Financial leverage has escalated significantly, with the debt-to-equity ratio rising to 1.23 in 2026Q1 from 0.52 in 2023Q4, alongside a concerning negative retained earnings balance of $761.7 million.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 |
|---|
| Total Current Assets | 837.2M | 814.14M | 577.49M | 596M | 506.13M | 495.03M | 2.52B | 542.21M | 450.42M | 471.55M | 427.93M | 294.74M | 274.14M | 145.13M | 140.98M | 112.61M |
| Cash & Short-Term Investments | 158.47M | 133.24M | 76.31M | 100.07M | 97.65M | 133.81M | 378.7M | 99.53M | 50.51M | 67.29M | 57.06M | 11.21M | 94.04M | 4.57M | 49.4M | 61.12M |
| Cash Only | 158.47M | 133.24M | 76.31M | 100.07M | 97.65M | 133.81M | 378.7M | 99.53M | 50.51M | 67.29M | 57.06M | 11.21M | 94.04M | 4.57M | 49.4M | 61.12M |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 547.73M | 545.16M | 421.98M | 429.53M | 353.74M | 304.45M | 297.08M | 321.06M | 318.09M | 344.97M | 314.77M | 239.43M | 134.59M | 106.12M | 63.87M | 35.13M |
| Days Sales Outstanding | 56.27 | 60.07 | 48.83 | 53.53 | 49.46 | 48.01 | 51.88 | 58.35 | 38.54 | 44.39 | 40.87 | 48.7 | 48.9 | 54.29 | 57.21 | 57.92 |
| Inventory | 5.93M | 5.69M | 5.65M | 5.3M | 5.09M | 4.79M | 4.85M | 4.08M | 5.05M | 4.79M | 4.63M | 4.68M | 20.16M | 15.7M | 11.38M | 6.24M |
| Days Inventory Outstanding | 1.46 | 0.76 | 0.85 | 0.86 | 18.53 | 19.26 | 20.3 | 1.25 | 1.04 | 1.06 | 1.02 | 1.62 | 11.79 | 12.86 | 16.03 | 13.56 |
| Other Current Assets | 68.24M | 83.04M | 32.2M | 25.01M | 10.6M | 17.69M | 1.81B | 90.19M | 45.96M | 75.23M | 75.45M | 40.4M | 46.73M | 38.27M | 27.71M | 16.36M |
| Total Non-Current Assets | 4.71B | 4.71B | 5.38B | 4.76B | 4.48B | 4.27B | 3.98B | 6.34B | 5.72B | 5.95B | 5.6B | 3.99B | 1.95B | 1.08B | 842.43M | 300.39M |
| Property, Plant & Equipment | 3.24B | 3.25B | 2.97B | 2.38B | 2.09B | 1.9B | 1.72B | 1.6B | 3.11B | 3.05B | 2.7B | 1.71B | 1.07B | 370.11M | 236.94M | 82.97M |
| Fixed Asset Turnover | 1.05x | 1.02x | 1.06x | 1.23x | 1.25x | 1.21x | 1.22x | 1.26x | 0.97x | 0.93x | 1.04x | 1.05x | 0.94x | 1.93x | 1.72x | 2.67x |
| Goodwill | 1.3B | 1.3B | 2.26B | 2.23B | 2.22B | 2.2B | 2.11B | 2.09B | 2.4B | 2.75B | 2.68B | 2.13B | 802.99M | 661.55M | 557.4M | 186.81M |
| Intangible Assets | 98.58M | 96.67M | 70M | 73.28M | 76.04M | 70.14M | 68.53M | 68.83M | 88.99M | 87.35M | 83.31M | 59.58M | 21.64M | 20.57M | 15.99M | 8.23M |
| Long-Term Investments | 21.6M | 21.6M | 8.8M | 0 | 0 | 0 | 0 | 0 | 60.52M | 13M | 73.51M | 18.3M | 0 | -15.7M | -11.38M | 0 |
| Other Non-Current Assets | 67.97M | 50.95M | 43.24M | 72.55M | 92.7M | 94.97M | 79.13M | 2.58B | 64.93M | 49.57M | 51.32M | 20.21M | 41.98M | 27.31M | 32.1M | 16.37M |
