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ACHCAcadia Healthcare Company, Inc.
$31.91$2.9B
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ACHC logoAcadia Healthcare Company, Inc.(ACHC)Earnings, Financials & Key Ratios

ACHC•NASDAQ
$31.25
Price updated Jul 2, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryHospitals and inpatient facilities
AboutAcadia Healthcare Company, Inc. provides behavioral healthcare services in the United States and Puerto Rico. The company offers behavioral healthcare services to its patients in various settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers, and outpatient clinics. As of March 31, 2022, it operated a network of 238 behavioral healthcare facilities with approximately 10,600 beds. The company was founded in 2005 and is headquartered in Franklin, Tennessee.Show more
  • Revenue$3.31B+5.0%
  • EBITDA$577M-14.1%
  • Net Income-$1.1B-531.4%
  • EPS (Diluted)-12.16-537.4%
  • Gross Margin17.61%-22.0%
  • EBITDA Margin17.42%-18.2%
  • Operating Margin11.71%-29.3%
  • Net Margin-33.29%-510.7%
  • ROE-41.37%-591.9%

ACHC Price & Volume

Acadia Healthcare Company, Inc. (ACHC) stock price & volume — 10-year historical chart

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Persistent Operational Volatility Masks Underlying Financial Distress

Investment Thesis • Updated 2026Q1

VerdictNegative
Growth:Stable
Profitability:Strained
Financial:Strained
Cash Flow:Mixed
Primary Risk:Clinical labor cost inflation

Key Thesis Takeaways

  • Acadia Healthcare maintains a resilient revenue growth profile, evidenced by a 7.6% year-over-year increase in 2026Q1, yet this is overshadowed by severe earnings instability and a massive $1.2 billion net loss in 2025Q4.
  • The company's reliance on debt-funded expansion has pushed the debt-to-equity ratio to 1.23, while persistent negative free cash flow, including a $179.5 million outflow in 2025Q4, raises concerns regarding long-term capital sustainability.
  • Investors should remain cautious as litigation risks and high clinical labor costs continue to erode the company's core profitability and balance sheet integrity.

Verdict Logic

the company's inability to generate consistent free cash flow, combined with a debt-to-equity ratio of 1.23 and a massive $1.2 billion net loss in 2025Q4, suggests significant underlying financial instability.

ACHC Growth Metrics

Acadia Healthcare Company, Inc. (ACHC) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years6.32%
5 Years9.65%
3 Years8.27%
TTM6.8%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM-690.1%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM-703.19%

Return on Capital

10 Years9.21%
5 Years9.67%
3 Years9.75%
Last Year7.47%

ACHC Recent Earnings

Acadia Healthcare Company, Inc. (ACHC) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 11/12 qtrs (92%)●Beat Revenue 8/12 qtrs (67%)
Q2 2026Latest
Apr 29, 2026
Metric
Actual
Est
EPS
$0.37+32.1%
$0.28
Rev
$829M+0.6%
$824M
Q1 2026
Feb 25, 2026
Metric
Actual
Est
EPS
$0.07+133.3%
$0.03
Rev
$821M+2.7%
$800M
Q4 2025
Nov 5, 2025
Metric
Actual
Est
EPS
$0.72+5.9%
$0.68
Rev
$852M+0.4%
$848M
Q3 2025
Aug 5, 2025
Metric
Actual
Est
EPS
$0.83+16.9%
$0.71
Rev
$869M-0.7%
$875M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestApr 29, 2026
$0.37vs $0.28+32.1%
$829Mvs $824M+0.6%
Q1 2026Feb 25, 2026
$0.07vs $0.03+133.3%
$821Mvs $800M+2.7%
Q4 2025Nov 5, 2025
$0.72vs $0.68+5.9%
$852Mvs $848M+0.4%
Q3 2025Aug 5, 2025
$0.83vs $0.71+16.9%
$869Mvs $875M-0.7%
Based on last 12 quarters of dataView full earnings history →

Latest ACHC News

Recent stock market news and headlines for Acadia Healthcare Company, Inc. (ACHC)

Zacks Investment Research·Jun 26, 2026
Hospital Stocks Are Healing: 4 Names to Watch as Earnings Improve

The Zacks Medical-Hospital industry is adapting as care shifts beyond inpatient settings, demand rises and earnings outlook improves. THC, UHS, ACHC and CYH stand out.

Zacks Investment Research·Jun 23, 2026
Can Acadia's Turnaround Strategy Drive Long-Term Shareholder Value?

ACHC is shifting from expansion to returns, raising EBITDA guidance as mature facilities and rising demand support its turnaround strategy.

Peers Comparison

Key metrics vs top competitors for Acadia Healthcare Company, Inc. (ACHC)

Full Screener →
CompanyPriceMarket CapP/E RatioRev Growth (1Y)Net MarginROEDiv Yield
ACHC logoACHCAcadia Healthcare Company, Inc.Current
$31.25$2.88B-2.575.04%-33.29%-41.37%—
UHS logoUHSUniversal Health Services, Inc.
$150.58$9.42B6.529.71%8.56%20.65%—
SEM logoSEMSelect Medical Holdings Corporation
$16.51$2.05B13.995.12%2.42%6.57%—
SGRY logoSGRYSurgery Partners, Inc.
$16.60$2.17B-27.216.24%-2.28%-2.15%—
BKD logoBKDBrookdale Senior Living Inc.
$15.82$3.76B-14.254.77%-6.58%-23450.43%—
ENSG logoENSGThe Ensign Group, Inc.
$164.82$9.63B28.2218.72%6.89%16.61%—

Compare ACHC vs Peers

Acadia Healthcare Company, Inc. (ACHC) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs UHS

Most directly comparable listed peer for ACHC.

Scale Benchmark

vs UNH

Larger-name benchmark to compare ACHC against a more recognizable public peer.

Peer Set

Compare Top 5

vs UHS, SEM, SGRY, BKD

ACHC SEC Filings & Documents

Acadia Healthcare Company, Inc. (ACHC) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Apr 29, 2026·SEC

Material company update

Apr 23, 2026·SEC

Material company update

Mar 12, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 27, 2026·SEC

FY 2025

Feb 27, 2025·SEC

FY 2024

Feb 28, 2024·SEC

10-Q Quarterly Reports

6
FY 2025

Nov 5, 2025·SEC

FY 2025

Aug 5, 2025·SEC

FY 2025

May 12, 2025·SEC

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ACHC Frequently Asked Questions

Acadia Healthcare Company, Inc. (ACHC) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials
What is Acadia Healthcare Company, Inc.'s revenue?

Acadia Healthcare Company, Inc. (ACHC) reported $3.37B in revenue for fiscal year 2025. This represents a 1423% increase from $221.4M in 2011.

How fast is Acadia Healthcare Company, Inc. growing?

Acadia Healthcare Company, Inc. (ACHC) grew revenue by 5.0% over the past year. This is steady growth.

Is ACHC profitable?

Acadia Healthcare Company, Inc. (ACHC) reported a net loss of $1.11B for fiscal year 2025.

Dividend & Returns
What is ACHC's return on equity?

Acadia Healthcare Company, Inc. (ACHC) has a return on equity (ROE) of -41.4%. Negative ROE indicates the company is unprofitable.

What is Acadia Healthcare Company, Inc.'s free cash flow?

Acadia Healthcare Company, Inc. (ACHC) had negative free cash flow of $215.2M in fiscal year 2025, likely due to heavy capital investments.

What if you invested $1,000 in ACHC back in 2011?

Total return calculator · dividends reinvested · 15+ years of data

See returns →