 fourth quarter.

EHSI's Skilled Nursing Facility Average Daily Census (ADC)

On a same-facility basis, EHSI's skilled mix increased from 3,135 in the 2007 first quarter to 3,219 in the 2008 first quarter, or 2.7%. Growth was primarily due to an increase of 138 in HMO/CI ADC, to 776 from 638 in the 2007 first quarter. The increase in HMO/CI residents is due to our focus on these higher acuity residents and the number of Medicare beneficiaries opting out of traditional Medicare Part A benefits and selecting coverage through a Medicare HMO product. EHSI's Medicare ADC on a same-facility basis in the 2008 first quarter was 2,443, down 2.2% from the comparable 2007 period level. In comparison to the 2007 fourth quarter, our same-facility Medicare ADC increased 7.0% from 2,283, and our HMO/CI increased 10.9% from 700.

Our total ADC from same-facility skilled nursing facilities was 12,854 in the 2008 first quarter, a decline of 181, or 1.4%, from the 2007 first quarter of 13,035. Over a third of this decline, or 70 ADC, was due to clinical challenges we are experiencing at six facilities, primarily in the State of Washington, which have resulted in a voluntary slowdown in admissions. In comparison to the 2007 fourth quarter ADC of 12,863, if not for a decline of 46 ADC from these six facilities our total ADC would have improved by 37 in the 2008 first quarter.


2008 First Quarter Financial Review

TABLE 1                                  Q1         Q1        Q4
--------------------------------------------------------------------
                                        2008       2007      2007
--------------------------------------------------------------------
(thousands of dollars unless otherwise noted)
Revenue
U.S. operations (US$)                  347,676    272,392   321,591
--------------------------------------------------------------------
U.S. operations (C$)                   349,135    319,135   320,315
Canadian operations                    142,416    137,138   148,852
--------------------------------------------------------------------
Total Revenue                          491,551    456,273   469,167
--------------------------------------------------------------------
--------------------------------------------------------------------
EBITDA
U.S. operations (US$)                   37,596     35,672    37,563
--------------------------------------------------------------------
U.S. operations (C$)                    37,752     41,793    37,110
Canadian operations                      9,449     10,856    13,144
--------------------------------------------------------------------
Total EBITDA                            47,201     52,649    50,254
--------------------------------------------------------------------
--------------------------------------------------------------------
Average US/Canadian dollar
 exchange rate                          1.0042     1.1716    0.9837
--------------------------------------------------------------------

Revenue Comparison to 2007 First Quarter and 2007 Fourth Quarter

Revenue for the 2008 first quarter grew 7.7% to $491.6 million from $456.3 million in the 2007 first quarter, and excluding the impact of the stronger Canadian dollar, revenue grew 20.5%. In comparison to the 2007 fourth quarter, revenue this quarter grew 4.8%.

EBITDA Comparison to 2007 First Quarter

EBITDA for the 2008 first quarter was $47.2 million compared to $52.6 million for the 2007 first quarter. Excluding the impact of a stronger Canadian dollar, EBITDA increased $0.9 million.

Compared to the 2007 first quarter, EBITDA from U.S. operations in U.S. dollars improved US$1.9 million. Acquisitions contributed US$6.6 million in EBITDA, primarily due to the impact of Tendercare, whereas same-facility EBITDA declined US$4.7 million. Earnings from same-facility operations increased US$1.5 million, or 4.4%, through increases in revenue rates and skilled mix census, however the results were softened due to the following three items:

- start-up costs at two facilities and clinical challenges at six facilities (voluntary slowdown in admissions and incremental staffing costs) resulted in reduced earnings of US$2.2 million;

- an increase in bad debts of US$2.2 million in specific facilities in Pennsylvania; and

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

EBITDA from Canadian operations declined $1.4 million to $9.4 million in the 2008 first quarter from $10.8 million in the 2007 first quarter, due to increased wage costs primarily resulting from three additional statutory holidays in the 2008 first quarter and timing of spending under the Ontario nursing home envelope system. These costs fluctuate relative to established funding levels and are normally recovered in subsequent quarters.

