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Acadia Healthcare (ACHC)
NASDAQ:ACHC
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Acadia Healthcare (ACHC) AI Stock Analysis

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ACHC

Acadia Healthcare

(NASDAQ:ACHC)

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Neutral 64 (OpenAI - 4o)
Rating:64Neutral
Price Target:
$22.50
▲(1.95% Upside)
Acadia Healthcare's overall stock score is driven by strong financial performance in terms of revenue growth and gross margins, but tempered by challenges in profitability and cash flow conversion. Technical analysis indicates weak momentum, while the earnings call highlights both growth and operational challenges. The valuation is reasonable, but the lack of a dividend yield may deter some investors.
Positive Factors
Revenue Growth
The consistent revenue growth reflects strong demand for Acadia's services and effective expansion strategies, indicating a robust market position.
Expansion and Development
The addition of new beds and facilities enhances Acadia's capacity to serve more patients, supporting long-term revenue growth and market expansion.
Favorable Labor Trends
Improved labor conditions reduce operational costs and enhance service delivery, contributing to better margin sustainability and operational efficiency.
Negative Factors
Increased Debt Levels
Higher debt levels can strain cash flow and limit financial flexibility, potentially impacting long-term stability and growth investments.
Net Profit Margin Decline
A declining net profit margin suggests challenges in cost management and profitability, which could affect future financial health and investor confidence.
Increased Start-up Losses
Rising start-up losses from new facilities may pressure short-term profitability and cash flow, potentially delaying the realization of expected growth benefits.

Acadia Healthcare (ACHC) vs. SPDR S&P 500 ETF (SPY)

Acadia Healthcare Business Overview & Revenue Model

Company DescriptionAcadia 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.
How the Company Makes MoneyAcadia Healthcare generates revenue primarily through the provision of healthcare services, which are reimbursed by a variety of payers including private insurance companies, government programs such as Medicare and Medicaid, and self-pay patients. The company operates on a fee-for-service model, where revenue is derived from the number of patients treated and the services rendered, including inpatient stays and outpatient visits. Additionally, Acadia benefits from contractual agreements with insurance providers that facilitate patient access to its services. The company also focuses on expanding its network through acquisitions and partnerships, enhancing its capability to serve a broader patient base and increase revenue streams.

Acadia Healthcare Earnings Call Summary

Earnings Call Date:Aug 05, 2025
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Neutral
The earnings call reflects a mixed sentiment. The company demonstrated strong revenue and EBITDA growth, expansion efforts, and favorable labor trends. However, pressures from Medicaid volumes, underperforming facilities, and increased start-up losses present challenges.
Q2-2025 Updates
Positive Updates
Revenue and EBITDA Growth
Acadia Healthcare reported total revenue of $869.2 million, a 9.2% increase over the second quarter last year. Adjusted EBITDA was $201.8 million, a 7.5% increase over the same period a year ago.
Expansion and Development
In the second quarter, Acadia added 101 beds to existing facilities, totaling 191 beds added in the first half of 2025. Including newly constructed facilities, they have added a total of 479 beds to date in 2025.
Tennessee Supplemental Payment Program Approval
The state of Tennessee approved a new Directed Payment Program, providing a favorable pretax benefit of $51.8 million in the quarter. This includes benefits related to fiscal year 2024 and the first and second quarters of 2025.
Labor Market Trends
The company is experiencing more favorable labor trends in 2025, supported by centralized recruitment and retention initiatives, with premium costs reduced to approximately 3.5%.
Negative Updates
Medicaid Volume Pressures
Volumes in the acute care business were below expectations, with weaker Medicaid volumes attributed to evolving utilization patterns among managed Medicaid plans.
Underperforming Facilities
A handful of underperforming facilities negatively impacted same-facility patient volume growth by 80 basis points in the second quarter. One facility continues to face strong local market pressures.
Increased Start-up Losses
Start-up losses of $14.2 million related to recently opened facilities were reported, compared to $4.6 million in the second quarter of 2024. The full-year start-up losses are expected to be approximately $60 million to $65 million.
Company Guidance
During Acadia Healthcare's second quarter 2025 earnings call, the company reported solid financial performance with total revenue of $869.2 million, representing a 9.2% year-over-year increase, while adjusted EBITDA reached $201.8 million, up 7.5% from the previous year. Same-facility revenue grew by 9.5% due to a 7.5% rise in revenue per patient day and a 1.8% increase in patient days. The company added 479 beds in 2025, including 288 from newly constructed facilities and 191 to existing ones. Despite facing Medicaid volume challenges, Acadia expects full-year gross revenue of approximately $230 million from state Medicaid programs. The company also received a favorable $51.8 million pretax benefit from Tennessee's Supplemental Payment Program. For 2025, Acadia revised its adjusted EBITDA guidance to $675 million to $700 million, anticipating a reduction in start-up costs for new facilities.

