ADUS vs ENSG vs PACS Stock Comparison

Addus HomeCare, Ensign and Pacs Prices as of Oct 29, 2026 Peers: Industry group
ADUS Addus HomeCare Corp
$124.34 +10.1% 1M +1.3% 1Y
Market cap
$2.32B
P/E
21.6x
Revenue (TTM)
$1.48B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.87B
P/E
27.0x
Revenue (TTM)
$5.67B
Div. yield
0.15%
Home Health and Senior Care Healthcare
4 wins
PACS PACS Group, Inc.
$49.65 +17.6% 1M +299.1% 1Y
Market cap
$7.86B
P/E
29.2x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

Addus HomeCare leads on 5 of the 12 questions below (Addus HomeCare 5, Ensign 4, Pacs 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionADUSENSGPACSLeader
Larger companyMarket capitalisation $2.32B $10.87B $7.86B ENSG
Cheaper on earningsLower P/E, profitable companies only 21.6x 27.0x 29.2x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.3x 22.5x 21.8x ADUS
Faster revenue growthRevenue growth, trailing twelve months +15.9% +17.5% +15.2% ENSG
More profitableNet margin, trailing twelve months 7.1% 7.0% 4.8% ADUS
Better return on capitalReturn on invested capital 9.2% 14.3% 21.8% PACS
Less leveragedLower net debt / EBITDA -0.2x -0.3x 0.2x ENSG
Higher dividend yieldTrailing dividend yield — 0.15% — –
Better 1-year returnPrice return, last 12 months +1.3% +2.0% +299.1% PACS
Better 5-year returnAnnualised price return, 5 years +5.9%/yr +19.0%/yr — ENSG
Less volatileAnnualised volatility, 1 year 29.2% 29.3% 81.5% ADUS
Higher overall scoreMean of the five percentile scores vs peers 71/100 65/100 64/100 ADUS

Percentile Scorecard

ADUSENSGPACS

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisADUSENSGPACS
Valuation 88 #12 of 92 70 #28 of 92 67 #31 of 92
Growth 62 #34 of 87 63 #33 of 87 73 #24 of 87
Profitability 73 #24 of 86 74 #23 of 86 69 #27 of 86
Financial Health 87 #14 of 97 72 #28 of 97 45 #54 of 97
Shareholder Returns 46 #30 of 55 44 #31 of 55 –
Overall 71 65 64
  • ADUS ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers
  • PACS ranked among 102 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodADUSENSGPACSSPY
1 month +10.1%+6.1%+17.6% +0.7%
3 months +6.6%+4.2%+5.6% +3.7%
6 months +28.3%-0.2%+48.0% +7.1%
Year to date +15.8%+7.0%+29.3% +12.8%
1 year +1.3%+2.0%+299.1% +11.9%
3 years +49.5%+95.5%— +85.2%
3 years, per year +14.3%+25.1%— +22.8%
5 years +33.0%+138.8%— +67.6%
5 years, per year +5.9%+19.0%— +10.9%
10 years +398.2%+993.4%— +262.0%
10 years, per year +17.4%+27.0%— +13.7%

Risk

MeasureADUSENSGPACSSPY
Volatility, 1Y 29.2%29.3%81.5% 12.7%
Downside volatility, 1Y 30.9%24.9%48.8% 12.6%
Beta vs S&P 500, 1Y 0.18-0.060.38 1.00
Return / volatility, 1Y 0.040.073.67 0.94
Max drawdown, 5Y -34.9%-31.8%-82.0% -25.4%
From 52-week high 0.0%-13.7%0.0% -1.2%
52-week high $124.34$215.83$49.65 $779.14
52-week low $88.49$147.13$10.58 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleADUSENSGPACS
P/E now vs peer median 21.6xmedian 26.0x 27.0xmedian 26.0x 29.2xmedian 26.0x
P/S now vs peer median 1.6xmedian 1.6x 1.9xmedian 1.6x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 13.7xmedian 15.4x 16.9xmedian 15.4x 16.6xmedian 15.4x
P/FCF now vs peer median 15.0xmedian 21.5x 21.3xmedian 21.5x 64.7xmedian 21.5x
P/B now vs peer median 2.0xmedian 3.2x 4.2xmedian 3.2x 7.0xmedian 3.2x
PEG now vs peer median 1.08median 0.87 1.70median 0.87 —median 0.87

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsADUSENSGPACS
Revenue $1.48B $5.67B $5.55B
Gross profit $477.75M $1.20B $1.30B
Operating income $148.23M $509.16M $410.32M
Net income $105.31M $399.32M $269.17M
Free cash flow $154.77M $509.91M $121.47M
EPS (diluted) $5.70 $6.73 $1.66
Cash & equivalents $99.57M $337.59M $164.45M
Total debt $61.60M $198.72M $246.09M
Shares (diluted) 18.47M 59.30M 161.99M
Enterprise value $1.94B $9.00B $6.90B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricADUSENSGPACS
P/E 21.6x 27.0x 29.2x
P/FCF 15.0x 21.3x 64.7x
P/Operating cash flow 14.3x 15.6x 13.7x
P/S 1.6x 1.9x 1.4x
P/B 2.0x 4.2x 7.0x
P/Tangible book 2.2x 4.3x 7.0x
EV/EBITDA 13.7x 16.9x 16.6x
EV/EBIT 15.4x 21.0x 19.4x
EV/Revenue 1.5x 1.9x 1.4x
EV/FCF 14.8x 20.9x 65.4x
EV/Operating cash flow 14.1x 15.4x 13.9x
PEG (3Y EPS CAGR) 1.08 1.70 –

