PACS Group, Inc.
Business
PACS Group, Inc. is a post-acute healthcare company that provides skilled nursing care through a portfolio of independently operated skilled nursing facilities. It offers higher-acuity short-term transitional care, long-term custodial care, senior living services (assisted and independent living) and a suite of centralized support services, including technology, accounting, reimbursement, compliance and clinical resources via PACS Services. The company operates a decentralized model of local facility administrators supported by regional teams and pursues acquisitions and integrations of underperforming facilities. It distributes services through hospital referrals, payors and local community channels across multiple U.S. states via owned, leased and joint-venture facilities.
Summary from filing dated 2025-11-19
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Patient and resident service revenue | 5,288 | 4,087 | 3,110 | 2,399 | |
| Additional funding | 0 | 0 | 375,000 | 21 | |
| Other revenues | 1 | 3 | 1 | 1 | |
| Total Revenue | 5,289 | 4,090 | 3,111 | 2,422 | |
| Cost of services | 4,130 | 3,297 | 2,448 | 1,861 | |
| Rent - cost of services | 379 | 285 | 217 | 160 | |
| General and administrative expense | 415 | 344 | 214 | 149 | |
| Depreciation and amortization | 56 | 41 | 26 | 22 | |
| Total Operating Expenses | 4,979 | 3,967 | 2,904 | 2,193 | |
| Operating income | 310 | 123 | 208 | 229 | |
| Interest expense | −28 | −44 | −50 | −26 | |
| Gain on lease termination | 0 | 8 | 0 | 0 | |
| Other income (expense), net | 3 | 15 | −536,000 | 3 | |
| Total Other Expense, Net | −25 | −22 | −50 | −22 | |
| Income before provision for income taxes | 284 | 102 | 157 | 207 | |
| Provision for income taxes | 93 | 46 | 44 | 57 | |
| Net Income | 191 | 55 | 113 | 150 | |
| Net (loss) income attributable to noncontrolling interest | −82,000 | −416,000 | 8,000 | 0 | |
| Net Income Attributable To PACS Group, Inc. | 192 | 56 | 113 | 150 | |
| Basic (in us dollars per share) | 1.23 | 0.38 | 0.88 | 1.17 | |
| Diluted (in us dollars per share) | 1.22 | 0.38 | 0.88 | 1.17 | |
| Basic (in shares) | 156 | 147 | 129 | 129 | |
| Diluted (in shares) | 157 | 149 | 129 | 129 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2024 2024-06-30 | FY 2024 2024-03-31 | FY 2023 2023-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 197 | 158 | 73 | 81 | 73 | |
| Accounts receivable, net | 628 | 642 | 580 | 612 | 548 | |
| Other receivables | 74 | 75 | 50 | 66 | 52 | |
| Prepaid expenses and other current assets | 171 | 64 | 60 | 62 | 49 | |
| Total Current Assets | 1,070 | 938 | 764 | 821 | 722 | |
| Property and equipment, net | 1,201 | 991 | 857 | 667 | 578 | |
| Operating lease right-of-use assets | 2,968 | 2,995 | 2,075 | 2,174 | 2,008 | |
| Insurance subsidiary deposits and investments | 87 | 66 | 35 | 25 | 0 | |
| Escrow funds | 18 | 25 | 20 | 21 | 16 | |
| Goodwill and other indefinite-lived assets | 68 | 67 | 65 | 65 | 65 | |
| Other assets | 171 | 161 | 117 | 87 | 124 | |
| Total Assets | 5,584 | 5,243 | 3,933 | 3,861 | 3,513 | |
| Accounts payable | 192 | 175 | 126 | 157 | 141 | |
| Accrued payroll and benefits | 188 | 146 | 99 | 144 | 92 | |
| Current operating lease liabilities | 153 | 136 | 110 | 114 | 109 | |
| Current maturities of long-term debt | 4 | 15 | 16 | 17 | 17 | |
| Current portion of accrued self-insurance liabilities | 129 | 76 | 31 | 29 | 28 | |
| Current line of credit | 0 | 142 | — | — | 0 | |
| Refund liability | 181 | 146 | 31 | 4 | 0 | |
| Other accrued expenses | 154 | 142 | 75 | 71 | 70 | |
| Total Current Liabilities | 1,001 | 978 | 488 | 535 | 457 | |
| Long-term operating lease liabilities | 2,940 | 2,936 | 2,032 | 2,122 | 1,962 | |
| Line of credit | 100 | 0 | 248 | 537 | 520 | |
| Long-term debt, less current maturities, net of deferred financing fees | 245 | 251 | 227 | 231 | 196 | |
| Accrued self-insurance liabilities, less current portion | 193 | 165 | 172 | 155 | 146 | |
