Extendicare (EXE) AI Stock Analysis

• Market Cap: C$1.15B
• Dividend Yield: 3.68%
• Average Volume (3M): 153.91K
• Price to Earnings (P/E): 15.0
• Beta (1Y): 0.60
• Revenue Growth: 9.38%
• EPS Growth: 117.85%
• Country: CA
• Employees: 23,500
• Sector: Healthcare
• Sector Strength: 39
• Industry: Medical - Care Facilities
• EPS (TTM): 0.18
• Shares Outstanding: 83,817,900
• 10 Day Avg. Volume: 177,994
• 30 Day Avg. Volume: 153,909
• PEG Ratio: 0.86
• Price to Book (P/B): 5.80
• Price to Sales (P/S): 0.00
• P/FCF Ratio: -200.31
• Enterprise Value/Market Cap: N/A
• Enterprise Value/Revenue: N/A
• Enterprise Value/Gross Profit: N/A
• Enterprise Value/Ebitda: N/A
• 1Y Price Target: C$14.83
• Price Target Upside: 8.25% Upside
• Rating Consensus: Hold
• Number of Analyst Covering: 3

• Rating: 72 Outperform
• Price Target: C$15.50 ▲(13.14%Upside)

Extendicare's strong financial performance, strategic acquisitions, and robust earnings growth are significant strengths. However, high leverage and short-term bearish technical indicators slightly offset these positives. The company is well-positioned for future growth with a solid dividend yield enhancing its attractiveness.

Positive Factors

Acquisition

The company has been putting its under-levered balance sheet to work with the recent announcement of the agreement to acquire Closing the Gap, a business that fits nicely into the existing home health platform and will drive accretion into 2026.

Demographics

Given aging demographics and a significant LTC waitlist in Ontario, Extendicare should benefit from demand tailwinds ahead.

Financial Flexibility

A conservative financial profile with low debt ratios provides flexibility and potential for future acquisition activity.

Negative Factors

Analyst Rating

Analyst's neutral rating reflects higher total returns expected elsewhere and a current preference for private-pay retirement residences.

Market Preference

Despite the positive aspects, there is currently a preference for companies with exposure to private-pay retirement residences.

Extendicare Business Overview & Revenue Model

Company Description

Extendicare 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 Money

Extendicare generates revenue primarily through its long-term care centers, retirement living facilities, and home health care services. The company's long-term care centers receive funding from provincial governments based on the number of residents and the level of care provided, supplemented by resident co-payments. Retirement living facilities generate income through rental fees and ancillary services offered to residents. Additionally, Extendicare's home health care services, provided under the ParaMed brand, earn revenue through government contracts and private pay clients. The company's earnings are further supported by strategic partnerships and acquisitions that expand its service offerings and geographic reach.

Extendicare Financial Statement Overview

Summary

Extendicare shows strong profitability and operational efficiency, evidenced by healthy EBIT and EBITDA margins. However, the high debt-to-equity ratio and negative free cash flow growth present potential financial risks.

Income Statement

Extendicare has shown a consistent improvement in profitability with gross profit margin at 56.4% and net profit margin at 5.2% in TTM. Revenue growth is steady at 0.5% compared to the previous year. EBIT and EBITDA margins are healthy at 8.5% and 10.5%, respectively, indicating efficient operational performance.

Balance Sheet

The balance sheet reflects moderate stability with a debt-to-equity ratio of 2.29, indicating a high reliance on debt. Return on equity stands at 61.6%, and the equity ratio is 17.5%, suggesting potential risks due to leverage but also strong returns on equity.

Cash Flow

Cash flow analysis shows robust operational cash flow to net income ratio of 1.59, and free cash flow to net income ratio of 0.97, pointing towards strong cash generation capabilities. However, free cash flow growth rate is negative, indicating a decline from previous levels.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	1.47B	1.47B	1.30B	1.22B	1.17B	1.10B
Gross Profit	831.64M	168.00M	167.62M	76.83M	115.61M	201.16M
EBITDA	154.94M	152.52M	98.63M	48.90M	67.46M	125.08M
Net Income	77.14M	75.21M	33.98M	69.55M	11.50M	54.19M
Balance Sheet
Total Assets	713.59M	719.79M	672.73M	781.58M	900.32M	963.13M
Cash, Cash Equivalents and Short-Term Investments	109.47M	121.85M	75.91M	167.28M	104.63M	179.96M
Total Debt	286.85M	292.49M	334.52M	383.97M	536.85M	564.60M
Total Liabilities	588.38M	595.44M	584.81M	680.88M	798.40M	834.94M
Stockholders Equity	125.21M	124.35M	87.92M	100.70M	101.92M	128.19M
Cash Flow
Free Cash Flow	74.61M	101.69M	-106.13M	-2.76M	-6.10M	88.17M
Operating Cash Flow	122.64M	143.64M	23.28M	98.87M	59.08M	121.27M
Investing Cash Flow	-17.50M	-9.11M	-84.45M	155.64M	-59.39M	2.00M
Financing Cash Flow	-88.65M	-87.87M	-30.93M	-191.86M	-74.84M	-38.16M

Extendicare Technical Analysis

• Technical Analysis Sentiment: Neutral
• Last Price: 13.70
• 50DMA: Negative
• 100DMA: Positive
• 200DMA: Positive
• MACD: Positive
• RSI: Neutral
• STOCH: Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:EXE, the sentiment is Neutral. The current price of 13.7 is below the 20-day moving average (MA) of 14.02, below the 50-day MA of 14.10, and above the 200-day MA of 11.49, indicating a neutral trend. The MACD of -0.08 indicates Positive momentum. The RSI at 41.00 is Neutral, neither overbought nor oversold. The STOCH value of 25.09 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for TSE:EXE.

