Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

SIENTRA INC (SIEN)

0 + Investors. Track Smart Money conviction in SIEN. See who's accumulating, reducing, or initiating positions.

Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↓ -3
Streak
7Q ▼
Buyers last Q
48%

Smart Money Signals — SIEN

Based on 56 hedge funds · latest filing: 2022 Q4 · updated quarterly

📉

Selling streak — 7 quarters in a row

last 6Q
For 7 consecutive quarters, more hedge funds reduced or closed their SIEN positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.
🔻

Below peak — only 49% of 3.0Y high

49% of all-time peak
Only 56 funds hold SIEN today versus a peak of 114 funds at 2021 Q1 — just 49% of the maximum. Low institutional ownership can mean the stock is out of favor, but it also means there's a large pool of potential buyers if sentiment turns.
📉

Outflows — 47% fewer funds vs a year ago

fund count last 6Q
49 fewer hedge funds hold SIEN compared to a year ago (-47% decline). When institutions consistently reduce their exposure, it's worth exploring the underlying fundamental reasons driving them away.
🟠

More sellers than buyers — 48% buying

31 buying33 selling
Last quarter: 33 funds reduced or exited vs 31 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.
➡️

Steady new buyers — ~17 new funds per quarter

new funds entering per quarter
Funds opening this position for the first time: 16 → 10 → 12 → 17. A stable flow of new institutional buyers suggests ongoing interest without signs of either acceleration or slowdown.
💰

Price up while funds trimmed (+20272% value, -0% shares)

Value
+20271%
Shares
0%
Last quarter: total value of institutional SIEN holdings rose +20272% even though funds reduced share count by 0%. The stock price increased enough to offset the selling. Institutions are quietly trimming into price strength — watch for rotation.
📈

Growing discovery — still being found

17 → 16 → 10 → 12 → 17 new funds/Q
New funds entering each quarter: 16 → 10 → 12 → 17. A growing number of institutions are discovering SIEN each quarter. The narrative is still spreading — leaving room for ongoing capital accumulation.
1.0
out of 10
Low Exit Risk
Exit risk score 1.0/10 — low institutional crowding. Ownership is below peak levels, holder base is relatively sticky, and buying momentum is positive.

Methodology note: these Smart Money cards use consecutive 13F disclosure snapshots, not trade-by-trade execution data. "Buying", "selling", "new holders", and "trimmed" refer to quarter-over-quarter changes in reported holders, aggregate shares, or disclosed position values between filings. They are useful for ownership regime analysis and crowding, but they do not imply exact trade timing on the filing date.

Hedge Fund Ownership: SIEN

How many hedge funds hold SIEN — quarterly history vs. share price
Quarterly hedge fund ownership of SIEN vs. share price

Market Analysis: SIEN

Analyst Price Targets

Avg. Price Target
--

Analyst Recommendations

Stock Performance

Real-time

Company Profile: SIEN

-- --
Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

1 top-rated funds 0 high-conviction
Consensus
1.3
/ 10
breadth
×
Elite
0.4
/ 10
conviction
Hedge Fund Positioning: SIEN
2026 Q1 Stats Unlock in 18 days 0 + Investors

Track Smart Money conviction in SIEN. See who's accumulating, reducing, or initiating positions.

Metric All 13F Filers (2025 Q4) Prior (2025 Q3) Change
Funds Holding 0 0 -
13F Shares 0 0 -
Total Value $0 $0 -
New Positions 0 0 -
Increased Positions 0 0 -
Closed Positions 0 0 -
Reduced Positions 0 0 -
Total Calls 0 0 -
Total Puts 0 0 -
PUT/CALL Ratio 0.0 0.0 Bullish

Statistics: SIEN

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Valuation Measures Data as of: --

Market Cap --
Enterprise Value --
Trailing P/E --
Forward P/E --
PEG Ratio (5yr expected) --
Price/Sales (ttm) --
Price/Book (mrq) --
Enterprise Value/Revenue --
Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

