Correcting and replacing acadia healthcare reports third quarter 2022 results
Franklin, tenn.--(business wire)--there was an inadvertent error on the supplementary table titled “reconciliation of net income attributable to acadia healthcare company, inc. to adjusted income attributable to acadia healthcare company, inc.” on page 11 of the previous release, within the line item titled “income tax effect of adjustments to income” and the resulting calculations of adjusted income and adjusted income per diluted share in the table. the table has been corrected and there were no other changes to the release. the updated release reads: acadia healthcare reports third quarter 2022 results same facility revenue increases 10.2% acadia healthcare company, inc. (nasdaq: achc) today announced financial results for the third quarter ended september 30, 2022. third quarter highlights revenue totaled $666.7 million, an increase of 13.5% over the third quarter of 2021 same facility revenue increased 10.2% compared to the third quarter of 2021, including an increase in revenue per patient day of 6.9% and an increase in patient days of 3.1% net income attributable to acadia totaled $71.1 million, or $0.78 per diluted share, and adjusted income from continuing operations attributable to acadia stockholders totaled $73.3 million, or $0.86 per diluted share, which included $0.06 of income from the provider relief fund (“prf”) established under the coronavirus aid, relief, and economic security (“cares”) act adjusted ebitda totaled $162.8 million, which included $7.7 million of income from the prf established under the cares act opened a de novo children’s hospital in chicago, a joint venture facility in knoxville, and two new comprehensive treatment centers (“ctcs”) third quarter results the company reported revenue of $666.7 million for the third quarter of 2022, compared with $587.6 million for the third quarter of 2021. adjusted ebitda was $162.8 million for the third quarter of 2022, compared with $141.9 million for the same period last year. excluding income from the prf, adjusted ebitda was $155.1 million for the third quarter of 2022. the company recorded income from the prf of $7.7 million in the third quarter of 2022. the company will continue to review the remaining $14.2 million of american rescue plan (“arp”) rural payments held on its balance sheet as of september 30, 2022, for the potential recognition of additional income. financial guidance for 2022 does not include the recognition of additional income in the fourth quarter of 2022 beyond the $16.2 million recorded in the nine months ended september 30, 2022. net income attributable to acadia stockholders for the third quarter of 2022 was $71.1 million, or $0.78 per diluted share. adjusted income from continuing operations attributable to acadia stockholders was $0.86 per diluted share for the third quarter of 2022. excluding income from the prf, adjusted income from continuing operations was $0.80 per diluted share for the third quarter of 2022. adjustments to income include transaction-related expenses and the income tax effect of adjustments to income. a reconciliation of all non-gaap financial results in this press release begins on page 10. for the third quarter of 2022, acadia’s same facility revenue increased 10.2% compared with the third quarter of 2021, including an increase in revenue per patient day of 6.9% and an increase in patient days of 3.1%. chris hunter, chief executive officer of acadia healthcare company, remarked, “we continued to see robust demand for our behavioral healthcare services during the third quarter. we executed our strategy with favorable results across our key performance metrics including continued navigation through a tight labor market. we are fortunate to have an experienced and dedicated team of employees and clinicians across our operations who have worked tirelessly to meet the needs of those seeking treatment for mental health and substance use issues. strategic investments for long-term growth “we have progressed on our key growth initiatives across all our