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Side-by-side financial comparison of Acadia Healthcare Company, Inc. (ACHC) and Option Care Health, Inc. (OPCH), based on the latest 10-Q / 10-K filings. Click either name above to swap in a different company.

Option Care Health, Inc. is the larger business by last-quarter revenue ($1.4B vs $821.5M, roughly 1.7× Acadia Healthcare Company, Inc.). Option Care Health, Inc. runs the higher net margin — -143.3% vs 3.6%, a 147.0% gap on every dollar of revenue. On growth, Option Care Health, Inc. posted the faster year-over-year revenue change (12.2% vs 6.1%). Option Care Health, Inc. produced more free cash flow last quarter ($130.2M vs $-179.5M). Over the past eight quarters, Option Care Health, Inc.'s revenue compounded faster (13.0% 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.

GE Healthcare Technologies, Inc. is an American health technology company based in Chicago, Illinois. The company, which stylizes its own name as GE HealthCare, operates four divisions: Medical imaging, which includes molecular imaging, computed tomography, magnetic resonance, women’s health screening and X-ray systems; Ultrasound; Patient Care Solutions, which is focused on remote patient monitoring, anesthesia and respiratory care, diagnostic cardiology, and infant care; and Pharmaceutical ...

ACHC vs OPCH — Head-to-Head

Bigger by revenue
OPCH
OPCH
1.7× larger
OPCH
$1.4B
$821.5M
ACHC
Growing faster (revenue YoY)
OPCH
OPCH
+6.1% gap
OPCH
12.2%
6.1%
ACHC
Higher net margin
OPCH
OPCH
147.0% more per $
OPCH
3.6%
-143.3%
ACHC
More free cash flow
OPCH
OPCH
$309.7M more FCF
OPCH
$130.2M
$-179.5M
ACHC
Faster 2-yr revenue CAGR
OPCH
OPCH
Annualised
OPCH
13.0%
3.4%
ACHC

Income Statement — Q4 2025 vs Q3 2025

Metric
ACHC
ACHC
OPCH
OPCH
Revenue
$821.5M
$1.4B
Net Profit
$-1.2B
$51.8M
Gross Margin
19.0%
Operating Margin
-142.4%
5.9%
Net Margin
-143.3%
3.6%
Revenue YoY
6.1%
12.2%
Net Profit YoY
-3710.4%
-3.8%
EPS (diluted)
$-12.98
$0.32

Green = leading value per metric. Periods may differ when fiscal calendars don't align — see 8-quarter trend below.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history — bar widths are scaled to the larger of the two companies so you can eyeball the size gap and growth trajectory without doing math. Quarters aligned by calendar period (report date) so offset fiscal years line up.

Revenue
ACHC
ACHC
OPCH
OPCH
Q4 25
$821.5M
Q3 25
$851.6M
$1.4B
Q2 25
$869.2M
$1.4B
Q1 25
$770.5M
$1.3B
Q4 24
$774.2M
$1.3B
Q3 24
$815.6M
$1.3B
Q2 24
$796.0M
$1.2B
Q1 24
$768.1M
$1.1B
Net Profit
ACHC
ACHC
OPCH
OPCH
Q4 25
$-1.2B
Q3 25
$36.2M
$51.8M
Q2 25
$30.1M
$50.5M
Q1 25
$8.4M
$46.7M
Q4 24
$32.6M
$60.1M
Q3 24
$68.1M
$53.9M
Q2 24
$78.5M
$53.0M
Q1 24
$76.4M
$44.8M
Gross Margin
ACHC
ACHC
OPCH
OPCH
Q4 25
Q3 25
19.0%
Q2 25
19.0%
Q1 25
19.7%
Q4 24
21.3%
Q3 24
20.1%
Q2 24
20.3%
Q1 24
20.8%
Operating Margin
ACHC
ACHC
OPCH
OPCH
Q4 25
-142.4%
Q3 25
4.7%
5.9%
Q2 25
5.8%
5.8%
Q1 25
1.7%
5.9%
Q4 24
4.9%
6.9%
Q3 24
12.1%
6.7%
Q2 24
13.4%
6.6%
Q1 24
12.9%
6.0%
Net Margin
ACHC
ACHC
OPCH
OPCH
Q4 25
-143.3%
Q3 25
4.3%
3.6%
Q2 25
3.5%
3.6%
Q1 25
1.1%
3.5%
Q4 24
4.2%
4.8%
Q3 24
8.4%
4.2%
Q2 24
9.9%
4.3%
Q1 24
9.9%
3.9%
EPS (diluted)
ACHC
ACHC
OPCH
OPCH
Q4 25
$-12.98
Q3 25
$0.40
$0.32
Q2 25
$0.33
$0.31
Q1 25
$0.09
$0.28
Q4 24
$0.36
$0.36
Q3 24
$0.74
$0.31
Q2 24
$0.85
$0.30
Q1 24
$0.83
$0.26

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest filing — the kind of financial-strength check premium terminals charge for.

