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Acadia Healthcare (ACHC) FY2025 results: revenue $3.3 billion, up 5.0% on the year

Acadia Healthcare Company, Inc. (ACHC) reported revenue of $3.3 billion for fiscal 2025, the year ended 31 December 2025, up 5.0% on the year before. Net income was -$1.1 billion, and diluted earnings per share $-12.16. The figures are the company's own, from the 10-K it filed with the SEC on 27 February 2026.

Revenue
$3.3 billion
+5.0% on the year
FY2018FY2025
Operating margin
-32.2%
10.8% a year earlier
FY2018FY2025
Net income
-$1.1 billion
FY2018FY2025
Diluted EPS
-$12.16
FY2018FY2025

this yearthe year beforeHover a bar for its figure.

The year in brief

What management said about the year

Guidance figures: 23 new.

  • Fourth quarter revenue rose 6.1%: Quarterly revenue was $821.5 million. Full-year revenue of $3,312.8 million, up 5.0%, was above the previously issued guidance range.
  • Quarterly Adjusted EBITDA fell 35%: Adjusted EBITDA was $99.8 million, down from $153.1 million. The fourth-quarter figure includes a $52.7 million adjustment to PLGL reserves.
  • Acute psychiatric revenue grew 10%: Acute inpatient psychiatric revenue was $451 million, up 10%, driven by expanded capacity from new and existing facilities.
  • PLGL reserve adjustment drove other costs: Other operating expenses were $176 million, up $58 million, including the $52.7 million PLGL adjustment. Full-year PLGL expenses were $115 million, against $54 million.
  • Goodwill impairment of $996.2 million: The fourth-quarter impairment loss of $1,006 million included a non-cash goodwill charge of $996.2 million. Year-end goodwill was $1,296 million, against $2,265 million.
Read the Q4 FY2025 earnings call summary

The four quarters: Q1 FY2025 · Q2 FY2025 · Q3 FY2025 · Q4 FY2025

Income statement (profit and loss)

$ millionFY2025FY2024FY2023On the yearLast 8 years
Revenue3,3133,1542,929+5.0%
Operating income-1,066342-25.4
Operating margin-32.2%10.8%-0.9%
Pre-tax income-1,066342-25.4
Income tax26.077.4-9.7-66.4%
Effective tax raten/a22.6%n/a
Net income-1,103256-21.7
Net margin-33.3%8.1%-0.7%
Diluted EPS-$12.16$2.78-$0.24
$ million except per share.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are.

Cash flow

$ millionFY2025FY2024FY2023On the yearLast 8 years
Operating cash flow132130462+1.7%
Capital expenditure572690424-17.2%
Free cash flow-440-56138.2
Free cash flow margin-13.3%-17.8%1.3%
Cash from investing-556-736-397
Cash from financing481583-62.7-17.5%
Depreciation and amortisation189150132+26.5%
Share-based compensation31.737.132.3-14.6%
Buybacks50.0n/an/a
Diluted shares, weighted91m92m91m-1.5%
Shares outstanding at period end90m92m91m-1.4%

Balance sheet

$ millionFY2025FY2024FY2023On the yearLast 8 years
Shareholders' equity1,9493,0742,782-36.6%
Redeemable equity192117106+63.6%
Debt2,5001,9571,372+27.8%
Operating lease liabilities122102101+19.8%
Finance lease liabilities10.710.810.9-0.8%
Other liabilities754697988+8.3%
Total liabilities and equity5,5275,9575,359-7.2%
Fixed assets3,1112,8532,267+9.0%
Goodwill1,2962,2652,226-42.8%
Intangible assets96.770.073.3+38.1%
Cash and equivalents13376.3100+74.6%
Receivables441365361+20.6%
Inventory5.75.75.3+0.6%
Other assets444322326+38.0%
Total assets5,5275,9575,359-7.2%

10-K for the year ended 31 December 2025, filed 27 February 2026: the filing.