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

TWILIO INC is the larger business by last-quarter revenue ($1.4B vs $1.4B, roughly 1.0× PACS Group, Inc.). TWILIO INC runs the higher net margin — 6.4% vs 4.4%, a 2.0% gap on every dollar of revenue. Over the past eight quarters, PACS Group, Inc.'s revenue compounded faster (20.5% CAGR vs 14.0%).

Twilio Inc. is an American cloud communications company based in San Francisco, California, which provides programmable communication tools for making and receiving phone calls, sending and receiving text messages, and performing other communication functions using its web service APIs.

PACS vs TWLO — Head-to-Head

Bigger by revenue
TWLO
TWLO
1.0× larger
TWLO
$1.4B
$1.4B
PACS
Higher net margin
TWLO
TWLO
2.0% more per $
TWLO
6.4%
4.4%
PACS
Faster 2-yr revenue CAGR
PACS
PACS
Annualised
PACS
20.5%
14.0%
TWLO

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
PACS
PACS
TWLO
TWLO
Revenue
$1.4B
$1.4B
Net Profit
$59.7M
$90.0M
Gross Margin
48.6%
Operating Margin
7.0%
7.7%
Net Margin
4.4%
6.4%
Revenue YoY
18.4%
Net Profit YoY
3022.5%
EPS (diluted)
$0.42
$0.57

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
PACS
PACS
TWLO
TWLO
Q1 26
$1.4B
Q4 25
$1.4B
$1.4B
Q3 25
$1.3B
$1.3B
Q2 25
$1.3B
$1.2B
Q1 25
$1.3B
$1.2B
Q4 24
$1.1B
$1.2B
Q3 24
$1.0B
$1.1B
Q2 24
$981.4M
$1.1B
Net Profit
PACS
PACS
TWLO
TWLO
Q1 26
$90.0M
Q4 25
$59.7M
$-45.9M
Q3 25
$52.4M
$37.2M
Q2 25
$51.0M
$22.4M
Q1 25
$28.5M
$20.0M
Q4 24
$1.9M
$-12.5M
Q3 24
$15.6M
$-9.7M
Q2 24
$-10.9M
$-31.9M
Gross Margin
PACS
PACS
TWLO
TWLO
Q1 26
48.6%
Q4 25
48.5%
Q3 25
48.6%
Q2 25
49.1%
Q1 25
49.6%
Q4 24
50.2%
Q3 24
17.1%
51.0%
Q2 24
22.3%
51.3%
Operating Margin
PACS
PACS
TWLO
TWLO
Q1 26
7.7%
Q4 25
7.0%
4.2%
Q3 25
6.4%
3.1%
Q2 25
6.2%
3.0%
Q1 25
3.8%
2.0%
Q4 24
1.7%
1.1%
Q3 24
2.2%
-0.4%
Q2 24
0.1%
-1.8%
Net Margin
PACS
PACS
TWLO
TWLO
Q1 26
6.4%
Q4 25
4.4%
-3.4%
Q3 25
3.9%
2.9%
Q2 25
3.9%
1.8%
Q1 25
2.2%
1.7%
Q4 24
0.2%
-1.0%
Q3 24
1.5%
-0.9%
Q2 24
-1.1%
-2.9%
EPS (diluted)
PACS
PACS
TWLO
TWLO
Q1 26
$0.57
Q4 25
$0.42
$-0.28
Q3 25
$0.32
$0.23
Q2 25
$0.31
$0.14
Q1 25
$0.17
$0.12
Q4 24
$-0.03
$-0.10
Q3 24
$0.10
$-0.06
Q2 24
$-0.07
$-0.19

Balance Sheet & Financial Strength

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

Metric
PACS
PACS
TWLO
TWLO
Cash + ST InvestmentsLiquidity on hand
$197.0M
$542.0M
Total DebtLower is stronger
$353.2M
Stockholders' EquityBook value
$946.8M
$7.8B
Total Assets
$5.6B
$9.6B
Debt / EquityLower = less leverage
0.37×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PACS
PACS
TWLO
TWLO
Q1 26
$542.0M
Q4 25
$197.0M
$682.3M
Q3 25
$355.7M
$734.8M
Q2 25
$294.2M
$969.2M
Q1 25
$287.5M
$467.1M
Q4 24
$157.7M
$421.3M
Q3 24
$49.5M
$584.0M
Q2 24
$73.4M
$755.1M
Total Debt
PACS
PACS
TWLO
TWLO
Q1 26
Q4 25
$353.2M
$992.3M
Q3 25
$991.9M
Q2 25
$991.4M
Q1 25
$991.0M
Q4 24
$411.9M
$990.6M
Q3 24
$990.2M
Q2 24
$989.8M
Stockholders' Equity
PACS
PACS
TWLO
TWLO
Q1 26
$7.8B
Q4 25
$946.8M
$7.8B
Q3 25
$871.3M
$7.9B
Q2 25
$806.8M
$8.0B
Q1 25
$750.2M
$8.0B
Q4 24
$709.6M
$8.0B
Q3 24
$660.0M
$8.2B
Q2 24
$572.1M
$8.7B
Total Assets
PACS
PACS
TWLO
TWLO
Q1 26
$9.6B
Q4 25
$5.6B
$9.8B
Q3 25
$5.6B
$9.7B
Q2 25
$5.5B
$9.8B
Q1 25
$5.5B
$9.8B
Q4 24
$5.2B
$9.9B
Q3 24
$4.5B
$10.0B
Q2 24
$3.9B
$10.5B
Debt / Equity
PACS
PACS
TWLO
TWLO
Q1 26
Q4 25
0.37×
0.13×
Q3 25
0.13×
Q2 25
0.12×
Q1 25
0.12×
Q4 24
0.58×
0.12×
Q3 24
0.12×
Q2 24
0.11×

Cash Flow & Capital Efficiency

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

Metric
PACS
PACS
TWLO
TWLO
Operating Cash FlowLast quarter
$-3.4M
$153.0M
Free Cash FlowOCF − Capex
$132.0M
FCF MarginFCF / Revenue
9.4%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
-0.06×
1.70×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PACS
PACS
TWLO
TWLO
Q1 26
$153.0M
Q4 25
$-3.4M
$271.6M
Q3 25
$204.8M
$263.6M
Q2 25
$52.6M
$277.1M
Q1 25
$150.2M
$191.0M
Q4 24
$64.6M
$108.4M
Q3 24
$209.2M
$204.3M
Q2 24
$34.8M
$213.3M
Free Cash Flow
PACS
PACS
TWLO
TWLO
Q1 26
$132.0M
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
FCF Margin
PACS
PACS
TWLO
TWLO
Q1 26
9.4%
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Cash Conversion
PACS
PACS
TWLO
TWLO
Q1 26
1.70×
Q4 25
-0.06×
Q3 25
3.91×
7.08×
Q2 25
1.03×
12.36×
Q1 25
5.28×
9.54×
Q4 24
33.78×
Q3 24
13.39×
Q2 24

Financial Flow Comparison

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

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