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Acadia Healthcare Reports Fourth Quarter 2022 Results

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Acadia Healthcare Company (ACHC) reported a robust fourth quarter for 2022 with revenue of $675.3 million, a 13.8% increase from the previous year. Net income reached $61.1 million or $0.67 per diluted share. The company opened new facilities and added 290 beds in 2022, with plans for 300 more beds in 2023. Acadia expects 2023 revenue between $2.82 to $2.88 billion and adjusted EBITDA between $635 to $675 million. A conference call discussing these results is scheduled for February 28, 2023.

Positive
  • Revenue increased by 13.8% year-over-year to $675.3 million.
  • Net income of $61.1 million, or $0.67 per diluted share.
  • Same facility revenue grew by 9.4%, with a 5.2% increase in revenue per patient day.
  • Opened new facilities and added 290 beds in 2022, with plans for 300 more in 2023.
  • Financial guidance for 2023 estimates revenue of $2.82 to $2.88 billion.
Negative
  • Adjusted EBITDA decreased to $150.9 million from $156.1 million year-over-year.
  • Recorded a $5.9 million unfavorable adjustment to liability reserves.

Company Provides Full Year and First Quarter 2023 Guidance

FRANKLIN, Tenn.--(BUSINESS WIRE)-- Acadia Healthcare Company, Inc. (NASDAQ: ACHC) today announced financial results for the fourth quarter and year ended December 31, 2022.

Fourth Quarter Highlights

  • Revenue totaled $675.3 million, an increase of 13.8% over the fourth quarter of 2021
  • Same facility revenue increased 9.4% compared to the fourth quarter of 2021, including an increase in revenue per patient day of 5.2% and an increase in patient days of 4.0%
  • Net income attributable to Acadia totaled $61.1 million, or $0.67 per diluted share, and adjusted income from continuing operations attributable to Acadia stockholders totaled $68.1 million, or $0.74 per diluted share, which included $0.04 of income from the Provider Relief Fund (“PRF”) established under the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act
  • Adjusted EBITDA totaled $150.9 million, which included $5.2 million of income from the PRF established under the CARES Act
  • Recorded a $5.9 million unfavorable adjustment to professional and general liability reserves relating to the settlement or expected settlement of certain prior year claims relating primarily to the 2017 to 2018 period
  • Opened a joint venture facility with Lutheran Health Network, in Ft. Wayne, Indiana, and added seven new Comprehensive Treatment Centers (“CTCs”) through acquiring four existing facilities and opening three de novos

Fourth Quarter Results

The Company reported revenue of $675.3 million for the fourth quarter of 2022, compared with $593.5 million for the fourth quarter of 2021. Adjusted EBITDA was $150.9 million for the fourth quarter of 2022, compared with $156.1 million for the same period last year.

During the fourth quarter of 2022, the Company recorded $5.2 million of income from the PRF related to the American Rescue Plan (“ARP”) Rural Payments. The Company will continue to review the remaining $9.0 million of ARP funds held on its balance sheet as of December 31, 2022, for potential repayment of the remaining balance.

The Company also recorded an unfavorable adjustment of $5.9 million, or $0.05 per diluted share, to its professional and general liability reserves relating to the settlement or expected settlement of certain prior year claims relating primarily to the 2017 to 2018 period. The estimated accrual for professional and general liabilities is based on historical claims, prior settlements and judgments, demographic factors, industry trends, severity factors, and other actuarial assumptions.

Net income attributable to Acadia stockholders for the fourth quarter of 2022 was $61.1 million, or $0.67 per diluted share. Adjusted income from continuing operations attributable to Acadia stockholders was $0.74 per diluted share for the fourth quarter of 2022. Adjustments to income include transaction-related expenses and the income tax effect of adjustments to income. A reconciliation of all non-GAAP financial results in this press release begins on page 10.

For the fourth quarter of 2022, Acadia’s same facility revenue increased 9.4% compared with the fourth quarter of 2021, including an increase in revenue per patient day of 5.2% and an increase in patient days of 4.0%.

