PACS vs ENSG vs SNDA Stock Comparison

Pacs, Ensign and Sonida Senior Living Prices as of Nov 4, 2026 Peers: Industry group
PACS PACS Group, Inc.
$50.28 +17.6% 1M +303.5% 1Y
Market cap
$8.03B
P/E
28.9x
Revenue (TTM)
$5.71B
Div. yield
–
Home Health and Senior Care Healthcare
3 wins
ENSG Ensign Group, Inc
$188.31 +8.9% 1M +2.4% 1Y
Market cap
$10.63B
P/E
26.6x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
7 wins

Head to Head

11 decided of 12

Ensign leads on 7 of the 12 questions below (Ensign 7, Pacs 3, Sonida Senior Living 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionPACSENSGSNDALeader
Larger companyMarket capitalisation $8.03B $10.63B $1.56B ENSG
Cheaper on earningsLower P/E, profitable companies only 28.9x 26.6x -10.7x ENSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.1x 22.7x — PACS
Faster revenue growthRevenue growth, trailing twelve months +11.0% +17.5% +49.4% SNDA
More profitableNet margin, trailing twelve months 4.9% 7.0% -27.6% ENSG
Better return on capitalReturn on invested capital 20.7% 14.3% -2.7% PACS
Less leveragedLower net debt / EBITDA 0.3x -0.3x 52.8x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +303.5% +2.4% +43.8% PACS
Better 5-year returnAnnualised price return, 5 years — +17.8%/yr +5.5%/yr ENSG
Less volatileAnnualised volatility, 1 year 81.9% 29.6% 38.4% ENSG
Higher overall scoreMean of the five percentile scores vs peers 58/100 64/100 18/100 ENSG

Percentile Scorecard

PACSENSGSNDA

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

AxisPACSENSGSNDA
Valuation 66 #33 of 95 69 #30 of 95 26 #71 of 95
Growth 64 #32 of 88 62 #34 of 88 17 #73 of 88
Profitability 65 #31 of 87 74 #23 of 87 24 #66 of 87
Financial Health 37 #63 of 100 72 #29 of 100 16 #84 of 100
Shareholder Returns – 44 #33 of 58 5 #55 of 58
Overall 58 64 18
  • PACS ranked among 102 companies in Healthcare Providers
  • ENSG 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

PeriodPACSENSGSNDASPY
1 month +17.6%+8.9%+0.7% -1.0%
3 months +10.2%+5.4%-7.1% -0.4%
6 months +48.6%+7.0%-0.4% +4.5%
Year to date +31.0%+8.1%+13.5% +12.4%
1 year +303.5%+2.4%+43.8% +13.6%
3 years —+84.6%+311.2% +76.4%
3 years, per year —+22.7%+60.3% +20.8%
5 years —+126.5%+30.8% +63.7%
5 years, per year —+17.8%+5.5% +10.4%
10 years —+1,024.9%-80.8% +267.7%
10 years, per year —+27.4%-15.2% +13.9%

Risk

MeasurePACSENSGSNDASPY
Volatility, 1Y 81.9%29.6%38.4% 12.8%
Downside volatility, 1Y 49.5%25.2%35.0% 12.7%
Beta vs S&P 500, 1Y 0.540.000.38 1.00
Return / volatility, 1Y 3.710.081.14 1.06
Max drawdown, 5Y -82.0%-31.8%-82.1% -25.4%
From 52-week high 0.0%-12.8%-14.3% -1.6%
52-week high $50.28$215.83$43.17 $779.14
52-week low $10.58$147.13$25.74 $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.

MultiplePACSENSGSNDA
P/E now vs peer median 28.7xmedian 25.6x 27.3xmedian 25.6x -11.9xmedian 25.6x
P/S now vs peer median 1.4xmedian 1.6x 1.9xmedian 1.6x 3.3xmedian 1.6x
EV/EBITDA now vs peer median 16.4xmedian 16.0x 17.1xmedian 16.0x 113.6xmedian 16.0x
P/FCF now vs peer median 967.3xmedian 21.6x 21.5xmedian 21.6x -25.6xmedian 21.6x
P/B now vs peer median 6.5xmedian 3.4x 4.3xmedian 3.4x 2.0xmedian 3.4x
PEG now vs peer median —median 0.74 1.72median 0.74 -1.33median 0.74

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 monthsPACSENSGSNDA
Revenue $5.71B $5.67B $525.97M
Gross profit $1.36B $1.20B –
Operating income $423.77M $509.16M –
Net income $277.59M $399.32M -$123.67M
Free cash flow $8.25M $509.91M -$68.36M
EPS (diluted) $1.69 $6.73 $-3.11
Cash & equivalents $115.28M $337.59M $48.71M
Total debt $272.33M $198.72M $1.57B
Shares (diluted) 163.91M 59.30M 46.81M
Enterprise value $7.30B $8.75B $1.40B

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
MetricPACSENSGSNDA
P/E 28.7x 27.3x -11.9x
P/FCF 967.3x 21.5x -25.6x
P/Operating cash flow 13.8x 15.8x -112.7x
P/S 1.4x 1.9x 3.3x
P/B 6.5x 4.3x 2.0x
P/Tangible book 6.5x 4.3x 2.6x
EV/EBITDA 16.4x 17.1x 113.6x
EV/EBIT 19.2x 21.2x -48.4x
EV/Revenue 1.4x 1.9x 6.2x
EV/FCF 986.4x 21.2x -47.9x
EV/Operating cash flow 14.0x 15.5x -210.6x
PEG (3Y EPS CAGR) – 1.72 -1.33

