Acadia Healthcare Company, Inc. acquisition history.

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.

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.

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.

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.

On December 31, 2012 Acadia completed the previously announced acquisitions of Behavioral Centers of America, LLC and AmiCare Behavioral Centers. Together the two transactions brought eight inpatient psychiatric facilities and over 600 licensed inpatient beds to Acadia. Concurrently Acadia expanded and extended its senior secured credit facility to a $300 million term loan plus a $100 million revolver at a rate 100 basis points lower than the prior facility.

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.

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.

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.

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).

A cohort of named, individually immaterial facility tuck-ins disclosed in Acadia's 10-K Acquisitions notes (date shown is a placeholder spanning 2016-2017): Serenity Knolls, Forest Knolls CA (30 beds, Apr 1, 2016); TrustPoint Hospital, Murfreesboro TN (100 beds, May 1, 2016); Pocono Mountain Recovery Center, Henryville PA (108 beds, Jun 1, 2016); and Aspire Scotland, an education facility in Scotland (36 beds, ~$2M, Nov 13, 2017). These were among Acadia's last sizeable U.S. facility purchases before the company shifted toward joint ventures and de novo development.

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.

Two recent named U.S. tuck-ins disclosed in Acadia's 10-K Acquisitions notes (date shown is a placeholder for the cohort): on November 7, 2022 Acadia acquired four comprehensive treatment centers (CTCs) located in Georgia from Brand New Start Treatment Centers; and on February 22, 2024 Acadia acquired substantially all of the assets of Turning Point Centers, a 76-bed specialty provider of substance use disorder and primary mental health treatment services supporting the Salt Lake City, Utah metropolitan market. These represent Acadia's continued, selective tuck-in activity alongside its primary growth pathways of joint ventures and de novo facilities.