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PACS · PACS Group, Inc.

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$44.44 -0.55 (-1.22%) At close · Aug 14
Market Cap
$7.04B
Shares
158.34M
All earnings calls

Earnings call · FY2025 Q4

PACS Group, Inc. Q4 FY2025 Earnings Call

PACS Group, Inc. Q4 FY2025 Earnings Call

Concluded Feb 26, 2026 Audio replay
Feb 26, 2026 38:29 27 turns
Period
FY2025 Q4
Runtime
38:29
Sources
4 artifacts

Executive readout · one minute

What matters this quarter

PACS reported full-year 2025 revenue of $5.29 billion, up 29.3% year-over-year, with adjusted EBITDA of $505.0 million, and issued 2026 revenue guidance of $5.65–$5.75 billion and adjusted EBITDA of $555–$575 million.

Disciplined capital allocation & balance sheet 24 Operational integration & portfolio optimization 24 Acquisitions & M&A pipeline 17 Clinical quality & CMS star ratings 12 Industry demographics & industry positioning 8 Reimbursement / value-based purchasing programs 8

Management tone

Confident

Net tone +70 · low hedging

Grounding quotes
  • “We believe the foundation we built operationally, financially and organizationally supports sustainable performance and long-term value creation.”
  • “we believe that positions us in a great way to be the primary provider of choice”
  • “ending the year with net leverage of approximately 0.3x. We believe this positioning enhances durability and flexibility”
  • “As a result, we are very selective, opportunistic, and disciplined in ensuring that these facilities align with our investment profile.”

Forward guidance

2 guided metrics

Management's latest ranges and targets are included below.

Research coverage

4 live sources

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Revenue · derived Q4 $1.36B +12.4% YoY
Net income · derived Q4 $59.70M +60.5% YoY

Research materials

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Key takeaways

What improved, and what deserves a closer read.

Constructive signals

  • Full-year revenue grew 29.3% to $5.29 billion, and Q4 revenue grew 12.4% to $1.36 billion
  • Full-year adjusted EBITDA was $505.0 million, with Q4 adjusted EBITDA of $142.1 million
  • Ended the year with net leverage of approximately 0.3x, $197.0 million in cash, and $404.2 million in cash from operations
  • Mature facility occupancy of 94.9% versus an industry average of 78.7%, with 73.4% of skilled nursing facilities rated 4 or 5 CMS QM stars and a mature-facility average of 4.4 stars
  • 2026 revenue guidance of $5.65–$5.75 billion and adjusted EBITDA guidance of $555–$575 million
  • Added 8 facilities in 2025 (655 SNF beds and 271 assisted/independent living units) and added 3 more facilities post-Q4, bringing the portfolio to 323 facilities across 17 states

Risks & pressure points

  • Full-year net income of $191.5 million and Q4 net income of $59.8 million were not broken out in terms of growth or margin context in the release
  • Management flagged that acquisition pricing has increased in recent years due to inflation and rising real estate prices, though they indicated pricing is beginning to plateau
  • Q4 2025 marks PACS's first full year as a public company following 'transformative' 2024 acquisition activity, with acquired facilities still progressing through integration and stabilization
  • 2026 guidance implies a meaningful deceleration in revenue growth, with the midpoint of $5.70 billion representing roughly 7.7% growth versus 29.3% in 2025

Forward guidance

From the 8-K filed Feb 26, 2026.

Metric Guided
Revenue
full year 2026
$5.65B – $5.75B
Adjusted EBITDA
full year 2026
$555M – $575M
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