ACHC - Earnings call transcript Q1 2021 | Acadia Healthcare Company, Inc.

Due to licensing restrictions, you must log in to view earnings call transcripts.

Operator

Thank you for standby.

We are about to begin.

As a reminder, this call is being recorded. Please proceed.

Gretchen Hommrich

Good morning, and welcome to Acadia's First Quarter 2021 Conference Call. of for Director Hommrich, Gretchen Investor Acadia. Relations I'm our before Executive turning first Debbie provide call harbor with you Chief I'll the safe over Osteen. Officer, to is you To yesterday's in to news by Investors to the financial the reconciliation financial GAAP any comparable the measure link. measure release directly calculated extent of that under today's also will viewing measure call, most find on a non-GAAP website discussed according our Private within This Acadia's Reform Securities conference financial the may and meaning call statements, expected regarding XXXX beyond. annual Litigation statements of others, the including forward-looking and XXXX, performance Act for of contain among quarterly

this fact the words statements. believes, For that historical may call be similar this anticipates, plans, deemed foregoing, the expects forward-looking made are forward-looking any limiting identify purpose, and intended to to during Without of are not expressions statements be statements statements.

the forward-looking statements. publicly forward-looking of undertakes to Executive others, would and results news I factors, cautioned whether consequently, and in may Acadia's the You call the no by The obligation turn are conference any actual At results from release. result statements events differ with discussed important Officer, to over new Chief and for affected as update a or hereby may future remarks, opening company fourth statements the information, Debbie otherwise. the set operations quarter forth the time, be company's Securities that in this Exchange among And these materially filings in like Commission Osteen. to

Debbie Osteen

other of about the provide I today first for David XXXX David and team. being XXXX. first with guidance our XXXX conference here of results and executive with I'm our will and for us members for management and operating today quarter Good Officer, remarks morning Chief Duckworth, quarter Financial some financial our thank call. you and for

will we line for David's Following open comments, the your questions.

a strong for resurgence operating as as face And results These one in well start COVID. Leap execution XXXX, with day demonstrate marking strong first the solid in to successful financial the due XXXX. strategy, consistent the the pleased management quarter very are growth and from of and XXXX. impact cost our performance Year We our of less the of in

Before results, commend across the provide quality and continued our I we in the accessible and get dedicated demand to care into employees to who this Acadia's and want a operations, critical clinicians manner. safe meet have highest

supported our more financial support by We as model services. team, need the to an as have patients strength who a reach to ability proven well operating experienced our

produced For XXXX, quarter driven US the solid of our and operations first management. cost by very volumes favorable strong results

well those seeking will same is with services. and days, facility for patient of with levels diversified first Acadia increased exceptional including lines, there revenue patient and continued demand a quarter per meet treatment that XXXX positioned which service high In all we behavioral believe our provide in beyond, these all increase care. the growth be needs in patient revenue of to the compared of day. X.X% a X.X% in increase XXXX, X.X% of Our

issues the adults individuals the the these help recent are prepared increased about pandemic. negative disorders related from use continue worry are we to and half we of the expected less with treatment And study elevated from relief remain vaccinations, stress finds Kaiser While health or are environment, see to a health report they substance to of beginning A from long restrictive to mental pandemic levels that get some mental pandemic, need. after ends. to and COVID-XX

demand treatment, we options April. a expand health to I in into behavioral have trends Overall, couple seen see the quarter continue for seeking seeing the societal also demand and are increases first highlight in those of strong would higher the quarter. demand coverage We improve. of and and acceptance and continue like to

was there holidays. the followed COVID-XX of resurgence While that some

clinicians management did job able working our consistent communication, local protocols health open teams addressing of operate in in facility safety the to always, processes a collaboration As departments. and strictly this great with and Through and and meet needs adhering we our and patients. challenge to were effectively by

specialty Our the the on business, focuses been inpatient impact residential rebound has programs, to initial from which following slower pandemic.

encouraged So in trends the progressed. the by as strong quarter we line this service were

willing travel, are vaccination to are people increase more restrictions rates and As lifted.

