PACS vs BTSG vs SNDA Stock Comparison

Pacs, BrightSpring Health Services and Sonida Senior Living Prices as of Nov 2, 2026 Peers: Industry group
PACS PACS Group, Inc.
$45.61 +6.3% 1M +277.6% 1Y
Market cap
$7.22B
P/E
26.8x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
7 wins
SNDA Sonida Senior Living, Inc.
$33.87 -10.3% 1M +30.8% 1Y
Market cap
$1.60B
P/E
–
Revenue (TTM)
$525.97M
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

10 decided of 12

Pacs leads on 7 of the 12 questions below (Pacs 7, Sonida Senior Living 2, BrightSpring Health Services 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionPACSBTSGSNDALeader
Larger companyMarket capitalisation $7.22B $13.09B $1.60B BTSG
Cheaper on earningsLower P/E, profitable companies only 26.8x 37.3x -10.9x PACS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.0x 38.3x — PACS
Faster revenue growthRevenue growth, trailing twelve months +15.2% +26.4% +49.4% SNDA
More profitableNet margin, trailing twelve months 4.8% 2.5% -27.6% PACS
Better return on capitalReturn on invested capital 21.8% 8.6% -2.7% PACS
Less leveragedLower net debt / EBITDA 0.2x 2.6x 52.8x PACS
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +277.6% +100.5% +30.8% PACS
Better 5-year returnAnnualised price return, 5 years — — +3.0%/yr –
Less volatileAnnualised volatility, 1 year 81.9% 45.6% 37.5% SNDA
Higher overall scoreMean of the five percentile scores vs peers 65/100 63/100 19/100 PACS

Percentile Scorecard

PACSBTSGSNDA

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

AxisPACSBTSGSNDA
Valuation 72 #27 of 94 62 #36 of 94 26 #70 of 94
Growth 73 #24 of 87 93 #7 of 87 19 #71 of 87
Profitability 68 #28 of 86 57 #38 of 86 26 #64 of 86
Financial Health 46 #54 of 99 42 #58 of 99 18 #81 of 99
Shareholder Returns – 62 #22 of 56 6 #53 of 56
Overall 65 63 19
  • PACS ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • SNDA ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodPACSBTSGSNDASPY
1 month +6.3%+10.0%-10.3% -2.3%
3 months +2.5%+9.6%-15.9% -0.7%
6 months +40.3%+23.8%-9.5% +4.8%
Year to date +18.8%+76.9%+3.9% +10.3%
1 year +277.6%+100.5%+30.8% +10.3%
3 years ——+276.3% +73.0%
3 years, per year ——+55.6% +20.1%
5 years ——+16.0% +61.9%
5 years, per year ——+3.0% +10.1%
10 years ——-82.8% +258.6%
10 years, per year ——-16.1% +13.6%

Risk

MeasurePACSBTSGSNDASPY
Volatility, 1Y 81.9%45.6%37.5% 12.8%
Downside volatility, 1Y 49.5%51.1%35.0% 12.8%
Beta vs S&P 500, 1Y 0.431.140.30 1.00
Return / volatility, 1Y 3.392.210.82 0.80
Max drawdown, 5Y -82.0%-35.6%-82.1% -25.4%
From 52-week high -8.1%-9.1%-21.5% -3.5%
52-week high $49.65$72.91$43.17 $779.14
52-week low $10.58$31.36$25.62 $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.

MultiplePACSBTSGSNDA
P/E now vs peer median 26.8xmedian 25.3x 37.3xmedian 25.3x -10.9xmedian 25.3x
P/S now vs peer median 1.3xmedian 1.5x 0.9xmedian 1.5x 3.1xmedian 1.5x
EV/EBITDA now vs peer median 15.2xmedian 14.6x 23.8xmedian 14.6x 108.4xmedian 14.6x
P/FCF now vs peer median 59.5xmedian 21.6x 32.5xmedian 21.6x -23.5xmedian 21.6x
P/B now vs peer median 6.5xmedian 3.1x 6.4xmedian 3.1x 1.9xmedian 3.1x
PEG now vs peer median —median 0.83 —median 0.83 -1.21median 0.83

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 monthsPACSBTSGSNDA
Revenue $5.55B $14.37B $525.97M
Gross profit $1.30B $1.78B –
Operating income $410.32M $447.80M –
Net income $269.17M $365.85M -$123.67M
Free cash flow $121.47M $402.35M -$68.36M
EPS (diluted) $1.66 $1.66 $-3.11
Cash & equivalents $164.45M $550.38M $48.71M
Total debt $246.09M $2.19B $1.57B
Shares (diluted) 161.99M 220.28M 46.81M
Enterprise value $6.26B $11.43B $1.45B

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
MetricPACSBTSGSNDA
P/E 26.8x 37.3x -10.9x
P/FCF 59.5x 32.5x -23.5x
P/Operating cash flow 12.6x 25.8x -103.1x
P/S 1.3x 0.9x 3.1x
P/B 6.5x 6.4x 1.9x
P/Tangible book 6.5x 8.5x 2.3x
EV/EBITDA 15.2x 23.8x 108.4x
EV/EBIT 17.8x 32.9x -46.2x
EV/Revenue 1.3x 1.0x 5.9x
EV/FCF 60.1x 36.6x -45.7x
EV/Operating cash flow 12.7x 29.1x -201.0x
PEG (3Y EPS CAGR) – – -1.21