Growth

14 metrics
MetricADUSENSGPACS
Revenue growth (1Y) 15.9% 17.5% 15.2%
Revenue CAGR (3Y) 13.9% 16.8% –
Gross profit growth (1Y) 15.1% 21.7% 33.3%
Gross profit CAGR (3Y) 14.9% 16.3% –
Operating income growth (1Y) 27.5% 26.6% 83.5%
Operating income CAGR (3Y) 23.6% 18.3% –
Net income growth (1Y) 26.9% 21.6% 103.5%
Net income CAGR (3Y) 25.1% 17.2% –
EPS growth (1Y) 26.0% 20.9% 107.9%
EPS CAGR (3Y) 19.9% 15.9% –
Operating cash flow growth (1Y) 61.7% 44.5% 20.3%
Operating cash flow CAGR (3Y) 16.4% 26.8% –
Free cash flow growth (1Y) 65.3% 76.1% -58.3%
Free cash flow CAGR (3Y) 17.9% 29.2% –

Profitability

14 metrics
MetricADUSENSGPACS
Gross margin 32.4% 21.2% 23.5%
EBITDA margin 11.3% 11.1% 8.6%
Operating margin 10.0% 9.0% 7.4%
Pretax margin 9.5% 9.4% 6.9%
Net margin 7.1% 7.0% 4.8%
FCF margin 10.5% 9.0% 2.2%
Operating cash flow margin 11.0% 12.3% 10.3%
Return on equity 9.3% 16.0% 24.9%
Return on assets 7.3% 6.8% 4.8%
Return on invested capital 9.2% 14.3% 21.8%
Return on capital employed 11.6% 10.4% 8.9%
Asset turnover 1.0x 1.0x 1.0x
Cash conversion (OCF / net income) 1.5x 1.7x 2.1x
Stock comp / revenue 1.2% 1.1% 1.3%

Financial Health

11 metrics
MetricADUSENSGPACS
Debt / assets 4.2% 3.3% 4.4%
Debt / equity 0.1x 0.1x 0.2x
Net debt / EBITDA -0.2x -0.3x 0.2x
Debt / FCF 0.4x 0.4x 2.0x
Liabilities / assets 21.2% 57.3% 80.3%
Equity / assets 78.8% 42.7% 19.7%
Interest coverage 14.9x 62.8x 13.9x
Current ratio 1.7x 1.2x 0.9x
Quick ratio 1.5x 1.1x 0.8x
Cash ratio 0.6x 0.4x 0.2x
Altman Z-score 6.47 3.64 2.36

Shareholder Returns

7 metrics
MetricADUSENSGPACS
Dividend yield – 0.1% –
Net buyback yield -0.1% 0.2% –
Shareholder yield -0.1% 0.3% –
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusADUSENSGPACS
Forward P/E 17.3xFY2026 22.5xFY2026 21.8xFY2026
EPS, next fiscal year $7.20FY2026 $8.29FY2026 $2.28FY2026
EPS growth, next FY +15.6%FY2026 +26.2%FY2026 +23.9%FY2026
EPS growth, the year after +11.1% -1.8% +25.4%
Revenue, next fiscal year $1.57BFY2026 $5.76BFY2026 $6.17BFY2026
Revenue growth, next FY +10.8%FY2026 +13.9%FY2026 +16.6%FY2026
Revenue growth, the year after +6.1% +16.9% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersADUSENSGPACS
Held by institutions 100.0% 89.8% 31.3%
Institutions holding 304 548 240
Change in shares held, QoQ +0.8% -1.2% +5.8%
Institutions buying 162 250 155
Institutions selling 94 214 54
Buyers to sellers 1.72 1.17 2.87

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ADUSENSGPACS
ADUS 1.00 0.35 0.15
ENSG 0.35 1.00 0.24
PACS 0.15 0.24 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ADUS, ENSG and PACS?

Ensign (ENSG) is the largest by market capitalisation: Addus HomeCare (ADUS) $2.32B, Ensign (ENSG) $10.87B, Pacs (PACS) $7.86B.

Which stock is cheaper, ADUS, ENSG and PACS?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (Addus HomeCare (ADUS) 21.6x, Ensign (ENSG) 27.0x, Pacs (PACS) 29.2x). On next year's consensus earnings, Addus HomeCare (ADUS) is cheapest (Addus HomeCare (ADUS) 17.3x, Ensign (ENSG) 22.5x, Pacs (PACS) 21.8x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Ensign (ENSG) grew revenue fastest over the trailing twelve months: Addus HomeCare (ADUS) +15.9%, Ensign (ENSG) +17.5%, Pacs (PACS) +15.2%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (Addus HomeCare (ADUS) 7.1%, Ensign (ENSG) 7.0%, Pacs (PACS) 4.8%). On return on invested capital, Pacs (PACS) leads (Addus HomeCare (ADUS) 9.2%, Ensign (ENSG) 14.3%, Pacs (PACS) 21.8%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Addus HomeCare (ADUS) +1.3%, Ensign (ENSG) +2.0%, Pacs (PACS) +299.1%. Over five years, Ensign (ENSG) compounded fastest (Addus HomeCare (ADUS) +5.9%/yr, Ensign (ENSG) +19.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Ensign (ENSG) 0.15%. Addus HomeCare (ADUS) and Pacs (PACS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Addus HomeCare (ADUS) 29.2%, Ensign (ENSG) 29.3%, Pacs (PACS) 81.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ADUS, ENSG and PACS?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Addus HomeCare (ADUS) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.