Tearsheet

Acadia Healthcare (ACHC)


Market Price (5/10/2026): $25.18 | Market Cap: $2.3 Bil
Sector: Health Care | Industry: Health Care Facilities

Acadia Healthcare (ACHC)


Market Price (5/10/2026): $25.18
Market Cap: $2.3 Bil
Sector: Health Care
Industry: Health Care Facilities

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.

0

Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, Aging Population & Chronic Disease, and Health & Wellness Trends. Themes include Telehealth Platforms, Show more.

Weak multi-year price returns
2Y Excs Rtn is -106%, 3Y Excs Rtn is -144%

Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 110%

Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -8.7%

Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 75%

Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -53%

Significant 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 24%

Key risks
ACHC key risks include [1] ongoing government investigations and massive lawsuits regarding its billing practices, Show more.

0 Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, Aging Population & Chronic Disease, and Health & Wellness Trends. Themes include Telehealth Platforms, Show more.
1 Weak multi-year price returns
2Y Excs Rtn is -106%, 3Y Excs Rtn is -144%
2 Debt is significant
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 110%
3 Not cash flow generative
FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -8.7%
4 Valuation getting more expensive
P/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is 75%
5 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -53%
6 Significant 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 24%
7 Key risks
ACHC key risks include [1] ongoing government investigations and massive lawsuits regarding its billing practices, Show more.

Valuation, Metrics & Events

Price Chart

Why The Stock Moved

Qualitative Assessment

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Acadia Healthcare (ACHC) stock has gained about 85% since 1/31/2026 because of the following key factors:

1. Acadia Healthcare significantly surpassed Q1 2026 earnings expectations, reporting an adjusted EPS of $0.37 against a consensus estimate of $0.28, beating by over 32%. Revenue also rose by 7.6% year-over-year to $828.8 million, exceeding analyst forecasts of approximately $823.51 million. This strong financial performance signaled robust operational health.

2. Following the impressive Q1 results, the company raised its full-year 2026 financial guidance. Acadia Healthcare increased its Adjusted EBITDA outlook to a range of $580 million to $615 million and lifted its Adjusted EPS guidance to between $1.35 and $1.60, indicating management's confidence in continued growth.

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Stock Movement Drivers

Fundamental Drivers

The 87.4% change in ACHC stock from 1/31/2026 to 5/10/2026 was primarily driven by a 81.7% change in the company's P/S Multiple.
(LTM values as of)13120265102026Change
Stock Price ($)13.4425.1887.4%
Change Contribution By: 
Total Revenues ($ Mil)3,2663,3713.2%
P/S Multiple0.40.781.7%
Shares Outstanding (Mil)9091-0.1%
Cumulative Contribution87.4%

LTM = Last Twelve Months as of date shown

Market Drivers

1/31/2026 to 5/10/2026
ReturnCorrelation
ACHC87.4% 
Market (SPY)3.6%17.9%
Sector (XLV)-6.9%6.0%

Fundamental Drivers

The 17.1% change in ACHC stock from 10/31/2025 to 5/10/2026 was primarily driven by a 12.5% change in the company's P/S Multiple.
(LTM values as of)103120255102026Change
Stock Price ($)21.5025.1817.1%
Change Contribution By: 
Total Revenues ($ Mil)3,2303,3714.4%
P/S Multiple0.60.712.5%
Shares Outstanding (Mil)9091-0.2%
Cumulative Contribution17.1%

LTM = Last Twelve Months as of date shown

Market Drivers

10/31/2025 to 5/10/2026
ReturnCorrelation
ACHC17.1% 
Market (SPY)5.5%8.3%
Sector (XLV)0.3%9.1%