EBITDA Comparison to 2007 Fourth Quarter

EBITDA for the 2008 first quarter was $47.2 million compared to $50.2 million in the 2007 fourth quarter. Excluding the impact of a stronger U.S. dollar, EBITDA declined $3.6 million from the 2007 fourth quarter.

Compared to the 2007 fourth quarter, EBITDA from U.S. operations was unchanged, with the improvement from acquisitions of US$3.0 million, primarily due to the impact of Tendercare, offset by a decline in same-facility EBITDA. Earnings from same-facility operations increased US$3.0 million, or 9.2%, through increases in revenue rates and skilled mix census, however the results were softened due to the following items:

- start-up costs at two facilities and clinical challenges at six facilities resulted in reduced earnings of US$1.0 million;

- an increase in bad debts of US$2.6 million in specific facilities in Pennsylvania;

- 2007 fourth quarter release of actuarial reserve provision and lower investment earnings in our captive insurance company of US$1.4 million; and

- an increase in utilities due to the winter months of US$1.0 million.

EBITDA from Canadian operations in the 2008 first quarter declined by $3.7 million from $13.1 million in the 2007 fourth quarter. The comparison of the quarters was impacted by a number of items as follows:

- an increase in utility costs due to the winter months of $1.5 million;

- higher spending of labour costs in the 2008 first quarter within the Ontario flow-through envelope system of $1.0 million; and

- lower home health care earnings resulting from lower volumes and a favourable Workplace Safety and Insurance Board adjustment late in 2007.


Earnings from Continuing Operations

TABLE 2                              Three months ended March 31
--------------------------------------------------------------------
                                        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$)              7,427           12,892
--------------------------------------------------------------------
U.S. operations (C$)               7,456           15,079
Canadian operations                  (69)           2,727
--------------------------------------------------------------------
                                   7,387    $0.10  17,806     $0.25
Gain (loss) on derivative financial instruments
 and foreign exchange             (3,529)   (0.05)    897      0.01
--------------------------------------------------------------------
Earnings from continuing health
 care operations                   3,858    $0.05  18,703     $0.26
Share of equity accounted earnings                    580      0.01
--------------------------------------------------------------------
Earnings from continuing
 operations                        3,858    $0.05  19,283     $0.27
--------------------------------------------------------------------
--------------------------------------------------------------------
(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 first quarter compared to $17.8 million ($0.25 per diluted unit) in the 2007 first quarter. There were $6.1 million ($0.09 per diluted unit) of non-recurring items and other items that impact the comparability of these two quarters, namely:

- stronger Canadian dollar reduced earnings by $1.2 million;

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

- release of actuarial reserve provision and incremental investment earnings in our captive insurance company of $1.8 million;

- SIFT taxes that were not reflected in 2007 until the second quarter of $1.1 million; and

- interest costs associated with the March 2007 US$90 million financing for payment of taxes associated with the distribution of Assisted Living Concepts, Inc. of $0.6 million.

Exclusive of the above, health care net earnings declined by $4.3 million due to the previously discussed decline in the U.S. and Canadian EBITDA, and increase in depreciation and financing costs due primarily to acquisitions and capital expenditures.

The tax provision from continuing operations was $4.8 million in the 2008 first quarter compared to $6.3 million in the 2007 first quarter, representing effective tax rates of 55.5% and 25.1%, respectively. The effective tax rates for each year were distorted by the gains and losses from derivative financial instruments and foreign exchange, as well as a credit adjustment in the 2007 first quarter of $1.4 million for withholding taxes associated with the 2006 reorganization, and the fact that the REIT did not start recording SIFT tax until the second quarter of 2007, of which approximately $1.1 million related to the 2007 first quarter. Excluding these items, the effective tax rate for the 2008 first quarter was 42.7% compared to 35.1% in the 2007 first quarter. The higher effective tax rate in 2008 is due primarily to a shift in income between taxable and non-taxable entities.

