Acadia Healthcare Reports Second Quarter 2019 Revenue of $789.4 Million, EPS of $0.55 and Adjusted EPS of $0.61

U.S. Same Facility Revenue Grows 6.6%

Company Narrows 2019 Guidance

FRANKLIN, Tenn.--(BUSINESS WIRE)--Acadia Healthcare Company, Inc. (NASDAQ: ACHC) today announced financial results for the second quarter ended June 30, 2019.

The Company reported revenue of $789.4 million for the second quarter of 2019, a 3.1% increase compared with $765.7 million for the second quarter of 2018. Net income attributable to Acadia stockholders was $48.1 million, or $0.55 per diluted share, for the second quarter of 2019 compared with $58.8 million, or $0.67 per diluted share, for the second quarter of 2018. Results for the second quarter of 2019 include transaction-related expenses of $5.2 million and the income tax effect of adjustments to income of $0.4 million based on a tax rate of 17.2%. Adjusted income attributable to Acadia stockholders was $53.8 million, or $0.61 per diluted share, for the second quarter of 2019. Results for the second quarter of 2018 included transaction-related expenses of $2.9 million and the income tax effect of adjustments to income of $0.5 million based on a tax rate of 15.2%. Adjusted income attributable to Acadia stockholders for the second quarter of 2018 was $61.2 million, or $0.70 per diluted share.

A reconciliation of all non-GAAP financial results in this release appears beginning on page 8.

“We are pleased to report a solid financial and operating performance for the second quarter of 2019,” said Debbie Osteen, Chief Executive Officer of Acadia Healthcare Company. “These results were in line with expectations, reflecting consistent execution of our growth strategy. Our U.S. operations showed strong top-line growth and favorable trends in key operating metrics compared with the second quarter of 2018. For our U.K. operations, we delivered both sequential and year-over-year revenue growth for the second quarter of 2019. Across our operations, we are working hard to deliver on the operational efficiencies identified during our recent strategic review, while meeting our primary objective to deliver the highest quality of patient care.

“We have continued to focus on bed expansion opportunities and additional service offerings as the primary drivers of our growth. During the second quarter of 2019, we added 118 beds to Acadia’s operations. These expansions included the addition of 72 beds to existing facilities and 46 beds related to the acquisition of Bradford Recovery Center, a specialty treatment facility located in Millerton, Pennsylvania. For the full year 2019, we expect to add approximately 700 beds to existing and new facilities, exclusive of acquisitions,” added Osteen.

The Company’s total same facility revenue increased 5.7% for the second quarter of 2019 compared with the second quarter of 2018, including a 1.7% increase in patient days and a 3.9% increase in revenue per patient day. Total same facility EBITDA margin declined 110 basis points to 24.7%. U.S. same facility revenue rose 6.6%, on a 3.3% increase in patient days and a 3.2% increase in revenue per patient day. U.S. same facility EBITDA margin was consistent with the second quarter last year at 28.2%. For the U.K. operations, same facility revenue grew 3.9% for the second quarter of 2019 from the second quarter last year, reflecting a 4.1% increase in revenue per patient day offset by a 0.2% decrease in patient days. U.K. same facility EBITDA margin declined 360 basis points to 17.8%. Acadia’s consolidated adjusted EBITDA for the second quarter of 2019 was $158.9 million, compared with $165.0 million for the second quarter of 2018.

Acadia narrowed its previously established financial guidance for 2019, as follows:

• Revenue for 2019 in a range of $3.15 billion to $3.175 billion;
• Adjusted EBITDA for 2019 in a range of $610 million to $620 million; and
• Adjusted earnings per diluted share for 2019 in a range of $2.15 to $2.23.

The Company’s guidance does not include the impact of any future acquisitions or transaction-related expenses.