Fundamental Drivers

The 7.6% change in ACHC stock from 4/30/2025 to 5/10/2026 was primarily driven by a 6.9% change in the company's Total Revenues ($ Mil).
(LTM values as of)43020255102026Change
Stock Price ($)23.4025.187.6%
Change Contribution By: 
Total Revenues ($ Mil)3,1543,3716.9%
P/S Multiple0.70.7-0.7%
Shares Outstanding (Mil)92911.4%
Cumulative Contribution7.6%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2025 to 5/10/2026
ReturnCorrelation
ACHC7.6% 
Market (SPY)30.4%16.4%
Sector (XLV)4.0%21.2%

Fundamental Drivers

The -65.2% change in ACHC stock from 4/30/2023 to 5/10/2026 was primarily driven by a -72.0% change in the company's P/S Multiple.
(LTM values as of)43020235102026Change
Stock Price ($)72.2925.18-65.2%
Change Contribution By: 
Total Revenues ($ Mil)2,6983,37124.9%
P/S Multiple2.40.7-72.0%
Shares Outstanding (Mil)9091-0.5%
Cumulative Contribution-65.2%

LTM = Last Twelve Months as of date shown

Market Drivers

4/30/2023 to 5/10/2026
ReturnCorrelation
ACHC-65.2% 
Market (SPY)78.7%20.2%
Sector (XLV)13.0%25.7%

Return vs. Risk

Price Returns Compared

 202120222023202420252026Total [1]
Returns
ACHC Return21%36%-6%-49%-64%72%-51%
Peers Return-12%-5%19%24%9%3%40%
S&P 500 Return27%-19%24%23%16%7%95%

Monthly Win Rates [3]
ACHC Win Rate58%58%42%25%42%40% 
Peers Win Rate47%55%53%62%55%56% 
S&P 500 Win Rate75%42%67%75%67%60% 

Max Drawdowns [4]
ACHC Max Drawdown-1%-17%-18%-52%-65%-18% 
Peers Max Drawdown-24%-29%-12%-8%-22%-10% 
S&P 500 Max Drawdown-1%-25%-1%-2%-15%-7% 


[1] Cumulative total returns since the beginning of 2021
[2] Peers: UHS, LFST, SEM, EHC, ENSG. 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] 2026 data is for the year up to 5/8/2026 (YTD)

How Low Can It Go

EventACHCS&P 500
Summer-Fall 2023 Five Percent Yield Shock
  % Loss-11.0%-9.5%
  % Gain to Breakeven12.4%10.5%
  Time to Breakeven10 days24 days
2023 SVB Regional Banking Crisis
  % Loss-17.1%-6.7%
  % Gain to Breakeven20.7%7.1%
  Time to Breakeven253 days31 days
2022 Inflation Shock & Fed Tightening
  % Loss-16.0%-24.5%
  % Gain to Breakeven19.1%32.4%
  Time to Breakeven22 days427 days
2020 COVID-19 Crash
  % Loss-66.1%-33.7%
  % Gain to Breakeven195.3%50.9%
  Time to Breakeven221 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-29.6%-19.2%
  % Gain to Breakeven42.1%23.7%
  Time to Breakeven676 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-31.1%-3.7%
  % Gain to Breakeven45.2%3.9%
  Time to Breakeven171 days6 days

Compare to UHS, LFST, SEM, EHC, ENSG

In The Past

Acadia Healthcare's stock fell 0.0% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 0.0% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

EventACHCS&P 500
2020 COVID-19 Crash
  % Loss-66.1%-33.7%
  % Gain to Breakeven195.3%50.9%
  Time to Breakeven221 days140 days
Q4 2018 Fed Policy Error / Growth Scare
  % Loss-29.6%-19.2%
  % Gain to Breakeven42.1%23.7%
  Time to Breakeven676 days105 days
2016-2017 Trump Reflation Bond Selloff
  % Loss-31.1%-3.7%
  % Gain to Breakeven45.2%3.9%
  Time to Breakeven171 days6 days
2015-2016 China Devaluation / Global Growth Scare
  % Loss-38.7%-12.2%
  % Gain to Breakeven63.0%13.9%
  Time to Breakeven2325 days62 days
2011 US Debt Ceiling Crisis & European Contagion
  % Loss-33.0%-17.9%
  % Gain to Breakeven49.3%21.8%
  Time to Breakeven98 days123 days
2008-2009 Global Financial Crisis
  % Loss-83.1%-53.4%
  % Gain to Breakeven492.0%114.4%
  Time to Breakeven799 days1085 days

