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Extendicare (TSE:EXE)
TSX:EXE
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Extendicare (EXE) AI Stock Analysis

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TSE:EXE

Extendicare

(TSX:EXE)

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Outperform 72 (OpenAI - 4o)
Rating:72Outperform
Price Target:
C$17.50
▼(-14.84% Downside)
Extendicare's strong earnings call performance and positive technical indicators are the most significant factors driving the score. Financial performance is solid, though high leverage is a concern. Valuation is reasonable, and the dividend yield is attractive.
Positive Factors
Revenue Growth
The significant revenue growth, driven by organic expansion and strategic acquisitions, indicates strong market demand and effective business strategies, enhancing long-term financial stability.
Cash Flow Management
Robust cash flow performance ensures liquidity and financial flexibility, allowing the company to invest in growth opportunities and manage debt effectively over the long term.
Strategic Expansion
The expansion in the Long-Term Care segment through new constructions will increase capacity and market presence, supporting sustained growth and competitive positioning.
Negative Factors
High Leverage
High leverage can increase financial risk, limiting the company's ability to invest in growth and potentially impacting its creditworthiness over time.
Managed Services Segment Decline
The decline in the Managed Services segment indicates challenges in maintaining contracts and revenue streams, which could affect overall profitability and diversification.
Construction Delays
Delays in construction projects can lead to increased costs and postponed revenue generation, impacting the company's growth timeline and financial projections.

Extendicare (EXE) vs. iShares MSCI Canada ETF (EWC)

Extendicare Business Overview & Revenue Model

Company DescriptionExtendicare Inc., through its subsidiaries, provides care and services for seniors in Canada. The company offers long term care (LTC) services; retirement living services; and home health care services, such as nursing care, occupational, physical and speech therapy, and assistance with daily activities, as well as contract and consulting services to third parties. It operates a network of 119 LTC homes and retirement communities, as well as home health care operations under the Extendicare, Esprit Lifestyle Communities, ParaMed, Extendicare Assist, and SGP Purchasing Partner Network brands. Extendicare Inc. was founded in 1968 and is based in Markham, Canada.
How the Company Makes MoneyExtendicare generates revenue primarily through government funding and private pay for its healthcare services. The majority of its income comes from long-term care facilities, where it receives per diem funding from provincial governments based on the level of care required by residents. Additionally, the company earns revenue from home health care services, which are often funded through a combination of public health insurance and private payments. Extendicare also has partnerships with various healthcare organizations and agencies, which help to expand its service offerings and enhance its market reach. These partnerships can lead to additional contracts and revenue opportunities. Furthermore, the company may benefit from economies of scale and operational efficiencies, which can improve profit margins across its service lines.

