Extendicare (FRA:5XE) Cyclically Adjusted PB Ratio: 17.59 (As of Aug. 16, 2026) — 118% Above Median

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Director of Data and Quant Analytics at GuruFocus
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FRA:5XE Extendicare Inc FRA:5XE
76 GF Score
Price €19.70
GF Value €9.84
Valuation Significantly Overvalued
! 2 Warning Signs
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What is Extendicare Cyclically Adjusted PB Ratio?

Extendicare FRA:5XE -1.50% 76 Cyclically Adjusted PB Ratio is 17.59 as of Aug. 16, 2026, which is 118% above its 10-year median of 8.07. GuruFocus rates FRA:5XE with a GF Score™ of 76/100 and a GF Value™ of €9.84 (Significantly Overvalued). The stock has 2 warning signs investors should review. Among 348 Healthcare Providers & Services companies, Extendicare ranks worse than 97.13% on this metric.

As of today (2026-08-16), Extendicare's current share price is €19.70. Extendicare's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 was €1.12. Extendicare's Cyclically Adjusted PB Ratio for today is 17.59.

The historical rank and industry rank for Extendicare's Cyclically Adjusted PB Ratio or its related term are showing as below:

FRA:5XE' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 4.11   Med: 8.07   Max: 37.04
Current: 17.76

During the past years, Extendicare's highest Cyclically Adjusted PB Ratio was 37.04. The lowest was 4.11. And the median was 8.07.

FRA:5XE's Cyclically Adjusted PB Ratio is ranked worse than
97.13% of 348 companies
in the Healthcare Providers & Services industry
Industry Median: 1.89 vs FRA:5XE: 17.76

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

Extendicare's adjusted book value per share data for the three months ended in Jun. 2026 was €2.634. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is €1.12 for the trailing ten years ended in Jun. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


Extendicare  (FRA:5XE) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


Extendicare Cyclically Adjusted PB Ratio Related Terms


Extendicare Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for Extendicare's Cyclically Adjusted PB Ratio can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Extendicare Cyclically Adjusted PB Ratio Chart

Extendicare Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 6.01 4.91 5.12 6.78 12.48

Extendicare Quarterly Data
Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26 Jun26
Cyclically Adjusted PB Ratio Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 8.39 8.88 12.48 14.79 19.03

FRA:5XE vs HCA, THC, DVA: Cyclically Adjusted PB Ratio Comparison

For the Medical Care Facilities subindustry, Extendicare's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Extendicare Cyclically Adjusted PB Ratio vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Extendicare's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where Extendicare's Cyclically Adjusted PB Ratio falls into.


FRA:5XE
76GF Score
Extendicare Inc FRA:5XE
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

Extendicare Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

Extendicare's Cyclically Adjusted PB Ratio for today is calculated as

Cyclically Adjusted PB Ratio=Share Price/ Cyclically Adjusted Book per Share
=19.70/1.12
=17.59

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Extendicare's Cyclically Adjusted Book per Share for the quarter that ended in Jun. 2026 is calculated as:

For example, Extendicare's adjusted Book Value per Share data for the three months ended in Jun. 2026 was:

Adj_Book=Book Value per Share/CPI of Jun. 2026 (Change)*Current CPI (Jun. 2026)
=2.634/133.5265*133.5265
=2.634

Current CPI (Jun. 2026) = 133.5265.

Extendicare Quarterly Data

Book Value per Share CPI Adj_Book
201609 1.233 101.765 1.618
201612 1.400 101.449 1.843
201703 1.338 102.634 1.741
201706 1.016 103.029 1.317
201709 0.990 103.345 1.279
201712 0.964 103.345 1.246
201803 0.847 105.004 1.077
201806 0.958 105.557 1.212
201809 0.957 105.636 1.210
201812 0.931 105.399 1.179
201903 0.880 106.979 1.098
201906 0.867 107.690 1.075
201909 0.881 107.611 1.093
201912 0.884 107.769 1.095
202003 0.813 107.927 1.006
202006 0.700 108.401 0.862
202009 0.861 108.164 1.063
202012 0.919 108.559 1.130
202103 0.958 110.298 1.160
202106 0.907 111.720 1.084
202109 0.870 112.905 1.029
202112 0.787 113.774 0.924
202203 0.799 117.646 0.907
202206 1.329 120.806 1.469
202209 1.129 120.648 1.250
202212 0.826 120.964 0.912
202303 0.816 122.702 0.888
202306 0.754 124.203 0.811
202309 0.788 125.230 0.840
202312 0.723 125.072 0.772
202403 0.736 126.258 0.778
202406 0.866 127.522 0.907
202409 0.906 127.285 0.950
202412 0.999 127.364 1.047
202503 0.962 129.181 0.994
202506 1.127 129.892 1.159
202509 1.204 130.287 1.234
202512 2.447 130.366 2.506
202603 2.614 132.262 2.639
202606 2.634 133.527 2.634

