ENSIGN GROUP, INC vs PACS Group, Inc., two Medical Care stocks. A side-by-side on valuation, growth, margins, returns, and what each price is betting.
26.57 against 27.02: the multiples on these two skilled-nursing operators are as close as the sector prints, and everything underneath diverges. Ensign is the proven roll-up, 15.3% returns on equity on 0.06 turns of debt, a decade of buying broken facilities and fixing them; PACS is the newer, faster version, 23.4% returns on 0.24 turns, with a 7.2% free-cash yield to Ensign's 6.1%. Margins nearly match, 9% and 8.5% operating. The identical pricing says the market cannot decide between track record and torque, so it charges the same for both. Two versions of the same playbook at one price; the difference a buyer gets is vintage.
Comparison updated 2026-07-10.
| Metric | ENSG | PACS |
|---|---|---|
| Price | $163.16 | $41.88 |
| Market cap | $9.7B | $6.8B |
| Sector | Medical Care | Medical Care |
| Stage | Growth | Growth |
| Implied growth (priced in) | +6.5% | +7.9% |
| P/E | 26.6 | 27.0 |
| P/B | 4.10 | 6.51 |
| P/S | 1.84 | 1.25 |
| EV/EBITDA | 16.7 | 17.8 |
| Revenue growth | +19.2% | +23.6% |
| Operating margin | 9.0% | 8.4% |
| Net margin | 6.9% | 4.5% |
| Return on equity | 15.3% | 23.4% |
| Return on assets | 6.5% | 4.3% |
| Return on invested capital | 13.9% | 21.0% |
| FCF yield | 6.1% | 7.2% |
| Dividend yield | 0.1% | 0.5% |
| Debt / equity | 0.06 | 0.24 |
| Current ratio | 1.56 | 0.99 |
| Altman Z (solvency) | 3.37 | 2.01 |
| Piotroski F (quality) | 7 / 9 | 7 / 9 |
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The stronger value is highlighted per metric where one is strictly better on that single number; it is not an overall verdict on either company. For informational and research purposes only. Not investment advice. Not a recommendation to buy, sell, or hold any security. boothcheck is not a registered investment adviser. Past performance does not guarantee future results.