STOCK TITAN

Goodwill hit drives Acadia (NASDAQ: ACHC) to $1.1B 2025 loss

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Acadia Healthcare reported fourth quarter 2025 revenue of $821.5 million, up 6.1%, but posted a net loss of $1.18 billion versus net income of $33.5 million a year earlier, driven largely by a non-cash goodwill impairment of $996.2 million and higher legal and PLGL-related costs.

Adjusted EBITDA fell to $99.8 million from $153.1 million as PLGL expenses rose and a $147 million securities litigation settlement hit results. For full year 2025, revenue grew to $3.31 billion while net loss reached $1.10 billion. For 2026, the company guides to revenue of $3.37–$3.45 billion, adjusted EBITDA of $575–$610 million, and adjusted EPS of $1.30–$1.55, assuming modest same-facility volume and pricing growth and continued startup losses from new facilities.

Positive

  • None.

Negative

  • Large non-cash goodwill impairment: Q4 2025 included a loss on impairment of $1,006 million, driven by a $996.2 million goodwill write-down, which turned both the quarter and full year 2025 into large net losses despite revenue growth.
  • Litigation and PLGL cost pressure: Q4 booked $147 million of legal settlements expense related to securities and other litigation and a $52.7 million PLGL reserve adjustment, contributing to full-year PLGL expenses of $115 million versus $54 million in 2024.
  • Margin and EBITDA deterioration: Adjusted EBITDA declined to $99.8 million in Q4 2025 from $153.1 million, and to $608.9 million for 2025 from $709.0 million in 2024, reflecting higher operating, legal and reserve costs.
  • Softer outlook versus prior performance: 2026 guidance for adjusted EBITDA of $575–$610 million and adjusted EPS of $1.30–$1.55 implies earnings that are below 2024 levels and only roughly in line with 2025 on an adjusted basis, even before any additional unforeseen costs.

Insights

Strong top-line growth is overshadowed by a large goodwill write-down, litigation costs and lower EBITDA guidance.

Acadia delivered Q4 2025 revenue of $821.5 million, up 6.1%, with acute inpatient revenue rising 10% and solid volume gains. Same-facility revenue grew 4.4%, supported by higher patient days and modest pricing, and the company continued to expand capacity with 778 new beds added during 2025.

Profitability deteriorated sharply. Q4 included a non-cash goodwill impairment of $996.2 million, $147 million of legal settlements tied to securities and other litigation, and elevated PLGL expenses. Adjusted EBITDA fell to $99.8 million in Q4 and $608.9 million for 2025, both well below 2024, while the PLGL reserve more than doubled to $153.0 million.

2026 guidance implies only modest revenue growth to $3.37–$3.45 billion and adjusted EBITDA of $575–$610 million, roughly flat to down versus 2025. Assumptions embed headwinds from New York Medicaid policy changes and lower supplemental payments, partly offset by reducing startup losses. Future disclosures about potential new Medicaid supplemental programs, OBBBA-related impacts and legal or PLGL trends will be important to understand the earnings trajectory.

false 0001520697 0001520697 2026-02-25 2026-02-25
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 

 
 
FORM 8-K
 
CURRENT REPORT PURSUANT
TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
 
Date of report (Date of earliest event reported): February 25, 2026 (February 25, 2026)
 
 

 
 
Acadia Healthcare Company, Inc.
(Exact Name of Registrant as Specified in Its Charter)
 
Delaware
001-35331
45-2492228
(State or Other Jurisdiction of Incorporation)
(Commission File Number)
(IRS Employer Identification No.)
 
4020 Aspen Grove Drive, Suite 900
Franklin, Tennessee
(Address of Principal Executive Offices)
37067
(Zip Code)
 
(615) 861-6000
(Registrant’s Telephone Number, including Area Code)
 
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (See General Instruction A.2. below):
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class
 
Trading Symbol
 
Name of each exchange on which registered
Common Stock, $0.01 par value
 
ACHC
 
NASDAQ Global Select Market
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company         
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.          ☐
 
 

 
 
Item 2.02         Results of Operations and Financial Condition.
 
On February 25, 2026, Acadia Healthcare Company, Inc. (the “Company”) issued a press release announcing, among other things, the Company’s operating and financial results for the fourth quarter and year ended December 31, 2025. The press release is furnished herewith as Exhibit 99.1 hereto and is incorporated herein by reference.
 
Item 7.01.         Regulation FD Disclosure.
 
The Company will conduct a conference call to discuss its fourth quarter and year-end 2025 financial results on Wednesday, February 25, 2026 at 9:00 a.m. Eastern Time. In discussing the Company’s results, Company representatives may refer to information described on the slides furnished with this Current Report on Form 8-K as Exhibit 99.2. The live broadcast of the conference call and the slides will be available on the Company’s website, www.acadiahealthcare.com, by clicking on the “Investors” link. The webcast of the conference call will be available on the Company’s website for thirty days.
 
The information furnished pursuant to Item 2.02 and Item 7.01 of this Current Report on Form 8-K, including the information in Exhibit 99.1 and Exhibit 99.2 hereto, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.
 
Cautionary Note Regarding Forward-Looking Statements
 
This Current Report on Form 8-K and the exhibits furnished herewith contain “forward-looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act, including statements related to the Company’s strategy, growth and anticipated operating results. Generally, words such as “may,” “will,” “should,” “could,” “anticipate,” “expect,” “intend,” “estimate,” “plan,” “continue” and “believe” or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this report. The Company does not undertake to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties, and the Company’s future results could differ significantly from those expressed or implied by its forward-looking statements. Factors that may cause actual results to differ materially include, without limitation, (i) potential difficulties in successfully integrating the operations of acquired facilities or realizing the expected benefits and synergies of facility expansions, acquisitions, joint ventures and de novo transactions; (ii) the Company’s ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (iii) potential reductions in payments received by the Company from government and commercial payors, including because of the significant changes to Medicaid financing mechanisms introduced by the One Big Beautiful Bill Act (the “OBBBA”) enacted on July 4, 2025; (iv) the occurrence of patient incidents, governmental investigations, litigation and adverse regulatory actions, which could adversely affect the price of the Company’s common stock and result in substantial payments and incremental regulatory burdens; (v) changes in expectations resulting from actuarial and other reviews of the Company’s liability reserves and other aspects of its business; (vi) the risk that the Company may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; (vii) potential disruptions to the Company’s information technology systems or a cybersecurity incident; and (viii) potential operating difficulties, including, without limitation, disruption to the U.S. economy and financial markets; reduced admissions and patient volumes, including, without limitation, due to the OBBBA’s introduction of work or community engagement requirements in the Medicaid expansion population; increased costs relating to labor, supply chain and other expenditures; changes in competition and client preferences; and general economic or industry conditions that may prevent the Company from realizing the expected benefits of its business strategies. These factors and others are more fully described in the Company’s periodic reports and other filings with the Securities and Exchange Commission.
 