Chris Hunter, Chief Executive Officer of Acadia Healthcare Company, remarked, “Acadia delivered another quarter and year of strong growth. These results reflect the robust demand for our behavioral healthcare services, the dedicated work of our extraordinary employees and our proven ability to meet this critical societal need. With solid execution across the key pathways of our growth strategy, we extended our market reach in 2022 and solidified our industry leadership position. Our committed team of employees and clinicians across our operations have continued to tirelessly provide quality patient care for those seeking treatment for mental health and substance use issues.

Strategic Investments for Long-Term Growth

“During the fourth quarter of 2022, we made further progress in meeting our growth objectives across each of our service lines. As demand for our services continues to grow, we have made the necessary investments in our operations to support sustained long-term growth. We believe our five distinct growth pathways will enable the Company to meet this demand and extend our market reach.

“Our first pathway, facility expansions, remains a primary driver of our growth, as this pathway allows us to efficiently expand services in established markets by utilizing our existing infrastructure and experienced staff. We added 80 beds to our existing facilities during the fourth quarter, finishing the year with a strong second half of 212 bed additions and bringing our total number to 290 for the year. Looking ahead, we expect to add approximately 300 beds through facility expansions in 2023.

“A second important growth pathway is to identify underserved markets for behavioral healthcare services and develop wholly owned de novo facilities that bridge this gap and help meet the critical community need. In July 2022, we opened a 60-bed children’s hospital as the first stage of our Montrose Behavioral Health Hospital operations in Chicago. We expect to complete this project and begin operations at our 101-bed adult hospital and the outpatient facility in late 2023 once renovations are complete. In addition to the new Chicago facilities, we expect to open our de novo facility, Coachella Valley Behavioral Health, in Indio, California, later this year. We will continue to pursue additional opportunities across the country with a goal to develop and open acute and specialty facilities in 2024.

“We also continued to expand our network of CTCs, specifically designed to meet the growing and critical need for addiction treatment, especially for patients dealing with opioid use disorder. During the fourth quarter, we opened three new CTCs in Florida and Delaware, bringing our total to seven new CTCs for the year. As the opioid crisis has continued to escalate across the country, we believe Acadia’s CTC facilities and programs play a vital role in the communities they serve. We will continue to expand our CTC network and service offerings to meet this essential need with an objective of adding at least six CTCs in the year ahead.”

Hunter added, “Forming strategic partnerships is a third attractive growth pathway for Acadia. We have been fortunate to establish strong relationships with leading healthcare providers and premier healthcare systems across the country who want to expand behavioral healthcare treatment options in their respective communities. We bring the clinical expertise and experience they need to deliver high quality care, while we have an opportunity to leverage the providers’ market presence and established relationships in their communities. During the third quarter, we opened a new 90-bed facility with our joint venture partner, Covenant Health, in Knoxville, Tennessee. During the fourth quarter, we opened our ninth joint venture facility, a 120-bed hospital known as Maple Heights Behavioral Health, with our partner, Lutheran Health Network, in Ft. Wayne, Indiana. Acadia has joint venture partnerships for 19 facilities with 10 facilities expected to open over the next several years, including two in 2023.

“For our fourth pathway, we have a very disciplined focus on M&A opportunities and continue to look for selective acquisitions that complement our growth strategy and are incremental to our financial objectives. During the fourth quarter of 2022, we acquired four CTCs from Georgia-based Brand New Start Treatment Centers, located in separate suburbs of the Atlanta metropolitan area, extending Acadia’s CTC network to 151 locations. We remain focused on identifying attractive M&A opportunities that are complementary to our existing geographic footprint and portfolio of service offerings. We are fortunate to have a strong balance sheet that provides the flexibility to pursue acquisitions as well as make the necessary investments to support our other strategic growth pathways.

“For the fifth growth pathway, we remain focused on extending the continuum of care across our facilities and identifying additional ways to support patients. During the fourth quarter of 2022, we expanded our network of step-down programs by adding Intensive Outpatient Programs (IOP) across several of the communities that we serve. To further support our growth objectives, we also continued to implement our strategy of improving cross-referral opportunities between our facilities by launching the program to several strategically identified regions,” added Hunter.

Cash and Liquidity

Maintaining a strong financial position will continue to be a top priority for Acadia in 2023. As of December 31, 2022, the Company had $97.6 million in cash and cash equivalents and $525 million available under its $600 million revolving credit facility with a net leverage ratio of approximately 2.1x.