Compare to UHS, LFST, SEM, EHC, ENSG

In The Past

Acadia Healthcare's stock fell 0.0% during the 2024 Yen Carry Trade Unwind. Such a loss loss requires a 0.0% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Acadia Healthcare (ACHC)

Acadia Healthcare Company, Inc. develops and operates inpatient psychiatric facilities, residential treatment centers, group homes, substance abuse facilities, and outpatient behavioral healthcare facilities to serve the behavioral health and recovery needs of communities in the United States and Puerto Rico. The company operates acute inpatient psychiatric facilities, which cares to stabilize patients that are either threat to themselves or 24-hour observation, daily intervention, and monitoring by psychiatrists; and specialty treatment facilities, including residential recovery and eating disorder facilities, and comprehensive treatment centers that provide continuum care for adults with addictive disorders and co-occurring mental disorders. It also provides residential treatment centers, which treat patients with behavioral disorders in a non-hospital setting, including outdoor programs; and offer therapeutic placement for children and adolescents with emotional disorders. As of February 28, 2022, it operated a network of 228 behavioral healthcare facilities with approximately 10,500 beds. Acadia Healthcare Company, Inc. was founded in 2005 and is headquartered in Franklin, Tennessee.

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DaVita for behavioral healthcare

Encompass Health for psychiatric and addiction treatment facilities

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  • Acute Inpatient Psychiatric Care: Provides immediate stabilization and intensive monitoring for individuals experiencing severe mental health crises.
  • Residential Treatment Programs: Offers non-hospital-based, longer-term care for individuals with various behavioral disorders, including specialized programs for children and adolescents.
  • Substance Abuse Treatment: Delivers comprehensive care for addiction and co-occurring mental disorders through various inpatient and residential recovery facilities.
  • Eating Disorder Treatment: Provides specialized programs and care tailored for individuals struggling with eating disorders.
  • Outpatient Behavioral Healthcare: Offers therapy, counseling, and other mental health services for patients who do not require an overnight stay.
  • Group Homes: Provides structured, supportive living environments for individuals with behavioral health needs.

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Major Customers of Acadia Healthcare (ACHC)

Acadia Healthcare (ACHC) sells its services primarily to individuals. Based on the services described, its major customer categories include:

  • Individuals with Acute Psychiatric Needs: Patients requiring stabilization, 24-hour observation, daily intervention, and monitoring by psychiatrists for acute psychiatric crises.
  • Adults with Addictive Disorders and Co-occurring Mental Disorders: Individuals seeking comprehensive treatment for substance abuse and concurrent mental health issues.
  • Children, Adolescents, and Adults with Behavioral and Emotional Disorders: Patients in need of residential treatment, therapeutic placement, or specialized care for behavioral disorders, eating disorders, and other emotional challenges.

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Debbie K. Osteen, Chief Executive Officer

Debbie K. Osteen was reappointed Chief Executive Officer of Acadia Healthcare in January 2026. She previously served as Acadia's CEO from December 2018 to March 2022 and as a member of the company's Board of Directors until 2024. Prior to her initial tenure at Acadia, Ms. Osteen served as Executive Vice President of Universal Health Services, Inc. (NYSE: UHS) and President of its behavioral health division for 19 years, during which she grew the division from 23 to over 300 facilities. She has served on the executive committee of the National Association for Behavioral Healthcare for over 20 years, including two terms as President of its Board. Ms. Osteen has been recognized multiple times among the "Top 25 Women in Healthcare" by Modern Healthcare magazine and as a Top 100 Executive in Healthcare. During her previous CEO role at Acadia, she oversaw the $1.47 billion sale of the company's UK operations to concentrate on the domestic market.