| Other liabilities | 153 | 197 | 215 | 154 | 130 | |
| Total Liabilities | 4,632 | 4,527 | 3,390 | 3,741 | 3,411 | |
| Commitments and contingencies (Note 17) | — | — | — | — | — | |
| Common stock: $0.001 par value; 1,250,000,000 shares authorized; 156,615,144 shares issued and outstanding as of December 31, 2025, and $155,177,511 shares issued and outstanding as of December 31, 2024 | 157,000 | 155,000 | 152,000 | 129,000 | 129,000 | |
| Additional paid-in capital | 637 | 591 | 471 | — | 0 | |
| Retained earnings | 310 | 118 | 65 | 113 | 96 | |
| Total PACS Group, Inc. stockholders' equity | 947 | 710 | 537 | 114 | 96 | |
| Noncontrolling interest in subsidiary | 6 | 6 | 6 | 6 | 6 | |
| Total Equity | 952 | 716 | 543 | 119 | 102 | |
| Total Liabilities and Equity | 5,584 | 5,243 | 3,933 | 3,861 | 3,513 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Depreciation and amortization | 56 | 41 | 26 | — | |
| Amortization and write-off of deferred financing fees | 3 | 3 | 6 | 1 | |
| Stock-based compensation | 54 | 116 | 0 | 0 | |
| Loss on investment in partnership | 773,000 | 5 | 391,000 | 346,000 | |
| Gain on insurance subsidiary deposits and investments | −5 | −1 | 0 | 0 | |
| Deferred taxes | −18 | −44 | −10 | −2 | |
| Noncash lease expense | 48 | 35 | 23 | 14 | |
| Other noncash operating activities | 573,000 | 843,000 | 581,000 | 4,000 | |
| Accounts receivable, net | 14 | −94 | −177 | −114 | |
| Other receivables | 781,000 | −22 | −3 | −202,000 | |
| Prepaid expenses and other current assets | −70 | −17 | −19 | −6 | |
| Other assets | −3 | −13 | −3 | −39 | |
| Escrow funds | 7 | −9 | 568,000 | −5 | |
| Operating lease liabilities | −1 | −21 | −2 | −92,000 | |
| Accounts payable | 15 | 33 | 33 | 33 | |
| Accrued payroll and benefits | 41 | 52 | 6 | −6 | |
| Accrued self-insurance liabilities | 81 | 67 | 36 | 68 | |
| Refund liability | 35 | 146 | 0 | 0 | |
| Other accrued expenses | 13 | 73 | −56 | −24 | |
| Other liabilities | −60 | −36 | 89 | 168,000 | |
| NET CASH PROVIDED BY OPERATING ACTIVITIES | 404 | 367 | 64 | 93 | |
| Investment in partnerships | 0 | −33 | −3 | 0 | |
| Non-operating distributions from investment in partnership | 6 | 4 | 2 | 3 | |
| Purchase of available-for-sale securities | −21 | −91 | 0 | 0 | |
| Sale of available-for-sale securities | 0 | 26 | 0 | 0 | |
| Acquisition of facilities | −144 | −283 | −127 | −55 | |
| Purchase of property and equipment | −105 | −66 | −46 | −23 | |
| Proceeds from the sale of assets | 750,000 | 2 | 750,000 | 10,000 | |
| NET CASH USED IN INVESTING ACTIVITIES | −264 | −443 | −173 | −75 | |
| Borrowing on lines of credit, net of deferred financing fees | 0 | 676 | 856 | 155 | |
| Payments on lines of credit | −42 | −1,054 | −498 | −119 | |
| Borrowings of long-term debt, net of deferred financing fees | 0 | 72 | 411 | 88 | |
| Payments on long-term debt | −18 | −19 | −560 | −54 | |
| Noncontrolling interest distribution | −377,000 | 0 | 0 | — | |
| Contributions from noncontrolling interest | 0 | 502,000 | 587,000 | 3 | |
| Dividends on common stock | 0 | −34 | −80 | −60 | |
| Proceeds from initial public offering, net of issuance costs | 0 | 414 | 0 | 0 | |
| Proceeds from common stock offering, net of issuance costs | 0 | 95 | 0 | 0 | |
| Taxes paid related to net share settlement of equity awards | −8 | −34 | 0 | 0 | |
| NET CASH (USED IN)/PROVIDED BY FINANCING ACTIVITIES | −69 | 117 | 130 | 12 | |
| Net change in cash | 71 | 42 | 20 | 30 | |
| Interest | 41 | 48 | 51 | 26 | |
| Income taxes | 84 | 108 | 60 | 43 | |
| Accrued capital expenditures | 6 | 4 | 3 | 717,000 | |
| Assets acquired in operation expansions in exchange for notes payable | 0 | 0 | 2 | 8 | |
| Assets acquired in operation expansions through settlement of notes receivable | 0 | 500,000 | 0 | — | |
| Contributions from noncontrolling interest through relief of notes payable | 0 | 451,000 | 0 | 0 |