service lines this year. we continue to make critical investments in our business to support sustained long-term growth through four distinct pathways. facility expansions are our first and most efficient growth pathway as we can expand services in established markets with our existing infrastructure and experienced staff. we added 132 beds to our existing facilities during the third quarter, bringing our total number of bed additions to 210 for the first nine months of the year. we are on track to meet our goal of adding approximately 300 beds in 2022. “for our second growth pathway, we continue to develop wholly owned de novo facilities that meet the critical demand for behavioral healthcare services in underserved markets. there are significant opportunities across the country to address this unmet need at the local community level. we opened a 60-bed children’s hospital in early july, as the first stage of our montrose behavioral health hospital operations in chicago. in addition to the children’s hospital, we expect to begin operations at our 101-bed adult hospital and the outpatient facility in 2023 following the renovations of these facilities. “we continue to identify opportunities to expand our network of ctcs to address the critical need for addiction treatment, specifically for patients dealing with opioid use disorder. during the third quarter, we opened new ctcs in indiana and florida. this brings our total to four ctcs opened this year, supporting our objective to open at least six new ctcs in 2022. as the opioid crisis has continued to escalate across the country, our ctc facilities and programs are playing a vital role in addressing this national epidemic. “a third important pathway for growth for acadia is forming strategic partnerships with leading health systems across the country. we are proud to work with a growing number of premier health systems to expand behavioral healthcare treatment options in their respective communities. by working together, we can leverage our behavioral health expertise and implement best practices to deliver high quality care and positive clinical outcomes for more patients. during the third quarter, we opened a new facility with our joint venture partner, covenant health, in knoxville, tennessee. we also broke ground on a new state-of-the-art behavioral health treatment and teaching hospital with our joint venture partner, henry ford health, in the detroit, michigan metropolitan area. we expect to commence operations at maple heights behavioral health, our joint venture with lutheran health network of indiana during the fourth quarter. an important aspect of many of our joint venture partnerships is the academic focus and training of future clinicians. during the quarter, our belmont behavioral health hospital in philadelphia entered into a formal affiliation agreement with thomas jefferson university’s sidney kimmel medical college and jefferson health in philadelphia, pennsylvania, to further teaching and clinical care opportunities for students in behavioral healthcare. “for our fourth pathway, we focus on identifying strategic acquisition opportunities that allow us to leverage our scale and expertise, make necessary investments for expansion and add service offerings to further enhance the continuum of care. we are fortunate to have a strong balance sheet that supports our ability to pursue acquisitions along with opportunities through our other important growth pathways,” added hunter. cash and liquidity maintaining a strong financial position is a top priority for acadia, providing the flexibility to pursue its growth initiatives and make strategic investments in its business. as of september 30, 2022, the company had $93.4 million in cash and cash equivalents. the company had $515 million available under its $600 million revolving credit facility and its net leverage ratio was approximately 2.1x as of september 30, 2022. during the third quarter, the company substantially completed its repayment of amounts received pursuant to the medicare accelerated and advanced payment program under