 

 
Description of Business
 
Unless the context otherwise requires, all references herein to “Acadia,” “the Company,” “we,” “us” or “our” mean Acadia Healthcare Company, Inc. and its consolidated subsidiaries. Acadia Healthcare Company, Inc. is a holding company whose direct and indirect subsidiaries own and operate acute inpatient psychiatric facilities, specialty treatment facilities, comprehensive treatment centers, residential treatment centers and facilities providing outpatient behavioral healthcare services to serve the behavioral healthcare and recovery needs of communities throughout the U.S. and Puerto Rico. The terms “facilities,” “centers,” “clinics” and “hospitals” refer to entities owned, operated or managed by subsidiaries of Acadia Healthcare Company, Inc. References herein to “employees” refer to employees of subsidiaries of Acadia Healthcare Company, Inc.
 
Item 9.01         Financial Statements and Exhibits.
 
(d)
Exhibits
 
99.1
Press Release of Acadia Healthcare Company, Inc., dated February 25, 2026.
 
99.2
Slide Presentation, dated February 25, 2026.
 
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
 
 

 
 
SIGNATURE
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
ACADIA HEALTHCARE COMPANY, INC.
Date: February 25, 2026
By:
/s/ Todd Young
Todd Young
Chief Financial Officer
 
 

Exhibit 99.1

 

a01.jpg
 
 

ACADIA HEALTHCARE ANNOUNCES FOURTH QUARTER AND 2025 RESULTS

 

Company Provides First Quarter and Full Year 2026 Guidance

 

Debbie Osteen Joins Acadia as Chief Executive Officer

 

FRANKLIN, Tenn. (February 25, 2026) – Acadia Healthcare Company, Inc. (“Acadia” or the “Company”) (NASDAQ: ACHC) today announced financial results for the fourth quarter and year ended December 31, 2025.

 

Fourth Quarter 2025 Results

 

 

Revenue totaled $821.5 million, a 6.1% increase compared with the fourth quarter of 2024, supporting full-year revenue results above the Company’s previously issued guidance range

 

Same facility revenue increased 4.4% compared with the fourth quarter of 2024, including an increase in patient days of 3.1% and an increase in revenue per patient day of 1.3%

 

Net loss attributable to Acadia totaled $(13.02) per diluted share, compared with net income of $0.35 per diluted share in the prior-year period driven by a non-cash goodwill impairment charge of $996.2 million

 

Adjusted net income attributable to Acadia totaled $6.1 million, or $0.07 per diluted share, compared with $59.2 million, or $0.64 per diluted share in the prior-year period

 

Adjusted EBITDA was $99.8 million, compared with $153.1 million in the prior-year period and at the upper end of the Company’s implied fourth-quarter guidance range. Fourth quarter 2025 Adjusted EBITDA includes a $52.7 million adjustment to professional and general liability (“PLGL”) reserves, as previously disclosed on December 2, 2025

 

Added 181 newly licensed beds during the fourth quarter, including 37 beds to existing facilities and 144 beds from new facilities opened in the fourth quarter

 

Full Year 2025 Results

 

 

Revenue totaled $3,312.8 million, a 5.0% increase compared with the prior year

 

Net loss attributable to Acadia totaled $(12.16) per diluted share, compared with net income of $2.78 per diluted share during the prior year

 

Adjusted net income attributable to Acadia totaled $182.7 million, or $2.00 per diluted share, compared with $304.1 million, or $3.30 per diluted share during the prior-year

 

Adjusted EBITDA was $608.9 million, compared with $709.0 million in the prior year

 

Added 1,089 licensed beds during the year, including 311 to existing facilities and 778 beds from new facilities opened during the year

 

Full Year 2026 Financial Guidance

 

 

Revenue of $3.37 to $3.45 billion

 

Adjusted EBITDA of $575 to $610 million

 

Adjusted earnings per diluted share of $1.30 to $1.55

 

 

 

Adjusted net income attributable to Acadia, Adjusted EBITDA, and Adjusted earnings per share are non-GAAP financial measures. A reconciliation of non-GAAP financial measures in this press release begins on page 11.

 

“Our results for the fourth quarter reflect improved volume growth with year-over-year revenue growth of 6%,” said Debbie Osteen, Chief Executive Officer of Acadia. “While we work to address the ongoing challenges affecting our business, my key priorities as CEO are to bring steady leadership, reinforce operational discipline, and help position the Company for long-term success. I have great confidence in our teams and in the long-term strategic direction of the Company, and I am fully committed to supporting Acadia through this next phase of execution and operational improvement.”

 

Fourth Quarter Financial Summary

                       

(dollars in millions, except per share amounts)

 

2025

   

2024

   

Change (%)

 
                         

Acute Inpatient Psychiatric Facilities

  $ 451     $ 409       10 %

Specialty Treatment Facilities

  $ 136     $ 141       (4 %)

Comprehensive Treatment Centers

  $ 144     $ 137       5 %

Residential Treatment Centers

  $ 90     $ 87       3 %

Total Revenue

  $ 821     $ 774       6 %

Reported Net (Loss)/Income

  $ (1,178 )   $ 33       NM  

Adjusted EBITDA

  $ 100     $ 153       (35 %)

Diluted Earnings per Share

  $ (13.02 )   $ 0.35       NM  

Adjusted Diluted Earnings per Share

  $ 0.07     $ 0.64       (89 %)

 

Discussion of Fourth Quarter Results

Acadia reported fourth quarter revenue of $821.5 million, an increase of 6.1% year-over-year. Same-facility revenue increased 4.4%, driven by a 3.1% increase in patient days and a 1.3% increase in revenue per patient day. Same-facility admissions increased 2.5% compared to the prior-year period. Revenue exceeded the high end of the Company’s implied fourth-quarter guidance, primarily a result of improved volume growth during the quarter. Facilities closed over the last twelve months represented a 2% drag to reported revenue growth in the fourth quarter.

