Medical - Care Facilities
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LFST vs ACHC
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Care Facilities
LFST vs ACHC — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Care Facilities | Medical - Care Facilities |
| Market Cap | $2.85B | $2.33B |
| Revenue (TTM) | $1.42B | $3.37B |
| Net Income (TTM) | $10M | $-1.11B |
| Gross Margin | 30.4% | 56.2% |
| Operating Margin | 1.7% | 11.7% |
| Forward P/E | 100.7x | 17.0x |
| Total Debt | $194M | $2.65B |
| Cash & Equiv. | $249M | $133M |
LFST vs ACHC — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Jun 21 | May 26 | Return |
|---|---|---|---|
| LifeStance Health G… (LFST) | 100 | 26.4 | -73.6% |
| Acadia Healthcare C… (ACHC) | 100 | 40.3 | -59.7% |
Price return only. Dividends and distributions are not included.
Quick Verdict: LFST vs ACHC
Each card shows where this stock fits in a portfolio — not just who wins on paper.
LFST carries the broadest edge in this set and is the clearest fit for growth exposure and sleep-well-at-night.
- Rev growth 13.9%, EPS growth 113.3%, 3Y rev CAGR 18.3%
- Lower volatility, beta 1.20, Low D/E 12.8%, current ratio 1.65x
- 13.9% revenue growth vs ACHC's 5.0%
ACHC is the clearest fit if your priority is income & stability and long-term compounding.
- Dividend streak 1 yrs, beta 0.84
- -56.7% 10Y total return vs LFST's -66.4%
- Beta 0.84, current ratio 1.55x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 13.9% revenue growth vs ACHC's 5.0% | |
| Value | Lower P/E (17.0x vs 100.7x) | |
| Quality / Margins | 0.7% margin vs ACHC's -32.8% | |
| Stability / Safety | Beta 0.84 vs LFST's 1.20 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +12.4% vs ACHC's +6.3% | |
| Efficiency (ROA) | 0.4% ROA vs ACHC's -18.6%, ROIC 1.2% vs 5.9% |
LFST vs ACHC — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
LFST vs ACHC — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
LFST leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
ACHC is the larger business by revenue, generating $3.4B annually — 2.4x LFST's $1.4B. LFST is the more profitable business, keeping 0.7% of every revenue dollar as net income compared to ACHC's -32.8%. On growth, LFST holds the edge at +17.4% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $1.4B | $3.4B |
| EBITDAEarnings before interest/tax | $79M | $588M |
| Net IncomeAfter-tax profit | $10M | -$1.1B |
| Free Cash FlowCash after capex | $146M | -$215M |
| Gross MarginGross profit ÷ Revenue | +30.4% | +56.2% |
| Operating MarginEBIT ÷ Revenue | +1.7% | +11.7% |
| Net MarginNet income ÷ Revenue | +0.7% | -32.8% |
| FCF MarginFCF ÷ Revenue | +10.3% | -6.4% |
| Rev. Growth (YoY)Latest quarter vs prior year | +17.4% | +7.6% |
| EPS Growth (YoY)Latest quarter vs prior year | +2.4% | -49.8% |
Valuation Metrics
ACHC leads this category, winning 5 of 5 comparable metrics.
Valuation Metrics
On an enterprise value basis, ACHC's 8.4x EV/EBITDA is more attractive than LFST's 34.8x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $2.9B | $2.3B |
| Enterprise ValueMkt cap + debt − cash | $2.8B | $4.9B |
| Trailing P/EPrice ÷ TTM EPS | 368.00x | -2.08x |
| Forward P/EPrice ÷ next-FY EPS est. | 100.68x | 16.98x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | 34.80x | 8.40x |
| Price / SalesMarket cap ÷ Revenue | 2.00x | 0.70x |
| Price / BookPrice ÷ Book value/share | 1.89x | 1.07x |
| Price / FCFMarket cap ÷ FCF | 25.94x | — |
Profitability & Efficiency
LFST leads this category, winning 7 of 9 comparable metrics.
