vs

Side-by-side financial comparison of ENSIGN GROUP, INC (ENSG) and PACS Group, Inc. (PACS). Click either name above to swap in a different company.

PACS Group, Inc. is the larger business by last-quarter revenue ($1.4B vs $1.3B, roughly 1.0× ENSIGN GROUP, INC). ENSIGN GROUP, INC runs the higher net margin — 7.1% vs 4.4%, a 2.7% gap on every dollar of revenue. On growth, ENSIGN GROUP, INC posted the faster year-over-year revenue change (19.0% vs 18.4%). Over the past eight quarters, PACS Group, Inc.'s revenue compounded faster (20.5% CAGR vs 15.5%).

Ensign Energy Services Inc. is a publicly traded Canadian company that provides oilfield services for the North American and international market. Founded in 1987, Ensign is headquartered in Calgary, Alberta. Ensign's Common Shares are publicly traded though the facilities of the Toronto Stock Exchange under the trading symbol ESI.

ENSG vs PACS — Head-to-Head

Bigger by revenue
PACS
PACS
1.0× larger
PACS
$1.4B
$1.3B
ENSG
Growing faster (revenue YoY)
ENSG
ENSG
+0.6% gap
ENSG
19.0%
18.4%
PACS
Higher net margin
ENSG
ENSG
2.7% more per $
ENSG
7.1%
4.4%
PACS
Faster 2-yr revenue CAGR
PACS
PACS
Annualised
PACS
20.5%
15.5%
ENSG

Income Statement — Q4 2025 vs Q4 2025

Metric
ENSG
ENSG
PACS
PACS
Revenue
$1.3B
$1.4B
Net Profit
$95.5M
$59.7M
Gross Margin
20.3%
Operating Margin
9.2%
7.0%
Net Margin
7.1%
4.4%
Revenue YoY
19.0%
18.4%
Net Profit YoY
19.8%
3022.5%
EPS (diluted)
$1.61
$0.42

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ENSG
ENSG
PACS
PACS
Q4 25
$1.3B
$1.4B
Q3 25
$1.3B
$1.3B
Q2 25
$1.2B
$1.3B
Q1 25
$1.2B
$1.3B
Q4 24
$1.1B
$1.1B
Q3 24
$1.1B
$1.0B
Q2 24
$1.0B
$981.4M
Q1 24
$1.0B
$934.3M
Net Profit
ENSG
ENSG
PACS
PACS
Q4 25
$95.5M
$59.7M
Q3 25
$83.8M
$52.4M
Q2 25
$84.4M
$51.0M
Q1 25
$80.3M
$28.5M
Q4 24
$79.7M
$1.9M
Q3 24
$78.4M
$15.6M
Q2 24
$71.0M
$-10.9M
Q1 24
$68.8M
$49.1M
Gross Margin
ENSG
ENSG
PACS
PACS
Q4 25
20.3%
Q3 25
19.0%
Q2 25
20.4%
Q1 25
20.9%
Q4 24
20.8%
Q3 24
20.5%
17.1%
Q2 24
20.8%
22.3%
Q1 24
20.9%
21.2%
Operating Margin
ENSG
ENSG
PACS
PACS
Q4 25
9.2%
7.0%
Q3 25
7.5%
6.4%
Q2 25
8.5%
6.2%
Q1 25
8.6%
3.8%
Q4 24
8.9%
1.7%
Q3 24
8.3%
2.2%
Q2 24
8.3%
0.1%
Q1 24
8.1%
8.6%
Net Margin
ENSG
ENSG
PACS
PACS
Q4 25
7.1%
4.4%
Q3 25
6.5%
3.9%
Q2 25
6.9%
3.9%
Q1 25
6.8%
2.2%
Q4 24
7.0%
0.2%
Q3 24
7.3%
1.5%
Q2 24
6.9%
-1.1%
Q1 24
6.8%
5.3%
EPS (diluted)
ENSG
ENSG
PACS
PACS
Q4 25
$1.61
$0.42
Q3 25
$1.42
$0.32
Q2 25
$1.44
$0.31
Q1 25
$1.37
$0.17
Q4 24
$1.37
$-0.03
Q3 24
$1.34
$0.10
Q2 24
$1.22
$-0.07
Q1 24
$1.19
$0.38

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ENSG
ENSG
PACS
PACS
Cash + ST InvestmentsLiquidity on hand
$572.4M
$197.0M
Total DebtLower is stronger
$144.4M
$353.2M
Stockholders' EquityBook value
$2.2B
$946.8M
Total Assets
$5.5B
$5.6B
Debt / EquityLower = less leverage
0.06×
0.37×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ENSG
ENSG
PACS
PACS
Q4 25
$572.4M
$197.0M
Q3 25
$506.3M
$355.7M
Q2 25
$418.4M
$294.2M
Q1 25
$344.5M
$287.5M
Q4 24
$526.9M
$157.7M
Q3 24
$571.0M
$49.5M
Q2 24
$501.5M
$73.4M
Q1 24
$526.3M
$81.2M
Total Debt
ENSG
ENSG
PACS
PACS
Q4 25
$144.4M
$353.2M
Q3 25
Q2 25
Q1 25
Q4 24
$148.4M
$411.9M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
ENSG
ENSG
PACS
PACS
Q4 25
$2.2B
$946.8M
Q3 25
$2.1B
$871.3M
Q2 25
$2.0B
$806.8M
Q1 25
$1.9B
$750.2M
Q4 24
$1.8B
$709.6M
Q3 24
$1.7B
$660.0M
Q2 24
$1.7B
$572.1M
Q1 24
$1.6B
$128.0M
Total Assets
ENSG
ENSG
PACS
PACS
Q4 25
$5.5B
$5.6B
Q3 25
$5.2B
$5.6B
Q2 25
$4.9B
$5.5B
Q1 25
$4.8B
$5.5B
Q4 24
$4.7B
$5.2B
Q3 24
$4.6B
$4.5B
Q2 24
$4.4B
$3.9B
Q1 24
$4.3B
$3.9B
Debt / Equity
ENSG
ENSG
PACS
PACS
Q4 25
0.06×
0.37×
Q3 25
Q2 25
Q1 25
Q4 24
0.08×
0.58×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ENSG
ENSG
PACS
PACS
Operating Cash FlowLast quarter
$183.3M
$-3.4M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
1.92×
-0.06×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ENSG
ENSG
PACS
PACS
Q4 25
$183.3M
$-3.4M
Q3 25
$153.0M
$204.8M
Q2 25
$155.7M
$52.6M
Q1 25
$72.2M
$150.2M
Q4 24
$100.5M
$64.6M
Q3 24
$134.5M
$209.2M
Q2 24
$76.9M
$34.8M
Q1 24
$35.3M
$58.8M
Cash Conversion
ENSG
ENSG
PACS
PACS
Q4 25
1.92×
-0.06×
Q3 25
1.82×
3.91×
Q2 25
1.85×
1.03×
Q1 25
0.90×
5.28×
Q4 24
1.26×
33.78×
Q3 24
1.71×
13.39×
Q2 24
1.08×
Q1 24
0.51×
1.20×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ENSG
ENSG

Skilled Services Segment$1.3B97%
Standard Bearer Segment$34.5M3%

PACS
PACS

Segment breakdown not available.

Related Comparisons