 

Acute inpatient psychiatric facility revenue was $451 million, an increase of 10% over the prior year’s fourth quarter. Fourth quarter acute inpatient volumes increased 6%, driven primarily by expanded capacity from both new and existing facilities.

 

Specialty treatment facility revenue was $136 million, a decrease of 4% compared to the prior year’s fourth quarter. The year-over-year decline was primarily driven by the closure of specialty facilities, which represented a 7% headwind to specialty facility revenue growth in the fourth quarter.

 

Comprehensive treatment center (“CTC”) revenue was $144 million, an increase of 5% compared to the prior year’s fourth quarter. Residential treatment center (“RTC”) revenue of $90 million increased by 3% compared to the prior year’s fourth quarter.

 

- MORE -


 

Total operating expenses were $728 million for the fourth quarter of 2025, an increase of 15% over the prior year’s fourth quarter. Total operating expenses include a $52.7 million adjustment to the Company’s reserve for PLGL costs and a $5 million increase in provider taxes related to state Medicaid supplemental payment programs. Excluding these items, total operating expenses increased 6% over the prior year’s fourth quarter.

 

Salaries, wages and benefits increased by 8% primarily due to new facility openings, which generally run net loss positions as occupancy builds, as well as routine annual wage increases. On a per-patient-day basis, total salaries, wages and benefits increased by 4%. Same-facility salaries, wages and benefits increased by 5%. On a per-patient-day basis, same-facility salaries, wages and benefits increased by 2%.

 

Other operating expenses were $176 million in the fourth quarter, a $58 million increase over the prior year’s fourth quarter. As previewed on December 2, 2025, other operating expenses for the fourth quarter included a $52.7 million adjustment to the Company’s reserve for PLGL costs recognized during the fourth quarter of 2025 following the Company’s annual third-party actuarial review. With this adjustment, the Company has a net PLGL reserve on its balance sheet of $153.0 million as of December 31, 2025, compared with $78.2 million as of December 31, 2024. Full-year 2025 other operating expenses include $115 million in PLGL expenses compared to $54 million in the prior year, representing a year-over-year increase of $61 million.

 

Adjusted EBITDA for the quarter was $99.8 million, compared with $153.1 million in the prior-year period, primarily reflecting the impact of higher PLGL expenses.

 

Interest expense was $38 million in the fourth quarter of 2025, compared to $30 million in the fourth quarter of 2024. The increase was primarily driven by increased borrowings.

 

Legal settlements expense of $147 million primarily consists of the cost to settle the 2019 securities litigation, net of expected insurance recoveries, as previously disclosed on the Company’s Current Report on Form 8-K filed on November 10, 2025.

 

Loss on impairment was $1,006 million for the fourth quarter of 2025, compared to $6 million in the fourth quarter of 2024. The non-cash impairment charge included a $996.2 million goodwill impairment charge.

 

Transaction, legal and other costs were $25 million for the fourth quarter of 2025, compared to $30 million in the fourth quarter of 2024. Transaction, legal and other costs includes the cost of government investigations, which was $12 million for the fourth quarter of 2025 compared to $39 million in the third quarter of 2025 and $25 million in the fourth quarter of 2024.

 

Development Activity

 

The Company added 37 beds to existing facilities in the fourth quarter, bringing the total to 311 beds added to existing facilities for the full year 2025.

 

The Company added 144 beds from newly constructed facilities in the fourth quarter, with a total of 778 beds added in full year 2025.

 

In December the Company commenced operations at 144-bed ECU Health Behavioral Health Hospital, the Company’s joint venture facility with ECU Health in Greenville, North Carolina, and one of North Carolina’s premier healthcare delivery systems. The hospital offers comprehensive inpatient and intensive outpatient programs for people in need of behavioral health services.

 

- MORE -


 

In addition, Acadia added one new CTC, bringing the total to 15 CTCs added for the full year 2025, extending the Company’s market reach to 178 CTCs across 33 states, treating approximately 76,000 patients daily in this critical area of care.

 

Cash and Liquidity

As of December 31, 2025, the Company had $133.2 million in cash and cash equivalents and $595 million available under its $1.0 billion revolving credit facility. As of December 31, 2025, Acadia’s net leverage ratio was 4.0x adjusted EBITDA.

 

2026 Financial Guidance

Acadia is providing financial guidance for full year and first quarter 2026 as follows, subject to the assumptions described below:

 

 

2026 Guidance Range

   

Revenue

$3.37 to $3.45 billion

Adjusted EBITDA

$575 to $610 million

Adjusted earnings per diluted share

$1.30 to $1.55

Capital expenditures

$255 to $280 million

 

The Company’s full-year guidance includes the following assumptions:

 

Same-facility volume growth is anticipated to be in the range of 0% to 1%. This growth is expected to be driven primarily by improved occupancy at ramping facilities, offset in part by an approximate 350 basis point headwind from certain Pennsylvania specialty facilities following changes in New York Medicaid policy regarding the provision of care at out-of-state facilities.

 

Same-facility revenue per patient day growth is expected to be in the range of 2% to 3%.

 

Startup losses are expected to be in the range of $47 to $53 million, compared to $56 million in 2025. Startup losses represent the anticipated net operating loss for new facilities opened over the previous twelve months and, to a lesser extent, preopening costs associated with facilities expected to open in future periods.

 

The change in New York Medicaid policy regarding the provision of care at out-of-state facilities is anticipated to have a $25 to $30 million negative impact on adjusted EBITDA versus the prior-year period.

 

A decrease of $15 to $20 million in existing Medicaid supplemental payments, net of provider taxes. As previously discussed, full year 2025 net supplemental payments included approximately $28.5 million in out-of-period benefit to adjusted EBITDA from the state of Tennessee. Guidance does not assume any benefit from potential new or expanded supplemental programs that have yet to be approved by the Centers for Medicare & Medicaid Services (CMS). The Company is currently monitoring certain potential new and expanded programs which is estimated to represent at least a $22 million annual run rate benefit to adjusted EBITDA, if approved.

