Acadia Healthcare Company, Inc. (ACHC) vs Astrana Health, Inc. (ASTH)

Acadia Healthcare Company, Inc. and Astrana Health, Inc. are both Medical Care Facilities companies. Acadia Healthcare Company, Inc. is the larger, with a market value of $2.9B against $1.9B — 1.5× the size. Acadia Healthcare Company, Inc. has negative trailing earnings, so its P/E is not meaningful; Astrana Health, Inc. trades at 44.3×. Astrana Health, Inc. grew revenue faster over the last twelve months: 58.9% against 4.27%. Astrana Health, Inc. has the higher net margin (1.05% vs −33.4%) and the lower return on invested capital (4.56% vs 5.01%). Across the 20 metrics below, Astrana Health, Inc. leads on 12 and Acadia Healthcare Company, Inc. on 8.

Valuation

Metric ACHC ASTH Medical Care Facilities median
P/E n/m 44.35 20.56
P/S 0.81 0.47 0.85
P/B 1.38 2.15 2.84
Price to free cash flow n/m 19.16 13.73
EV/EBITDA 9.20 13.94 10.21
EV/Sales 1.47 0.61 1.32
Earnings yield (41.53%) 2.25% 2.25%
Free cash flow yield (3.68%) 5.22% 4.16%

Profitability

Metric ACHC ASTH Medical Care Facilities median
Gross margin 100.00% 10.46% 30.78%
Operating margin 10.06% 2.61% 5.74%
Net margin (33.44%) 1.05% 2.32%
Free cash flow margin (2.98%) 2.46% 5.46%
Return on equity (44.54%) 5.03% 8.76%
Return on assets (19.00%) 2.18% 2.18%
Return on invested capital 5.01% 4.56% 5.01%

Growth

Metric ACHC ASTH Medical Care Facilities median
Revenue growth (TTM) 4.27% 58.91% 7.12%
EPS growth (last fiscal year) (537.41%) (48.89%) 17.46%
Revenue growth, 5-year CAGR 9.65% 35.87% 9.58%
Net income growth, 5-year CAGR 0.00% (9.81%) 0.00%

Health

Metric ACHC ASTH Medical Care Facilities median
Debt to equity 1.22 1.11 0.37
Current ratio 1.57 1.23 1.20
Net debt to EBITDA 4.07 4.75 1.07

Dividend

Metric ACHC ASTH Medical Care Facilities median
Dividend yield — — 0.63%
Payout ratio — — 0.13

Size

Metric ACHC ASTH Medical Care Facilities median
Market cap 2.89b 1.89b 1.47b

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