PACS vs ENSG vs BKD Stock Comparison

Pacs, Ensign and Brookdale Senior Living Prices as of Oct 28, 2026 Peers: Industry group
PACS PACS Group, Inc.
$49.08 +13.8% 1M +295.2% 1Y
Market cap
$7.86B
P/E
29.2x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
3 wins
ENSG Ensign Group, Inc
$184.11 +4.4% 1M -0.8% 1Y
Market cap
$10.73B
P/E
26.9x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
8 wins

Head to Head

11 decided of 12

Ensign leads on 8 of the 12 questions below (Ensign 8, Pacs 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionPACSENSGBKDLeader
Larger companyMarket capitalisation $7.86B $10.73B $2.48B ENSG
Cheaper on earningsLower P/E, profitable companies only 29.2x 26.9x -17.9x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.5x 22.2x 332.3x PACS
Faster revenue growthRevenue growth, trailing twelve months +15.2% +17.5% -4.4% ENSG
More profitableNet margin, trailing twelve months 4.8% 7.0% -4.5% ENSG
Better return on capitalReturn on invested capital 21.8% 14.3% 2.5% PACS
Less leveragedLower net debt / EBITDA 0.2x -0.3x 8.9x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +295.2% -0.8% +12.9% PACS
Better 5-year returnAnnualised price return, 5 years — +18.8%/yr +8.9%/yr ENSG
Less volatileAnnualised volatility, 1 year 81.5% 29.3% 39.2% ENSG
Higher overall scoreMean of the five percentile scores vs peers 64/100 64/100 41/100 ENSG

Percentile Scorecard

PACSENSGBKD

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

AxisPACSENSGBKD
Valuation 67 #31 of 92 69 #29 of 92 63 #35 of 92
Growth 74 #23 of 87 63 #33 of 87 35 #57 of 87
Profitability 69 #27 of 86 75 #22 of 86 55 #39 of 86
Financial Health 44 #55 of 97 72 #28 of 97 10 #87 of 97
Shareholder Returns – 43 #32 of 55 –
Overall 64 64 41
  • PACS ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers
  • BKD ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodPACSENSGBKDSPY
1 month +13.8%+4.4%-9.8% +0.9%
3 months +5.6%+1.2%-32.9% +5.9%
6 months +46.9%-1.2%-29.2% +8.5%
Year to date +27.8%+5.7%-7.6% +13.3%
1 year +295.2%-0.8%+12.9% +12.4%
3 years —+89.2%+153.7% +88.1%
3 years, per year —+23.7%+36.4% +23.5%
5 years —+136.0%+53.4% +68.2%
5 years, per year —+18.8%+8.9% +11.0%
10 years —+980.5%-32.0% +263.4%
10 years, per year —+26.9%-3.8% +13.8%

Risk

MeasurePACSENSGBKDSPY
Volatility, 1Y 81.5%29.3%39.2% 12.7%
Downside volatility, 1Y 48.8%24.9%39.2% 12.7%
Beta vs S&P 500, 1Y 0.38-0.060.29 1.00
Return / volatility, 1Y 3.62-0.030.33 0.98
Max drawdown, 5Y -82.0%-31.8%-69.0% -25.4%
From 52-week high 0.0%-14.7%-40.5% -0.9%
52-week high $49.08$215.83$16.77 $779.14
52-week low $10.58$147.13$8.83 $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.

MultiplePACSENSGBKD
P/E now vs peer median 28.8xmedian 25.6x 26.7xmedian 25.6x -17.2xmedian 25.6x
P/S now vs peer median 1.4xmedian 1.6x 1.9xmedian 1.6x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 16.4xmedian 16.3x 16.7xmedian 16.3x 14.4xmedian 16.3x
P/FCF now vs peer median 64.0xmedian 21.3x 21.1xmedian 21.3x 9,839xmedian 21.3x
P/B now vs peer median 7.0xmedian 3.3x 4.2xmedian 3.3x -82.2xmedian 3.3x
PEG now vs peer median —median 0.68 1.68median 0.68 2.32median 0.68

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 monthsPACSENSGBKD
Revenue $5.55B $5.67B $3.05B
Gross profit $1.30B $1.20B $2.93B
Operating income $410.32M $509.16M $106.04M
Net income $269.17M $399.32M -$138.35M
Free cash flow $121.47M $509.91M $242.00K
EPS (diluted) $1.66 $6.73 $-0.57
Cash & equivalents $164.45M $337.59M $370.39M
Total debt $246.09M $198.72M $4.27B
Shares (diluted) 161.99M 59.30M 243.89M
Enterprise value $6.90B $8.85B $1.28B

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
MetricPACSENSGBKD
P/E 28.8x 26.7x -17.2x
P/FCF 64.0x 21.1x 9,839x
P/Operating cash flow 13.6x 15.4x 10.6x
P/S 1.4x 1.9x 0.8x
P/B 7.0x 4.2x -82.2x
P/Tangible book 7.0x 4.2x -82.2x
EV/EBITDA 16.4x 16.7x 14.4x
EV/EBIT 19.1x 20.7x 59.1x
EV/Revenue 1.4x 1.9x 2.1x
EV/FCF 64.6x 20.7x 25,882x
EV/Operating cash flow 13.7x 15.2x 28.0x
PEG (3Y EPS CAGR) – 1.68 2.32