 

- MORE -


 

Additional Assumptions:

 

Interest expense of $157 to $162 million.

 

Tax rate of approximately 26%

 

Depreciation and amortization of $198 to $203 million

 

Stock compensation expense of $40 to $45 million

 

Operating cash flow of $280 to $320 million

 

Expansion capital expenditures of $140 to $155 million

 

Maintenance and IT capital expenditures of $115 to $125 million

 

Total bed additions of 400 to 600 beds

 

   

First Quarter 2026 Guidance Range

Revenue

 

$820 to $830 million

Adjusted EBITDA

 

$130 to $137 million

Adjusted earnings per diluted share

 

$0.25 to $0.30

 

The Company’s first quarter guidance includes the following assumptions:

 

Startup losses of approximately $14 million

 

The recognition of $11 million in supplemental payments related to fiscal year 2025

 

The Company’s adjusted EBITDA and adjusted earnings per diluted share guidance does not include the impact of any future acquisitions, divestitures, transaction, legal and other costs or non-recurring legal settlements expense.

 

Conference Call

Acadia will hold a conference call to discuss its fourth quarter financial results at 8:00 a.m. Central Time/9:00 a.m. Eastern Time on Wednesday, February 25, 2026. A live webcast of the conference call will be available at www.acadiahealthcare.com in the “Investors” section of the website. The webcast of the conference call will be available for 30 days.

 

About Acadia

Acadia is a leading provider of behavioral healthcare services across the United States. As of December 31, 2025, Acadia operated a network of 277 behavioral healthcare facilities with over 12,500 beds in 40 states and Puerto Rico. With approximately 25,000 employees serving more than 84,000 patients daily, Acadia is the largest stand-alone behavioral healthcare company in the U.S. Acadia provides behavioral healthcare services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 6

February 25, 2026

 

Forward-Looking Information

This press release contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), including statements related to our strategy, growth, and anticipated operating results for future periods. Generally, words such as “may,” “will,” “should,” “could,” “anticipate,” “expect,” “intend,” “estimate,” “plan,” “continue,” and “believe” or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this press release. We do not undertake to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties and our future results could differ significantly from those expressed or implied by our forward-looking statements. Factors that may cause actual results to differ materially include, without limitation, (i) potential difficulties in successfully integrating the operations of acquired facilities or realizing the expected benefits and synergies of our facility expansions, acquisitions, joint ventures and de novo transactions; (ii) Acadia’s ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (iii) potential reductions in payments received by Acadia from government and commercial payors, including because of the significant changes to Medicaid financing mechanisms introduced by the One Big Beautiful Bill Act (“OBBBA”) enacted on July 4, 2025; (iv) the occurrence of patient incidents, governmental investigations, litigation and adverse regulatory actions, which could adversely affect the price of our common stock and result in substantial payments and incremental regulatory burdens; (v) the risk that Acadia may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; (vi) changes in expectations resulting from actuarial and other reviews of the Company’s liability reserves and other aspects of its business; (vii) potential disruptions to our information technology systems or a cybersecurity incident; and (viii) potential operating difficulties, including, without limitation, disruption to the U.S. economy and financial markets; reduced admissions and patient volumes, including, without limitation, due to OBBBA’s introduction of work or community engagement requirements in the Medicaid expansion population; increased costs relating to labor, supply chain and other expenditures; changes in competition and client preferences; and general economic or industry conditions that may prevent Acadia from realizing the expected benefits of its business strategies. These factors and others are more fully described in Acadia’s periodic reports and other filings with the Securities and Exchange Commission.

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 7

February 25, 2026

 

Acadia Healthcare Company, Inc.

Condensed Consolidated Statements of Operations

(Unaudited)

 

 

   

Three Months Ended December 31,

   

Year Ended December 31,

 
   

2025

   

2024

   

2025

   

2024

 
   

(In thousands, except per share amounts)

 
                                 

Revenue

  $ 821,459     $ 774,238     $ 3,312,769     $ 3,153,963  
                                 

Salaries, wages and benefits (including equity-based compensation expense of $6,451, $10,099, $31,708 and $37,113, respectively)

    460,846       425,597       1,820,703       1,691,024  

Professional fees

    48,329       47,470       195,475       189,706  

Supplies

    30,761       28,560       118,047       112,713  

Rents and leases

    12,020       11,720       48,022       47,861  

Other operating expenses

    176,105       117,888       553,308       440,788  

Depreciation and amortization

    45,754       39,541       189,249       149,595  

Interest expense, net

    37,925       30,071       138,864       116,368  

Debt extinguishment costs

                1,269          

Legal settlements expense

    147,462             150,966        

Loss on impairment

    1,006,440       5,817       1,007,892       17,276  

Gain on sale of property

                (8,715 )      

Transaction, legal and other costs

    25,214       29,566       163,630       46,753  

Total expenses

    1,990,856       736,230       4,378,710       2,812,084  

(Loss) income before income taxes

    (1,169,397 )     38,008       (1,065,941 )     341,879  

Provision for income taxes

    7,843       4,479       25,982       77,395  

Net (loss) income

    (1,177,240 )     33,529       (1,091,923 )     264,484  

Net income attributable to noncontrolling interests

    (279 )     (914 )     (10,849 )     (8,872 )

Net (loss) income attributable to Acadia Healthcare Company, Inc.

  $ (1,177,519 )   $ 32,615     $ (1,102,772 )   $ 255,612  
                                 

(Loss) earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:

                               

Basic

  $ (13.02 )   $ 0.36     $ (12.16 )   $ 2.79  

Diluted

  $ (13.02 )   $ 0.35     $ (12.16 )   $ 2.78  
                                 

Weighted-average shares outstanding:

                               

Basic

    90,442       91,769       90,705       91,621  

Diluted

    90,442       91,986       90,705       92,059  

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 8

February 25, 2026

 

Acadia Healthcare Company, Inc.

