Why One Fund Just Bet $64 Million on a Healthcare Stock Down 63% This Past Year

Core Insights - Engine Capital Management has initiated a new position in Acadia Healthcare, acquiring 2.6 million shares valued at $64 million, indicating a strategic investment in the behavioral health sector during a period of transition for the company [1][2]. Company Overview - Acadia Healthcare is a leading provider of behavioral healthcare services, operating hundreds of facilities across the U.S. and Puerto Rico, focusing on inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers, and outpatient clinics [5][7]. - The company reported a total revenue of $3.3 billion and a net income of $107.4 million, with a market capitalization of $1.4 billion [4]. Financial Performance - Acadia Healthcare experienced a year-over-year revenue growth of 4.4%, reaching $851.6 million, alongside a 3.3% increase in same-facility admissions [9]. - However, the company has lowered its full-year revenue, EBITDA, and EPS guidance due to payor scrutiny, Medicaid softness, and increased liability costs, with adjusted EBITDA falling to $173 million from $194 million a year earlier [9]. Investment Rationale - The new position by Engine Capital represents 7.6% of its reportable assets under management as of September 30, suggesting a significant commitment to Acadia Healthcare [3]. - The stock price of Acadia Healthcare has decreased by 63% over the past year, underperforming the S&P 500, which has increased by 13% during the same period [3]. - Management is taking steps to improve financial performance by cutting 2026 capital expenditures by at least $300 million and aiming for positive free cash flow, which could enhance returns as new bed additions contribute to revenue [10].