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Acadia Healthcare Company (ACHC) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 27, 2026

Acadia Healthcare Company (ACHC) reported revenue of $821M for the fourth quarter 2025 (Q4 2025), +6% from a year earlier and -4% from the quarter before. Operating margin was -142.4%, net loss $1.2B (143.3% of revenue).

Revenue$821M
Year over year+6%
Quarter over quarter-4%
Operating margin-142.4%
Net earnings−$1.2B

Acadia Healthcare Company, Q4 2025: revenue $821M (+6% year over year), operating margin -142.4%, net loss $1.2B, operating cash flow −$86.3M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$821M-4%+6%
Operating profit−$1.2B-3025%—
Net earnings−$1.2B-3348%—
Operating cash flow−$86.3M-218%—

What changed

Revenue was $821.5M in Q4 2025, up 6% year over year and down 4% from the previous quarter.

Operating costs exceeded revenue by $1,169.4M, an operating margin of -142.4%. Total costs grew 170% against revenue growth of 6%. The quarter ended with a net loss of $1,177.2M, after a profit of $38.3M the previous quarter.

Operating cash flow was −$86.3M. Non-cash charges added back $45.8M of depreciation and amortization and $6.5M of share-based compensation. Working capital and other items added $1,038.7M. Capital expenditures of $93.2M exceeded it, leaving free cash flow of −$179.5M.

Questions

What was Acadia Healthcare Company's revenue in the fourth quarter 2025?

Acadia Healthcare Company (ACHC) reported revenue of $821M for the fourth quarter 2025 (Q4 2025), +6% from a year earlier and -4% from the quarter before.

Was Acadia Healthcare Company profitable in the fourth quarter 2025?

Operating loss was $1.2B (-142.4% of revenue) and net loss $1.2B.

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Source: Acadia Healthcare Company 10-K on SEC EDGAR.