Extendicare (TSX:EXE) Cyclically Adjusted PB Ratio: 20.92 (As of Jul. 24, 2026) — 159% Above Median

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TSX:EXE Extendicare Inc TSX:EXE
79 GF Score
Price C$37.23
GF Value C$14.22
Valuation Significantly Overvalued
! 4 Warning Signs
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What is Extendicare Cyclically Adjusted PB Ratio?

Extendicare TSX:EXE -0.27% 79 Cyclically Adjusted PB Ratio is 20.92 as of Jul. 24, 2026, which is 159% above its 10-year median of 8.07. GuruFocus rates TSX:EXE with a GF Score™ of 79/100 and a GF Value™ of C$14.22 (Significantly Overvalued). The stock has 4 warning signs investors should review. Among 356 Healthcare Providers & Services companies, Extendicare ranks worse than 98.31% on this metric.

As of today (2026-07-24), Extendicare's current share price is C$37.23. Extendicare's Cyclically Adjusted Book per Share for the quarter that ended in Mar. 2026 was C$1.78. Extendicare's Cyclically Adjusted PB Ratio for today is 20.92.

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

TSX:EXE' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 4.11   Med: 8.07   Max: 37.04
Current: 21.8

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.

TSX:EXE's Cyclically Adjusted PB Ratio is ranked worse than
98.31% of 356 companies
in the Healthcare Providers & Services industry
Industry Median: 1.85 vs TSX:EXE: 21.80

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 Mar. 2026 was C$4.146. 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 C$1.78 for the trailing ten years ended in Mar. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


Extendicare  (TSX:EXE) 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
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
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 7.93 8.39 8.88 12.48 14.79

TSX:EXE 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.


TSX:EXE
79GF Score
Extendicare Inc TSX:EXE
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
=37.23/1.78
=20.92

* 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 Mar. 2026 is calculated as:

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

Adj_Book=Book Value per Share/CPI of Mar. 2026 (Change)*Current CPI (Mar. 2026)
=4.146/132.2623*132.2623
=4.146

Current CPI (Mar. 2026) = 132.2623.

Extendicare Quarterly Data

Book Value per Share CPI Adj_Book
201606 1.819 102.002 2.359
201609 1.815 101.765 2.359
201612 1.971 101.449 2.570
201703 1.915 102.634 2.468
201706 1.518 103.029 1.949
201709 1.449 103.345 1.854
201712 1.457 103.345 1.865
201803 1.351 105.004 1.702
201806 1.468 105.557 1.839
201809 1.455 105.636 1.822
201812 1.424 105.399 1.787
201903 1.330 106.979 1.644
201906 1.301 107.690 1.598
201909 1.284 107.611 1.578
201912 1.293 107.769 1.587
202003 1.254 107.927 1.537
202006 1.068 108.401 1.303
202009 1.342 108.164 1.641
202012 1.432 108.559 1.745
202103 1.434 110.298 1.720
202106 1.336 111.720 1.582
202109 1.297 112.905 1.519
202112 1.138 113.774 1.323
202203 1.114 117.646 1.252
202206 1.799 120.806 1.970
202209 1.492 120.648 1.636
202212 1.189 120.964 1.300
202303 1.195 122.702 1.288
202306 1.085 124.203 1.155
202309 1.138 125.230 1.202
202312 1.057 125.072 1.118
202403 1.083 126.258 1.135
202406 1.278 127.522 1.326
202409 1.362 127.285 1.415
202412 1.490 127.364 1.547
202503 1.494 129.181 1.530
202506 1.777 129.892 1.809
202509 1.955 130.287 1.985
202512 3.953 130.366 4.010
202603 4.146 132.262 4.146

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 20.92 mean?
Extendicare (TSX:EXE) has a Cyclically Adjusted PB Ratio of 20.92 as of Jul. 24, 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 159% 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 #350 out of 356 companies in the Healthcare Providers & Services industry, placing it in the top 98.3%.
Is Extendicare's Cyclically Adjusted PB Ratio too high?
Extendicare's current Cyclically Adjusted PB Ratio of 20.92 is 159% 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 1.85. Extendicare's value of 20.92 is 1030.8% above this industry median. Based on the distribution chart, Extendicare ranks #350 out of 356 companies in the Healthcare Providers & Services industry, which is in the bottom quartile relative to peers. Overall, Extendicare has a GF Score™ of 79/100 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 #350 out of 356 companies for Cyclically Adjusted PB Ratio. This places Extendicare in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.85. Extendicare's value of 20.92 is 1030.8% 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 1.85, 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 1.85, based on 356 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 20.92 is 1030.8% 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 1.85 — 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 20.92, which is 159% 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 (TSX:EXE) is currently considered Significantly Overvalued. The stock's GF Value™ is C$14.22, compared to a current price of C$37.23 — trading 161.8% above its estimated fair value. The current Cyclically Adjusted PB Ratio is 20.92, which is 159% above median its 10-year median of 8.07 and 1030.8% above the Healthcare Providers & Services industry median of 1.85. Extendicare's overall GF Score™ is 79/100 with 4 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 (TSX:EXE), the current Cyclically Adjusted PB Ratio is 20.92 as of Jul. 24, 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 (TSX:EXE) Overvalued in 2026?

Based on GuruFocus' analysis, Extendicare stock appears to be overvalued. The current stock price of C$37.23 is trading 161.8% above its estimated GF Value™ of C$14.22. GuruFocus considers Extendicare to be Significantly Overvalued.

Key valuation signals for TSX:EXE:

  • Cyclically Adjusted PB Ratio: 20.92 (159% above median its 10-year median of 8.07)
  • GF Value™: C$14.22 vs. price of C$37.23 (161.8% above fair value)
  • GF Score™: 79/100 with 4 warning signs
  • Industry Position: 1030.8% above the Healthcare Providers & Services median (#350 of 356)

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


Extendicare Business Description

Other Exchanges EXETF:USA0S9E:UK5XE:Germany
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.
79GF Score

Get the complete analysis for TSX:EXE

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

C$37.23
Price
C$14.22
GF Value