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Stock Comparison

PACS vs ENSG

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
PACS
PACS Group, Inc.

Financial - Conglomerates

Financial ServicesNYSE • US
Market Cap$5.30B
5Y Perf.+35.4%
ENSG
The Ensign Group, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$10.28B
5Y Perf.+48.6%

PACS vs ENSG — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
PACS logoPACS
ENSG logoENSG
IndustryFinancial - ConglomeratesMedical - Care Facilities
Market Cap$5.30B$10.28B
Revenue (TTM)$5.29B$5.27B
Net Income (TTM)$192M$363M
Gross Margin21.9%15.2%
Operating Margin5.9%8.5%
Forward P/E16.3x23.4x
Total Debt$3.20B$4.15B
Cash & Equiv.$197M$504M

PACS vs ENSGLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

PACS
ENSG
StockApr 24May 26Return
PACS Group, Inc. (PACS)100135.4+35.4%
The Ensign Group, I… (ENSG)100148.6+48.6%

Price return only. Dividends and distributions are not included.

Quick Verdict: PACS vs ENSG

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: ENSG leads in 4 of 7 categories, making it the strongest pick for profitability and margin quality and capital preservation and lower volatility. PACS Group, Inc. is the stronger pick specifically for growth and revenue expansion and valuation and capital efficiency. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
PACS
PACS Group, Inc.
The Banking Pick

PACS is the clearest fit if your priority is growth exposure.

  • Rev growth 29.3%, EPS growth 221.1%
  • 29.3% NII/revenue growth vs ENSG's 18.7%
  • Lower P/E (16.3x vs 23.4x)
Best for: growth exposure
ENSG
The Ensign Group, Inc.
The Income Pick

ENSG carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.

  • Dividend streak 12 yrs, beta 0.42, yield 0.1%
  • 7.7% 10Y total return vs PACS's 47.0%
  • Lower volatility, beta 0.42, current ratio 1.42x
Best for: income & stability and long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthPACS logoPACS29.3% NII/revenue growth vs ENSG's 18.7%
ValuePACS logoPACSLower P/E (16.3x vs 23.4x)
Quality / MarginsENSG logoENSG6.9% margin vs PACS's 3.6%
Stability / SafetyENSG logoENSGBeta 0.42 vs PACS's 0.64, lower leverage
DividendsENSG logoENSG0.1% yield; 12-year raise streak; the other pay no meaningful dividend
Momentum (1Y)PACS logoPACS+242.9% vs ENSG's +31.9%
Efficiency (ROA)ENSG logoENSG6.8% ROA vs PACS's 3.4%, ROIC 7.0% vs 5.6%

PACS vs ENSG — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

PACSPACS Group, Inc.
FY 2024
Reportable Segment
100.0%$4.1B
ENSGThe Ensign Group, Inc.
FY 2025
Skilled Services Segment
97.4%$4.8B
Standard Bearer Segment
2.6%$127M

PACS vs ENSG — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLENSGLAGGINGPACS

Income & Cash Flow (Last 12 Months)

Evenly matched — PACS and ENSG each lead in 2 of 4 comparable metrics.

PACS and ENSG operate at a comparable scale, with $5.3B and $5.3B in trailing revenue. Profitability is closely matched — net margins range from 6.9% (ENSG) to 3.6% (PACS).

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
RevenueTrailing 12 months$5.3B$5.3B
EBITDAEarnings before interest/tax$365M$558M
Net IncomeAfter-tax profit$192M$363M
Free Cash FlowCash after capex$254M$406M
Gross MarginGross profit ÷ Revenue+21.9%+15.2%
Operating MarginEBIT ÷ Revenue+5.9%+8.5%
Net MarginNet income ÷ Revenue+3.6%+6.9%
FCF MarginFCF ÷ Revenue+7.7%
Rev. Growth (YoY)Latest quarter vs prior year+18.4%
EPS Growth (YoY)Latest quarter vs prior year+75.0%+21.9%
Evenly matched — PACS and ENSG each lead in 2 of 4 comparable metrics.

Valuation Metrics

PACS leads this category, winning 4 of 5 comparable metrics.

