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ACHC Acadia Healthcare Company, Inc. - Fundamental Analysis

BEARISH
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ACHC Stock | Fundamental Analysis & Investment Insights
NASDAQ Healthcare Medical Care Facilities
Current Price Live
$16.77
Analyst Target
$19.07
+13.7% Upside
52W High
$42.85
52W Low
$11.43

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Feb 14, 2026
Market cap
$1.52B
P/E
13.75
ROE
3.7%
Profit margin
3.3%
Debt/Equity
0.74
Dividend yield
N/A

AI Analysis

Powered by advanced machine learning algorithms

Confidence Score
85%
Analysis Accuracy
ACHC's Piotroski F-Score of 4/9 indicates weak financial health, signaling deterioration in operational efficiency and profitability trends. The company trades at a deeply discounted valuation (P/E: 13.75, Price/Book: 0.49) relative to its sector, but this is overshadowed by a 45.9% YoY earnings collapse and negative growth momentum. While the Graham Number ($30.78) suggests undervaluation, the intrinsic value estimate ($8.54) reflects weak growth prospects and deteriorating fundamentals. The absence of an Altman Z-Score raises concern about default risk, especially given a Debt/Equity ratio of 0.74 and declining profitability. Despite a recent analyst 'buy' consensus, technical and cash flow data remain weak.

Key Strengths

Trading at a significant discount to Graham Number ($30.78) and intrinsic value ($8.54)
Strong gross margin (41.78%) and operating margin (14.04%) indicate pricing power and cost control
Consistent earnings beat rate (3/4 in last 4 quarters) and positive average surprise (+12.85%) suggest earnings quality
Low P/E (13.75) and Price/Book (0.49) suggest potential value opportunity if fundamentals stabilize
Stable current and quick ratios (1.44 and 1.20) indicate short-term liquidity resilience

Key Risks

Piotroski F-Score of 4/9 indicates weak financial health and declining operational efficiency
45.9% YoY earnings decline and -46.8% Q/Q earnings growth signal severe deterioration in profitability
No Altman Z-Score available with a Debt/Equity of 0.74—raises potential bankruptcy risk if leverage increases
Negative revenue and earnings growth trends persist despite past strength; 5-year return down 67.8%
Zero insider buying in 6 months and neutral sentiment suggest lack of confidence from management
AI Fair Value Estimate
Based on comprehensive analysis
$8.54
-49.1% below current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
42
Moderate
Value
78
Future
30
Past
65
Health
35
Dividend
0
AI Verdict
weak
Key drivers: Deteriorating earnings growth (-45.9% YoY), Low Piotroski F-Score (4/9), Negative technical trend (0/100), High sector-wide volatility and poor peer performance, Lack of dividend and weak cash flow indicators
Confidence
85%
Value
78/100

Ref P/E, PEG, Graham Number

Positives
  • P/E of 13.75 is below sector average (197.64)
  • Price/Book of 0.49 indicates deep discount to book value
  • Graham Number ($30.78) is significantly above current price ($16.77)
  • Intrinsic value estimate ($8.54) suggests undervaluation if growth recovers
Watchpoints
  • PEG ratio unavailable, limiting growth-adjusted valuation
  • Current price is above intrinsic value estimate ($8.54), suggesting overvaluation relative to growth
  • High discount may reflect fundamental deterioration rather than opportunity
Future
30/100

Ref Growth rates

Positives
  • Forward P/E of 9.63 suggests market expects earnings recovery
  • Recent earnings surprises (avg +12.85%) indicate potential upside if trends reverse
Watchpoints
  • Revenue growth: 4.40% YoY (low)
  • Earnings growth: -45.90% YoY (severe decline)
  • Q/Q earnings growth: -46.80% (accelerating decline)
  • No visible growth catalysts in financials or operations
Past
65/100

Ref Historical trends

Positives
  • Consistent earnings beats in 3 of last 4 quarters
  • Historical track record of positive surprises (e.g., +108.6% in 2022)
  • Stable margins over time (gross: 41.78%, operating: 14.04%)
Watchpoints
  • Earnings have declined sharply in recent quarters
  • 5-year return: -67.8%, 3-year: -79.3%—long-term underperformance
  • Recent Q/Q EPS growth: -13.3%, indicating worsening trend
Health
35/100

Ref Altman Z-Score, Piotroski F-Score

Positives
  • Current ratio (1.44) and quick ratio (1.20) indicate adequate liquidity
  • Debt/Equity of 0.74 is moderate for healthcare sector
Watchpoints
  • Piotroski F-Score of 4/9 indicates weak financial health and declining operational efficiency
  • No Altman Z-Score available—raises default risk concerns
  • ROE (3.69%) and ROA (4.52%) are low despite margin strength
  • Negative earnings growth undermines capital efficiency
Dividend
0/100

Ref Yield, Payout

Positives
No standout positives identified.
Watchpoints
  • No dividend yield or payout ratio
  • Dividend strength: 0/100
  • No history of dividend payments

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$16.77
Analyst Target
$19.07
Upside/Downside
+13.7%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for ACHC and closest competitors.