our We Acadia and our long-term our growth progress across markets. admissions existing in so we provide operations. will growth of pleased investors growth XXXX that quarter I higher we On on continue for distinct opportunities to make with seeing these pathways key additional that our focus more We strategy investments we these year now call our reach shared are our identified forward. singular fourth four this with in service will strategic initiatives, support in going am US facilities. patients to With far believe as areas in lines. each new our

in primary First expansions a existing we quarter. And to facility added focus US our growth first our of the operations beds strategy. XX accordingly, remain

we growing year demand approximately meet current our As to to add previously in the markets. announced, plan XXX this beds

use We treatment also market underserved health for continued with to especially for identify of opioid treatment disorder. patients behavioral

use mental earlier, recent challenges in the health, noted addition have affect COVID-XX, many resurgence the presented and of has that by continued pandemic to studies I in widespread isolation. in unemployment opioid including wake As shown the to

opioid medication Americans died leading data the any than overdoses the and long-term open basis, XXXX. from and also drug address recovery the disorder. on XXXX, combine outpatient up and two we CTCs year use to this growing of need, behavioral period since opioid and more CTCs of epidemic began. To in XX-month achieve operate that an shows September therapy first critical quarter to New new

struggling new We track on XX in opportunities with continue open help individuals addiction. XXXX. we to And more see to to CTCs are

a hospital disorder. Cincinnati, construction novo This Glenwood the psychiatric following treatment facility an bed struggling inpatient completing another executed for those use a substance on provide with Behavioral the of facility, growth mental health will of Second, de end continued Ohio. our who are in Health, for or by we quarter, priority XX

during facility be the to operational XXXX. of fully this quarter expect We second

behavioral joint Third, with the care and and delivery services. announce new will Wayne continuum full providers partner Acadia, spring been Indiana, we partnerships Network provide premier counties. have leading serving attractive one joint Health for a hospital XXXX healthcare to open plan Fort country Together, In important of March, integrated bed and a fortunate hospital in has with XXX the new a across we initiative The many markets. growth Indiana's venture surrounding were to build venture to slated in to health healthcare systems been outpatient delivery of Lutheran establishing of inpatient with pleased system. we another

Health, comprehensive Pennsylvania's in northeastern one central new premier announced a integrated inpatient facilities, the partnership systems. build the new two health The also with care and joint regions health services We behavioral Geisinger providing XX will state. of venture of bed

The Health open provide shared Both will first in outcomes. XXXX. clinical and combined partnerships leverage the and care second Health facility expertise resources our expected is strong achieve to to commitment Geisinger and the a Lutheran quality XXXX and in with

we to XXXX pipeline facilities five pursue year open. ahead of of to continue to the stages, expect for be growth beyond. solid expected joint Acadia to strongest in in different will a our and joint With pathway with this venture four year projects for important We ventures

growth an pathway part fragmented healthcare have to future important Finally, strategy. And Acadia's of acquisitions. important industry ample through growth behavioral is acquisitions. opportunities been Acquisitions provides the for another

California, Adventist During bed a Behavioral, the from psychiatric hospital in signed a XX Health. to definitive Vallejo, quarter, agreement first we acquire Vallejo

We that market wholly are excited to believe our joint add to additional strategic we facilities, and portfolio expansions, there our acquisitions meet criteria. We our acquisitions. Acadia this as will through opportunities are bad growth de we significant and ventures rage expand identify owned to facility for to continue continue novo for

investments to also growth sheet strong balance with business. continue make capital these and our ample very our strategic to Importantly, pursue is in initiatives

I call in turn over Now, to detail. financial more Duckworth discuss David to results will our the

David Duckworth

operations adjusted from first rate income was $XXX.X compared Debbie a Net of for quarter to $XXX.X operations of first $X.X for $X.XX first the and the XXXX, basis improved share of last $X.XX benefit margin growth or our of the Thanks XXXX, effect income XXXX was Revenue morning. related compared debt $X.X ASU XX.X%. well attributable quarter stockholders XXXX-XX good refinancing completed X.X%. income of its same quarter to Adjusted $XXX.X the these was adjustments income million, to EBITDA Same continuing extinguishment million as following continuing excludes Acadia company operations attributable diluted the tax expenses, Acadia's Acadia in for In with Adjusted per period million points sale related the million, UK the XXXX. operations, million, million from and was January. year. tax as a continuing of transaction completion diluted $XX.X March expected debt discontinued for repayment facility the plans to XXX per quarter for with cost first from the share. stockholders income income. adjusted EBITDA to and