EBITDA is defined as net income adjusted for net income attributable to noncontrolling interests, provision for income taxes, net interest expense and depreciation and amortization. Adjusted EBITDA is defined as EBITDA adjusted for equity-based compensation expense, transaction-related expenses and debt extinguishment costs. Adjusted income is defined as net income adjusted for transaction-related expenses, tax reform impact, debt extinguishment costs and income tax effect of adjustments to income.

Acadia will hold a conference call to discuss its second quarter 2019 financial results at 9:00 a.m. Eastern Time on Wednesday, July 31, 2019. 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 through August 15, 2019.

Risk Factors

This news 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 news 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) our ability to successfully implement the strategic initiatives that we adopted following our review of our business in early 2019; (ii) potential difficulties operating our business in light of political and economic instability in the U.K. and globally relating to Brexit; (iii) the impact of fluctuations in foreign exchange rates, including the devaluation of the British Pound Sterling (GBP) relative to the U.S. Dollar (USD); (iv) Acadia’s ability to complete acquisitions and successfully integrate the operations of acquired facilities; (v) Acadia’s ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (vi) potential reductions in payments received by Acadia from government and third-party payors; (vii) the occurrence of patient incidents and governmental investigations, which could adversely affect the price of our common stock and result in substantial fines and incremental regulatory burdens; (viii) the risk that Acadia may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; 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 strategy. These factors and others are more fully described in Acadia’s periodic reports and other filings with the SEC.

About Acadia

Acadia is a leading provider of behavioral healthcare services. At June 30, 2019, Acadia operated a network of 595 behavioral healthcare facilities with approximately 18,200 beds in 40 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.

Acadia Healthcare Company, Inc.
Condensed Consolidated Statements of Income
(Unaudited)
	Three Months Ended June 30,						Six Months Ended June 30,
	2019			2018			2019			2018
	(In thousands, except per share amounts)
Revenue	$	789,362		$	765,738		$	1,549,979		$	1,507,979
Salaries, wages and benefits (including equity-based compensation expense of $4,182, $7,129, $10,283 and $14,048, respectively)		430,219			416,741			859,798			828,269
Professional fees		58,429			53,461			115,436			107,479
Supplies		30,914			30,133			60,871			59,497
Rents and leases		20,419			20,236			40,726			40,524
Other operating expenses		94,677			87,282			188,542			175,513
Depreciation and amortization		41,077			39,928			81,657			79,701
Interest expense, net		48,610			45,812			96,740			91,055
Debt extinguishment costs		-			-			-			940
Transaction-related expenses		5,212			2,887			9,533			7,655
Total expenses		729,557			696,480			1,453,303			1,390,633
Income before income taxes		59,805			69,258			96,676			117,346
Provision for income taxes		11,604			10,368			18,964			7,582
Net income		48,201			58,890			77,712			109,764
Net income attributable to noncontrolling interests		(61	)		(54	)		(101	)		(109	)
Net income attributable to Acadia Healthcare Company, Inc.	$	48,140		$	58,836		$	77,611		$	109,655
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic	$	0.55		$	0.67		$	0.89		$	1.26
Diluted	$	0.55		$	0.67		$	0.88		$	1.26
Weighted-average shares outstanding:
Basic		87,618			87,303			87,562			87,205
Diluted		87,837			87,467			87,770			87,351

Acadia Healthcare Company, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
	June 30,			December 31,
	2019			2018
	(In thousands)
ASSETS
Current assets:
Cash and cash equivalents	$	43,541		$	50,510
Accounts receivable, net		346,489			318,087
Other current assets		81,464			81,820
Total current assets		471,494			450,417
Property and equipment, net		3,164,076			3,107,766
Goodwill		2,435,025			2,396,412
Intangible assets, net		89,613			88,990
Deferred tax assets		3,404			3,468
Derivative instrument assets		72,965			60,524
Operating lease right-of-use assets		491,551			-
Other assets		62,290			64,927
Total assets	$	6,790,418		$	6,172,504
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	38,895		$	34,112
Accounts payable		115,651			117,740
Accrued salaries and benefits		110,445			113,299
Current portion of operating lease liabilities		27,578			-
Other accrued liabilities		138,119			151,226
Total current liabilities		430,688			416,377
Long-term debt		3,206,868			3,159,375
Deferred tax liabilities		83,096			80,372
Operating lease liabilities		490,903			-
Other liabilities		124,310			154,267
Total liabilities		4,335,865			3,810,391
Redeemable noncontrolling interests		32,207			28,806
Equity:
Common stock		876			874
Additional paid-in capital		2,550,653			2,541,987
Accumulated other comprehensive loss		(459,617	)		(462,377	)
Retained earnings		330,434			252,823
Total equity		2,422,346			2,333,307
Total liabilities and equity	$	6,790,418		$	6,172,504

