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PACS Group Inc (PACS)
NYSE:PACS
US Market

PACS Group Inc (PACS) AI Stock Analysis

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PACS Group Inc

(NYSE:PACS)

Rating:51Neutral
Price Target:
The overall score for PACS Group Inc is moderate due to strong revenue growth counterbalanced by high financial leverage and negative technical indicators. Regulatory risks from noncompliance with NYSE requirements further impact the score. Limited valuation data and lack of earnings call insights add to the uncertainty surrounding the stock.
Positive Factors
Business Model
PACS has an attractive business model focused on acquiring underperforming skilled nursing facilities and driving improvement in clinical, operational, and financial performance, fueling management’s long-term growth outlook.
Industry Tailwinds
PACS will benefit from industry tailwinds including an aging population, growing chronic conditions among patients, and favorable reimbursement rates.
Market Position
PACS is well-positioned to continue gaining share in a highly fragmented market as the company’s scale and operational execution enable it to better navigate industry headwinds and expand its facility portfolio.
Negative Factors
Industry Challenges
The SNF industry has faced challenges since the pandemic and is slowly recovering, however, there are only a few players in the space (including PACS) that have emerged and that can take advantage of ongoing challenges.
Valuation
The company is valued using EV/EBITDA, with PACS currently trading at a multiple that reflects continued momentum in the business balanced with potential risks.

PACS Group Inc (PACS) vs. SPDR S&P 500 ETF (SPY)

PACS Group Inc Business Overview & Revenue Model

Company Descriptionnull
How the Company Makes Moneynull

PACS Group Inc Earnings Call Summary

Earnings Call Date:May 19, 2025
(Q2-2024)
|
% Change Since: 18.32%|
Next Earnings Date:Aug 18, 2025
Earnings Call Sentiment Positive
The earnings call reflects strong performance with substantial revenue and EBITDA growth, high facility occupancy, and successful M&A activities. However, the negative earnings per share and high stock compensation expenses are notable drawbacks.
Q2-2024 Updates
Positive Updates
Strong Revenue Growth
Revenue increased by 29.1% year-over-year to $981.8 million for the quarter and by 30.5% to $1.9 billion for the first 6 months of the year.
High Facility Occupancy
Facility occupancy was 91% during the second quarter, significantly higher than the industry average of 76%.
Quality Ratings Improvement
75% of skilled nursing portfolio achieved a 4- or 5-star CMS/QM rating, with 7 buildings moving to a 4-star rating in the second quarter.
Significant Adjusted EBITDA Growth
Adjusted EBITDA grew by 53.8% year-over-year for the first 6 months, totaling $188.2 million.
Successful M&A Activity
Acquired 28 additional facilities and entered into 4 new states after the quarter, with a robust acquisition pipeline.
Negative Updates
Negative Earnings Per Share
Earnings per share for the quarter were negative $0.07, driven by an increase in stock compensation expenses of $90.9 million.
High Stock Compensation Expenses
A significant increase in stock compensation expenses was noted, impacting overall financial performance.
Company Guidance
During the PACS Group's Q2 2024 earnings call, the company provided updated financial guidance for the full year, projecting annual revenue to be between $3.85 billion and $3.95 billion, which represents a 25% increase over 2023. Additionally, they expect adjusted EBITDA to range between $370 million and $380 million. Key metrics highlighted included a 29.1% increase in Q2 revenue year-over-year, reaching $981.8 million, and a 30.5% revenue increase for the first six months, totaling $1.9 billion. The company also noted a significant occupancy rate of 91%, compared to the industry average of 76%, and a robust acquisition pipeline, having added 28 new facilities in Q3. Adjusted EBITDA grew by 53.8% year-over-year for the first half of 2024, although earnings per share for the quarter were negative $0.07, impacted by stock compensation expenses related to the IPO.

