vs
Side-by-side financial comparison of Acadia Healthcare Company, Inc. (ACHC) and Alignment Healthcare, Inc. (ALHC). Click either name above to swap in a different company.
Alignment Healthcare, Inc. is the larger business by last-quarter revenue ($1.0B vs $821.5M, roughly 1.2× Acadia Healthcare Company, Inc.). Alignment Healthcare, Inc. runs the higher net margin — -1.1% vs -143.3%, a 142.3% gap on every dollar of revenue. On growth, Alignment Healthcare, Inc. posted the faster year-over-year revenue change (44.4% vs 6.1%). Alignment Healthcare, Inc. produced more free cash flow last quarter ($-55.4M vs $-179.5M). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs 3.4%).
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.
Alignment Healthcare, Inc. is a U.S.-based healthcare provider offering Medicare Advantage plans for seniors. It adopts a value-based care model, partnering with local providers to deliver personalized coordinated medical services, prescription drug coverage and supplemental benefits to members across multiple U.S. states.
ACHC vs ALHC — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $821.5M | $1.0B |
| Net Profit | $-1.2B | $-11.0M |
| Gross Margin | — | — |
| Operating Margin | -142.4% | -1.0% |
| Net Margin | -143.3% | -1.1% |
| Revenue YoY | 6.1% | 44.4% |
| Net Profit YoY | -3710.4% | 64.6% |
| EPS (diluted) | $-12.98 | $-0.04 |
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.
| Q4 25 | $821.5M | $1.0B | ||
| Q3 25 | $851.6M | $993.7M | ||
| Q2 25 | $869.2M | $1.0B | ||
| Q1 25 | $770.5M | $926.9M | ||
| Q4 24 | $774.2M | $701.2M | ||
| Q3 24 | $815.6M | $692.4M | ||
| Q2 24 | $796.0M | $681.3M | ||
| Q1 24 | $768.1M | $628.6M |
| Q4 25 | $-1.2B | $-11.0M | ||
| Q3 25 | $36.2M | $3.7M | ||
| Q2 25 | $30.1M | $15.7M | ||
| Q1 25 | $8.4M | $-9.1M | ||
| Q4 24 | $32.6M | $-31.1M | ||
| Q3 24 | $68.1M | $-26.4M | ||
| Q2 24 | $78.5M | $-24.0M | ||
| Q1 24 | $76.4M | $-46.5M |
| Q4 25 | -142.4% | -1.0% | ||
| Q3 25 | 4.7% | 0.8% | ||
| Q2 25 | 5.8% | 2.2% | ||
| Q1 25 | 1.7% | -0.6% | ||
| Q4 24 | 4.9% | -3.2% | ||
| Q3 24 | 12.1% | -2.8% | ||
| Q2 24 | 13.4% | -2.7% | ||
| Q1 24 | 12.9% | -6.5% |
| Q4 25 | -143.3% | -1.1% | ||
| Q3 25 | 4.3% | 0.4% | ||
| Q2 25 | 3.5% | 1.5% | ||
| Q1 25 | 1.1% | -1.0% | ||
| Q4 24 | 4.2% | -4.4% | ||
| Q3 24 | 8.4% | -3.8% | ||
| Q2 24 | 9.9% | -3.5% | ||
| Q1 24 | 9.9% | -7.4% |
| Q4 25 | $-12.98 | $-0.04 | ||
| Q3 25 | $0.40 | $0.02 | ||
| Q2 25 | $0.33 | $0.07 | ||
| Q1 25 | $0.09 | $-0.05 | ||
| Q4 24 | $0.36 | $-0.15 | ||
| Q3 24 | $0.74 | $-0.14 | ||
| Q2 24 | $0.85 | $-0.13 | ||
| Q1 24 | $0.83 | $-0.25 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $133.2M | $604.2M |
| Total DebtLower is stronger | $2.5B | $323.2M |
| Stockholders' EquityBook value | $1.9B | $179.3M |
| Total Assets | $5.5B | $1.1B |
| Debt / EquityLower = less leverage | 1.28× | 1.80× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $133.2M | $604.2M | ||
| Q3 25 | $118.7M | $644.1M | ||
