Acadia Healthcare Company, Inc. (ACHC) 10-Year Financial Performance & Capital Metrics

ACHC • • Industrial / General

HealthcareHealthcare FacilitiesBehavioral & Mental Health ServicesBehavioral Health Facilities

AboutAcadia 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.Show more

Revenue $3.15B +7.7%
EBITDA $672M +5.2%
Net Income $256M +1279.7%
EPS (Diluted) 2.78 +1258.3%
Gross Margin 22.57% -3.1%
EBITDA Margin 21.3% -2.4%
Operating Margin 16.56% -4.3%
Net Margin 8.1% +1195.5%
ROE 8.41% +1223.5%
ROIC 8.25% -6.3%
Debt/Equity 0.65 +24.9%
Interest Coverage 4.49 -27.2%

Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

✓Strong 5Y profit CAGR of 18.6%
✓Trading at only 0.3x book value

✗Weaknesses

✗Negative free cash flow
✗Weak momentum: RS Rating 8 (bottom 8%)
✗Trading more than 30% below 52-week high

Price & Volume

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Growth Metrics

Revenue CAGR

10Y12.12%

5Y9.45%

3Y10.87%

TTM4.58%

Profit (Net Income) CAGR

10Y11.9%

5Y18.6%

3Y10.27%

TTM-61.76%

EPS CAGR

10Y6.36%

5Y17.52%

3Y9.8%

TTM-61.64%

ROCE

10Y Avg9.56%

5Y Avg10.22%

3Y Avg10.74%

Latest10.6%

Peer Comparison

Behavioral Health Facilities

Name	Market Cap	Current Price	P/E Ratio	Revenue Growth 1Y	Net Margin	ROE	FCF Yield	Debt/Equity
ACHCAcadia Healthcare Company, Inc.	1.08B	11.91	4.28	7.69%	3.29%	3.26%		0.65

