Record Revenue and Profitability
Full year 2025 revenue of $5.29B, up ~29% year-over-year; Q4 revenue of $1.36B, up ~12% year-over-year. Full year net income $191.5M and diluted EPS $1.22. Record adjusted EBITDAR of $883.9M and adjusted EBITDA of $505M for 2025 (Q4 adjusted EBITDAR $237.7M; Q4 adjusted EBITDA $142.1M).
Strong Guidance for 2026
2026 revenue guidance $5.65B–$5.75B (midpoint ~$5.7B), ~8% growth vs 2025; adjusted EBITDA guidance $555M–$575M (midpoint $565M), ~12% growth vs 2025 midpoint — signaling expected continued margin expansion.
High and Improving Clinical Quality
207 facilities (73.4% of portfolio) rated 4 or 5 stars on CMS quality measures. Average CMS QM star rating in mature facilities rose to 4.4 in 2025 from 4.3 in 2024, well above industry average (~3.5).
Strong Occupancy in Mature Portfolio
Overall portfolio occupancy averaged 89.1% for 2025; mature facilities delivered 94.9% occupancy (up 0.5 percentage points from 94.4% in prior year), demonstrating consistent demand and operational performance.
Scale and Platform Footprint
At year-end 2025 PACS operated 321 facilities across 17 states with 35,379 total operating beds (32,854 skilled nursing beds; 2,525 assisted living beds), caring for >31,700 patients daily and supported by >47,000 employees.
Disciplined Balance Sheet and Low Leverage
Year-end net leverage approximately 0.3x despite significant acquisition and capital activity; deployed >$145M in quarter for real estate and other investments while maintaining conservative leverage.
Successful Integration and Operational Wins
Completed 8 strategic acquisitions in 2025 (all in existing markets) and continued integration of 2024 acquisitions. Notable operational outcomes include 7 zero-deficiency surveys in 2025 and a de novo Oceanside, CA facility achieving profitability in its first year with >250 admissions in 2025.
Growing Real Estate Ownership and Long Lease Profiles
Now wholly or partially own real estate interests in 102 facilities. Average remaining lease terms: ~13 years for operating leases and ~22 years for finance leases, enabling long-term stability and purchase option strategies to reduce lease-adjusted leverage.