Sienna Senior Living (SIA) AI Stock Analysis

• Market Cap: C$1.75B
• Dividend Yield: 4.56%
• Average Volume (3M): 281.43K
• Price to Earnings (P/E): 47.5
• Beta (1Y): 0.59
• 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: 92,352,720
• 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: 6.67% 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$21.00 ▲(0.10% Upside)

The overall stock score of 63 reflects a mixed outlook. The most significant factor is the strong performance and positive sentiment from the earnings call, which highlights growth and strategic success. However, financial performance concerns, particularly regarding profitability and cash flow, weigh on the score. Technical indicators are favorable, but high valuation metrics suggest caution. The dividend yield adds some appeal for income investors.

Positive Factors

Revenue Growth

Sienna's strong revenue growth indicates robust demand for its services and effective pricing strategies, supporting long-term business expansion.

Strategic Acquisitions

Strategic acquisitions like The Hygate enhance Sienna's market presence and asset base, potentially driving future revenue and occupancy growth.

Operational Efficiency

Improved NOI reflects enhanced operational efficiency and cost management, which can lead to sustained profitability and competitive advantage.

Negative Factors

High Leverage

High leverage can constrain financial flexibility and increase risk, potentially impacting Sienna's ability to invest in growth opportunities.

Cash Flow Challenges

Decreasing cash flow may hinder Sienna's ability to fund operations and growth initiatives, posing a risk to long-term financial health.

Labor Market Challenges

Ongoing labor market challenges could impact service quality and operational costs, affecting Sienna's ability to maintain competitive service levels.

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: 20.98
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Negative
• RSI: Negative
• STOCH: Negative

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 20.98 is above the 20-day moving average (MA) of 19.60, above the 50-day MA of 19.02, and above the 200-day MA of 17.53, indicating a bullish trend. The MACD of 0.50 indicates Negative momentum. The RSI at 71.15 is Negative, neither overbought nor oversold. The STOCH value of 87.46 is Negative, 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	72 Outperform	C$1.74B	19.25	65.57%	2.57%	11.59%	41.99%
SIA	63 Neutral	C$1.75B	47.54	7.07%	4.56%	11.47%	6.45%
CRRX	52 Neutral	C$229.69M	3,650.00	0.11%	0.54%	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 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.

Sienna Senior Living to Release Q3 2025 Financial Results

Sienna Senior Living Inc. has announced that it will release its third quarter 2025 financial results on November 13, 2025, after the market closes. A conference call hosted by the company’s executives will follow on November 14, 2025, to discuss the results with the investment community. This announcement indicates Sienna’s commitment to transparency and engagement with its stakeholders, potentially impacting investor confidence and market positioning.

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 of Cawthra Gardens

Sienna Senior Living has completed the acquisition of Cawthra Gardens, a 192-bed long-term care home in Mississauga, Ontario, for $32.6 million. This acquisition is part of Sienna’s growth strategy, adding over $430 million in acquisitions in 2025, and is expected to be immediately accretive to the company’s AFFO per share, enhancing its financial strength and ability to serve seniors across all stages of care.

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 New Care Communities in Ontario

Sienna Senior Living has announced the opening of its Northern Heights long-term care community in North Bay and a campus of care in Brantford, Ontario. These projects, completed on time and within budget, mark a significant milestone for Sienna, reflecting its commitment to upgrading its property portfolio and supporting growth. The new developments are expected to enhance Sienna’s operational results and improve its Adjusted Funds from Operations by approximately 3%.

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’s Earnings Call Highlights Growth

Sienna Senior Living’s recent earnings call painted a predominantly positive picture, highlighting strong acquisition activity, significant increases in same property NOI, and robust occupancy growth. While there were some concerns regarding temporary dilution impacting per-share metrics and an increased AFFO payout ratio, the overall sentiment was optimistic, buoyed by the company’s strategic positioning and growth potential.

Sienna Senior Living Completes $175 Million Debenture Offering

Sienna Senior Living has successfully completed a $175 million offering of Series E senior unsecured debentures, with a 4.112% interest rate maturing in 2030. The proceeds will be used to repay existing debt, finance acquisitions, fund developments, and support general corporate purposes, indicating strong investor confidence in Sienna’s growth plans and the senior living sector.

The most recent analyst rating on (TSE:SIA) stock is a Hold with a C$19.50 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 with Debenture Offering and Strategic Acquisition

Sienna Senior Living Inc. has announced the issuance of $175 million in senior unsecured debentures, which will mature in 2030, to fund various corporate initiatives, including debt repayment and acquisitions. Concurrently, Sienna completed a $60.2 million acquisition of Credit River Retirement Residence in the Greater Toronto Area, expected to enhance the company’s financial performance and capitalize on the growing demand for senior living facilities due to Canada’s aging population.

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.