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MarketBeat
Thu, April 30, 2026 astatine 11:04 AM CDT 8 min read
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Acadia Healthcare (NASDAQ:ACHC) reported first-quarter 2026 results that absorption said came successful astatine the precocious extremity of its gross outlook and supra the apical extremity of its Adjusted EBITDA and net guidance, driven chiefly by maturation successful its acute inpatient psychiatric concern and continued request crossed behavioral wellness services.
First-quarter results apical guidance arsenic acute volumes emergence
Chief Executive Officer Debbie Osteen said the company’s first-quarter show marked “a bully commencement to 2026,” citing gross astatine the precocious extremity of guidance and results that exceeded expectations for Adjusted EBITDA and EPS. Osteen said gross maturation was led by acute inpatient psychiatric facilities, wherever the institution posted 14% maturation versus the anterior twelvemonth and accrued inpatient volumes by 6.2%.
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Chief Financial Officer Todd Young reported gross of $828.8 million, up 7.6% year-over-year. Same-facility gross accrued 7.3%, driven by a 5.6% summation successful gross per diligent time and a 1.6% summation successful diligent days. Young said the acute and residential attraction halfway (RTC) businesses grew 14.2% and 6.3%, respectively, and noted that acute results benefited from supplemental payments from Ohio and Tennessee that were not contiguous successful the prior-year quarter.
Adjusted EBITDA was $144.2 million, up 7.5% year-over-year and $7.2 cardinal supra the precocious extremity of the company’s quarterly guidance, according to Young. He said the 4th included a $3.7 cardinal weather-related interaction to Adjusted EBITDA, accordant with guidance provided successful February, and featured better-than-planned outgo efficiencies astatine some firm and installation levels. Young besides cited a $3.2 cardinal payment related to worker payment costs that helium said is expected to reverse successful the backmost fractional of 2026.
Specialty headwinds persist successful Pennsylvania; CTC maturation slowed by upwind
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Young said Acadia’s specialty facilities faced ongoing challenges successful Pennsylvania stemming from New York’s determination not to supply attraction for its residents successful Acadia’s Pennsylvania facilities. He said specialty installation gross declined 6.5% year-over-year, driven by those issues arsenic good arsenic the closure of specialty facilities successful 2025, which helium said created “nearly a 6% headwind to growth.”
Osteen told analysts the institution is moving to backfill mislaid specialty measurement by strengthening referral sources successful surrounding states and wrong Pennsylvania. She cited outreach efforts successful New Jersey and Maryland, on with accrued Pennsylvania referral sources, and said the institution is besides “in conversation” with New York astir perchance reopening referrals, though she cautioned it remains a process.
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