Acadia Healthcare (ACHC) | Financial Analysis & Statements
Acadia Healthcare Company, Inc. Mid-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
821.5M
Gross Profit
790.7M
96.26%
Operating Income
47.6M
5.80%
Net Income
-1.2B
-143.31%
EPS (Diluted)
$-13.02
Balance Sheet Metrics
Total Assets
5.5B
Total Liabilities
3.4B
Shareholders Equity
2.1B
Debt to Equity
1.58
Cash Flow Metrics
Operating Cash Flow
-1.1B
Free Cash Flow
-179.5M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
Acadia Healthcare Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 3.3B | 3.2B | 2.9B | 2.6B | 2.3B |
| Cost of Goods Sold | 118.0M | 112.7M | 106.0M | 100.2M | 90.7M |
| Gross Profit | 3.2B | 3.0B | 2.8B | 2.5B | 2.2B |
| Gross Margin % | 96.4% | 96.4% | 96.4% | 96.2% | 96.1% |
| Operating Expenses | |||||
| Research & Development | - | - | - | - | - |
| Selling, General & Administrative | 2.1B | 1.9B | 1.8B | 1.6B | 1.4B |
| Other Operating Expenses | 553.3M | 440.8M | 382.5M | 327.8M | 283.4M |
| Total Operating Expenses | 2.6B | 2.4B | 2.2B | 1.9B | 1.7B |
| Operating Income | 388.0M | 522.3M | 513.0M | 467.7M | 414.5M |
| Operating Margin % | 11.7% | 16.6% | 17.5% | 17.9% | 17.9% |
| Non-Operating Items | |||||
| Interest Income | - | - | - | - | - |
| Interest Expense | 138.9M | 116.4M | 82.1M | 69.8M | 77.0M |
| Other Non-Operating Income | -1.3B | -64.0M | -456.2M | -23.8M | -61.7M |
| Pre-tax Income | -1.1B | 341.9M | -25.4M | 374.1M | 275.8M |
| Income Tax | 26.0M | 77.4M | -9.7M | 94.1M | 67.6M |
| Effective Tax Rate % | 0.0% | 22.6% | 0.0% | 25.2% | 24.5% |
| Net Income | -1.1B | 264.5M | -15.7M | 280.0M | 195.6M |
| Net Margin % | -33.0% | 8.4% | -0.5% | 10.7% | 8.4% |
| Key Metrics | |||||
| EBITDA | 577.2M | 671.9M | 645.4M | 585.5M | 521.2M |
| EPS (Basic) | $-12.16 | $2.79 | $-0.24 | $3.05 | $2.15 |
| EPS (Diluted) | $-12.16 | $2.78 | $-0.24 | $2.98 | $2.10 |
| Basic Shares Outstanding | 90705000 | 91621000 | 90949000 | 89680000 | 88769000 |
| Diluted Shares Outstanding | 90705000 | 91621000 | 90949000 | 89680000 | 88769000 |
Income Statement Trend
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Acadia Healthcare Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 133.2M | 76.3M | 100.1M | 97.6M | 133.8M |
| Short-term Investments | - | - | - | - | - |
| Accounts Receivable | 440.6M | 365.3M | 361.5M | 322.4M | 281.3M |
| Inventory | 5.7M | 5.7M | 5.3M | 5.1M | 4.8M |
| Other Current Assets | 4.1M | 1.7M | 1.5M | 2.3M | 1.9M |
| Total Current Assets | 814.1M | 577.5M | 596.0M | 506.1M | 495.0M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 642.2M | 566.5M | 483.6M | 427.4M | 386.9M |
| Goodwill | 2.7B | 4.6B | 4.5B | 4.5B | 4.5B |
| Intangible Assets | 96.7M | 70.0M | 73.3M | 76.0M | 70.1M |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 75.1M | 73.0M | 79.2M | 95.6M | 98.0M |
| Total Non-Current Assets | 4.7B | 5.4B | 4.8B | 4.5B | 4.3B |
| Total Assets | 5.5B | 6.0B | 5.4B | 5.0B | 4.8B |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 150.4M | 232.7M | 156.1M | 104.7M | 98.6M |