At 27.7x trailing earnings, PACS trades at a 8% valuation discount to ENSG's 30.1x P/E. On an enterprise value basis, PACS's 22.7x EV/EBITDA is more attractive than ENSG's 25.9x.

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
Market CapShares × price$5.3B$10.3B
Enterprise ValueMkt cap + debt − cash$8.3B$13.9B
Trailing P/EPrice ÷ TTM EPS27.71x30.13x
Forward P/EPrice ÷ next-FY EPS est.16.33x23.40x
PEG RatioP/E ÷ EPS growth rate2.18x
EV / EBITDAEnterprise value multiple22.71x25.88x
Price / SalesMarket cap ÷ Revenue1.00x2.03x
Price / BookPrice ÷ Book value/share5.56x4.63x
Price / FCFMarket cap ÷ FCF27.72x
PACS leads this category, winning 4 of 5 comparable metrics.

Profitability & Efficiency

Evenly matched — PACS and ENSG each lead in 4 of 8 comparable metrics.

PACS delivers a 20.1% return on equity — every $100 of shareholder capital generates $20 in annual profit, vs $17 for ENSG. ENSG carries lower financial leverage with a 1.86x debt-to-equity ratio, signaling a more conservative balance sheet compared to PACS's 3.36x. On the Piotroski fundamental quality scale (0–9), PACS scores 6/9 vs ENSG's 5/9, reflecting solid financial health.

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
ROE (TTM)Return on equity+20.1%+16.6%
ROA (TTM)Return on assets+3.4%+6.8%
ROICReturn on invested capital+5.6%+7.0%
ROCEReturn on capital employed+7.0%+10.2%
Piotroski ScoreFundamental quality 0–965
Debt / EquityFinancial leverage3.36x1.86x
Net DebtTotal debt minus cash$3.0B$3.7B
Cash & Equiv.Liquid assets$197M$504M
Total DebtShort + long-term debt$3.2B$4.2B
Interest CoverageEBIT ÷ Interest expense88.33x
Evenly matched — PACS and ENSG each lead in 4 of 8 comparable metrics.

Total Returns (Dividends Reinvested)

ENSG leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in ENSG five years ago would be worth $20,770 today (with dividends reinvested), compared to $14,700 for PACS. Over the past 12 months, PACS leads with a +242.9% total return vs ENSG's +31.9%. The 3-year compound annual growth rate (CAGR) favors ENSG at 24.0% vs PACS's 13.7% — a key indicator of consistent wealth creation.

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
YTD ReturnYear-to-date-14.4%+1.2%
1-Year ReturnPast 12 months+242.9%+31.9%
3-Year ReturnCumulative with dividends+47.0%+90.7%
5-Year ReturnCumulative with dividends+47.0%+107.7%
10-Year ReturnCumulative with dividends+47.0%+768.3%
CAGR (3Y)Annualised 3-year return+13.7%+24.0%
ENSG leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

ENSG leads this category, winning 2 of 2 comparable metrics.

ENSG is the less volatile stock with a 0.42 beta — it tends to amplify market swings less than PACS's 0.64 beta. A beta below 1.0 means the stock typically moves less than the S&P 500.

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
Beta (5Y)Sensitivity to S&P 5000.64x0.42x
52-Week HighHighest price in past year$43.08$218.00
52-Week LowLowest price in past year$7.50$129.91
% of 52W HighCurrent price vs 52-week peak+78.5%+80.7%
RSI (14)Momentum oscillator 0–10041.823.3
Avg Volume (50D)Average daily shares traded774K352K
ENSG leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

ENSG leads this category, winning 1 of 1 comparable metric.

Wall Street rates PACS as "Buy" and ENSG as "Buy". Consensus price targets imply 32.1% upside for PACS (target: $45) vs 26.4% for ENSG (target: $222). ENSG is the only dividend payer here at 0.14% yield — a key consideration for income-focused portfolios.

MetricPACS logoPACSPACS Group, Inc.ENSG logoENSGThe Ensign Group,…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$44.67$222.33
# AnalystsCovering analysts813
Dividend YieldAnnual dividend ÷ price+0.1%
Dividend StreakConsecutive years of raises012
Dividend / ShareAnnual DPS$0.24
Buyback YieldShare repurchases ÷ mkt cap0.0%+0.2%
ENSG leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ENSG leads in 3 of 6 categories (Total Returns, Risk & Volatility). PACS leads in 1 (Valuation Metrics). 2 tied.

