The company operates retirement residences and long-term care facilities under the Extendicare, Esprit Lifestyle and ParaMed brands, with 23,000 employees.

[2] In 2006, the company became a real estate investment trust (REIT) and began trading on the Toronto Stock Exchange (TSX) under the symbol EXE.UN on November 10, 2006.

[1] Its segments include long-term care—which generated a revenue of CA$715.6 million,[1] retirement living, home health care, "contract services, consulting and group purchasing", and corporate activities, among others.

By March 21, it was confirmed by Saskatchewan Health Authority (SHA) that 41 people had died at Extendicare Parkside from the virus and over 200 residents and staff tested had positive for COVID-19 during the outbreak.

Details of the agreement include the transition of nearly 1,300 Extendicare staff to the SHA and the purchase of all five properties (one in Saskatoon, one in Moose Jaw and three in Regina).

[6]: 45 According to a Toronto Star analysis of Extendicare's 2020 financial statements, in the first 3 quarters ending in September 2020, this for-profit company paid out nearly CA$29 million to shareholders in dividends at the same time that ParaMed received CA$82.2 million in federal wage subsidies through the program for front-line workers, the Canada Emergency Wage Subsidy (CEWS).

[5] The Star investigation included the three major for-profit LTC providers, Sienna Senior Living, Chartwell Retirement Residences, as well as Extendicare.

[14] Claimants must prove that an individual, corporation, or other entity acted in "gross negligence", not in a "good faith" or "honest" effort to comply with public health guidance and laws relating to COVID-19.