| Total Assets | 5.55B | 5.53B | 5.96B | 5.36B | 4.99B | 4.77B | 6.5B | 6.88B | 6.17B | 6.42B | 6.02B | 4.29B | 2.22B | 1.22B | 983.41M | 413M |
| Asset Turnover | 0.57x | 0.60x | 0.53x | 0.55x | 0.52x | 0.49x | 0.32x | 0.29x | 0.49x | 0.44x | 0.47x | 0.42x | 0.45x | 0.58x | 0.41x | 0.54x |
| Asset Growth % | 3.35% | -7.21% | 11.16% | 7.44% | 4.61% | -26.64% | -5.52% | 11.45% | -3.92% | 6.64% | 40.56% | 92.76% | 81.57% | 24.53% | 138.12% | - |
| Total Current Liabilities | 489.36M | 525.19M | 577.92M | 885.78M | 388.33M | 404.86M | 1.31B | 463.58M | 416.38M | 377.39M | 342.87M | 290.2M | 165.93M | 114.69M | 71.85M | 40.67M |
| Accounts Payable | 142.2M | 150.4M | 232.7M | 156.13M | 104.72M | 98.58M | 87.81M | 90.26M | 117.74M | 102.3M | 80.03M | 91.34M | 48.7M | 36.03M | 19.08M | 8.64M |
| Days Payables Outstanding | 42.8 | 20.11 | 34.78 | 25.37 | 381.48 | 396.68 | 367.4 | 27.62 | 24.16 | 22.62 | 17.61 | 31.62 | 28.49 | 29.51 | 26.88 | 18.78 |
| Short-Term Debt | 32.5M | 50.69M | 76.82M | 29.22M | 21.25M | 18.59M | 153.48M | 43.68M | 34.11M | 34.83M | 34.8M | 45.36M | 26.96M | 15.2M | 7.68M | 6.75M |
| Deferred Revenue (Current) | 10.99M | 2.81M | 1.69M | 2.17M | 6.65M | 30.37M | 35.95M | 1.9M | 32.15M | 31.34M | 28.8M | 146M | 2.07M | 0 | 0 | 0 |
| Other Current Liabilities | 0 | 132.66M | 808K | 512.74M | 0 | 0 | 744.61M | 148.69M | 111.89M | 108.86M | 93.63M | 64.99M | 3.15M | 23.93M | 16.34M | 9.08M |
| Current Ratio | 1.71x | 1.55x | 1.00x | 0.67x | 1.30x | 1.22x | 1.93x | 1.17x | 1.08x | 1.25x | 1.25x | 1.02x | 1.65x | 1.27x | 1.96x | 2.77x |
| Quick Ratio | 1.70x | 1.54x | 0.99x | 0.67x | 1.29x | 1.21x | 1.93x | 1.16x | 1.07x | 1.24x | 1.23x | 1.00x | 1.53x | 1.13x | 1.80x | 2.62x |
| Cash Conversion Cycle | 14.94 | 40.71 | 14.9 | 29.02 | -313.48 | -329.41 | -295.22 | 31.98 | 15.42 | 22.83 | 24.29 | 18.7 | 32.2 | 37.64 | 46.37 | 52.69 |
| Total Non-Current Liabilities | 2.89B | 2.86B | 2.19B | 1.59B | 1.7B | 1.78B | 3.29B | 3.91B | 3.42B | 3.47B | 3.51B | 2.31B | 1.18B | 629.26M | 479.01M | 275.96M |
| Long-Term Debt | 2.49B | 2.47B | 1.88B | 1.34B | 1.36B | 1.48B | 2.97B | 3.11B | 3.16B | 3.21B | 3.25B | 2.2B | 1.07B | 601.94M | 465.64M | 270.71M |
| Capital Lease Obligations | 444.19M | 132.68M | 101.83M | 111.7M | 116.43M | 116.84M | 84.03M | 85.64M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 317.21M | 66.61M | 83.95M | 1.93M | 92.59M | 74.37M | 50.02M | 22.82M | 80.37M | 80.33M | 78.52M | 23.94M | 63.88M | 7.97M | 998K | 6.01M |
| Other Non-Current Liabilities | 196.27M | 190.89M | 122.3M | 129.22M | 125.03M | 110.5M | 188.73M | 696.3M | 154.27M | 166.43M | 164.86M | 86.66M | 43.51M | 19.35M | 12.38M | 5.25M |
