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    Acadia Healthcare Reports Second Quarter 2024 Results

    7/31/24 4:05:00 PM ET
    $ACHC
    Medical Specialities
    Health Care
    Get the next $ACHC alert in real time by email

    Provides Updated Guidance for 2024

    Acadia Healthcare Company, Inc. (NASDAQ:ACHC) today announced financial results for the second quarter and six months ended June 30, 2024.

    Second Quarter Highlights

    • Revenue totaled $796.0 million, an increase of 8.8% over the second quarter of 2023
    • Same facility revenue increased 8.3% compared with the second quarter of 2023, including an increase in revenue per patient day of 5.6% and an increase in patient days of 2.6%
    • Net income attributable to Acadia totaled $78.5 million, or $0.85 per diluted share
    • Adjusted income attributable to Acadia totaled $83.6 million, or $0.91 per diluted share
    • Adjusted EBITDA totaled $187.6 million, an increase of 7.6% over the second quarter of 2023
    • Continued progress on the execution of the Company's growth strategy, including the addition of 37 beds to the Company's existing facilities and the opening of a 100-bed de novo facility in Mesa, Arizona.

    Adjusted income attributable to Acadia and Adjusted EBITDA are non-GAAP financial measures. A reconciliation of all non-GAAP financial measures in this press release begins on page 8.

    Second Quarter Results

    Chris Hunter, Chief Executive Officer of Acadia Healthcare Company, remarked, "Acadia delivered another strong financial and operating performance for the second quarter of 2024. With solid execution of our strategy, we achieved top line revenue growth of 8.8% and Adjusted EBITDA growth of 7.6% compared with the second quarter of 2023. These results reflect continued strong demand across our business, and we remain on track to add approximately 1,200 beds in 2024 to meet the growing need for our services. Looking forward, we expect the second half to benefit from further volume growth as the facilities and beds added over the past several quarters continue to ramp."

    "We commend our dedicated employees and clinicians across our facilities who continue to provide safe, high-quality care for the growing number of patients seeking help with behavioral health and substance use issues. With service lines across the continuum of care, strong clinical quality, and a focused operating model, we are well-positioned to continue to lead the behavioral health industry and address these critical needs across the United States."

    Strategic Investments for Long-Term Growth

    During the second quarter of 2024, the Company continued to advance its growth strategy. This includes the addition of 37 beds to existing facilities during the quarter, and the opening of a new 100-bed acute care hospital, Agave Ridge Behavioral Hospital, in Mesa, Arizona.

    For the full year, the Company remains on track to add approximately 1,200 beds, including over 400 new beds to existing facilities, and add up to 14 new Comprehensive Treatment Centers (CTCs).

    The Company expects to open four additional inpatient facilities in the second half of 2024, including two new joint venture facilities. Acadia has 21 joint venture partnerships for 22 hospitals, with 11 hospitals already in operation and 11 additional hospitals expected to open in the coming years.

    Cash and Liquidity

    Acadia has continued to maintain a strong financial position with sufficient capital to make strategic investments in its business. As of June 30, 2024, the Company had $77.2 million in cash and cash equivalents and $371.5 million available under its $600 million revolving credit facility with a net leverage ratio of approximately 2.5x.

    Net leverage ratio is a non-GAAP financial measure. A reconciliation of all non-GAAP financial measures in this press release begins on page 8.

    2024 Financial Guidance

    Acadia today revised its previously announced financial guidance for 2024. Revised guidance reflects the closure of two facilities during the second quarter(2).

     

    2024 Guidance Range

    Revenue (1)

    $3.180 to $3.225 billion

    Adjusted EBITDA (1)

    $735 to $765 million

    Adjusted earnings per diluted share (1)

    $3.45 to $3.65

    Interest expense

    $110 to $120 million

    Tax rate

    24.5% to 25.5%

    Depreciation and amortization expense

    $150 to $160 million

    Stock compensation expense

    $40 to $45 million

    Operating cash flows

    $525 to $575 million

    Expansion capital expenditures

    $425 to $475 million

    Maintenance and IT capital expenditures

    $90 to $110 million

     

     

    Total bed additions, excluding acquisitions

    Approx. 1,200 beds

    (1)

     

    Includes one-time state payments of approximately $10 million (or $0.09 per diluted share) for the year, of which approximately $7 million (or $0.06 per diluted share) was received in the first quarter of 2024.