$X.X XXXX the year. the our refinancing first quarter as first debt, in in totaling We as billion have strengthened in XXXX, structure this capital well completed the through the of quarter reduction and transactions in

transactions was Cash $XXX of of at $X.XX million due $XXX notes The March the was And these due we company's revolving X.X% the million. X% the ratio million credit credit of on of and have notes $XXX billion With leverage and quarter $XXX end debt senior of drawn new structure net approximately million. our X.Xx first includes million facilities of of term XXXX Acadia's line loan completion XXXX. senior $XXX XXXX. new the as XX, revolving

as a noted in of $X.XX. to in the adjusted million guidance adjusted billion, previous and earnings Turning of release, in million per $X.XX $X.XX share billion follows. diluted we have to press to a of as $X.XX in our Revenue guidance, financial range range for a our $XXX financial EBITDA XXXX $XXX range to increased

per debt March, capital XXXX have expected for business. of With approximately be quarter. the remainder allocation, structure, position our expense we the cost disciplined support initiatives our a our completion debt is million our our and of refinancings to ongoing our to $XX improved interest financial management With solid in

aligning make our in needs to the business patients. while continue the costs our to will of ongoing strategic We meet investments

open confident that beyond. and the lead are growth that, services we to call We demand the ready are for by will of questions. XXXX robust we to through provide With essential Christina the nature supported

Operator

from Markets. our Capital with first take RBC question We'll Instructions] Frank [Operator Morgan

FrankMorgan

Good morning.

question growth. the First store strong on line top same

in part when of looks X% about look like and Just curious of stay. length in days by at growth driven nice that I growth that patient

Thanks. driving the margins just then on I'm X.X% the then label? just you've is other second we color the what's purchasing, including pricing like of question curious, should Obviously, So things that some the place on and for any or there. in cost focus but and on any initiatives any breakout areas had there, sustainability And look really side? increase? good And remaining even

DebbieOsteen

I'll part take Frank. the that, first of

I very think volume to when we continues just quarter, strong. first senses for stable and look trends acute at the our our be

were pleased up think a some what and had bit little with I very is also during the specialty. specialty for see slowness that that ramp we the we during last of started had trends year slower senses, to a pandemic, our which holidays, strong after

and if I we very look growth, February we're seeing specialty that think to that were March, we with think starting pleased year-over-year to normal. that is that at there in travel area, the is I both growth what return in

from of also our seen our out there, state we continued, very of as I We think, of But we've referrals CTC RTC those had, April. performance 'XX. seen state that strong, service trends we've always had said January the into pandemic highest during think our consistent in our admissions, line. also and the volumes since even are increase that referrals in I actually and from remarks out I have my and an

you think, to I David, to if that. add want

DavidDuckworth

strong of half picking the the that XXXX. of day strong the of revenue day, year-over-year in here we X.X% in is were a trend per above did Frank, second growth And see X% a seen, continuation a on first that we we quarter, up per revenue have

are mix. here at team lines. and payer that at in relationships across corporate those office our the QX, also doing we're rate the our corporate -- on the strong increases facility a manage in great job and Our the And seeing payer service a

a number specialty per per saw and day that year. revenue Our And continuing of trend day the we the factor day being revenue facilities to slightly, increase that strong for into quarter. under commercial part for And now volumes factor revenue we specialty strong per into the X.X%. mix we're that where to is the some higher is That of to we facilities. that relate a April contributing quarter. exit just at XX% payer a our seeing that's does did growth the And contributing volumes continuing at quarter the the there as see

