HR vs VTR vs PACS Stock Comparison

Healthcare Realty Trust, Ventas and Pacs Prices as of Nov 3, 2026 Peers: Industry group
VTR Ventas, Inc.
$87.04 +3.6% 1M +17.4% 1Y
Market cap
$45.93B
P/E
175.3x
Revenue (TTM)
$6.78B
Div. yield
0.02%
Healthcare REITs Real Estate
3 wins
PACS PACS Group, Inc.
$46.66 +8.8% 1M +295.8% 1Y
Market cap
$8.03B
P/E
28.9x
Revenue (TTM)
$5.71B
Div. yield
–
Home Health and Senior Care Healthcare
7 wins

Head to Head

12 decided of 12

Pacs leads on 7 of the 12 questions below (Pacs 7, Ventas 3, Healthcare Realty Trust 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionHRVTRPACSLeader
Larger companyMarket capitalisation $6.64B $45.93B $8.03B VTR
Cheaper on earningsLower P/E, profitable companies only -147.8x 175.3x 28.9x PACS
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 152.7x 20.5x PACS
Faster revenue growthRevenue growth, trailing twelve months -5.8% +22.1% +11.0% VTR
More profitableNet margin, trailing twelve months -4.0% 3.9% 4.9% PACS
Better return on capitalReturn on invested capital — 3.1% 20.7% PACS
Less leveragedLower net debt / EBITDA — 4.9x 0.3x PACS
Higher dividend yieldTrailing dividend yield 0.05% 0.02% 0.00% HR
Better 1-year returnPrice return, last 12 months +8.7% +17.4% +295.8% PACS
Better 5-year returnAnnualised price return, 5 years -9.6%/yr +10.5%/yr — VTR
Less volatileAnnualised volatility, 1 year 20.3% 23.0% 81.7% HR
Higher overall scoreMean of the five percentile scores vs peers 41/100 44/100 58/100 PACS

Percentile Scorecard

HRVTRPACS

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

AxisHRVTRPACS
Valuation 33 #98 of 146 6 #137 of 146 67 #32 of 95
Growth 48 #76 of 145 83 #25 of 145 63 #33 of 88
Profitability 39 #87 of 141 51 #70 of 141 66 #30 of 87
Financial Health 44 #82 of 146 63 #54 of 146 37 #63 of 100
Shareholder Returns 39 #83 of 136 18 #112 of 136 –
Overall 41 44 58
  • HR ranked among 149 companies in Property REITs
  • VTR ranked among 149 companies in Property REITs
  • 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

PeriodHRVTRPACSSPY
1 month +9.9%+3.6%+8.8% -2.0%
3 months -5.5%-4.2%+4.2% -2.2%
6 months -3.8%+0.3%+43.2% +4.2%
Year to date +13.1%+12.5%+21.5% +10.6%
1 year +8.7%+17.4%+295.8% +10.4%
3 years +28.7%+97.5%— +73.6%
3 years, per year +8.8%+25.5%— +20.2%
5 years -39.7%+64.9%— +61.6%
5 years, per year -9.6%+10.5%— +10.1%
10 years -35.5%+40.8%— +261.3%
10 years, per year -4.3%+3.5%— +13.7%

Risk

MeasureHRVTRPACSSPY
Volatility, 1Y 20.3%23.0%81.7% 12.8%
Downside volatility, 1Y 19.4%24.7%49.5% 12.8%
Beta vs S&P 500, 1Y 0.07-0.260.43 1.00
Return / volatility, 1Y 0.430.763.62 0.81
Max drawdown, 5Y -60.6%-43.4%-82.0% -25.4%
From 52-week high -12.4%-13.4%-6.0% -3.2%
52-week high $21.89$100.52$49.65 $779.14
52-week low $16.34$74.13$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.

MultipleHRVTRPACS
P/E now vs peer median -145.3xmedian 26.1x 170.7xmedian 26.1x 26.6xmedian 24.9x
P/S now vs peer median 5.7xmedian 4.1x 6.8xmedian 4.1x 1.3xmedian 1.6x
EV/EBITDA now vs peer median —median 14.4x 23.6xmedian 14.4x 15.2xmedian 15.2x
P/FCF now vs peer median 40.3xmedian 21.6x -17.0xmedian 21.6x 897.7xmedian 20.7x
P/B now vs peer median 1.6xmedian 1.3x 2.9xmedian 1.3x 6.1xmedian 3.2x
PEG now vs peer median -3.36median 1.95 0.69median 1.95 —median 0.72

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 monthsHRVTRPACS
Revenue $1.13B $6.78B $5.71B
Gross profit – – $1.36B
Operating income – – $423.77M
Net income -$45.27M $271.54M $277.59M
Free cash flow $161.54M -$2.71B $8.25M
EPS (diluted) $-0.13 $0.51 $1.69
Cash & equivalents $17.50M $202.01M $115.28M
Total debt $4.25B $12.44B $272.33M
Shares (diluted) 340.62M 518.94M 163.91M
Enterprise value $6.55B $44.61B $7.31B

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
MetricHRVTRPACS
P/E -145.3x 170.7x 26.6x
P/FCF 40.3x -17.0x 897.7x
P/Operating cash flow 14.5x 24.1x 12.8x
P/S 5.7x 6.8x 1.3x
P/B 1.6x 2.9x 6.1x
P/Tangible book 1.6x 2.9x 6.1x
EV/EBITDA – 23.6x 15.2x
EV/EBIT – 68.5x 17.8x
EV/Revenue 9.5x 8.6x 1.3x
EV/FCF 66.5x -21.5x 916.7x
EV/Operating cash flow 23.9x 30.5x 13.0x
PEG (3Y EPS CAGR) -3.36 0.69 –