Growth

14 metrics
MetricPACSENSGSNDA
Revenue growth (1Y) 11.0% 17.5% 49.4%
Revenue CAGR (3Y) – 16.8% 29.0%
Gross profit growth (1Y) 23.8% 21.7% –
Gross profit CAGR (3Y) – 16.3% –
Operating income growth (1Y) 47.7% 26.6% –
Operating income CAGR (3Y) – 18.3% –
Net income growth (1Y) 64.8% 21.6% -243.6%
Net income CAGR (3Y) – 17.2% -88.8%
EPS growth (1Y) 65.0% 20.9% -44.1%
EPS CAGR (3Y) – 15.9% 9.0%
Operating cash flow growth (1Y) 22.8% 44.5% -223.5%
Operating cash flow CAGR (3Y) – 26.8% -72.1%
Free cash flow growth (1Y) -96.8% 76.1% 66.2%
Free cash flow CAGR (3Y) – 29.2% -58.8%

Profitability

14 metrics
MetricPACSENSGSNDA
Gross margin 23.8% 21.2% –
EBITDA margin 8.7% 11.1% 5.5%
Operating margin 7.4% 9.0% –
Pretax margin 7.0% 9.4% -23.4%
Net margin 4.9% 7.0% -27.6%
FCF margin 0.1% 9.0% -13.0%
Operating cash flow margin 10.2% 12.3% -3.0%
Return on equity 23.8% 16.0% -14.1%
Return on assets 4.8% 6.8% -4.8%
Return on invested capital 20.7% 14.3% -2.7%
Return on capital employed 9.2% 10.4% -2.7%
Asset turnover 1.0x 1.0x 0.2x
Cash conversion (OCF / net income) 2.1x 1.7x 0.1x
Stock comp / revenue 1.9% 1.1% 1.4%

Financial Health

11 metrics
MetricPACSENSGSNDA
Debt / assets 4.6% 3.3% 61.7%
Debt / equity 0.2x 0.1x 1.8x
Net debt / EBITDA 0.3x -0.3x 52.8x
Debt / FCF 33.0x 0.4x -23.0x
Liabilities / assets 79.4% 57.3% 66.0%
Equity / assets 20.6% 42.7% 34.0%
Interest coverage 16.2x 62.8x -1.2x
Current ratio 0.8x 1.2x 0.9x
Quick ratio 0.7x 1.1x 0.6x
Cash ratio 0.1x 0.4x 0.4x
Altman Z-score 2.30 3.66 0.43

Shareholder Returns

7 metrics
MetricPACSENSGSNDA
Dividend yield – 0.1% –
Net buyback yield – 0.2% -6.2%
Shareholder yield – 0.3% -6.2%
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.

ConsensusPACSENSGSNDA
Forward P/E 22.1xFY2026 22.7xFY2026 –
EPS, next fiscal year $2.28FY2026 $8.29FY2026 $-3.72FY2026
EPS growth, next FY +23.9%FY2026 +26.2%FY2026 –
EPS growth, the year after +25.4% -1.8% –
Revenue, next fiscal year $6.17BFY2026 $5.76BFY2026 $682.14MFY2026
Revenue growth, next FY +16.6%FY2026 +13.9%FY2026 +79.0%FY2026
Revenue growth, the year after +1.1% +16.9% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersPACSENSGSNDA
Held by institutions 31.3% 89.8% 79.1%
Institutions holding 241 549 230
Change in shares held, QoQ +5.8% -1.2% +44.5%
Institutions buying 155 250 132
Institutions selling 54 215 55
Buyers to sellers 2.87 1.16 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.

PACSENSGSNDA
PACS 1.00 0.25 0.18
ENSG 0.25 1.00 0.30
SNDA 0.18 0.30 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, PACS, ENSG and SNDA?

Ensign (ENSG) is the largest by market capitalisation: Pacs (PACS) $8.03B, Ensign (ENSG) $10.63B, Sonida Senior Living (SNDA) $1.56B.

Which stock is cheaper, PACS, ENSG and SNDA?

Ensign (ENSG) trades on the lowest price-to-earnings ratio (Pacs (PACS) 28.9x, Ensign (ENSG) 26.6x, Sonida Senior Living (SNDA) -10.7x). On next year's consensus earnings, Pacs (PACS) is cheapest (Pacs (PACS) 22.1x, Ensign (ENSG) 22.7x). 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) +11.0%, Ensign (ENSG) +17.5%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Ensign (ENSG) has the highest net margin (Pacs (PACS) 4.9%, Ensign (ENSG) 7.0%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Pacs (PACS) leads (Pacs (PACS) 20.7%, Ensign (ENSG) 14.3%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Pacs (PACS) +303.5%, Ensign (ENSG) +2.4%, Sonida Senior Living (SNDA) +43.8%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +17.8%/yr, Sonida Senior Living (SNDA) +5.5%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Pacs (PACS) 81.9%, Ensign (ENSG) 29.6%, Sonida Senior Living (SNDA) 38.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, PACS, ENSG 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, 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.