DebbieOsteen

And that add just that operations had area. the on I just of focused on we the other savings good I'll in the they stayed in that give I continued efficiencies able from and think I adjustments think achieved we've to our very sustain XXXX. a XXXX Frank, we into been identified margin, -- credit, to cost that also But cost very XXXX. we've in and team, lot initiatives have management

day. just We then for -- in at opportunities impact good strong also, as the our their had are first a But looking efforts very quarter, additional cost margin mentioned, David revenue from look per But management. for our as I savings. was that

saw helped And carry those strong we improve margin in be from we believe to combined, So efforts And sustained. the are I that we're the we forward. believe And those to two we improvement in that why right us a and it margin. that's hoping now. the we're position things can think where

Operator

Our Fischbeck Bank of Kevin next from America. wit question

KevinFischbeck

Okay, large I love there out couple M&A. I hear your thoughts. to guess a on transactions of great, guess there, your view to hear thanks. wanted are

you You going for Where balance balance mentioned do right forward? to your the your sheet transaction sheet take willing strength. you'd think be back

DavidDuckworth

of to hurry range. that this capacity we to the not range of Acadia serve situation end leverage opportunities But with right of course, to do where look our M&A of market at, would we're of our thinking see be a framework the to will think are do in have range. think many US that and the balance now other we're established We to estate, take X.X we evaluating set sheet through being three specific factors. thinking a end the and transactions higher that relative we any well, our acquisition business the the high this related are the that for leverage of and But us at for only we returns real strategic four, we our specific evaluate factors that financial we at that that longer-term the

the range. So be would criteria we'll framework have transaction, continue have to that at as we look certainly right about place have. to using pleased within growth capacity, the M&A the options about we pathways force and the -- right and the about for think that opportunities, leverage But we And we our also we're we not only not but growth multiple talked we think that earlier. the

of is and growth we we also M&A think continue I will But there see part are think that. opportunities. those ways multiple that other to options

KevinFischbeck

have Is market in guess open anything to some being for you there we than past, is then about developments I has a JV year just period and thinking the doing novo long when perspective? guess startup prepared of a from for? anything losses you about think I should a we it growth, new if more facility, think Okay, guys about or next de in are be time, you the sometimes up time.

DavidDuckworth

facility, We a in operations talked that have million. estimate losses the of about for incurring around year first $X we new

time We this have facilities in in stages various year. more last opening two second at now that that with points four right of startup and facilities half year various in the are two of process opening

a manage So consistent we we that should can do think fairly that be that number number.

facilities, that the facility history at we year going of we we fastest back on just could transactions about that I seen, here we though, breakeven transactions. potentially greater opened the we last third year a as the the number that been has course, even to year look breaking to quarter the the see one in third depend timing operations. of last with quarter the of company, think of those have overall with just Of number. What if It's higher next new its we think in being have we opened

venture of in think of I new past. have, we But ramp doing as open we fantastic a partner, facility the faster a just than job also we've part that what a team benefit the just in joint markets, a that that we're So seeing certain seen having opening the is new facility.

a new facilities there doing next at the losses, same but startup those are year time, as So for job hope those facilities million so a greater open. those is $X we successful about new of a in getting or think we investment great And year. number a very

DebbieOsteen

I company, had Power. the add mentioned pricing, think venture execution we're and by the what facility we've David to the demand, solid is what summer pleased. really just what is the the we joint good ground across been think the to that said, that he really I open. seeing just We've and with opened seen I'll we And Kevin, team in very strong on very there get And

are in there or services more We looking at opening, month the so. even next

think us. identified. And pathway is as that think is those feel novo think as positive we are I in the is term this term a the novo that with de a particular of we de that we've as underserved long are a a there there well So both we short the integration, area as the while we pathway well very strategies, there good growth of impact, for markets have number think integration. are And in that we of

Operator

Ralph Our with next Giacobbe Citi. question from

RalphGiacobbe

from stays a other maybe share more greater capturing day in strategies, And referrals, mentioned well. then you're refer, out are streams think think particularly we Thanks. about referral of mention Good of state as guess, it usage state sort Debbie referral you as real you incremental I previously? had any morning. than the of Debbie seeing of there just telehealth out standpoint? you Do

