Extendicare Inc. — Capital/Financing Update 2026

Apr 14, 2026

Execution Copy

FIRST SUPPLEMENTAL TRUST INDENTURE

This First Supplemental Trust Indenture is entered into as of the 14th day of April, 2026 between:

EXTENDICARE INC., a corporation existing under the federal laws of Canada (the "Issuer")

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COMPUTERSHARE TRUST COMPANY OF CANADA, a trust company subsisting under the laws of Canada and authorized to carry on business in all provinces of Canada (the "Trustee")

WITNESSETH THAT:

WHEREAS the Issuer and the Trustee entered into a trust indenture dated as of April 14, 2026 (the "Indenture") to provide for the creation and issuance of senior unsecured notes;

AND WHEREAS Section 14.3 of the Indenture provides that the Issuer and the Trustee may enter into indentures supplemental to the Indenture providing for the issue of Notes of any one or more Series;

AND WHEREAS the Issuer has determined to create and issue a series of Notes to be designated 4.345% senior unsecured notes due April 14, 2031 (the "Notes") and to enter into this first supplemental trust indenture (this "Supplemental Indenture") with the Trustee to provide for such creation and issuance of the Notes;

AND WHEREAS all necessary acts and proceedings have been done and taken and all necessary resolutions have been passed to authorize the execution and delivery of this Supplemental Indenture, to make the same effective and binding upon the Issuer, and to make the Notes, when certified by the Trustee and issued as provided in the Indenture and this Supplemental Indenture, valid, binding and legal obligations of the Issuer with the benefit and subject to the terms of the Indenture and this Supplemental Indenture;

AND WHEREAS the foregoing recitals are made as representations and statements of fact by the Issuer and not by the Trustee.

NOW THEREFORE it is hereby covenanted, agreed and declared as set forth below.

ARTICLE 1 DEFINITIONS AND AMENDMENTS TO INDENTURE

1.1 Definitions

(a) All capitalized terms not defined herein shall have the meanings given to them in the Indenture.

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(b) In this Supplemental Indenture and in the Notes, unless there is something in the subject matter or context inconsistent therewith, the following expressions shall have the respective meanings indicated:

“2031 Government of Canada Yield” means on any date, with respect to the Notes, means the yield to maturity on such date, assuming semi-annual compounding, which a non-callable Government of Canada bond would carry if issued in Canadian dollars in Canada, at 100% of its principal amount on such date with a term to maturity equal to, or if no Government of Canada bond having an equal term to maturity exists, as close as possible to, the remaining term to the 2031 Notes Par Call Date. The 2031 Government of Canada Yield will be the average of the yields determined by two nationally recognized Canadian investment dealers selected by the Issuer.

“2031 Notes Canada Yield Price” means a price for the Notes being redeemed, calculated at 10:00 a.m. (Toronto time) on the Business Day preceding the date on which the Issuer issues a notice of redemption pursuant to the Indenture and in accordance with generally accepted Canadian financial practice to provide a yield to the 2031 Notes Par Call Date equal to the 2031 Government of Canada Yield plus 31.5 bps.

“2031 Notes Par Call Date” means March 14, 2031 (the date that is one (1) month prior to the Maturity Date of the Notes).

(c) In this Supplemental Indenture, all references to Articles, Sections and Schedules refer, unless otherwise specified, to articles, sections and schedules of or to this Supplemental Indenture.

1.2 Amendments to Indenture

This Supplemental Indenture is supplemental to the Indenture and the Indenture and the Supplemental Indenture shall hereafter be read together and shall have effect, so far as practicable, with respect to the Notes as if all the provisions of the Indenture and this Supplemental Indenture were contained in one instrument. The Indenture is and shall remain in full force and effect with regards to all matters governing the Notes, except as the Indenture is amended, superseded, modified or supplemented by this Supplemental Indenture. Notwithstanding the foregoing, in the event of any inconsistency between the provisions of this Supplemental Indenture and the provisions of the Indenture, the provisions of this Supplemental Indenture shall prevail.