Todd Young, Chief Financial Officer

Todd Young joined Acadia Healthcare as Chief Financial Officer in October 2025. He is responsible for financial strategy, capital deployment, treasury, operational finance, and investor relations. Mr. Young brings over 25 years of experience leading finance organizations in healthcare and life sciences. Before joining Acadia, he served as CFO of Elanco Animal Health following its separation from Eli Lilly, and previously as CFO of ACADIA Pharmaceuticals, a separate entity. He holds a bachelor's degree in economics from Grinnell College and a J.D. from the University of Michigan Law School.

Brian Farley, Executive Vice President, General Counsel & Secretary

Brian Farley joined Acadia Healthcare in July 2023 as Executive Vice President, General Counsel & Secretary. He oversees all legal affairs and provides strategic advice to Acadia's executive team and Board of Directors. Prior to Acadia, Mr. Farley served as Chief Legal Officer and Corporate Secretary for GoHealth, where he led the legal efforts for the company's initial public offering in 2020. His career also includes senior leadership positions at Allscripts, Motorola Mobility, and Level 3 Communications. Mr. Farley earned a JD from The George Washington University Law School, an MBA from the University of Colorado, and a BA in Political Economics from Colorado College.

Dr. Nasser Khan, Chief Operating Officer

Dr. Nasser Khan was appointed Chief Operating Officer of Acadia Healthcare in May 2024, with the role becoming effective June 30, 2024. He joined Acadia in 2022 as Operations Group President for its Comprehensive Treatment Centers (CTC) business, where he significantly grew the business and increased patient retention. Dr. Khan oversees all operational functions, including quality and clinical operations, facility operations, and admissions. Before Acadia, he served as Senior Vice President of Operations at Shields Health Solutions, a subsidiary of Walgreens Boots Alliance, Inc. His previous roles include Head of Program and Chief Medical Officer at Biograph Inc., operational leadership at DaVita, Inc., and Engagement Manager at McKinsey & Company. Dr. Khan holds a Doctor of Medicine (M.D.), a Master of Medical Science (M.M.S.), and a Bachelor of Arts in Human Biology from Brown University.

Reeve B. Waud, Founder and Chairman of the Board

Reeve B. Waud is the Founder and Chairman of Acadia Healthcare, having served as a director since December 2005. He formed Waud Capital Partners (WCP) in 1993 and has been its Managing Partner since that time. Prior to founding WCP, Mr. Waud was an investment professional at Golder, Thoma, Cressey, Rauner, Inc. (GTCR), a private equity investment group. Before joining GTCR, he was a founding member of the Venture Capital Group at Salomon Brothers Inc. Acadia Healthcare was established in 2005 as a private corporation with a private equity-backed roll-up strategy, with initial capital provided by Waud Capital Partners L.P.

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The key risks to Acadia Healthcare (ACHC) primarily revolve around escalating operational costs, pressures on its primary revenue streams, and challenges related to capital allocation and investor confidence.

  1. Rising Legal, Insurance, and Compliance Costs: Acadia Healthcare faces structurally higher professional and general liability (PLGL) expenses, increasing legal liabilities, and the costs associated with ongoing government investigations from bodies like the DOJ and SEC. For example, the company anticipated a more than doubling of its PLGL expense in 2025 compared to 2024, with costs expected to remain elevated in 2026. This surge in expenses significantly impacts profitability and highlights escalating legal and operational risks.
  2. Medicaid Reimbursement Pressures and Policy Changes: A significant portion of Acadia Healthcare's business relies on Medicaid, which is experiencing tighter utilization management, pressure to shorten lengths of stay, and lower revenue per patient day. Furthermore, federal policy changes, such as a planned step-down in state-directed payments beginning in 2028, are expected to complicate reimbursement. These factors lead to weaker Medicaid volumes, increased claim denials, and higher bad debt, directly impacting the company's revenue and profitability.
  3. Capital Allocation Issues and Activist Investor Pressure: Acadia Healthcare's past aggressive capital expenditure strategy has resulted in poor capital allocation and negative free cash flow. This has attracted pressure from activist investors advocating for asset sales and cuts to capital expenditures. In response, the company has begun to reduce its capital expenditures and has closed underperforming facilities, acknowledging that some previous growth decisions were not value-adding.

