Acadia Healthcare Company, Inc.(ACHC)Stock Analysis
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Rank #1,515 of 2,879 stocks
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
ACHC Stock Analysis & AI Quality Score
AI stock analysis and institutional research for Acadia Healthcare Company, Inc. (ACHC), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores ACHC at 49.3/100 on a 32-signal composite quality model, placing it at rank #1,515 of 2,879 stocks — the bottom half of the AI-ranked universe. Areas of concern include free cash flow (20.5) and earnings quality (30.0), which score below median versus the broader universe. Based on the latest XBRL financial filings (Q1 2026), Acadia Healthcare Company, Inc. reports quarterly revenue of $828.8M, net income of $4.1M, free cash flow of $-15.0M. Top institutional holders of ACHC by reported 13-F value include BlackRock,, WELLINGTON MANAGEMENT GROUP LLP, FMR, based on the most recent SEC filings. ACHC trades on the Nasdaq exchange and files with the SEC under CIK 1520697. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate ACHC daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for Acadia Healthcare Company, Inc. directly from SEC EDGAR. Acadia Healthcare Company, Inc.'s 13F Pro composite quality score has ranged between 8 and 67 since 2021, currently 49.3 — an improving long-term trajectory across 56 quarterly and live scoring snapshots.
Revenue
Q1 2026
$828.8M
Net Income
Q1 2026
$4.1M
Free Cash Flow
Q1 2026
$-15.0M
D/E Ratio
Q1 2026
1.31
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+5.0% YoYNet Income
-531.4% YoYOperating Income
EPS (Diluted)
-537.4% YoYTotal Assets
-7.2% YoYTotal Debt
+24.3% YoYOp. Cash Flow
+1.7% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2019 |
|---|---|---|---|---|---|---|
| Revenue | $3.31B +5.0% | $3.15B +7.7% | $2.93B +12.2% | $2.61B +12.8% | $2.31B +15.2% | $2.01B |
| Net Income | $-1.10B -531.4% | $255.6M +1279.7% | $-21.7M -107.9% | $273.1M +43.3% | $190.6M +75.0% | $108.9M |
| Operating Income | — | — | — | — | — | $585.9M |
| EPS (Diluted) | $-12.16 -537.4% | $2.78 +1258.3% | $-0.24 -108.1% | $2.98 +41.9% | $2.10 +69.4% | $1.24 |
| Total Assets | $5.53B -7.2% | $5.96B +11.2% | $5.36B +7.4% | $4.99B +4.6% | $4.77B -30.7% | $6.88B |
| Total Debt | $2.53B +24.3% | $2.03B +45.2% | $1.40B -0.4% | $1.41B -7.2% | $1.52B -52.5% | $3.19B |
| Operating Cash Flow | $131.9M +1.7% | $129.7M -71.9% | $462.3M +21.5% | $380.6M +1.6% | $374.5M +12.5% | $332.9M |
AI Insight: ACHC Financial Trends
Acadia Healthcare suffered a massive $1.2B net loss in Q4 2025, driving equity down 38% and debt up $200M over the quarter.
• Revenue grew from $796M in Q2 2024 to $829M in Q1 2026, but with significant quarterly volatility.
• Net income collapsed from $36M in Q3 2025 to -$1,178M in Q4 2025, recovering slightly to $4M in Q1 2026.
• Total debt increased from $1,908M in Q2 2024 to $2,559M in Q1 2026, rising $194M in Q4 2025 alone.
• Equity dropped from $3,120M in Q3 2025 to $1,949M in Q4 2025, a $1.2B decline.
⚠ Operating cash flow turned negative to -$86M in Q4 2025 after multiple positive quarters.
⚠ Q1 2026 shows early signs of stabilization with positive net income and operating cash flow recovery.
AI Insight: ACHC Ratio Trends
ACHC suffered catastrophic Q4 2025 losses with -142% operating margin, pushing TTM profitability deeply negative despite Q1 2026 recovery signs.
• Operating margin collapsed from 12.1% in Q3 2024 to -142.4% in Q4 2025 before recovering to 1.3% in Q1 2026.
• ROE deteriorated from 10.6% in Q2 2024 to 0.8% in Q1 2026, with TTM ROE at -56.5%.
• Debt-to-equity ratio doubled from 0.65 in Q2 2024 to 1.31 in Q1 2026.
⚠ Q1 2026 showed modest margin recovery to 1.3% after Q4 2025's devastating -142.4% operating margin.
⚠ Leverage spike to 1.31 D/E from Q4 2025 onwards versus 0.64-0.75 range in prior quarters.
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Top Institutional Holders of ACHC
BlackRock, Inc.
$273.3M11,686,389 shWELLINGTON MANAGEMENT GROUP LLP
$212.2M9,072,942 shFMR LLC
$160.6M6,867,678 shKhrom Capital Management LLC
$121.5M5,194,625 shVANGUARD PORTFOLIO MANAGEMENT LLC
$118.4M5,061,438 shDEERFIELD MANAGEMENT COMPANY, L.P. (SERIES C)
$105.7M4,520,000 shDME Capital Management, LP
$105.7M4,518,381 shMORGAN STANLEY
$105.0M4,491,067 shABRAMS BISON INVESTMENTS, LLC
$102.4M4,380,000 shVANGUARD CAPITAL MANAGEMENT LLC
$97.2M4,154,801 sh
| Fund | Value | Shares |
|---|---|---|
| BlackRock, Inc. | $273.3M | 11,686,389 |
| WELLINGTON MANAGEMENT GROUP LLP | $212.2M | 9,072,942 |
| FMR LLC | $160.6M | 6,867,678 |
| Khrom Capital Management LLC | $121.5M | 5,194,625 |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $118.4M | 5,061,438 |
| DEERFIELD MANAGEMENT COMPANY, L.P. (SERIES C) | $105.7M | 4,520,000 |
| DME Capital Management, LP | $105.7M | 4,518,381 |
| MORGAN STANLEY | $105.0M | 4,491,067 |
| ABRAMS BISON INVESTMENTS, LLC | $102.4M | 4,380,000 |
| VANGUARD CAPITAL MANAGEMENT LLC | $97.2M | 4,154,801 |
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Popular Research
Is ACHC a good stock to buy?
13F Pro's AI-powered analysis of Acadia Healthcare Company, Inc. (ACHC) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for ACHC are available on the ACHC stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own ACHC?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling ACHC. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of Acadia Healthcare Company, Inc.'s investment landscape.