Sienna Senior Living (SIA) AI Stock Analysis

• Market Cap: C$1.99B
• Dividend Yield: 4.47%
• Average Volume (3M): 281.43K
• Price to Earnings (P/E): 46.8
• Beta (1Y): 0.44
• Revenue Growth: 11.47%
• EPS Growth: 6.45%
• Country: CA
• Employees: 12,000
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Care Facilities
• EPS (TTM): 0.11
• Shares Outstanding: 93,934,350
• 10 Day Avg. Volume: 195,427
• 30 Day Avg. Volume: 281,430
• PEG Ratio: 0.07
• Price to Book (P/B): 2.48
• Price to Sales (P/S): 1.33
• P/FCF Ratio: -6.93K
• Enterprise Value/Market Cap: N/A
• Enterprise Value/Revenue: N/A
• Enterprise Value/Gross Profit: N/A
• Enterprise Value/Ebitda: N/A
• 1Y Price Target: C$22.38
• Price Target Upside: 5.67% Upside
• Rating Consensus: Strong Buy
• Number of Analyst Covering: 4
• EPS Forecast (FY): N/A
• Revenue Forecast (FY): N/A

• Rating: 63 Neutral
• Price Target: C$21.50 ▲(1.51% Upside)

Sienna Senior Living's overall stock score reflects strong earnings call performance and positive technical indicators. However, financial performance concerns, particularly high leverage and declining margins, weigh down the score. The high P/E ratio suggests potential overvaluation, balanced by a solid dividend yield.

Positive Factors

Revenue Growth

Strong revenue growth indicates effective market positioning and demand for services, supporting long-term financial stability.

Strategic Acquisitions

Strategic acquisitions expand service offerings and geographic footprint, enhancing competitive advantage and growth potential.

Operational Efficiency

Improved operational efficiency through higher NOI reflects effective cost management and resource utilization, boosting profitability.

Negative Factors

High Leverage

High leverage can limit financial flexibility and increase risk, potentially impacting long-term financial health and investment capacity.

Declining Margins

Declining margins suggest rising costs or pricing pressures, which can erode profitability and challenge sustainable growth.

Labor Challenges

Ongoing labor challenges can affect service quality and operational efficiency, posing a risk to maintaining competitive service standards.

Sienna Senior Living Business Overview & Revenue Model

Company Description

Sienna Senior Living Inc., through its subsidiaries, provides senior living and long-term care (LTC) services in Canada. It operates through Retirement and LTC segments. The company offers a range of seniors' living options, including independent supportive and assisted living, memory care, and long-term care services, as well as specialized services comprising dementia care, continence management, skin and wound care, palliation, and end of life care; and provides management services. As of December 31, 2021, it owned and operated a total of 70 seniors' living residences comprising 27 retirement residences, 35 LTC residences, and eight seniors' living residences. The company was formerly known as Leisureworld Senior Care Corporation and changed its name to Sienna Senior Living Inc. in May 2015. Sienna Senior Living Inc. was founded in 1972 and is headquartered in Markham, Canada.

How the Company Makes Money

Sienna Senior Living generates revenue primarily through the provision of senior living and long-term care services. Key revenue streams include monthly rental fees from independent and assisted living residents, as well as government funding and reimbursements for long-term care services. The company partners with provincial health authorities to secure funding for its nursing homes, which contributes significantly to its earnings. Additionally, Sienna may benefit from ancillary services such as rehabilitation, wellness programs, and in-house dining services, which further enhance its revenue potential.

Sienna Senior Living Financial Statement Overview

Summary

Sienna Senior Living shows revenue growth and improved gross profit margins, but faces challenges with profitability and cash flow. High leverage remains a concern, although it has slightly improved. The company needs to focus on enhancing operational efficiency and cash flow generation to strengthen its financial position.

Income Statement

Sienna Senior Living shows a consistent revenue growth trend, with a TTM revenue growth rate of 3.71%. Gross profit margin has improved significantly in the TTM period to 57.67%, indicating better cost management. However, net profit margin has slightly decreased to 3.63% from the previous annual report. EBIT and EBITDA margins have also decreased slightly, suggesting some pressure on operational efficiency.

