Acadia Healthcare Company, Inc. (ACHC) Stock Price & How to Invest

Last updated October 2026

Short answer

ACHC is Acadia Healthcare, the largest pure-play behavioral health operator in the US, running acute psychiatric hospitals, residential treatment, and addiction-treatment centers. It is a scaled, cash-generative provider whose story is dominated by steady same-facility growth and bed expansion on one side and heavy litigation and regulatory overhang on the other. As of October 16, 2026 the stock was ~$30.52 (market cap ~$2.8 billion), more than double where it started the year, with third-quarter results due November 4.

ACHC stock price

As of 2026-10-16, Acadia Healthcare Company, Inc. (ACHC) last closed at $29.98, up 24.0% over the past year. Over the past 52 weeks it has traded between $11.68 and $35.61.

ACHC last close
$29.98
1 day
-3.41%
1 month
+6.46%
1 year
+24.04%
52-week range
$11.68 to $35.61
Last close
2026-10-16

Prices are daily closing prices from Yahoo Finance and may be delayed. For the live quote, check your broker or Acadia Healthcare Company, Inc.'s investor relations page. Walnut is informational, not investment advice.

What does Acadia Healthcare Company, Inc. (ACHC) do?

Acadia Healthcare (NASDAQ: ACHC) is the leading pure-play behavioral healthcare provider in the United States, operating roughly 277 facilities with more than 12,500 licensed beds across about 40 states and Puerto Rico as of the end of 2025. Its business spans four service lines: acute inpatient psychiatric hospitals (its largest and fastest-growing segment), specialty treatment facilities, comprehensive treatment centers for opioid-use disorder, and residential treatment centers. Revenue is heavily tied to government payors, with Medicaid at roughly 58 percent, commercial at about 25 percent, and Medicare near 14 percent, and no single facility contributing more than about 4 percent of total revenue.

The investment picture combines a genuinely strong demand backdrop for mental-health and addiction services with a growth model built on same-facility volume gains, higher revenue per patient day, and continued bed additions through de novo hospitals and joint ventures. Full-year 2025 revenue reached about $3.31 billion, up roughly 5 percent, and 2026 guidance given in the spring pointed to $3.37 billion to $3.45 billion. Trailing revenue through June 2026 was about $3.37 billion, and the second quarter brought ~$866 million of revenue with adjusted EPS of ~$0.38, ahead of a ~$0.35 consensus, the fourth straight quarter above estimates. Offsetting this are material risks: elevated patient-related litigation costs, a DOJ criminal subpoena tied to admissions and billing practices, a settled securities class action, and a leveraged balance sheet, all of which have kept the stock volatile and well below prior highs. The shares have rebounded hard in 2026: at ~$30.52 on October 16 they were up ~114% year to date and ~23% over one year, though down ~14% over the past three months from a 52-week high near $35.83.

What's driving Acadia Healthcare Company, Inc. (ACHC)?

1. Structural demand for behavioral health

Mental-health and substance-use treatment remains chronically undersupplied in the US, giving Acadia a long runway of demand across its acute, residential, and addiction service lines. Same-facility revenue rose about 7 percent in early 2026, driven by both higher patient days and higher revenue per patient day. As the largest pure-play operator, Acadia has scale advantages in payor contracting and site development.

2. Bed expansion and de novo growth

Acadia grows primarily by adding beds, opening new acute psychiatric hospitals, and forming joint ventures with health systems. This capital-intensive expansion has steadily lifted capacity beyond 12,500 beds. The acute inpatient segment, which grew revenue around 14 percent year over year in Q1 2026, is the main engine of this growth.

3. Guidance and margin trajectory

With first-quarter results, management raised full-year 2026 adjusted EBITDA guidance to roughly $580 million to $615 million and adjusted EPS to $1.35 to $1.60, signaling confidence in operating trends. Adjusted EBITDA of about $144 million in Q1 2026 exceeded internal guidance. Reported earnings, however, remain pressured by higher legal, depreciation, and interest expenses. Second-quarter adjusted EPS of ~$0.38 topped the ~$0.35 consensus, and analysts now expect ~$1.55 for 2026 (inside the guided range) and ~$1.85 for 2027. The third-quarter report on November 4, 2026 has a consensus of ~$0.46 EPS on ~$878 million of revenue.

4. Diversified payor and geographic mix

With operations spread across roughly 40 states and no facility exceeding about 4 percent of revenue, Acadia is insulated from any single market or facility shock. Its payor mix is government-weighted, which supports steady volume but ties results to Medicaid and Medicare rate dynamics.

What are the risks to Acadia Healthcare Company, Inc. (ACHC)?