DebbieOsteen

they think specialty a it's unless travel were most about in part, And pandemic, from the the state across wide and those impacted, close that do Well, country. I in manner. we referrals the, think facilities range, the did where the our facilities, if think the are really during that I individuals the pull fly services see, we Ralph, for because to

it first as comfort that for quarter, the more seen So are traveling. looking we at we've in is what there's

And of a steady. with very really and years, referral for they're been have number so sources us stable these

have opened to I are our what they've just programs able been seen our those to specialty that think that way is we've more specialized. We and been facilities now, to their make of able referrals, do we've we've accommodate in several facilities.

do referral of new in well getting So think a those we're as have, lot that patients, to I asked as new provide services. in sources us cases

So that think track those we've there of excellent I years a a are reputation. do referrals are record then have over coming, we seen additional that been have steady and of an return but number and

I only April now pandemic, certainly We've now. happening, are see build those I to some that and continue of not So recover, specialty think the that right going seen as we're where are we from well. our vaccinations senses but to are think in

RalphGiacobbe

telehealth Okay, terms and patterns referral or those of side then some about relationships on with of in providers? the what

DebbieOsteen

utilize telehealth We to think themselves certainly really for for our it's of really services. the through an that our services. during pandemic way outpatient our access used services and that to have our I we through But access patients was it telehealth avail

existing even the a specialty from if continuum use a them or our service of some us. and even then I telehealth, it. they we're our for some if pandemic is expand that acute area for one that's And service then into sources, a and distance, services, the way And So of are others new continue think impact with pandemic as us, the only physicians become sources, that that looking expand sources in think group the looking to our that using during I start it someone that's less that but not either our And area as areas, And in referral planning linking at are is, physician providing also might a from ways us, and think where with partner growth new are positive a and we're for telehealth support occurred with someone we services, referral we telehealth referral opens with we that with. at extend are just at that our that comfortable to can those try we coming of to looking or to opportunity matter existing are their rural for we things to our up and seeing and might connecting services, be extent, an telehealth we're patients. the to treatment areas. of I is

RalphGiacobbe

helpful. I'm call to quickly I cost management revenue there's to store And EBITDA you back and same guess right. just out same sort then facility want up X%, up, to more go That's I reconcile wondering follow to if of there, the Okay. against anything XX% just growth is put trying

of obviously, balancing well mentioned as sort margin. you of sort of as So pricing, sustainability the

trying reconcile of there's I'm relative levels. pricing the the to the some these sort of margins to Thanks. of margin if drop initiatives? and pricing you sustain So of cost to Or need just sustainability, frame to the benefit levels the a through sort the understand and do way

DavidDuckworth

manage and the the X% into a cost that over do sustained taxes we first do do our XX% year, payroll about improvement for those related at around quarter. if was all that is initiatives. were years, know Sure, that have two talked related about the where XX%- last see that about good in seasonality to and calendar tools And first way half is has the on the was drivers about we those really, that a of and cost all margin the impact the the place second management talked think XXXX, primary The payroll we've costs. margins. look of first we the that implemented our And we put margin. the been to quarter, the taxes, to some in to you as we quarter virtually savings see last I initiatives And margin think

second year, where we the were exception being quarter of the with into seasonality. last the of about is trending sustained think that you in first that half if So

think margin. And course, implemented were reflect more And growth XXXX. so year-over-year throughout because that some that's the to higher margin of basis, level a probably those of it cost way a does a helpful of about of savings on

Operator

from Rice Our AJ Suisse. next with Credit question

AJRice

Hi, everybody.

there maybe that range. just to of sides the purely in the wouldn't just to your nothing confirm ahead you Is that And worse. in a unchanged. outperformance outlook? Is the of both view $X half, gotten know million, it's consensus of quarter somehow First, I continue little remaining just is the the the on you're change sequestration outperformance? with $XX the raised make first know relative into too maybe no, anything operationally guidance But then I it and to no rest QX own thing, don't back were your the year? expectations. a about million the where about in the back half early