Acadia Healthcare Financial Statement Overview

Summary
Acadia Healthcare shows robust revenue growth and strong gross profit margins, but faces challenges in maintaining net profitability and operational efficiency. The balance sheet indicates increased leverage, posing potential risks. Cash flow generation is mixed, with strong operating cash flow but weak free cash flow.
Income Statement
72
Positive
Acadia Healthcare shows a consistent revenue growth trend, with a TTM revenue growth rate of 2.32%. The gross profit margin has improved significantly to 81.24% in the TTM, indicating strong cost management. However, the net profit margin has decreased to 4.31% from 8.10% in the previous year, reflecting challenges in maintaining profitability. The EBIT and EBITDA margins have also declined, suggesting pressure on operational efficiency.
Balance Sheet
65
Positive
The company's debt-to-equity ratio has increased to 0.78 in the TTM, indicating a higher reliance on debt financing. Return on equity has decreased to 4.56%, reflecting reduced profitability. The equity ratio remains stable, suggesting a balanced asset structure. Overall, the balance sheet shows moderate leverage with potential risks from increased debt levels.
Cash Flow
58
Neutral
Operating cash flow has improved significantly in the TTM, but free cash flow remains low, with a negative growth rate of -136.34%. The operating cash flow to net income ratio is strong at 0.81, indicating good cash generation relative to earnings. However, the free cash flow to net income ratio is weak at 0.07, highlighting challenges in converting earnings into free cash flow.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.23B3.15B2.93B2.61B2.31B2.09B
Gross Profit2.62B711.98M682.61M1.12B979.89M848.17M
EBITDA498.63M607.84M189.11M561.67M459.47M437.16M
Net Income139.25M255.61M-21.67M273.14M190.63M143.19M
Balance Sheet
Total Assets6.31B5.96B5.36B4.99B4.77B6.50B
Cash, Cash Equivalents and Short-Term Investments131.42M76.31M100.07M97.65M133.81M378.70M
Total Debt2.39B2.09B1.51B1.53B1.64B3.23B
Total Liabilities3.08B2.77B2.47B2.09B2.19B4.60B
Stockholders Equity3.08B3.07B2.78B2.81B2.52B1.90B
Cash Flow
Free Cash Flow31.08M-560.69M38.21M84.42M129.67M442.19M
Operating Cash Flow424.81M129.69M462.34M380.57M374.48M658.81M
Investing Cash Flow-730.40M-736.48M-397.22M-305.83M1.02B-281.84M
Financing Cash Flow359.85M583.02M-62.70M-110.90M-1.64B-51.50M

Acadia Healthcare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price22.07
Price Trends
50DMA
21.93
Positive
100DMA
22.50
Negative
200DMA
29.35
Negative
Market Momentum
MACD
0.04
Positive
RSI
50.08
Neutral
STOCH
29.85
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ACHC, the sentiment is Negative. The current price of 22.07 is below the 20-day moving average (MA) of 22.38, above the 50-day MA of 21.93, and below the 200-day MA of 29.35, indicating a neutral trend. The MACD of 0.04 indicates Positive momentum. The RSI at 50.08 is Neutral, neither overbought nor oversold. The STOCH value of 29.85 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ACHC.

Acadia Healthcare Risk Analysis

Acadia Healthcare disclosed 54 risk factors in its most recent earnings report. Acadia Healthcare reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Acadia Healthcare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
1.79B17.1910.26%2.07%25.19%13.44%
69
Neutral
1.52B11.508.21%2.02%-16.10%-48.97%
64
Neutral
$2.02B14.544.62%5.64%
60
Neutral
2.79B-15.42-10.32%12.05%-432.59%
59
Neutral
2.00B-127.25-1.10%13.86%89.49%
46
Neutral
1.79B-7.60-230.26%3.99%-14.74%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ACHC
Acadia Healthcare
22.07
-54.33
-71.11%
BKD
Brookdale Senior Living
8.01
1.26
18.67%
NHC
National Healthcare
119.07
-4.81
-3.88%
SEM
Select Medical
12.63
-5.92
-31.91%
SGRY
Surgery Partners
22.03
-10.54
-32.36%
LFST
Lifestance Health Group
5.37
-1.44
-21.15%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Sep 11, 2025