ARTICLE 2

THE NOTES

2.1 Creation and Designation

There is hereby authorized to be issued under the Indenture a Series of Notes designated as 4.345% senior unsecured notes due April 14, 2031. The Notes shall have the terms set forth in this Article 2 and be subject to the applicable provisions of the Indenture.

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2.2 Form and Terms of Notes

(a) The maximum principal amount of Notes that may be issued is unlimited. The initial amount of Notes that is authorized and issued under this Supplemental Indenture on the date hereof is $450 million in the lawful money of Canada. The Notes shall be designated as 4.345% senior unsecured notes due April 14, 2031.

(b) The Notes shall mature on April 14, 2031.

(c) The Notes bear interest from the date of issue at the rate of 4.345% per annum, payable in equal installments, semi-annually in arrears on April 14 and on October 14 in each year (each, an “Interest Payment Date”) in an amount equal to $21.725 per $1,000 principal amount (less any tax required by law to be deducted) to the persons in whose names the Notes are registered at the close of business on April 1 and October 1, respectively (whether or not a Business Day) preceding the relevant Interest Payment Date. The first interest payment to fall due on October 14, 2026 shall be in respect of Notes issued on the date hereof and the last such payment (representing interest payable from and including the last Interest Payment Date to, but excluding, the Maturity Date of the Notes or the earlier Redemption Date of the Notes), subject as herein provided, to fall due on April 14, 2031 or the earlier Redemption Date, payable after as well as before maturity and after as well as before default, with interest on amounts in default at the same rate, compounded semi-annually. Interest payable for any period less than a full semi-annual period shall be computed on the basis of a 365 day year or 366 day year, as applicable, and the actual number of days elapsed in the period. For greater certainty, the first interest payment will include interest accrued from and including the date of issue to, but excluding, October 14, 2026 which will be equal to $21.725 for each $1,000 principal amount of Notes.

(d) The Notes may be redeemed at the option of the Issuer, in whole at any time, or in part from time to time, upon such condition as may be specified in the notice of redemption and on a Redemption Date determined by the Issuer that is not less than 10 days nor more than 60 days after such notice of redemption is given to the holders of the Notes to be redeemed pursuant to Article 5 of the Indenture, (i) prior to the 2031 Notes Par Call Date, at a Redemption Price equal to the greater of par and the 2031 Notes Canada Yield Price, or (ii) at any time on or after the 2031 Notes Par Call Date, at a Redemption Price equal to par, together in each case with accrued and unpaid interest, if any, to but excluding, the date fixed for the redemption. The Issuer will be responsible for calculating the Redemption Price. Such notice of redemption of any Notes given to the holders of the Notes may be conditional and, in such case, such notice of redemption shall specify the details and terms of any event on which such redemption is conditional.

(e) In addition, in connection with any tender offer for the Notes, including a Change of Control Offer, if holders of not less than 90% in aggregate principal amount of the outstanding Notes properly tender and do not withdraw such Notes in such tender offer and the Issuer, or any Third Party making such tender offer in lieu of

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the Issuer, purchases all of the Notes properly tendered and not withdrawn by such holders, the Issuer or such Third Party will have the right upon not less than 10 days' nor more than 60 days' prior notice, given not more than 30 days following such purchase date, to redeem all Notes that remain outstanding following such purchase at a Redemption Price equal to the price offered to each other holder in such tender offer plus, to the extent not included in the tender offer payment, accrued and unpaid interest, if any, thereon, to, but excluding, the Redemption Date for such redemption; provided, however, that if the Redemption Date is on or after a Record Date and on or before the related Interest Payment Date, the accrued and unpaid interest on the Notes to be redeemed will instead be paid to the Person in whose name the Notes is registered at the close of business on such Record Date.

