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PACS Group

PACS
68
Medical - Care Facilities · Healthcare
Price
$44.25
+0.67 (+1.54%)
Market Cap
$7.01B
Winston Score
68
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Good
Growth
Strong
Cash Flow
Strong
Stability
Exceptional
Valuation
Strong

Share count rising — dilution

+4.4% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 150.2M (2021) → 156.7M (2025)

Winston Score History

The full picture

PACS Group operates skilled nursing facilities and other post-acute care centers across the United States. These are places where patients go after leaving a hospital — for example, after a surgery or serious illness — to recover and get medical care before going home. The company serves elderly and medically complex patients, and most of its revenue comes from government programs like Medicare and Medicaid.

PACS makes money by charging for daily patient care, with reimbursement rates set largely by federal and state governments rather than by the company itself. It operates primarily in the western United States and has grown quickly by acquiring existing facilities. Its competitive position depends on maintaining high occupancy rates and managing costs tightly, since margins in skilled nursing are thin. The biggest risk the company faces is government reimbursement cuts, as any reduction in Medicare or Medicaid payment rates would directly reduce revenue and profitability.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+9.1% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+45.5% YoY

YoY Growth Rate

Strong earnings growth

R&D Spend

$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

69.8%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$299M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

PACS Group is growing revenue at 9% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
23.7%
Thin — 23.7% gross margin
Profit after running costs
Operating Margin
7.7%
Modest — 7.7% operating margin
Return on the money invested
ROCE
30.2%
Exceptional — 30.2% return on capital

ROIC above 25%. Every dollar invested in the business earns more than 25 cents back per year.

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Growth

Sales growth
Sales YoY
+15.2%
Fast-growing sales (+15.2% YoY)
Profit growth
EPS YoY
+100.0%
Earnings growing fast (+100.0% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
213%
Turns 213% of profit into real cash
Spare cash per sale
FCF Margin
5.6%
Thin free cash flow (5.6%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.22
Conservative — low debt load (0.22)
Covers its interest
Interest Cover
13.88x
Comfortably covers interest (13.9x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
26.0x
Growth-priced — P/E 26.0

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
+7.3
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (26.0 → 18.8)

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Dividends

Not applicable for this business.
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