Condensed Consolidated Balance Sheets

(Unaudited)

 

 

   

December 31,

 
   

2025

   

2024

 
   

(In thousands)

 
                 

ASSETS

 

 

Current assets:

               

Cash and cash equivalents

  $ 133,242     $ 76,305  

Accounts receivable, net

    440,604       365,339  

Other current assets

    240,293       135,848  

Total current assets

    814,139       577,492  

Property and equipment, net

    3,111,212       2,853,193  

Goodwill

    1,296,342       2,264,851  

Intangible assets, net

    96,672       70,003  

Deferred tax assets

    2,528       20,964  

Operating lease right-of-use assets

    134,005       118,369  

Other assets

    72,550       52,043  

Total assets

  $ 5,527,448     $ 5,956,915  
                 
                 

LIABILITIES AND EQUITY

 

Current liabilities:

               

Current portion of long-term debt

  $ 28,438     $ 76,816  

Accounts payable

    150,403       232,704  

Accrued salaries and benefits

    188,638       155,426  

Current portion of operating lease liabilities

    21,160       25,462  

Other accrued liabilities

    136,555       87,511  

Total current liabilities

    525,194       577,919  

Long-term debt

    2,471,529       1,880,093  

Deferred tax liabilities

    66,605       83,946  

Operating lease liabilities

    121,961       101,828  

Other liabilities

    201,607       122,298  

Total liabilities

    3,386,896       2,766,084  

Redeemable noncontrolling interests

    191,592       117,116  

Equity:

               

Common stock

    905       918  

Additional paid-in capital

    2,713,896       2,685,464  

(Accumulated deficit) retained earnings

    (765,841 )     387,333  

Total equity

    1,948,960       3,073,715  

Total liabilities and equity

  $ 5,527,448     $ 5,956,915  

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 9

February 25, 2026

 

Acadia Healthcare Company, Inc.

Condensed Consolidated Statements of Cash Flows

(Unaudited)

 

 

   

Year Ended December 31,

 
   

2025

   

2024

 
   

(In thousands)

 

Operating activities:

               

Net (loss) income

  $ (1,091,923 )   $ 264,484  

Adjustments to reconcile net (loss) income to net cash provided by operating activities:

               

Depreciation and amortization

    189,249       149,595  

Amortization of debt issuance costs

    4,864       4,088  

Equity-based compensation expense

    31,708       37,113  

Deferred income taxes

    1,094       67,708  

Debt extinguishment costs

    1,269        

Non-cash legal settlements expense

    3,504        

Loss on impairment

    1,007,892       17,276  

Gain on sale of property

    (8,715 )      

Other

    1,623       (4,686 )

Change in operating assets and liabilities, net of effect of acquisitions:

               

Accounts receivable, net

    (75,024 )     (2,329 )

Other current assets

    (47,209 )     (7,462 )

Other assets

    (11,291 )     521  

Accounts payable and other accrued liabilities

    14,882       (420,893 )

Accrued salaries and benefits

    26,678       12,115  

Other liabilities

    83,297       12,163  

Net cash provided by operating activities

    131,898       129,693  
                 

Investing activities:

               

Cash paid for acquisitions, net of cash acquired

    (8,165 )     (53,550 )

Cash paid for capital expenditures

    (571,807 )     (690,385 )

Proceeds from sale of property and equipment

    23,848       10,435  

Other

    (90 )     (2,979 )

Net cash used in investing activities

    (556,214 )     (736,479 )
                 

Financing activities:

               

Borrowings on long-term debt

    1,200,000       350,000  

Borrowings on revolving credit facility

    1,069,000       305,000  

Principal payments on revolving credit facility

    (1,035,000 )     (15,000 )

Principal payments on long-term debt

    (12,188 )     (56,331 )

Repayment of long-term debt

    (670,856 )      

Payment of debt issuance costs

    (18,615 )     (1,518 )

Repurchase of shares for payroll tax withholding, net of proceeds from stock option exercises

    (4,226 )     (1,341 )

Repurchase of common stock

    (50,034 )      

Contributions from noncontrolling partners in joint ventures

    8,639       5,180  

Distributions to noncontrolling partners in joint ventures

    (3,877 )     (2,972 )

Cash paid for contingent consideration

    (1,500 )      

Other

    (90 )      

Net cash provided by financing activities

    481,253       583,018  
                 

Net increase (decrease) in cash and cash equivalents

    56,937       (23,768 )

Cash and cash equivalents at beginning of the period

    76,305       100,073  

Cash and cash equivalents at end of the period

  $ 133,242     $ 76,305  
                 

Effect of acquisitions:

               

Assets acquired, excluding cash

  $ 53,647     $ 59,235  

Liabilities assumed

    (893 )     (4,185 )

Contingent consideration issued in connection with an acquisition

          (1,500 )

Redeemable noncontrolling interest resulting from an acquisition

    (44,589 )      

Cash paid for acquisitions, net of cash acquired

  $ 8,165     $ 53,550  

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 10

February 25, 2026

 

Acadia Healthcare Company, Inc.

Operating Statistics (1)

(Unaudited, $ in thousands except per Patient Day metrics)

 

 

   

Three Months Ended December 31,

   

Year Ended December 31,

 
   

2025

   

2024

   

% Change

   

2025

   

2024

   

% Change

 

Same Facility Results (2)

                                               

Revenue

  $ 792,677     $ 759,409       4.4 %   $ 3,231,421     $ 3,079,862       4.9 %

Patient Days

    787,174       763,680       3.1 %     3,152,358       3,087,691       2.1 %

Admissions

    49,003       47,818       2.5 %     199,379       194,833       2.3 %

Average Length of Stay (3)

    16.1       16.0       0.6 %     15.8       15.8       -0.2 %

Revenue per Patient Day

  $ 1,007     $ 994       1.3 %   $ 1,025     $ 997       2.8 %

Adjusted EBITDA

  $ 152,010     $ 189,655       -19.8 %   $ 824,336     $ 855,183       -3.6 %
                                                 

Total Facility Results

                                               

Revenue

  $ 821,459     $ 774,238       6.1 %   $ 3,312,769     $ 3,153,963       5.0 %

Patient Days

    811,766       776,456       4.5 %     3,221,704       3,151,933       2.2 %

Admissions

    52,170       48,679       7.2 %     208,225       199,761       4.2 %

Average Length of Stay (3)

    15.6       16.0       -2.5 %     15.5       15.8       -1.9 %

Revenue per Patient Day

  $ 1,012     $ 997       1.5 %   $ 1,028     $ 1,001       2.8 %

Adjusted EBITDA

  $ 136,181     $ 184,359       -26.1 %   $ 759,717     $ 849,411       -10.6 %

 

(1) Total facility and same facility results may not be indicative of the overall performance of our business and should not be considered as alternatives for net income or any other performance measures in accordance with GAAP (as defined herein).