    (2)

    Prior full-year guidance assumed approximately $25 million of revenue and approximately break-even EBITDA from two facilities that were closed during the second quarter.

    The Company's guidance does not include the impact of any future acquisitions, divestitures, transaction, legal and other costs or non-recurring legal settlements expense.

    Conference Call

    Acadia will hold a conference call to discuss its second quarter financial results at 8:00 a.m. Central/9:00 a.m. Eastern Time on Thursday, August 1, 2024. A live webcast of the conference call will be available at www.acadiahealthcare.com in the "Investors" section of the website. The webcast of the conference call will be available for 30 days.

    About Acadia

    Acadia is a leading provider of behavioral healthcare services across the United States. As of June 30, 2024, Acadia operated a network of 258 behavioral healthcare facilities with approximately 11,400 beds in 38 states and Puerto Rico. With approximately 23,500 employees serving more than 75,000 patients daily, Acadia is the largest stand-alone behavioral healthcare company in the U.S. Acadia provides behavioral healthcare services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.

    Forward-Looking Information

    This press release contains forward-looking statements. Generally, words such as "may," "will," "should," "could," "anticipate," "expect," "intend," "estimate," "plan," "continue," and "believe" or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this press release. We do not undertake to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties and our future results could differ significantly from those expressed or implied by our forward-looking statements. Factors that may cause actual results to differ materially include, without limitation, (i) potential difficulties in successfully integrating the operations of acquired facilities or realizing the expected benefits and synergies of our facility expansions, acquisitions, joint ventures and de novo transactions; (ii) Acadia's ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (iii) potential reductions in payments received by Acadia from government and commercial payors; (iv) the occurrence of patient incidents, governmental investigations, litigation and adverse regulatory actions, which could adversely affect the price of our common stock and result in substantial payments and incremental regulatory burdens; (v) the risk that Acadia may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; (vi) potential disruptions to our information technology systems or a cybersecurity incident; and (vii) potential operating difficulties, including, without limitation, disruption to the U.S. economy and financial markets; reduced admissions and patient volumes; increased costs relating to labor, supply chain and other expenditures; changes in competition and client preferences; and general economic or industry conditions that may prevent Acadia from realizing the expected benefits of its business strategies. These factors and others are more fully described in Acadia's periodic reports and other filings with the SEC.

    Acadia Healthcare Company, Inc.
    Condensed Consolidated Statements of Operations
    (Unaudited)
     

    Three Months Ended

    June 30,

    Six Months Ended

    June 30,

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    (In thousands, except per share amounts)

     
    Revenue

    $

    796,040

     

    $

    731,337

     

    $

    1,564,091

     

    $

    1,435,604

     

     
    Salaries, wages and benefits (including equity-based compensation expense of $8,869, $7,348, $17,547 and $14,977, respectively)

     

    419,757

     

     

    386,633

     

     

    837,280

     

     

    777,810

     

    Professional fees

     

    48,050

     

     

    43,803

     

     

    93,738

     

     

    84,928

     

    Supplies

     

    27,878

     

     

    26,144

     

     

    54,530

     

     

    52,165

     

    Rents and leases

     

    11,889

     

     

    11,725

     

     

    23,752

     

     

    23,149

     

    Other operating expenses

     

    109,690

     

     

    95,912

     

     

    210,763

     

     

    186,750

     

    Depreciation and amortization

     

    36,066

     

     

    32,012

     

     

    72,413

     

     

    63,581

     

    Interest expense, net

     

    29,159

     

     

    20,910

     

     

    56,373

     

     

    40,909

     

    Loss on impairment

     

    1,000

     