Metric
ACHC
ACHC
OPCH
OPCH
Cash + ST InvestmentsLiquidity on hand
$133.2M
$309.8M
Total DebtLower is stronger
$2.5B
$1.2B
Stockholders' EquityBook value
$1.9B
$1.4B
Total Assets
$5.5B
$3.5B
Debt / EquityLower = less leverage
1.28×
0.86×

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Cash + ST Investments
ACHC
ACHC
OPCH
OPCH
Q4 25
$133.2M
Q3 25
$118.7M
$309.8M
Q2 25
$131.4M
$198.8M
Q1 25
$91.2M
$171.4M
Q4 24
$76.3M
$412.6M
Q3 24
$82.1M
$483.0M
Q2 24
$77.2M
$376.9M
Q1 24
$77.3M
$219.5M
Total Debt
ACHC
ACHC
OPCH
OPCH
Q4 25
$2.5B
Q3 25
$2.3B
$1.2B
Q2 25
$2.3B
$1.1B
Q1 25
$2.2B
$1.1B
Q4 24
$2.0B
$1.1B
Q3 24
$1.9B
$1.1B
Q2 24
$1.8B
$1.1B
Q1 24
$1.9B
$1.1B
Stockholders' Equity
ACHC
ACHC
OPCH
OPCH
Q4 25
$1.9B
Q3 25
$3.1B
$1.4B
Q2 25
$3.1B
$1.4B
Q1 25
$3.0B
$1.4B
Q4 24
$3.1B
$1.4B
Q3 24
$3.0B
$1.4B
Q2 24
$3.0B
$1.4B
Q1 24
$2.9B
$1.4B
Total Assets
ACHC
ACHC
OPCH
OPCH
Q4 25
$5.5B
Q3 25
$6.4B
$3.5B
Q2 25
$6.3B
$3.4B
Q1 25
$6.1B
$3.3B
Q4 24
$6.0B
$3.4B
Q3 24
$5.9B
$3.4B
Q2 24
$5.7B
$3.3B
Q1 24
$5.5B
$3.2B
Debt / Equity
ACHC
ACHC
OPCH
OPCH
Q4 25
1.28×
Q3 25
0.74×
0.86×
Q2 25
0.74×
0.82×
Q1 25
0.72×
0.82×
Q4 24
0.64×
0.79×
Q3 24
0.62×
0.78×
Q2 24
0.62×
0.79×
Q1 24
0.65×
0.74×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Net income can be massaged; cash flow is harder to fake.

Metric
ACHC
ACHC
OPCH
OPCH
Operating Cash FlowLast quarter
$-86.3M
$139.4M
Free Cash FlowOCF − Capex
$-179.5M
$130.2M
FCF MarginFCF / Revenue
-21.8%
9.1%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
11.3%
0.6%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
2.69×
TTM Free Cash FlowTrailing 4 quarters
$-439.9M
$220.7M

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Operating Cash Flow
ACHC
ACHC
OPCH
OPCH
Q4 25
$-86.3M
Q3 25
$73.2M
$139.4M
Q2 25
$133.5M
$90.3M
Q1 25
$11.5M
$-7.2M
Q4 24
$116.7M
$36.1M
Q3 24
$163.1M
$160.4M
Q2 24
$171.1M
$195.7M
Q1 24
$-321.3M
$-68.8M
Free Cash Flow
ACHC
ACHC
OPCH
OPCH
Q4 25
$-179.5M
Q3 25
$-63.0M
$130.2M
Q2 25
$-34.2M
$81.2M
Q1 25
$-163.2M
$-16.6M
Q4 24
$-86.8M
$25.8M
Q3 24
$-27.1M
$150.7M
Q2 24
$16.9M
$185.9M
Q1 24
$-463.7M
$-74.6M
FCF Margin
ACHC
ACHC
OPCH
OPCH
Q4 25
-21.8%
Q3 25
-7.4%
9.1%
Q2 25
-3.9%
5.7%
Q1 25
-21.2%
-1.2%
Q4 24
-11.2%
2.0%
Q3 24
-3.3%
11.8%
Q2 24
2.1%
15.1%
Q1 24
-60.4%
-6.5%
Capex Intensity
ACHC
ACHC
OPCH
OPCH
Q4 25
11.3%
Q3 25
16.0%
0.6%
Q2 25
19.3%
0.6%
Q1 25
22.7%
0.7%
Q4 24
26.3%
0.8%
Q3 24
23.3%
0.8%
Q2 24
19.4%
0.8%
Q1 24
18.5%
0.5%
Cash Conversion
ACHC
ACHC
OPCH
OPCH
Q4 25
Q3 25
2.02×
2.69×
Q2 25
4.43×
1.79×
Q1 25
1.37×
-0.15×
Q4 24
3.58×
0.60×
Q3 24
2.39×
2.98×
Q2 24
2.18×
3.69×
Q1 24
-4.21×
-1.54×

Financial Flow Comparison

Sankey diagram of revenue → gross profit → operating profit → net profit for each company. Charts shown full-width and stacked so both segment hierarchies are readable side-by-side on desktop and mobile.

Revenue Breakdown by Segment

ACHC
ACHC

Acute Inpatient Psychiatric Facilities$451.2M55%
Comprehensive Treatment Centers$144.2M18%
Medicare$113.7M14%
Residential Treatment Centers$89.7M11%
Self Payor$16.1M2%
Other Payor$10.7M1%

OPCH
OPCH

Commercial Customer$1.3B87%
Government Customer$172.8M12%
Patient Customer$10.1M1%
Corporate Joint Venture$1.9M0%

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