Balance Sheet

The company has a high debt-to-equity ratio of 1.95 in the TTM period, which is an improvement from previous years but still indicates significant leverage. Return on equity has decreased to 6.15%, reflecting lower profitability relative to equity. The equity ratio is not explicitly calculated, but the high leverage suggests a lower proportion of equity in the capital structure.

Cash Flow

Operating cash flow has decreased in the TTM period, and free cash flow remains negative, indicating potential liquidity challenges. The operating cash flow to net income ratio is relatively low at 0.17, and the negative free cash flow to net income ratio suggests that the company is not generating sufficient free cash flow relative to its net income.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	929.68M	893.16M	785.37M	718.59M	668.49M	664.23M
Gross Profit	174.13M	189.14M	146.31M	138.33M	134.92M	147.99M
EBITDA	135.62M	150.27M	113.00M	103.25M	103.46M	123.88M
Net Income	33.78M	38.40M	7.04M	10.67M	20.65M	-24.49M
Balance Sheet
Total Assets	2.16B	1.86B	1.70B	1.68B	1.61B	1.68B
Cash, Cash Equivalents and Short-Term Investments	23.20M	127.20M	24.40M	38.05M	29.05M	95.68M
Total Debt	1.18B	1.01B	1.01B	977.96M	950.28M	1.03B
Total Liabilities	1.55B	1.38B	1.32B	1.25B	1.20B	1.23B
Stockholders Equity	608.10M	480.72M	373.77M	434.69M	405.85M	447.44M
Cash Flow
Free Cash Flow	-59.23M	11.89M	56.21M	49.64M	58.68M	51.27M
Operating Cash Flow	100.66M	159.91M	117.99M	105.28M	98.97M	70.43M
Investing Cash Flow	-286.11M	-126.47M	-75.83M	-135.69M	-18.50M	-9.96M
Financing Cash Flow	185.09M	69.35M	-55.81M	39.41M	-147.09M	14.43M

Sienna Senior Living Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 21.18
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Negative
• RSI: Neutral
• STOCH: Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For TSE:SIA, the sentiment is Positive. The current price of 21.18 is above the 20-day moving average (MA) of 20.60, above the 50-day MA of 20.13, and above the 200-day MA of 18.24, indicating a bullish trend. The MACD of 0.23 indicates Negative momentum. The RSI at 63.18 is Neutral, neither overbought nor oversold. The STOCH value of 73.51 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for TSE:SIA.

Sienna Senior Living Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
EXE	71 Outperform	C$1.84B	20.32	65.57%	2.28%	11.59%	41.99%
SIA	63 Neutral	C$1.99B	46.85	7.07%	4.47%	11.47%	6.45%
CRRX	59 Neutral	C$242.76M	3,870.00	0.11%	1.03%	0.19%	―
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%

Sienna Senior Living Corporate Events

Sienna Senior Living Expands GTA Footprint With LaSalle Park Acquisition

Sienna Senior Living has completed the acquisition of a 78.2% interest in LaSalle Park, a 123-suite retirement residence in Burlington, Ontario, for approximately $67.2 million, with plans to acquire the remaining stakes over the next five years. The largely debt‑financed deal, which delivers an initial investment yield of about 5.7%, marks Sienna’s third high‑quality acquisition in the Greater Toronto Area in 2025 and contributes to a total of roughly $812.7 million in portfolio expansion this year through acquisitions and developments, underscoring the company’s strategy to build scale in core markets and drive growth momentum into 2026.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$21.50 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Raises $250 Million in New Debenture Offering to Refinance Near-Term Debt

Sienna Senior Living has completed a $250 million private placement of Series F senior unsecured debentures in Canada, carrying a 3.524% coupon and maturing on Dec. 18, 2028, with a BBB (Stable) rating from Morningstar DBRS and led by a syndicate including BMO Capital Markets, TD Securities and CIBC Capital Markets. The company plans to use the proceeds to fund the early redemption of its $175 million Series B debentures due in 2026 and for general corporate purposes, a move that refinances near‑term debt, smooths its maturity profile and supports ongoing financial flexibility in its senior living and long‑term care operations.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$22.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Expands with Acquisition in Waterloo