| Total Liabilities | 3.38B | 3.39B | 2.77B | 2.47B | 2.09B | 2.19B | 4.6B | 4.37B | 3.84B | 3.85B | 3.86B | 2.6B | 1.34B | 743.95M | 550.86M | 316.63M |
| Total Debt | 2.67B | 2.65B | 2.09B | 1.51B | 1.53B | 1.64B | 3.26B | 3.26B | 3.19B | 3.24B | 3.29B | 2.24B | 1.1B | 617.14M | 473.32M | 277.46M |
| Net Debt | 2.51B | 2.52B | 2.01B | 1.41B | 1.43B | 1.5B | 2.88B | 3.16B | 3.14B | 3.17B | 3.23B | 2.23B | 1B | 612.57M | 423.92M | 216.34M |
| Debt / Equity | 1.23x | 1.24x | 0.65x | 0.52x | 0.53x | 0.63x | 1.71x | 1.30x | 1.35x | 1.25x | 1.50x | 1.32x | 1.24x | 1.28x | 1.09x | 2.88x |
| Debt / EBITDA | 4.54x | 4.60x | 3.10x | 2.36x | 2.61x | 3.14x | 7.45x | 4.35x | 5.59x | 5.58x | 5.67x | 5.83x | 5.34x | 4.41x | 6.01x | - |
| Net Debt / EBITDA | 4.27x | 4.37x | 2.99x | 2.21x | 2.45x | 2.89x | 6.59x | 4.21x | 5.50x | 5.46x | 5.57x | 5.80x | 4.88x | 4.37x | 5.39x | - |
| Interest Coverage | -5.99x | -6.68x | 3.94x | 0.69x | 6.36x | 4.58x | 2.16x | 1.68x | 1.36x | 2.49x | 2.45x | 3.01x | 3.58x | 3.30x | 2.10x | -3.19x |
| Total Equity | 2.17B | 2.14B | 3.19B | 2.89B | 2.9B | 2.58B | 1.9B | 2.51B | 2.36B | 2.6B | 2.19B | 1.7B | 880.97M | 480.71M | 432.55M | 96.36M |
| Equity Growth % | -54.84% | -32.92% | 10.5% | -0.46% | 12.32% | 35.98% | -24.18% | 6.07% | -8.98% | 18.75% | 28.7% | 92.75% | 83.26% | 11.13% | 348.87% | - |
| Book Value per Share | 23.86 | 23.60 | 34.66 | 31.75 | 31.69 | 28.45 | 21.44 | 28.53 | 27.06 | 29.81 | 25.42 | 24.83 | 15.92 | 9.56 | 11.18 | 5.14 |
| Total Shareholders' Equity | 1.96B | 1.95B | 3.07B | 2.78B | 2.81B | 2.52B | 1.9B | 2.51B | 2.33B | 2.57B | 2.17B | 1.69B | 880.97M | 480.71M | 432.55M | 96.36M |
| Common Stock | 908K | 905K | 918K | 913K | 899K | 890K | 880K | 877K | 874K | 871K | 867K | 707K | 592K | 501K | 499K | 321K |
| Retained Earnings | -761.74M | -765.84M | 387.33M | 131.72M | 153.39M | -119.75M | -310.39M | 361.75M | 252.82M | 428.57M | 220.14M | 220.99M | 101.44M | 18.4M | -24.18M | -44.58M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | 0 | 0 | 0 | 0 | 0 | 0 | -371.37M | -414.88M | -462.38M | -374.12M | -549.57M | -104.65M | -68.37M | -29.29M | -24.18M | -5.82M |
| Minority Interest | 209.98M | 191.59M | 117.12M | 105.69M | 88.26M | 65.39M | 0 | 0 | 28.81M | 22.42M | 17.75M | 8.05M | 0 | 0 | 0 | 0 |
Rising leverage and litigation
According to recent financial statements, Acadia's equity base has contracted from $3.1 billion in 2025Q4 to $2.0 billion in 2026Q1, reflecting a significant erosion of retained earnings that suggests the company's financial foundation is weakening under the weight of persistent operational and legal-related losses.