During the fourth quarter, the Company completed its repayment of amounts received pursuant to the Medicare Accelerated and Advanced Payment Program under the CARES Act. Of the $45.2 million of advanced payments received in 2020, the Company repaid a total of $25.1 million in 2021 and paid the remaining balance of $20.1 million in 2022, including $1.2 million in the fourth quarter of 2022.

Looking Ahead

“We are proud of our results for 2022, and even more proud of our vitally important work to support expanding patient populations in order to make a positive difference in more communities. Acadia has created a strong foundation to build upon during a time of unprecedented demand for behavioral healthcare services. We also see a growing recognition among providers that behavioral health issues are integral to overall patient health. A 2022 study from Indiana University found that approximately 45 percent of patients who visit the emergency department for physical injuries and ailments also have mental health and substance use problems that are frequently overlooked. Acadia has established strong relationships with a growing number of med-surg hospitals across the country, bringing our experience and expertise to markets where they are desperately needed. Fortunately, greater societal awareness of these issues and broader acceptance of treatment have made behavioral healthcare a priority with medical professionals and government healthcare officials. Acadia is well positioned to address this critical need as a leader in providing behavioral healthcare services across the care continuum.

“As we look to the year ahead, we are focused on increasing our pace of growth and capitalizing on expansion opportunities across our service lines. At the same time, we will be enhancing the delivery of care we provide and strengthening our capabilities through our investments in people, processes and technology. Across our network of 250 facilities, we have a shared mission to provide high quality, differentiated behavioral healthcare services, and we look forward to the opportunities ahead for Acadia in 2023 and beyond,” concluded Hunter.

Financial Guidance

Acadia today narrowed its previously announced financial guidance for 2023, as follows:

 

2023 Guidance Range

Revenue

$2.82 to $2.88 billion

Adjusted EBITDA

$635 to $675 million

Adjusted earnings per diluted share

$3.10 to $3.40

Interest expense

$80 to $85 million

Tax rate

25% to 26%

Depreciation and amortization expense

$125 to $135 million

Stock compensation expense

$30 to $35 million

Operating cash flows

$450 to $500 million

Expansion capital expenditures

$350 to $400 million

Maintenance capital expenditures

$40 to $50 million

IT capital expenditures

$35 to $45 million

Acadia also established financial guidance for the first quarter of 2023, as follows:

First Quarter 2023 Guidance Range

Revenue

$690 to $700 million

Adjusted EBITDA

$145 to $150 million

Adjusted earnings per diluted share

$0.70 to $0.74

The Company’s guidance does not include the impact of any future acquisitions, divestitures, transaction-related expenses or recognition of additional income from the CARES Act.

Conference Call

Acadia will hold a conference call to discuss its fourth quarter financial results at 8:00 a.m. Eastern Time on February 28, 2023. 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 December 31, 2022, Acadia operated a network of 250 behavioral healthcare facilities with approximately 11,000 beds in 39 states and Puerto Rico. With approximately 23,000 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
December 31,
Year Ended
December 31,

 

 

2022

 

2021

 

2022

 

2021

(In thousands, except per share amounts)
 
Revenue

$

675,295

 

$

593,480

 

$

2,610,399

 

$

2,314,394

 

 
Salaries, wages and benefits (including equity-based compensation expense of $7,890, $12,542, $29,635 and $37,530, respectively)

 

365,702

 

 

321,120

 

 

1,393,434

 

 

1,243,804

 

Professional fees

 

40,295

 

 

34,824

 

 

158,013

 

 

136,739

 

Supplies

 

25,909

 

 

23,004

 

 

100,200

 

 

90,702

 

Rents and leases

 

11,682

 

 

9,829

 

 

45,462

 

 

38,519

 

Other operating expenses

 

93,922

 

 

79,076

 

 

349,277

 

 

301,339

 

Income from provider relief fund

 

(5,245

)

 

(17,900

)

 

(21,451

)

 

(17,900

)

Depreciation and amortization

 

30,142

 

 

28,368

 

 

117,769

 

 

106,717

 

Interest expense, net

 

19,405

 

 

15,573

 

 

69,760

 

 

76,993

 

Debt extinguishment costs

 

 

 

 

 

 

 

24,650

 

Loss on impairment

 

 

 

 

 

 

 

24,293

 

Transaction-related expenses

 

