PACS Group (PACS) Q3 2025 Financial Results Summary
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PACS Group, Inc. (PACS) Q3 2025 Financial Results Summary
PACS Group, Inc. (NYSE: PACS) reported its financial results for the third quarter of 2025 on November 19, 2025. The company, a prominent entity in the post-acute healthcare sector in the United States, has successfully completed the restatement of its previously issued financial statements and has updated its SEC filing obligations.
Third Quarter 2025 Financial Highlights
- Revenue:
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Total revenue reached $1.34 billion, representing a 31.0% increase compared to Q3 2024.
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Net Income:
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The net income for the quarter was $52.3 million.
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Adjusted EBITDA:
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Adjusted EBITDA was $131.5 million.
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Adjusted EBITDAR:
- Adjusted EBITDAR stood at $226.6 million.
Year-to-Date 2025 Financial Highlights
- Revenue:
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Total year-to-date revenue was $3.93 billion, marking a 36.4% increase from the same period in 2024.
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Net Income:
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Net income for the year to date amounted to $131.7 million.
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Adjusted EBITDA:
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Adjusted EBITDA reached $363.0 million.
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Adjusted EBITDAR:
- Adjusted EBITDAR was reported at $646.2 million.
Full Year 2024 Financial Highlights (Includes Restatement)
- Revenue:
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Full year 2024 revenue totaled $4.09 billion, showing an increase of 31.4% over 2023.
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Net Income:
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Net income for the year was $55.3 million.
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Adjusted EBITDA:
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Adjusted EBITDA was $279.5 million.
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Adjusted EBITDAR:
- Adjusted EBITDAR was $564.4 million.
Third Quarter Select KPIs
- Quality Measure Star Ratings:
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192 facilities (68.6% of its skilled nursing portfolio) achieved a 4 or 5-star rating from CMS.
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Occupancy:
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Occupancy in mature facilities was 94.8%, significantly higher than the industry average of 79%.
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Skilled Mix:
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Skilled mix in mature facilities was 33.0%.
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Cash Provided by Operations:
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Cash generated by operations totaled $407.6 million for the first nine months of 2025.
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Cash and Cash Equivalents:
- Cash totalled $355.7 million as of September 30, 2025, compared to $157.7 million at the end of 2024.
Business Outlook for Full Year 2025
- Revenue Guidance:
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PACS expects revenue to fall between $5.25 billion to $5.35 billion.
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Adjusted EBITDA Guidance:
- Expected range for Adjusted EBITDA is $480 million to $490 million.
Dividend and Share Repurchases
The report does not mention any declared quarterly dividends or share repurchase activities for PACS Group, Inc. during this reporting period.
Investigation and Restatement
PACS has completed an independent investigation by its Audit Committee regarding allegations made by short sellers. The audit confirms the company’s commitment to transparency and strong governance, ensuring future stability and financial growth. Their focus now shifts to executing strategies for sustainable growth and delivering quality care.
Conclusion
PACS Group, Inc. has demonstrated substantial growth and resilience in Q3 2025, with significant increases in revenue, income, and operational efficiency compared to the previous year. The company maintains a positive outlook and strategic focus on enhancing its service capabilities and stakeholder value.