(2) Same facility results for the periods presented include facilities we have operated for more than one year and exclude certain closed services.

(3) Average length of stay is defined as patient days divided by admissions.

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 11

February 25, 2026

 

Acadia Healthcare Company, Inc.

Reconciliation of Net (Loss) Income Attributable to Acadia Healthcare Company, Inc. to Adjusted EBITDA and
Same Facility Adjusted EBITDA

(Unaudited)

 

 

   

Three Months Ended December 31,

   

Year Ended December 31,

 
   

2025

   

2024

   

2025

   

2024

 
   

(in thousands)

 
                                 

Net (loss) income attributable to Acadia Healthcare Company, Inc.

  $ (1,177,519 )   $ 32,615     $ (1,102,772 )   $ 255,612  

Net income attributable to noncontrolling interests

    279       914       10,849       8,872  

Provision for income taxes

    7,843       4,479       25,982       77,395  

Interest expense, net

    37,925       30,071       138,864       116,368  

Depreciation and amortization

    45,754       39,541       189,249       149,595  

EBITDA

    (1,085,718 )     107,620       (737,828 )     607,842  
                                 

Adjustments:

                               

Equity-based compensation expense (a)

    6,451       10,099       31,708       37,113  

Transaction, legal and other costs (b)

    25,214       29,566       163,630       46,753  

Debt extinguishment costs (c)

                1,269        

Legal settlements expense (d)

    147,462             150,966        

Loss on impairment (e)

    1,006,440       5,817       1,007,892       17,276  

Gain on sale of property (f)

                (8,715 )      

Adjusted EBITDA

  $ 99,849     $ 153,102     $ 608,922     $ 708,984  
                                 

Corporate general and administrative costs (g)

    (36,332 )     (31,257 )     (150,795 )     (140,427 )

Total Facility Adjusted EBITDA

    136,181       184,359       759,717       849,411  

De novos, acquisitions, and closed facilities (h)

    (15,829 )     (5,296 )     (64,619 )     (5,772 )

Same Facility Adjusted EBITDA

  $ 152,010     $ 189,655     $ 824,336     $ 855,183  

 

See footnotes on pages 13-14.

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 12

February 25, 2026

 

Acadia Healthcare Company, Inc.

Reconciliation of Net (Loss) Income Attributable to Acadia Healthcare Company, Inc. to 

Adjusted Income Attributable to Acadia Healthcare Company, Inc.

(Unaudited)

 

 

   

Three Months Ended December 31,

   

Year Ended December 31,

 
   

2025

   

2024

   

2025

   

2024

 
   

(in thousands, except per share amounts)

 
                                 

Net (loss) income attributable to Acadia Healthcare Company, Inc.

  $ (1,177,519 )   $ 32,615     $ (1,102,772 )   $ 255,612  
                                 

Adjustments to (loss) income:

                               

Transaction, legal and other costs (b)

    25,214       29,566       163,630       46,753  

Debt extinguishment costs (c)

                1,269        

Legal settlements expense (d)

    147,462             150,966        

Loss on impairment (e)

    1,006,440       5,817       1,007,892       17,276  

Gain on sale of property (f)

                (8,715 )      

Provision for income taxes

    7,843       4,479       25,982       77,395  

Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc.

    9,440       72,477       238,252       397,036  

Income tax effect of adjustments to (loss) income (i)

    3,322       13,326       55,537       92,940  

Adjusted income attributable to Acadia Healthcare Company, Inc.

    6,118       59,151       182,715       304,096  
                                 

Weighted-average shares outstanding - diluted (j)

    90,578       91,986       91,309       92,059  
                                 

Adjusted income attributable to Acadia Healthcare Company, Inc. per diluted share

  $ 0.07     $ 0.64     $ 2.00     $ 3.30  

 

 

See footnotes on pages 13-14.

 

- MORE -


ACHC Announces Fourth Quarter and 2025 Results

Page 13

February 25, 2026

 

Acadia Healthcare Company, Inc.

Footnotes

 

 

We have included certain financial measures in this press release, including those listed below, which are “non-GAAP financial measures” as defined under the rules and regulations promulgated by the SEC.  These non-GAAP financial measures include, and are defined, as follows:

 

 

• EBITDA:  net (loss) income attributable to Acadia Healthcare Company, Inc. adjusted for net income attributable to noncontrolling interests, provision for income taxes, net interest expense and depreciation and amortization.

 

 

• Adjusted EBITDA: EBITDA adjusted for equity-based compensation expense, transaction, legal and other costs, debt extinguishment costs, legal settlements expense, loss on impairment and gain on sale of property.

 

 

• Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc.: net (loss) income attributable to Acadia Healthcare Company, Inc. adjusted for transaction, legal and other costs, debt extinguishment costs, legal settlements expense, loss on impairment, gain on sale of property and provision for income taxes.

 

 

• Adjusted income attributable to Acadia Healthcare Company, Inc.: Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc. adjusted for the income tax effect of adjustments to (loss) income. 

 

 

• Total facility adjusted EBITDA: Adjusted EBITDA adjusted for general and administrative costs related to our corporate functions. General and administrative costs directly related to the facilities are included in total facility results.

 

 

• Same facility adjusted EBITDA: Adjusted EBITDA for facilities and services to those facilities operated in both the current and prior year. These metrics exclude the operating results associated with facilities under operation for less than one year and facilities acquired, divested or removed from service during the current or prior year.