DavidDuckworth

midpoint our was first The million and beat it expectations the guidance around to by was guidance million million. behind of our of the as main $XXX increase $X our ahead QX the were factors which quarter in $XXX represented range,

Medicare and year extension end value So to $X.X the around million through there there. the us. $X of is is million the sequestration

of There's to is Managed but value We million there's is Medicare revenue December. the our with related a revenue. or that XX% another around of that is X% And there sequestration so $X.X from April have XX% Medicare. with our to about payer,

our changes in guidance other and continuing our trends we volume already guidance, no in there's reflected, year, our as the I strong in our margin. enter other think The --

trends of we're we And seeing in our guidance. so guidance do our and that reaffirming part our original with April, of trends that see is were the those part increasing

that April, continuing AJ, Those seeing in are first believe Now of are primary that year the to out. see drivers and need or increase. saw as the we nothing quarter else we year, the the our in for there's call in we we

AJRice

Okay, that's great.

say Is private of competing about maybe same? uptick too may just or but into about be expressing way It deals? larger equity the is getting And the I in that's were part tuck-in you're actually me anything up, little guess, as for seeing deals the next look you're like? And with follow got the potentially landscape on that of landscape M&A pricing the openness competitive JVs like uptick obviously, better? guys the JVs is is seems on Let heading the competitive you now the some you seeing reason transactions it we're year, what think in changed sellers. the you in a people

DavidDuckworth

is for hard know also is. know I It to be space. the within competitive may sellers, us may what there be those same the there exactly equity buyers And private but landscape

acquisition back the the We'll now. does hard last several competition there yes, the to opportunities so either have looking seem And us have we to think on right a be don't see, years. it's for or as just But many for on view really to I that pricing. points data at look

opportunities. pricing. on really as feel framework about own like way or as of now well a think right have either view the a as the our acquisitions, have right We, competition we course, don't we about other to think So we those

we so opportunities. we'll And those use see. we'll And evaluate criteria as

DebbieOsteen

of us that, market. there's also but lines pandemic. certainly well I think But the a we balance pursue as lot disciplined flexibility. a will through really feel M&A not those. about. that's way have companies service line, gives are to to for other David may of that there. we'll if are can't service they our And I'll look financial from those, in keep that the that our and But informed CTC that we diversity in a approach attracted the our at with area. just giving sheet we're we us want can really a to And opportunities multiple acute strategic think fit, us to, and And think say, also of in and pathway. I said, just well specialty AJ, be do to we how have speak the forward, invested looks as going capital and be see important But that why there's about fared going I we be are of think and I the going believe return we think that's to I not We, There things that opportunity. fits as pricing how disciplined look view said competition an David on it we space our

Operator

We'll go with next from to our Tanquilut Jefferies. Brian question

BrianTanquilut

guys. Hey, I to Frank's back earlier. trying morning, to just Congratulations. good guess go question

I you're carry So over saying April. that if strength think we've this, seen into about Debbie some

talked to from right as look pickup XX And pretty up specialty think the organic at of that think average So the trend half month think firm up? I how way further even and is staying the strong? for points. should like then that admission continue you've acceleration basis kind it a growth outlook I in was these of lot it to the I Is back the theoretically, QX, year? there's the in And, numbers about

DebbieOsteen

Brian, think look a at it. good I to way that's

think that why April, on and a continue the there's we as quarter think not stronger. and saw are our I like that trends through I would visibility think we no rest that now And the the feel good it's progression, of have assumption reason the then those I we year. that

March we they're are about the an and just as demand a pandemic issue, where with still numbers, becoming we progression. markets feel and there pandemic. have And With just a saw think April with just the also, again the But overall, issues less few of we strong. good

BrianTanquilut

quarter. think going to US only, where Got of it. here for clean the of balance you're about on the lot deals. in now there sheet tuck-ins and the But opportunity focused are back Kind and focus tuck-ins? your how thinking few old then, doing a being you with a big I every Acadia's obviously And

DavidDuckworth

we acquisition We earlier one do opportunities, do about tuck-in talked be And about we're opportunities. California. excited believe in we the those there like will

