Tearsheet

Acadia Healthcare (ACHC)


Market Price (12/4/2025): $14.69 | Market Cap: $1.3 Bil
Sector: Health Care | Industry: Health Care Facilities

Acadia Healthcare (ACHC)


Market Price (12/4/2025): $14.69
Market Cap: $1.3 Bil
Sector: Health Care
Industry: Health Care Facilities

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 10%
Weak multi-year price returns
2Y Excs Rtn is -130%, 3Y Excs Rtn is -155%
Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 103%
1 Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, Aging Population & Chronic Disease, and Health & Wellness Trends. Themes include Telehealth Platforms, Show more.
Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 13%
Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -11%
0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 10%
1 Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, Aging Population & Chronic Disease, and Health & Wellness Trends. Themes include Telehealth Platforms, Show more.
2 Weak multi-year price returns
2Y Excs Rtn is -130%, 3Y Excs Rtn is -155%
3 Meaningful short interest
Short Interest % of Basic SharesShort Interest % of Basic Shares = (Short Interest Quantity) / (Basic Shares Outstanding). A high fraction of short interest can indicate potential risk of a short squeeze. is 13%
4 Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 103%
5 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -11%

Valuation, Metrics & Events

ACHC Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

Here are the key points highlighting why Acadia Healthcare's (ACHC) stock moved by -36% between approximately August 31, 2025, and December 4, 2025:



1. Significant Reduction in 2025 Earnings Guidance due to Increased Professional and General Liability (PLGL) Expenses. Acadia Healthcare revised its adjusted earnings projections for 2025 downwards by $49 million on December 2, 2025, marking the second such adjustment within a month. The company cited higher expected expenses primarily from patient-related litigation. Full-year adjusted EPS guidance was lowered to $1.94-$2.04 from a previous $2.35-$2.45, and adjusted EBITDA guidance was reduced from $650 million-$660 million to $601 million-$611 million. The projected 2025 PLGL expense more than doubled to approximately $116 million, up from $54 million in 2024, driven by higher settlement costs, a 168% increase in claim frequency, elevated incurred-but-not-reported reserves, and less favorable reinsurance terms.

2. Resignation of Chief Operating Officer. Dr. Nasser Khan resigned as Chief Operating Officer effective November 3, 2025. This executive shake-up contributed to market unease and disruption within the company's leadership structure.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
ACHC Return51%21%36%-6%-49%-58%-50%
Peers Return53%39%-24%24%24%25%213%
S&P 500 Return16%27%-19%24%23%16%112%

Monthly Win Rates [3]
ACHC Win Rate58%58%58%42%25%50% 
Peers Win Rate45%61%45%63%55%56% 
S&P 500 Win Rate58%75%42%67%75%70% 

Max Drawdowns [4]
ACHC Max Drawdown-65%-1%-17%-18%-52%-64% 
Peers Max Drawdown-45%-4%-50%-13%-26%-23% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: NTRA, THC, ENSG, OPCH, AGL. See ACHC Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/3/2025 (YTD)

How Low Can It Go

Unique KeyEventACHCS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-25.9%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven34.9%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven58 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-66.4%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven197.5%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven221 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-53.3%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven114.1%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven771 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-86.7%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven650.0%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven1099 days1480 days

Compare to NTRA, THC, ENSG, OPCH, AGL


In The Past

Acadia Healthcare's stock fell -25.9% during the 2022 Inflation Shock from a high on 9/2/2021. A -25.9% loss requires a 34.9% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Acadia Healthcare (ACHC)

Better Bets than Acadia Healthcare (ACHC)

Latest Trefis Analyses

Trade Ideas

Select past ideas related to ACHC. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
4.1%4.1%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-9.8%-9.8%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.0%6.0%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
9.7%9.7%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
6.2%6.2%-5.1%
ACHC_10242025_Dip_Buyer_ValueBuy10242025ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-29.5%-29.5%-38.7%
ACHC_12312018_Dip_Buyer_ValueBuy12312018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
33.5%29.2%-1.2%
ACHC_4302018_Dip_Buyer_ValueBuy04302018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
14.1%-10.0%-30.4%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
4.1%4.1%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-9.8%-9.8%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.0%6.0%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
9.7%9.7%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
6.2%6.2%-5.1%
ACHC_10242025_Dip_Buyer_ValueBuy10242025ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-29.5%-29.5%-38.7%
ACHC_12312018_Dip_Buyer_ValueBuy12312018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
33.5%29.2%-1.2%
ACHC_4302018_Dip_Buyer_ValueBuy04302018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
14.1%-10.0%-30.4%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Acadia Healthcare

Peers to compare with:

Financials

ACHCNTRATHCENSGOPCHAGLMedian
NameAcadia H.Natera Tenet He.Ensign Option C.Agilon H. 
Mkt Price14.69238.21211.34178.9930.260.68104.62
Mkt Cap1.332.718.610.34.90.37.6
Rev LTM3,2662,11720,8464,8295,5305,8865,180
Op Inc LTM444-3523,347402333-374368
FCF LTM-347941,50249221-11571
FCF 3Y Avg-252-871,678132279-15422
CFO LTM3351942,478481259-69297
CFO 3Y Avg308-172,550385320-116314

Growth & Margins

ACHCNTRATHCENSGOPCHAGLMedian
NameAcadia H.Natera Tenet He.Ensign Option C.Agilon H. 
Rev Chg LTM4.6%38.2%-0.6%17.5%15.8%5.2%10.5%
Rev Chg 3Y Avg9.0%40.2%3.1%18.4%12.9%42.2%15.7%
Rev Chg Q4.4%34.7%3.2%19.8%12.2%-1.1%8.3%
QoQ Delta Rev Chg LTM1.1%7.8%0.8%4.7%2.9%-0.3%2.0%
Op Mgn LTM13.6%-16.6%16.1%8.3%6.0%-6.4%7.2%
Op Mgn 3Y Avg16.2%-27.8%13.8%7.9%6.6%-5.3%7.3%
QoQ Delta Op Mgn LTM-1.0%-1.7%0.4%-0.2%-0.2%0.0%-0.2%
CFO/Rev LTM10.3%9.2%11.9%10.0%4.7%-1.2%9.6%
CFO/Rev 3Y Avg10.2%-5.5%12.3%9.2%6.8%-2.5%8.0%
FCF/Rev LTM-10.6%4.4%7.2%1.0%4.0%-1.9%2.5%
FCF/Rev 3Y Avg-7.8%-10.0%8.1%3.4%5.9%-3.3%0.1%

Valuation

ACHCNTRATHCENSGOPCHAGLMedian
NameAcadia H.Natera Tenet He.Ensign Option C.Agilon H. 
Mkt Cap1.332.718.610.34.90.37.6
P/S0.710.40.92.10.80.10.8
P/EBIT8.2-72.35.022.613.4-1.46.6
P/E20.9-71.413.230.221.5-1.417.0
P/CFO6.7113.77.220.617.4-6.212.3
Total Yield4.8%-1.4%7.6%3.5%4.7%-72.2%4.1%
Dividend Yield0.0%0.0%0.0%0.1%0.0%0.0%0.0%
FCF Yield 3Y Avg-7.6%-2.0%13.5%2.1%5.3%-13.4%0.1%
D/E1.10.00.70.20.30.10.3
Net D/E1.0-0.00.60.20.2-0.60.2

Returns

ACHCNTRATHCENSGOPCHAGLMedian
NameAcadia H.Natera Tenet He.Ensign Option C.Agilon H. 
1M Rtn-31.1%20.2%4.9%-2.7%14.5%-16.2%1.1%
3M Rtn-37.0%42.2%13.1%4.3%4.6%-43.4%4.5%
6M Rtn-35.0%42.5%24.4%18.3%-3.4%-69.0%7.5%
12M Rtn-65.2%40.8%49.6%24.1%28.3%-68.1%26.2%
3Y Rtn-83.2%469.3%366.7%91.0%-1.6%-96.3%44.7%
1M Excs Rtn-31.0%20.2%5.0%-2.6%14.6%-16.1%1.2%
3M Excs Rtn-43.2%37.7%4.4%-1.8%-0.2%-49.2%-1.0%
6M Excs Rtn-49.7%27.7%9.7%3.6%-18.1%-83.7%-7.2%
12M Excs Rtn-77.4%28.4%34.6%9.1%13.6%-81.0%11.3%
3Y Excs Rtn-155.4%462.3%302.5%21.5%-67.6%-168.6%-23.1%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Behavioral healthcare services2,9292,6102,3142,0902,008
Total2,9292,6102,3142,0902,008


Price Behavior

Short Interest

Short Interest: As Of Date11142025
Short Interest: Shares Quantity11,646,543
Short Interest: % Change Since 103120253.1%
Average Daily Volume2,726,878
Days-to-Cover Short Interest4.27
Basic Shares Quantity90,414,000
Short % of Basic Shares12.9%

SEC Filings

Expand for More

Report DateFiling DateFiling
93020251105202510-Q 9/30/2025
6302025805202510-Q 6/30/2025
3312025512202510-Q 3/31/2025
12312024227202510-K 12/31/2024
93020241030202410-Q 9/30/2024
6302024801202410-Q 6/30/2024
3312024502202410-Q 3/31/2024
12312023228202410-K 12/31/2023
93020231103202310-Q 9/30/2023
6302023728202310-Q 6/30/2023
3312023427202310-Q 3/31/2023
12312022228202310-K 12/31/2022
93020221102202210-Q 9/30/2022
6302022728202210-Q 6/30/2022
3312022504202210-Q 3/31/2022
12312021301202210-K 12/31/2021