Growth

14 metrics
MetricPACSENSGBKD
Revenue growth (1Y) 15.2% 17.5% -4.4%
Revenue CAGR (3Y) – 16.8% 1.0%
Gross profit growth (1Y) 33.3% 21.7% -3.9%
Gross profit CAGR (3Y) – 16.3% 1.7%
Operating income growth (1Y) 83.5% 26.6% 101.6%
Operating income CAGR (3Y) – 18.3% 4.1%
Net income growth (1Y) 103.5% 21.6% 43.0%
Net income CAGR (3Y) – 17.2% -10.3%
EPS growth (1Y) 107.9% 20.9% 45.1%
EPS CAGR (3Y) – 15.9% -7.4%
Operating cash flow growth (1Y) 20.3% 44.5% 2.4%
Operating cash flow CAGR (3Y) – 26.8% 29.6%
Free cash flow growth (1Y) -58.3% 76.1% 100.1%
Free cash flow CAGR (3Y) – 29.2% 26.0%

Profitability

14 metrics
MetricPACSENSGBKD
Gross margin 23.5% 21.2% 96.1%
EBITDA margin 8.6% 11.1% 14.3%
Operating margin 7.4% 9.0% 3.5%
Pretax margin 6.9% 9.4% -4.4%
Net margin 4.8% 7.0% -4.5%
FCF margin 2.2% 9.0% 0.0%
Operating cash flow margin 10.3% 12.3% 7.3%
Return on equity 24.9% 16.0% –
Return on assets 4.8% 6.8% -2.3%
Return on invested capital 21.8% 14.3% 2.5%
Return on capital employed 8.9% 10.4% 2.0%
Asset turnover 1.0x 1.0x 0.5x
Cash conversion (OCF / net income) 2.1x 1.7x -1.6x
Stock comp / revenue 1.3% 1.1% 0.4%

Financial Health

11 metrics
MetricPACSENSGBKD
Debt / assets 4.4% 3.3% 72.4%
Debt / equity 0.2x 0.1x -147.5x
Net debt / EBITDA 0.2x -0.3x 8.9x
Debt / FCF 2.0x 0.4x 17,655x
Liabilities / assets 80.3% 57.3% 100.5%
Equity / assets 19.7% 42.7% -0.5%
Interest coverage 13.9x 62.8x –
Current ratio 0.9x 1.2x 1.1x
Quick ratio 0.8x 1.1x 0.9x
Cash ratio 0.2x 0.4x 0.7x
Altman Z-score 2.34 3.62 -0.18

Shareholder Returns

7 metrics
MetricPACSENSGBKD
Dividend yield – 0.1% –
Net buyback yield – 0.2% –
Shareholder yield – 0.3% 0.0%
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.

ConsensusPACSENSGBKD
Forward P/E 21.5xFY2026 22.2xFY2026 332.3xFY2026
EPS, next fiscal year $2.28FY2026 $8.29FY2026 $0.03FY2026
EPS growth, next FY +23.9%FY2026 +26.2%FY2026 –
EPS growth, the year after +25.4% -1.8% +433.3%
Revenue, next fiscal year $6.17BFY2026 $5.76BFY2026 $2.81BFY2026
Revenue growth, next FY +16.6%FY2026 +13.9%FY2026 -12.0%FY2026
Revenue growth, the year after +1.1% +16.9% +3.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersPACSENSGBKD
Held by institutions 31.3% 89.8% 100.0%
Institutions holding 239 547 293
Change in shares held, QoQ +5.8% -1.2% +5.6%
Institutions buying 155 250 165
Institutions selling 54 213 92
Buyers to sellers 2.87 1.17 1.79

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.

PACSENSGBKD
PACS 1.00 0.24 0.17
ENSG 0.24 1.00 0.34
BKD 0.17 0.34 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, PACS, ENSG and BKD?

Ensign (ENSG) is the largest by market capitalisation: Pacs (PACS) $7.86B, Ensign (ENSG) $10.73B, Brookdale Senior Living (BKD) $2.48B.

Which stock is cheaper, PACS, ENSG and BKD?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (Pacs (PACS) 29.2x, Ensign (ENSG) 26.9x, Brookdale Senior Living (BKD) -17.9x). On next year's consensus earnings, Pacs (PACS) is cheapest (Pacs (PACS) 21.5x, Ensign (ENSG) 22.2x, Brookdale Senior Living (BKD) 332.3x). 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: Pacs (PACS) +15.2%, Ensign (ENSG) +17.5%, Brookdale Senior Living (BKD) -4.4%.

Which company is more profitable?

Ensign (ENSG) has the highest net margin (Pacs (PACS) 4.8%, Ensign (ENSG) 7.0%, Brookdale Senior Living (BKD) -4.5%). On return on invested capital, Pacs (PACS) leads (Pacs (PACS) 21.8%, Ensign (ENSG) 14.3%, Brookdale Senior Living (BKD) 2.5%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Pacs (PACS) +295.2%, Ensign (ENSG) -0.8%, Brookdale Senior Living (BKD) +12.9%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +18.8%/yr, Brookdale Senior Living (BKD) +8.9%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Pacs (PACS) 81.5%, Ensign (ENSG) 29.3%, Brookdale Senior Living (BKD) 39.2%). Volatility measures how widely the price swings, not the risk of the business.

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

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 8. 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.