Deal Timeline

Plotted by close date where disclosed, otherwise announcement. Select any marker to jump to the deal entry.

The Rationale That Repeats.

Three patterns show up across Acadia Healthcare's deal book — what the team buys, how it pays, and how it integrates. The patterns are the throughline; the deals below are the evidence.

01
Acquisition criteria
Debt-and-equity-funded roll-up of a fragmented market.
Acadia was built deal-by-deal: a founding platform (YFCS), a reverse merger to go public (PHC), then a rapid cadence of inpatient and addiction acquisitions. Management framed the strategy explicitly around capital access — the PHC merger was pitched as enhancing "our ability to drive Acadia's growth through additional acquisitions in the highly fragmented behavioral health care services industry," and nearly every deal was funded with a fresh credit-facility upsizing or equity raise.
Youth and Family Centered Services, Inc. (YFCS)PHC, Inc. (d/b/a Pioneer Behavioral Health)Three acute inpatient psychiatric hospitals (Haven Behavioral Healthcare)Timberline KnollsPartnerships in Care (PiC)
02
Capital deployment
Two transformational platforms, then bolt-ons.
The biggest checks bought scaled platforms — CRC (~$1.3B) for U.S. addiction treatment and the UK pair, Partnerships in Care (~$662M) and Priory (~$2.2B), which together made Acadia the leading independent provider of mental health services in the United Kingdom. Around those anchors Acadia layered facility-level tuck-ins (Timberline Knolls, TrustPoint, QAM, CenterPointe) to thicken bed density market by market.
Youth and Family Centered Services, Inc. (YFCS)PHC, Inc. (d/b/a Pioneer Behavioral Health)Three acute inpatient psychiatric hospitals (Haven Behavioral Healthcare)Timberline KnollsPartnerships in Care (PiC)
03
Integration approach
From M&A to organic growth — and a full U.
K. exit. After the 2016 Priory peak, Acadia's growth model shifted from acquisitions toward joint-venture partnerships (with systems like Henry Ford Health, Geisinger and Ascension) and de novo facility development. In January 2021 Acadia sold its entire U.K. operation — the Partnerships in Care and Priory businesses — to Waterland Private Equity, re-focusing the company on the U.S. market where it has since made only selective tuck-ins (CenterPointe, Turning Point).
Youth and Family Centered Services, Inc. (YFCS)PHC, Inc. (d/b/a Pioneer Behavioral Health)Three acute inpatient psychiatric hospitals (Haven Behavioral Healthcare)Timberline KnollsPartnerships in Care (PiC)

The Full Deal Book

9 acquisitions. Each entry carries the deal value, financing structure, target revenue, executive commentary, and the original SEC filing — the evidence behind the patterns above.

01 Youth and Family Centered Services, Inc. (YFCS) · United States — 13 facilities across eight states $178.0M
Closed Apr 2011 all cash
residential treatmentacute psychiatric carecommunity-based servicestherapeutic group homestherapeutic foster carespecialized education

On April 1, 2011 Acadia acquired Youth and Family Centered Services, Inc. (YFCS), the largest private, for-profit provider of behavioral health, education and long-term support services exclusively for abused and neglected children and adolescents. At acquisition YFCS operated 13 facilities in eight states. Its services include residential treatment care, community-based services, acute care, specialized education services, therapeutic group homes, therapeutic foster care, and medical and behavioral services. The YFCS purchase was the platform deal that Acadia built its public company around, completed roughly seven months before the PHC reverse merger took Acadia public. approximately $178.0 million.

Why it was attractive
  • Largest for-profit operator in its niche
  • with a multi-state
  • multi-modality footprint that became Acadia's operating core
On April 1, 2011, we acquired Youth and Family Centered Services, Inc. (“YFCS”), the largest private, for-profit provider of behavioral health, education and long term support services exclusively for abused and neglected children and adolescents.Acadia Healthcare FY2011 Form 10-K — Business
02 PHC, Inc. (d/b/a Pioneer Behavioral Health) · United States — combined 34 facilities, ~1,950 licensed beds across 18 states $285M
Announced May 2011 Closed Nov 2011 combination
inpatient psychiatric careoutpatient mental healthsubstance abuse treatment

On November 1, 2011 Acadia completed its merger with PHC, Inc., a publicly traded behavioral health services company operating under the Pioneer Behavioral Health brand. The transaction took Acadia public — its common stock began trading on the NASDAQ Global Market under the symbol ACHC the same day. On a combined basis the merged company operated 34 facilities with approximately 1,950 licensed beds across 18 states, which would have produced annual revenues of more than $325 million on a pro forma basis for the twelve months ended June 30, 2011. approximately $285 million (stock-for-stock merger plus assumed debt); ~$44.0 million cash component.