Updated 2026-02-13
Company 5Y 3Y 1Y 6M 1M 1W
ACHC
Acadia Healthcare Company, Inc.
Primary
-67.8% -79.3% -59.8% -20.1% +43.0% +25.4%
AXGN
Axogen, Inc.
Peer
+76.4% +203.1% +75.6% +145.6% +0.6% +5.8%
ATAI
AtaiBeckley Inc.
Peer
-78.7% +117.3% +174.8% +16.2% -0.9% +14.0%
AGIO
Agios Pharmaceuticals, Inc.
Peer
-52.5% -14.2% -22.9% -25.8% -7.0% -3.3%
AHCO
AdaptHealth Corp.
Peer
-70.2% -48.4% +10.2% +15.9% +1.4% +6.0%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
13.75
Forward P/E
9.63
PEG Ratio
N/A
P/B Ratio
0.49
P/S Ratio
0.46
EV/Revenue
1.24
EV/EBITDA
6.46
Market Cap
$1.52B

Profitability

Profit margins and return metrics

Profit Margin 3.29%
Operating Margin 14.04%
Gross Margin 41.78%
ROE 3.69%
ROA 4.52%

Growth

Revenue and earnings growth rates

Revenue Growth +4.4%
Earnings Growth -45.9%
Q/Q Revenue Growth N/A
Q/Q Earnings Growth -46.8%

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
0.74
Moderate
Current Ratio
1.44
Good
Quick Ratio
1.2
Good
Cash/Share
$1.29

Quarterly Earnings History

EPS performance vs analyst estimates

2026-02-25
$N/A
2025-11-05
$0.72
+9.2% surprise
2025-08-05
$0.83
+17.4% surprise
2025-05-12
$0.4
+12.0% surprise

Healthcare Sector Comparison

Comparing ACHC against 146 companies in the Healthcare sector (10 bullish, 60 neutral, 76 bearish)
P/E Ratio
13.75
This Stock
vs
197.69
Sector Avg
-93.0% (Discount)
Return on Equity (ROE)
3.69%
This Stock
vs
-56.84%
Sector Avg
-106.5% (Below Avg)
Profit Margin
3.29%
This Stock
vs
-20.8%
Sector Avg
-115.8% (Weaker)
Debt to Equity
0.74
This Stock
vs
2.68
Sector Avg
-72.2% (Less Debt)
Revenue Growth
4.4%
This Stock
vs
61.93%
Sector Avg
-92.9% (Slower)
Current Ratio
1.44
This Stock
vs
3.47
Sector Avg
-58.3% (Weaker)

Similar Companies

Peer comparison within the same industry

Company AI Rating Market Cap P/E ROE Profit Margin Price
ACHC
Acadia Healthcare Company, Inc.
BEARISH $1.52B 13.75 3.7% 3.3% $16.77
AXGN
Axogen, Inc.
NEUTRAL $1.51B - -1.9% -1.0% $32.83
ATAI
AtaiBeckley Inc.
BEARISH $1.51B - -100.8% -% $4.15
AGIO
Agios Pharmaceuticals, Inc.
BEARISH $1.55B - -27.6% -% $26.53
AHCO
AdaptHealth Corp.
BEARISH $1.44B 19.02 5.5% 2.5% $10.65

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

Date Insider Position Transaction Shares Value
2025-10-27 YOUNG TODD S Chief Financial Officer Stock Award 48,445 -
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
BUY
14 analysts
Jefferies
2026-01-22
down
Buy Hold
TD Cowen
2026-01-16
Maintains
Buy Buy
RBC Capital
2026-01-14
Maintains
Outperform Outperform
Mizuho
2025-12-18
Maintains
Neutral Neutral
Barclays
2025-12-04
Maintains
Equal-Weight Equal-Weight
RBC Capital
2025-12-03
Maintains
Outperform Outperform
Cantor Fitzgerald
2025-12-03
Maintains
Neutral Neutral
Keybanc
2025-12-03
Maintains
Overweight Overweight
UBS
2025-12-03
Maintains
Buy Buy
Deutsche Bank
2025-12-03
Maintains
Buy Buy

Past News Coverage

Recent headlines mentioning ACHC from our newsroom.

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