5,411

 

 

3,458

 

 

23,792

 

 

12,778

 

Total expenses

 

587,223

 

 

497,352

 

 

2,236,256

 

 

2,038,634

 

Income from continuing operations before income taxes

 

88,072

 

 

96,128

 

 

374,143

 

 

275,760

 

Provision for income taxes

 

24,927

 

 

24,609

 

 

94,110

 

 

67,557

 

Income from continuing operations

 

63,145

 

 

71,519

 

 

280,033

 

 

208,203

 

Loss from discontinued operations, net of taxes

 

 

 

 

 

 

 

(12,641

)

Net income

 

63,145

 

 

71,519

 

 

280,033

 

 

195,562

 

Net income attributable to noncontrolling interests

 

(2,021

)

 

(1,241

)

 

(6,894

)

 

(4,927

)

Net income attributable to Acadia Healthcare Company, Inc.

$

61,124

 

$

70,278

 

$

273,139

 

$

190,635

 

 
Basic earnings per share attributable to Acadia Healthcare Company, Inc.
stockholders:
Income from continuing operations attributable to Acadia Healthcare
Company, Inc.

$

0.68

 

$

0.79

 

$

3.05

 

$

2.29

 

Loss from discontinued operations

 

 

 

 

 

 

$

(0.14

)

Net income attributable to Acadia Healthcare Company, Inc.

$

0.68

 

$

0.79

 

$

3.05

 

$

2.15

 

 
Diluted earnings per share attributable to Acadia Healthcare Company, Inc.
stockholders:
Income from continuing operations attributable to Acadia Healthcare
Company, Inc.

$

0.67

 

$

0.77

 

$

2.98

 

$

2.24

 

Loss from discontinued operations

 

 

 

 

 

 

$

(0.14

)

Net income attributable to Acadia Healthcare Company, Inc.

$

0.67

 

$

0.77

 

$

2.98

 

$

2.10

 

 
Weighted-average shares outstanding:
Basic

 

89,897

 

 

89,020

 

 

89,680

 

 

88,769

 

Diluted

 

91,872

 

 

91,038

 

 

91,555

 

 

90,793

 

Acadia Healthcare Company, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
 
December 31,

2022

2021

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

$

97,649

$

133,813

 

Accounts receivable, net

 

322,439

 

281,332

 

Other current assets

 

86,037

 

79,886

 

Total current assets

 

506,125

 

495,031

 

Property and equipment, net

 

1,952,045

 

1,771,159

 

Goodwill

 

2,222,805

 

2,199,937

 

Intangible assets, net

 

76,041

 

70,145

 

Deferred tax assets

 

2,950

 

3,080

 

Operating lease right-of-use assets

 

135,238

 

133,761

 

Other assets

 

92,697

 

94,965

 

Total assets

$

4,987,901

$

4,768,078

 

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

$

21,250

$

18,594

 

Accounts payable

 

104,723

 

98,575

 

Accrued salaries and benefits

 

125,298

 

137,845

 

Current portion of operating lease liabilities

 

26,463

 

23,348

 

Other accrued liabilities

 

110,592

 

126,499

 

Total current liabilities

 

388,326

 

404,861

 

Long-term debt

 

1,364,541

 

1,478,626

 

Deferred tax liabilities

 

92,588

 

74,368

 

Operating lease liabilities

 

116,429

 

116,841

 

Other liabilities

 

125,033

 

110,505

 

Total liabilities

 

2,086,917

 

2,185,201

 

Redeemable noncontrolling interests

 

88,257

 

65,388

 

Equity:
Common stock

 

899

 

890

 

Additional paid-in capital

 

2,658,440

 

2,636,350

 

Retained earnings (accumulated deficit)

 

153,388

 

(119,751

)

Total equity

 

2,812,727

 

2,517,489

 

Total liabilities and equity

$

4,987,901

$

4,768,078

 

 
Acadia Healthcare Company, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
 
Year Ended December 31,

2022

2021

(In thousands)
Operating activities:
Net income

$

280,033

 

$

195,562

 

Adjustments to reconcile net income to net cash provided by continuing operating activities:
Depreciation and amortization

 

117,769

 

 

106,717

 

Amortization of debt issuance costs

 

3,261

 

 

4,071

 

Equity-based compensation expense

 