The rapid decline in retained earnings, which shifted from positive territory to a deficit of $761.7 million, indicates that recent earnings volatility is not merely accounting noise but a structural impairment of shareholder value. Investors should monitor whether this trend of equity depletion continues, as it limits the company's capacity to absorb further operational shocks or legal settlements.
Based on reported figures, Acadia's debt-to-equity ratio has climbed to 1.23 in 2026Q1 from 0.52 in 2023Q4, signaling a shift toward higher financial leverage as the company relies increasingly on debt financing to fund its capital-intensive facility expansion and cover ongoing operational cash outflows.
The rise in total debt to $2.7 billion, coupled with a shrinking equity base, suggests that the company's financial flexibility is becoming increasingly constrained. This elevated leverage profile warrants caution, as it increases interest expense sensitivity and reduces the margin for error in a high-fixed-cost business model.
As reported in quarterly filings, Acadia maintains a significant asset base with $3.2 billion in net PPE, representing the bulk of its $5.5 billion in total assets, which underscores the company's reliance on physical infrastructure to drive its behavioral health service model.
The concentration of assets in physical facilities suggests that the company's growth is inherently tied to high capital expenditure requirements, which may limit free cash flow generation. The stability of these assets should be scrutinized for potential impairment risks, particularly if regulatory or safety-related issues force facility closures or reduced operational capacity.
According to recent SEC filings, Acadia's current ratio of 1.71 in 2026Q1 provides a modest liquidity buffer, yet the absolute cash position of $158.5 million remains low relative to the company's scale and the significant cash outflows observed in recent periods.
While the current ratio has improved from historical lows, the company's reliance on external financing to maintain operations suggests that liquidity remains a sensitive area. Investors should monitor the cash runway closely, as the combination of negative net margins and high capital intensity leaves little room for unexpected liquidity demands.
Financial data indicates that Acadia's retained earnings have plummeted to a negative $761.7 million as of 2026Q1, a non-obvious distortion that suggests the company's headline asset values may be masking significant underlying financial distress and the erosion of historical profitability.
This shift into a deep retained earnings deficit is a critical red flag that suggests the company is effectively consuming its own capital to sustain operations. This trend warrants further investigation into whether this is driven by one-time legal charges or a more systemic failure to generate profitable returns on its invested capital.
Quick answers to the most common questions about buying ACHC stock.
As of 2025, Acadia Healthcare Company, Inc. (ACHC) had total assets of $5.53B including $814.1M in current assets.
Acadia Healthcare Company, Inc. (ACHC) carries total debt of $2.65B, offset by $133.2M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
Acadia Healthcare Company, Inc. (ACHC) has total shareholders' equity (book value) of $1.95B ($23.60 book value per share). Book value represents the net worth of the company belonging to common stock holders.
Acadia Healthcare Company, Inc. (ACHC) reported a current ratio of 1.55x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.