ENSG vs INNV vs PACS Stock Comparison

Ensign, InnovAge Holding and Pacs Prices as of Oct 29, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.48B
P/E
26.3x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
6 wins
INNV InnovAge Holding Corp.
$9.24 +2.9% 1M +91.7% 1Y
Market cap
$1.24B
P/E
–
Revenue (TTM)
$989.71M
Div. yield
–
Home Health and Senior Care Healthcare
3 wins
PACS PACS Group, Inc.
$49.65 +17.6% 1M +299.1% 1Y
Market cap
$7.60B
P/E
28.2x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

Ensign leads on 6 of the 12 questions below (Ensign 6, InnovAge Holding 3, Pacs 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionENSGINNVPACSLeader
Larger companyMarket capitalisation $10.48B $1.24B $7.60B ENSG
Cheaper on earningsLower P/E, profitable companies only 26.3x -490.5x 28.2x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.5x 20.5x 21.8x INNV
Faster revenue growthRevenue growth, trailing twelve months +17.5% +15.9% +15.2% ENSG
More profitableNet margin, trailing twelve months 7.0% -0.3% 4.8% ENSG
Better return on capitalReturn on invested capital 14.3% 0.0% 21.8% PACS
Less leveragedLower net debt / EBITDA -0.3x -3.8x 0.2x INNV
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +2.0% +91.7% +299.1% PACS
Better 5-year returnAnnualised price return, 5 years +19.0%/yr +6.9%/yr — ENSG
Less volatileAnnualised volatility, 1 year 29.3% 72.5% 81.5% ENSG
Higher overall scoreMean of the five percentile scores vs peers 65/100 66/100 64/100 INNV

Percentile Scorecard

ENSGINNVPACS

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

AxisENSGINNVPACS
Valuation 70 #28 of 92 65 #33 of 92 67 #31 of 92
Growth 63 #33 of 87 87 #12 of 87 73 #24 of 87
Profitability 74 #23 of 86 49 #44 of 86 69 #27 of 86
Financial Health 72 #28 of 97 64 #36 of 97 45 #54 of 97
Shareholder Returns 44 #31 of 55 – –
Overall 65 66 64
  • ENSG ranked among 102 companies in Healthcare Providers
  • INNV 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

PeriodENSGINNVPACSSPY
1 month +6.1%+2.9%+17.6% +0.7%
3 months +4.2%-20.3%+5.6% +3.7%
6 months -0.2%+13.4%+48.0% +7.1%
Year to date +7.0%+78.0%+29.3% +12.8%
1 year +2.0%+91.7%+299.1% +11.9%
3 years +95.5%+71.4%— +85.2%
3 years, per year +25.1%+19.7%— +22.8%
5 years +138.8%+39.6%— +67.6%
5 years, per year +19.0%+6.9%— +10.9%
10 years +993.4%—— +262.0%
10 years, per year +27.0%—— +13.7%

Risk

MeasureENSGINNVPACSSPY
Volatility, 1Y 29.3%72.5%81.5% 12.7%
Downside volatility, 1Y 24.9%65.6%48.8% 12.6%
Beta vs S&P 500, 1Y -0.060.540.38 1.00
Return / volatility, 1Y 0.071.263.67 0.94
Max drawdown, 5Y -31.8%-71.0%-82.0% -25.4%
From 52-week high -13.7%-23.7%0.0% -1.2%
52-week high $215.83$12.11$49.65 $779.14
52-week low $147.13$3.99$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.

MultipleENSGINNVPACS
P/E now vs peer median 27.0xmedian 26.0x -494.2xmedian 26.0x 29.2xmedian 26.0x
P/S now vs peer median 1.9xmedian 1.6x 1.3xmedian 1.6x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 16.9xmedian 15.4x 47.4xmedian 15.4x 16.6xmedian 15.4x
P/FCF now vs peer median 21.3xmedian 21.5x 24.9xmedian 21.5x 64.7xmedian 21.5x
P/B now vs peer median 4.2xmedian 3.2x 5.3xmedian 3.2x 7.0xmedian 3.2x
PEG now vs peer median 1.70median 0.87 -8.19median 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 monthsENSGINNVPACS
Revenue $5.67B $989.71M $5.55B
Gross profit $1.20B $677.61M $1.30B
Operating income $509.16M $2.62M $410.32M
Net income $399.32M -$1.83M $269.17M
Free cash flow $509.91M $50.41M $121.47M
EPS (diluted) $6.73 $-0.02 $1.66
Cash & equivalents $337.59M $97.89M $164.45M
Total debt $198.72M $48.06M $246.09M
Shares (diluted) 59.30M 135.70M 161.99M
Enterprise value $8.60B $729.07M $6.64B

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
MetricENSGINNVPACS
P/E 27.0x -494.2x 29.2x
P/FCF 21.3x 24.9x 64.7x
P/Operating cash flow 15.6x 19.4x 13.7x
P/S 1.9x 1.3x 1.4x
P/B 4.2x 5.3x 7.0x
P/Tangible book 4.3x 5.3x 7.0x
EV/EBITDA 16.9x 47.4x 16.6x
EV/EBIT 21.0x 444.4x 19.4x
EV/Revenue 1.9x 1.2x 1.4x
EV/FCF 20.9x 23.1x 65.4x
EV/Operating cash flow 15.4x 18.0x 13.9x
PEG (3Y EPS CAGR) 1.70 -8.19 –

