Acadia Healthcare Credit Rating & NNN Cap Rate Analysis

| by the Investment Grade Team

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Acadia Healthcare credit rating, NNN cap rate, and investment grade tenant profile
Metric Details
Entity / Legal Name Acadia Healthcare Company, Inc. (NASDAQ: ACHC)
Credit Ratings S&P: BB-
Investment Grade Status Below Investment Grade
Sector Healthcare / Behavioral Health & Addiction Treatment
Headquarters Franklin, Tennessee
Facility Count 279 behavioral healthcare facilities in 40 states and Puerto Rico (June 30, 2026, Form 10-Q)
Beds Approximately 12,600 (June 30, 2026, Form 10-Q)
Annual Revenue $3.31 billion (FY2025)
Median asking cap rate Too few active listings to report
Lease Term Varies; Acadia reports original lease terms typically ranging from five to 30 years (Form 10-K for 2025); confirm in the lease
Guarantee Type Varies; Acadia’s facilities are owned and operated by subsidiaries, so confirm the tenant entity and any parent guarantee in the lease
Building Size Varies; confirm in the property records

Acadia Healthcare is not investment grade. Acadia Healthcare Co. Inc. carries issuer rating of BB- from S&P Global Ratings: below the BBB-/Baa3 investment grade threshold. Ratings checked October 8, 2026. See the investment grade credit tenant ratings table.

Acadia Healthcare Business Overview & NNN Investment Profile

Acadia Healthcare describes itself on its website as the largest stand-alone behavioral health company in the U.S. At June 30, 2026, its subsidiaries operated 279 behavioral healthcare facilities with approximately 12,600 beds in 40 states and Puerto Rico (Form 10-Q). The company’s service lines span four categories: acute inpatient psychiatric facilities (about 60% of its facilities other than CTCs at December 31, 2025), specialty treatment facilities for substance use disorders, comprehensive treatment centers (178 CTCs at December 31, 2025, which provide medication-assisted outpatient treatment for opioid addiction), and residential treatment centers (Form 10-K for 2025). Acadia generated $3.31 billion in revenue in fiscal year 2025, with acute inpatient psychiatric services contributing the largest share.

For NNN investors, Acadia represents an important segment of the healthcare real estate market that is fundamentally different from traditional medical office or hospital properties. Behavioral health and addiction treatment facilities are purpose-built environments that require specialized construction, licensing, and accreditation. These facilities can be harder to repurpose for other uses, so a buyer may rely more on the tenant’s credit and operations than on re-tenanting the real estate. Acadia added 1,089 beds in 2025, including 778 from one new wholly-owned facility and five new joint venture facilities (Form 10-K for 2025).

Non-Investment Grade: S&P BB- / Moody’s no verified rating
Acadia Healthcare is rated non-investment grade by each agency with a verified rating in our ratings database, and its filings for 2025 and 2026 describe significant financial headwinds. In the fourth quarter of 2025, Acadia recorded a $996.2 million non-cash goodwill impairment charge after higher professional and general liability expenses tied primarily to patient-related litigation, lower revenue projections reflecting changes in Medicaid reimbursement (primarily New York State’s exclusion of Medicaid referrals to its Pennsylvania facilities) and a sustained decline in its stock price. Its professional and general liability reserve rose to $181.8 million at December 31, 2025 from $87.5 million a year earlier. Medicaid accounted for 57.7% of 2025 revenue, creating concentrated exposure to government reimbursement policy changes, including the One Big Beautiful Bill Act of July 2025, which reduces federal Medicaid spending and tightens eligibility. At June 30, 2026, Acadia reported $171.3 million of cash and cash equivalents and $669.8 million available under its revolving credit facility; cash provided by operating activities was $131.9 million in 2025.

Why Acadia Healthcare Matters for NNN Investors

Acadia is expanding through joint ventures with health systems as well as wholly-owned facilities. In 2025 it opened five joint venture facilities, with Henry Ford Health, Geisinger Health, Ascension Seton, Fairview Health Services and ECU Health, and in the first half of 2026 it opened three more, with Tufts Medicine, Orlando Health and Methodist Jennie Edmundson.

