This 4% Monthly Dividend Giant Never Stops Paying

Extendicare (TSX:EXE) just raised its dividend again.

Most dividend stocks are content to pay quarterly. Some cut their payouts when things get tough. But one TSX stock has quietly kept on paying month after month, no matter what. That stock is Extendicare (TSX: EXE), and it just raised its dividend again.

woman checks off all the boxes

Source: Getty Images

Into earnings

As of March 2025, the dividend stock boosted its monthly dividend by 5%, bringing it to $0.042 per share. At a share price of about $12.50, that gives investors a 4% annual yield paid monthly. It’s not just the reliability that’s appealing; it’s the fact that Extendicare is finding ways to grow in one of the most challenging sectors: long-term care and home health.

In its latest earnings report for the first quarter of 2025, Extendicare delivered a 42.7% increase in adjusted earnings before interest, taxes, depreciation, and amortization (EBITDA), climbing to $29 million. That’s not the kind of jump you usually see in a sleepy dividend stock. But then again, Extendicare hasn’t exactly been sitting still.

Revenue came in at $374.7 million, up from $367.1 million a year earlier. But the more important figure is what it would have been without the distortions of past-period accounting: a 5.8% jump to $363.7 million. The dividend stock is making more money across all its business segments of long-term care, home health care, and managed services.

More to come

Let’s pause there. Long-term care might sound like a slow-growth, highly regulated corner of the economy, and it is. But Extendicare has found ways to modernize. It just opened a brand-new 256-bed home in Stittsville, replacing an outdated Class C facility. It also sold off three other development projects to its Axium joint venture for $56.3 million, locking in an after-tax gain of $11.1 million. The playbook here is smart. Recycle capital from old or non-core assets, and reinvest in modern care centres and growth opportunities.

Plus, there’s more coming. Extendicare expects to close the acquisition of nine long-term care homes from Revera later this year, adding to its redevelopment pipeline. These aren’t vanity purchases, but part of a long-term shift toward better infrastructure, improved care, and higher operating margins.

The dividend

Here’s where it gets even more interesting for income investors. Extendicare reported adjusted funds from operations (AFFO) of $0.235 per share, up from $0.210. That means the new dividend of $0.042 monthly, or $0.504 annually, is well-covered. CEO Dr. Michael Guerriere summed it up best, stating, “Q1 2025 represents another quarter of strong results sustained by growth and positive operating performance across all our business segments.”

What Extendicare is doing may not be flashy, but it’s working. In a world where many dividend stocks are cutting back or hoarding cash, this dividend stock is quietly acquiring, modernizing, and expanding, without overextending. Meanwhile, you could put $10,000 towards this dividend stock and look forward to $400 each year, and $33 each month!

COMPANYRECENT PRICENUMBER OF SHARESDIVIDENDTOTAL PAYOUTFREQUENCYTOTAL INVESTMENT
EXE$12.50800$0.50$400.00Monthly$10,000.00

Bottom line

So, yes, this monthly dividend payer may not grab headlines, but it doesn’t need to. It just raised its dividend, posted strong growth, and set itself up for even more expansion in the back half of the year. For investors looking for income they can count on, and a business that knows how to evolve, Extendicare remains a rare gem on the TSX.

Fool contributor Amy Legate-Wolfe has no position in any of the stocks mentioned. The Motley Fool has no position in any of the stocks mentioned. The Motley Fool has a disclosure policy.

More on Dividend Stocks

ETFs can contain investments such as stocks
Dividend Stocks

How to Use a TFSA to Generate $200 in Monthly Tax-Free Income

Use a TFSA to build $200 in monthly tax-free income with XEI and ZRE. See how these ETFs work and…

Read more »

Business success of growth metaverse finance and investment profit graph concept or development analysis progress chart on financial market achievement strategy background with increase hand diagram
Dividend Stocks

Smart Ways to Invest Extra Income and Say Goodbye to Financial Stress

Canadians have ways to make their extra income work as hard as they do and say goodbye to financial stress.

Read more »

Two seniors walk in the forest
Dividend Stocks

Sun Life Stock Pays 3.3%: How Much to Invest for $100 a Month in Dividends

Sun Life Financial (TSX:SLF) might be a massive bargain after Thursday's vicious plunge as stock markets sold off hard.

Read more »

TFSA (Tax free savings account) acronym on wooden cubes on the background of stacks of coins
Dividend Stocks

How to Turn Your TFSA Into $1,000 a Month in Tax-Free Income

Build toward $1,000 a month in tax-free income with a TFSA. See how Enbridge, Scotiabank and ZWC could help, and…

Read more »

customer fills up car with gasoline
Dividend Stocks

How Much Emergency Money Do Canadians Actually Need?

A safety fund equivalent to 3 to 6 months of living expenses is generally the baseline buffer that Canadians would…

Read more »

woman holding steering wheel is nervous about the future
Dividend Stocks

Still Up Double Digits This Year: Should You Still Invest in TSX Stocks After Thursday’s Dramatic Drop?

The TSX has gained about 136% over the past decade. So, stay invested, dollar‑cost average, and maintain diversification. 

Read more »

Real estate investment concept
Dividend Stocks

Intact Stock: Would I Buy It for Growth, Income, or Both?

Intact’s modest yield makes profitable long-term growth the main attraction, with catastrophe losses putting the next purchase to a test.

Read more »

hiker with backpack in the mountains
Dividend Stocks

2 Top Canadian Dividend Stocks for $1,850 in Annual Passive Income

With reliable cash flows, high dividend yields, and strong growth prospects, these two Canadian stocks suit income-seeking investors.

Read more »