     

    8,694

     

     

    1,000

     

     

    8,694

     

    Transaction, legal and other costs

     

    6,091

     

     

    9,074

     

     

    8,938

     

     

    15,545

     

    Total expenses

     

    689,580

     

     

    634,907

     

     

    1,358,787

     

     

    1,253,531

     

    Income before income taxes

     

    106,460

     

     

    96,430

     

     

    205,304

     

     

    182,073

     

    Provision for income taxes

     

    25,643

     

     

    22,881

     

     

    45,717

     

     

    41,966

     

    Net income

     

    80,817

     

     

    73,549

     

     

    159,587

     

     

    140,107

     

    Net income attributable to noncontrolling interests

     

    (2,335

    )

     

    (1,250

    )

     

    (4,722

    )

     

    (1,793

    )

    Net income attributable to Acadia Healthcare Company, Inc.

    $

    78,482

     

    $

    72,299

     

    $

    154,865

     

    $

    138,314

     

     
    Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
    Basic

    $

    0.86

     

    $

    0.79

     

    $

    1.69

     

    $

    1.53

     

    Diluted

    $

    0.85

     

    $

    0.79

     

    $

    1.68

     

    $

    1.51

     

     
    Weighted-average shares outstanding:
    Basic

     

    91,628

     

     

    91,044

     

     

    91,495

     

     

    90,691

     

    Diluted

     

    92,043

     

     

    91,546

     

     

    92,051

     

     

    91,640

     

    Acadia Healthcare Company, Inc.
    Condensed Consolidated Balance Sheets
    (Unaudited)
     

    June 30,

     

    December 31,

    2024

     

    2023

    (In thousands)
     
    ASSETS
    Current assets:
    Cash and cash equivalents

    $

    77,167

    $

    100,073

    Accounts receivable, net

     

    389,374

     

    361,451

    Other current assets

     

    178,673

     

    134,476

    Total current assets

     

    645,214

     

    596,000

    Property and equipment, net

     

    2,497,856

     

    2,266,610

    Goodwill

     

    2,261,395

     

    2,225,962

    Intangible assets, net

     

    73,348

     

    73,278

    Deferred tax assets

     

    2,741

     

    6,658

    Operating lease right-of-use assets

     

    123,273

     

    117,780

    Other assets

     

    74,225

     

    72,553

    Total assets

    $

    5,678,052

    $

    5,358,841

     
     
    LIABILITIES AND EQUITY
    Current liabilities:
    Current portion of long-term debt

    $

    66,574

    $

    29,219

    Accounts payable

     

    159,520

     

    156,132

    Accrued salaries and benefits

     

    134,503

     

    141,901

    Current portion of operating lease liabilities

     

    27,010

     

    26,268

    Other accrued liabilities

     

    158,915

     

    532,261

    Total current liabilities

     

    546,522

     

    885,781

    Long-term debt

     

    1,774,556

     

    1,342,548

    Deferred tax liabilities

     

    37,031

     

    1,931

    Operating lease liabilities

     

    104,706

     

    100,808

    Other liabilities

     

    150,641

     

    140,113

    Total liabilities

     

    2,613,456

     

    2,471,181

    Redeemable noncontrolling interests

     

    111,878

     

    105,686

    Equity:
    Common stock

     

    917

     

    913

    Additional paid-in capital

     

    2,665,215

     

    2,649,340

    Retained earnings

     

    286,586

     

    131,721

    Total equity

     

    2,952,718

     

    2,781,974

    Total liabilities and equity

    $

    5,678,052

    $

    5,358,841

    Acadia Healthcare Company, Inc.
    Condensed Consolidated Statements of Cash Flows
    (Unaudited)
     

    Six Months Ended

    June 30,

     

    2024

     

     

    2023

     

    (In thousands)
    Operating activities:
    Net income

    $

    159,587

     

    $

    140,107

     

    Adjustments to reconcile net income to net cash (used in) provided by operating activities:
    Depreciation and amortization

     

    72,413

     