Adjusted Funds from Operations

AFFO from continuing operations was $19.0 million ($0.270 per basic unit) in the 2008 first quarter compared to $26.5 million ($0.377 per basic unit) in the 2007 first quarter, representing a decline of $7.5 million ($0.107 per basic unit). There were $7.5 million of after-tax non-recurring items and other items that impacted the comparability with the 2007 first quarter, namely:

- stronger Canadian dollar reduced AFFO by $2.6 million;

- Q1/07 tax adjustment pertaining to the 2006 reorganization of $1.4 million;

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

- SIFT taxes that were not reflected in 2007 until the second quarter, of $1.1 million; and

- interest costs associated with the March 2007 US$90 million financing for payment of taxes associated with the distribution of Assisted Living Concepts, Inc. of $0.6 million.

As well, facility maintenance costs were $4.5 million in the 2008 first quarter, or 0.9% of revenue, and were $1.5 million less than the 2007 first quarter. Annual facility maintenance costs are anticipated to be approximately 2% of revenue, which is consistent with our objective to maintain and upgrade our facilities.

Exclusive of the above, AFFO declined by $1.5 million due to the previously discussed decline in EBITDA, and increase in financing costs.

The reported AFFO from continuing operations of $0.270 per basic unit does not reflect the incremental benefit of our U.S. dollar distributions at the locked-in exchange rate of 1.11 until November 2009, that amounts to approximately $0.012 per unit per quarter.

Liquidity and Capital Resources

At March 31, 2008, we had cash and cash equivalents of $28.1 million compared with $44.2 million at December 31, 2007. Cash provided by operating activities was $12.0 million in the 2008 first quarter compared to $30.3 million in the 2007 first quarter. The decline reflected a reduction in earnings and an unfavourable change of $11.0 million in operating assets and liabilities between periods, related to an increase in accounts receivable and prepaid expenses, partially offset by an increase in accounts payable and income taxes payable.

Capital additions to property and equipment, excluding acquisitions, were $14.1 million in the 2008 first quarter compared to $15.3 million in the 2007 first quarter. Growth expenditures totalled $9.6 million in the 2008 first quarter versus $9.3 million in the 2007 first quarter. Facility maintenance costs were $4.5 million in the 2008 first quarter compared to $6.0 million in the same 2007 period. These costs fluctuate on a quarterly basis with the timing of projects and seasonality.

Long-term debt, including current portion, was $1,099.4 million at March 31, 2008, and was net of $20.1 million of deferred financing costs. The current portion of long-term debt at March 31, 2008, was $77.4 million and included mortgage loans of $61.7 million that have been extended beyond their 2008 maturity dates. In EHSI, we are currently refinancing certain facilities within the Tendercare portfolio and have arranged for an extension of the existing loan until May 31, 2008. We remain confident in refinancing by the end of May. At March 31, 2008, long-term debt (at face value and including current portion) represented 43.5% of adjusted gross book value (39.0% excluding the convertible debentures).

At March 31, 2008, our U.S. operations had US$54.9 million available under its credit facility and our Canadian operations had cash on hand of $25.3 million and available bank lines of $6.1 million.

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 $40.0 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 $80.0 million in 2008.

May Distribution Declared

The Board of Trustees of the REIT today declared a cash distribution of $0.0925 per unit for the month of May 2008, payable to unitholders of record at the close of business on May 30, 2008, and will be paid on June 16, 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 May 2008, payable to unitholders of record at the close of business on May 30, 2008, and will be paid on June 16, 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.

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 amount of the U.S. source interest income in the May distribution is $0.0437 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/administrator.

About Us

Extendicare REIT, through its wholly owned subsidiaries, is a major provider of long-term care and related services in North America. We operate 269 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 37,800 people in North America.

On May 9, 2008, at 10:00 a.m. (ET), we will hold a conference call to discuss our results for the 2008 first quarter. The call will be webcast live, and archived, in the Investors/Presentation & Webcast 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 May 23, 2008. To access the rebroadcast, dial 1-800-408-3053 or 416-695-5800, conference ID number 3257431. 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 Investors/Financial Results/Supplemental Information.

