Acadia Healthcare Company, Inc. (“Acadia”) (NASDAQ: ACHC) today announced financial results for the second quarter ended June 30, 2023.
Second Quarter and Recent Highlights
- Revenue totaled $731.3 million, an increase of 12.2% over the second quarter of 2022
- Same facility revenue increased 11.4% compared with the second quarter of 2022, including an increase in revenue per patient day of 6.1% and an increase in patient days of 4.9%
- Net income attributable to Acadia totaled $72.3 million, or $0.79 per diluted share, and adjusted income from continuing operations attributable to Acadia totaled $84.7 million, or $0.92 per diluted share
- Adjusted EBITDA increased 10.9% to $174.5 million as compared to $157.3 million for the second quarter of 2022, which excludes $8.6 million of income from the Provider Relief Fund (“PRF”) established under the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act
- Continued progress on the execution of the Company’s growth strategy by adding 98 beds to existing facilities and opening two additional comprehensive treatments centers (CTCs) during the quarter
- Announced two new joint venture partnerships for future hospitals, marking Acadia’s 19th and 20th partnerships with leading healthcare systems across the country, and opened two new hospitals with joint venture partners early in the third quarter
- Signed a definitive agreement in July to acquire a 76-bed specialty provider of substance use disorder and primary mental health treatment services based in the greater Salt Lake City, Utah, area
A reconciliation of all non-GAAP financial results in this press release begins on page 9.
Second Quarter Results
Chris Hunter, Chief Executive Officer of Acadia, remarked, “Acadia delivered strong financial and operating results for the second quarter of 2023, as we continued to see robust demand across all business lines. We are pleased with the trajectory of our business through the first half of the year and our ability to effectively manage our operations and meet our key performance objectives. Our labor costs were in line with our expectations. We continue to see stability with sequential improvement in our labor trends for the second quarter of 2023 that we expect will continue to improve into the second half of the year.
“We made significant progress in executing our strategy through our defined growth pathways, further extending our market reach to more communities and adding service lines to new states. We continue to identify opportunities to accelerate our growth across each of our service lines and meet increased patient demand, especially for higher acuity cases.
“Our results to date and continued momentum in our business led us to increase our financial guidance for the full year. We are proud of the important work we are doing and extremely grateful for our dedicated employees who continue to provide safe, quality patient care for those seeking treatment for mental health and substance use issues.”
Strategic Investments for Long-Term Growth
Turning Point Centers Acquisition
In July, Acadia signed a definitive agreement to acquire Turning Point Centers, a 76-bed specialty provider of substance use disorder and primary mental health treatment services that supports the Salt Lake City, Utah, metropolitan market. Turning Point Centers provides a full continuum of treatment services, including residential, partial hospitalization and intensive outpatient services. The transaction is expected to close in 2023.
Hunter added, “Turning Point Centers is a strategic addition to our facility portfolio, extending Acadia’s geographic footprint for our specialty service line into a new state and enhancing our continuum of care in Utah to include all service lines. We look forward to working with the experienced management team and clinical staff at Turning Point Centers.”
Growth Pathways Update
During the second quarter of 2023, the Company continued to make progress in meeting its strategic growth objectives with the following accomplishments across its defined five growth pathways:
- Facility Expansions – Added 98 beds to current facilities, bringing the total to 204 bed additions through the first half of the year with the objective to add a total of 300 beds by the end of 2023.
- De Novo Facilities – Opened two de novo CTCs offering medication-assisted treatments for patients dealing with opioid use disorder, which is in line with the Company’s objective to add six new CTCs in 2023. On track to open two de novo acute inpatient hospitals by the end of the year – the renovated 101-bed adult hospital and outpatient facility that are part of the Montrose Behavioral Health Hospital in Chicago, Illinois, as well as an 80-bed inpatient hospital, Coachella Valley Behavioral Health, in Indio, California.
- Joint Ventures – Announced two new joint venture partnerships, which will expand Acadia’s acute service line into two additional states. The partnership with SolutionHealth in New Hampshire will serve the southeastern New Hampshire area, and the partnership with Nebraska Methodist Health System in Iowa, will serve the greater Omaha, Nebraska, and Council Bluffs, Iowa, metropolitan area. Opened two new behavioral health hospitals with joint venture partners, Bronson Healthcare in Michigan and Geisinger in Pennsylvania, early in the third quarter. Acadia now has 20 joint venture partnerships for 21 hospitals, with 11 hospitals already in operation and 10 additional hospitals expected to open over the next few years.
- Acquisitions – Remained focused on identifying suitable acquisitions that are incremental to the Company’s strategic plan and fit its capital allocation framework, including the Turning Point Centers announcement today.
- Extend Continuum of Care – Expanded treatment options by adding 14 outpatient programs, including Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP) or virtual services, at select facilities to assist patients after they leave inpatient and residential treatment.
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, 2023, the Company had $112.2 million in cash and cash equivalents and $505 million available under its $600 million revolving credit facility with a net leverage ratio of approximately 2.0x.
