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Extendicare (TSE:EXE)
TSX:EXE

Extendicare (EXE) AI Stock Analysis

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TSExtendicare
(TSX:EXE)
81Outperform
Extendicare demonstrates strong financial performance with significant revenue growth and improved cash flow, though operational efficiency and high leverage remain challenges. The stock shows positive technical momentum but is in overbought territory, suggesting caution. Valuation is attractive, supported by reasonable P/E and solid dividend yield. Earnings call insights reinforce the company's growth trajectory, adding to the positive outlook.
Positive Factors
Demographics and Demand
EXE is expected to benefit from aging demographics and a sizable LTC waitlist in Ontario, which should drive demand tailwinds.
Operating Metrics
Strong improvements in operating metrics within the LTC and home health businesses have led to leading price performance amongst Canadian seniors.
Negative Factors
Market Preferences
There is currently a preference for companies with exposure to private-pay retirement residences.

Extendicare (EXE) vs. S&P 500 (SPY)

Extendicare Business Overview & Revenue Model

Company DescriptionExtendicare (EXE) is a leading provider of care and services for seniors across Canada. The company operates in the healthcare sector, primarily focusing on long-term care, home health care, and retirement living. Extendicare's core services include nursing care, rehabilitation, and support services, aimed at enhancing the quality of life for its residents and clients. With a commitment to delivering compassionate care, Extendicare serves communities through its network of long-term care homes, retirement communities, and home health care operations.
How the Company Makes MoneyExtendicare generates revenue through several key streams. The primary source of income is its long-term care services, where the company receives funding from provincial governments for providing personal and medical care to residents in its facilities. Additionally, Extendicare earns from its home health care segment by offering nursing and personal support services to clients in their homes, funded through a combination of government contracts and private pay clients. The retirement living segment also contributes to revenue through rental income from its various retirement communities. Furthermore, Extendicare engages in strategic partnerships and alliances to enhance service delivery and optimize operational efficiencies, which can lead to cost savings and additional revenue opportunities.

Extendicare Financial Statement Overview

Summary
Extendicare shows strong revenue growth and improving net income margins, supported by effective cash flow generation. However, operational efficiency challenges and high leverage are concerns. The balance sheet reflects significant debt usage, but improved return on equity and positive cash flow trends are favorable indicators.
Income Statement
75
Positive
Extendicare has demonstrated strong revenue growth with a 12.39% increase from 2023 to 2024. The gross profit margin is robust at 100% for 2024 due to the accounting treatment, while the net profit margin improved significantly to 5.13% from 2.60% in 2023. The EBIT margin dropped to 0% in 2024, indicating operational challenges despite the revenue increase. Overall, profitability is improving but operational efficiency requires attention.
Balance Sheet
60
Neutral
The company's debt-to-equity ratio remains high at 2.35, indicating significant leverage, although it has decreased from previous years. The return on equity has improved to 60.49% in 2024, showing better utilization of equity for generating profits. However, the equity ratio of 17.28% suggests a relatively low equity base compared to total assets, indicating a reliance on debt financing.
Cash Flow
80
Positive
Extendicare's free cash flow has turned positive in 2024, growing from a negative figure in 2023 to a strong positive figure, indicating improved cash generation. The operating cash flow to net income ratio is 1.91, showing efficient cash conversion from earnings. The free cash flow to net income ratio is 1.35, further reinforcing effective cash flow management.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
1.47B1.30B1.22B1.22B1.16B
Gross Profit
1.47B118.43M76.83M151.72M197.69M
EBIT
0.0062.96M20.99M56.62M93.30M
EBITDA
155.27M98.63M48.90M67.46M125.08M
Net Income Common Stockholders
75.21M33.98M-4.51M9.01M42.59M
Balance SheetCash, Cash Equivalents and Short-Term Investments
121.85M75.91M167.28M104.63M179.96M
Total Assets
719.79M672.73M781.58M900.32M963.13M
Total Debt
292.49M334.52M383.97M536.85M564.60M
Net Debt
170.64M259.33M216.69M432.22M384.64M
Total Liabilities
595.44M584.81M680.88M798.40M834.94M
Stockholders Equity
124.35M87.92M100.70M101.92M128.19M
Cash FlowFree Cash Flow
101.69M-106.13M-2.92M-6.10M88.17M
Operating Cash Flow
143.64M23.28M98.71M63.42M121.27M
Investing Cash Flow
-9.11M-84.45M155.64M-63.73M2.00M
Financing Cash Flow
-87.87M-30.93M-191.86M-74.84M-38.16M