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
                                                     March 31
-------------------------------------------------------------------
                                                   2008      2007
-------------------------------------------------------------------
      (thousands of Canadian dollars except per unit amounts)
                                                          (revised)
Revenue
 Nursing and assisted living centres
  United States                                  337,533    305,072
  Canada                                         105,574     99,560
 Home health - Canada                             34,311     35,380
 Outpatient therapy - United States                2,992      3,254
 Other                                            11,141     13,007
-------------------------------------------------------------------
                                                 491,551    456,273
Operating expenses                               424,197    383,338
Administrative costs                              17,073     17,070
Lease costs                                        3,080      3,216
-------------------------------------------------------------------
EBITDA (1)                                        47,201     52,649
Depreciation and amortization                     14,044     12,645
Accretion expense                                    375        341
Interest expense                                  21,350     17,842
Interest income                                   (1,451)    (1,647)
Loss (gain) on derivative financial instruments
 and foreign exchange                              4,212     (1,497)
-------------------------------------------------------------------
Earnings from continuing health care operations
 before income taxes                               8,671     24,965
-------------------------------------------------------------------
Income tax expense (recovery)
 Current                                           6,459      6,312
 Future                                           (1,646)       (50)
-------------------------------------------------------------------
                                                   4,813      6,262
-------------------------------------------------------------------
Earnings from continuing health care operations    3,858     18,703
Share of equity accounted earnings                              580
-------------------------------------------------------------------
Earnings from continuing operations                3,858     19,283
Discontinued operations                             (280)    (3,917)
-------------------------------------------------------------------
Net earnings                                       3,578     15,366
-------------------------------------------------------------------
-------------------------------------------------------------------
Basic and Diluted Earnings per Unit($)
 Earnings from continuing operations                0.05       0.27
 Net earnings                                       0.05       0.22
-------------------------------------------------------------------
(1) Refer to discussion of non-GAAP measures.



                            EXTENDICARE REIT
                   Condensed Consolidated Cash Flows
                                                     Three months
                                                    ended March 31
-------------------------------------------------------------------
                                                    2008      2007
-------------------------------------------------------------------
                                     (thousands of Canadian dollars)

Operating Activities
Net earnings                                        3,578    15,366
Adjustments for:
  Depreciation and amortization                    14,063    12,788
  Provision for self-insured liabilities            3,907     2,264
  Payments for self-insured liabilities            (4,214)   (5,969)
  Future income taxes                              (1,139)      (28)
  Loss (gain) on derivative financial instruments
   and foreign exchange                             4,212    (1,497)
  Loss (gain) from asset impairment, disposals
   and other items from discontinued operations      (368)    5,845
  Undistributed share of earnings from equity
   accounted investments                                       (580)
  Other                                             1,685       946
-------------------------------------------------------------------
                                                   21,724    29,135
 Net change in operating assets and liabilities
  Accounts receivable                             (17,609)      879
  Supplies and prepaid expenses                    (8,083)   (4,864)
  Accounts payable and accrued liabilities         12,574   (14,561)
  Income taxes                                      3,363    19,758
-------------------------------------------------------------------
                                                   11,969    30,347
-------------------------------------------------------------------
Investing Activities
 Capital additions                                (14,065)  (15,343)
 Acquisitions                                                (8,693)
 Net proceeds from dispositions                     1,528     2,228
 Other assets                                         722      (654)
-------------------------------------------------------------------
                                                  (11,815)  (22,462)
-------------------------------------------------------------------
Financing Activities
 Issue of long-term debt                              962   131,695
 Issue on line of credit                            9,038    19,917
 Repayment of long-term debt                       (9,073)   (2,758)
 Decrease in investments held
  for self-insured liabilities                        893     7,838
 Distributions paid                               (18,917)  (24,845)
 Financial costs                                     (310)   (3,862)
 Income taxes paid re: the distribution of ALC             (120,220)
 Other                                                919      (839)
-------------------------------------------------------------------
                                                  (16,488)    6,926
-------------------------------------------------------------------
Foreign exchange gain (loss) on cash
 held in foreign currency                             216       (10)
-------------------------------------------------------------------
Increase (decrease) in cash and cash equivalents  (16,118)   14,801
Cash and cash equivalents at beginning of period   44,234    28,057
-------------------------------------------------------------------
Cash and cash equivalents at end of period         28,116    42,858
-------------------------------------------------------------------
-------------------------------------------------------------------



