RE:Understanding Extendicare..Interesting post. EXE got out of the US because there is a government department that arbitrarily decides how much to pay towards client care. One year, they made a draconian cut, and EXE had to reduce their dividend to where it is today. Another reason is that Americans are litigious as hell, particularly Kentucky. EXE got tired of the frivolous "get rich quick" lawsuits they were being hit with. So they got out. I don't know the story with Chartwell but I suppose it was similar if not the same.