PACS Group Inc Financial Statement Overview

Summary
PACS Group Inc demonstrates robust revenue growth but faces challenges with profitability margins and high leverage. The balance sheet reveals significant debt, posing a potential risk to financial stability, while cash flow generation needs improvement to support long-term investments and reduce leverage.
Income Statement
68
Positive
PACS Group Inc shows a solid revenue growth of 28.46% year-over-year, indicating strong market demand and expansion. However, the net profit margin decreased from 6.21% to 3.63%, pointing to increased costs or operational inefficiencies. The gross profit margin remains relatively stable at 14.36%, suggesting consistent cost management at the gross level. The EBIT and EBITDA margins reflect a strong operational base, though slightly declining year-over-year.
Balance Sheet
55
Neutral
The company's balance sheet indicates high leverage with a debt-to-equity ratio of 29.61, which introduces potential financial risk. The equity ratio of 2.74% is low, suggesting heavy reliance on debt financing. The return on equity stands at 117.43%, indicating high returns relative to the equity base, but this is primarily due to the minimal equity compared to liabilities.
Cash Flow
60
Neutral
PACS's operating cash flow to net income ratio is 0.56, showing moderate cash generation relative to earnings. The free cash flow decreased significantly by 74.31%, which may impact future investments or debt repayments. However, the company maintains positive free cash flow, indicating some level of financial flexibility.
BreakdownTTMDec 2023Dec 2022
Income Statement
Total Revenue1.92B3.11B2.42B
Gross Profit280.73M447.07M378.37M
EBITDA93.44M232.87M251.67M
Net Income38.23M112.87M150.50M
Balance Sheet
Total Assets3.90B3.51B2.46B
Cash, Cash Equivalents and Short-Term Investments73.37M73.42M66.12M
Total Debt2.71B2.85B1.93B
Total Liabilities3.32B3.41B2.39B
Stockholders Equity572.13M96.13M63.65M
Cash Flow
Free Cash Flow67.51M17.91M69.75M
Operating Cash Flow93.60M63.70M92.61M
Investing Cash Flow-239.13M-172.79M-72.08M
Financing Cash Flow104.68M129.59M9.10M

PACS Group Inc Technical Analysis

Technical Analysis Sentiment
Positive
Last Price12.79
Price Trends
50DMA
11.11
Positive
100DMA
11.20
Positive
200DMA
17.23
Negative
Market Momentum
MACD
0.57
Positive
RSI
60.71
Neutral
STOCH
46.84
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For PACS, the sentiment is Positive. The current price of 12.79 is above the 20-day moving average (MA) of 12.38, above the 50-day MA of 11.11, and below the 200-day MA of 17.23, indicating a neutral trend. The MACD of 0.57 indicates Positive momentum. The RSI at 60.71 is Neutral, neither overbought nor oversold. The STOCH value of 46.84 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for PACS.

PACS Group Inc Peers Comparison

Overall Rating
UnderperformOutperform
Sector (56)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
HOHON
80
Outperform
$153.42B27.2033.56%1.91%6.30%0.81%
ITITW
77
Outperform
$76.11B23.07107.62%2.31%-1.85%12.04%
DHDHR
72
Outperform
$143.62B38.917.22%0.62%-9.19%-12.75%
GEGE
64
Neutral
$266.95B39.3928.09%0.57%-42.92%109.75%
MMMMM
63
Neutral
$83.95B19.8794.75%1.86%-24.93%
56
Neutral
$5.71B21.48-28.61%5.64%10.78%-31.71%
51
Neutral
$1.99B117.42%
* General Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
PACS
PACS Group Inc
12.68
-18.33
-59.11%
MMM
3M
155.84
53.91
52.89%
DHR
Danaher
205.51
-39.90
-16.26%
GE
GE Aerospace
255.42
97.43
61.67%
HON
Honeywell International
235.93
25.25
11.99%
ITW
Illinois Tool Works
262.12
21.97
9.15%

PACS Group Inc Corporate Events

Delistings and Listing ChangesRegulatory Filings and Compliance
PACS Group Inc Faces NYSE Noncompliance Notice
Negative
Nov 26, 2024

PACS Group, a major player in post-acute healthcare, has received a noncompliance notice from the NYSE due to the delayed filing of its quarterly report, attributed to an ongoing investigation. The company aims to address this within six months, although uncertainties remain. This highlights the potential risks and challenges faced by companies in maintaining compliance with financial reporting standards.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jan 02, 2025