Sienna Senior Living (SIA) AI Stock Analysis

• Market Cap: C$2.31B
• Dividend Yield: 4.47%
• Average Volume (3M): 281.43K
• Price to Earnings (P/E): 42.0
• Beta (1Y): 0.48
• Revenue Growth: 11.47%
• EPS Growth: 6.45%
• Country: CA
• Employees: 12,000
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Care Facilities
• EPS (TTM): 0.14
• Shares Outstanding: 99,388,200
• 10 Day Avg. Volume: 195,427
• 30 Day Avg. Volume: 281,430
• PEG Ratio: -21.02
• Price to Book (P/B): 2.60
• Price to Sales (P/S): 1.86
• P/FCF Ratio: -43.69
• 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$25.50
• Price Target Upside: 9.49% Upside
• Rating Consensus: Strong Buy
• Number of Analyst Covering: 8
• EPS Forecast (FY): 0.58
• Revenue Forecast (FY): C$1.13B

• Rating: 63 Neutral
• Price Target: C$24.50 ▲(5.20% Upside)
• Action: Reiterated Date: 02/23/26
• Date: Action: Reiterated 02/23/26

The score is held back primarily by weak cash flow and elevated leverage despite improving profitability. Offsetting that, technicals are favorable with a strong uptrend, and the earnings call reinforced solid operating momentum and liquidity. Valuation is mixed: an attractive yield, but a high P/E limits upside support.

Positive Factors

Revenue Growth Trend

Consistent multi-year revenue growth indicates durable demand for Sienna’s retirement and LTC services. Steady top-line expansion supports scale benefits, underpins NOI growth targets and gives management runway to fund renovations, development and accretive acquisitions over the next 2–6 months and beyond.

High Occupancy & Operating Momentum

Sustained ~95% occupancy in retirement operations reflects strong market positioning and pricing power in core markets. High occupancy stabilizes revenue visibility, supports NOI resilience and reduces downside from isolated demand shocks while enabling continued margin recovery and service upsell.

Liquidity, Unencumbered Assets & Growth Capacity

Substantial liquidity and a large pool of unencumbered assets give Sienna structural flexibility to fund acquisitions, construction financing or opportunistic capital markets activity without immediate refinancing stress. This supports an active growth pipeline and reduces execution risk on near-term deals.

Negative Factors

Elevated Leverage

High debt-to-equity increases sensitivity to interest-rate moves and refinancing risk, constraining flexibility for development financing. For a stability-focused care operator, elevated leverage heightens the importance of consistent cash generation and could pressure investment capacity if economic conditions tighten.

Weak Cash Conversion & Negative FCF

Poor conversion of earnings into operating cash and a negative free cash flow year reduce the company’s ability to self-fund capex, development and debt service. Over the medium term this raises reliance on external capital and makes sustaining dividends, acquisitions, or large projects more conditional on financing access.

Acquisition Yield Compression

Compressed cap rates mean higher purchase prices for assets, lowering future return spread and making acquisitions less immediately accretive. Persistently tighter yields increase execution risk for growth strategy and heighten reliance on operational improvements to restore target returns.

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

Steady revenue growth and improved profitability versus 2022–2023 are positives, but 2025 margin compression, high leverage (debt-to-equity ~2.0x), and a sharp deterioration in cash generation (negative free cash flow; weak operating cash flow conversion vs net income) materially increase financial risk.

Income Statement

Revenue has grown steadily from 2021 to 2025 (2025 up 3.9% year over year), showing consistent demand. Profitability improved meaningfully versus 2022–2023, with 2025 net margin around 4.4% and EBIT margin near 9.7%. The main weakness is margin compression in 2025 versus 2024 (notably a lower gross margin), suggesting higher operating or input cost pressure despite higher sales.

Balance Sheet

The balance sheet is heavily leveraged: 2025 debt-to-equity is ~2.0x, which is high for stability-focused healthcare services and increases sensitivity to refinancing and rate moves. A positive is that equity has grown over the period (from 2023 to 2025), which helps absorb risk. However, total debt increased sharply in 2025 versus 2024, limiting financial flexibility and making future cash generation more important.

Cash Flow

Operating cash flow was positive in 2025, but conversion weakened versus prior years and was modest relative to earnings (operating cash flow to net income about 0.27x). Free cash flow swung to negative in 2025 (down materially versus 2024), indicating higher spending needs or working-capital pressure. This weaker cash profile is a concern given the company’s elevated leverage.