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

What does a Cyclically Adjusted PB Ratio of 17.59 mean?
Extendicare (FRA:5XE) has a Cyclically Adjusted PB Ratio of 17.59 as of Aug. 16, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Extendicare and its competitors. This is 118% above median its historical median of 8.07. Over the past decade, Extendicare's Cyclically Adjusted PB Ratio has ranged from 4.11 to 37.04. According to the industry distribution chart, Extendicare ranks #338 out of 348 companies in the Healthcare Providers & Services industry, placing it in the top 97.1%.
Is Extendicare's Cyclically Adjusted PB Ratio too high?
Extendicare's current Cyclically Adjusted PB Ratio of 17.59 is 118% above median its 10-year median of 8.07. Over the past 10 years, this metric has ranged from a low of 4.11 to a high of 37.04. The Healthcare Providers & Services industry median Cyclically Adjusted PB Ratio is 1.89. Extendicare's value of 17.59 is 830.7% above this industry median. Based on the distribution chart, Extendicare ranks #338 out of 348 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, Extendicare has a GF Score™ of 76/100 and is considered Significantly Overvalued, reflecting its overall financial health beyond just this single metric.
How does Extendicare's Cyclically Adjusted PB Ratio compare to HCA and THC?
According to the Healthcare Providers & Services industry distribution chart, Extendicare ranks #338 out of 348 companies for Cyclically Adjusted PB Ratio. This places Extendicare in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.89. Extendicare's value of 17.59 is 830.7% above this benchmark. Historically, Extendicare's own Cyclically Adjusted PB Ratio has ranged from 4.11 to 37.04 over the past decade. While the company's 10-year median is 8.07 vs. the industry median of 1.89, Extendicare has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Healthcare Providers & Services company?
The median Cyclically Adjusted PB Ratio among Healthcare Providers & Services companies is 1.89, based on 348 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Extendicare's current Cyclically Adjusted PB Ratio of 17.59 is 830.7% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on Extendicare and its competitors. For the Healthcare Providers & Services industry, the median Cyclically Adjusted PB Ratio is 1.89 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Extendicare's current Cyclically Adjusted PB Ratio is 17.59, which is 118% above median its own 10-year median of 8.07. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Extendicare stock overvalued right now?
Based on GuruFocus' analysis, Extendicare (FRA:5XE) is currently considered Significantly Overvalued. The stock's GF Value™ is €9.84, compared to a current price of €19.70 — trading 100.2% above its estimated fair value. The current Cyclically Adjusted PB Ratio is 17.59, which is 118% above median its 10-year median of 8.07 and 830.7% above the Healthcare Providers & Services industry median of 1.89. Extendicare's overall GF Score™ is 76/100 with 2 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For Extendicare (FRA:5XE), the current Cyclically Adjusted PB Ratio is 17.59 as of Aug. 16, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Extendicare (FRA:5XE) Overvalued in 2026?

Based on GuruFocus' analysis, Extendicare stock appears to be overvalued. The current stock price of €19.70 is trading 100.2% above its estimated GF Value™ of €9.84. GuruFocus considers Extendicare to be Significantly Overvalued.

Key valuation signals for FRA:5XE:

  • Cyclically Adjusted PB Ratio: 17.59 (118% above median its 10-year median of 8.07)
  • GF Value™: €9.84 vs. price of €19.70 (100.2% above fair value)
  • GF Score™: 76/100 with 2 warning signs
  • Industry Position: 830.7% above the Healthcare Providers & Services median (#338 of 348)

No single metric tells the full story. See the FRA:5XE stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Extendicare Business Description

Address 3000 Steeles Avenue East, Suite 400, Markham, ON, CAN, L3R 4T9
Extendicare Inc is a senior care provider in Canada, focused on long-term care and home health care. The has three main business segments: Long-term Care (LTC), Home Health Care, and Managed Services. The Long-term Care segment, operating under the Extendicare brand, represents 53 owned homes in Ontario, Alberta and Manitoba. The Home Health Care segment, operating under the ParaMed brand, provides home health care services annually in Ontario, Alberta, Manitoba and Nova Scotia. The Managed Services segment, operating under the Extendicare Assist and SGP Purchasing Partner Network brands, provides management, consulting and group purchasing services to other care providers across Canada. The majority of the company's revenue is derived from the Long-term Care segment.
76GF Score

Get the complete analysis for FRA:5XE

Cyclically Adjusted PB Ratio is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

€19.70
Price
€9.84
GF Value