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ACHCAcadia Healthcare Company, Inc.Sell5.4·$29.90
SellModerate Confidence
Investment thesis

Acadia Healthcare has beaten earnings estimates in all four recent quarters, but the stock has essentially reached its near-term target with only 0.5% upside remaining, the underlying business generates negative free cash flow at roughly 6% of revenue, and 39% short interest reflects broad market skepticism about the fundamental outlook.

Thesis pillars

  • Medicaid Concentration Policy Risk↓Deteriorating
  • Negative Free Cash Flow→Stable
  • Target Reached No Entry Case→Stable
  • +1 more pillar — see the Why tab for full reasoning

Pillars as of Jul 3, 2026, based on the 10-K filed Feb 27, 2026

Full reasoning →

Open full analysis

Acadia Healthcare Company, Inc. (ACHC) Stock Analysis

Breakout setup

SellValueGrowthShortModerate Confidence

Healthcare · Medical Care Facilities

Earnings in 7 days (2026-11-04). Expect elevated volatility around the report — consider waiting for post-earnings price action before new entries.

Sell if holding. Engine safety override at $29.90: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.4/10. Specifically: High short interest: 35%; Below-average business quality.

Acadia Healthcare operates 277 behavioral healthcare facilities with over 12,500 beds across 40 states and Puerto Rico through acute inpatient psychiatric, specialty treatment, comprehensive treatment center, and residential programs. Revenue totaled $3,312.8 million in 2025,... Read more

$29.90-1.7% A.UpsideScore 5.4/10#23 of 35 Medical Care Facilities
QualityF-score6 / 9FCF yield-3.77%
Stop $27.81Analyst target $29.39(reached)A.R:R -0.2:1
Analyst consensus$33.79+13.0%14 analysts
$29.90price
$33.79mean
$17
$41

Sell if holding. Engine safety override at $29.90: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.4/10. Specifically: High short interest: 35%; Below-average business quality. Chart setup: Golden cross, above all MAs, RSI 54, MACD bullish. Score 5.4/10, moderate confidence.

Passes 5/9 gates (positive momentum, clean insider activity, news events none recent, semi cycle peak clear, materials cycle peak clear). Fails on favorable risk/reward ratio and earnings proximity 7d<=7d. Suitability: aggressive.

news + 30-day 8-K events · 5-min refresh

Recent developments

updated 2026-10-28

Recent Developments — Acadia Healthcare Company, Inc.

Generated 2026-10-28T11:53:45Z.

TrendMatrix Research · upcoming catalyst calendar

Upcoming dated catalysts

Wed, Nov 4, 20267d to earnings· next earnings call

Thesis

Rewards
No bull case signals
Risks
Concentration risk — Customer: Medicaid (57.7%)
Target reached (-1.7% upside)
Quality below floor (2.9 < 4.0)

Key Metrics

P/E (TTM)—
P/E (Fwd)16.2
Mkt Cap$2.8B
EV/EBITDA10.1
Profit Mgn-33.4%
ROE-41.4%
Rev Growth-0.4%
Beta0.63
DividendNone
Rating analysts20

Quality Signals

Piotroski F6/9

Options Flow

P/C1.00neutral
IV82%elevated

Concentration Risks(10-K Item 1A)

  • HIGHCustomerMedicaid58%
    10-K Item 1: 'we received 57.7% of our revenue from Medicaid, 24.6% from commercial payors, 14.3% from Medicare and 3.4% from other payors'
  • MEDIUMGeographicPennsylvania, California and Tennessee
    10-K Item 1A: 'we have substantial operations in Pennsylvania, California and Tennessee, which makes us especially sensitive to regulatory, economic, environmental and competitive conditions'

Material Events(8-K, last 90d)

  • 2026-04-23Item 5.02MEDIUM
    CFO Todd Young resigned effective April 30, 2026. David M. Duckworth appointed Interim CFO and principal financial officer effective May 1, 2026. Duckworth previously served as Acadia CFO from July 2012 to July 2023. No disagreement cited.
    SEC filing →
  • 2026-03-12Item 5.02LOW
    Director Wade Miquelon announced retirement from the Board effective at the 2026 Annual Meeting; will not stand for reelection. Daniel Cancelmi appointed as new Class III director, joining the Audit Committee. No disagreement cited.
    SEC filing →

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy

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About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

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Conflicts and positions. People who build TrendMatrix, or entities they control, may hold positions, long or short, in securities it covers, and may trade them at any time. Positions are not disclosed individually. Verdicts are generated by an automated model applied by the same rules to every covered stock, and are not adjusted for any position held by the people who build TrendMatrix. We do not accept payment from issuers for coverage.