Profitability & Efficiency
LFST delivers a 0.7% return on equity — every $100 of shareholder capital generates $1 in annual profit, vs $-41 for ACHC. LFST carries lower financial leverage with a 0.13x debt-to-equity ratio, signaling a more conservative balance sheet compared to ACHC's 1.24x. On the Piotroski fundamental quality scale (0–9), LFST scores 7/9 vs ACHC's 5/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +0.7% | -40.9% |
| ROA (TTM)Return on assets | +0.4% | -18.6% |
| ROICReturn on invested capital | +1.2% | +5.9% |
| ROCEReturn on capital employed | +1.3% | +7.5% |
| Piotroski ScoreFundamental quality 0–9 | 7 | 5 |
| Debt / EquityFinancial leverage | 0.13x | 1.24x |
| Net DebtTotal debt minus cash | -$55M | $2.5B |
| Cash & Equiv.Liquid assets | $249M | $133M |
| Total DebtShort + long-term debt | $194M | $2.7B |
| Interest CoverageEBIT ÷ Interest expense | 2.06x | -5.99x |
Total Returns (Dividends Reinvested)
Evenly matched — LFST and ACHC each lead in 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in ACHC five years ago would be worth $3,964 today (with dividends reinvested), compared to $3,361 for LFST. Over the past 12 months, LFST leads with a +12.4% total return vs ACHC's +6.3%. The 3-year compound annual growth rate (CAGR) favors LFST at -4.7% vs ACHC's -28.4% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | +5.7% | +77.0% |
| 1-Year ReturnPast 12 months | +12.4% | +6.3% |
| 3-Year ReturnCumulative with dividends | -13.4% | -63.3% |
| 5-Year ReturnCumulative with dividends | -66.4% | -60.4% |
| 10-Year ReturnCumulative with dividends | -66.4% | -56.7% |
| CAGR (3Y)Annualised 3-year return | -4.7% | -28.4% |
Risk & Volatility
Evenly matched — LFST and ACHC each lead in 1 of 2 comparable metrics.
Risk & Volatility
ACHC is the less volatile stock with a 0.84 beta — it tends to amplify market swings less than LFST's 1.20 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. LFST currently trades 91.0% from its 52-week high vs ACHC's 83.8% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.20x | 0.84x |
| 52-Week HighHighest price in past year | $8.09 | $30.20 |
| 52-Week LowLowest price in past year | $3.74 | $11.43 |
| % of 52W HighCurrent price vs 52-week peak | +91.0% | +83.8% |
| RSI (14)Momentum oscillator 0–100 | 60.3 | 46.1 |
| Avg Volume (50D)Average daily shares traded | 2.8M | 3.3M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates LFST as "Buy" and ACHC as "Buy". Consensus price targets imply 26.4% upside for LFST (target: $9) vs -7.1% for ACHC (target: $24).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $9.30 | $23.50 |
| # AnalystsCovering analysts | 11 | 25 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | 1 |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +2.1% |
LFST leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). ACHC leads in 1 (Valuation Metrics). 2 tied.
LFST vs ACHC: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is LFST or ACHC a better buy right now?
For growth investors, LifeStance Health Group, Inc.
(LFST) is the stronger pick with 13. 9% revenue growth year-over-year, versus 5. 0% for Acadia Healthcare Company, Inc. (ACHC). LifeStance Health Group, Inc. (LFST) offers the better valuation at 368. 0x trailing P/E (100. 7x forward), making it the more compelling value choice. Analysts rate LifeStance Health Group, Inc. (LFST) a "Buy" — based on 11 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — LFST or ACHC?
On forward P/E, Acadia Healthcare Company, Inc.
is actually cheaper at 17. 0x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — LFST or ACHC?
Over the past 5 years, Acadia Healthcare Company, Inc.
(ACHC) delivered a total return of -60. 4%, compared to -66. 4% for LifeStance Health Group, Inc. (LFST). Over 10 years, the gap is even starker: ACHC returned -56. 7% versus LFST's -66. 4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — LFST or ACHC?
By beta (market sensitivity over 5 years), Acadia Healthcare Company, Inc.
(ACHC) is the lower-risk stock at 0. 84β versus LifeStance Health Group, Inc. 's 1. 20β — meaning LFST is approximately 42% more volatile than ACHC relative to the S&P 500. On balance sheet safety, LifeStance Health Group, Inc. (LFST) carries a lower debt/equity ratio of 13% versus 124% for Acadia Healthcare Company, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — LFST or ACHC?
By revenue growth (latest reported year), LifeStance Health Group, Inc.
(LFST) is pulling ahead at 13. 9% versus 5. 0% for Acadia Healthcare Company, Inc. (ACHC). On earnings-per-share growth, the picture is similar: LifeStance Health Group, Inc. grew EPS 113. 3% year-over-year, compared to -537. 4% for Acadia Healthcare Company, Inc.. Over a 3-year CAGR, LFST leads at 18. 3% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — LFST or ACHC?
LifeStance Health Group, Inc.
(LFST) is the more profitable company, earning 0. 7% net margin versus -33. 3% for Acadia Healthcare Company, Inc. — meaning it keeps 0. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ACHC leads at 11. 7% versus 1. 8% for LFST. At the gross margin level — before operating expenses — LFST leads at 28. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is LFST or ACHC more undervalued right now?
On forward earnings alone, Acadia Healthcare Company, Inc.
(ACHC) trades at 17. 0x forward P/E versus 100. 7x for LifeStance Health Group, Inc. — 83. 7x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for LFST: 26. 4% to $9. 30.
08Which pays a better dividend — LFST or ACHC?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
09Is LFST or ACHC better for a retirement portfolio?
For long-horizon retirement investors, Acadia Healthcare Company, Inc.
(ACHC) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 84)). Both have compounded well over 10 years (ACHC: -56. 7%, LFST: -66. 4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between LFST and ACHC?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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