29,635

 

 

37,530

 

Deferred income taxes

 

16,545

 

 

11,772

 

Loss from discontinued operations, net of taxes

 

 

 

12,641

 

Debt extinguishment costs

 

 

 

24,650

 

Loss on impairment

 

 

 

24,293

 

Other

 

2,680

 

 

491

 

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

 

(41,978

)

 

2,448

 

Other current assets

 

(17,626

)

 

1,968

 

Other assets

 

2,252

 

 

(10,770

)

Accounts payable and other accrued liabilities

 

5,174

 

 

6,164

 

Accrued salaries and benefits

 

6,804

 

 

9,755

 

Other liabilities

 

15,090

 

 

(14,940

)

Government relief funds

 

(39,070

)

 

(38,128

)

Net cash provided by continuing operating activities

 

380,569

 

 

374,224

 

Net cash provided by discontinued operating activities

 

 

 

253

 

Net cash provided by operating activities

 

380,569

 

 

374,477

 

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

 

(9,507

)

 

(139,015

)

Cash paid for capital expenditures

 

(296,149

)

 

(244,811

)

Proceeds from U.K. Sale

 

 

 

1,511,020

 

Settlement of foreign currency derivatives

 

 

 

(84,795

)

Proceeds from sale of property and equipment

 

7,074

 

 

3,493

 

Cash paid for purchase of finance lease

 

 

 

(31,401

)

Other

 

(7,248

)

 

(1,394

)

Net cash (used in) provided by investing activities

 

(305,830

)

 

1,013,097

 

 
Financing activities:
Borrowings on long-term debt

 

 

 

425,000

 

Borrowings on revolving credit facility

 

 

 

500,000

 

Principal payments on revolving credit facility

 

(95,000

)

 

(330,000

)

Principal payments on long-term debt

 

(18,594

)

 

(7,969

)

Repayment of long-term debt

 

 

 

(2,227,935

)

Payment of debt issuance costs

 

 

 

(7,964

)

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

 

(6,179

)

 

16,295

 

Contributions from noncontrolling partners in joint ventures

 

15,362

 

 

4,536

 

Distributions to noncontrolling partners in joint ventures

 

(1,004

)

 

(1,588

)

Acquisition of ownership interests from noncontrolling partners

 

(5,540

)

 

 

Other

 

52

 

 

(6,900

)

Net cash used in financing activities

 

(110,903

)

 

(1,636,525

)

 
Effect of exchange rate changes on cash

 

 

 

4,067

 

 
Net decrease in cash and cash equivalents

 

(36,164

)

 

(244,884

)

Cash and cash equivalents at beginning of the period

 

133,813

 

 

378,697

 

Cash and cash equivalents at end of the period

$

97,649

 

$

133,813

 

 
Effect of acquisitions:
Assets acquired, excluding cash

$

10,756

 

$

176,365

 

Liabilities assumed

 

(1,249

)

 

(37,350

)

Cash paid for acquisitions, net of cash acquired

$

9,507

 

$

139,015

 

 
Acadia Healthcare Company, Inc.
Operating Statistics
(Unaudited, Revenue in thousands)
 
Three Months Ended December 31, Year Ended December 31,

 

2022

 

2021

 

% Change

 

2022

 

2021

 

% Change

U.S. Same Facility Results (1)
Revenue

$

645,085

$

589,488

9.4%

$

2,504,285

$

2,293,394

9.2%

Patient Days

 

708,485

 

681,061

4.0%

 

2,818,614

 

2,749,903

2.5%

Admissions

 

43,777

 

42,663

2.6%

 

176,981

 

178,846

-1.0%

Average Length of Stay (2)

 

16.2

 

16.0

1.4%

 

15.9

 

15.4

3.6%

Revenue per Patient Day

$

911

$

866

5.2%

$

888

$

834

6.5%

Adjusted EBITDA margin (3)

 

28.3%

 

31.0%

-270 bps

 

29.5%

 

28.8%

70 bps

Adjusted EBITDA margin excluding income from provider relief fund

 

27.4%

 

28.0%

-60 bps

 

28.6%

 

28.0%

60 bps

 
U.S. Facility Results
Revenue

$

675,295

$

593,480

13.8%

$

2,610,399

$

2,314,394

12.8%

Patient Days

 