     

    63,581

     

    Amortization of debt issuance costs

     

    2,034

     

     

    1,651

     

    Equity-based compensation expense

     

    17,547

     

     

    14,977

     

    Deferred income taxes

     

    39,017

     

     

    347

     

    Loss on impairment

     

    1,000

     

     

    8,694

     

    Other

     

    (3,942

    )

     

    1,086

     

    Change in operating assets and liabilities, net of effect of acquisitions:
    Accounts receivable, net

     

    (26,114

    )

     

    (23,397

    )

    Other current assets

     

    (14,182

    )

     

    (8,743

    )

    Other assets

     

    842

     

     

    (322

    )

    Accounts payable and other accrued liabilities

     

    (399,619

    )

     

    21,518

     

    Accrued salaries and benefits

     

    (8,525

    )

     

    (13,889

    )

    Other liabilities

     

    9,805

     

     

    2,568

     

    Net cash (used in) provided by operating activities

     

    (150,137

    )

     

    208,178

     

     
    Investing activities:
    Cash paid for acquisitions, net of cash acquired

     

    (50,722

    )

     

    —

     

    Cash paid for capital expenditures

     

    (296,652

    )

     

    (157,359

    )

    Proceeds from sale of property and equipment

     

    10,209

     

     

    621

     

    Other

     

    (2,933

    )

     

    (940

    )

    Net cash used in investing activities

     

    (340,098

    )

     

    (157,678

    )

     
    Financing activities:
    Borrowings on long-term debt

     

    350,000

     

     

    —

     

    Borrowings on revolving credit facility

     

    160,000

     

     

    40,000

     

    Principal payments on revolving credit facility

     

    (15,000

    )

     

    (20,000

    )

    Principal payments on long-term debt

     

    (25,605

    )

     

    (10,625

    )

    Payment of debt issuance costs

     

    (1,518

    )

     

    —

     

    Repurchase of shares for payroll tax withholding, net of proceeds from stock option exercises

     

    (1,668

    )

     

    (45,904

    )

    Contributions from noncontrolling partners in joint ventures

     

    2,970

     

     

    2,516

     

    Distributions to noncontrolling partners in joint ventures

     

    (1,500

    )

     

    (1,983

    )

    Other

     

    (350

    )

     

    20

     

    Net cash provided by (used in) financing activities

     

    467,329

     

     

    (35,976

    )

     
    Net (decrease) increase in cash and cash equivalents

     

    (22,906

    )

     

    14,524

     

    Cash and cash equivalents at beginning of the period

     

    100,073

     

     

    97,649

     

    Cash and cash equivalents at end of the period

    $

    77,167

     

    $

    112,173

     

     

     

    Effect of acquisitions:
    Assets acquired, excluding cash

    $

    55,678

     

    $

    —

     

    Liabilities assumed

     

    (3,456

    )

     

    —

     

    Contingent consideration issued in connection with an acquisition

     

    (1,500

    )

     

    —

     

    Cash paid for acquisitions, net of cash acquired

    $

    50,722

     

    $

    —

     

    Operating Statistics
    (Unaudited, Revenue in thousands)
     

    Three Months Ended

    June 30,

     

    Six Months Ended

    June 30,

     

    2024

     

     

     

    2023

     

     

    % Change

     

     

    2024

     

     

     

    2023

     

     

    % Change

    Same Facility Results (1)
    Revenue

    $

    776,145

     

    $

    716,653

     

    8.3

    %

    $

    1,532,401

     

    $

    1,409,073

     

    8.8

    %

    Patient Days

     

    773,499

     

     

    754,099

     

    2.6

    %

     

    1,531,489

     

     

    1,495,810

     

    2.4

    %

    Admissions

     

    49,091

     

     

    48,727

     

    0.7

    %

     

    97,249

     

     

    97,733

     

    -0.5

    %

    Average Length of Stay (2)

     

    15.8

     

     

    15.5

     

    1.8

    %

     

    15.7

     

     

    15.3

     

