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← CockpitCompetitor Analysis › PACS PACS Group, Inc.Open in the cockpit ↗

PACS Group, Inc.PACSCompetitor analysis, valuation and peers

United States · USD·Health Care›Hospital/Nursing Management

Operates skilled nursing and post-acute care facilities across several US states.

Momentum leader 89
Mkt cap
$7.87B
US dollars, full cap
Free float
29%
of shares outstanding
$/day
$44.1M
20-day average traded
Fwd P/E
19.2×
forward earnings
ROIC−WACC
+1.4 pp
WACC 6.1%
Hurdle
-22 pp
Req g minus delivered
Next earnings
118 days
4 Mar 2027
Close · USD$49.60
1D-1.2%
1W+3.7%
1M+13.4%
3M+2.4%
6M+47.7%
YTD+29.2%
1Y+286.3%
ATR %4.3%
Beta0.33
52w lowhigh4.0% off high

What PACS does

Operates skilled nursing and post-acute care facilities across several US states.

Is paid mainly by government programmes, Medicare for short rehabilitation stays and Medicaid for longer stays, plus private insurers, at rates set per patient day, so reimbursement policy matters as much as occupancy. Growth has come from taking over underperforming facilities and improving them, many of them leased rather than owned. It went public in 2024.

Products and services

  • Skilled nursing facilities
  • Rehabilitation/therapy services
  • Assisted living

Customers

  • Elderly/post-acute patients
  • Medicare/Medicaid and other payers

Where it sits in the supply chain

  • Healthcare services
  • Skilled nursing facility operation
  • Post-acute/rehabilitation care

What could go right

  • Aging population skilled-nursing demand
  • Facility acquisition growth

What could go wrong

  • Regulatory/reimbursement scrutiny after prior allegations
  • Labor cost/staffing shortages

Moat: narrow (scale, regulatory licence). State licensing and facility-acquisition scale give regional density versus smaller nursing-home operators.

Headquarters: Farmington, Utah, US · Founded: 2013 · Employees: 47,455

Named competitors

PACS at a glance

Size PACS (PACS) is a United States Health Care company (Hospital/Nursing Management) with a market value of $7.87B, the 898th largest of 3,117 United States companies the cockpit tracks. Shares closed at $49.60 on 6 Nov 2026.

Performance Over six months the shares gained 47.7%, against +9.2% for the median peer and -1.1% for the United States market (cap-weighted) — 5th highest of 17 in its peer set.

Growth Revenue grew 11.0% over the last twelve months (peer median +8.0%); the operating margin is 7.5% (peer median 13.6%).

Valuation It trades at 19.2× forward earnings against a peer median of 47.2× (4th cheapest of 17).

Price implies For today's price to make sense, revenue must grow about 8% a year for seven years (Req g). Recent delivered growth is +30%, so the hurdle is -22 pp: the price already allows for a slowdown.

Capital Return on invested capital runs 1.4 points above its cost of capital (6.1% WACC).

Short interest Short interest is 2.7% of the free float (15 Oct 2026).

Next results Next results expected around 4 Mar 2027 (exchange calendar; dates can move).

Relative performance

10012014016011 May 202611 Aug 20266 Nov 2026PACS 155Peer median 107
Six months, rebased to 100: PACS against the median of its 17 peers (local-currency closes).

PACS financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue$5.71B$5.29B$4.09B$3.11B$2.42B
Revenue growth—+29%+31%+28%—
Gross profit$902M$725M$467M$421M$378M
EBITDA$503M$366M$166M$277M$252M
Net income$278M$192M$55.8M$113M$150M
Free cash flow$448M$299M$301M$17.9M$69.8M
Capital expenditure$132M$105M$66.5M$45.8M$22.9M
Total debt$3.44B$3.60B$3.63B$2.85B$1.93B

Quarterly statements and history in the cockpit →

PACS competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

-25%0%+25%+50%+75%0%+50%RHCCHEASTERDMMAXHEALTHFORTISUHSAPOLLOHOSPNHMEDANTANHCSGRYTHC600763ARDTBKDPACS6-month return →1-month return →
Up and to the right = strong over both horizons. PACS is the large dot.

Fundamentals: revenue growth against valuation

0%+20%+40%+60%0×50×100×RHCMANIPALHOSCHEASTERDMMAXHEALTHUHSNHMEDANTAKIMSSGRYTHC600763BKDPACSRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. PACS is the large dot.

Capital: growth delivered against growth the price implies

0%+20%+40%0%20%40%RHCMANIPALHOSCHEASTERDMMAXHEALTHFORTISUHSAPOLLOHOSPNHNHCTHCBKDPACSGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. PACS is the large dot.

