PACS vs OPCH vs ADUS Stock Comparison

Pacs, Option Care Health and Addus HomeCare Prices as of Oct 27, 2026 Peers: Industry group
PACS PACS Group, Inc.
$47.88 +16.0% 1M +280.0% 1Y
Market cap
$7.80B
P/E
29.0x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
3 wins
OPCH Option Care Health, Inc.
$31.29 +35.6% 1M +12.4% 1Y
Market cap
$4.78B
P/E
22.8x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
1 win
ADUS Addus HomeCare Corp
$121.24 +7.1% 1M -0.2% 1Y
Market cap
$2.25B
P/E
21.3x
Revenue (TTM)
$1.48B
Div. yield
–
Home Health and Senior Care Healthcare
7 wins

Head to Head

11 decided of 12

Addus HomeCare leads on 7 of the 12 questions below (Addus HomeCare 7, Pacs 3, Option Care Health 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionPACSOPCHADUSLeader
Larger companyMarket capitalisation $7.80B $4.78B $2.25B PACS
Cheaper on earningsLower P/E, profitable companies only 29.0x 22.8x 21.3x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.0x 16.1x 16.8x OPCH
Faster revenue growthRevenue growth, trailing twelve months +15.2% +5.9% +15.9% ADUS
More profitableNet margin, trailing twelve months 4.8% 3.7% 7.1% ADUS
Better return on capitalReturn on invested capital 21.8% 9.9% 9.2% PACS
Less leveragedLower net debt / EBITDA 0.2x 2.4x -0.2x ADUS
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +280.0% +12.4% -0.2% PACS
Better 5-year returnAnnualised price return, 5 years — +3.0%/yr +6.7%/yr ADUS
Less volatileAnnualised volatility, 1 year 81.5% 52.0% 29.2% ADUS
Higher overall scoreMean of the five percentile scores vs peers 64/100 53/100 69/100 ADUS

Percentile Scorecard

PACSOPCHADUS

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

AxisPACSOPCHADUS
Valuation 67 #31 of 92 80 #19 of 92 86 #14 of 92
Growth 74 #23 of 87 24 #66 of 87 61 #35 of 87
Profitability 71 #26 of 86 67 #29 of 86 73 #24 of 86
Financial Health 44 #55 of 97 42 #57 of 97 87 #14 of 97
Shareholder Returns – – 40 #34 of 56
Overall 64 53 69
  • PACS ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers
  • ADUS ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodPACSOPCHADUSSPY
1 month +16.0%+35.6%+7.1% -0.2%
3 months +1.9%+39.2%+1.7% +3.9%
6 months +44.5%+12.7%+22.7% +8.2%
Year to date +24.7%-1.8%+12.9% +12.9%
1 year +280.0%+12.4%-0.2% +12.3%
3 years —+17.5%+48.0% +87.4%
3 years, per year —+5.5%+14.0% +23.3%
5 years —+15.8%+38.6% +67.9%
5 years, per year —+3.0%+6.7% +10.9%
10 years ——+379.6% +261.1%
10 years, per year ——+17.0% +13.7%

Risk

MeasurePACSOPCHADUSSPY
Volatility, 1Y 81.5%52.0%29.2% 12.7%
Downside volatility, 1Y 48.6%50.4%30.8% 12.7%
Beta vs S&P 500, 1Y 0.380.050.18 1.00
Return / volatility, 1Y 3.440.24-0.01 0.97
Max drawdown, 5Y -82.0%-46.7%-34.9% -25.4%
From 52-week high -1.8%-14.5%-1.2% -1.2%
52-week high $48.74$36.59$122.75 $779.14
52-week low $10.58$19.52$88.49 $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.

MultiplePACSOPCHADUS
P/E now vs peer median 28.1xmedian 24.6x 22.8xmedian 24.6x 21.1xmedian 24.6x
P/S now vs peer median 1.4xmedian 1.6x 0.8xmedian 1.6x 1.5xmedian 1.6x
EV/EBITDA now vs peer median 16.0xmedian 14.6x 13.8xmedian 14.6x 13.4xmedian 14.6x
P/FCF now vs peer median 62.4xmedian 21.6x 15.4xmedian 21.6x 14.6xmedian 21.6x
P/B now vs peer median 6.8xmedian 3.2x 3.7xmedian 3.2x 2.0xmedian 3.2x
PEG now vs peer median —median 0.66 22.11median 0.66 1.06median 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 monthsPACSOPCHADUS
Revenue $5.55B $5.69B $1.48B
Gross profit $1.30B $1.09B $477.75M
Operating income $410.32M $333.69M $148.23M
Net income $269.17M $209.58M $105.31M
Free cash flow $121.47M $303.85M $154.77M
EPS (diluted) $1.66 $1.37 $5.70
Cash & equivalents $164.45M $193.77M $99.57M
Total debt $246.09M $1.16B $61.60M
Shares (diluted) 161.99M 153.49M 18.47M
Enterprise value $6.84B $3.87B $1.86B

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
MetricPACSOPCHADUS
P/E 28.1x 22.8x 21.1x
P/FCF 62.4x 15.4x 14.6x
P/Operating cash flow 13.2x 13.5x 13.9x
P/S 1.4x 0.8x 1.5x
P/B 6.8x 3.7x 2.0x
P/Tangible book 6.8x 4.8x 2.2x
EV/EBITDA 16.0x 13.8x 13.4x
EV/EBIT 18.7x 16.9x 15.0x
EV/Revenue 1.4x 1.0x 1.5x
EV/FCF 63.1x 18.6x 14.4x
EV/Operating cash flow 13.4x 16.3x 13.7x
PEG (3Y EPS CAGR) – 22.11 1.06