Legal and regulatory exposure is the defining risk. Acadia agreed to pay $179 million to settle a securities class action tied to prior disclosures, faces a September 2024 DOJ Criminal Division grand jury subpoena related to its acute admissions, length of stay, and billing practices, and disclosed a sharp rise in patient-related litigation expense (roughly $116 million projected for 2025 versus $54 million in 2024). A 2024 New York Times investigation alleged patients were improperly detained, and a May 2026 California jury awarded $105 million in a retaliatory-termination case. The company also carries meaningful leverage, with total debt around $2.6 billion against ~$171 million of cash at June 30, 2026, and took a large goodwill impairment in late 2025 that left trailing twelve-month net income at about -$1.1 billion. Free cash flow over the trailing year was negative (about -$105 million) as capital spending on new beds outran operating cash flow of ~$211 million. Heavy Medicaid and Medicare reliance leaves it exposed to reimbursement-rate and policy changes.

What is the Acadia Healthcare Company, Inc. (ACHC) forecast?

14 analysts publish price targets on ACHC, averaging $33.79 against a $29.98 price as of October 2026, or +12.7%. The published targets run from $17.00 to $41.00, a wide spread, and the ratings split 8 buy, 5 hold, 1 sell. Over the last six months there have been 12 raises and 0 cuts among the published actions. A price target is what an analyst published on a date, not a prediction, and sell-side ratings skew positive across the whole market.

Read the full ACHC forecast and price target for the target table, the recent rating actions by firm, and how the consensus has shifted.

Is ACHC a buy or a sell?

We give no verdict on Acadia Healthcare Company, Inc.. Both cases are real, which is why the question is contested at all, so here is the strongest version of each.

The case for buying. Structural demand for behavioral health. Mental-health and substance-use treatment remains chronically undersupplied in the US, giving Acadia a long runway of demand across its acute, residential, and addiction service lines. The most optimistic published target, $41.00, assumes this works close to its best case.

The case against. Legal and regulatory exposure is the defining risk. The most pessimistic target, $17.00, is roughly what ACHC is worth if this bites instead.

Read the full bull and bear case on ACHC, including what would have to change to break either one. Walnut is not an investment adviser.

Has Acadia Healthcare Company, Inc. (ACHC) split its stock?

No. Acadia Healthcare Company, Inc. (ACHC) has not split its stock in the last 10 years. That is a statement about the window we check rather than about the company’s entire history, so an older split is possible. It also matters less than it once did: fractional shares mean a high price per share no longer keeps smaller investors out, which removed most of the practical reason to split.

How is Acadia Healthcare Company, Inc. (ACHC) valued? (approximate, October 2026)

A simple financial snapshot. These are approximations and refresh quarterly; for current figures see Acadia Healthcare Company, Inc.'s investor relations page or your broker.

  • Revenue (TTM): ~$3.37B (Q2 2026 ~$866M)
  • 2026 revenue guidance (spring): ~$3.37B to $3.45B
  • Q2 2026 adj. EPS: ~$0.38 (vs ~$0.35 est.)
  • Net income (TTM): ~-$1.13B (late-2025 impairment)
  • Forward P/E: ~16.5x
  • EV / EBITDA: ~10.3x
  • Market cap: ~$2.8B

Acadia closed at ~$30.52 on October 16, 2026, up ~114% year to date after the stock rebounded from a 52-week low near $11.43. It trades at about 16.5x forward EPS and ~10.3x EV/EBITDA, with analysts' mean target near $33.79 across 14 firms, so the market is still discounting legal and reimbursement uncertainty. Reported earnings remain depressed by the late-2025 impairment, legal and interest costs even as adjusted metrics grow.

Who competes with Acadia Healthcare Company, Inc. (ACHC)?

Behavioral and psychiatric operators

Universal Health Services (UHS) runs a large behavioral-health division and is Acadia's closest scaled peer, alongside numerous nonprofit and health-system psychiatric units. These competitors vie for the same patients, clinicians, and payor contracts.

Diversified hospital and health systems

Broad hospital operators such as HCA Healthcare and Tenet Healthcare, plus regional nonprofit systems, increasingly run their own behavioral units or partner via joint ventures, competing for beds and referrals in local markets.

Addiction and outpatient specialists

Opioid-treatment and outpatient behavioral providers, including specialized addiction-clinic chains and telehealth mental-health platforms, compete in Acadia's comprehensive treatment and specialty segments.

What stocks are similar to Acadia Healthcare Company, Inc. (ACHC)?

Other names that sit close to ACHC: same theme, named as a direct competitor, or held beside it in the same funds. Each entry says which. Worth a look if you are thinking about diversification within a thesis rather than concentration on one ticker.

How to invest in Acadia Healthcare Company, Inc. (ACHC)

There are three common ways to get ACHC exposure. Buy shares (or fractional shares) directly at any major broker. Hold an ETF that includes it, which spreads the position across many companies. Or build it into a focused thematic portfolio, so ACHC sits alongside other stocks that express the same thesis.