| Revenue | 2025 | 2024 | 2025 | 2024 |
|---|---|---|---|---|
| Patient and resident service revenue | $1,344,302 | $1,024,276 | $3,930,168 | $2,878,946 |
| Other revenues | 265 | 2,029 | 785 | 2,900 |
| Total Revenue | $1,344,567 | $1,026,305 | $3,930,953 | $2,881,846 |
| Operating Expenses | ||||
| Cost of services | 1,046,262 | 849,599 | 3,090,932 | 2,347,738 |
| Rent – cost of services | 95,107 | 72,632 | 283,250 | 200,954 |
| General and administrative expense | 102,528 | 70,587 | 301,579 | 254,167 |
| Depreciation and amortization | 14,401 | 10,523 | 40,284 | 27,893 |
| Total Operating Expenses | $1,258,298 | $1,003,341 | $3,716,045 | $2,830,752 |
| Operating income | $86,269 | $22,964 | $214,908 | $51,094 |
| Other (Expense) Income | ||||
| Interest expense | -8,529 | -9,029 | -19,787 | -35,040 |
| Gain on lease termination | — | — | — | 8,046 |
| Other income (expense), net | -1,444 | 19,721 | 2,517 | 16,256 |
| Total Other (Expense) Income, Net | $-9,973 | $10,692 | $-17,270 | $-10,738 |
| Income before provision for income taxes | 76,296 | 33,656 | 197,638 | 40,356 |
| Provision for income taxes | 23,966 | 17,446 | 65,962 | 21,203 |
| Net Income | $52,330 | $16,210 | $131,676 | $19,153 |
| Less: | ||||
| Net (loss) income attributable to | -76 | 590 | -165 | 594 |
| noncontrolling interest | ||||
| Net Income Attributable To PACS Group, Inc. | $52,406 | $15,620 | $131,841 | $18,559 |
| Net Income Per Share Attributable To PACS Group, Inc. | ||||
| Basic | $0.33 | $0.10 | $0.84 | $0.13 |
| Diluted | $0.32 | $0.10 | $0.80 | $0.13 |
| Weighted-Average Common Shares | ||||
| Outstanding | 156,575,127 | 153,124,371 | 156,034,409 | 143,804,609 |
| Diluted | 164,709,367 | 158,453,331 | 165,492,441 | 145,737,883 |
| ASSETS | September 30, | December 31, |
|---|---|---|
| Current Assets: | 2025 | 2024 |
| Cash and cash equivalents | $355,672 | $157,674 |
| Accounts receivable, net | 628,280 | 641,775 |
| Other receivables | 66,428 | 74,746 |
| Prepaid expenses and other current assets | 76,369 | 64,066 |
| Total Current Assets | 1,126,749 | 938,261 |
| Property and equipment, net | 1,133,849 | 990,580 |
| Operating lease right-of-use assets | 3,000,426 | 2,994,519 |
| Insurance subsidiary deposits and investments | 80,300 | 66,258 |
| Escrow funds | 24,418 | 25,122 |
| Goodwill and other indefinite-lived assets | 68,061 | 67,061 |
| Other assets | 193,089 | 161,108 |
| Total Assets | $5,626,892 | $5,242,909 |
| LIABILITIES AND EQUITY | ||
| Current Liabilities: | ||
| Accounts payable | $205,479 | $175,062 |
| Accrued payroll and benefits | 252,539 | 146,177 |
| Current operating lease liabilities | 150,651 | 136,232 |
| Current maturities of long-term debt | 7,474 | 14,852 |
| Current portion of accrued self-insurance liabilities | 120,914 | 75,966 |
| Line of credit | 100,000 | 142,000 |
| Refund liability | 181,133 | 145,795 |
| Other accrued expenses | 179,431 | 142,348 |
| Total Current Liabilities | 1,197,621 | 978,432 |
| Long-term operating lease liabilities | 2,962,999 | 2,935,773 |
| Long-term debt, less current maturities, net of deferred financing fees | 245,903 | 250,984 |
| Accrued self-insurance liabilities, less current portion | 177,480 | 164,979 |
| Other liabilities | 165,973 | 197,050 |
| Total Liabilities | $4,749,976 | $4,527,218 |
| Commitments and contingencies | ||
| Equity: | ||
| Common stock: | ||
| $0.001 par value; 1,250,000,000 shares authorized; 156,615,144 shares issued | 157 | 155 |
| and outstanding as of September 30, 2025, and 155,177,511 shares issued and outstanding as of | ||
| December 31, 2024 | ||
| Additional paid-in capital | 621,288 | 591,363 |
| Retained earnings | 249,877 | 118,036 |
| Total stockholders’ equity | 871,322 | 709,554 |
| Noncontrolling interest in subsidiary | 5,594 | 6,137 |
| Total Equity | $876,916 | $715,691 |
| Total Liabilities and Equity | $5,626,892 | $5,242,909 |