| Q2 25 | $131.4M | $503.8M | ||
| Q1 25 | $91.2M | $479.5M | ||
| Q4 24 | $76.3M | $470.6M | ||
| Q3 24 | $82.1M | $381.0M | ||
| Q2 24 | $77.2M | $363.7M | ||
| Q1 24 | $77.3M | $301.7M |
| Q4 25 | $2.5B | $323.2M | ||
| Q3 25 | $2.3B | $322.7M | ||
| Q2 25 | $2.3B | $322.3M | ||
| Q1 25 | $2.2B | $321.9M | ||
| Q4 24 | $2.0B | $321.4M | ||
| Q3 24 | $1.9B | $212.0M | ||
| Q2 24 | $1.8B | $211.7M | ||
| Q1 24 | $1.9B | $162.0M |
| Q4 25 | $1.9B | $179.3M | ||
| Q3 25 | $3.1B | $161.9M | ||
| Q2 25 | $3.1B | $141.0M | ||
| Q1 25 | $3.0B | $108.1M | ||
| Q4 24 | $3.1B | $99.9M | ||
| Q3 24 | $3.0B | $114.5M | ||
| Q2 24 | $3.0B | $123.7M | ||
| Q1 24 | $2.9B | $130.9M |
| Q4 25 | $5.5B | $1.1B | ||
| Q3 25 | $6.4B | $1.1B | ||
| Q2 25 | $6.3B | $1.0B | ||
| Q1 25 | $6.1B | $895.6M | ||
| Q4 24 | $6.0B | $782.1M | ||
| Q3 24 | $5.9B | $692.3M | ||
| Q2 24 | $5.7B | $716.3M | ||
| Q1 24 | $5.5B | $633.2M |
| Q4 25 | 1.28× | 1.80× | ||
| Q3 25 | 0.74× | 1.99× | ||
| Q2 25 | 0.74× | 2.29× | ||
| Q1 25 | 0.72× | 2.98× | ||
| Q4 24 | 0.64× | 3.22× | ||
| Q3 24 | 0.62× | 1.85× | ||
| Q2 24 | 0.62× | 1.71× | ||
| Q1 24 | 0.65× | 1.24× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-86.3M | $-50.4M |
| Free Cash FlowOCF − Capex | $-179.5M | $-55.4M |
| FCF MarginFCF / Revenue | -21.8% | -5.5% |
| Capex IntensityCapex / Revenue | 11.3% | 0.5% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-439.9M | $113.1M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-86.3M | $-50.4M | ||
| Q3 25 | $73.2M | $144.6M | ||
| Q2 25 | $133.5M | $29.1M | ||
| Q1 25 | $11.5M | $16.6M | ||
| Q4 24 | $116.7M | $-8.7M | ||
| Q3 24 | $163.1M | $26.2M | ||
| Q2 24 | $171.1M | $23.5M | ||
| Q1 24 | $-321.3M | $-6.2M |
| Q4 25 | $-179.5M | $-55.4M | ||
| Q3 25 | $-63.0M | $139.1M | ||
| Q2 25 | $-34.2M | $21.1M | ||
| Q1 25 | $-163.2M | $8.4M | ||
| Q4 24 | $-86.8M | $-18.0M | ||
| Q3 24 | $-27.1M | $16.9M | ||
| Q2 24 | $16.9M | $11.8M | ||
| Q1 24 | $-463.7M | $-17.4M |
| Q4 25 | -21.8% | -5.5% | ||
| Q3 25 | -7.4% | 14.0% | ||
| Q2 25 | -3.9% | 2.1% | ||
| Q1 25 | -21.2% | 0.9% | ||
| Q4 24 | -11.2% | -2.6% | ||
| Q3 24 | -3.3% | 2.4% | ||
| Q2 24 | 2.1% | 1.7% | ||
| Q1 24 | -60.4% | -2.8% |
| Q4 25 | 11.3% | 0.5% | ||
| Q3 25 | 16.0% | 0.6% | ||
| Q2 25 | 19.3% | 0.8% | ||
| Q1 25 | 22.7% | 0.9% | ||
| Q4 24 | 26.3% | 1.3% | ||
| Q3 24 | 23.3% | 1.3% | ||
| Q2 24 | 19.4% | 1.7% | ||
| Q1 24 | 18.5% | 1.8% |
| Q4 25 | — | — | ||
| Q3 25 | 2.02× | 38.77× | ||
| Q2 25 | 4.43× | 1.86× | ||
| Q1 25 | 1.37× | — | ||
| Q4 24 | 3.58× | — | ||
| Q3 24 | 2.39× | — | ||
| Q2 24 | 2.18× | — | ||
| Q1 24 | -4.21× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ACHC
| Acute Inpatient Psychiatric Facilities | $451.2M | 55% |
| Comprehensive Treatment Centers | $144.2M | 18% |
| Medicare | $113.7M | 14% |
| Residential Treatment Centers | $89.7M | 11% |
| Self Payor | $16.1M | 2% |
| Other Payor | $10.7M | 1% |
ALHC
Segment breakdown not available.