Growth

14 metrics
MetricHRVTRPACS
Revenue growth (1Y) -5.8% 22.1% 11.0%
Revenue CAGR (3Y) -5.7% 15.7% –
Gross profit growth (1Y) – – 23.8%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) – – 47.7%
Operating income CAGR (3Y) – – –
Net income growth (1Y) 87.8% 9.8% 64.8%
Net income CAGR (3Y) 45.3% 190.9% –
EPS growth (1Y) 87.4% -1.7% 65.0%
EPS CAGR (3Y) 43.2% 249.1% –
Operating cash flow growth (1Y) -2.8% 23.5% 22.8%
Operating cash flow CAGR (3Y) -4.6% 20.0% –
Free cash flow growth (1Y) 28.9% -11.8% -96.8%
Free cash flow CAGR (3Y) -1.8% -92.9% –

Profitability

14 metrics
MetricHRVTRPACS
Gross margin – – 23.8%
EBITDA margin – 36.5% 8.7%
Operating margin – – 7.4%
Pretax margin – 3.2% 7.0%
Net margin -4.0% 3.9% 4.9%
FCF margin 14.2% -39.9% 0.1%
Operating cash flow margin 39.7% 28.2% 10.2%
Return on equity -1.1% 1.8% 23.8%
Return on assets -0.5% 0.9% 4.8%
Return on invested capital – 3.1% 20.7%
Return on capital employed – – 9.2%
Asset turnover 0.1x 0.2x 1.0x
Cash conversion (OCF / net income) -9.9x 7.0x 2.1x
Stock comp / revenue 1.6% 0.6% 1.9%

Financial Health

11 metrics
MetricHRVTRPACS
Debt / assets 47.4% 40.6% 4.6%
Debt / equity 1.0x 0.8x 0.2x
Net debt / EBITDA – 4.9x 0.3x
Debt / FCF 26.3x -4.6x 33.0x
Liabilities / assets 53.9% 48.2% 79.4%
Equity / assets 46.1% 51.8% 20.6%
Interest coverage – 1.3x 16.2x
Current ratio – – 0.8x
Quick ratio – – 0.7x
Cash ratio – – 0.1x
Altman Z-score – – 2.22

Shareholder Returns

7 metrics
MetricHRVTRPACS
Dividend yield 5.0% 2.3% –
Net buyback yield 3.5% -9.2% –
Shareholder yield 8.5% -6.9% –
Payout ratio (earnings) -735.1% 359.5% –
Payout ratio (FCF) 206.0% -36.0% –
Dividend growth (1Y) -19.3% 18.6% –
Dividend CAGR (3Y) -11.0% 10.6% –

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.

ConsensusHRVTRPACS
Forward P/E – 152.7xFY2026 20.5xFY2026
EPS, next fiscal year $-0.11FY2026 $0.57FY2026 $2.28FY2026
EPS growth, next FY – +5.6%FY2026 +23.9%FY2026
EPS growth, the year after – +77.2% +25.4%
Revenue, next fiscal year $1.17BFY2026 $7.11BFY2026 $6.17BFY2026
Revenue growth, next FY -0.7%FY2026 +21.9%FY2026 +16.6%FY2026
Revenue growth, the year after -8.9% +4.4% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHRVTRPACS
Held by institutions 100.0% 100.0% 31.3%
Institutions holding 460 952 241
Change in shares held, QoQ +0.8% +5.1% +5.8%
Institutions buying 226 527 155
Institutions selling 146 286 54
Buyers to sellers 1.55 1.84 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.

HRVTRPACS
HR 1.00 0.53 0.03
VTR 0.53 1.00 0.15
PACS 0.03 0.15 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HR, VTR and PACS?

Ventas (VTR) is the largest by market capitalisation: Healthcare Realty Trust (HR) $6.64B, Ventas (VTR) $45.93B, Pacs (PACS) $8.03B.

Which stock is cheaper, HR, VTR and PACS?

Pacs (PACS) trades on the lowest price-to-earnings ratio (Healthcare Realty Trust (HR) -147.8x, Ventas (VTR) 175.3x, Pacs (PACS) 28.9x). On next year's consensus earnings, Pacs (PACS) is cheapest (Ventas (VTR) 152.7x, Pacs (PACS) 20.5x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Ventas (VTR) grew revenue fastest over the trailing twelve months: Healthcare Realty Trust (HR) -5.8%, Ventas (VTR) +22.1%, Pacs (PACS) +11.0%.

Which company is more profitable?

Pacs (PACS) has the highest net margin (Healthcare Realty Trust (HR) -4.0%, Ventas (VTR) 3.9%, Pacs (PACS) 4.9%). On return on invested capital, Pacs (PACS) leads (Ventas (VTR) 3.1%, Pacs (PACS) 20.7%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Healthcare Realty Trust (HR) +8.7%, Ventas (VTR) +17.4%, Pacs (PACS) +295.8%. Over five years, Ventas (VTR) compounded fastest (Healthcare Realty Trust (HR) -9.6%/yr, Ventas (VTR) +10.5%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Healthcare Realty Trust (HR) has the highest dividend yield: Healthcare Realty Trust (HR) 0.05%, Ventas (VTR) 0.02%, Pacs (PACS) 0.00%. Pacs (PACS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (Healthcare Realty Trust (HR) 20.3%, Ventas (VTR) 23.0%, Pacs (PACS) 81.7%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HR, VTR 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, Pacs (PACS) 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.