Profit & Loss

	Dec 2015	Dec 2016	Dec 2017	Dec 2018	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024
Sales/Revenue+	1.79B	2.81B	2.84B	3.01B	2.01B	2.09B	2.31B	2.61B	2.93B	3.15B
Revenue Growth %	0.79%	0.57%	0.01%	0.06%	-0.33%	0.04%	0.11%	0.13%	0.12%	0.08%
Cost of Goods Sold+	1.05B	1.66B	1.65B	1.78B	1.19B	87.24M	90.7M	100.2M	2.25B	2.44B
COGS % of Revenue	0.59%	0.59%	0.58%	0.59%	0.59%	0.04%	0.04%	0.04%	0.77%	0.77%
Gross Profit+	740.1M	1.15B	1.19B	1.23B	815.49M	2B	2.22B	2.51B	682.61M	711.98M
Gross Margin %	0.41%	0.41%	0.42%	0.41%	0.41%	0.96%	0.96%	0.96%	0.23%	0.23%
Gross Profit Growth %	0.94%	0.56%	0.03%	0.04%	-0.34%	1.46%	0.11%	0.13%	-0.73%	0.04%
Operating Expenses+	419.29M	706.49M	747.84M	821.04M	153.94M	2B	1.81B	2.04B	176.01M	189.71M
OpEx % of Revenue	0.23%	0.25%	0.26%	0.27%	0.08%	0.96%	0.78%	0.78%	0.06%	0.06%
Selling, General & Admin	148.99M	258.83M	273M	307.71M	153.94M	1.31B	1.42B	1.6B	176.01M	189.71M
SG&A % of Revenue	0.08%	0.09%	0.1%	0.1%	0.08%	0.63%	0.61%	0.61%	0.06%	0.06%
Research & Development	0	0	0	0	0	0	0	0	0	0
R&D % of Revenue	-	-	-	-	-	-	-	-	-	-
Other Operating Expenses	-36.57M	-48.32M	-24.27M	-34.51M	0	690.32M	390.16M	445.6M	0	0
Operating Income+	320.81M	445.14M	437.88M	412.74M	661.55M	0	414.47M	467.69M	506.6M	522.28M
Operating Margin %	0.18%	0.16%	0.15%	0.14%	0.33%	-	0.18%	0.18%	0.17%	0.17%
Operating Income Growth %	0.86%	0.39%	-0.02%	-0.06%	0.6%	-1%	-	0.13%	0.08%	0.03%
EBITDA+	384.36M	580.25M	580.89M	571.58M	749.48M	437.16M	521.19M	585.46M	638.95M	671.87M
EBITDA Margin %	0.21%	0.21%	0.2%	0.19%	0.37%	0.21%	0.23%	0.22%	0.22%	0.21%
EBITDA Growth %	0.87%	0.51%	0%	-0.02%	0.31%	-0.42%	0.19%	0.12%	0.09%	0.05%
D&A (Non-Cash Add-back)	63.55M	135.1M	143.01M	158.83M	87.92M	95.26M	106.72M	117.77M	132.35M	149.59M
EBIT	320.81M	445.14M	437.88M	251.93M	314.09M	341.9M	352.75M	443.9M	56.77M	458.25M
Net Interest Income+	-106.74M	-181.32M	-176.01M	-184.53M	-187.32M	-158.1M	-76.99M	-69.76M	-82.13M	-116.37M
Interest Income	0	0	0	876K	0	0	0	0	0	0
Interest Expense	106.74M	181.32M	176.01M	185.41M	187.32M	158.1M	76.99M	69.76M	82.13M	116.37M
Other Income/Expense	-156.06M	-412.19M	-201.08M	-581.7M	-583.16M	183.8M	-138.71M	-93.55M	-531.96M	-180.4M
Pretax Income+	164.75M	32.95M	236.8M	-168.95M	78.39M	183.8M	275.76M	374.14M	-25.36M	341.88M
Pretax Margin %	0.09%	0.01%	0.08%	-0.06%	0.04%	0.09%	0.12%	0.14%	-0.01%	0.11%
Income Tax+	46.4M	28.78M	37.21M	6.53M	25.09M	40.61M	67.56M	94.11M	-9.7M	77.39M
Effective Tax Rate %	0.73%	0.19%	0.84%	1.04%	1.39%	-3.66%	0.69%	0.73%	0.85%	0.75%
Net Income+	119.55M	6.14M	199.84M	-175.75M	108.92M	-672.13M	190.63M	273.14M	-21.67M	255.61M
Net Margin %	0.07%	0%	0.07%	-0.06%	0.05%	-0.32%	0.08%	0.1%	-0.01%	0.08%
Net Income Growth %	0.44%	-0.95%	31.53%	-1.88%	1.62%	-7.17%	1.28%	0.43%	-1.08%	12.8%
Net Income (Continuing)	111.36M	4.18M	199.59M	57.49M	53.31M	143.19M	208.2M	280.03M	-15.66M	264.48M
Discontinued Operations	111K	0	0	0	56.81M	-812.39M	-12.64M	0	0	0
Minority Interest	8.05M	17.75M	22.42M	28.81M	0	0	65.39M	88.26M	105.69M	117.12M
EPS (Diluted)+	1.75	0.07	2.30	-2.01	1.24	-7.65	2.10	2.98	-0.24	2.78
EPS Growth %	0.17%	-0.96%	31.86%	-1.87%	1.62%	-7.17%	1.27%	0.42%	-1.08%	12.58%
EPS (Basic)	1.75	0.07	2.30	-2.01	1.24	-7.65	2.15	3.05	-0.24	2.79
Diluted Shares Outstanding	68.39M	85.97M	87.06M	87.29M	87.82M	88.59M	90.79M	91.56M	90.95M	92.06M
Basic Shares Outstanding	68.08M	85.7M	86.95M	87.29M	87.61M	87.88M	88.77M	89.68M	90.95M	91.62M
Dividend Payout Ratio	-	-	-	-	-	-	-	-	-	-

