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Side-by-side financial comparison of Acadia Healthcare Company, Inc. (ACHC) and ACI WORLDWIDE, INC. (ACIW). Click either name above to swap in a different company.

Acadia Healthcare Company, Inc. is the larger business by last-quarter revenue ($829.0M vs $481.6M, roughly 1.7× ACI WORLDWIDE, INC.). ACI WORLDWIDE, INC. runs the higher net margin — 13.4% vs 0.5%, a 12.8% gap on every dollar of revenue. On growth, Acadia Healthcare Company, Inc. posted the faster year-over-year revenue change (7.5% vs 6.3%). Over the past eight quarters, ACI WORLDWIDE, INC.'s revenue compounded faster (23.4% CAGR vs 2.0%).

Acadia Healthcare Company, Inc. is an American provider of for-profit behavioral healthcare services. It operates a network of over 225 facilities across the United States and Puerto Rico.

ACI Worldwide is a digital payments software company headquartered in Elkhorn, Nebraska, that processes billions of transactions daily equating to trillions of U.S. dollars for customers in 94 countries. Banks, financial institutions, merchants, billers, acquirers, issuers, and other third-party payment service providers use its intelligent solutions to deploy secure payment rails across all channels.

ACHC vs ACIW — Head-to-Head

Bigger by revenue
ACHC
ACHC
1.7× larger
ACHC
$829.0M
$481.6M
ACIW
Growing faster (revenue YoY)
ACHC
ACHC
+1.2% gap
ACHC
7.5%
6.3%
ACIW
Higher net margin
ACIW
ACIW
12.8% more per $
ACIW
13.4%
0.5%
ACHC
Faster 2-yr revenue CAGR
ACIW
ACIW
Annualised
ACIW
23.4%
2.0%
ACHC

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ACHC
ACHC
ACIW
ACIW
Revenue
$829.0M
$481.6M
Net Profit
$4.5M
$64.3M
Gross Margin
53.0%
Operating Margin
22.6%
Net Margin
0.5%
13.4%
Revenue YoY
7.5%
6.3%
Net Profit YoY
-50.8%
-34.7%
EPS (diluted)
$0.05
$0.61

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACHC
ACHC
ACIW
ACIW
Q1 26
$829.0M
Q4 25
$821.5M
$481.6M
Q3 25
$851.6M
$482.4M
Q2 25
$869.2M
$401.3M
Q1 25
$770.5M
$394.6M
Q4 24
$774.2M
$453.0M
Q3 24
$815.6M
$451.8M
Q2 24
$796.0M
$373.5M
Net Profit
ACHC
ACHC
ACIW
ACIW
Q1 26
$4.5M
Q4 25
$-1.2B
$64.3M
Q3 25
$36.2M
$91.3M
Q2 25
$30.1M
$12.2M
Q1 25
$8.4M
$58.9M
Q4 24
$32.6M
$98.6M
Q3 24
$68.1M
$81.4M
Q2 24
$78.5M
$30.9M
Gross Margin
ACHC
ACHC
ACIW
ACIW
Q1 26
Q4 25
53.0%
Q3 25
53.7%
Q2 25
41.5%
Q1 25
45.9%
Q4 24
55.8%
Q3 24
56.3%
Q2 24
45.6%
Operating Margin
ACHC
ACHC
ACIW
ACIW
Q1 26
Q4 25
-142.4%
22.6%
Q3 25
4.7%
26.5%
Q2 25
5.8%
8.7%
Q1 25
1.7%
14.8%
Q4 24
4.9%
27.0%
Q3 24
12.1%
27.1%
Q2 24
13.4%
14.4%
Net Margin
ACHC
ACHC
ACIW
ACIW
Q1 26
0.5%
Q4 25
-143.3%
13.4%
Q3 25
4.3%
18.9%
Q2 25
3.5%
3.0%
Q1 25
1.1%
14.9%
Q4 24
4.2%
21.8%
Q3 24
8.4%
18.0%
Q2 24
9.9%
8.3%
EPS (diluted)
ACHC
ACHC
ACIW
ACIW
Q1 26
$0.05
Q4 25
$-12.98
$0.61
Q3 25
$0.40
$0.88
Q2 25
$0.33
$0.12
Q1 25
$0.09
$0.55
Q4 24
$0.36
$0.92
Q3 24
$0.74
$0.77
Q2 24
$0.85
$0.29