Looking Ahead
Hunter concluded, “The United States is facing a mental health crisis – recent studies from the Kaiser Foundation, the Census Bureau and others highlight that the number of adults and adolescents struggling with anxiety, depression or substance use continues to climb. That is what drives our purpose of ensuring the broadest and most effective access to high quality behavioral healthcare. Given our scale and expertise, Acadia is uniquely positioned to help meet this critical demand. Looking ahead, we remain focused on accelerating growth by making strategic investments that will enhance our service offerings across the continuum of care and expand our market reach. Above all, we are committed to addressing one of our nation’s most pressing healthcare needs by providing safe, quality care in support of the patients, families and communities who are counting on us to improve the lives of all those we touch.”
Financial Guidance
Acadia today increased its previously announced financial guidance for 2023 for the following:
2023 Guidance Range | ||
Revenue | $2.86 to $2.90 billion | |
Adjusted EBITDA | $655 to $685 million | |
Adjusted earnings per diluted share | $3.25 to $3.50 | |
Interest expense | $82 to $85 million |
The Company affirmed the previously announced financial guidance for the following:
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 |
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 second quarter financial results at 9:30 a.m. Eastern Time on Friday, July 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 June 30, 2023, 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 (including without limitation the three pending lawsuits in New Mexico) 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, | |||||||||||||||
2023 | 2022 | 2023 | 2022 | |||||||||||||
(In thousands, except per share amounts) | ||||||||||||||||
Revenue | $ | 731,337 | $ | 651,719 | $ | 1,435,604 | $ | 1,268,372 | ||||||||
Salaries, wages and benefits (including equity-based compensation expense of $7,348, $6,580, $14,977 and $14,505, respectively) | 386,633 | 339,388 | 777,810 | 675,150 | ||||||||||||
Professional fees | 43,803 | 40,440 | 84,928 | 77,351 | ||||||||||||
Supplies | 26,144 | 25,022 | 52,165 | 48,721 | ||||||||||||
Rents and leases | 11,725 | 11,192 | 23,149 | 22,441 | ||||||||||||
Other operating expenses | 95,912 | 84,937 | 186,750 | 166,362 | ||||||||||||
Income from provider relief fund | — | (8,550 | ) | — | (8,550 | ) | ||||||||||
Depreciation and amortization | 32,012 | 29,128 | 63,581 | 58,054 | ||||||||||||
Interest expense, net | 20,910 | 16,565 | 40,909 | 32,352 | ||||||||||||
Loss on impairment | 8,694 | — | 8,694 | — | ||||||||||||
Transaction-related expenses | 9,074 | 3,940 | 15,545 | 7,522 | ||||||||||||
Total expenses | 634,907 | 542,062 | 1,253,531 | 1,079,403 | ||||||||||||
Income before income taxes | 96,430 | 109,657 | 182,073 | 188,969 | ||||||||||||
Provision for income taxes | 22,881 | 27,725 | 41,966 | 45,127 | ||||||||||||
Net income | 73,549 | 81,932 | 140,107 | 143,842 | ||||||||||||
Net income attributable to noncontrolling interests | (1,250 | ) | (1,853 | ) | (1,793 | ) | (2,926 | ) | ||||||||
Net income attributable to Acadia Healthcare Company, Inc. | $ | 72,299 | $ | 80,079 | $ | 138,314 | $ | 140,916 | ||||||||
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders: | ||||||||||||||||
Basic | $ | 0.79 | $ | 0.89 | $ | 1.53 | $ | 1.57 | ||||||||
Diluted | $ | 0.79 | $ | 0.88 | $ | 1.51 | $ | 1.54 | ||||||||
Weighted-average shares outstanding: | ||||||||||||||||
Basic | 91,044 | 89,724 | 90,691 | 89,492 | ||||||||||||
Diluted | 91,546 | 91,473 | 91,640 | 91,504 |
Acadia Healthcare Company, Inc. | ||||||
Condensed Consolidated Balance Sheets | ||||||
(Unaudited) | ||||||
June 30, | December 31, | |||||
2023 | 2022 | |||||
(In thousands) | ||||||
ASSETS | ||||||
Current assets: | ||||||
Cash and cash equivalents | $ | 112,173 | $ | 97,649 | ||
Accounts receivable, net | 345,836 | 322,439 | ||||
Other current assets | 120,748 | 86,037 | ||||
Total current assets | 578,757 | 506,125 | ||||
Property and equipment, net | 2,074,142 | 1,952,045 | ||||
Goodwill | 2,222,805 | 2,222,805 | ||||
Intangible assets, net | 71,607 | 76,041 | ||||
Deferred tax assets | 2,885 | 2,950 | ||||
Operating lease right-of-use assets | 127,515 | 135,238 | ||||
Other assets | 72,497 | 92,697 | ||||
Total assets | $ | 5,150,208 | $ | 4,987,901 | ||
LIABILITIES AND EQUITY | ||||||
Current liabilities: | ||||||
Current portion of long-term debt | $ | 23,906 | $ | 21,250 | ||
Accounts payable | 148,896 | 104,723 | ||||
Accrued salaries and benefits |