Balance Sheet

	Dec 2015	Dec 2016	Dec 2017	Dec 2018	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024
Total Current Assets+	294.74M	427.93M	471.55M	450.42M	542.21M	2.52B	495.03M	506.13M	596M	577.49M
Cash & Short-Term Investments	11.21M	57.06M	67.29M	50.51M	99.53M	378.7M	133.81M	97.65M	100.07M	76.31M
Cash Only	11.21M	57.06M	67.29M	50.51M	99.53M	378.7M	133.81M	97.65M	100.07M	76.31M
Short-Term Investments	0	0	0	0	0	0	0	0	0	0
Accounts Receivable	239.43M	314.77M	344.97M	318.09M	321.06M	297.08M	304.45M	353.74M	429.53M	421.98M
Days Sales Outstanding	48.7	40.87	44.39	38.54	58.35	51.88	48.01	49.46	53.53	48.83
Inventory	4.68M	4.63M	4.79M	5.05M	4.08M	4.85M	4.79M	5.09M	5.3M	5.65M
Days Inventory Outstanding	1.62	1.02	1.06	1.04	1.25	20.3	19.26	18.53	0.86	0.85
Other Current Assets	40.4M	75.45M	75.23M	45.96M	90.19M	1.81B	17.69M	10.6M	25.01M	32.2M
Total Non-Current Assets+	3.99B	5.6B	5.95B	5.72B	6.34B	3.98B	4.27B	4.48B	4.76B	5.38B
Property, Plant & Equipment	1.71B	2.7B	3.05B	3.11B	1.6B	1.72B	1.9B	2.09B	2.38B	2.97B
Fixed Asset Turnover	1.05x	1.04x	0.93x	0.97x	1.26x	1.22x	1.21x	1.25x	1.23x	1.06x
Goodwill	2.13B	2.68B	2.75B	2.4B	2.09B	2.11B	2.2B	2.22B	2.23B	2.26B
Intangible Assets	59.58M	83.31M	87.35M	88.99M	68.83M	68.53M	70.14M	76.04M	73.28M	70M
Long-Term Investments	18.3M	73.51M	13M	60.52M	0	0	0	0	0	8.8M
Other Non-Current Assets	20.21M	51.32M	49.57M	64.93M	2.58B	79.13M	94.97M	92.7M	72.55M	43.24M
Total Assets+	4.29B	6.02B	6.42B	6.17B	6.88B	6.5B	4.77B	4.99B	5.36B	5.96B
Asset Turnover	0.42x	0.47x	0.44x	0.49x	0.29x	0.32x	0.49x	0.52x	0.55x	0.53x
Asset Growth %	0.93%	0.41%	0.07%	-0.04%	0.11%	-0.06%	-0.27%	0.05%	0.07%	0.11%
Total Current Liabilities+	290.2M	342.87M	377.39M	416.38M	463.58M	1.31B	404.86M	388.33M	885.78M	577.92M
Accounts Payable	91.34M	80.03M	102.3M	117.74M	90.26M	87.81M	98.58M	104.72M	156.13M	232.7M
Days Payables Outstanding	31.62	17.61	22.62	24.16	27.62	367.4	396.68	381.48	25.37	34.78
Short-Term Debt	45.36M	34.8M	34.83M	34.11M	43.68M	153.48M	18.59M	21.25M	29.22M	76.82M
Deferred Revenue (Current)	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K
Other Current Liabilities	64.99M	93.63M	108.86M	111.89M	148.69M	744.61M	0	0	512.74M	808K
Current Ratio	1.02x	1.25x	1.25x	1.08x	1.17x	1.93x	1.22x	1.30x	0.67x	1.00x
Quick Ratio	1.00x	1.23x	1.24x	1.07x	1.16x	1.93x	1.21x	1.29x	0.67x	0.99x
Cash Conversion Cycle	18.7	24.29	22.83	15.42	31.98	-295.22	-329.41	-313.48	29.02	14.9
Total Non-Current Liabilities+	2.31B	3.51B	3.47B	3.42B	3.91B	3.29B	1.78B	1.7B	1.59B	2.19B
Long-Term Debt	2.2B	3.25B	3.21B	3.16B	3.11B	2.97B	1.48B	1.36B	1.34B	1.88B
Capital Lease Obligations	0	0	0	0	85.64M	84.03M	116.84M	116.43M	111.7M	101.83M
Deferred Tax Liabilities	23.94M	78.52M	80.33M	80.37M	22.82M	50.02M	74.37M	92.59M	1.93M	83.95M
Other Non-Current Liabilities	86.66M	164.86M	166.43M	154.27M	696.3M	188.73M	110.5M	125.03M	129.22M	122.3M
Total Liabilities	2.6B	3.86B	3.85B	3.84B	4.37B	4.6B	2.19B	2.09B	2.47B	2.77B
Total Debt+	2.24B	3.29B	3.24B	3.19B	3.26B	3.26B	1.64B	1.53B	1.51B	2.09B
Net Debt	2.23B	3.23B	3.17B	3.14B	3.16B	2.88B	1.5B	1.43B	1.41B	2.01B
Debt / Equity	1.32x	1.50x	1.25x	1.35x	1.30x	1.71x	0.63x	0.53x	0.52x	0.65x
Debt / EBITDA	5.83x	5.67x	5.58x	5.59x	4.35x	7.45x	3.14x	2.61x	2.36x	3.10x
Net Debt / EBITDA	5.80x	5.57x	5.46x	5.50x	4.21x	6.59x	2.89x	2.45x	2.21x	2.99x
Interest Coverage	3.01x	2.45x	2.49x	2.23x	3.53x	-	5.38x	6.70x	6.17x	4.49x
Total Equity+	1.7B	2.19B	2.6B	2.36B	2.51B	1.9B	2.58B	2.9B	2.89B	3.19B
Equity Growth %	0.93%	0.29%	0.19%	-0.09%	0.06%	-0.24%	0.36%	0.12%	-0%	0.1%
Book Value per Share	24.83	25.42	29.81	27.06	28.53	21.44	28.45	31.69	31.75	34.66
Total Shareholders' Equity	1.69B	2.17B	2.57B	2.33B	2.51B	1.9B	2.52B	2.81B	2.78B	3.07B
Common Stock	707K	867K	871K	874K	877K	880K	890K	899K	913K	918K
Retained Earnings	220.99M	220.14M	428.57M	252.82M	361.75M	-310.39M	-119.75M	153.39M	131.72M	387.33M
Treasury Stock	0	0	0	0	0	0	0	0	0	0
Accumulated OCI	-104.65M	-549.57M	-374.12M	-462.38M	-414.88M	-371.37M	0	0	0	0
Minority Interest	8.05M	17.75M	22.42M	28.81M	0	0	65.39M	88.26M	105.69M	117.12M