Growth

14 metrics
MetricENSGINNVPACS
Revenue growth (1Y) 17.5% 15.9% 15.2%
Revenue CAGR (3Y) 16.8% 12.9% –
Gross profit growth (1Y) 21.7% 15.9% 33.3%
Gross profit CAGR (3Y) 16.3% 12.5% –
Operating income growth (1Y) 26.6% 108.8% 83.5%
Operating income CAGR (3Y) 18.3% 27.1% –
Net income growth (1Y) 21.6% 94.9% 103.5%
Net income CAGR (3Y) 17.2% 65.2% –
EPS growth (1Y) 20.9% 91.6% 107.9%
EPS CAGR (3Y) 15.9% 60.4% –
Operating cash flow growth (1Y) 44.5% 96.9% 20.3%
Operating cash flow CAGR (3Y) 26.8% 47.3% –
Free cash flow growth (1Y) 76.1% 89.5% -58.3%
Free cash flow CAGR (3Y) 29.2% 162.9% –

Profitability

14 metrics
MetricENSGINNVPACS
Gross margin 21.2% 68.5% 23.5%
EBITDA margin 11.1% 2.5% 8.6%
Operating margin 9.0% 0.3% 7.4%
Pretax margin 9.4% 0.0% 6.9%
Net margin 7.0% -0.3% 4.8%
FCF margin 9.0% 5.1% 2.2%
Operating cash flow margin 12.3% 6.5% 10.3%
Return on equity 16.0% -0.3% 24.9%
Return on assets 6.8% -0.1% 4.8%
Return on invested capital 14.3% 0.0% 21.8%
Return on capital employed 10.4% 0.8% 8.9%
Asset turnover 1.0x 1.8x 1.0x
Cash conversion (OCF / net income) 1.7x -35.4x 2.1x
Stock comp / revenue 1.1% 0.7% 1.3%

Financial Health

11 metrics
MetricENSGINNVPACS
Debt / assets 3.3% 8.6% 4.4%
Debt / equity 0.1x 0.2x 0.2x
Net debt / EBITDA -0.3x -3.8x 0.2x
Debt / FCF 0.4x 1.0x 2.0x
Liabilities / assets 57.3% 57.2% 80.3%
Equity / assets 42.7% 42.8% 19.7%
Interest coverage 62.8x – 13.9x
Current ratio 1.2x 1.1x 0.9x
Quick ratio 1.1x 0.9x 0.8x
Cash ratio 0.4x 0.7x 0.2x
Altman Z-score 3.64 3.91 2.36

Shareholder Returns

7 metrics
MetricENSGINNVPACS
Dividend yield 0.1% – –
Net buyback yield 0.2% – –
Shareholder yield 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.

ConsensusENSGINNVPACS
Forward P/E 22.5xFY2026 20.5xFY2027 21.8xFY2026
EPS, next fiscal year $8.29FY2026 $0.45FY2027 $2.28FY2026
EPS growth, next FY +26.2%FY2026 – +23.9%FY2026
EPS growth, the year after -1.8% +4.4% +25.4%
Revenue, next fiscal year $5.76BFY2026 $1.00BFY2027 $6.17BFY2026
Revenue growth, next FY +13.9%FY2026 +1.5%FY2027 +16.6%FY2026
Revenue growth, the year after +16.9% +11.0% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersENSGINNVPACS
Held by institutions 89.8% 13.5% 31.3%
Institutions holding 548 106 240
Change in shares held, QoQ -1.2% +15.2% +5.8%
Institutions buying 250 70 155
Institutions selling 214 24 54
Buyers to sellers 1.17 2.92 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.

ENSGINNVPACS
ENSG 1.00 0.03 0.24
INNV 0.03 1.00 0.06
PACS 0.24 0.06 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ENSG, INNV and PACS?

Ensign (ENSG) is the largest by market capitalisation: Ensign (ENSG) $10.48B, InnovAge Holding (INNV) $1.24B, Pacs (PACS) $7.60B.

Which stock is cheaper, ENSG, INNV and PACS?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (Ensign (ENSG) 26.3x, InnovAge Holding (INNV) -490.5x, Pacs (PACS) 28.2x). On next year's consensus earnings, InnovAge Holding (INNV) is cheapest (Ensign (ENSG) 22.5x, InnovAge Holding (INNV) 20.5x, 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: Ensign (ENSG) +17.5%, InnovAge Holding (INNV) +15.9%, Pacs (PACS) +15.2%.

Which company is more profitable?

Ensign (ENSG) has the highest net margin (Ensign (ENSG) 7.0%, InnovAge Holding (INNV) -0.3%, Pacs (PACS) 4.8%). On return on invested capital, Pacs (PACS) leads (Ensign (ENSG) 14.3%, InnovAge Holding (INNV) 0.0%, Pacs (PACS) 21.8%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Ensign (ENSG) +2.0%, InnovAge Holding (INNV) +91.7%, Pacs (PACS) +299.1%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +19.0%/yr, InnovAge Holding (INNV) +6.9%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Ensign (ENSG) 29.3%, InnovAge Holding (INNV) 72.5%, Pacs (PACS) 81.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ENSG, INNV 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, Ensign (ENSG) leads on 6. 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.