Profitability
Profit Margin --
Return on Assets (ttm) --
Return on Equity (ttm) --
Income Statement & Cash Flow
Revenue (ttm) --
Net Income Avi to Common (ttm) --
Diluted EPS (ttm) --
Total Cash (mrq) --
Total Debt/Equity (mrq) --
Levered Free Cash Flow (ttm) --

Institutional Holders (2026 Q1)

0 + investors

Explore institutional interest and hedge fund ownership dynamics. Analyze portfolio weights, new positions, and conviction trends in SIEN. Verified SEC 13F-HR filings.

Top 25 institutional holders of SIEN — 2025 Q4 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 Abingworth LLP 1.11% 1,673,589 $3.40B
2 Sio Capital Management, LLC 0.19% 2,550,000 $517K
3 GSA CAPITAL PARTNERS LLP 0.06% 2,297,726 $466K
4 X-Square Capital, LLC 0.03% 263,287 $53K
5 NEEDHAM INVESTMENT MANAGEMENT LLC 0.03% 720,000 $146K
6 Blackstone Inc. 0.02% 2,730,765 $5.5M
7 Warwick Investment Management, Inc. 0.01% 150,000 $30K
8 Quent Capital, LLC 0.01% 309,823 $63K
9 DEERFIELD MANAGEMENT COMPANY, L.P. 0.01% 2,679,950 $544K
10 Birchview Capital, LP 0.01% 40,000 $8K
11 Frisch Financial Group, Inc. 0.00% 42,000 $9K
12 Matisse Capital 0.00% 15,818 $3K
13 Bridge Advisory, LLC 0.00% 32,300 $7K
14 HighMark Wealth Management LLC 0.00% 17,300 $4K
15 Pine Haven Investment Counsel, Inc 0.00% 10,000 $2K
16 Genesee Capital Advisors, LLC 0.00% 10,000 $2K
17 EVOKE WEALTH, LLC 0.00% 178,277 $36K
18 OPPENHEIMER & CO INC 0.00% 203,809 $41K
19 First Eagle Investment Management, LLC 0.00% 1,474,733 $299K
20 Atria Wealth Solutions, Inc. 0.00% 250,000 $51K
21 STIFEL FINANCIAL CORP 0.00% 2,305,381 $468K
22 Tarbox Family Office, Inc. 0.00% 15,650 $3K
23 BRIDGEWAY CAPITAL MANAGEMENT, LLC 0.00% 102,000 $21K
24 Tower Research Capital LLC (TRC) 0.00% 42,068 $9K
25 RENAISSANCE TECHNOLOGIES LLC 0.00% 966,100 $196K
Investor Ownership
History 		% of Portfolio Prev % Rank Conviction Avg Buy Price 13F Score™ 3Y / 7Y Sell Timing Shares Mkt Value Change Change % Source Quarter Filed

Frequently Asked Questions — SIENTRA INC (SIEN)

What does the Smart Money Trend signal show for SIEN?

Selling streak — 7 quarters in a row: For 7 consecutive quarters, more hedge funds reduced or closed their SIEN positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.

What is the institutional breadth score for SIEN?

More sellers than buyers — 48% buying: Last quarter: 33 funds reduced or exited vs 31 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.

Where does this institutional ownership data come from?

All holdings data is sourced from SEC Form 13F filings, which institutional investment managers with over $100 million in assets are required to submit quarterly. Data is parsed directly from SEC EDGAR.

Disclaimer: The information on this page is for informational purposes only and does not constitute investment advice, a recommendation, or an offer to buy or sell any security. Institutional holdings data is sourced from SEC Form 13F filings and reflects positions as of the filing date. Past performance of any fund or portfolio is not indicative of future results. 13Foresight is not a registered investment adviser. Always conduct your own due diligence before making investment decisions.