(f) The Notes shall be issued in denominations of $1,000 and integral multiples of $1,000 in excess thereof. Each certificate representing the Notes and the certificate of the Trustee endorsed thereon shall be issued in substantially the form set out in Schedule “A” to this Supplemental Indenture, with such insertions, omissions, substitutions or other variations as shall be required or permitted by the Indenture and this Supplemental Indenture, and may have imprinted or otherwise reproduced thereon such legends or endorsements, not inconsistent with the provisions of the Indenture or this Supplemental Indenture, as may be required to comply with any law or with any rules or regulations pursuant thereto or with any rules or regulations of any securities exchange or securities regulatory authority or to conform with general usage, all as may be determined by any one Officer or director of the Issuer executing such Note in accordance with Section 2.6 of the Indenture, as conclusively evidenced by their execution thereof. Each certificate representing the Notes shall additionally bear such distinguishing letters and numbers as the Trustee shall approve. Notwithstanding the foregoing, the certificate representing the Notes may be in such other form or forms as may, from time to time, be approved by a resolution of the Issuer Board, or as specified in an Officer’s Certificate. The certificate representing the Notes may be engraved, lithographed, printed, mimeographed or typewritten or partly in one form and partly in another.

The Notes shall be issued as one or more Global Notes and the Global Notes shall be registered in the name of the Depository which, as of the date hereof, shall be CDS Clearing and Depository Services Inc. (or any nominee of the Depository). No Beneficial Holder shall receive definitive certificates representing their interest in Notes except as provided in Section 2.5 of the Indenture. A Global Note may be exchanged for Notes in registered form that are not Global Notes or transferred to and registered in the name of a Person other than the Depository for such Global Notes or a nominee thereof, as provided in Section 2.5 of the Indenture.

(g) The Trustee shall be provided with the documents and instruments referred to in Sections 4.1(a)(i)-(iii) of the Indenture with respect to the Notes prior to the issuance of the Notes.

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ARTICLE 3

GUARANTEES

3.1 Existing Guarantees to Apply

The Issuer hereby confirms to the Trustee that subject to the provisions of Section 6.4 of the Indenture, the Guarantees apply to the Notes issued hereunder.

ARTICLE 4

ADDITIONAL MATTERS

4.1 Confirmation of Indenture

The Indenture, as amended and supplemented by this Supplemental Indenture, is in all respects confirmed.

4.2 Acceptance of Trusts

The Trustee hereby accepts the trusts in this Supplemental Indenture declared and provided for and agrees to perform the same upon the terms and conditions and subject to the provisions set forth in the Indenture.

4.3 Governing Law

This Supplemental Indenture and the Notes shall be construed in accordance with the laws of the Province of Ontario and the laws of Canada applicable therein and shall be treated, in all respects, as Ontario contracts.

4.4 Further Assurances

The parties shall, with reasonable diligence, do all such things and provide all such reasonable assurances as may be required to consummate the transactions contemplated by this Supplemental Indenture, and each party shall provide such further documents or instruments required by the other party as may be reasonably necessary or desirable to effect the purpose of the Indenture and this Supplemental Indenture and carry out its provisions.

4.5 Counterparts and Formal Date

This Supplemental Indenture may be simultaneously executed in several counterparts, each of which when so executed shall be deemed to be an original and all such counterparts together shall constitute one and the same instrument and notwithstanding their date of execution shall be deemed to bear date as of April 14, 2026. Delivery of an executed signature page to this Supplemental Indenture by any person by electronic transmission shall be as effective as delivery of a manually executed copy of this Supplemental Indenture by such person.

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IN WITNESS WHEREOF the parties hereto have executed this Supplemental Indenture.

EXTENDICARE INC., as Issuer

By: “John Toffoletto”
Name: John Toffoletto
Title: Senior Vice President, Chief Legal Officer and Corporate Secretary

COMPUTERSHARE TRUST
COMPANY OF CANADA, as Trustee

By: “Claire Wang”
Name: Claire Wang
Title: Corporate Trust Officer

By: “Raji Sivalingam”
Name: Raji Sivalingam
Title: Associate Trust Officer

[Signature Page to First Supplemental Trust Indenture]

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SCHEDULE “A”

UNLESS PERMITTED UNDER SECURITIES LEGISLATION, THE HOLDER OF THIS SECURITY MUST NOT TRADE THE SECURITY BEFORE THE DATE THAT IS 4 MONTHS AND A DAY AFTER APRIL 14, 2026.