the cares act. of the $45.2 million of advanced payments received in 2020, the company repaid a total of $25.1 million in 2021 and made additional payments of $18.9 million through the first nine months of 2022. the company will pay off the remaining balance of $1.2 million in the fourth quarter of 2022. in the third quarter of 2022, the company repaid the remaining half of the approximately $39.3 million of 2020 payroll tax deferrals, which eliminated this liability. financial guidance acadia today narrowed its previously announced financial guidance for 2022, as follows: 2022 guidance range revenue $2.58 to $2.60 billion adjusted ebitda, including income from the prf $611 to $621 million adjusted ebitda, excluding income from the prf $595 to $605 million adjusted earnings per diluted share, including income from the prf $3.13 to $3.23 adjusted earnings per diluted share, excluding income from the prf $3.00 to $3.10 interest expense approximately $70 million tax rate 25% to 26% depreciation and amortization expense approximately $120 million stock compensation expense approximately $30 million operating cash flows $360 to $400 million expansion capital expenditures $210 to $230 million maintenance capital expenditures approximately $60 million the company’s guidance does not include the impact of any future acquisitions, divestitures or transaction-related expenses. looking ahead hunter added, “we look forward to hosting acadia’s first investor day on wednesday, december 7, 2022, in new york city. our management team will provide an in-depth look at our diverse service lines and our strategic initiatives to advance our leadership position in the behavioral healthcare industry. “we are excited about the opportunities ahead for acadia, as we remain focused on our primary objective to extend our market reach through our four defined growth pathways. demand for our services continues to grow, and we believe we are well positioned to maintain our strong growth trajectory and meet our development targets for the year. without question, the critical need for behavioral health treatment has become a primary focus for health officials, medical professionals, and lawmakers across the country, with depression and anxiety issues further amplified by the strains of the covid-19 pandemic. recent data from the centers for disease control and prevention showed the u.s. suicide rate rose four percent in 2021 after two consecutive years of declines, highlighting the critical need for early assessment and intervention. as a leading provider of behavioral healthcare services, we play a vital role in addressing this need, and we believe we have the right strategy in place to make a positive difference. we are proud of the important work we are doing as we continue to pursue a strategic direction that delivers greater value for our patients, the communities we serve, and our stockholders.” conference call acadia will hold a conference call to discuss its third quarter financial results at 9:00 a.m. eastern time on november 1, 2022. 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 september 30, 2022, acadia operated a network of 242 behavioral healthcare facilities with approximately 10,800 beds in 39 states and puerto rico. with more than 22,500 employees serving approximately 70,000 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) the impact of the covid-19 pandemic, including, without limitation, disruption to the u.s. economy and financial markets; reduced admissions and patient volumes; and increased costs relating to labor, supply chain and other expenditures; (ii) the impact of vaccine and other pandemic-related mandates imposed by local, state and federal authorities; (iii) 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; (iv) acadia’s ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (v) potential reductions in payments received by acadia from government and third-party payors; (vi) the occurrence of patient incidents, governmental investigations, litigation and adverse regulatory actions, which could adversely affect the price of our