                           EXTENDICARE REIT
                Condensed Consolidated Balance Sheets
                                              March 31  December 31
                                                2008       2007
-------------------------------------------------------------------
            (thousands of Canadian dollars, unless otherwise noted)
                                                          (revised)
Assets
Current assets
 Cash and short-term investments                36,376       44,234
 Invested assets                                 2,402        2,439
 Accounts receivable, less allowances          241,111      214,305
 Income taxes recoverable                                     2,640
 Future income tax assets                       29,246       27,504
 Supplies and prepaid expenses                  28,574       25,467
-------------------------------------------------------------------
                                               337,709      316,589
Property and equipment                         863,585      842,648
Goodwill and other intangible assets           170,830      162,481
Other assets                                   126,042      118,445
-------------------------------------------------------------------
                                             1,498,166    1,440,163
-------------------------------------------------------------------
-------------------------------------------------------------------
Liabilities and Unitholders' Deficiency
Current liabilities
 Outstanding cheques in excess of bank balance   8,260
 Accounts payable                               38,558       35,963
 Accrued liabilities                           222,291      203,084
 Accrual for self-insured liabilities           18,170       12,392
 Current portion of long-term debt              77,456       80,378
 Income taxes payable                              515
-------------------------------------------------------------------
                                               365,250      331,817
Accrual for self-insured liabilities            31,620       30,018
Long-term debt                               1,021,958      991,333
Other long-term liabilities                     66,462       63,978
Future income tax liabilities                   47,406       46,595
-------------------------------------------------------------------
                                             1,532,696    1,463,741
Unitholders' deficiency                        (34,530)     (23,578)
-------------------------------------------------------------------
                                             1,498,166    1,440,163
-------------------------------------------------------------------
-------------------------------------------------------------------
Closing US/Cdn. dollar exchange rate            1.0265       0.9913



                            EXTENDICARE REIT
                   Financial and Operating Statistics
(dollar amounts in Canadian dollars, unless otherwise noted)
                                                  Q1/08       Q1/07
---------------------------------------------------------------------
Health Care Earnings from Continuing Operations (millions)
 United States (US$)                               $3.3       $13.7
---------------------------------------------------------------------
 United States                                     $3.3       $16.0
 Canada                                             0.6         2.7
---------------------------------------------------------------------
                                                   $3.9       $18.7
---------------------------------------------------------------------
---------------------------------------------------------------------
Health Care Net Earnings (millions)
 United States (US$)                               $3.0       $10.3
---------------------------------------------------------------------
 United States                                     $3.0       $12.1
 Canada                                             0.6         2.7
---------------------------------------------------------------------
                                                   $3.6       $14.8
---------------------------------------------------------------------
---------------------------------------------------------------------
U.S. Skilled Nursing Facility Statistics
 Percent of Revenue by Payor Source (same-facility basis)
   Medicare (Part A and B)                         36.6%       36.7%
   HMO/CI                                           8.5         6.9
---------------------------------------------------------------------
    Skilled mix                                    45.1        43.6
   Private/other                                    8.7         9.7
---------------------------------------------------------------------
    Quality mix                                    53.8        53.3
   Medicaid                                        46.2        46.7
---------------------------------------------------------------------
 Average Daily Census by Payor Source (same-facility basis)
   Medicare                                       2,443       2,497
   HMO/CI                                           776         638
---------------------------------------------------------------------
    Skilled mix                                   3,219       3,135
   Private/other                                  1,264       1,370
---------------------------------------------------------------------
    Quality mix                                   4,483       4,505
   Medicaid                                       8,371       8,530
---------------------------------------------------------------------
                                                 12,854      13,035
---------------------------------------------------------------------
---------------------------------------------------------------------
 Average Revenue per Resident Day by Payor Source
  (excluding prior period settlement adjustments)(US$)
   Medicare Part A only                          $410.86    $387.95
   Medicare (Part A and B)                        448.56     424.04
   HMO/CI                                         335.74     311.38
   Private/other                                  207.80     205.70
   Medicaid                                       165.21     157.68
   Weighted average                               231.31     221.28
---------------------------------------------------------------------
Average Occupancy (excluding managed facilities)
 (same-facility basis)
U.S. skilled nursing facilities                      89.4%     90.6%
U.S. assisted living facilities                      81.9      80.8
Canadian facilities average occupancy                97.6      97.6
---------------------------------------------------------------------
Capital Additions to Property and Equipment (thousands)
 Growth expenditures                                9,561     9,323
 Facility maintenance                               4,504     6,020
---------------------------------------------------------------------
Consolidated reported                              14,065    15,343
---------------------------------------------------------------------
---------------------------------------------------------------------
Average US/Cdn. dollar exchange rate               1.0042    1.1716
---------------------------------------------------------------------