THIS CERTIFICATE IS A GLOBAL NOTE WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITORY OR A NOMINEE THEREOF.

UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF CDS CLEARING AND DEPOSITORY SERVICES INC. (“CDS”) TO EXTENDICARE INC. OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY CERTIFICATE ISSUED IN RESPECT THEREOF IS REGISTERED IN THE NAME OF CDS & CO. (OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF CDS) AND ANY PAYMENT IS MADE TO CDS & CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF CDS, ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL SINCE THE REGISTERED HOLDER HEREOF, CDS & CO., HAS A PROPERTY INTEREST IN THE SECURITIES REPRESENTED BY THIS CERTIFICATE AND IT IS A VIOLATION OF ITS RIGHTS FOR ANOTHER PERSON TO HOLD, TRANSFER OR DEAL WITH THIS CERTIFICATE.

No. [ ]
CUSIP: 30224TAF0
ISIN: CA30224TAF09

EXTENDICARE INC.
(A corporation established under the federal laws of Canada)
4.345% SENIOR UNSECURED NOTES DUE APRIL 14, 2031

EXTENDICARE INC. (the “Issuer”) for value received hereby acknowledges itself indebted and, subject to the provisions of the indenture (the “Base Indenture”) dated as of April 14, 2026 between the Issuer and Computershare Trust Company of Canada (the “Trustee”), as supplemented by a first supplemental trust indenture dated April 14, 2026 (the “First Supplemental Indenture” and, together with the Base Indenture, the “Indenture”) promises to pay to CDS & CO. or registered assigns on April 14, 2031 (the “Maturity Date”) or on such earlier date as the principal amount hereof may become due in accordance with the provisions of the Indenture, the principal sum of $450 million in lawful money of Canada on presentation and surrender of this 4.345% senior unsecured note due April 14, 2031 (the “Notes”) at the principal office of the Trustee in Toronto, Ontario in accordance with the terms of the Indenture. The Notes shall, subject as herein provided, bear interest on the principal amount hereof from the date of issue, or from the last Interest Payment Date to which interest shall have been paid or made available for payment hereon, whichever is later, at the rate of 4.345% per annum, in like money, payable in equal installments, semi-annually in arrears on April 14 and October 14 in each year in

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an amount equal to $21.725 per $1,000 principal amount (less any tax required by law to be deducted). The last interest payment representing interest payable from the last Interest Payment Date to, but excluding, the Maturity Date or earlier Redemption Date shall fall due on the Maturity Date or earlier Redemption Date and, should the Issuer at any time make default in the payment of any principal or interest, the Issuer shall pay interest on the amount in default at the same rate, in like money and on the same dates on which interest is otherwise payable. Interest payable for any period less than a full semi-annual period shall be computed on the basis of a 365 day year or 366 day year, as applicable, and the actual number of days elapsed in the period. Interest hereon shall be payable by cheque mailed by prepaid ordinary mail to the registered holder thereof or by electronic transfer of funds to the registered holder thereof, and subject to the provisions of the Indenture, the mailing of such cheque or the sending of such electronic transfer of funds shall, to the extent of the sum represented thereby (plus the amount of any tax withheld), satisfy and discharge all liability for interest on this Note.

This Note is one of the Notes of the Issuer issued or issuable in one or more series under the provisions of the Indenture. The maximum principal amount of Notes authorized for issue is unlimited. Reference is hereby expressly made to the Indenture for a description of the terms and conditions upon which the Notes are or are to be issued and held and the rights and remedies of the holders of the Notes and of the Issuer and of the Trustee, all to the same effect as if the provisions of the Indenture were herein set forth, and to all of which provisions the holder of this Note by acceptance thereof assents.

The Notes are issuable only in denominations of $1,000 and integral multiples $1,000 in excess thereof. Upon compliance with the provisions of the Indenture, Notes of any denomination may be exchanged for an equal aggregate principal amount of Notes in any other authorized denomination or denominations.