Cash Flow

	Dec 2015	Dec 2016	Dec 2017	Dec 2018	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024
Cash from Operations+	240.4M	361.48M	399.58M	414.08M	332.9M	658.81M	374.48M	380.57M	462.34M	129.69M
Operating CF Margin %	0.13%	0.13%	0.14%	0.14%	0.17%	0.32%	0.16%	0.15%	0.16%	0.04%
Operating CF Growth %	1.09%	0.5%	0.11%	0.04%	-0.2%	0.98%	-0.43%	0.02%	0.21%	-0.72%
Net Income	118.47M	4.18M	199.59M	-175.49M	110.12M	140.26M	195.56M	280.03M	-15.66M	264.48M
Depreciation & Amortization	63.55M	135.1M	143.01M	158.83M	164.04M	95.26M	106.72M	117.77M	132.35M	149.59M
Stock-Based Compensation	20.47M	28.34M	23.47M	22M	17.31M	0	37.53M	29.64M	32.29M	37.11M
Deferred Taxes	36.62M	28.65M	31.37M	-9.71M	1.78M	53.11M	11.77M	16.55M	-93.98M	67.71M
Other Non-Cash Items	19.22M	187.32M	20.38M	382.06M	70.41M	207.06M	66.4M	5.94M	400.71M	16.68M
Working Capital Changes	-17.93M	-22.11M	-18.25M	36.39M	-30.76M	163.12M	-43.5M	-69.35M	6.63M	-405.88M
Change in Receivables	-24.95M	-15.72M	-28.57M	-16.82M	-19.06M	15.34M	2.45M	-41.98M	-39.01M	-2.33M
Change in Inventory	-1.06M	-29.22M	11.82M	29.61M	6.48M	0	-13.99M	0	0	0
Change in Payables	6.87M	22.69M	-10.11M	26.05M	-21.35M	77.99M	6.16M	5.17M	17.4M	-420.89M
Cash from Investing+	-884.47M	-660.37M	-336.53M	-360.96M	-201.14M	-281.84M	1.02B	-305.83M	-397.22M	-736.48M
Capital Expenditures	-276.05M	-307.47M	-274.18M	-341.46M	-284.68M	-216.62M	-244.81M	-296.15M	-424.13M	-690.38M
CapEx % of Revenue	0.15%	0.11%	0.1%	0.11%	0.14%	0.1%	0.11%	0.11%	0.14%	0.22%
Acquisitions	-	-	-	-	-	-	-	-	-	-
Investments	-	-	-	-	-	-	-	-	-	-
Other Investing	-33.65M	-42.7M	-44.16M	-1.31M	31.83M	-56.97M	-269.58M	-174K	27.26M	7.46M
Cash from Financing+	563.6M	358.84M	-60.07M	-67.33M	-61.63M	-51.5M	-1.64B	-110.9M	-62.7M	583.02M
Debt Issued (Net)	-	-	-	-	-	-	-	-	-	-
Equity Issued (Net)	-	-	-	-	-	-	-	-	-	-
Dividends Paid	0	0	0	0	0	0	0	0	0	0
Share Repurchases	-	-	-	-	-	-	-	-	-	-
Other Financing	-41.77M	646M	-2.77M	-2.27M	-6.42M	-7.13M	5.58M	2.69M	-46.45M	7.9M
Net Change in Cash	-	-	-	-	-	-	-	-	-	-
Free Cash Flow+	-35.64M	54.01M	125.4M	72.62M	48.22M	442.19M	129.67M	84.42M	38.21M	-560.69M
FCF Margin %	-0.02%	0.02%	0.04%	0.02%	0.02%	0.21%	0.06%	0.03%	0.01%	-0.18%
FCF Growth %	-18.46%	2.52%	1.32%	-0.42%	-0.34%	8.17%	-0.71%	-0.35%	-0.55%	-15.68%
FCF per Share	-0.52	0.63	1.44	0.83	0.55	4.99	1.43	0.92	0.42	-6.09
FCF Conversion (FCF/Net Income)	2.01x	58.84x	2.00x	-2.36x	3.06x	-0.98x	1.96x	1.39x	-21.34x	0.51x
Interest Paid	87.03M	161.15M	159.1M	175.2M	173.24M	0	93.67M	65.69M	80.75M	113.4M
Taxes Paid	6.91M	15.48M	10.29M	6.14M	31.91M	0	79.3M	86.19M	66.4M	28.15M