    2.9

    %

    Revenue per Patient Day

    $

    1,003

     

    $

    950

     

    5.6

    %

    $

    1,001

     

    $

    942

     

    6.2

    %

    Adjusted EBITDA margin

     

    29.5

    %

     

    29.5

    %

    0 bps

     

    29.1

    %

     

    28.5

    %

    60 bps
     
    Facility Results
    Revenue

    $

    796,040

     

    $

    731,337

     

    8.8

    %

    $

    1,564,091

     

    $

    1,435,604

     

    9.0

    %

    Patient Days

     

    791,673

     

     

    771,955

     

    2.6

    %

     

    1,560,351

     

     

    1,526,813

     

    2.2

    %

    Admissions

     

    50,511

     

     

    50,029

     

    1.0

    %

     

    99,569

     

     

    99,935

     

    -0.4

    %

    Average Length of Stay (2)

     

    15.7

     

     

    15.4

     

    1.6

    %

     

    15.7

     

     

    15.3

     

    2.6

    %

    Revenue per Patient Day

    $

    1,006

     

    $

    947

     

    6.1

    %

    $

    1,002

     

    $

    940

     

    6.6

    %

    Adjusted EBITDA margin

     

    28.1

    %

     

    28.6

    %

    -50 bps

     

    27.8

    %

     

    27.6

    %

    20 bps
     
    (1) Same facility results for the periods presented include facilities we have operated for more than one year and exclude certain closed services.
    (2) Average length of stay is defined as patient days divided by admissions.
    Acadia Healthcare Company, Inc.
    Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to Adjusted EBITDA
    (Unaudited)
     

    Three Months Ended

    June 30,

     

    Six Months Ended

    June 30,

     

    2024

     

     

     

    2023

     

     

     

    2024

     

     

     

    2023

     

    (in thousands)
     
    Net income attributable to Acadia Healthcare Company, Inc.

    $

    78,482

     

    $

    72,299

     

    $

    154,865

     

    $

    138,314

     

    Net income attributable to noncontrolling interests

     

    2,335

     

     

    1,250

     

     

    4,722

     

     

    1,793

     

    Provision for income taxes

     

    25,643

     

     

    22,881

     

     

    45,717

     

     

    41,966

     

    Interest expense, net

     

    29,159

     

     

    20,910

     

     

    56,373

     

     

    40,909

     

    Depreciation and amortization

     

    36,066

     

     

    32,012

     

     

    72,413

     

     

    63,581

     

    EBITDA

     

    171,685

     

     

    149,352

     

     

    334,090

     

     

    286,563

     

     
    Adjustments:
    Equity-based compensation expense (a)

     

    8,869

     

     

    7,348

     

     

    17,547

     

     

    14,977

     

    Transaction, legal and other costs (b)

     

    6,091

     

     

    9,074

     

     

    8,938

     

     

    15,545

     

    Loss on impairment (c)

     

    1,000

     

     

    8,694

     

     

    1,000

     

     

    8,694

     

    Adjusted EBITDA

    $

    187,645

     

    $

    174,468

     

    $

    361,575

     

    $

    325,779

     

     
    Adjusted EBITDA margin

     

    23.6

    %

     

    23.9

    %

     

    23.1

    %

     

    22.7

    %

     
     
    See footnotes on page 10.
    Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to
    Adjusted Income Attributable to Acadia Healthcare Company, Inc.
    (Unaudited)
     

    Three Months Ended

    June 30,

    Six Months Ended

    June 30,

     

    2024

     

    2023

     

    2024

     

    2023

    (in thousands, except per share amounts)
     
    Net income attributable to Acadia Healthcare Company, Inc.

    $

    78,482

    $

    72,299

    $

    154,865

    $

    138,314

     
    Adjustments to income:
    Transaction, legal and other costs (b)

     

    6,091

     

    9,074

     

    8,938

     

    15,545

    Loss on impairment (c)

     

    1,000

     

    8,694

     

    1,000

     

    8,694

    Provision for income taxes

     

    25,643

     

    22,881

     

    45,717

     

    41,966

    Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc.

