β€’
Mar 31

Acadia Healthcare Q1 2025 Earnings Report

Acadia Healthcare posted modest revenue growth in Q1 2025 and reaffirmed full-year guidance while continuing its largest expansion initiative.

Key Takeaways

In Q1 2025, Acadia Healthcare reported $770.5 million in revenue and $8.4 million in net income. Adjusted EPS reached $0.40 and Adjusted EBITDA came in at $134.2 million, including $5 million in one-time costs related to a facility closure. The company added 378 new beds and repurchased $47.3 million in stock.

Revenue rose slightly to $770.5 million, up 0.3% YoY.

Adjusted EPS was $0.40 vs. GAAP EPS of $0.09 due to non-recurring legal and restructuring costs.

378 new beds were added, making Q1 part of the largest expansion year in company history.

Acadia reaffirmed FY2025 guidance, including $3.3–$3.4 billion in revenue and $675–$725 million in Adjusted EBITDA.

Total Revenue
$771M
Previous year: $768M
+0.3%
EPS
$0.4
Previous year: $0.84
-52.4%
US Same-Facility Rev. Growth
2.1%
US Same-Facility Patient Days Growth
2.2%
US Same-Facility Admissions Growth
2.1%
Cash and Equivalents
$91.2M
Previous year: $77.3M
+18.0%
Free Cash Flow
-$172M
Previous year: -$464M
-63.0%
Total Assets
$6.15B
Previous year: $5.52B
+11.4%

Acadia Healthcare

Acadia Healthcare

Acadia Healthcare Revenue by Geographic Location

Forward Guidance

Acadia reaffirmed its full-year 2025 guidance, projecting stable growth with increased capital investment and expansion activity.

Positive Outlook

  • Revenue expected between $3.3B and $3.4B.
  • Adjusted EPS guidance maintained at $2.50–$2.80.
  • Adjusted EBITDA forecast of $675M–$725M for FY25.
  • Plan to add 800–1,000 beds by year-end remains on track.
  • Strong liquidity with $91.2M cash and $901.6M available under credit facility.

Challenges Ahead

  • Adjusted EBITDA impacted by $5M due to a facility closure.
  • Free cash flow deeply negative due to expansion capex.
  • Q1 GAAP EPS significantly lower due to legal and transaction costs.
  • Revenue per patient day declined slightly YoY.
  • Increased startup losses expected from new facilities, totaling $50–$55M for FY25.