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Acadia Healthcare Company

ACHC
20
Medical - Care Facilities · Healthcare
Price
$27.82
+0.85 (+3.15%)
Market Cap
$2.59B
Exchange
NASDAQ
Winston Score
20
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Weak
Cash Flow
Weak
Stability
Mixed
Valuation
Data not available

Winston Score History

The full picture

Acadia Healthcare runs a network of behavioral health facilities across the United States and the United Kingdom. These facilities treat people struggling with mental health conditions, substance use disorders, and eating disorders. Acadia is one of the largest standalone behavioral health companies in the US, operating inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics.

The company earns money by charging for patient care, with most payments coming from government programs like Medicaid and Medicare, as well as private insurance. Acadia operates roughly 250 facilities and generates around $3 billion in annual revenue. Its scale and the high cost of building new psychiatric facilities give it some competitive advantage, but the business depends heavily on government reimbursement rates, which can change. The key growth driver is rising demand for behavioral health services, though the company also faces ongoing scrutiny over patient care standards and legal investigations into its billing and treatment practices.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-0.4% YoY

YoY Growth Rate

Revenue declining

EPS Growth

-63.6% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

7.4%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$171M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Revenue declining

Acadia Healthcare Company's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Share count broadly stable

0.1% over 4y

The share count has stayed roughly flat over this period — little dilution or buyback activity.

Diluted shares outstanding: 90.8M (2021) → 90.7M (2025)

Score breakdown

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Quality

Profit per sale
Gross Margin
0.0%
Thin — 0.0% gross margin
Profit after running costs
Operating Margin
0.0%
Thin — 0.0% operating margin
Return on the money invested
ROCE
5.5%
Weak — 5.5% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+4.3%
Slow sales growth (+4.3% YoY)
Profit growth
EPS YoY
-919.4%
Earnings shrinking (-919.4% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

How steady the profit is
EPS Consistency
1/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-5.1%
Burning cash (-5.1%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
1.30
Elevated debt (1.30)
Covers its interest
Interest Cover
1.66x
Dangerous — barely covers interest (1.7x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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