The Notes may be redeemed at the option of the Issuer, in whole at any time, or in part from time to time, on a Redemption Date determined by the Issuer that is not less than 10 days nor more than 60 days after notice of such redemption is given to the holders of the Notes to be redeemed pursuant to Article 5 of the Indenture, (i) prior to the 2031 Notes Par Call Date, at a Redemption Price equal to the greater of par and the 2031 Notes Canada Yield Price, or (ii) at any time on or after the 2031 Notes Par Call Date, at a Redemption Price equal to par, together in each case with accrued and unpaid interest, if any, to but excluding, the date fixed for redemption.

Upon the occurrence of a Change of Control Triggering Event, subject to Section 8.12(m) of the Indenture, the Issuer is required to make an offer to purchase all outstanding Notes at a price equal to 101% of the principal amount of such Notes plus accrued and unpaid interest up to, but excluding, the date the Notes are so repurchased.

The indebtedness evidenced by this Note, and by all other Notes now or hereafter certified and delivered under the Indenture, is a direct senior unsecured obligation of the Issuer, and ranks equally and pari passu with each other and with Notes of every other series (regardless of their actual dates or terms of issue) and, subject to statutory preferred exceptions, with all other present and future unsubordinated and unsecured indebtedness of the Issuer, except as to sinking fund provisions applicable to different series of Notes and other similar types of obligations of the Issuer.

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The principal hereof may become or be declared due and payable before the stated maturity in the events, in the manner, with the effect and at the times provided in the Indenture.

Any payment of money to any holder of Notes shall be reduced by the amount of applicable withholding tax, if any. The Indenture contains provisions making binding upon all holders of Notes outstanding thereunder (or in certain circumstances specific series of Notes) resolutions passed at meetings of such holders held in accordance with such provisions and instruments signed by the holders of a specified majority of Notes outstanding (or specific series), which resolutions or instruments may have the effect of amending the terms of these Notes or the Indenture.

This Note may only be transferred, upon compliance with the conditions prescribed in the Indenture, in the registers to be kept at the principal office of the Trustee in Toronto, Ontario and in such other place or places and/or by such other registrars (if any) as the Issuer with the approval of the Trustee may designate. No transfer of this Note shall be valid unless made on the register by the registered holder hereof or his executors or administrators or other legal representatives, or his or their attorney duly appointed by an instrument in form and substance satisfactory to the Trustee or other registrar, and upon compliance with such reasonable requirements as the Trustee and/or other registrar may prescribe and upon surrender of this Note for cancellation. Thereupon a new Note or Notes in the same aggregate principal amount shall be issued to the transferee in exchange hereof.

This Note shall not become obligatory for any purpose until it shall have been certified by the Trustee under the Indenture.

Capitalized words or expressions used in this Note shall, unless otherwise defined herein, have the meaning ascribed thereto in the Indenture.

If any of the provisions of this Note are inconsistent with the provisions of the Indenture, the provisions of the Indenture shall take precedence and shall govern.

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IN WITNESS WHEREOF, the Issuer has caused this Note to be signed by its authorized representatives as of the _ day of __, 2026.

EXTENDICARE INC.

By:
Name:
Title:

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TRUSTEE'S CERTIFICATE

This Note is one of the 4.345% Senior Unsecured Notes due April 14, 2031 referred to in the Indenture within mentioned.

COMPUTERSHARE TRUST

COMPANY OF CANADA, as Trustee

By: _______
Authorized Officer

(FORM OF REGISTRATION PANEL)

(No writing hereon except by Trustee or other registrar)

Date of Registration	In Whose Name Registered	Signature of Trustee or Registrar
	CDS & CO.

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EXTENDICARE INC.

4.345% SENIOR UNSECURED NOTE DUE APRIL 14, 2031

Initial Principal Amount: $450 million

CUSIP: 30224TAF0

Authorization:

ADJUSTMENTS

Date	Amount of Increase	Amount of Decrease	New Principal Amount	Authorization