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Side-by-side financial comparison of Acadia Healthcare Company, Inc. (ACHC) and COMMERCE BANCSHARES INC (CBSH). 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 $475.7M, roughly 1.7× COMMERCE BANCSHARES INC). COMMERCE BANCSHARES INC runs the higher net margin — 29.8% vs 0.5%, a 29.2% gap on every dollar of revenue. On growth, COMMERCE BANCSHARES INC posted the faster year-over-year revenue change (11.1% vs 7.5%). Over the past eight quarters, COMMERCE BANCSHARES INC's revenue compounded faster (7.1% 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.

Commerce Bancshares, Inc. is a regional bank holding company headquartered in Missouri, with principal offices in Kansas City and St. Louis. It is the corporate parent of Commerce Bank, which offers a diversified line of financial services, including business and personal banking, wealth management and investments through its affiliated companies.

ACHC vs CBSH — Head-to-Head

Bigger by revenue
ACHC
ACHC
1.7× larger
ACHC
$829.0M
$475.7M
CBSH
Growing faster (revenue YoY)
CBSH
CBSH
+3.6% gap
CBSH
11.1%
7.5%
ACHC
Higher net margin
CBSH
CBSH
29.2% more per $
CBSH
29.8%
0.5%
ACHC
Faster 2-yr revenue CAGR
CBSH
CBSH
Annualised
CBSH
7.1%
2.0%
ACHC

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
ACHC
ACHC
CBSH
CBSH
Revenue
$829.0M
$475.7M
Net Profit
$4.5M
$141.6M
Gross Margin
Operating Margin
Net Margin
0.5%
29.8%
Revenue YoY
7.5%
11.1%
Net Profit YoY
-50.8%
10.5%
EPS (diluted)
$0.05
$0.96

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
CBSH
CBSH
Q1 26
$829.0M
$475.7M
Q4 25
$821.5M
$449.4M
Q3 25
$851.6M
$441.0M
Q2 25
$869.2M
$445.8M
Q1 25
$770.5M
$428.1M
Q4 24
$774.2M
$422.1M
Q3 24
$815.6M
$421.4M
Q2 24
$796.0M
$414.5M
Net Profit
ACHC
ACHC
CBSH
CBSH
Q1 26
$4.5M
$141.6M
Q4 25
$-1.2B
$140.7M
Q3 25
$36.2M
$141.5M
Q2 25
$30.1M
$152.5M
Q1 25
$8.4M
$131.6M
Q4 24
$32.6M
$136.1M
Q3 24
$68.1M
$138.0M
Q2 24
$78.5M
$139.6M
Operating Margin
ACHC
ACHC
CBSH
CBSH
Q1 26
Q4 25
-142.4%
40.8%
Q3 25
4.7%
41.9%
Q2 25
5.8%
44.0%
Q1 25
1.7%
39.2%
Q4 24
4.9%
41.2%
Q3 24
12.1%
42.4%
Q2 24
13.4%
43.4%
Net Margin
ACHC
ACHC
CBSH
CBSH
Q1 26
0.5%
29.8%
Q4 25
-143.3%
31.3%
Q3 25
4.3%
32.1%
Q2 25
3.5%
34.2%
Q1 25
1.1%
30.7%
Q4 24
4.2%
32.2%
Q3 24
8.4%
32.8%
Q2 24
9.9%
33.7%
EPS (diluted)
ACHC
ACHC
CBSH
CBSH
Q1 26
$0.05
$0.96
Q4 25
$-12.98
$0.86
Q3 25
$0.40
$1.06
Q2 25
$0.33
$1.14
Q1 25
$0.09
$0.98
Q4 24
$0.36
$0.83
Q3 24
$0.74
$1.01
Q2 24
$0.85
$1.03