Sienna Senior Living Inc. has completed the acquisition of Hygate on Lexington, a 216-suite retirement residence in Waterloo, Ontario, for $93.3 million. This acquisition, which includes a development site, strengthens Sienna’s presence in southwestern Ontario and is expected to reach stabilized occupancy within two years, enhancing the company’s asset base and market positioning.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$22.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Declares December Dividend and Offers Reinvestment Plan

Sienna Senior Living has declared a dividend of $0.078 per common share for December 2025, equating to $0.936 annually. The dividend, payable on January 15, 2026, is eligible for Canadian tax purposes and offers a Dividend Reinvestment Plan (DRIP) with a 3% discount for reinvested shares. This announcement underscores Sienna’s commitment to providing shareholder value and reflects its stable financial position within the senior living industry.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$22.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Announces $250 Million Debenture Offering and Redemption Plan

Sienna Senior Living Inc. has announced the issuance of $250 million in Series F senior unsecured debentures, with a 3.524% interest rate maturing in 2028. The proceeds will be used to redeem $175 million of Series B debentures and for general corporate purposes, reflecting a strategic financial restructuring that could enhance the company’s capital structure and operational flexibility.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$22.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Declares November Dividend and Offers Reinvestment Plan

Sienna Senior Living Inc. announced a dividend of $0.078 per common share for November 2025, equating to an annualized $0.936 per share. The dividend will be paid on December 15, 2025, to shareholders recorded by November 28, 2025. The company also offers a Dividend Reinvestment Plan (DRIP), allowing shareholders to reinvest dividends into additional shares at a 3% discount, highlighting Sienna’s commitment to providing value to its investors.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Reports Strong Q3 2025 Results and Expands Portfolio

Sienna Senior Living Inc. reported strong financial results for the third quarter of 2025, with significant growth in occupancy rates and net operating income across its retirement and long-term care segments. The company completed $652 million in acquisitions and developments, including a recent $67 million purchase agreement for a retirement residence in the Greater Toronto Area, indicating robust expansion efforts and a solid financial position.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Expands with Acquisition in Waterloo

Sienna Senior Living Inc. has announced its acquisition of The Hygate on Lexington, a 216-suite retirement residence in Waterloo, Ontario. This strategic purchase, valued at $93.3 million, is expected to enhance Sienna’s presence in the southwestern Ontario market, which is known for its technological and innovative environment. The property, built in 2021, offers various living accommodations and includes a development site with potential for further expansion. The acquisition is anticipated to close within 60 days, pending regulatory approvals, and will be financed through cash and credit facilities.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Opens Oakwood Commons in Brantford

Sienna Senior Living has inaugurated its Oakwood Commons Community in Brantford, Ontario, marking the company’s second long-term care redevelopment project in 2025. This 160-bed facility replaces 122 older Class C beds and is part of Sienna’s broader campus of care development initiative, which also includes the recently opened Aspira Brants Landing Retirement Living. The new developments are expected to significantly boost Sienna’s operational results and improve its Adjusted Funds from Operations (AFFO) by an average of 3%, reflecting the company’s commitment to modernizing its property portfolio and enhancing the living environment for its residents.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.

Sienna Senior Living Declares October Dividend and Offers Reinvestment Plan

Sienna Senior Living Inc. has announced a dividend of $0.078 per common share for October 2025, translating to an annualized dividend of $0.936 per share. The dividend, payable on November 14, 2025, underscores the company’s commitment to providing shareholder value, with an option for shareholders to reinvest dividends through a Dividend Reinvestment Plan at a 3% discount. This announcement highlights Sienna’s strategic focus on maintaining financial stability and rewarding its investors, potentially strengthening its market position in the senior living industry.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.00 price target. To see the full list of analyst forecasts on Sienna Senior Living stock, see the TSE:SIA Stock Forecast page.