Extendicare Technical Analysis

Technical Analysis Sentiment
Positive
Last Price13.04
Price Trends
50DMA
10.93
Positive
100DMA
10.35
Positive
200DMA
9.12
Positive
Market Momentum
MACD
0.64
Negative
RSI
80.15
Negative
STOCH
94.82
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 13.04 is above the 20-day moving average (MA) of 11.82, above the 50-day MA of 10.93, and above the 200-day MA of 9.12, indicating a bullish trend. The MACD of 0.64 indicates Negative momentum. The RSI at 80.15 is Negative, neither overbought nor oversold. The STOCH value of 94.82 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 (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
TSEXE
81
Outperform
C$1.09B14.6070.86%3.68%12.62%269.69%
TSDR
73
Outperform
$396.82M15.9325.19%2.13%0.54%276.35%
TSSIA
62
Neutral
C$1.47B31.768.99%5.85%13.72%429.22%
TSKPT
59
Neutral
C$80.15M33.213.53%8.89%
49
Neutral
$7.05B0.34-55.09%2.46%25.27%-3.43%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
TSE:EXE
Extendicare
13.08
6.15
88.74%
TSE:DR
Medical Facilities
16.85
8.06
91.78%
TSE:SIA
Sienna Senior Living
16.01
3.85
31.66%
TSE:KPT
KP Tissue
8.02
0.37
4.84%

Extendicare Earnings Call Summary

Earnings Call Date: Feb 27, 2025 | % Change Since: 12.51% | Next Earnings Date: May 15, 2025
Earnings Call Sentiment Positive
The earnings call highlights Extendicare's strong financial performance with significant growth in adjusted EBITDA, home healthcare services, and managed services. The company also benefits from increased government funding and has announced a dividend increase. Challenges include potential impacts of tariffs and inflation on construction costs and the termination of management agreements due to Revera's asset sales. Overall, the positive aspects significantly outweigh the challenges.
Highlights
Significant Increase in Adjusted EBITDA
Adjusted EBITDA excluding out-of-period items increased by 43.5% to $33.4 million, indicating strong operational performance.
Home Healthcare Growth
Delivered a record 11 million hours of care in 2024, with Q4 showing a 10.1% increase in average daily volume from the prior year period.
Ontario Government Funding Increase
4% rate increase for the home care sector retroactive to April 1, 2024, supporting compensation, recruitment, retention, and technology investments.
Expansion Achievements
Opened a new home in Kingston with 192 beds and another 256 beds in Stittsville, Ontario, contributing to strong results in the managed services segment.
Dividend Increase
Announced a 5% increase in the common share dividend to $0.042 per month, reflecting financial strength and growth potential.
Lowlights
Impact of Inflation and Tariffs on Construction Costs
Potential impact on construction costs due to tariffs and inflation, though current leveling off was noted; government funding programs may need adjustments.
Termination of Management Agreements
Revera announced the sale of 21 Class C homes managed by Extendicare, resulting in the termination of management agreements for 30 homes.
Company Guidance
During Extendicare Inc.'s fourth-quarter 2024 analyst conference call, the company provided extensive guidance on its financial performance and strategic initiatives. The adjusted EBITDA, excluding out-of-period items, increased by 43.5% to $33.4 million, reflecting strong performance across various segments. The long-term care segment saw a 150 basis point increase in Q4 NOI margins, while the home healthcare segment delivered a record 11 million hours of care, with a 10.1% increase in average daily volume and a 160 basis point margin improvement. Extendicare also expanded its managed services, adding new beds in Kingston and Stittsville, contributing to a 7.4% year-over-year growth in bed services. The company maintained its managed service margins within the 50% to 55% target range and announced a 5% dividend increase, supported by a dividend payout ratio of less than 50% for 2024. Additionally, Extendicare outlined its strategic focus on redevelopment projects and acquisitions, with plans to redevelop 361 long-term care beds and a projected increase in annual NOI of $6.8 million and AFFO of $1.4 million. The company's strong liquidity position, with cash on hand of $122 million and access to $108 million under a new credit facility, positions it well for future growth.

Extendicare Corporate Events

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.

DividendsBusiness Operations and Strategy
Extendicare Declares February 2025 Dividend, Reinforcing Shareholder Value
Positive
Feb 14, 2025

Extendicare Inc. has announced a C$0.04 cash dividend per common share for February 2025, payable on March 17, 2025, to shareholders recorded by February 28, 2025. This announcement signifies the company’s ongoing commitment to providing shareholder value and reflects its stable financial standing. The dividend, characterized as an ‘eligible dividend’ under Canadian tax law, underscores Extendicare’s strategic focus on maintaining consistent returns for investors while continuing to support the growing needs of the senior population through its extensive care and service operations.

Extendicare Declares C$0.04 January Dividend, Strengthening Investor Returns
Jan 15, 2025

Extendicare Inc. has declared a cash dividend of C$0.04 per common share for January 2025, payable to shareholders on February 14, 2025. This announcement reflects the company’s commitment to providing regular returns to its investors, reinforcing Extendicare’s stable financial strategy amidst its ongoing dedication to senior care services in Canada.

Extendicare to Release 2024 Q4 Financial Results and Host Conference Call
Jan 13, 2025

Extendicare has announced the release of its fourth quarter 2024 financial results on February 27, 2025, followed by a conference call on February 28, 2025, to discuss the outcomes. This announcement is significant as it provides stakeholders with insights into the company’s financial performance and operational strategies, reinforcing its commitment to transparency and stakeholder engagement.

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.