Acadia Healthcare Company, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
	Six Months Ended June 30,
	2019			2018
	(In thousands)
Operating activities:
Net income	$	77,712		$	109,764
Adjustments to reconcile net income to net cash provided by continuing operating activities:
Depreciation and amortization		81,657			79,701
Amortization of debt issuance costs		5,887			5,124
Equity-based compensation expense		10,283			14,048
Deferred income taxes		(205	)		(3,978	)
Debt extinguishment costs		-			940
Other		2,395			1,040
Change in operating assets and liabilities:
Accounts receivable, net		(27,669	)		(26,104	)
Other current assets		(10,591	)		9,953
Other assets		661			2,761
Accounts payable and other accrued liabilities		(11,060	)		21,066
Accrued salaries and benefits		(3,232	)		4,364
Other liabilities		2,848			(793	)
Net cash provided by continuing operating activities		128,686			217,886
Net cash used in discontinued operating activities		-			(572	)
Net cash provided by operating activities		128,686			217,314
Investing activities:
Cash paid for acquisitions, net of cash acquired		(44,900	)		-
Cash paid for capital expenditures		(139,128	)		(161,555	)
Cash paid for real estate acquisitions		(4,448	)		(8,857	)
Other		10,494			(3,337	)
Net cash used in investing activities		(177,982	)		(173,749	)
Financing activities:
Borrowings on revolving credit facility		76,573			-
Principal payments on revolving credit facility		(11,573	)		-
Principal payments on long-term debt		(16,492	)		(23,246	)
Common stock withheld for minimum statutory taxes, net		(1,615	)		(2,134	)
Other		(4,345	)		(5,172	)
Net cash provided by (used in) financing activities		42,548			(30,552	)
Effect of exchange rate changes on cash		(221	)		(840	)
Net (decrease) increase in cash and cash equivalents		(6,969	)		12,173
Cash and cash equivalents at beginning of the period		50,510			67,290
Cash and cash equivalents at end of the period	$	43,541		$	79,463
Effect of acquisitions:
Assets acquired, excluding cash	$	48,555		$	-
Liabilities assumed		(3,655	)		-
Cash paid for acquisitions, net of cash acquired	$	44,900		$	-