Why it was attractive
  • A public listing plus an established inpatient/outpatient portfolio that converted Acadia into the leading publicly traded pure-play inpatient behavioral health operator
The completion of this merger brings a great team of dedicated and skilled professionals to Acadia and an outstanding portfolio of facilities and services. In addition, by improving the Company's access to capital as a public company, the transaction enhances our ability to drive Acadia's growth through additional acquisitions in the highly fragmented behavioral health care services industry.Joey Jacobs — Chairman and Chief Executive Officer, Acadia Healthcare
03 Three acute inpatient psychiatric hospitals (Haven Behavioral Healthcare) · United States — Tucson, Arizona; Dayton, Ohio; eastern Pennsylvania $91M
Announced Jan 2012 Closed Mar 2012 all cash
acute inpatient psychiatric care

Acadia acquired three inpatient psychiatric hospitals from Haven Behavioral Healthcare for $91 million in cash. The facilities, with an aggregate of 166 acute inpatient psychiatric beds and total revenues of approximately $43.4 million for the twelve months ended December 31, 2011, are located in Tucson, Arizona; Dayton, Ohio; and eastern Pennsylvania.

Why it was attractive
  • 166 profitable acute inpatient beds extending Acadia's multi-state footprint
Acadia Healthcare Company, Inc. ... today announced that it has completed the previously announced acquisition of three inpatient psychiatric hospitals from Haven Behavioral Healthcare for $91 million in cash. The facilities, with an aggregate of 166 acute inpatient psychiatric beds and total revenues of $43.4 million for the 12 months ended December 31, 2011 ...Acadia Healthcare press release — March 5, 2012
04 Timberline Knolls · Lemont, Illinois (near Chicago) $90M
Announced Sep 2012 Closed Sep 2012 all cash
residential behavioral healthcareeating-disorder and women's specialty treatment

Acadia acquired Timberline Knolls, a 122-bed inpatient behavioral healthcare facility located near Chicago in Lemont, Illinois — its first facility in Illinois. Total consideration to purchase the operations plus a related real-estate transaction was $90 million in cash. The facility produced revenues of approximately $33 million for the twelve months ended June 30, 2012. Acadia planned an 18-bed expansion to bring the facility to 140 beds.

Why it was attractive
  • A profitable
  • well-run residential specialty facility and Acadia's first foothold in Illinois (its 19th state)
  • with a near-term bed expansion underway
We are pleased to announce the addition of Timberline Knolls, a growing, profitable and well-run facility, to Acadia's expanding base of inpatient psychiatric facilities. In addition to bringing an outstanding staff of behavioral healthcare professionals to Acadia, we expect this transaction to be accretive to our 2012 financial results in a range of $0.04 to $0.05 per diluted share.Joey Jacobs — Chairman and Chief Executive Officer, Acadia Healthcare
05 Partnerships in Care (PiC) · United Kingdom — 23 inpatient facilities, over 1,200 beds $662M
Announced Jun 2014 Closed Jul 2014 all cash
inpatient behavioral healthcaresecure psychiatric services (U.K.)

On July 1, 2014 Acadia acquired Partnerships in Care (PiC), the second-largest independent provider of inpatient behavioral healthcare services in the United Kingdom, for approximately $662 million in cash. PiC operated 23 inpatient psychiatric facilities with over 1,200 beds and produced 2013 revenue of approximately $285 million and adjusted EBITDA of approximately $75 million. The deal marked Acadia's entry into the U.K. market. approximately $662 million (cash); $661.7 million net of cash acquired per FY2015 10-K.

Why it was attractive
  • Second-largest independent UK inpatient behavioral provider with attractive market dynamics
  • established Acadia's U.K. platform and was expected to be accretive by ~$0.17-$0.18 per diluted share
We are very pleased to enter the U.K. market for inpatient behavioral care with such a high quality provider and well-established market leader as PiC. We continue to believe that favorable market dynamics in the U.K. present a significant opportunity.Joey Jacobs — Chairman and Chief Executive Officer, Acadia Healthcare
06 CRC Health Group, Inc. · United States $1.3B
Announced Oct 2014 Closed Feb 2015 combination
substance abuse / addiction treatmentcomprehensive treatment centersresidential and outpatient addiction services

On February 11, 2015 Acadia completed the acquisition of CRC Health Group, Inc. for total consideration of approximately $1.3 billion. As consideration Acadia issued approximately 5.975 million shares of its common stock to certain holders of CRC common stock and repaid CRC's outstanding indebtedness. CRC was a leading provider of addiction-treatment and related behavioral services, materially expanding Acadia's U.S. substance-abuse-treatment platform. approximately $1.3 billion (total consideration).

