ENSG vs PACS Stock Comparison

Ensign and Pacs Prices as of Oct 26, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$176.92 +1.0% 1M -4.9% 1Y
Market cap
$9.84B
P/E
26.0x
Revenue (TTM)
$5.49B
Div. yield
–
Home Health and Senior Care Healthcare
7 wins
PACS PACS Group, Inc.
$48.74 +18.0% 1M +285.0% 1Y
Market cap
$7.55B
P/E
28.1x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
3 wins

Head to Head

10 decided of 12

Ensign leads on 7 of the 12 questions below (Ensign 7, Pacs 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionENSGPACSLeader
Larger companyMarket capitalisation $9.84B $7.55B ENSG
Cheaper on earningsLower P/E, profitable companies only 26.0x 28.1x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.3x 21.4x ENSG
Faster revenue growthRevenue growth, trailing twelve months +18.9% +15.2% ENSG
More profitableNet margin, trailing twelve months 6.9% 4.8% ENSG
Better return on capitalReturn on invested capital 13.9% 21.8% PACS
Less leveragedLower net debt / EBITDA -0.3x 0.2x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -4.9% +285.0% PACS
Better 5-year returnAnnualised price return, 5 years +20.6%/yr — –
Less volatileAnnualised volatility, 1 year 27.8% 81.6% ENSG
Higher overall scoreMean of the five percentile scores vs peers 61/100 64/100 PACS

Percentile Scorecard

ENSGPACS

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

AxisENSGPACS
Valuation 65 #33 of 93 69 #30 of 93
Growth 59 #37 of 88 75 #23 of 88
Profitability 71 #26 of 87 67 #29 of 87
Financial Health 73 #28 of 100 46 #55 of 100
Shareholder Returns 40 #34 of 56 –
Overall 61 64
  • ENSG ranked among 103 companies in Healthcare Providers
  • PACS ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodENSGPACSSPY
1 month +1.0%+18.0% -0.8%
3 months -0.6%+3.6% +3.5%
6 months -6.9%+38.2% +7.0%
Year to date +1.6%+27.0% +12.2%
1 year -4.9%+285.0% +13.0%
3 years +81.8%— +86.3%
3 years, per year +22.1%— +23.1%
5 years +155.5%— +68.6%
5 years, per year +20.6%— +11.0%
10 years +886.2%— +258.0%
10 years, per year +25.7%— +13.6%

Risk

MeasureENSGPACSSPY
Volatility, 1Y 27.8%81.6% 12.7%
Downside volatility, 1Y 24.3%48.8% 12.7%
Beta vs S&P 500, 1Y -0.060.38 1.00
Return / volatility, 1Y -0.183.49 1.02
Max drawdown, 5Y -31.8%-82.0% -25.4%
From 52-week high -18.0%0.0% -1.8%
52-week high $215.83$48.74 $779.14
52-week low $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.

MultipleENSGPACS
P/E now vs peer median 27.1xmedian 25.1x 28.6xmedian 25.1x
P/S now vs peer median 1.9xmedian 1.6x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 17.4xmedian 14.5x 16.3xmedian 14.5x
P/FCF now vs peer median 24.6xmedian 22.4x 63.5xmedian 22.4x
P/B now vs peer median 4.2xmedian 3.1x 6.9xmedian 3.1x
PEG now vs peer median 1.82median 0.66 —median 0.66

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 monthsENSGPACS
Revenue $5.49B $5.55B
Gross profit $1.14B $1.30B
Operating income $467.39M $410.32M
Net income $378.95M $269.17M
Free cash flow $419.09M $121.47M
EPS (diluted) $6.37 $1.66
Cash & equivalents $262.30M $164.45M
Total debt $566.98M $246.09M
Shares (diluted) 59.48M 161.99M
Enterprise value $7.84B $6.59B

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
MetricENSGPACS
P/E 27.1x 28.6x
P/FCF 24.6x 63.5x
P/Operating cash flow 16.9x 13.5x
P/S 1.9x 1.4x
P/B 4.2x 6.9x
P/Tangible book 4.2x 6.9x
EV/EBITDA 17.4x 16.3x
EV/EBIT 21.7x 19.0x
EV/Revenue 1.8x 1.4x
EV/FCF 24.2x 64.2x
EV/Operating cash flow 16.6x 13.6x
PEG (3Y EPS CAGR) 1.82 –

