ACHC

MKT CAP:$3B

Acadia Healthcare Company, Inc.

Market Cap

$3B

Healthcare·Medical - Care Facilities·🇺🇸 United States·NASDAQ

Healthcare·Medical·🇺🇸·NASDAQ

Stock Price

$28.01+$13.72 (+96.01%)

Apr 22, 2026

Company Details

Acadia 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, ...

CEO

Debra K. Osteen

IPO Date

Mar 4, 1994

Website

www.acadiahealthcare.com

Key Metrics TTM

Revenue

$3.2B

+9.2% YoY

Net Income

-$998M

EPS (Diluted)

-$11.08

Free Cash Flow

-$276M

Revenue / Share

$35.46

Gross Margin

56.7%

Operating Margin

13.8%

Net Margin

-31.1%

FCF Margin

-8.6%

P/S

0.8x

P/E

—

Earnings Reports

Q1 2026

Apr 29, 2026

PENDING

Q4 2025

Feb 26, 2026

$821M+6.1%EPS -$13.02

Q4 2024

Feb 27, 2025

$774M+4.2%EPS $0.35

Q3 2024

Oct 30, 2024

$816M+8.7%EPS $0.74

Q2 2024

Aug 1, 2024

$796MEPS $0.85

Revenue & Profitability

Quarter	Revenue	Gross Profit	Operating Income
Q3 18	$761M	$314M	$104M
Q4 18	$744M	$300M	$92M
Q1 19	$761M	$301M	$89M
Q2 19	$789M	$328M	$114M
Q3 19	$777M	$318M	$102M
Q2 21	$582M	$250M	$206M
Q3 21	$588M	$255M	$105M
Q4 21	$593M	$249M	$205M
Q4 22	$675M	$284M	$232M
Q3 23	$750M	$180M	$134M
Q4 23	$743M	$171M	$125M
Q1 24	$768M	$175M	$129M
Q2 24	$796M	$191M	$143M
Q3 24	$816M	$786M	$147M
Q4 24	$774M	$746M	$103M
Q4 25	$821M	$96M	$48M

Valuation

Quarter	P/S	P/E
Q3 18	0.8x	11.2x
Q4 18	0.8x	—
Q1 19	0.8x	—
Q2 19	0.8x	—
Q3 19	0.8x	—
Q2 21	0.9x	15.4x
Q3 21	0.9x	12.6x
Q4 21	1.0x	11.3x
Q4 22	1.0x	10.5x
Q3 23	1.0x	—
Q4 23	0.9x	—
Q1 24	0.9x	—
Q2 24	0.8x	—
Q3 24	0.8x	9.0x
Q4 24	0.8x	9.9x
Q4 25	0.8x	—

Operating Cash Flow

Quarter	Operating CF	Free CF
Q3 18	$69M	-$20M
Q4 18	$128M	$36M
Q1 19	$44M	-$26M
Q2 19	$85M	$15M
Q3 19	$85M	$21M
Q2 21	$90M	$36M
Q3 21	$110M	$66M
Q4 21	$98M	$10M
Q4 22	$114M	$26M
Q3 23	$138M	$10M
Q4 23	$116M	-$22M
Q1 24	-$321M	-$464M
Q2 24	$171M	$17M
Q3 24	$163M	-$27M
Q4 24	$117M	-$87M
Q4 25	-$86M	-$179M

Capital Expenditures

Quarter	CapEx
Q3 18	$88M
Q4 18	$91M
Q1 19	$69M
Q2 19	$70M
Q3 19	$64M
Q2 21	$54M
Q3 21	$44M
Q4 21	$88M
Q4 22	$87M
Q3 23	$128M
Q4 23	$139M
Q1 24	$142M
Q2 24	$154M
Q3 24	$190M
Q4 24	$203M
Q4 25	$93M

CapEx

OpEx vs Revenue Growth (YoY)

Quarter	Revenue Growth	OpEx Growth
Q3 18	+6.2%	+8.6%
Q4 18	+2.6%	+6.3%
Q1 19	+2.5%	+4.4%
Q2 19	+3.1%	+4.3%
Q3 19	+2.1%	+2.8%
Q2 21	-21.7%	-42.3%
Q3 21	-22.8%	-28.1%
Q4 21	-24.8%	-42.5%
Q4 22	-13.1%	-34.3%
Q3 23	+28.9%	+63.8%
Q4 23	+26.4%	+28.1%
Q1 24	+29.4%	+64.4%
Q2 24	+17.9%	+47.3%
Q3 24	+8.7%	+8.5%
Q4 24	+4.2%	+8.6%
Q4 25	+7.0%	+21.1%