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The emergence and rapid expansion of telehealth and digital mental health platforms, offering remote therapy, psychiatry, and support services, which provide more accessible and often lower-cost alternatives to traditional in-person behavioral healthcare facilities.

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Acadia Healthcare (ACHC) operates within the expansive U.S. behavioral healthcare market, which encompasses a variety of specialized services, including inpatient psychiatric facilities, residential treatment centers, substance abuse facilities, and eating disorder treatment centers.

The addressable markets for Acadia Healthcare's main products and services in the United States are:

  • The overall U.S. behavioral health market was valued at approximately USD 94.82 billion in 2025 and is anticipated to reach around USD 165.38 billion by 2034.
  • For inpatient psychiatric facilities, the U.S. psychiatric hospitals industry revenue is expected to reach USD 36.6 billion by 2026.
  • The U.S. substance abuse treatment market was valued at USD 2.57 billion in 2025 and is projected to reach USD 8.20 billion by 2033.
  • The U.S. eating disorder clinics industry revenue is expected to reach USD 4.8 billion in 2025.

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Acadia Healthcare Company, Inc. (ACHC) is expected to drive future revenue growth over the next 2-3 years through several key strategies:

  1. Expansion of Bed Capacity and Optimization of New Facilities: A primary growth driver for Acadia Healthcare is its continued expansion of bed capacity through new joint venture partnerships and de novo facilities. The company plans significant bed additions in the coming years, including 1,150 beds planned for 2024 and 2025, and an additional 2,000 beds over 2025 and 2026. A crucial part of this strategy involves increasing occupancy rates in these recently opened facilities to realize embedded EBITDA opportunities.
  2. Growth and Expansion of Comprehensive Treatment Centers (CTCs): Acadia Healthcare is focused on expanding its network of Comprehensive Treatment Centers (CTCs), which provide specialized addiction treatment services. For instance, the company expanded its CTC network by seven new centers in the first quarter of 2025, bringing the total to 170 CTCs, with plans to open an additional 14 CTCs in 2024. This strategic focus addresses the ongoing demand for these specialized services.
  3. Strategic Mergers and Acquisitions (M&A): While joint ventures are a significant focus, mergers and acquisitions remain a critical component of Acadia's growth strategy, particularly within the fragmented behavioral health sector. The company aims to be an "acquirer of choice" to consolidate services and enhance its market position, supported by a strong balance sheet.
  4. Increases in Same-Facility Revenue per Patient Day: Acadia anticipates a 2% to 3% increase in same-facility revenue per patient day for the full year 2026. This indicates an expected uplift in revenue generated from existing facilities through pricing adjustments or improved service mix.

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Share Repurchases

  • Acadia's Board of Directors authorized a share repurchase program for up to $300 million of its outstanding common stock on February 27, 2025, with no expiration date.
  • The company repurchased 1,602,688 shares for a total of $47.3 million during the first quarter of 2025.
  • As of March 6, 2026, Acadia Healthcare's shares buyback ratio was 1.44%.

Share Issuance

  • Acadia's shares outstanding have gradually increased, rising from 88.0 million at the end of 2020 to 91.8 million at the end of 2024.

