Company Description
PACS Group, Inc. (NYSE: PACS) is a healthcare holding company focused on the post-acute care sector in the United States. Operating in the medical care facilities industry within the broader healthcare sector, the company invests in post-acute healthcare facilities, professionals, and ancillary services. According to its public disclosures, PACS Group is one of the largest post-acute platforms in the country, with independent subsidiaries that operate hundreds of post-acute care and senior living facilities across multiple states and serve tens of thousands of patients and residents each day.
The company traces its roots to its founding in 2013. Over time, PACS Group has expanded through acquisitions and organic growth, building a sizeable portfolio of skilled nursing and other post-acute care operations. Its facilities are described in company communications as post-acute care and senior living operations, with a significant focus on skilled nursing. Across various press releases, PACS has reported operating more than 300 post-acute care facilities in approximately 17 states, serving on the order of 30,000 or more patients and residents daily.
Business model and structure
PACS Group, Inc. describes itself as a holding company. It invests in post-acute healthcare facilities, related professionals, and ancillary services, while its independent operating subsidiaries run the day-to-day healthcare operations. The company emphasizes that PACS Group, Inc. and its subsidiaries that are not licensed healthcare providers do not themselves provide healthcare services, and do not direct or control the provision of services by the licensed provider subsidiaries. Instead, all healthcare services are provided by applicable subsidiaries that are licensed healthcare providers, under the direction and control of licensed healthcare professionals in accordance with applicable law.
A key part of the organization is its business support division, known as PACS Services. Company disclosures state that PACS Services provides technology and administrative support services to the healthcare facilities in the group. These services include accounting, finance, human resources, compliance, payroll, accounts receivable and accounts payable, legal, risk management, information technology, corporate communication, and other business advice and support. The intent of this centralized support model, as described by the company, is to reduce administrative burdens on facility leadership and care teams so that they can focus more fully on the care, well-being, and quality of life of patients and residents.
Scale and operations
Across multiple press releases, PACS Group has reported steady expansion of its portfolio. The company has disclosed:
- Independent subsidiaries operating over 284 post-acute care facilities across 16 states, serving more than 27,000 patients daily, as noted in a late 2024 communication.
- Subsequent growth to 314 post-acute care and senior living facilities across 17 states, serving over 30,000 patients daily, following acquisitions completed by the end of 2024.
- Further expansion to 316 and then 320–321 healthcare operations across 17 states, with company statements indicating that these facilities collectively serve over 30,000 to 31,000 patients daily.
These figures illustrate the company’s emphasis on building a large, geographically diversified post-acute care platform. The portfolio includes skilled nursing facilities and other post-acute and senior living operations. In certain communications, PACS has also referenced assisted living and independent living options within its broader platform.
Post-acute care focus
PACS Group positions itself around the mission of improving post-acute care. In its public statements, the company has described a focus on “revolutionizing the delivery, leadership, and quality of post-acute care” and on elevating healthcare in the post-acute care space. This mission is reflected in its emphasis on clinical and operational performance metrics at its facilities, such as occupancy levels and quality ratings. For example, the company has highlighted that a significant portion of its skilled nursing portfolio has achieved high ratings under the Centers for Medicare & Medicaid Services (CMS) Quality Measure Star system, and that occupancy at mature facilities compares favorably to industry averages, based on its reported key performance indicators.
These disclosures underscore the company’s attention to both the operational performance of its facilities and the quality of care delivered to patients and residents. PACS also notes that it evaluates opportunities to acquire both high-performing and underperforming operations across multiple states, with the stated goal of driving growth and long-term value.
Corporate governance and regulatory environment
As a publicly traded company listed on the New York Stock Exchange under the symbol PACS, PACS Group, Inc. is subject to U.S. securities laws and the reporting requirements of the Securities and Exchange Commission (SEC). The company files annual reports on Form 10-K, quarterly reports on Form 10-Q, and current reports on Form 8-K, among other filings. These documents provide additional detail on its operations, financial condition, risk factors, and governance.
In its public communications and SEC filings, PACS has discussed topics such as:
- Its status as one of the largest post-acute platforms in the United States.
- Its use of an amended and restated credit facility to fund acquisitions, capital improvements, working capital, and general corporate purposes.
- Its engagement with lenders and landlords under master lease agreements, including amendments and forbearance arrangements related to events of default under credit and lease documents.
- The role of its independent Audit Committee in overseeing investigations and financial reporting matters.
The company has also described undertaking restatements of certain previously issued financial statements and completing an independent Audit Committee investigation into third-party allegations, as detailed in its press releases and related SEC filings. PACS has reported becoming current with its SEC reporting obligations following these efforts.
Compliance, quality, and internal controls
PACS Group has publicly emphasized its focus on regulatory compliance and internal controls. In connection with the restatement of certain financial statements, the company has described a review of its regulatory compliance program and the implementation of additional measures designed to enhance processes and controls surrounding regulatory compliance. It has also noted the appointment of compliance leadership and the enhancement of controls related to financial reporting.
In the healthcare context, PACS has highlighted the importance of compliance with Medicare and other regulatory requirements, including revenue recognition considerations related to services such as respiratory and therapy services billed under Medicare Part B. The company has stated that all healthcare services are provided by its licensed provider subsidiaries under the direction of licensed healthcare professionals, reinforcing the separation between the holding company and direct care delivery.
Recognition and workplace environment
In its public communications, PACS Group has reported recognition from regional business publications. The company has been recognized by Utah Business magazine as one of Utah’s Best Companies to work for in consecutive years, and has also been listed among Utah’s Fastest Growing Companies, with rankings disclosed for specific years. These recognitions are presented by the company as indicators of its workplace environment and growth trajectory.
Investor considerations
For investors researching PACS stock, key themes in the company’s disclosures include:
- A large and growing base of post-acute care and senior living facilities operated by independent subsidiaries.
- A holding company structure with a centralized business support division providing administrative and technology services to facilities.
- Active use of credit facilities and lease structures to support acquisitions and capital investments.
- Attention to quality metrics, occupancy, and other operational indicators in the skilled nursing and post-acute care space.
- Engagement with regulatory and compliance matters, including financial reporting restatements and Audit Committee oversight.
All of these elements are drawn from the company’s press releases and SEC filings, which provide the most authoritative and detailed information about PACS Group, Inc. and its operations.
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Short Interest History
Short interest in PACS Group (PACS) currently stands at 3.9 million shares, up 8.8% from the previous reporting period, representing 8.8% of the float. Over the past 12 months, short interest has increased by 58%.
Days to Cover History
Days to cover for PACS Group (PACS) currently stands at 3.6 days, up 43.9% from the previous period. This days-to-cover ratio represents a balanced liquidity scenario for short positions. The ratio has shown significant volatility over the period, ranging from 1.0 to 7.9 days.