Growth

14 metrics
MetricENSGPACS
Revenue growth (1Y) 18.9% 15.2%
Revenue CAGR (3Y) 17.4% –
Gross profit growth (1Y) 18.7% 33.3%
Gross profit CAGR (3Y) 15.7% –
Operating income growth (1Y) 18.2% 83.5%
Operating income CAGR (3Y) 15.6% –
Net income growth (1Y) 17.3% 103.5%
Net income CAGR (3Y) 16.4% –
EPS growth (1Y) 15.6% 107.9%
EPS CAGR (3Y) 14.9% –
Operating cash flow growth (1Y) 31.4% 20.3%
Operating cash flow CAGR (3Y) 25.1% –
Free cash flow growth (1Y) 51.4% -58.3%
Free cash flow CAGR (3Y) 26.2% –

Profitability

14 metrics
MetricENSGPACS
Gross margin 20.7% 23.5%
EBITDA margin 10.6% 8.6%
Operating margin 8.5% 7.4%
Pretax margin 9.1% 6.9%
Net margin 6.9% 4.8%
FCF margin 7.6% 2.2%
Operating cash flow margin 11.1% 10.3%
Return on equity 15.7% 24.9%
Return on assets 6.7% 4.8%
Return on invested capital 13.9% 21.8%
Return on capital employed 9.7% 8.9%
Asset turnover 1.0x 1.0x
Cash conversion (OCF / net income) 1.6x 2.1x
Stock comp / revenue 1.0% 1.3%

Financial Health

11 metrics
MetricENSGPACS
Debt / assets 2.4% 4.4%
Debt / equity 0.1x 0.2x
Net debt / EBITDA -0.3x 0.2x
Debt / FCF 0.3x 2.0x
Liabilities / assets 57.5% 80.3%
Equity / assets 42.5% 19.7%
Interest coverage 60.0x 13.9x
Current ratio 1.2x 0.9x
Quick ratio 1.1x 0.8x
Cash ratio 0.4x 0.2x
Altman Z-score 3.61 2.34

Shareholder Returns

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

ConsensusENSGPACS
Forward P/E 21.3xFY2026 21.4xFY2026
EPS, next fiscal year $8.29FY2026 $2.28FY2026
EPS growth, next FY +26.2%FY2026 +23.9%FY2026
EPS growth, the year after -1.8% +25.4%
Revenue, next fiscal year $5.76BFY2026 $6.17BFY2026
Revenue growth, next FY +13.9%FY2026 +16.6%FY2026
Revenue growth, the year after +16.9% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersENSGPACS
Held by institutions 89.8% 31.3%
Institutions holding 547 239
Change in shares held, QoQ -1.2% +5.8%
Institutions buying 250 155
Institutions selling 213 54
Buyers to sellers 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.

ENSGPACS
ENSG 1.00 0.24
PACS 0.24 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ENSG and PACS?

Ensign (ENSG) is the largest by market capitalisation: Ensign (ENSG) $9.84B, Pacs (PACS) $7.55B.

Which stock is cheaper, ENSG and PACS?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (Ensign (ENSG) 26.0x, Pacs (PACS) 28.1x). On next year's consensus earnings, Ensign (ENSG) is cheapest (Ensign (ENSG) 21.3x, Pacs (PACS) 21.4x). 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) +18.9%, Pacs (PACS) +15.2%.

Which company is more profitable?

Ensign (ENSG) has the highest net margin (Ensign (ENSG) 6.9%, Pacs (PACS) 4.8%). On return on invested capital, Pacs (PACS) leads (Ensign (ENSG) 13.9%, Pacs (PACS) 21.8%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Ensign (ENSG) -4.9%, Pacs (PACS) +285.0%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Ensign (ENSG) 27.8%, Pacs (PACS) 81.6%). Volatility measures how widely the price swings, not the risk of the business.

Do ENSG and PACS move together?

Their daily returns over the past year have a correlation of 0.24, a weak relationship. Holding both diversifies more than two closely linked stocks would.

Which is the better stock, 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, Ensign (ENSG) leads on 7. 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.