newsfilter
← Latest News
Business Wire·

Acadia Healthcare Announces Fourth Quarter and 2025 Results

ACHC
  • Acadia Healthcare announced Q4 2025 financial results & issued guidance for full-year 2026 & Q1 2026.
  • Debbie Osteen joined as Chief Executive Officer & stated her priorities include steady leadership & operational discipline.
  • Q4 2025 revenue totaled $821.5 million, a 6.1% increase year-over-year, with same-facility revenue up 4.4%.
  • Q4 2025 GAAP net loss was $13.02 per diluted share, driven by a $996.2 million non-cash goodwill impairment charge.
  • Q4 2025 Adjusted net income was $6.1 million ($0.07 per share), while Adjusted EBITDA was $99.8 million.
  • Q4 2025 Adjusted EBITDA included a $52.7 million adjustment to Professional & General Liability ("PLGL") reserves.
  • Legal settlements expense in Q4 2025 was $147 million, primarily for 2019 securities litigation.
  • Full-year 2025 revenue reached $3,312.8 million, a 5.0% increase, with GAAP net loss of $12.16 per diluted share.
  • Full-year 2025 Adjusted net income was $182.7 million ($2.00 per share), and Adjusted EBITDA was $608.9 million.
  • Acadia added 1,089 licensed beds in 2025, including 778 from new facilities & 311 to existing ones.
  • Full-year 2026 revenue guidance is $3.37 to $3.45 billion, with Adjusted EBITDA guidance of $575 to $610 million.
  • Full-year 2026 Adjusted earnings per diluted share guidance is $1.30 to $1.55, with capital expenditures of $255 to $280 million.
  • 2026 guidance assumes same-facility volume growth of 0% to 1% & revenue per patient day growth of 2% to 3%.
  • A New York Medicaid policy change is expected to negatively impact 2026 Adjusted EBITDA by $25 to $30 million.
  • Acadia expects 400 to 600 total bed additions in 2026, with startup losses of $47 to $53 million.
  • As of December 31, 2025, the company held $133.2 million in cash & had a net leverage ratio of 4.0x Adjusted EBITDA.
  • Q1 2026 revenue guidance is $820 to $830 million, with Adjusted EBITDA of $130 to $137 million.
  • The company operates 277 behavioral healthcare facilities with over 12,500 beds across 40 states & Puerto Rico.