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Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

Rating Breakdown

2 floor-breakers

Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static

Quality Rank
0.2
Growth Rank
1.2
Value Rank
6.8

Unprofitable operations — net margin -33.4%. Quality floor flags this regardless of sector context.static

Roe
0.0
Net Margin
0.0
Fcf Quality
0.0
Roa
2.4
Moat
3.2
Operating Margin
4.1
Gross Margin
4.2
Current Ratio
5.7
Piotroski F
6.7
Cash-burning: FCF -3% of revenueNo competitive moatQuality concerns
GatesA.R:R -0.2=NEGATIVEEARNINGS PROXIMITY 7d<=7dMomentum 5.4<5.5 (soft — BUY_NOW allowed but watch)Executive change: officer departure/appointmentMomentum 5.4>=4.5Insider activity: OKNEWS EVENTS NONE RECENTSEMI CYCLE PEAK CLEARMATERIALS CYCLE PEAK CLEARBreakoutSuitability: Aggressive
RSI
54 · Neutral
↓ 20D MA↑ 50D MA↑ 200D MAGOLDEN CROSSSupport $26.72Resistance $32.41

Price Targets

A.Upside-1.7%
A.R:R-0.2:1

Position Sizing

ConvictionNone
Suggested %0%
Max %0%
RegimeSteady

Risk Alerts

! Target reached (-1.7% upside)
! Quality below floor (2.9 < 4.0)
! Negative risk/reward — downside exceeds upside

Earnings

B
B
B
B
4/4 beats
Next Earnings2026-11-04 (7d)

Verdict History

reverse chrono — latest first
Loading history...
Verdicts are recorded on every nightly pipeline run. Rows capture transitions (verdict flips, score deltas ≥0.3, entry/TP/SL changes). Rows with a ▶ can be expanded to see the change reason. Aggregate cohort performance is tracked in the recommendation ledger.
Frequently Asked Questions
Is ACHC stock a buy right now?

Sell if holding. Engine safety override at $29.90: a dimension score below its floor triggers a hard block regardless of the otherwise-positive setup — overall score 5.4/10. Specifically: High short interest: 35%; Below-average business quality. Chart setup: Golden cross, above all MAs, RSI 54, MACD bullish. Prior stop was $27.81. Score 5.4/10, moderate confidence.

What is the ACHC stock price target?

Analyst target $29.39 reached (−1.7% from $29.90); no take-profit level is published. Prior stop was $27.81. Stop-loss: $27.81.

What are the risks of investing in ACHC?

Concentration risk — Customer: Medicaid (57.7%); Target reached (-1.7% upside); Quality below floor (2.9 < 4.0).

Is ACHC overvalued or undervalued?

Acadia Healthcare Company, Inc. trades at a P/E of N/A (forward 16.2). TrendMatrix value score: 7.4/10. Verdict: Sell.

What do analysts say about ACHC?

20 analysts cover ACHC with a consensus score of 3.8/5. Average price target: $34.

What does Acadia Healthcare Company, Inc. do?Acadia Healthcare operates 277 behavioral healthcare facilities with over 12,500 beds across 40 states and Puerto Rico...

Acadia Healthcare operates 277 behavioral healthcare facilities with over 12,500 beds across 40 states and Puerto Rico through acute inpatient psychiatric, specialty treatment, comprehensive treatment center, and residential programs. Revenue totaled $3,312.8 million in 2025, with 57.7% from Medicaid, 24.6% from commercial payors, and 14.3% from Medicare.

Related stocks: SRTA (Strata Critical Medical, Inc.) · AVAH (Aveanna Healthcare Holdings Inc) · ASTH (Astrana Health Inc.) · CHE (Chemed Corp) · CON (Concentra Group Holdings Parent)
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