Outbound Investments

  • Acadia Healthcare has pursued growth through acquisitions, joint ventures, and de novo facilities.
  • In March 2021, ACHC announced a joint venture with Lutheran Health Network of Indiana, LLC, to construct a new 120-bed behavioral health hospital.
  • During 2025, Acadia added 1,089 licensed beds, including 311 to existing facilities and 778 beds from new facilities, and added 15 new comprehensive treatment centers (CTCs).

Capital Expenditures

  • Capital expenditures for the full year 2024 increased to $690 million, from $225 million in 2020.
  • Acadia constructed approximately 1,300 new beds in 2024, marking the largest bed expansion in the company's history.
  • Acadia plans to reduce capital expenditures by at least $300 million in 2026 compared to 2025 levels, with expected capital expenditures for 2026 between $255 million and $280 million, focusing on capital efficiency, free cash flow generation, and adding 400-600 new beds.

Better Bets vs. Acadia Healthcare (ACHC)

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ACHC_10242025_Dip_Buyer_ValueBuy10242025ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
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ACHC_12312018_Dip_Buyer_ValueBuy12312018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
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ACHC_4302018_Dip_Buyer_ValueBuy04302018ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
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Recent Active Movers

Peer Comparisons

Peers to compare with:

Financials

ACHCUHSLFSTSEMEHCENSGMedian
NameAcadia H.Universa.LifeStan.Select M.Encompas.Ensign  
Mkt Price25.18171.007.7016.41105.00171.4465.09
Mkt Cap2.310.43.02.010.49.96.4
Rev LTM3,37117,7601,4955,5216,0665,2745,398
Op Inc LTM3932,042453221,088449421
FCF LTM-292883143152464216184
FCF 3Y Avg-31884359251363200225
CFO LTM1821,9061823881,200592490
CFO 3Y Avg2471,770934781,038447462

Growth & Margins

ACHCUHSLFSTSEMEHCENSGMedian
NameAcadia H.Universa.LifeStan.Select M.Encompas.Ensign  
Rev Chg LTM6.8%10.4%16.5%5.8%10.0%19.2%10.2%
Rev Chg 3Y Avg7.7%9.4%18.1%6.0%10.9%18.2%10.1%
Rev Chg Q7.6%9.6%21.2%5.0%9.0%18.4%9.3%
QoQ Delta Rev Chg LTM1.8%2.3%5.0%1.3%2.2%4.3%2.2%
Op Inc Chg LTM-16.6%16.8%438.7%22.6%17.7%18.9%18.3%
Op Inc Chg 3Y Avg-5.8%25.1%178.4%18.8%18.4%16.5%18.6%
Op Mgn LTM11.7%11.5%3.0%5.8%17.9%8.5%10.0%
Op Mgn 3Y Avg14.8%10.4%-4.5%5.4%16.7%8.0%9.2%
QoQ Delta Op Mgn LTM-0.0%0.0%1.3%-0.3%0.2%0.1%0.1%
CFO/Rev LTM5.4%10.7%12.2%7.0%19.8%11.2%11.0%
CFO/Rev 3Y Avg7.8%10.9%6.4%9.5%18.8%9.8%9.6%
FCF/Rev LTM-8.7%5.0%9.5%2.8%7.7%4.1%4.5%
FCF/Rev 3Y Avg-10.1%5.2%3.8%5.0%6.5%4.5%4.8%

Valuation

ACHCUHSLFSTSEMEHCENSGMedian
NameAcadia H.Universa.LifeStan.Select M.Encompas.Ensign  
Mkt Cap2.310.43.02.010.49.96.4
P/S0.70.62.00.41.71.91.2
P/Op Inc5.85.166.56.29.622.17.9
P/EBIT-2.54.867.85.39.220.47.3
P/E-2.16.9128.514.817.127.316.0
P/CFO12.55.516.45.18.716.710.6
Total Yield-48.6%15.1%0.8%8.3%6.5%3.8%5.2%
Dividend Yield0.0%0.5%0.0%1.6%0.7%0.1%0.3%
FCF Yield 3Y Avg-9.6%7.2%2.3%10.4%3.8%2.4%3.1%
D/E1.20.50.21.50.30.20.4
Net D/E1.10.50.11.50.30.20.4

