Acadia Healthcare vs Astrana Health
Acadia Healthcare reported revenue of $3.3 billion in fiscal 2025, about the same as Astrana Health's $3.2 billion in fiscal 2025. Acadia Healthcare's revenue grew 5.0% in its latest year, and Astrana Health's grew 56.4%. Free cash flow was −$440 million at Acadia Healthcare and $104 million at Astrana Health.
Side by side
| Acadia Healthcare | Astrana Health | |
|---|---|---|
| Latest fiscal year | FY2025, Dec 31, 2025 | FY2025, Dec 31, 2025 |
| Revenue | $3.3B | $3.2B |
| Revenue growth | 5.0% | 56.4% |
| Revenue growth a year, last 5 years | 9.7% | 35.9% |
| Gross margin | — | — |
| Operating margin | — | 2.5% |
| Net margin | −33.3% | 0.7% |
| Free cash flow | −$440M | $104M |
| Free cash flow margin | −13.3% | 3.3% |
| Return on capital | −16.0% | 4.2% |
| Net debt to EBITDA | — | 4.9x |
| Dividends and buybacks | $50M | $34M |
| Change in diluted share count | −1.5% | 2.9% |
| Last close | $31.34 | $37.23 |
| P/E at the last close | — | 44.9× |
| Insider trades, last 12 months | — | — |
| Piotroski F-score | 4 of 8 | 4 of 8 |
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.
Ten years
Revenue
US$ billions, fiscal years
Acadia HealthcareAstrana Health
Operating margin
Percent of revenue
Acadia HealthcareAstrana Health
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Acadia HealthcareAstrana Health
Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Acadia Healthcare and Astrana Health pages.