Extendicare Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
EXE	72 Outperform	C$1.15B	14.97	71.61%	3.68%	9.38%	117.85%
SIA	71 Outperform	C$1.73B	44.30	6.93%	4.99%	8.76%	14.05%
WELL	67 Neutral	C$1.08B	30.45	-3.53%	―	17.19%	-191.01%
CRRX	61 Neutral	C$185.10M	―	-4.48%	―	-0.69%	8.08%
Sector *	60 Neutral	HK$15.58B	5.65	-7.43%	4.32%	11.60%	-21.06%
MFCSF		$231.40M	2.54	33.87%	2.15%	―	―
MEDI		$189.99M	―		―	―	―

Extendicare Corporate Events

Extendicare Expands with Acquisition and Credit Facility Increase

Extendicare has completed the acquisition of Closing the Gap Healthcare Group through its subsidiary ParaMed Inc., enhancing its capabilities in rehabilitation services and integrated care models. This acquisition, valued at $75.5 million with potential earnouts, is expected to strengthen Extendicare’s home healthcare platform. Additionally, Extendicare has increased its Senior Secured Credit Facility to $375 million, positioning itself for further strategic acquisitions and growth, supported by a $100 million increase in its credit facilities.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$11.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Extendicare Declares June 2025 Dividend, Reinforcing Commitment to Shareholders

Extendicare Inc. has announced a cash dividend of C$0.042 per common share for June 2025, payable on July 15, 2025, to shareholders recorded by June 30, 2025. This move reflects the company’s ongoing commitment to providing returns to its investors while maintaining its focus on delivering quality care services to Canada’s growing senior population. The announcement may positively impact shareholder value and reinforce Extendicare’s position in the senior care industry.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$11.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Extendicare Expands Senior Care Services with Acquisition of Nine Long-Term Care Homes

Extendicare Inc. has completed the acquisition of nine ‘Class C’ long-term care homes from Revera Inc. in Ontario and Manitoba, along with a parcel of vacant land in Ontario, for approximately $60.3 million. This strategic acquisition, funded by cash on hand, expands Extendicare’s footprint in the senior care industry, enhancing its capacity to provide quality care to a growing senior population. The transaction underscores Extendicare’s commitment to meeting the increasing demand for senior care services and strengthens its market position in Canada.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$11.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Extendicare Announces 2025 Shareholder Meeting Results

Extendicare Inc. announced the results of its 2025 Annual and Special Meeting of Shareholders, where key decisions included the election of nine directors, the appointment of KPMG LLP as auditors, approval of unallocated entitlements under the Long Term Incentive Plan, and acceptance of the company’s approach to executive compensation. These decisions reflect strong shareholder support and are expected to reinforce Extendicare’s strategic direction and operational stability, impacting its positioning in the senior care industry and providing assurance to stakeholders about the company’s governance and financial oversight.

The most recent analyst rating on (TSE:EXE) stock is a Hold with a C$11.00 price target. To see the full list of analyst forecasts on Extendicare stock, see the TSE:EXE Stock Forecast page.

Extendicare Reports Strong Q1 2025 Results and Strategic Growth Initiatives

Extendicare reported a strong first quarter in 2025, with a 42.7% increase in adjusted EBITDA to $29.0 million, driven by growth across all business segments. The company announced a 5.0% dividend increase and significant expansion in its home health care segment. Extendicare completed the sale of three LTC projects, generating $56.3 million in cash proceeds, and is advancing its acquisition of Closing the Gap Healthcare Group, which will add substantial service hours to its operations. The company’s strategic focus on growth and redevelopment is evident in its ongoing projects and acquisitions, positioning it for continued expansion in the healthcare sector.

Extendicare to Acquire Closing the Gap Healthcare Group

Extendicare Inc. announced that its subsidiary, ParaMed Inc., will acquire Closing the Gap Healthcare Group, a provider of integrated home and community-based healthcare services in Ontario and Nova Scotia. The acquisition, valued at approximately $75.5 million, is expected to close in the third quarter of 2025 and will be funded from cash on hand and existing credit facilities. This strategic move is anticipated to enhance Extendicare’s home health care operations, adding significant service volumes and revenue, while also generating cost synergies through the integration of back-office functions.

Extendicare Declares April 2025 Dividend

Extendicare Inc. announced a cash dividend of C$0.042 per common share for April 2025, payable on May 15, 2025, to shareholders of record as of April 30, 2025. This decision 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 dividend is designated as an eligible dividend under Canadian tax law, potentially offering tax advantages to shareholders.