Returns

ACHCUHSLFSTSEMEHCENSGMedian
NameAcadia H.Universa.LifeStan.Select M.Encompas.Ensign  
1M Rtn-2.9%-5.4%20.3%0.3%-2.1%-13.9%-2.5%
3M Rtn88.3%-21.7%12.7%5.1%-0.2%-13.3%2.4%
6M Rtn29.1%-25.3%22.4%24.2%-8.6%-4.7%8.9%
12M Rtn5.6%-5.6%34.4%12.0%-9.2%25.6%8.8%
3Y Rtn-64.7%23.8%-6.6%11.0%73.5%86.3%17.4%
1M Excs Rtn-15.8%-17.5%10.2%-8.1%-11.4%-23.4%-13.6%
3M Excs Rtn81.6%-28.5%6.0%-1.7%-6.8%-20.0%-4.3%
6M Excs Rtn12.9%-33.8%51.2%14.1%-17.4%-18.5%-2.2%
12M Excs Rtn-27.2%-39.6%8.4%-20.1%-41.1%-6.0%-23.6%
3Y Excs Rtn-143.8%-59.8%-85.3%-73.7%-9.3%3.1%-66.7%

Financials

Segment Financials

Revenue by Segment
$ Mil20252024202320222021
Behavioral healthcare services 2,9292,6102,3142,090
Total 2,9292,6102,3142,090


Assets by Segment
$ Mil20252024202320222021
Behavioral healthcare services5,957    
Total5,957    


Price Behavior

Price Behavior
Market Price$25.18 
Market Cap ($ Bil)2.3 
First Trading Date03/04/1994 
Distance from 52W High-10.9% 
   50 Days200 Days
DMA Price$25.18$20.43
DMA Trendupup
Distance from DMA0.0%23.3%
 3M1YR
Volatility72.2%65.8%
Downside Capture-0.030.42
Upside Capture288.7564.72
Correlation (SPY)16.9%16.5%
ACHC Betas & Captures as of 4/30/2026

 1M2M3M6M1Y3Y
Beta1.331.020.750.520.850.69
Up Beta0.26-0.03-0.060.841.660.66
Down Beta-1.01-0.190.93-1.120.330.76
Up Capture207%226%302%119%58%13%
Bmk +ve Days15223166141428
Stock +ve Days17253762131365
Down Capture414%134%-79%79%67%98%
Bmk -ve Days4183056108321
Stock -ve Days5172661118384

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with ACHC
ACHC3.7%66.1%0.32-
Sector ETF (XLV)7.9%15.4%0.3022.1%
Equity (SPY)29.0%12.5%1.8316.8%
Gold (GLD)39.8%27.0%1.224.4%
Commodities (DBC)50.6%18.0%2.214.5%
Real Estate (VNQ)13.0%13.5%0.668.8%
Bitcoin (BTCUSD)-17.4%42.1%-0.34-1.2%

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Based On 5-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with ACHC
ACHC-16.6%45.6%-0.25-
Sector ETF (XLV)4.9%14.6%0.1633.7%
Equity (SPY)12.8%17.1%0.5930.5%
Gold (GLD)20.9%17.9%0.957.4%
Commodities (DBC)13.8%19.1%0.599.9%
Real Estate (VNQ)3.4%18.8%0.0827.5%
Bitcoin (BTCUSD)7.0%56.0%0.348.5%

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Based On 10-Year Data
Annualized
Return
Annualized
Volatility
Sharpe
Ratio
Correlation
with ACHC
ACHC-8.8%48.5%-0.00-
Sector ETF (XLV)9.3%16.5%0.4640.7%
Equity (SPY)15.1%17.9%0.7240.7%
Gold (GLD)13.4%15.9%0.692.6%
Commodities (DBC)9.3%17.8%0.4417.9%
Real Estate (VNQ)5.8%20.7%0.2437.4%
Bitcoin (BTCUSD)67.8%66.9%1.078.9%

