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Sat, February 28, 2026 astatine 2:08 PM CST 6 min read
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PACS reported beardown 2025 results with Q4 gross of $1.36 billion, full-year gross of $5.29 billion (up ~29%), full-year adjusted EBITDA of $505 million, and provided 2026 guidance of $5.65–5.75 billion gross and $555–575 million adjusted EBITDA.
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Portfolio and prime trends: the institution operates 321 facilities (over 31,700 patients daily) with full occupancy astatine 89.1% and mature-facility occupancy astatine 94.9%, portion 207 facilities (73.4%) of the skilled nursing portfolio are rated 4 oregon 5 stars connected CMS prime measures.
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Conservative equilibrium expanse and acquisition plan: PACS ended 2025 with nett leverage of ~0.3x, invested implicit $145 million successful the 4th (including spot purchases), holds existent property interests successful 102 facilities, and expects to adhd astir five facilities per quarter chiefly done selective acquisitions of underperforming assets.
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PACS Group (NYSE:PACS) outlined continued level maturation and “record performance” successful its fourth-quarter and full-year 2025 net call, pointing to beardown occupancy astatine mature facilities, improving objective prime metrics, and a blimpish equilibrium expanse presumption arsenic the institution enters 2026. Management besides provided 2026 gross and adjusted EBITDA guidance and discussed acquisition expectations, payer dynamics, and emerging Medicare prime programs.
Interim CFO Mark Hancock said fourth-quarter gross roseate astir 12% twelvemonth implicit twelvemonth to $1.36 billion. Net income was $59.8 million, with adjusted EBITDAR of $237.7 million and adjusted EBITDA of $142.1 million.
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For the afloat twelvemonth ended Dec. 31, 2025, PACS reported full gross of $5.29 billion, up astir 29% versus 2024. Net income totaled $191.5 million, and diluted net per stock were $1.22. Adjusted EBITDAR was $883.9 million, and adjusted EBITDA was $505 million.
Hancock attributed show to occupancy strength, unchangeable skilled premix trends, and what helium called disciplined execution crossed an expanded portfolio. He besides noted that expenses roseate alongside maturation and investment: outgo of services accrued 25% twelvemonth implicit twelvemonth and wide and administrative expenses accrued 21%, reflecting investments successful PACS Services and determination infrastructure, including compliance, hazard management, accounting, and technology.
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CEO Jason Murray said 2025 was focused connected integration and show pursuing “transformative” acquisition enactment successful 2024, portion PACS besides completed eight strategical acquisitions during 2025 successful existing markets. As of Dec. 31, 2025, the institution operated 321 facilities crossed 17 states, cared for more than 31,700 patients daily, and employed over 47,000 squad members.

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