Stock-Based Compensation

Quarter	SBC ($)	% of Revenue
Q3 18	$5M	0.7%
Q4 18	$3M	0.4%
Q1 19	$6M	0.8%
Q2 19	$4M	0.5%
Q3 19	$4M	0.5%
Q2 21	$0	0.0%
Q3 21	$9M	1.5%
Q4 21	$13M	2.1%
Q4 22	$8M	1.2%
Q3 23	$8M	1.1%
Q4 23	$9M	1.2%
Q1 24	$9M	1.1%
Q2 24	$9M	1.1%
Q3 24	$9M	1.2%
Q4 24	$10M	1.3%
Q4 25	$6M	0.8%

OpEx Breakdown

Quarter	G&A	S&M	SG&A
Q3 18	$79M	—	—
Q4 18	$80M	—	—
Q1 19	$77M	—	—
Q2 19	$79M	—	—
Q3 19	$82M	—	—
Q2 21	$35M	$10M	—
Q3 21	$45M	—	—
Q4 21	$35M	$10M	—
Q4 22	$40M	$12M	—
Q3 23	—	—	$46M
Q4 23	$458M	—	—
Q1 24	$475M	—	—
Q2 24	$480M	—	—
Q3 24	$489M	—	—
Q4 24	$485M	—	—
Q4 25	$48M	—	—

Revenue Segments

Quarter	United Kingdom Facility	United States Facilities
Q4 18	$271M	$472M
Q2 21	—	$582M
Q3 21	—	$588M
Q4 21	—	$593M
Q4 22	—	$675M
Q3 23	—	$750M
Q4 23	—	$743M
Q1 24	—	$768M
Q2 24	—	$796M
Q3 24	—	$816M
Q4 24	—	$774M
Q4 25	—	$821M

War Chest

Quarter	Cash	Short-term Investments	Total
Q1 22	$140M	$0	$140M
Q2 22	$128M	$0	$128M
Q3 22	$93M	$0	$93M
Q4 22	$98M	$0	$98M
Q1 23	$64M	$0	$64M
Q2 23	$112M	$0	$112M
Q3 23	$100M	$0	$100M
Q4 23	$100M	$0	$100M
Q1 24	$77M	$0	$77M
Q2 24	$77M	$0	$77M
Q3 24	$82M	$0	$82M
Q4 24	$76M	$0	$76M
Q1 25	$91M	$0	$91M
Q2 25	$131M	$0	$131M
Q3 25	$119M	$0	$119M
Q4 25	$133M	$0	$133M

Shares Outstanding

Quarter	Shares (Diluted)	QoQ Change	YoY Change
Q3 18	88M	+0.1%	+0.4%
Q4 18	87M	-0.2%	+0.2%
Q1 19	88M	+0.4%	+0.5%
Q2 19	88M	+0.2%	+0.4%
Q3 19	88M	+0.0%	+0.4%
Q2 21	91M	+3.1%	+3.7%
Q3 21	91M	+0.3%	+3.6%
Q4 21	91M	+0.2%	+3.6%
Q4 22	92M	+0.9%	+4.6%
Q3 23	91M	-0.8%	+0.6%
Q4 23	92M	+0.8%	+1.1%
Q1 24	92M	+0.2%	+1.1%
Q2 24	92M	+0.0%	+0.2%
Q3 24	92M	+0.2%	+1.1%
Q4 24	92M	-0.2%	+0.1%
Q4 25	90M	-1.7%	-1.7%

Shares Outstanding

Revenue Per Employee

Period	Revenue/Employee	Employees
Q3 18	$18.7K	41K
Q4 18	$17.7K	42K
Q1 19	$18.1K	42K
Q2 19	$18.7K	42K
Q3 19	$18.5K	42K
Q2 21	$13.8K	42K
Q3 21	$13.9K	42K
Q4 21	$26.4K	23K
Q4 22	$29.4K	23K
Q3 23	$32.6K	23K
Q4 23	$31.6K	24K
Q1 24	$32.7K	24K
Q2 24	$33.9K	24K
Q3 24	$34.7K	24K
Q4 24	$30.4K	26K
Q4 25	$32.9K	25K

Revenue / Employee