Acadia Healthcare Company, Inc.
Operating Statistics
(Unaudited, Revenue in thousands)
	Three Months Ended June 30,					Six Months Ended June 30,
	2019		2018		% Change	2019		2018		% Change
Same Facility Results (a,c)
Revenue	$	748,877	$	708,672	5.7%	$	1,472,684	$	1,393,898	5.7%
Patient Days		1,139,514		1,119,945	1.7%		2,262,522		2,212,314	2.3%
Admissions		43,761		42,559	2.8%		87,488		83,700	4.5%
Average Length of Stay (b)		26.0		26.3	-1.0%		25.9		26.4	-2.2%
Revenue per Patient Day	$	657	$	633	3.9%	$	651	$	630	3.3%
EBITDA margin		24.7%		25.8%	-110 bps		23.7%		25.0%	-130 bps
U.S. Same Facility Results (a)
Revenue	$	494,524	$	463,961	6.6%	$	969,542	$	911,545	6.4%
Patient Days		636,518		616,123	3.3%		1,262,072		1,215,633	3.8%
Admissions		41,472		40,186	3.2%		82,815		78,891	5.0%
Average Length of Stay (b)		15.3		15.3	0.1%		15.2		15.4	-1.1%
Revenue per Patient Day	$	777	$	753	3.2%	$	768	$	750	2.4%
EBITDA margin		28.2%		28.2%	0 bps		27.2%		27.2%	0 bps
U.K. Same Facility Results (a,c)
Revenue	$	254,353	$	244,711	3.9%	$	503,142	$	482,353	4.3%
Patient Days		502,996		503,822	-0.2%		1,000,450		996,681	0.4%
Admissions		2,289		2,373	-3.5%		4,673		4,809	-2.8%
Average Length of Stay (b)		219.7		212.3	3.5%		214.1		207.3	3.3%
Revenue per Patient Day	$	506	$	486	4.1%	$	503	$	484	3.9%
EBITDA margin		17.8%		21.4%	-360 bps		17.1%		21.0%	-390 bps
U.S. Facility Results
Revenue	$	509,813	$	481,470	5.9%	$	997,773	$	943,875	5.7%
Patient Days		656,456		635,766	3.3%		1,296,780		1,248,655	3.9%
Admissions		43,153		40,519	6.5%		85,405		79,451	7.5%
Average Length of Stay (b)		15.2		15.7	-3.0%		15.2		15.7	-3.4%
Revenue per Patient Day	$	777	$	757	2.5%	$	769	$	756	1.8%
EBITDA margin		26.6%		27.0%	-40 bps		25.5%		26.2%	-70 bps
U.K. Facility Results (c)
Revenue	$	279,549	$	268,562	4.1%	$	552,206	$	530,453	4.1%
Patient Days		671,140		676,901	-0.9%		1,335,533		1,342,472	-0.5%
Admissions		2,653		2,712	-2.2%		5,411		5,474	-1.2%
Average Length of Stay (b)		253.0		249.6	1.4%		246.8		245.2	0.6%
Revenue per Patient Day	$	417	$	397	5.0%	$	413	$	395	4.6%
EBITDA margin		16.4%		19.1%	-270 bps		15.6%		18.7%	-310 bps
Total Facility Results (c)
Revenue	$	789,362	$	750,032	5.2%	$	1,549,979	$	1,474,328	5.1%
Patient Days		1,327,596		1,312,667	1.1%		2,632,313		2,591,127	1.6%
Admissions		45,806		43,231	6.0%		90,816		84,925	6.9%
Average Length of Stay (b)		29.0		30.4	-4.5%		29.0		30.5	-5.0%
Revenue per Patient Day	$	595	$	571	4.1%	$	589	$	569	3.5%
EBITDA margin		23.0%		24.2%	-120 bps		22.0%		23.5%	-150 bps
(a) Results for the periods presented exclude the elderly care division of our U.K. operations and certain closed services.
(b) Average length of stay is defined as patient days divided by admissions.
(c) Revenue and revenue per patient day for the three and six months ended June 30, 2018 is adjusted to reflect the foreign currency exchange rate for the comparable periods of 2019 in order to eliminate the effect of changes in the exchange rate. The exchange rate used in the adjusted revenue and revenue per patient day amounts for both the three and six months ended June 30, 2018 is 1.29.

Acadia Healthcare Company, Inc.
Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to Adjusted EBITDA
(Unaudited)
	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018
	(in thousands)
Net income attributable to Acadia Healthcare Company, Inc.	$	48,140	$	58,836	$	77,611	$	109,655
Net income attributable to noncontrolling interests		61		54		101		109
Provision for income taxes		11,604		10,368		18,964		7,582
Interest expense, net		48,610		45,812		96,740		91,055
Depreciation and amortization		41,077		39,928		81,657		79,701
EBITDA		149,492		154,998		275,073		288,102
Adjustments:
Equity-based compensation expense (a)		4,182		7,129		10,283		14,048
Transaction-related expenses (b)		5,212		2,887		9,533		7,655
Debt extinguishment costs (c)		-		-		-		940
Adjusted EBITDA	$	158,886	$	165,014	$	294,889	$	310,745
See footnotes on page 10.