Balance Sheet & Financial Strength

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

Metric
ACHC
ACHC
CBSH
CBSH
Cash + ST InvestmentsLiquidity on hand
$158.5M
Total DebtLower is stronger
$2.5B
Stockholders' EquityBook value
$2.0B
$4.3B
Total Assets
$5.5B
$35.7B
Debt / EquityLower = less leverage
1.29×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACHC
ACHC
CBSH
CBSH
Q1 26
$158.5M
Q4 25
$133.2M
Q3 25
$118.7M
Q2 25
$131.4M
Q1 25
$91.2M
Q4 24
$76.3M
Q3 24
$82.1M
Q2 24
$77.2M
Total Debt
ACHC
ACHC
CBSH
CBSH
Q1 26
$2.5B
Q4 25
$2.5B
Q3 25
$2.3B
Q2 25
$2.3B
Q1 25
$2.2B
Q4 24
$2.0B
Q3 24
$1.9B
Q2 24
$1.8B
Stockholders' Equity
ACHC
ACHC
CBSH
CBSH
Q1 26
$2.0B
$4.3B
Q4 25
$1.9B
$3.8B
Q3 25
$3.1B
$3.8B
Q2 25
$3.1B
$3.6B
Q1 25
$3.0B
$3.5B
Q4 24
$3.1B
$3.3B
Q3 24
$3.0B
$3.4B
Q2 24
$3.0B
$3.1B
Total Assets
ACHC
ACHC
CBSH
CBSH
Q1 26
$5.5B
$35.7B
Q4 25
$5.5B
$32.9B
Q3 25
$6.4B
$32.3B
Q2 25
$6.3B
$32.3B
Q1 25
$6.1B
$32.4B
Q4 24
$6.0B
$32.0B
Q3 24
$5.9B
$31.5B
Q2 24
$5.7B
$30.6B
Debt / Equity
ACHC
ACHC
CBSH
CBSH
Q1 26
1.29×
Q4 25
1.28×
Q3 25
0.74×
Q2 25
0.74×
Q1 25
0.72×
Q4 24
0.64×
Q3 24
0.62×
Q2 24
0.62×

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
CBSH
CBSH
Operating Cash FlowLast quarter
$61.5M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
13.78×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACHC
ACHC
CBSH
CBSH
Q1 26
$61.5M
Q4 25
$-86.3M
$645.1M
Q3 25
$73.2M
$129.0M
Q2 25
$133.5M
$111.2M
Q1 25
$11.5M
$138.6M
Q4 24
$116.7M
$577.9M
Q3 24
$163.1M
$431.7M
Q2 24
$171.1M
$147.4M
Free Cash Flow
ACHC
ACHC
CBSH
CBSH
Q1 26
Q4 25
$-179.5M
$592.4M
Q3 25
$-63.0M
$113.3M
Q2 25
$-34.2M
$100.5M
Q1 25
$-163.2M
$126.0M
Q4 24
$-86.8M
$531.7M
Q3 24
$-27.1M
$419.1M
Q2 24
$16.9M
$138.9M
FCF Margin
ACHC
ACHC
CBSH
CBSH
Q1 26
Q4 25
-21.8%
131.8%
Q3 25
-7.4%
25.7%
Q2 25
-3.9%
22.5%
Q1 25
-21.2%
29.4%
Q4 24
-11.2%
126.0%
Q3 24
-3.3%
99.5%
Q2 24
2.1%
33.5%
Capex Intensity
ACHC
ACHC
CBSH
CBSH
Q1 26
Q4 25
11.3%
11.7%
Q3 25
16.0%
3.6%
Q2 25
19.3%
2.4%
Q1 25
22.7%
2.9%
Q4 24
26.3%
10.9%
Q3 24
23.3%
3.0%
Q2 24
19.4%
2.1%
Cash Conversion
ACHC
ACHC
CBSH
CBSH
Q1 26
13.78×
Q4 25
4.59×
Q3 25
2.02×
0.91×
Q2 25
4.43×
0.73×
Q1 25
1.37×
1.05×
Q4 24
3.58×
4.25×
Q3 24
2.39×
3.13×
Q2 24
2.18×
1.06×

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%

CBSH
CBSH

Segment breakdown not available.

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