Growth

14 metrics
MetricPACSBTSGSNDA
Revenue growth (1Y) 15.2% 26.4% 49.4%
Revenue CAGR (3Y) – – 29.0%
Gross profit growth (1Y) 33.3% 29.4% –
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) 83.5% 143.5% –
Operating income CAGR (3Y) – – –
Net income growth (1Y) 103.5% 472.6% -243.6%
Net income CAGR (3Y) – – -88.8%
EPS growth (1Y) 107.9% 448.6% -44.1%
EPS CAGR (3Y) – – 9.0%
Operating cash flow growth (1Y) 20.3% 88.6% -223.5%
Operating cash flow CAGR (3Y) – – -72.1%
Free cash flow growth (1Y) -58.3% 110.5% 66.2%
Free cash flow CAGR (3Y) – – -58.8%

Profitability

14 metrics
MetricPACSBTSGSNDA
Gross margin 23.5% 12.4% –
EBITDA margin 8.6% 4.3% 5.5%
Operating margin 7.4% 3.1% –
Pretax margin 6.9% 2.1% -23.4%
Net margin 4.8% 2.5% -27.6%
FCF margin 2.2% 2.8% -13.0%
Operating cash flow margin 10.3% 3.5% -3.0%
Return on equity 24.9% 18.2% -14.1%
Return on assets 4.8% 6.0% -4.8%
Return on invested capital 21.8% 8.6% -2.7%
Return on capital employed 8.9% 9.9% -2.7%
Asset turnover 1.0x 2.4x 0.2x
Cash conversion (OCF / net income) 2.1x 1.4x 0.1x
Stock comp / revenue 1.3% 0.4% 1.4%

Financial Health

11 metrics
MetricPACSBTSGSNDA
Debt / assets 4.4% 36.6% 61.7%
Debt / equity 0.2x 1.1x 1.8x
Net debt / EBITDA 0.2x 2.6x 52.8x
Debt / FCF 2.0x 5.4x -23.0x
Liabilities / assets 80.3% 65.8% 66.0%
Equity / assets 19.7% 34.2% 34.0%
Interest coverage 13.9x 2.9x -1.2x
Current ratio 0.9x 1.6x 0.9x
Quick ratio 0.8x 1.1x 0.6x
Cash ratio 0.2x 0.4x 0.4x
Altman Z-score 2.27 4.83 0.38

Shareholder Returns

7 metrics
MetricPACSBTSGSNDA
Dividend yield – – –
Net buyback yield – 0.5% -6.8%
Shareholder yield – 0.5% -6.8%
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.

ConsensusPACSBTSGSNDA
Forward P/E 20.0xFY2026 38.3xFY2026 –
EPS, next fiscal year $2.28FY2026 $1.73FY2026 $-3.72FY2026
EPS growth, next FY +23.9%FY2026 +73.0%FY2026 –
EPS growth, the year after +25.4% +42.2% –
Revenue, next fiscal year $6.17BFY2026 $16.01BFY2026 $682.14MFY2026
Revenue growth, next FY +16.6%FY2026 +24.0%FY2026 +79.0%FY2026
Revenue growth, the year after +1.1% +1.4% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersPACSBTSGSNDA
Held by institutions 31.3% 100.0% 79.1%
Institutions holding 241 423 230
Change in shares held, QoQ +5.8% -0.7% +44.5%
Institutions buying 155 309 132
Institutions selling 54 83 55
Buyers to sellers 2.87 3.72 2.40

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.

PACSBTSGSNDA
PACS 1.00 0.12 0.16
BTSG 0.12 1.00 0.18
SNDA 0.16 0.18 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, PACS, BTSG and SNDA?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Pacs (PACS) $7.22B, BrightSpring Health Services (BTSG) $13.09B, Sonida Senior Living (SNDA) $1.60B.

Which stock is cheaper, PACS, BTSG and SNDA?

Pacs (PACS) trades on the lowest price-to-earnings ratio (Pacs (PACS) 26.8x, BrightSpring Health Services (BTSG) 37.3x, Sonida Senior Living (SNDA) -10.9x). On next year's consensus earnings, Pacs (PACS) is cheapest (Pacs (PACS) 20.0x, BrightSpring Health Services (BTSG) 38.3x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Sonida Senior Living (SNDA) grew revenue fastest over the trailing twelve months: Pacs (PACS) +15.2%, BrightSpring Health Services (BTSG) +26.4%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Pacs (PACS) has the highest net margin (Pacs (PACS) 4.8%, BrightSpring Health Services (BTSG) 2.5%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Pacs (PACS) leads (Pacs (PACS) 21.8%, BrightSpring Health Services (BTSG) 8.6%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Pacs (PACS) +277.6%, BrightSpring Health Services (BTSG) +100.5%, Sonida Senior Living (SNDA) +30.8%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Sonida Senior Living (SNDA) has been the steadiest (Pacs (PACS) 81.9%, BrightSpring Health Services (BTSG) 45.6%, Sonida Senior Living (SNDA) 37.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, PACS, BTSG and SNDA?

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.