| Short-term Debt | 50.7M | 103.4M | 56.5M | 48.7M | 42.9M |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | - |
| Total Current Liabilities | 525.2M | 577.9M | 885.8M | 388.3M | 404.9M |
| Non-Current Liabilities | |||||
| Long-term Debt | 2.6B | 2.0B | 1.4B | 1.5B | 1.6B |
| Deferred Tax Liabilities | 66.6M | 83.9M | 1.9M | 92.6M | 74.4M |
| Other Non-Current Liabilities | 201.6M | 122.3M | 140.1M | 125.0M | 110.5M |
| Total Non-Current Liabilities | 2.9B | 2.2B | 1.6B | 1.7B | 1.8B |
| Total Liabilities | 3.4B | 2.8B | 2.5B | 2.1B | 2.2B |
| Equity | |||||
| Common Stock | 905.0K | 918.0K | 913.0K | 899.0K | 890.0K |
| Retained Earnings | -765.8M | 387.3M | 131.7M | 153.4M | -119.8M |
| Treasury Stock | - | - | - | - | - |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 2.1B | 3.2B | 2.9B | 2.9B | 2.6B |
| Key Metrics | |||||
| Total Debt | 2.6B | 2.1B | 1.5B | 1.5B | 1.6B |
| Working Capital | 288.9M | -427.0K | -289.8M | 117.8M | 90.2M |
Balance Sheet Composition
Acadia Healthcare Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | -1.1B | 264.5M | -15.7M | 280.0M | 195.6M |
| Depreciation & Amortization | 189.2M | 149.6M | 132.3M | 117.8M | 106.7M |
| Stock-Based Compensation | 31.7M | 37.1M | 32.3M | 29.6M | 37.5M |
| Working Capital Changes | -35.3M | -418.0M | -9.9M | -76.2M | -53.3M |
| Operating Cash Flow | -895.2M | 100.3M | 445.8M | 373.8M | 315.5M |
| Investing Activities | |||||
| Capital Expenditures | 23.8M | 10.4M | 29.4M | 7.1M | 3.5M |
| Acquisitions | -8.2M | -53.6M | -349.0K | -9.5M | 1.4B |
| Investment Purchases | - | - | - | - | - |
| Investment Sales | - | - | - | - | - |
| Investing Cash Flow | 15.6M | -46.1M | 26.9M | -9.7M | 1.3B |
| Financing Activities | |||||
| Share Repurchases | -50.0M | - | - | - | - |
| Dividends Paid | - | - | - | - | - |
| Debt Issuance | 2.3B | 655.0M | 40.0M | 0 | 925.0M |
| Debt Repayment | -1.7B | -71.3M | -56.2M | -113.6M | -2.6B |
| Financing Cash Flow | 481.3M | 583.0M | -62.7M | -110.9M | -1.5B |
| Free Cash Flow | -439.9M | -560.7M | 38.2M | 84.4M | 129.7M |
| Net Change in Cash | -398.4M | 637.2M | 410.0M | 253.2M | 191.7M |
Cash Flow Trend
Acadia Healthcare Key Financial Ratios
Valuation Ratios
P/E Ratio (TTM)
20.57
Forward P/E
16.37
Price to Book
1.27
Price to Sales
0.76
PEG Ratio
-0.01
Profitability Ratios
Profit Margin
-33.29%
Operating Margin
5.80%
Return on Equity
-40.96%
Return on Assets
4.22%
Financial Health
Current Ratio
1.55
Debt to Equity
124.03
Beta
0.71
Per Share Data
EPS (TTM)
$-12.16
Book Value per Share
$21.55
Revenue per Share
$36.52
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| ACHC | 2.5B | 20.57 | 1.27 | -40.96% | -33.29% | 124.03 |
| HCA Healthcare | 106.0B | 16.86 | -38.44 | -244.82% | 8.97% | -17.57 |
| Tenet Healthcare | 16.5B | 12.17 | 3.88 | 27.02% | 6.60% | 160.79 |
| Pacs | 5.5B | 28.73 | 5.80 | 22.96% | 3.62% | 377.77 |
| Chemed | 5.6B | 20.88 | 5.36 | 25.28% | 10.48% | 14.68 |
| Option Care Health | 4.5B | 22.35 | 3.36 | 15.20% | 3.67% | 96.00 |
Financial data is updated regularly. All figures are in the company's reporting currency.