                         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, 2008 and
2007. (1)
                                                   Q1/08     Q1/07
--------------------------------------------------------------------
(thousands of Canadian dollars unless otherwise noted)
EBITDA from continuing health care operations      47,201    52,649
 Depreciation for furniture, fixtures,
  equipment and computers                          (4,166)   (3,531)
 Interest expense, net                            (19,899)  (16,195)
--------------------------------------------------------------------
                                                   23,136    32,923
 Current income tax expense (2)                    (5,879)   (5,555)
--------------------------------------------------------------------
FFO (continuing operations)                        17,257    27,368
Amortization of deferred financing costs            1,562     1,079
Principal portion of government
 capital funding payments                             541       510
--------------------------------------------------------------------
DI (continuing operations)                         19,360    28,957
Additional maintenance capital expenditures (3)      (338)   (2,489)
--------------------------------------------------------------------
AFFO (continuing operations)                       19,022    26,468
AFFO (discontinued operations) (4)                   (593)     (230)
--------------------------------------------------------------------
AFFO                                               18,429    26,238
--------------------------------------------------------------------
--------------------------------------------------------------------
Per Basic Unit ($)
AFFO (continuing operations)                        0.270     0.377
AFFO                                                0.262     0.374
--------------------------------------------------------------------
Per Diluted Unit ($)
AFFO (continuing operations)                        0.263     0.377
AFFO                                                0.255     0.374
--------------------------------------------------------------------
Distributions declared                             19,558    19,493
Distributions declared per unit ($)                0.2775    0.2775
--------------------------------------------------------------------
Basic weighted average number of units (thousands) 70,471    70,234
Diluted weighted average number of
 units (thousands)                                 76,250    70,234
--------------------------------------------------------------------

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
--------------------------------------------------------------------
(thousands of Canadian dollars)                     Q1/08     Q1/07
--------------------------------------------------------------------
Cash provided by operating activities              11,969    30,347
Add (Deduct):
 Net change in operating assets and liabilities     9,755    (1,212)
 Current tax recovery on loss (gain) from derivative
  financial instruments, foreign exchange, asset
  impairment, disposals and other items               104    (1,587)
 Net provisions and payments for
  self-insured liabilities                            307     3,705
 Depreciation for furniture, fixtures,
  equipment and computers                          (4,166)   (3,531)
 Other                                                257       495
 Principal portion of government capital
  funding payments                                    541       510
--------------------------------------------------------------------
DI                                                 18,767    28,727
Additional maintenance capital expenditures          (338)   (2,489)
--------------------------------------------------------------------
AFFO                                               18,429    26,238
--------------------------------------------------------------------
--------------------------------------------------------------------


Tags: ,Medical and Healthcare:FacilitiesandProviders, MedicalandHealthcare:HealthandNutrition, MedicalandHealthcare:Healthcare, MedicalandHealthcare:Nursing, RealEstateandConstruction:ResidentialRealEstate, ,GA,MARKHAM, ONTARIO

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