Why it was attractive
  • National addiction-treatment platform and comprehensive treatment center network
  • broadening Acadia's continuum of care
On February 11, 2015, we completed the acquisition of CRC for total consideration of approximately $1.3 billion. As consideration for the acquisition, we issued 5,975,326 shares of our common stock to certain holders of CRC common stock and repaid CRC's outstanding indebtedness.Acadia Healthcare FY2015 10-K — Acquisitions note
07 Priory Group No. 1 Limited · United Kingdom — 327 facilities, ~7,100 beds (at December 31, 2015) $2.2B
Announced Jan 2016 Closed Feb 2016 combination
inpatient and residential behavioral healthcaremental healthaddiction and specialist careeducation and children's services (U.K.)

On February 16, 2016 Acadia completed the acquisition of Priory Group, the leading independent provider of behavioral healthcare services in the United Kingdom, for a total purchase price of approximately $2.2 billion — including total cash consideration of approximately $1.9 billion and the issuance of 4,033,561 shares of Acadia common stock. Priory operated 327 facilities with approximately 7,100 beds at December 31, 2015 and was expected to produce 2015 revenue of approximately $865 million and adjusted EBITDA of approximately $196 million. The deal made Acadia (with PiC) the leading independent provider of mental health services in the U.K. approximately $2.2 billion (total purchase price); ~$1.9B cash plus 4,033,561 Acadia shares.

Why it was attractive
  • Leading independent UK behavioral healthcare provider
  • combined with PiC it made Acadia the U.K. market leader
  • with expected annualized accretion of $0.38-$0.42 per diluted share
Priory is a leading provider of behavioral healthcare services in the United Kingdom, operating more than 300 facilities with approximately 7,200 beds. For 2015, Priory is expected to produce revenue of approximately $865 million and adjusted EBITDA of approximately $196 million.Acadia Healthcare press release — January 4, 2016
08 2014-2015 U.S. & U.K. tuck-in cohort (Pacific Grove, McCallum Place, Croxton, Skyway, QAM, The Manor Clinic, Belmont, Southcoast, Meadow View, MMO) · United States (CA, MO, WI, PA, MA, LA) and United Kingdom (England) $200M
Closed Jan 2014 predominantly all cash
inpatient psychiatric careeating-disorder treatmentsubstance-abuse and comprehensive treatment centers

A cohort of named, individually immaterial facility tuck-ins disclosed in Acadia's 10-K Acquisitions notes (date shown is a placeholder spanning 2014-2015; individual close dates are itemized below). 2014: Pacific Grove Hospital, Riverside CA (68 beds, ~$10M, Jan 1); McCallum Place, eating-disorder facility (85 beds, Sep 3); Croxton/Warwick Lodge, England (24 beds, ~$15M, Dec 1); Skyway House, Chico CA (28 beds, Dec 31). 2015: Quality Addictions Management (QAM), seven comprehensive treatment centers in Wisconsin (~$54.8M, Mar 1); The Manor Clinic, England (15 beds, Jul 1); Belmont Behavioral Health, Philadelphia (147 beds, Jul 1); a controlling interest in Southcoast Behavioral, Fairhaven MA (Aug 31); Meadow View, England (28 beds, Oct 1); and certain facilities from MMO Behavioral Health Systems, Louisiana (two acute facilities, 80 beds, Dec 1). approximately $200 million combined across the named small deals (largest disclosed: QAM ~$54.8M).

Why it was attractive
  • Bed-by-bed density across existing and adjacent markets
  • each deal individually immaterial but cumulatively meaningful
On March 1, 2015, we acquired the stock of QAM for total consideration of approximately $54.8 million. QAM operates seven comprehensive treatment centers located in Wisconsin.Acadia Healthcare FY2015 10-K — Acquisitions note
09 CenterPointe Behavioral Health System, LLC · United States $140M
Closed Dec 2021 all cash
inpatient psychiatric and behavioral health care

On December 31, 2021 Acadia acquired the equity of CenterPointe Behavioral Health System, LLC and certain related entities for cash consideration of approximately $140 million. The deal expanded Acadia's U.S. inpatient psychiatric footprint and was its largest single U.S. acquisition after the company exited the United Kingdom in early 2021.

Why it was attractive
  • A sizeable U.S. inpatient psychiatric platform that re-centered Acadia's growth domestically post-U.K. exit
On December 31, 2021, we acquired the equity of CenterPointe Behavioral Health System, LLC and certain related entities (“CenterPointe”) for cash consideration of approximately $140 million.Acadia Healthcare FY2023 10-K — Acquisitions note

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