 

 

The non-GAAP financial measures presented herein are supplemental measures of our performance and are not required by, or presented in accordance with, generally accepted accounting principles in the United States (“GAAP”). The non-GAAP financial measures presented herein are not measures of our financial performance under GAAP and should not be considered as alternatives to net income or any other performance measures derived in accordance with GAAP or as an alternative to cash flow from operating activities as measures of our liquidity. Our measurements of these non-GAAP financial measures may not be comparable to similarly titled measures of other companies. We have included information concerning the non-GAAP financial measures in this press release because we believe that such information is used by certain investors as measures of a company’s historical performance. We believe these measures are frequently used by securities analysts, investors and other interested parties in the evaluation of issuers of equity securities, many of which present similar non-GAAP financial measures when reporting their results. Because the non-GAAP financial measures are not measurements determined in accordance with GAAP and are thus susceptible to varying calculations, the non-GAAP financial measures, as presented, may not be comparable to other similarly titled measures of other companies. Our presentation of these non-GAAP financial measures should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

 

 

Total facility results include operating results for all of our facilities and services but exclude general and administrative costs related to our corporate functions. Such costs related to our corporate functions include, amongst others, costs for accounting and finance, information systems, human resources, legal and operational and executive leadership. General and administrative costs directly related to the facilities are included in facility results. Such costs directly related to our facilities include, amongst others, labor at the facility level, insurance, including property, professional, legal and general liability insurance, hospital supplies, including medication, utilities and food service, and general maintenance costs for the facility. We determine which general and administrative costs to exclude and include in total facility results by ensuring those costs directly associated with facility operations are captured at the facility level for reporting. Note that total facility costs include those related to new facilities and the cost of closure and run-out costs related to facilities we have closed. We believe that providing results on a total facility basis is helpful to our investors as a measure of our financial and operating performance because it neutralizes the impact of corporate-level items that do not arise out of our core operations at our facilities.

 

 

Same facility results include operating results only for facilities and services operated in both the current and prior year. These metrics exclude the operating results associated with facilities under operation for less than one year and facilities acquired during the current or prior year, as well as facilities divested or removed from service. We believe that providing results on a same facility basis is helpful to investors because it neutralizes the impact of new facilities that are in early stages of operation and facilities that we no longer operate, each of which may distort investors’ understanding of the Company’s underlying performance at our existing and continuing facilities. Further, we believe that providing same facility information is helpful to our investors as a measure of the financial and operating performance of our existing and continuing facilities on a comparable basis, and same facility results provide investors with information useful in understanding underlying organic growth in such facilities. For these reasons, we believe that same facility results are particularly useful during periods of significant expansion or contraction.

 

Total facility results reflect adjustments that are intended to provide the specific presentation described above, and same facility results reflect adjustments that may be irregular in timing from period to period related to newly opened or acquired facilities or facilities that we no longer operate, and may omit certain results that investors may view as important. Total facility and same facility results may therefore not be indicative of the overall performance of our business and should be not be considered as alternatives for net income or any other performance measures derived in accordance with GAAP.

 

 

The Company is not able to provide a reconciliation of projected Adjusted EBITDA and adjusted earnings per diluted share, where provided, to expected results due to the unknown effect, timing and potential significance of transaction-related expenses and the tax effect of such expenses.

 

 

- MORE -

 

Acadia Healthcare Company, Inc.

Footnotes (continued)

 

 

(a) Represents the equity-based compensation expense of Acadia. Equity-based compensation expense is excluded from Adjusted EBITDA because we believe that the cost of equity awards granted to employees does not contribute to the earnings potentially available for distributions to its equity holders or reinvestment into its business.

 

 

(b) Represents transaction, legal, and other costs incurred by Acadia primarily related to the following categories: (1) government investigations; (2) termination and restructuring costs; (3) legal, accounting, and other acquisition-related costs; and (4) management transition costs. Government investigations include legal fees and settlement costs related to certain litigation. Termination and restructuring costs include costs, net of gains, incurred related to workforce reductions, contract amendments, and the closure and disposition of certain facilities, including related lease terminations. Legal, accounting and other acquisition-related costs include costs incurred for the development of new facilities ($0.3 million and $2.1 million for the three months and year ended December 31, 2025, respectively, and $1.1 million and $5.0 million for the three months and year ended December 31, 2024, respectively); legal and settlement costs incurred related to certain litigation not included in government investigations ($8.5 million and $6.3 million for the three months and year ended December 31, 2025, respectively, and $0.3 million and $4.8 million for the three months and year ended December 31, 2024, respectively); and direct costs associated with acquisitions ($0.0 million and $0.1 million for the three months and year ended December 31, 2025, respectively, and $0.0 million and $1.4 million for the three months and year ended December 31, 2024, respectively). Management transition costs include certain costs associated with the transition of the leadership team, including the design and implementation of the revised organizational structure. Management transition costs incurred with the transition of our Chief Executive Officer from Debra K. Osteen to Christopher H. Hunter beginning in the first quarter of 2022 concluded in the fourth quarter of 2024. The table below quantifies each of the components of transaction, legal and other costs for the periods presented. Such transaction, legal and other costs are excluded from Adjusted EBITDA because we believe that the nature, size, and number of these costs can vary dramatically from period to period and between Acadia and its peers and can also obscure underlying business trends and make comparisons of long-term performance difficult.

 

 

   

Three Months Ended December 31,

   

Year Ended December 31,

 
   

2025

   

2024

   

2025

   

2024

 
   

(in thousands)

 

Government investigations

  $ 11,985     $ 24,986     $ 135,259     $ 30,620  

Termination and restructuring costs

    4,425       2,631       19,871       1,362  

Legal, accounting and other acquisition-related costs

    8,804       1,436       8,500       11,172  

Management transition costs

          513             3,599  

Transaction, legal, and other costs

  $ 25,214     $ 29,566     $ 163,630     $ 46,753  

 

(c) Represents debt extinguishment costs recorded during the first quarter of 2025 in connection with the refinancing of the prior credit facility. Debt extinguishment is excluded from Adjusted EBITDA because we believe that this expense is unrelated to Acadia’s day-to-day business operations and not indicative of Acadia’s ongoing operating results.

 

 

(d) Represents legal settlements expense related to costs associated with the previously disclosed settlement of the securities litigation in the United States District Court for the Middle District of Tennessee, St. Clair County Employees Retirement System v. Acadia Healthcare Company, Inc., et al., Case No. 3:19-cv-00988, and costs associated with the Desert Hills litigation. Legal settlements expense is excluded from Adjusted EBITDA because we believe that this expense is unrelated to Acadia’s day-to-day business operations and not indicative of Acadia’s ongoing operating results.