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Short Interest

Short Interest: As Of Date4152026
Short Interest: Shares Quantity22.1 Mil
Short Interest: % Change Since 33120260.2%
Average Daily Volume2.8 Mil
Days-to-Cover Short Interest7.9 days
Basic Shares Quantity90.5 Mil
Short % of Basic Shares24.5%

Earnings Returns History

Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
2/25/202621.4%33.9%41.6%
11/5/2025-2.0%-15.8%-32.3%
8/5/2025-17.3%-6.6%8.7%
5/12/20254.3%-2.9%-11.9%
2/27/2025-25.5%-25.7%-25.2%
10/30/2024-18.0%-18.4%-22.0%
7/31/202414.2%9.1%24.7%
2/27/2024-4.5%-3.0%-10.3%
...
SUMMARY STATS   
# Positive11912
# Negative8107
Median Positive6.2%6.9%8.6%
Median Negative-7.2%-5.0%-12.1%
Max Positive23.0%33.9%46.5%
Max Negative-25.5%-25.7%-32.3%

SEC Filings

Expand for More
Report DateFiling DateFiling
03/31/202604/30/202610-Q
12/31/202502/27/202610-K
09/30/202511/05/202510-Q
06/30/202508/05/202510-Q
03/31/202505/12/202510-Q
12/31/202402/27/202510-K
09/30/202410/30/202410-Q
06/30/202408/01/202410-Q
03/31/202405/02/202410-Q
12/31/202302/28/202410-K
09/30/202311/03/202310-Q
06/30/202307/28/202310-Q
03/31/202304/27/202310-Q
12/31/202202/28/202310-K
09/30/202211/02/202210-Q
06/30/202207/28/202210-Q

Recent Forward Guidance [BETA]

Latest: Q1 2026 Earnings Reported 4/29/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
Q2 2026 Revenue835.00 Mil842.50 Mil850.00 Mil2.1% Higher NewGuidance: 825.00 Mil for Q1 2026
Q2 2026 Adjusted EBITDA142.00 Mil147.00 Mil152.00 Mil10.1% Higher NewGuidance: 133.50 Mil for Q1 2026
Q2 2026 Adjusted earnings per diluted share0.30.350.427.3% Higher NewGuidance: 0.28 for Q1 2026
2026 Revenue3.37 Bil3.41 Bil3.45 Bil0 AffirmedGuidance: 3.41 Bil for 2026
2026 Adjusted EBITDA580.00 Mil597.50 Mil615.00 Mil0.8% RaisedGuidance: 592.50 Mil for 2026
2026 Adjusted earnings per diluted share1.351.481.63.5% RaisedGuidance: 1.43 for 2026
2026 Operating Cash Flow285.00 Mil305.00 Mil325.00 Mil  Higher New
2026 Capital expenditures255.00 Mil267.50 Mil280.00 Mil0 AffirmedGuidance: 267.50 Mil for 2026

Prior: Q4 2025 Earnings Reported 2/25/2026

Forward GuidanceGuidance Change
MetricLowMidHigh% Chg% DeltaChangePrior
Q1 2026 Revenue 825.00 Mil    
Q1 2026 Adjusted EBITDA 133.50 Mil    
Q1 2026 Adjusted earnings per diluted share 0.28    
2026 Revenue 3.41 Bil 3.6% RaisedActual: 3.29 Bil for 2025
2026 Adjusted EBITDA 592.50 Mil -9.5% LoweredActual: 655.00 Mil for 2025
2026 Adjusted earnings per diluted share 1.43 -40.6% LoweredActual: 2.4 for 2025
2026 Capital expenditures 267.50 Mil -56.9% LoweredActual: 620.00 Mil for 2025