The joint venture model is particularly relevant for NNN investors because it means Acadia is partnering with established health systems to develop new behavioral health hospitals. Acadia owns the real estate for most of its beds: at December 31, 2025, 91% of beds at its facilities other than CTCs were at owned properties, while 153 of its 178 CTCs were leased. It reports original lease terms typically ranging from five to 30 years with optional renewal periods, so confirm the term, rent increases, tenant entity and any parent guarantee in each lease. The BB- credit rating is below investment grade, a credit risk to weigh when comparing pricing with investment grade health system tenants.

Cap Rate Analysis & Pricing for Acadia Healthcare NNN Properties

Live asking cap rates for Acadia Healthcare and comparable tenants:

TenantS&P / Moody’sMedian asking cap rateMiddle half of listingsListingsMedian vs. 10-year Treasury
DaVitaBB / n/a6.75%6.15% to 7.30%37+151 bps
ATI Physical TherapyNR / NR7.76%7.26% to 8.31%4+252 bps

Active listings InvestmentGrade.com tracks with an asking cap rate (stated in the listing, or computed from its stated income and price when no rate is stated), listings last observed October 12, 2026. Asking cap rates are not closed-sale cap rates. The middle half is the range from the 25th to the 75th percentile of listings. The 10-year Treasury yield is 5.24% as of October 1, 2026 (FRED series DGS10). Ratings are the agency ratings in our ratings database for the entity shown, which may be a parent company; the rating type (for example issuer, senior unsecured debt, long-term debt or revenue bond ratings) varies by company and is shown on each tenant page. A rating applies to a lease only if the rated entity signs or guarantees it, so confirm the tenant and any guarantor in the lease. n/a means no verified rating is on file. Not shown because fewer than 3 active listings with a published cap rate were observed: Acadia Healthcare, HCA Healthcare.

When comparing pricing, weigh the BB- credit rating, the 2025 goodwill impairment and changes in Medicaid reimbursement.

Prices vary with facility type, size, remaining lease term and location, so value each property on its own lease. Buyers should understand behavioral health operations and licensing requirements.

Comparable Healthcare NNN Tenant S&P / Moody’s
HCA Healthcare BBB
DaVita Dialysis BB
ATI Physical Therapy Not rated
Is Acadia Healthcare investment grade?
No. Acadia Healthcare Co. Inc. carries issuer rating of BB- from S&P Global Ratings: below the BBB-/Baa3 investment grade threshold. See the credit tenant ratings table. Acadia describes itself on its website as the largest stand-alone behavioral health company in the U.S. It had $3.31 billion of revenue in 2025, recorded a $996.2 million goodwill impairment in the fourth quarter of 2025 and received 57.7% of its 2025 revenue from Medicaid (Form 10-K for 2025).

What are asking cap rates for Acadia Healthcare NNN properties?

Too few active Acadia Healthcare listings are observed to report a median asking cap rate. The live table on this page shows comparable healthcare tenants when enough listings are available. Pricing for a specific property depends on the remaining lease term, rent level, location and lease guarantor, and asking cap rates are not closed-sale cap rates.

Acadia Healthcare Net Lease Property: Buying, Selling and Financing

Buying: We find on-market and off-market Acadia Healthcare properties, review the lease and the tenant’s credit, and compare pricing with current listings. On the majority of transactions, there is no separate fee to you as the buyer; the listing broker pays a cooperating commission.

Selling: We can prepare an opinion of value from current listings and recent sales and, when it fits your goals, run a confidential sale to private investors, family offices and institutional buyers. See our guide to off-market sales.

Financing: Investment Grade Capital, a service of Investment Grade LLC, matches buyers and owners with lenders for acquisitions and refinancing.

1031 exchanges: Tell us your identification and closing deadlines so we can plan the search around them.

Request an NNN investment consultation or email team@investmentgrade.com.

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