Growth

14 metrics
MetricPACSOPCHADUS
Revenue growth (1Y) 15.2% 5.9% 15.9%
Revenue CAGR (3Y) – 11.3% 13.9%
Gross profit growth (1Y) 33.3% 2.6% 15.1%
Gross profit CAGR (3Y) – 5.3% 14.9%
Operating income growth (1Y) 83.5% -0.1% 27.5%
Operating income CAGR (3Y) – 6.3% 23.6%
Net income growth (1Y) 103.5% -0.8% 26.9%
Net income CAGR (3Y) – -4.4% 25.1%
EPS growth (1Y) 107.9% 6.1% 26.0%
EPS CAGR (3Y) – 1.0% 19.9%
Operating cash flow growth (1Y) 20.3% 24.0% 61.7%
Operating cash flow CAGR (3Y) – -3.8% 16.4%
Free cash flow growth (1Y) -58.3% 26.0% 65.3%
Free cash flow CAGR (3Y) – -4.7% 17.9%

Profitability

14 metrics
MetricPACSOPCHADUS
Gross margin 23.5% 19.1% 32.4%
EBITDA margin 8.6% 7.2% 11.3%
Operating margin 7.4% 5.9% 10.0%
Pretax margin 6.9% 5.0% 9.5%
Net margin 4.8% 3.7% 7.1%
FCF margin 2.2% 5.3% 10.5%
Operating cash flow margin 10.3% 6.1% 11.0%
Return on equity 24.9% 16.0% 9.3%
Return on assets 4.8% 6.2% 7.3%
Return on invested capital 21.8% 9.9% 9.2%
Return on capital employed 8.9% 13.0% 11.6%
Asset turnover 1.0x 1.7x 1.0x
Cash conversion (OCF / net income) 2.1x 1.7x 1.5x
Stock comp / revenue 1.3% 0.7% 1.2%

Financial Health

11 metrics
MetricPACSOPCHADUS
Debt / assets 4.4% 34.3% 4.2%
Debt / equity 0.2x 0.9x 0.1x
Net debt / EBITDA 0.2x 2.4x -0.2x
Debt / FCF 2.0x 3.8x 0.4x
Liabilities / assets 80.3% 62.7% 21.2%
Equity / assets 19.7% 37.3% 78.8%
Interest coverage 13.9x 6.2x 14.9x
Current ratio 0.9x 1.5x 1.7x
Quick ratio 0.8x 1.0x 1.5x
Cash ratio 0.2x 0.2x 0.6x
Altman Z-score 2.32 3.88 6.36

Shareholder Returns

7 metrics
MetricPACSOPCHADUS
Dividend yield – – –
Net buyback yield – – -0.1%
Shareholder yield – – -0.1%
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.

ConsensusPACSOPCHADUS
Forward P/E 21.0xFY2026 16.1xFY2026 16.8xFY2026
EPS, next fiscal year $2.28FY2026 $1.94FY2026 $7.20FY2026
EPS growth, next FY +23.9%FY2026 +12.8%FY2026 +15.6%FY2026
EPS growth, the year after +25.4% +12.9% +11.1%
Revenue, next fiscal year $6.17BFY2026 $5.93BFY2026 $1.57BFY2026
Revenue growth, next FY +16.6%FY2026 +5.0%FY2026 +10.8%FY2026
Revenue growth, the year after +1.1% -2.1% +6.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersPACSOPCHADUS
Held by institutions 31.3% 100.0% 100.0%
Institutions holding 239 372 303
Change in shares held, QoQ +5.8% -4.6% +0.8%
Institutions buying 155 212 162
Institutions selling 54 121 94
Buyers to sellers 2.87 1.75 1.72

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.

PACSOPCHADUS
PACS 1.00 0.03 0.15
OPCH 0.03 1.00 0.25
ADUS 0.15 0.25 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, PACS, OPCH and ADUS?

Pacs (PACS) is the largest by market capitalisation: Pacs (PACS) $7.80B, Option Care Health (OPCH) $4.78B, Addus HomeCare (ADUS) $2.25B.

Which stock is cheaper, PACS, OPCH and ADUS?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (Pacs (PACS) 29.0x, Option Care Health (OPCH) 22.8x, Addus HomeCare (ADUS) 21.3x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Pacs (PACS) 21.0x, Option Care Health (OPCH) 16.1x, Addus HomeCare (ADUS) 16.8x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Addus HomeCare (ADUS) grew revenue fastest over the trailing twelve months: Pacs (PACS) +15.2%, Option Care Health (OPCH) +5.9%, Addus HomeCare (ADUS) +15.9%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (Pacs (PACS) 4.8%, Option Care Health (OPCH) 3.7%, Addus HomeCare (ADUS) 7.1%). On return on invested capital, Pacs (PACS) leads (Pacs (PACS) 21.8%, Option Care Health (OPCH) 9.9%, Addus HomeCare (ADUS) 9.2%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Pacs (PACS) +280.0%, Option Care Health (OPCH) +12.4%, Addus HomeCare (ADUS) -0.2%. Over five years, Addus HomeCare (ADUS) compounded fastest (Option Care Health (OPCH) +3.0%/yr, Addus HomeCare (ADUS) +6.7%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Pacs (PACS) 81.5%, Option Care Health (OPCH) 52.0%, Addus HomeCare (ADUS) 29.2%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, PACS, OPCH and ADUS?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Addus HomeCare (ADUS) 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.