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Extendicare (TSE:EXE)
TSX:EXE

Extendicare (EXE) AI Stock Analysis

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Extendicare

(TSX:EXE)

Rating:75Outperform
Price Target:
C$16.50
▲( 15.30% Upside)
Extendicare's strong financial performance, highlighted by robust profitability and strategic growth initiatives, drives its solid stock score. The company's fair valuation and dividend yield add to its attractiveness, although high leverage and potential overbought conditions pose risks. Positive earnings sentiment further supports the score.
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, which 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.
Operational Performance
Strong improvements in operating metrics within the LTC and home health businesses have led to leading price performance amongst Canadian seniors.
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 (EXE) vs. iShares MSCI Canada ETF (EWC)

Extendicare Business Overview & Revenue Model

Company DescriptionExtendicare (EXE) is a Canadian company specializing in senior care and retirement living, providing a range of services to meet the diverse needs of the elderly population. The company's operations encompass long-term care centers, retirement communities, and home health care services. Extendicare is committed to delivering high-quality, person-centered care to seniors, offering a continuum of services that include skilled nursing, rehabilitation, and personal support services.
How the Company Makes MoneyExtendicare 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, with steady revenue growth. However, a high debt-to-equity ratio and negative free cash flow growth are concerns, although cash generation capabilities remain solid.
Income Statement
78
Positive
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
65
Positive
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
72
Positive
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
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
1.47B1.47B1.30B1.22B1.22B1.16B
Gross Profit
831.64M168.00M167.62M76.83M151.72M197.69M
EBIT
124.62M111.21M62.96M20.99M56.62M93.30M
EBITDA
154.94M152.52M98.63M48.90M67.46M125.08M
Net Income Common Stockholders
77.14M75.21M33.98M-4.51M9.01M42.59M
Balance SheetCash, Cash Equivalents and Short-Term Investments
109.47M121.85M75.91M167.28M104.63M179.96M
Total Assets
713.59M719.79M672.73M781.58M900.32M963.13M
Total Debt
286.85M292.49M334.52M383.97M536.85M564.60M
Net Debt
177.38M170.64M259.33M216.69M432.22M384.64M
Total Liabilities
588.38M595.44M584.81M680.88M798.40M834.94M
Stockholders Equity
125.21M124.35M87.92M100.70M101.92M128.19M
Cash FlowFree Cash Flow
74.61M101.69M-106.13M-2.92M-6.10M88.17M
Operating Cash Flow
122.64M143.64M23.28M98.71M63.42M121.27M
Investing Cash Flow
-17.50M-9.11M-84.45M155.64M-63.73M2.00M
Financing Cash Flow
-88.65M-87.87M-30.93M-191.86M-74.84M-38.16M

Extendicare Technical Analysis

Technical Analysis Sentiment
Positive
Last Price14.31
Price Trends
50DMA
13.47
Positive
100DMA
12.22
Positive
200DMA
10.71
Positive
Market Momentum
MACD
0.32
Positive
RSI
56.82
Neutral
STOCH
42.77
Neutral
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 14.31 is above the 20-day moving average (MA) of 14.20, above the 50-day MA of 13.47, and above the 200-day MA of 10.71, indicating a bullish trend. The MACD of 0.32 indicates Positive momentum. The RSI at 56.82 is Neutral, neither overbought nor oversold. The STOCH value of 42.77 is Neutral, 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 (53)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
TSEXE
75
Outperform
C$1.19B15.5771.61%3.38%9.38%117.85%
TSDR
73
Outperform
$298.98M2.3533.87%2.31%-29.54%667.77%
TSSIA
72
Outperform
C$1.64B42.016.93%5.26%8.76%14.05%
66
Neutral
C$1.04B30.45-3.53%17.19%-191.01%
65
Neutral
C$180.02M-4.48%-0.69%8.08%
53
Neutral
$5.14B3.03-43.89%2.83%16.75%-0.06%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:EXE
Extendicare
14.31
7.25
102.69%
TSE:DR
Medical Facilities
15.55
4.12
36.08%
TSE:SIA
Sienna Senior Living
18.00
4.17
30.15%
TSE:CRRX
CareRx
2.96
0.90
43.69%
TSE:WELL
WELL Health Technologies Corp
4.04
0.31
8.31%