Acadia Healthcare Company, Inc.
Reconciliation of Adjusted Income Attributable to Acadia Healthcare Company, Inc. to
Net Income Attributable to Acadia Healthcare Company, Inc.
(Unaudited)
	Three Months Ended June 30,					Six Months Ended June 30,
	2019		2018			2019		2018
	(in thousands, except per share amounts)
Net income attributable to Acadia Healthcare Company, Inc.	$	48,140	$	58,836		$	77,611	$	109,655
Adjustments to income:
Transaction-related expenses (b)		5,212		2,887			9,533		7,655
Tax reform impact (d)		-		-			-		(10,472	)
Debt extinguishment costs (c)		-		-			-		940
Income tax effect of adjustments to income (e)		438		(554	)		987		(1,415	)
Adjusted income attributable to Acadia Healthcare Company, Inc.	$	53,790	$	61,169		$	88,131	$	106,363
Weighted-average shares outstanding - diluted		87,837		87,467			87,770		87,351
Adjusted income attributable to Acadia Healthcare Company, Inc. per diluted share	$	0.61	$	0.70		$	1.00	$	1.22
See footnotes on page 10.

Acadia Healthcare Company, Inc.

Footnotes

We have included certain financial measures in this press release, including EBITDA, Adjusted EBITDA, and Adjusted income, which are “non-GAAP financial measures” as defined under the rules and regulations promulgated by the SEC. We define EBITDA as net income adjusted for net income attributable to noncontrolling interests, provision for income taxes, net interest expense and depreciation and amortization. We define Adjusted EBITDA as EBITDA adjusted for equity-based compensation expense, transaction-related expenses and debt extinguishment costs. We define Adjusted income as net income adjusted for transaction-related expenses, tax reform impact, debt extinguishment costs, and income tax effect of adjustments to income.

EBITDA, Adjusted EBITDA, and Adjusted income are supplemental measures of our performance and are not required by, or presented in accordance with, generally accepted accounting principles in the United States (“GAAP”). EBITDA, Adjusted EBITDA, and Adjusted income are not measures of our financial performance under GAAP and should not be considered as alternatives to net income or any other performance measures derived in accordance with GAAP or as an alternative to cash flow from operating activities as measures of our liquidity. Our measurements of EBITDA, Adjusted EBITDA, and Adjusted income may not be comparable to similarly titled measures of other companies. We have included information concerning EBITDA, Adjusted EBITDA, and Adjusted income in this press release because we believe that such information is used by certain investors as measures of a company’s historical performance. We believe these measures are frequently used by securities analysts, investors and other interested parties in the evaluation of issuers of equity securities, many of which present EBITDA, Adjusted EBITDA, and Adjusted income when reporting their results. Our presentation of EBITDA, Adjusted EBITDA, and Adjusted income should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.

The Company is not able to provide a reconciliation of projected Adjusted EBITDA and adjusted earnings per diluted share, where provided, to expected results due to the unknown effect, timing and potential significance of transaction-related expenses and the tax effect of such expenses.

(a) Represents the equity-based compensation expense of Acadia.

(b) Represents transaction-related expenses incurred by Acadia primarily related to acquisitions and integration efforts.

(c) Represents debt extinguishment costs recorded in connection with the repricing amendments to the Amended and Restated Credit Agreement in March 2018.

(d) Represents tax benefit related to the enactment of the Tax Cuts and Jobs Act.

(e) Represents the income tax effect of adjustments to income based on tax rates of 17.2% and 15.2% for the three months ended June 30, 2019 and 2018, respectively, and 16.9% and 15.5% for the six months ended June 30, 2019 and 2018, respectively.