Walnut takes the portfolio route. Describe a thesis where ACHC fits (for example “AI infrastructure” or “dividend-growth large-caps”) and the AI proposes 5 to 6 constituents with target weights. You review the plan and fund it through your own broker when you're ready.

New to this? Start with how to invest in stocks, see how to analyze a stock with AI, or compare the best AI stock analyzers.

The bottom line on Acadia Healthcare Company, Inc. (ACHC)

Acadia is a category-leading behavioral health operator with durable demand and a growing bed base, but its investment case hinges on how the ongoing legal, DOJ, and patient-litigation issues play out against its leverage. After more than doubling in 2026 to ~$30.52, the stock trades around 16.5x 2027 consensus EPS, so the November 4 report and any legal news carry weight.

More on Acadia Healthcare Company, Inc. (ACHC)

Whether ACHC is worth buying today depends more on your time horizon and what you already hold than on any single call. We walk through valuation, what would have to go right, and the risks in is ACHC a buy or a sell?, and where the stock could go from here in the ACHC stock forecast.

For income investors, whether ACHC pays a dividend and how the payout looks is covered in does ACHC pay a dividend? And to weigh ACHC against a peer, read the full side-by-side comparisons: ACHC vs UHS and ACHC vs HCA.

Wondering how ACHC fits the portfolio you already own? Walnut is an AI investing app that connects your brokerage read-only and answers questions like that about your actual holdings: overlap, concentration, and how each position tracks the S&P 500. Compare the best AI portfolio analyzers or see the best AI investing apps in 2026.

Investing in Acadia Healthcare Company, Inc. with AI

Connect the broker you already use and ask Walnut's AI how ACHC fits what you actually hold: whether you own it already through a fund, what it would do to your concentration, and how it has tracked the S&P 500. Read-only by default, and you approve anything before it reaches your broker.

FAQ

What does Acadia Healthcare do?

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Acadia Healthcare is the largest pure-play behavioral healthcare provider in the US. It operates acute inpatient psychiatric hospitals, residential treatment centers, specialty facilities, and comprehensive treatment centers for opioid-use disorder, spanning roughly 277 facilities and more than 12,500 beds.

How does Acadia Healthcare make money?

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It earns revenue from patient care across its four service lines, billed largely to government payors. Medicaid accounts for about 58 percent of revenue, commercial insurers about 25 percent, and Medicare roughly 14 percent, with revenue driven by patient days and revenue per patient day.

How large is Acadia Healthcare?

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Acadia generated about $3.31 billion in revenue in 2025 and about $3.37 billion over the twelve months through June 2026, against 2026 guidance of $3.37 billion to $3.45 billion. Its market capitalization was roughly $2.8 billion as of October 16, 2026, and it operates across about 40 states and Puerto Rico.

What is driving Acadia's growth?

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Growth comes mainly from same-facility volume and pricing gains plus bed expansion through new acute psychiatric hospitals and joint ventures with health systems. The acute inpatient segment has been the fastest-growing service line, up around 14 percent year over year in early 2026.

Why has ACHC stock been volatile?

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The shares have swung widely, from about $11.43 to $35.83 over the past 52 weeks, as investors weighed litigation costs, the DOJ investigation, a late-2025 goodwill impairment, and reimbursement uncertainty against continued revenue growth and raised operating guidance. As of October 16, 2026 the stock was ~$30.52, up ~114% year to date but down ~14% over three months.

How leveraged is Acadia Healthcare?

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As of early 2026, Acadia carried total debt of roughly $2.5 billion with net leverage near 3.9 times adjusted EBITDA. It held about $158 million in cash and had several hundred million dollars available under its revolving credit facility. By June 30, 2026, Yahoo Finance data showed total debt of about $2.6 billion and cash of ~$171 million.

Who are Acadia Healthcare's main competitors?

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Its closest scaled peer is Universal Health Services' behavioral division. It also competes with diversified hospital operators like HCA and Tenet that run behavioral units, plus nonprofit health systems and specialized addiction and outpatient mental-health providers.

How did Acadia Healthcare do in its latest quarter?

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In the second quarter of 2026, Acadia reported revenue of about $866 million, roughly flat year over year (-0.4%), and net income of ~$11 million. Adjusted EPS of ~$0.38 beat the ~$0.35 consensus. The third-quarter report is scheduled for November 4, 2026, with consensus at ~$0.46 EPS on ~$878 million of revenue.

How has ACHC stock performed in 2026?

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ACHC closed at ~$30.52 on October 16, 2026, up about 114% year to date and about 23% over one year, after falling to a 52-week low near $11.43. It has given back ground recently, down ~14% over three months from a high of about $35.83. The mean analyst target was ~$33.79 with a buy consensus rating.

Walnut is informational, not investment advice. Financial figures on this page are approximations; always verify current numbers with Acadia Healthcare Company, Inc.'s investor relations page or your broker before making investment decisions.