 

 

(e) Represents non-cash impairment charges related to the closure of certain facilities. Additionally, the three months and year ended December 31, 2025 includes a non-cash goodwill impairment charge of $996.2 million. Non-cash impairment charges are excluded from Adjusted EBITDA because we believe that these charges are unrelated to Acadia’s day-to-day business operations and not indicative of Acadia’s ongoing operating results.

 

 

(f) Represents gain on facility property sale. Gains from facility property sales are excluded from Adjusted EBITDA because we believe that these gains are unrelated to Acadia’s day-to-day business operations and not indicative of Acadia’s ongoing operating results.

 

 

(g) Represents general and administrative costs related to our corporate functions, including, amongst others, costs for accounting and finance, information systems, human resources, legal and operational and executive leadership. We determine which general and administrative costs to exclude and include in total facility results by ensuring those costs directly associated with facility operations are captured at the facility level for reporting. Corporate general and administrative costs are excluded to present Total Facility Adjusted EBITDA because we believe that providing results on a total facility basis is helpful to our investors as a measure of the financial and operating performance of our core operations at our facilities.

 

 

(h) Represents the portion of EBITDA for the periods presented attributable to de novos and acquired facilities in operation for less than one year and facilities closed during such period. De novos are newly developed facilities built by Acadia or with a joint venture partner. Such amounts are excluded from Adjusted EBITDA to present Same Facility Adjusted EBITDA because we believe providing same facility information is helpful to our investors as a measure of the financial and operating performance of our existing and continuing facilities on a comparable basis, and same facility results provide investors with information useful in understanding underlying organic growth in such facilities.

 

 

(i) Represents the income tax effect of adjustments to income based on tax rates of 35.2% and 18.4% for the three months ended December 31, 2025 and 2024, respectively, and 23.3% and 23.4% for the year ended December 31, 2025 and 2024, respectively. We believe excluding the income tax effect of adjustments to income assists investors in understanding the tax provision associated with those adjustments and the effect on net income.

 

 

(j)  For the three months and year ended December 31, 2025, approximately 0.1 million and 0.6 million, respectively, outstanding shares of restricted stock and shares of common stock issuable upon exercise of outstanding stock option awards have been included in the calculation of diluted  weighted-average shares outstanding. These shares are excluded from the calculation of diluted earnings per share because the net loss for the three months and year ended December 31, 2025 causes such securities to be anti-dilutive.

 

 

Investor Contact:

Patrick Feeley

Senior Vice President, Investor Relations

(615) 861-6000

 

- END -

Exhibit 99.2

 

 

 

slide01.jpg

 

 

 

 
slide02.jpg

 

 

 
slide03.jpg

 

 

 
slide04.jpg

 

 

 
slide05.jpg

 

 

 
slide06.jpg

 

 

 
slide07.jpg

 

 

 
slide08.jpg

 

 

 
slide09.jpg

 

 

 
slide10.jpg

 

 

 
slide11.jpg

 

 

 
slide12.jpg

 

 

 
slide13.jpg

 

 

 
slide14.jpg

 

 

 
slide15.jpg

 

 

 
slide16.jpg

 

 

 
slide17.jpg

 

 

 
slide18.jpg

 

 

 
slide19.jpg

 

 

 
slide20.jpg

 

 

 
slide21.jpg

 

 

FAQ

How did Acadia Healthcare (ACHC) perform in the fourth quarter of 2025?

Acadia reported Q4 2025 revenue of $821.5 million, up 6.1% year over year, driven by higher volumes and growth in acute inpatient services. However, a large goodwill impairment and legal expenses led to a net loss of $1.18 billion versus net income of $33.5 million in 2024.

What caused Acadia Healthcare’s large net loss for full year 2025?

The 2025 net loss of $1.10 billion mainly reflects a $1,006 million impairment charge, including $996.2 million of goodwill, plus $151 million of legal settlements and significantly higher PLGL expenses. These costs outweighed revenue growth to $3.31 billion, up from $3.15 billion in 2024.

What is PLGL and how did it affect Acadia Healthcare’s 2025 results?

PLGL refers to professional, legal and general liability costs. In 2025, other operating expenses included $115 million of PLGL expenses versus $54 million in 2024. A fourth-quarter reserve adjustment of $52.7 million increased the PLGL reserve to $153.0 million at December 31, 2025, pressuring margins.

What 2026 financial guidance did Acadia Healthcare (ACHC) provide?

For 2026, Acadia projects revenue of $3.37–$3.45 billion, adjusted EBITDA of $575–$610 million, and adjusted diluted EPS of $1.30–$1.55. Guidance assumes modest same-facility volume and pricing growth, lower startup losses than 2025, and headwinds from Medicaid policy and supplemental payment changes.

How strong is Acadia Healthcare’s balance sheet and liquidity entering 2026?

At December 31, 2025, Acadia held $133.2 million in cash and cash equivalents and had $595 million available under a $1.0 billion revolving credit facility. The company reported a net leverage ratio of 4.0x adjusted EBITDA, reflecting increased borrowings alongside continued expansion investments.

How are Medicaid policy changes and OBBBA impacting Acadia Healthcare?

Acadia highlights risks from Medicaid changes, including the One Big Beautiful Bill Act (OBBBA) and New York Medicaid policy on out-of-state specialty care. For 2026, it expects a $25–$30 million negative adjusted EBITDA impact from New York’s policy shift and reduced supplemental payments of $15–$20 million.

What growth initiatives is Acadia Healthcare pursuing despite 2025 headwinds?

In 2025, Acadia added 778 beds from new facilities and 311 beds at existing sites, plus 15 new comprehensive treatment centers, bringing the network to 277 facilities and over 12,500 beds. These expansions support long-term volume growth but contribute to near-term startup losses of $56 million in 2025.

Filing Exhibits & Attachments

6 documents
Acadia Healthcar

NASDAQ:ACHC

ACHC Rankings

ACHC Latest News

ACHC Latest SEC Filings

ACHC Stock Data

1.57B
90.53M
Medical Care Facilities
Services-specialty Outpatient Facilities, Nec
Link
United States
FRANKLIN