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACHC
ACHC
ACIW
ACIW
Cash + ST InvestmentsLiquidity on hand
$158.5M
$196.5M
Total DebtLower is stronger
$2.5B
$817.6M
Stockholders' EquityBook value
$2.0B
$1.5B
Total Assets
$5.5B
$3.1B
Debt / EquityLower = less leverage
1.29×
0.54×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACHC
ACHC
ACIW
ACIW
Q1 26
$158.5M
Q4 25
$133.2M
$196.5M
Q3 25
$118.7M
$199.3M
Q2 25
$131.4M
$189.7M
Q1 25
$91.2M
$230.1M
Q4 24
$76.3M
$216.4M
Q3 24
$82.1M
$177.9M
Q2 24
$77.2M
$157.0M
Total Debt
ACHC
ACHC
ACIW
ACIW
Q1 26
$2.5B
Q4 25
$2.5B
$817.6M
Q3 25
$2.3B
$867.8M
Q2 25
$2.3B
$898.0M
Q1 25
$2.2B
$845.9M
Q4 24
$2.0B
$924.6M
Q3 24
$1.9B
$994.3M
Q2 24
$1.8B
$1.0B
Stockholders' Equity
ACHC
ACHC
ACIW
ACIW
Q1 26
$2.0B
Q4 25
$1.9B
$1.5B
Q3 25
$3.1B
$1.5B
Q2 25
$3.1B
$1.4B
Q1 25
$3.0B
$1.5B
Q4 24
$3.1B
$1.4B
Q3 24
$3.0B
$1.3B
Q2 24
$3.0B
$1.2B
Total Assets
ACHC
ACHC
ACIW
ACIW
Q1 26
$5.5B
Q4 25
$5.5B
$3.1B
Q3 25
$6.4B
$3.2B
Q2 25
$6.3B
$3.1B
Q1 25
$6.1B
$3.2B
Q4 24
$6.0B
$3.0B
Q3 24
$5.9B
$3.1B
Q2 24
$5.7B
$3.4B
Debt / Equity
ACHC
ACHC
ACIW
ACIW
Q1 26
1.29×
Q4 25
1.28×
0.54×
Q3 25
0.74×
0.59×
Q2 25
0.74×
0.64×
Q1 25
0.72×
0.57×
Q4 24
0.64×
0.65×
Q3 24
0.62×
0.75×
Q2 24
0.62×
0.82×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACHC
ACHC
ACIW
ACIW
Operating Cash FlowLast quarter
$61.5M
$121.8M
Free Cash FlowOCF − Capex
$116.6M
FCF MarginFCF / Revenue
24.2%
Capex IntensityCapex / Revenue
1.1%
Cash ConversionOCF / Net Profit
13.78×
1.89×
TTM Free Cash FlowTrailing 4 quarters
$309.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACHC
ACHC
ACIW
ACIW
Q1 26
$61.5M
Q4 25
$-86.3M
$121.8M
Q3 25
$73.2M
$73.0M
Q2 25
$133.5M
$49.8M
Q1 25
$11.5M
$78.2M
Q4 24
$116.7M
$126.5M
Q3 24
$163.1M
$54.0M
Q2 24
$171.1M
$55.0M
Free Cash Flow
ACHC
ACHC
ACIW
ACIW
Q1 26
Q4 25
$-179.5M
$116.6M
Q3 25
$-63.0M
$69.6M
Q2 25
$-34.2M
$47.6M
Q1 25
$-163.2M
$76.1M
Q4 24
$-86.8M
$119.5M
Q3 24
$-27.1M
$50.5M
Q2 24
$16.9M
$53.3M
FCF Margin
ACHC
ACHC
ACIW
ACIW
Q1 26
Q4 25
-21.8%
24.2%
Q3 25
-7.4%
14.4%
Q2 25
-3.9%
11.9%
Q1 25
-21.2%
19.3%
Q4 24
-11.2%
26.4%
Q3 24
-3.3%
11.2%
Q2 24
2.1%
14.3%
Capex Intensity
ACHC
ACHC
ACIW
ACIW
Q1 26
Q4 25
11.3%
1.1%
Q3 25
16.0%
0.7%
Q2 25
19.3%
0.5%
Q1 25
22.7%
0.5%
Q4 24
26.3%
1.5%
Q3 24
23.3%
0.8%
Q2 24
19.4%
0.5%
Cash Conversion
ACHC
ACHC
ACIW
ACIW
Q1 26
13.78×
Q4 25
1.89×
Q3 25
2.02×
0.80×
Q2 25
4.43×
4.08×
Q1 25
1.37×
1.33×
Q4 24
3.58×
1.28×
Q3 24
2.39×
0.66×
Q2 24
2.18×
1.78×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ACHC
ACHC

Acute Inpatient Psychiatric Facilities$471.0M57%
Other$140.0M17%
Specialty Treatment Facilities$128.0M15%
Residential Treatment Facilities$90.0M11%

ACIW
ACIW

Issuing And Acquiring$183.7M38%
License$158.3M33%
Maintenance$50.8M11%
Software And Platform Service$49.6M10%
Merchant Payments$42.4M9%

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