Extendicare Earnings Call Summary

Earnings Call Date:Nov 11, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 26, 2026
Earnings Call Sentiment Positive
Extendicare reported a strong third quarter with significant organic growth and successful acquisitions in the Home health care segment. Financial metrics such as EBITDA and margins showed positive trends. However, there were challenges in the Managed Services segment and some delays in construction projects.
Q3-2025 Updates
Positive Updates
Strong Organic Growth and Acquisitions
Q3 saw strong organic growth, with Home health care volumes at ParaMed increasing by 13% year-over-year. The acquisition of Closing the Gap contributed $24 million in revenue and $3.1 million in NOI, exceeding expectations.
Financial Performance and Margin Improvements
Adjusted EBITDA increased by 40.6% to $50.8 million, with Home health care leading the way. Home health care NOI margin improved by 230 basis points to 13.6%. AFFO increased to $0.31 per share, up 19.3% year-over-year.
Expansion in Long-Term Care Segment
Six homes under construction will add 1,408 new beds, replacing 1,097 Class C beds. A new 320-bed home in Sudbury is planned to start construction by the end of the year.
Liquidity and Credit Facility
Extended senior secured credit facility by $100 million, maintaining favorable liquidity with cash on hand of $166 million and access to a further $154 million under a revolving credit facility.
Negative Updates
Managed Services Segment Decline
Managed Services revenue decreased by $3.3 million to $15.6 million, and NOI declined by $1 million due to the loss of a management contract after the sale of 30 Long-Term Care homes.
Delayed Construction Completion
The Theodore Place location completion was delayed by a quarter, primarily due to tying in power with Hydro One.
Company Guidance
During Extendicare Inc.'s Third Quarter 2025 Analyst Conference Call, the company reported strong financial performance and strategic growth. Driven by a 13% year-over-year organic growth in Home health care volumes and the full impact of the Closing the Gap acquisition, the company's consolidated Q3 revenue increased by 22.6% to $440.3 million. The acquisition contributed $24 million in revenue and $3.1 million in NOI, while adjusted EBITDA rose to $50.8 million, a 40.6% increase from the prior year. Home health care NOI margin improved by 230 basis points to 13.6%. The company also expanded its senior secured credit facility by $100 million to support acquisitions, maintaining liquidity with $166 million in cash and access to a $154 million revolving credit facility. Additionally, Extendicare's AFFO increased to $0.31 per share, up 19.3% year-over-year, reducing the payout ratio to 45% on a trailing 12-month basis. The company's ongoing redevelopment agenda includes six homes under construction, aiming to introduce 1,408 new beds, with a $565 million development cost funded through a joint venture with Axium. The company remains committed to expanding Long-Term Care capacity and enhancing its Home health care services through strategic acquisitions and capital-efficient growth.

Extendicare Financial Statement Overview

Summary
Extendicare demonstrates solid financial performance with consistent revenue growth and strong operational margins. While the company effectively generates returns on equity, the high leverage poses potential risks. Cash flow metrics are positive, reflecting good cash management. Overall, Extendicare is in a stable financial position with opportunities to enhance profitability and reduce leverage.
Income Statement
72
Positive
Extendicare has shown consistent revenue growth, with a TTM revenue growth rate of 2.37%. The company maintains a strong gross profit margin of 77.05% in the TTM period, indicating efficient cost management. However, the net profit margin is relatively low at 5.23%, suggesting room for improvement in profitability. The EBIT and EBITDA margins are stable, reflecting solid operational performance.
Balance Sheet
60
Neutral
The balance sheet shows a high debt-to-equity ratio of 2.29 in the TTM period, indicating significant leverage, which could pose financial risks. However, the return on equity is strong at 65.66%, demonstrating effective use of equity to generate profits. The equity ratio is relatively low, suggesting a reliance on debt financing.
Cash Flow
68
Positive
Extendicare's cash flow performance is robust, with a positive free cash flow growth rate of 5.79% in the TTM period. The operating cash flow to net income ratio is 0.44, indicating that operating cash flows are adequately covering net income. The free cash flow to net income ratio of 0.61 suggests efficient cash conversion from profits.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.51B1.47B1.30B1.22B1.17B1.10B
Gross Profit1.16B168.00M167.62M76.83M115.61M201.16M
EBITDA165.43M155.27M98.63M48.90M67.46M125.79M
Net Income83.18M75.21M33.98M69.55M11.50M54.19M
Balance Sheet
Total Assets777.83M719.79M672.73M781.58M900.32M963.13M
Cash, Cash Equivalents and Short-Term Investments72.61M121.85M75.91M167.28M104.63M179.96M
Total Debt284.12M292.49M334.52M383.97M536.85M564.60M
Total Liabilities628.92M595.44M584.81M680.88M798.40M834.94M
Stockholders Equity148.91M124.35M87.92M100.70M101.92M128.19M
Cash Flow
Free Cash Flow78.93M101.69M-106.13M-2.76M-6.10M88.17M
Operating Cash Flow131.43M143.64M23.28M98.87M59.08M121.27M
Investing Cash Flow-105.66M-9.11M-84.45M155.64M-59.39M2.00M
Financing Cash Flow-89.56M-87.87M-30.93M-191.86M-74.84M-38.16M