PACS competitors and peer comparison

Head to head with its named competitors (PACS vs ENSG vs BKD vs NHC)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
PACS PACS$7.87B+48%+11%8%19.2×7.6%
Ensign ENSG$10.6B+6%+17%9%21.1×12.0%
Brookdale Senior Living BKD$2.15B-31%-4%5%127.7×22.4%
National HealthCare NHC$3.27B+11%+7%-8%n/a7.9%
Pennant PNTG$1.27B+1%+38%6%24.0×21.1%

How PACS compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

PACS against its 17 peers (data as of 6 Nov 2026)
MeasurePACSPeer medianRank in peer set
1-month return+13.4%+6.0%3rd highest of 18
6-month return+47.7%+9.2%5th highest of 17
Distance from 52-week high-4.0%-15.7%4th highest of 18
Revenue growth (TTM)+11.0%+8.0%9th highest of 18
Operating margin7.5%13.6%5th lowest of 18
Forward P/E19.2×47.2×4th cheapest of 17
Growth the price implies (Req g, 7 yrs)7.6%14.3%5th least demanding of 16
Growth delivered (Del g)+29.7%+8.7%highest of 16
Hurdle (Req g minus delivered)-22.1 pp+6.0 ppleast demanding of 16
ROIC minus cost of capital+1.4 pp-1.1 pp8th highest of 18
EV / EBITDA22.3×22.1×8th most expensive of 16
Net debt / EBITDA6.6×2.2×2nd most indebted of 16

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
PACS PACSUnited States$7.87B+48%+11%8%19.2×7.6%+29.7%
Ramsay Health Care RHC.AXAustralia$8.87B+52%+4%5%32.4×14.3%+8.3%
Manipal Health Enterprises MANIPALHOS.NSIndia$9.01Bn/a+25%19%63.1×29.7%+28.8%
Chemed CHEUnited States$6.87B+24%+5%14%19.5×2.4%+4.0%
Aster DM Quality Care ASTERDM.NSIndia$6.57B-3%+16%14%49.6×55.3%-11.6%
Max Healthcare Institute MAXHEALTH.NSIndia$9.61B-8%+15%21%49.7×43.2%+27.2%
Fortis Healthcare FORTIS.NSIndia$6.13B-19%+18%17%45.0×41.0%+17.9%
Universal Health Services UHSUnited States$11.5B+15%+8%11%8.7×-1.2%+8.5%
Apollo Hospitals Enterprise APOLLOHOSP.NSIndia$12.8B+8%+19%12%49.3×32.2%+19.0%
Narayana Hrudayalaya NH.NSIndia$4.11B+3%+71%13%36.5×31.1%+25.0%
Global Health MEDANTA.NSIndia$3.95B+15%+26%17%51.1×n/an/a
National HealthCare NHCUnited States$3.27B+11%+7%-8%n/a7.9%+9.7%
Krishna Institute of Medical Sciences KIMS.NSIndia$3.21B+2%+31%12%70.0×n/an/a
Surgery Partners SGRYUnited States$2.99B+61%+4%14%62.5×13.8%+12.2%
Tenet Healthcare THCUnited States$22.5B+49%+6%17%14.0×-1.2%+3.9%
Topchoice Medical 600763.SSChina$2.51B-11%+7%26%26.7×13.6%+6.9%
Ardent Health ARDTUnited States$2.44B+71%+3%4%14.5×4.0%+8.7%
Brookdale Senior Living BKDUnited States$2.15B-31%-4%5%127.7×22.4%-1.4%

Questions

Who are PACS's main competitors?
Named competitors: Ensign Group (ENSG), Genesis Healthcare (private) (private or unlisted), Brookdale Senior Living (BKD), National HealthCare (NHC), Pennant Group (PNTG). The cockpit's measured peer set (industry) also includes Ramsay Health Care (RHC.AX), Manipal Health Enterprises (MANIPALHOS.NS), Chemed (CHE), Aster DM Quality Care (ASTERDM.NS), Max Healthcare Institute (MAXHEALTH.NS), Fortis Healthcare (FORTIS.NS).
Is PACS expensive compared with its peers?
On forward p/e it trades at 19.2× against a peer median of 47.2×, 4th cheapest of 17 in its peer set. For today's price to make sense, revenue must grow about 8% a year for seven years (Req g). Recent delivered growth is +30%, so the hurdle is -22 pp: the price already allows for a slowdown.
How has PACS stock performed?
Over six months to 6 Nov 2026 the shares returned +47.7% against +9.2% for the median peer; over one year +286.3%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.