736,695

 

686,584

7.3%

 

2,916,500

 

2,775,061

5.1%

Admissions

 

46,375

 

42,691

8.6%

 

186,305

 

179,075

4.0%

Average Length of Stay (2)

 

15.9

 

16.1

-1.2%

 

15.7

 

15.5

1.0%

Revenue per Patient Day

$

917

$

864

6.0%

$

895

$

834

7.3%

Adjusted EBITDA margin (3)

 

26.8%

 

30.5%

-370 bps

 

27.9%

 

28.4%

-50 bps

Adjusted EBITDA margin excluding income from provider relief fund

 

26.0%

 

27.5%

-150 bps

 

27.1%

 

27.6%

-50 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.
(3) For the three months ended December 31, 2022 and 2021, includes income from provider relief fund of $5.2 million and $17.9 million, respectively. For the year ended December 31, 2022 and 2021, includes income from provider relief fund of $21.5 million and $17.9 million, respectively.
Acadia Healthcare Company, Inc.
Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to Adjusted EBITDA
(Unaudited)
 
Three Months Ended
December 31,
Year Ended
December 31,

 

 

2022

 

2021

 

2022

 

2021

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

$

61,124

$

70,278

$

273,139

$

190,635

Net income attributable to noncontrolling interests

 

2,021

 

1,241

 

6,894

 

4,927

Loss from discontinued operations, net of taxes

 

 

 

 

12,641

Provision for income taxes

 

24,927

 

24,609

 

94,110

 

67,557

Interest expense, net

 

19,405

 

15,573

 

69,760

 

76,993

Depreciation and amortization

 

30,142

 

28,368

 

117,769

 

106,717

EBITDA

 

137,619

 

140,069

 

561,672

 

459,470

 
Adjustments:
Equity-based compensation expense (a)

 

7,890

 

12,542

 

29,635

 

37,530

Transaction-related expenses (b)

 

5,411

 

3,458

 

23,792

 

12,778

Debt extinguishment costs (c)

 

 

 

 

24,650

Loss on impairment (d)

 

 

 

 

24,293

Adjusted EBITDA

$

150,920

$

156,069

$

615,099

$

558,721

 
Adjusted EBITDA margin

 

22.3%

 

26.3%

 

23.6%

 

24.1%

 
 
Adjusted EBITDA excluding income from provider relief fund

$

145,675

$

138,169

$

593,648

$

540,821

 
Adjusted EBITDA margin excluding income from provider relief fund

 

21.6%

 

23.3%

 

22.7%

 

23.4%

 
 
See footnotes on page 12.
Acadia Healthcare Company, Inc.
Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to
Adjusted Income Attributable to Acadia Healthcare Company, Inc.
(Unaudited)
 
Three Months Ended
December 31,
Year Ended
December 31,

 

 

2022

 

2021

 

2022

 

2021

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

$

61,124

 

$

70,278

 

$

273,139

 

$

190,635

 

Loss from discontinued operations, net of taxes

 

 

 

 

 

 

 

12,641

 

 
Adjustments to income:
Transaction-related expenses (b)

 

5,411

 

 

3,458

 

 

23,792

 

 

12,778

 

Debt extinguishment costs (c)

 

 

 

 

 

 

 

24,650

 

Loss on impairment (d)

 

 

 

 

 

 

 

24,293

 

Provision for income taxes

 

24,927

 

 

24,609

 

 

94,110

 

 

67,557

 

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

 

91,462

 

 

98,345

 

 

391,041

 

 

332,554

 

Income tax effect of adjustments to income (e)

 

23,405

 

 

24,791

 

 

100,067

 

 

87,500

 

Adjusted income from continuing operations attributable to
Acadia Healthcare Company, Inc.