Extendicare Technical Analysis

Technical Analysis Sentiment
Positive
Last Price20.55
Price Trends
50DMA
16.51
Positive
100DMA
14.70
Positive
200DMA
13.92
Positive
Market Momentum
MACD
1.37
Negative
RSI
74.44
Negative
STOCH
81.79
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:EXE, the sentiment is Positive. The current price of 20.55 is above the 20-day moving average (MA) of 18.73, above the 50-day MA of 16.51, and above the 200-day MA of 13.92, indicating a bullish trend. The MACD of 1.37 indicates Negative momentum. The RSI at 74.44 is Negative, neither overbought nor oversold. The STOCH value of 81.79 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TSE:EXE.

Extendicare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
72
Outperform
C$1.72B19.0865.57%2.50%11.59%41.99%
67
Neutral
$269.83M2.0539.85%2.22%-40.05%558.77%
63
Neutral
C$1.75B47.547.07%4.52%11.47%6.45%
52
Neutral
C$229.69M3,650.000.11%0.56%0.19%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
C$1.26B-9.60-5.11%26.20%-156.86%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:EXE
Extendicare
20.55
10.26
99.71%
TSE:CRRX
CareRx
3.55
1.64
85.86%
TSE:SIA
Sienna Senior Living
20.72
4.89
30.89%
TSE:DR
Medical Facilities
16.20
1.09
7.21%
TSE:WELL
WELL Health Technologies Corp
3.85
-2.19
-36.26%

Extendicare Corporate Events

Business Operations and StrategyFinancial DisclosuresM&A Transactions
Extendicare’s Q3 2025 Results Show Strong Growth and Strategic Acquisition Impact
Positive
Nov 11, 2025

Extendicare reported strong financial results for the third quarter of 2025, highlighted by a significant increase in adjusted EBITDA and revenue, driven by the acquisition of Closing the Gap and growth in the home health care segment. The acquisition of Closing the Gap, a provider of nursing and allied health services, enhances Extendicare’s home health services and is expected to generate cost synergies and additional revenue, positioning the company for further growth in the seniors care market.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$17.50 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Dividends
Extendicare Declares October 2025 Dividend
Positive
Oct 15, 2025

Extendicare Inc. announced a cash dividend of C$0.042 per common share for October 2025, payable on November 17, 2025, to shareholders of record as of October 31, 2025. This announcement reflects Extendicare’s ongoing commitment to providing shareholder value and maintaining its position as a key player in the senior care industry in Canada.

The most recent analyst rating on (TSE:EXE) stock is a Buy with a C$18.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Financial Disclosures
Extendicare Schedules Q3 2025 Financial Results Announcement and Conference Call
Neutral
Oct 7, 2025

Extendicare Inc. has announced the release of its third-quarter financial results for 2025, scheduled for November 11, with a subsequent conference call on November 12. This announcement is significant as it provides stakeholders with insights into the company’s financial performance and strategic positioning in the senior care industry, potentially impacting investor decisions and market perceptions.

The most recent analyst rating on (TSE:EXE) stock is a Buy with a C$18.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Dividends
Extendicare Declares September 2025 Dividend
Positive
Sep 15, 2025

Extendicare Inc. has announced a cash dividend of C$0.042 per common share for September 2025, payable on October 15, 2025, to shareholders on record as of September 30, 2025. This announcement reflects the company’s ongoing commitment to providing value to its shareholders and maintaining its position as a key player in the senior care industry in Canada.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$14.50 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Extendicare Inc. Earnings Call Highlights Growth and Challenges
Aug 13, 2025

Extendicare Inc. recently held its earnings call, revealing a generally positive sentiment despite some challenges. The company reported strong growth in key areas like Adjusted EBITDA and home health care volumes, alongside successful acquisitions. However, it faced hurdles with revenue losses from closed Class C homes and a decline in Managed Services revenue. Overall, the positive developments and strategic acquisitions suggest a robust position for future growth.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 13, 2025