     

    111,216

     

    112,948

     

    210,520

     

    204,519

    Income tax effect of adjustments to income (d)

     

    27,643

     

    28,271

     

    49,654

     

    51,191

    Adjusted income attributable to Acadia Healthcare Company, Inc.

    $

    83,573

    $

    84,677

    $

    160,866

    $

    153,328

     
    Weighted-average shares outstanding - diluted

     

    92,043

     

    91,546

     

    92,051

     

    91,640

     
    Adjusted income attributable to Acadia Healthcare Company, Inc. per diluted share

    $

    0.91

    $

    0.92

    $

    1.75

    $

    1.67

     
     
    See footnotes on page 10.
    Acadia Healthcare Company, Inc.
    Footnotes
     
    We have included certain financial measures in this press release, including those listed below, which are "non-GAAP financial measures" as defined under the rules and regulations promulgated by the SEC. These non-GAAP financial measures include, and are defined, as follows:
     
    • EBITDA: net income attributable to Acadia Healthcare Company, Inc. adjusted for net income attributable to noncontrolling interests, provision for income taxes, net interest expense and depreciation and amortization.
     
    • Adjusted EBITDA: EBITDA adjusted for equity-based compensation expense, transaction, legal and other costs and loss on impairment.
     
    • Adjusted EBITDA margin: Adjusted EBITDA divided by revenue.
     
    • Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc.: net income attributable to Acadia Healthcare Company, Inc. adjusted for transaction, legal and other costs, loss on impairment and provision for income taxes.
     
    • Adjusted income attributable to Acadia Healthcare Company, Inc.: Adjusted income before income taxes attributable to Acadia Healthcare Company, Inc. adjusted for the income tax effect of adjustments to income.
     
    • Net leverage ratio: Long-term debt (excluding $10.5 million of unamortized debt issuance costs, discount and premium) less cash and cash equivalents divided by Adjusted EBITDA for the trailing twelve months.
     
    The non-GAAP financial measures presented herein are supplemental measures of our performance and are not required by, or presented in accordance with, generally accepted accounting principles in the United States ("GAAP"). The non-GAAP financial measures presented herein are not measures of our financial performance under GAAP and should not be considered as alternatives to net income or any other performance measures derived in accordance with GAAP or as an alternative to cash flow from operating activities as measures of our liquidity. Our measurements of these non-GAAP financial measures may not be comparable to similarly titled measures of other companies. We have included information concerning the non-GAAP financial measures in this press release because we believe that such information is used by certain investors as measures of a company's historical performance. We believe these measures are frequently used by securities analysts, investors and other interested parties in the evaluation of issuers of equity securities, many of which present similar non-GAAP financial measures when reporting their results. Because the non-GAAP financial measures are not measurements determined in accordance with GAAP and are thus susceptible to varying calculations, the non-GAAP financial measures, as presented, may not be comparable to other similarly titled measures of other companies. Our presentation of these non-GAAP financial measures should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.
     
    The Company is not able to provide a reconciliation of projected Adjusted EBITDA and adjusted earnings per diluted share, where provided, to expected results due to the unknown effect, timing and potential significance of transaction-related expenses and the tax effect of such expenses.
     
    (a) Represents the equity-based compensation expense of Acadia.
     
    (b) Represents transaction, legal and other costs incurred by Acadia primarily related to legal, management transition, termination, restructuring, acquisition and other similar costs.
     
    (c) During the three months ended June 30, 2024 and 2023, we recorded non-cash impairment charges totaling $1.0 million and $8.7 million, respectively, related to the closure of certain facilities.
     
    (d) Represents the income tax effect of adjustments to income based on tax rates of 24.9% and 25.0% for the three months ended June 30, 2024 and 2023, respectively, and 23.6% and 25.0% for the six months ended June 30, 2024 and 2023, respectively.
     

     

    View source version on businesswire.com: https://www.businesswire.com/news/home/20240731606752/en/

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