Breakdown	Dec 2025	Dec 2024	Dec 2023	Dec 2022	Dec 2021
Income Statement
Total Revenue	1.00B	893.16M	785.37M	718.59M	668.49M
Gross Profit	140.35M	189.14M	146.31M	138.33M	134.92M
EBITDA	156.58M	150.27M	113.00M	103.25M	103.46M
Net Income	44.53M	38.40M	7.04M	10.67M	20.65M
Balance Sheet
Total Assets	2.54B	1.86B	1.70B	1.68B	1.61B
Cash, Cash Equivalents and Short-Term Investments	119.66M	127.20M	24.40M	38.05M	29.05M
Total Debt	1.43B	1.01B	1.01B	977.96M	950.28M
Total Liabilities	1.82B	1.38B	1.32B	1.25B	1.20B
Stockholders Equity	719.53M	480.72M	373.77M	434.69M	405.85M
Cash Flow
Free Cash Flow	-42.86M	11.89M	56.21M	49.64M	58.68M
Operating Cash Flow	94.75M	159.91M	117.99M	105.28M	98.97M
Investing Cash Flow	-484.09M	-126.47M	-75.83M	-135.69M	-18.50M
Financing Cash Flow	381.80M	69.35M	-55.81M	39.41M	-147.09M

Sienna Senior Living Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 23.29
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Positive
• 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 23.29 is above the 20-day moving average (MA) of 23.17, above the 50-day MA of 22.20, and above the 200-day MA of 19.46, indicating a bullish trend. The MACD of 0.22 indicates Positive momentum. The RSI at 58.48 is Neutral, neither overbought nor oversold. The STOCH value of 42.95 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	70 Outperform	C$2.55B	18.86	47.65%	2.28%	11.59%	41.99%
CRRX	66 Neutral	C$232.12M	9.17	28.24%	1.03%	0.19%	―
SIA	63 Neutral	C$2.31B	42.05	7.07%	4.47%	11.47%	6.45%
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%

Sienna Senior Living Corporate Events

Sienna Senior Living Lifts Revenue Above $1 Billion as Expansion Drive Accelerates

Sienna Senior Living reported 2025 revenue above $1.0 billion, a 15% year-over-year increase, with strong gains in same property net operating income and higher retirement segment occupancy, which reached 94.7% in the fourth quarter and rose further in January 2026. Adjusted funds from operations grew nearly 20% in the quarter, while the payout ratio declined, supported by balance sheet initiatives including a $250 million unsecured debenture issue and $125 million raised through its at-the-market equity program.

The company accelerated its expansion in 2025 with more than $800 million invested in acquisitions and developments across multiple Canadian markets, achieving attractive yields and adding both retirement and LTC capacity. It has maintained this momentum into 2026 with about $79 million in additional acquisitions year to date and is advancing a 448-bed LTC redevelopment project in Toronto slated to begin construction in the second half of 2026, underscoring its strategy to scale its platform and strengthen its sector position.

The most recent analyst rating on (TSE:SIA) stock is a Buy with a C$24.50 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 Invests $79 Million to Expand Seniors’ Housing Platform

Sienna Senior Living is expanding its seniors’ housing platform in Ontario and British Columbia through targeted acquisitions that deepen its presence in key markets. The company continues to focus on high-quality independent and long-term care residences to strengthen its portfolio and scale in regions it knows well.

The company has agreed to acquire The Bartlett, a nearly fully occupied 129-suite independent living residence in Oshawa, for about $59.4 million, funded with cash on hand and expected to close within 60 days. It also has completed deals to take full ownership of Glenmore Lodge in Kelowna and increase its stake in LaSalle Park in Burlington to 89.1%, bringing total 2026 investment so far to $79 million and underscoring ongoing growth momentum.

The most recent analyst rating on (TSE:SIA) stock is a Buy with a C$24.50 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 Declares February Dividend and Highlights Discounted DRIP

Sienna Senior Living Inc. has declared a monthly cash dividend of $0.078 per common share for February 2026, equivalent to $0.936 per share on an annualized basis, payable on March 13, 2026 to shareholders of record as of February 27. The dividend is designated as an eligible dividend for Canadian tax purposes, maintaining its appeal for income-focused investors within the Canadian market.

The company also highlighted its Dividend Reinvestment Plan, which allows eligible shareholders to reinvest their cash dividends into additional common shares issued from treasury at a 3% discount to market price. Participation in the plan is optional, offering investors flexibility either to compound their holdings through discounted share reinvestment or to continue receiving regular cash payouts.

The most recent analyst rating on (TSE:SIA) stock is a Buy with a C$24.50 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 Sets Date for Q4 2025 Results and Investor Call

Sienna Senior Living Inc. will release its fourth-quarter 2025 financial results after markets close on February 19, 2026, followed by a conference call for investors on February 20, 2026, hosted by President and CEO Nitin Jain and CFO and EVP, Investments, David Hung. The scheduled disclosure and investor call underscore the company’s ongoing efforts at financial transparency and engagement with the investment community, providing stakeholders with an opportunity to assess Sienna’s recent performance and outlook in the seniors’ living and long-term care market.

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 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.