The strong beat and raised guidance confirm a turnaround in operations, likely driving positive price reaction. Watch for continued acute and RTC volume growth and any updates on the specialty facility headwinds or PLGL costs in subsequent quarters.
Price Chart
Executive Summary
Acadia Healthcare reported Q1 2026 adjusted EPS of $0.37, beating consensus of $0.28 by 32%, and revenue of $828.8M (+7.6% YoY) at the high end of guidance. The company raised its full-year 2026 adjusted EBITDA guidance to $580-$615M and adjusted EPS guidance to $1.35-$1.60, signaling improving operational momentum under new CEO Debbie Osteen.
Key Financial Metrics
Key Facts
- Q1 2026 revenue $828.8M, +7.6% YoY (Q1 2025: $770.5M)
- Adjusted EPS $0.37 vs consensus $0.28, a 32% beat
- Full-year 2026 adjusted EBITDA guidance raised to $580-$615M (from $575-$610M)
- Full-year 2026 adjusted EPS guidance raised to $1.35-$1.60 (from $1.30-$1.55)
- Same-facility revenue increased 7.3% YoY, with admissions +6.5% and revenue per patient day +5.6%
- Adjusted EBITDA $144.2M, +7.5% YoY (Q1 2025: $134.2M)
Financial Impact
Adjusted EPS beat by $0.09 (32%) and revenue exceeded guidance high end; full-year guidance increases by ~$5M in adjusted EBITDA midpoint and $0.05 in adjusted EPS midpoint.
Risk Factors
- Ongoing government investigations and legal settlements
- Professional and general liability reserve adjustments
- Regulatory changes (One Big Beautiful Bill Act impact on Medicaid)
- Elevated leverage (3.9x net debt/EBITDA)
- Specialty facility revenue decline (-6.5% YoY)
Market Snapshot
Investment Themes
Documents Analyzed
This report is based on 6 SEC documents filed with EDGAR.
| Document | Accession Number |
|---|---|
| 8-K Filing (Primary) | 0001437749-26-013916 |
| Document: achc20260429_8k.htm | 0001437749-26-013916 |
| Document: 0001437749-26-013916-index-headers.html | 0001437749-26-013916 |
| Document: 0001437749-26-013916-index.html | 0001437749-26-013916 |
| Document: 0001437749-26-013916.txt | 0001437749-26-013916 |
| 8-K Data (Synthetic) | 0001437749-26-013916 |
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
Oct 8, 2026 19d ago | SC 13G | $28.48 $29.25 | ▲ +2.70% | ▲ +2.10% | $29.78 (+4.56%) |
Sep 25, 2026 4w ago | 8-K | $27.91 $28.04 | ▲ +0.47% | ▲ +0.65% | $29.78 (+6.70%) |
Aug 5, 2026 11w ago | Institutional Cluster | $30.72 $31.53 | ▲ +2.64% | ▲ +2.03% | $29.78 (−3.06%) |
Jul 28, 2026 12w ago | 8-K | $27.35 $28.14 | ▲ +2.89% | ▲ +1.21% | $29.78 (+8.88%) |
May 27, 2026 21w ago | Court Ruling | $24.09 $23.76 | ▼ −1.37% | ▼ −1.92% | $29.78 (+23.62%) |
May 18, 2026 23w ago | 8-K | $24.92 $24.07 | ▲ +3.41% | ▲ +4.45% | $29.78 (−19.50%) |
Apr 29, 2026 25w ago | 8-K | $25.90 $27.85 | ▲ +7.53% | ▲ +7.31% | $29.78 (+14.98%) |
Apr 7, 2026 29w ago | Court Ruling | $25.39 $26.31 | ▼ −3.62% | ▼ −1.08% | $29.78 (−17.29%) |
Mar 25, 2026 30w ago | DEFA14A | $23.85 $22.91 | ▼ −3.94% | ▼ −2.26% | $29.78 (+24.86%) |
Feb 25, 2026 34w ago | 8-K | $20.84 $22.29 | ▼ −6.96% | ▼ −7.50% | $29.78 (−42.90%) |
US Market Status
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