Best OverallThe Ensign Group, Inc. (ENSG)Leads 3 of 6 categories
Loading custom metrics...

PACS vs ENSG: Frequently Asked Questions

10 questions · data-driven answers · updated daily

01

Is PACS or ENSG a better buy right now?

For growth investors, PACS Group, Inc.

(PACS) is the stronger pick with 29. 3% revenue growth year-over-year, versus 18. 7% for The Ensign Group, Inc. (ENSG). PACS Group, Inc. (PACS) offers the better valuation at 27. 7x trailing P/E (16. 3x forward), making it the more compelling value choice. Analysts rate PACS Group, Inc. (PACS) a "Buy" — based on 8 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which has the better valuation — PACS or ENSG?

On trailing P/E, PACS Group, Inc.

(PACS) is the cheapest at 27. 7x versus The Ensign Group, Inc. at 30. 1x. On forward P/E, PACS Group, Inc. is actually cheaper at 16. 3x.

03

Which is the better long-term investment — PACS or ENSG?

Over the past 5 years, The Ensign Group, Inc.

(ENSG) delivered a total return of +107. 7%, compared to +47. 0% for PACS Group, Inc. (PACS). Over 10 years, the gap is even starker: ENSG returned +768. 3% versus PACS's +47. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — PACS or ENSG?

By beta (market sensitivity over 5 years), The Ensign Group, Inc.

(ENSG) is the lower-risk stock at 0. 42β versus PACS Group, Inc. 's 0. 64β — meaning PACS is approximately 52% more volatile than ENSG relative to the S&P 500. On balance sheet safety, The Ensign Group, Inc. (ENSG) carries a lower debt/equity ratio of 186% versus 3% for PACS Group, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — PACS or ENSG?

By revenue growth (latest reported year), PACS Group, Inc.

(PACS) is pulling ahead at 29. 3% versus 18. 7% for The Ensign Group, Inc. (ENSG). On earnings-per-share growth, the picture is similar: PACS Group, Inc. grew EPS 221. 1% year-over-year, compared to 14. 1% for The Ensign Group, Inc.. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

06

Which has better profit margins — PACS or ENSG?

The Ensign Group, Inc.

(ENSG) is the more profitable company, earning 6. 8% net margin versus 3. 6% for PACS Group, Inc. — meaning it keeps 6. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ENSG leads at 8. 6% versus 5. 9% for PACS. At the gross margin level — before operating expenses — PACS leads at 21. 9%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

07

Is PACS or ENSG more undervalued right now?

On forward earnings alone, PACS Group, Inc.

(PACS) trades at 16. 3x forward P/E versus 23. 4x for The Ensign Group, Inc. — 7. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for PACS: 32. 1% to $44. 67.

08

Which pays a better dividend — PACS or ENSG?

In this comparison, ENSG (0.

1% yield) pays a dividend. PACS does not pay a meaningful dividend and should not be held primarily for income.

09

Is PACS or ENSG better for a retirement portfolio?

For long-horizon retirement investors, The Ensign Group, Inc.

(ENSG) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 42), +768. 3% 10Y return). Both have compounded well over 10 years (ENSG: +768. 3%, PACS: +47. 0%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

10

What are the main differences between PACS and ENSG?

These companies operate in different sectors (PACS (Financial Services) and ENSG (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

Find Stocks Like These

Explore pre-built screens for each stock's profile, or build a custom screen to find stocks that outperform both.

Stocks Like

PACS

High-Growth Disruptor

  • Sector: Financial Services
  • Market Cap > $100B
  • Revenue Growth > 14%
  • Gross Margin > 13%
Run This Screen
Stocks Like

ENSG

High-Growth Disruptor

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 9%
  • Net Margin > 5%
Run This Screen
Custom Screen

Beat Both

Find stocks that outperform PACS and ENSG on the metrics below

Revenue Growth>
%
(PACS: 29.3% · ENSG: 18.4%)
Net Margin>
%
(PACS: 3.6% · ENSG: 6.9%)
P/E Ratio<
x
(PACS: 27.7x · ENSG: 30.1x)

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