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Ensign vs PACS: revenue, profit, margins and growth compared

Ensign brought in $5.1B of revenue in fiscal 2025, PACS $5.3B in fiscal 2025. Revenue changed by +18.7% at Ensign and +29.3% at PACS on the year before, so PACS grew faster. Ensign kept 6.8% of its revenue as net profit, PACS 3.6%.

Open the ENSG pageOpen the PACS page

Side by side, latest fiscal year

ENSGPACS
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$5.1B$5.3B
Revenue growth+18.7%+29.3%
Net income$344M$191.5M
Net margin6.8%3.6%
Free cash flown/an/a
Free cash flow marginn/an/a
Earnings per share (diluted)$5.84$1.22
Cash$503.9M$197M
Debt$144.4M$353.2M
Price to earnings30.033.9
Market value$10.2B$6.5B
Dividend yield0.14%n/a
Rank by revenue in sector#62 of 523 · Health care#59 of 523 · Health care

Over the years

Revenue
ENSG FY2018: $1.8BENSG FY2019: $2BENSG FY2020: $2.4BENSG FY2021: $2.6BENSG FY2022: $3BENSG FY2023: $3.7BENSG FY2024: $4.3BENSG FY2025: $5.1BPACS FY2022: $2.4BPACS FY2024: $3.1BPACS FY2024: $4.1BPACS FY2025: $5.3BFY18FY19FY20FY21FY22FY23FY24FY25
ENSG $5.1BPACS $5.3B
Net income
ENSG FY2018: $92.4MENSG FY2019: $110.5MENSG FY2020: $170.5MENSG FY2021: $194.7MENSG FY2022: $224.7MENSG FY2023: $209.4MENSG FY2024: $298MENSG FY2025: $344MPACS FY2022: $150.5MPACS FY2024: $112.9MPACS FY2024: $55.8MPACS FY2025: $191.5MFY18FY19FY20FY21FY22FY23FY24FY25
ENSG $344MPACS $191.5M
Net margin
ENSG FY2018: 5.3%ENSG FY2019: 5.4%ENSG FY2020: 7.1%ENSG FY2021: 7.4%ENSG FY2022: 7.4%ENSG FY2023: 5.6%ENSG FY2024: 7.0%ENSG FY2025: 6.8%PACS FY2022: 6.2%PACS FY2024: 3.6%PACS FY2024: 1.4%PACS FY2025: 3.6%FY18FY19FY20FY21FY22FY23FY24FY25
ENSG 6.8%PACS 3.6%
Revenue growth
ENSG FY2019: +16.1%ENSG FY2020: +18.0%ENSG FY2021: +9.4%ENSG FY2022: +15.1%ENSG FY2023: +23.3%ENSG FY2024: +14.2%ENSG FY2025: +18.7%PACS FY2024: +28.5%PACS FY2024: +31.4%PACS FY2025: +29.3%FY19FY20FY21FY22FY23FY24FY25
ENSG +18.7%PACS +29.3%
Free cash flow
ENSG FY2018: $159.4MENSG FY2019: $120.7MFY18FY19
ENSG $120.7MPACS

Fiscal years as each company reports them; the two may end in different months.

Questions about Ensign and PACS

Which is bigger by revenue, Ensign or PACS?

PACS is bigger by revenue: $5.3B in fiscal 2025, against $5.1B for Ensign in fiscal 2025.

Which keeps more of its revenue as profit, Ensign or PACS?

Ensign had a net margin of 6.8% in fiscal 2025; PACS had 3.6% in fiscal 2025.

Which grew revenue faster, Ensign or PACS?

In their latest fiscal years revenue changed by +18.7% at Ensign and +29.3% at PACS.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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