Key Ratios

Metric	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Return on Equity (ROE)	9.27%	0.32%	8.36%	-7.09%	4.48%	-30.52%	8.51%	9.96%	-0.75%	8.41%
Return on Invested Capital (ROIC)	8.28%	7.15%	5.87%	5.49%	8.89%	-	7.01%	8.33%	8.8%	8.25%
Gross Margin	41.24%	40.97%	41.8%	40.96%	40.6%	95.83%	96.08%	96.16%	23.31%	22.57%
Net Margin	6.66%	0.22%	7.05%	-5.83%	5.42%	-32.16%	8.24%	10.46%	-0.74%	8.1%
Debt / Equity	1.32x	1.50x	1.25x	1.35x	1.30x	1.71x	0.63x	0.53x	0.52x	0.65x
Interest Coverage	3.01x	2.45x	2.49x	2.23x	3.53x	-	5.38x	6.70x	6.17x	4.49x
FCF Conversion	2.01x	58.84x	2.00x	-2.36x	3.06x	-0.98x	1.96x	1.39x	-21.34x	0.51x
Revenue Growth	78.63%	56.64%	0.9%	6.21%	-33.33%	4.06%	10.74%	12.79%	12.2%	7.69%

Revenue by Segment

	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
United States Facilities	1.43B	1.7B	1.81B	1.9B	2.01B	2.09B	2.31B	2.61B	2.93B	3.15B
United States Facilities Growth	-	19.09%	6.55%	5.24%	5.44%	4.06%	10.74%	12.79%	12.20%	7.69%
United Kingdom Facility	360.7M	1.11B	1.03B	1.11B	1.1B	-	-	-	-	-
United Kingdom Facility Growth	-	207.84%	-7.56%	7.92%	-0.78%	-	-	-	-	-
Corporate and Other	7.59M	2.03M	-	-	-	-	-	-	-	-
Corporate and Other Growth	-	-73.28%	-	-	-	-	-	-	-	-

Frequently Asked Questions

Valuation & Price

Acadia Healthcare Company, Inc. (ACHC) has a price-to-earnings (P/E) ratio of 4.3x. This may indicate the stock is undervalued or faces growth challenges.

Growth & Financials

Acadia Healthcare Company, Inc. (ACHC) reported $3.27B in revenue for fiscal year 2024. This represents a 1375% increase from $221.4M in 2011.

Acadia Healthcare Company, Inc. (ACHC) grew revenue by 7.7% over the past year. This is steady growth.

Yes, Acadia Healthcare Company, Inc. (ACHC) is profitable, generating $107.4M in net income for fiscal year 2024 (8.1% net margin).

Dividend & Returns

Acadia Healthcare Company, Inc. (ACHC) has a return on equity (ROE) of 8.4%. This is below average, suggesting room for improvement.

Acadia Healthcare Company, Inc. (ACHC) had negative free cash flow of $179.5M in fiscal year 2024, likely due to heavy capital investments.

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