common stock and result in substantial payments and incremental regulatory burdens; (vii) the risk that acadia may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; (viii) potential disruptions to our information technology systems or a cybersecurity incident; and (ix) potential operating difficulties, labor costs, client preferences, changes in competition 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. three months ended september 30, nine months ended september 30, 2022 2021 2022 2021 $ 666,732 $ 587,559 $ 1,935,104 $ 1,720,914 salaries, wages and benefits (including equity-based compensation expense of $7,240, $8,923, $21,745 and $24,988, respectively) 352,582 309,118 1,027,732 922,684 40,367 35,602 117,718 101,915 25,570 23,743 74,291 67,698 11,339 9,658 33,780 28,690 88,993 76,502 255,355 222,263 (7,656 ) — (16,206 ) — 29,573 27,805 87,627 78,349 18,003 15,706 50,355 61,420 — — — 24,650 — 1,079 — 24,293 10,859 3,035 18,381 9,320 569,630 502,248 1,649,033 1,541,282 97,102 85,311 286,071 179,632 24,056 17,411 69,183 42,948 73,046 67,900 216,888 136,684 — — — (12,641 ) 73,046 67,900 216,888 124,043 (1,947 ) (1,774 ) (4,873 ) (3,686 ) $ 71,099 $ 66,126 $ 212,015 $ 120,357 $ 0.79 $ 0.74 $ 2.37 $ 1.50 — — — $ (0.14 ) $ 0.79 $ 0.74 $ 2.37 $ 1.36 $ 0.78 $ 0.73 $ 2.31 $ 1.47 — — — $ (0.14 ) $ 0.78 $ 0.73 $ 2.31 $ 1.33 89,833 88,962 89,607 88,684 91,723 90,889 91,668 90,604 september 30, december 31, 2022 2021 (in thousands) $ 93,419 $ 133,813 315,999 281,332 112,238 79,886 521,656 495,031 1,908,993 1,771,159 2,207,912 2,199,937 75,920 70,145 2,983 3,080 135,627 133,761 90,014 94,965 $ 4,943,105 $ 4,768,078 $ 21,250 $ 18,594 116,045 98,575 109,654 137,845 25,770 23,348 128,294 126,499 401,013 404,861 1,379,306 1,478,626 94,446 74,368 117,473 116,841 118,923 110,505 2,111,161 2,185,201 88,236 65,388 899 890 2,650,545 2,636,350 92,264 (119,751 ) 2,743,708 2,517,489 $ 4,943,105 $ 4,768,078 nine months ended september 30, 2022 2021 $ 216,888 $ 124,043 87,627 78,349 2,440 3,265 21,745 24,988 20,176 8,995 — 12,641 — 24,650 — 24,293 2,422 881 (35,538 ) (8,610 ) (28,692 ) (2,758 ) 3,373 (15,846 ) 7,729 6,358 (8,831 ) 18,820 10,303 (11,633 ) (32,617 ) (12,058 ) 267,025 276,378 — 253 267,025 276,631 (208,792 ) (156,624 ) — 1,511,020 — (84,795 ) 1,784 1,792 — (31,401 ) (6,802 ) 3,106 (213,810 ) 1,243,098 — 425,000 — 430,000 (85,000 ) (330,000 ) (13,281 ) (5,313 ) — (2,227,935 ) — (7,964 ) (7,541 ) 16,072 13,178 1,800 (1,004 ) (926 ) 39 (6,914 ) (93,609 ) (1,706,180 ) — 4,067 (40,394 ) (182,384 ) 133,813 378,697 $ 93,419 $ 196,313 three months ended september 30, nine months ended september 30, 2022 2021 % change 2022 2021 % change $ 640,343 $ 580,930 10.2 % $ 1,859,200 $ 1,703,906 9.1 % 713,531 691,956 3.1 % 2,110,129 2,068,842 2.0 % 45,445 45,192 0.6 % 133,204 136,183 -2.2 % 15.7 15.3 2.5 % 15.8 15.2 4.3 % $ 897 $ 840 6.9 % $ 881 $ 824 7.0 % 30.5 % 29.0 % 29.9 % 28.0 % 29.3 % 29.0 % 29.0 % 28.0 % $ 666,732 $ 587,559 13.5 % $ 1,935,104 $ 1,720,914 12.4 % 738,702 701,352 5.3 % 2,179,805 2,088,477 4.4 % 47,692 45,246 5.4 % 139,930 136,384 2.6 % 15.5 15.5 -0.1 % 15.6 15.3 1.7 % $ 903 $ 838 7.7 % $ 888 $ 824 7.7 % 28.7 % 28.3 % 28.3 % 27.7 % 27.5 % 28.3 % 27.4 % 27.7 % three months ended september 30, nine months ended september 30, 2022 2021 2022 2021 $ 71,099 $ 66,126 $ 212,015 $ 120,357 1,947 1,774 4,873 3,686 — — — 12,641 24,056 17,411 69,183 42,948 18,003 15,706 50,355 61,420 29,573 27,805 87,627 78,349 144,678 128,822 424,053 319,401 7,240 8,923 21,745 24,988 10,859 3,035 18,381 9,320 — — — 24,650 — 1,079 — 24,293 $ 162,777 $ 141,859 $ 464,179 $ 402,652 24.4 % 24.1 % 24.0 % 23.4 % $ 155,121 $ 141,859 $ 447,973 $ 402,652 23.3 % 24.1 % 23.1 % 23.4 % 2022 2021 2022 2021 $ 71,099 $ 66,126 $ 212,015 $ 120,357 — — — 12,641 10,859 3,035 18,381 9,320 — — — 24,650 — 1,079 — 24,293 24,056 17,411 69,183 42,948 106,014 87,651 299,579 234,209 27,148 22,508 76,662 62,709 78,866 65,143 222,917 171,500 (5,579 ) — (11,809 ) — $ 73,287 $ 65,143 $ 211,108 $ 171,500 91,723 90,889 91,668 90,604 $ 0.86 $ 0.72 $ 2.43 $ 1.89 (0.06 ) — (0.13 ) — $ 0.80 $ 0.72 $ 2.30 $ 1.89
