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Acadia Healthcare (ACHC): Buy, Sell, or Hold Post Q4 Earnings?

ACHC Cover Image

Acadia Healthcare currently trades at $24.37 per share and has shown little upside over the past six months, posting a small loss of 0.7%.

Is now the time to buy Acadia Healthcare, or should you be careful about including it in your portfolio? Dive into our full research report to see our analyst team’s opinion, it’s free.

Why Do We Think Acadia Healthcare Will Underperform?

We don't have much confidence in Acadia Healthcare. Here are three reasons you should be careful with ACHC and a stock we'd rather own.

1. Weak Sales Volumes Indicate Waning Demand

Revenue growth can be broken down into changes in price and volume (the number of units sold). While both are important, volume is the lifeblood of a successful Hospital Chains company because there’s a ceiling to what customers will pay.

Acadia Healthcare’s admissions came in at 52,170 in the latest quarter, and over the last two years, averaged 3.1% year-on-year growth. This performance slightly lagged the sector and suggests it might have to lower prices or invest in product improvements to accelerate growth, factors that can hinder near-term profitability. Acadia Healthcare Admissions

2. EPS Trending Down

We track the long-term change in earnings per share (EPS) because it highlights whether a company’s growth is profitable.

Sadly for Acadia Healthcare, its EPS declined by 6.1% annually over the last five years while its revenue grew by 9.7%. This tells us the company became less profitable on a per-share basis as it expanded.

Acadia Healthcare Trailing 12-Month EPS (Non-GAAP)

3. Free Cash Flow Margin Dropping

Free cash flow isn't a prominently featured metric in company financials and earnings releases, but we think it's telling because it accounts for all operating and capital expenses, making it tough to manipulate. Cash is king.

As you can see below, Acadia Healthcare’s margin dropped by 18.9 percentage points over the last five years. It may have ticked higher more recently, but shareholders are likely hoping for its margin to at least revert to its historical level. Almost any movement in the wrong direction is undesirable because it’s already burning cash. If the longer-term trend returns, it could signal it’s becoming a more capital-intensive business. Acadia Healthcare’s free cash flow margin for the trailing 12 months was negative 13.3%.

Acadia Healthcare Trailing 12-Month Free Cash Flow Margin

Final Judgment

Acadia Healthcare doesn’t pass our quality test. That said, the stock currently trades at 15.2× forward P/E (or $24.37 per share). At this valuation, there’s a lot of good news priced in - you can find more timely opportunities elsewhere. Let us point you toward an all-weather company that owns household favorite Taco Bell.

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