 

68,057

 

 

73,554

 

 

290,974

 

 

245,054

 

Income from provider relief fund, net of taxes

 

(3,822

)

 

(13,044

)

 

(15,631

)

 

(13,044

)

Adjusted income from continuing operations attributable to
Acadia Healthcare Company, Inc. excluding income
from provider relief fund

$

64,235

 

$

60,510

 

$

275,343

 

$

232,010

 

 
Weighted-average shares outstanding - diluted

 

91,872

 

 

91,038

 

 

91,555

 

 

90,793

 

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

$

0.74

 

$

0.81

 

$

3.18

 

$

2.70

 

Income from provider relief fund, net of taxes, per diluted share

 

(0.04

)

 

(0.14

)

 

(0.17

)

 

(0.14

)

Adjusted income from continuing operations attributable to
Acadia Healthcare Company, Inc., excluding income
from provider relief fund, per diluted share

$

0.70

 

$

0.67

 

$

3.01

 

$

2.56

 

 
 
See footnotes on page 12.
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, loss from discontinued operations, net of taxes, provision for income taxes, net interest expense and depreciation and amortization.
 
Adjusted EBITDA: EBITDA adjusted for equity-based compensation expense, transaction-related expenses, debt extinguishment costs and loss on impairment.
 
Adjusted EBITDA excluding income from provider relief fund: Adjusted EBITDA adjusted for income from provider relief fund.
 
Adjusted EBITDA margin: Adjusted EBITDA divided by revenue.
 
Adjusted EBITDA margin excluding income from provider relief fund: Adjusted EBITDA excluding income from provider relief fund divided by revenue.
 
Adjusted income from continuing operations before income taxes attributable to Acadia Healthcare Company, Inc.: net income attributable to Acadia Healthcare Company, Inc. adjusted for loss from discontinued operations, net of taxes, transaction-related expenses, debt extinguishment costs, loss on impairment and provision for income taxes.
 
Adjusted income from continuing operations attributable to Acadia Healthcare Company, Inc.: Adjusted income from continuing operations before income taxes attributable to Acadia Healthcare Company, Inc. adjusted for the income tax effect of adjustments to income.
 
Adjusted income from continuing operations attributable to Acadia Healthcare Company, Inc. excluding income from provider relief fund: Adjusted income from continuing operations attributable to Acadia Healthcare Company, Inc. adjusted for income from provider relief fund.
 
Adjusted income attributable to Acadia Healthcare Company, Inc.: the sum of Adjusted income from continuing operations before income taxes attributable to Acadia Healthcare Company, Inc. and income tax effect of adjustments to income.
 
Adjusted income attributable to Acadia Healthcare Company, Inc. excluding income from provider relief fund: Adjusted income from continuing operations attributable to Acadia Healthcare Company, Inc. adjusted for income from provider relief fund.
 
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 and whether including or excluding income from provider relief fund, 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-related expenses incurred by Acadia primarily related to termination, restructuring, management transition, acquisition and other similar costs.
 
(c) Represents debt extinguishment costs recorded during the first quarter of 2021 in connection with the redemption of the 5.625% senior notes and 6.500% senior notes and the termination of the prior credit facility.
 
(d) The Company opened a 260-bed replacement hospital in Pennsylvania and recorded a non-cash property impairment charge of $23.2 million for the existing facility during the second quarter of 2021. Additionally, during the third quarter of 2021, the Company recorded a $1.1 million non-cash property impairment charge for one facility in Louisiana resulting from hurricane damage.
 
(e) Represents the income tax effect of adjustments to income based on tax rates of 25.6% and 25.2% for the three months ended December 31, 2022 and 2021, respectively, and 25.6% and 26.3% for the year ended December 31, 2022 and 2021, respectively.

 

Gretchen Hommrich

Vice President, Investor Relations

(615) 861-6000

Source: Acadia Healthcare Company, Inc.

FAQ

What were Acadia's fourth quarter 2022 earnings results?

Acadia reported fourth quarter 2022 revenue of $675.3 million and net income of $61.1 million, or $0.67 per diluted share.

What is Acadia's guidance for 2023?

For 2023, Acadia expects revenue between $2.82 billion and $2.88 billion and adjusted EBITDA between $635 million and $675 million.

How many new facilities did Acadia open in 2022?

Acadia opened several new facilities in 2022, adding a total of 290 beds.

What was Acadia's adjusted EBITDA for the fourth quarter of 2022?

Acadia's adjusted EBITDA for the fourth quarter of 2022 was $150.9 million.

When will Acadia hold its conference call to discuss earnings?

Acadia will hold a conference call on February 28, 2023, at 8:00 a.m. Eastern Time.

Acadia Healthcare Company, Inc.

NASDAQ:ACHC

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Medical Care Facilities
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United States of America
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