Extendicare Earnings Call Summary

Earnings Call Date:May 06, 2025
(Q1-2025)
|
% Change Since: -1.65%|
Next Earnings Date:Aug 13, 2025
Earnings Call Sentiment Positive
The earnings call presented a robust performance across all business segments, with significant growth in revenue, earnings, and strategic acquisitions. However, there are some uncertainties regarding regulatory approvals and funding timelines.
Q1-2025 Updates
Positive Updates
Strong Revenue and Earnings Growth
Adjusted EBITDA increased to $35.6 million, up 18.2% over the prior year. Excluding out-of-period items, it increased by 42.7% to $29 million, with NOI and margin growth in all business segments.
Growth in Home Healthcare
Q1 average daily volumes were up 8.9% from the same period last year. Excluding out-of-period items, Q1 NOI margin improved by 200 basis points, driven by rate increases and operational efficiencies.
Managed Services Expansion
Year-over-year growth in revenue and NOI, largely due to the opening of 3 homes in the Axium JV and organic growth in beds serviced by SGP, which increased by 7.2%.
Increase in Dividend
The Board declared a 5% increase to the monthly dividend on common shares to $0.042 per share.
Acquisition of Closing the Gap Healthcare
Acquiring Closing the Gap for total cash consideration of approximately $75.5 million, expected to add approximately $84.2 million in revenue to the home healthcare segment.
Long-term Care Redevelopment Progress
Opened a new 256-bed long-term care home and closed the sale of 3 long-term care projects, demonstrating effective capital recycling.
Negative Updates
Delays in Long-term Care Funding
Uncertainty regarding the timing of new long-term care funding announcements in Ontario due to the provincial budget schedule.
Regulatory Approval Delays for Revera Acquisition
Pending regulatory approvals for the acquisition of 9 homes from Revera, causing potential delays in closing the transaction.
Company Guidance
In the first quarter of 2025, Extendicare Inc. achieved significant financial growth across its business segments, as highlighted during their analyst conference call. Adjusted EBITDA rose by 18.2% to $35.6 million year-over-year, and further increased by 42.7% to $29 million when excluding out-of-period items. The home healthcare segment saw an 8.9% increase in Q1 average daily volumes compared to the previous year, with an NOI margin improvement of 200 basis points. Long-term care experienced a 150 basis point NOI margin increase, while managed services revenue and NOI grew, driven by organic growth in beds serviced, which rose 7.2% from Q1 2024. The Board declared a 5% increase in the monthly dividend to $0.042 per share. Extendicare also announced the acquisition of Closing the Gap Healthcare for $75.5 million, expected to add $84.2 million in revenue to the home healthcare segment, with anticipated annualized cost synergies of $1.1 million. The acquisition is projected to close in Q3 2025.

Extendicare Corporate Events

M&A TransactionsDividendsBusiness Operations and StrategyFinancial Disclosures
Extendicare Reports Strong Q1 2025 Results and Strategic Growth Initiatives
Positive
May 6, 2025

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.

M&A TransactionsBusiness Operations and Strategy
Extendicare to Acquire Closing the Gap Healthcare Group
Positive
May 1, 2025

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.

Dividends
Extendicare Declares April 2025 Dividend
Positive
Apr 15, 2025

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.

Financial Disclosures
Extendicare to Announce Q1 2025 Financial Results
Neutral
Apr 3, 2025

Extendicare Inc. has announced the release of its first quarter 2025 financial results scheduled for May 6, 2025, followed by a conference call on May 7, 2025, to discuss the results. This announcement highlights the company’s commitment to transparency and engagement with stakeholders, potentially impacting its market positioning and investor relations.

Dividends
Extendicare Declares March 2025 Dividend
Positive
Mar 17, 2025

Extendicare Inc. has declared a cash dividend of C$0.042 per common share for March 2025, payable on April 15, 2025, to shareholders of record as of March 31, 2025. This announcement reflects Extendicare’s ongoing commitment to providing returns to its shareholders while maintaining its focus on delivering quality care services across Canada. The dividend designation as an ‘eligible dividend’ under the Income Tax Act (Canada) may have favorable tax implications for shareholders.

M&A TransactionsDividendsBusiness Operations and StrategyFinancial Disclosures
Extendicare Reports Strong Q4 2024 Results and Announces Dividend Increase
Positive
Feb 27, 2025

Extendicare reported a significant increase in adjusted EBITDA for the fourth quarter of 2024, driven by improvements across all business segments. The company completed several strategic initiatives, including acquiring LTC homes from Revera Inc., opening new facilities, and redeeming convertible debentures, which strengthened its financial position. The company also announced a 5% increase in its monthly dividend, reflecting its improved performance and growth prospects.

Executive/Board Changes
Extendicare Announces Board of Directors Changes
Neutral
Feb 27, 2025

Extendicare Inc., a company listed on the Toronto Stock Exchange, has announced changes to its board of directors. Donald Clow and Heather-Anne Irwin have been appointed to the board, replacing Al Mawani who is retiring after seven years of service. These appointments bring the board back to nine directors. Clow brings extensive experience in the real estate sector, having held executive roles at Crombie REIT and other organizations, while Irwin has a strong background in finance and capital markets, currently serving on the boards of Artis REIT and the Ontario Financing Authority.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

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.