And those present a continue those we've those, and initiatives and of and believe see opportunities infrastructure and we local good to that all through more we implemented, for the do acquisition look so us they benefit bring attractive. make will we more for hospital very to opportunity the the that can

DavidDuckworth

other just together also one, selling; think trends. the just that in patients. that Vallejo the facilities on to have in they additional believe see work say, serve Health beds have volume But I'll can opportunity And will Adventist to and with we their area, particular add we based what we we I think we with

focus to got and over And this at for so purchasing above way we're a us it's point. what grow a it, but also strategic to

Operator

Our from next Pito Chickering Bank. question Deutsche with

PitoChickering

Can at dynamics Good questions. driver patient help like stay same the the of stay? morning, primary growth. me between day understand for and When I ask the look some was it a me letting store increase thanks like you the

push X% back like or care like the So easing stay do is, growing offset from managed you the the the if it range? pressure from again, the patient can stay manage an mix days the [Indiscernible] restrictions, in think we of keep in on is increased increase it admissions specialty, growth to is the question to with

DavidDuckworth

seeing in and lower admissions quarter in but our day to about COVID within care about view any to the to look Peto, do a a resurgence managed We but be to holidays and seeing process in stay, just the and we is the patient we do admissions can change during consistent in stats quarter. the within by it it trend have are line service metrics. seen It's admissions, service then just our admissions vary a we mix facility consistently doing. pandemic we talked attribute tends a seeing pre And We by And it been you and at but ask throughout that what factors metrics it range that see. more of impacted range. link we've not and as of pretty last year, a we a our a and relating our consistent to is progression number through of the significant coming pretty the off see the a

think March admissions forward, we nice April. do a going be we we're may that patient we saw that there mix are what seeing between again, service But But more can relationship similar we and into with be growth, so see. impacted by the And days. that admissions seeing and it in

PitoChickering

makes the on this patient it XXXX. growth, it Great, revenue day with mix then sustainable question commercial for and at on up and per sounds growth like of specialty follow Ralph's

achieve first continues to then mentioned, the that March wouldn't per day if provides continues of increase the and to sort you mix able the day the revenue on specialty specialty levels? April, margin in that these revenue increase As what from quarter? ramp margin you're side, shouldn't beyond substantial to because per during commercial and And leverage

DavidDuckworth

year. think continuing move We through be as do the a it factor will we

performance. Of course, in saw the that comparing half XXXX, quarter very from impact the to back COVID for second quarter the solid saw second be we'll the we last recovery most the company in year, of

greater year, the dynamic see I see will continue half day especially per XXXX. day. quarter. the second different a in do quarter, to revenue of second we And said to compared revenue expect So in like this see our we the in be did But to where impact, to in trends, strong the that per second comparison

expect do So we trend to that continue. yes,

Operator

go to James. with question next from our John Raymond We'll Ransom

JohnRansom

morning. good Hey,

the would many minute, terms have temps? Just to says versus stand Anything curious, been of to peak hit metrics I'm labor shifts your pandemic for helpful. on with vaccinated of having that like a where be the in of kind of folks How Thanks. now staff turnover? your

DebbieOsteen

Well, John, XX know you states. we're located as I think in

low the and very our And staffing we I our all We've agencies our supporting as I before been we've so staff. is been a can are making that around we have used when to time have, our initiatives we've coming we some patients generally a over able here services I and us need important. to been robust good team think, them, just very at that, have team offer and from to it. I fairly seen recruiting think, year-to-year. started improvement we will be here, in have So sure pandemic, isolated, an I try and in look they're was handle current that efforts, the always we think, also demand is before and I place it's the accommodate also think, -- facilities, process there, think to But proactive, some very we we we team, we overall, actually with local challenges able retention, think which has have,

and some also across think, focus have So we just we company. retention good can around have, But there. generally, our strong I the support of staff, we recruit, some

and employees we as of Walgreens, sure be And a we the departments, very supportive, that importance the vaccine, to in part our health educating vaccine. provider good are see of about the also their to certainly the of I facilities trying with with and really of we're, using the think and and have we're are want and about by partnership also and also, interests, it. I we themselves it but think the them feel but country, various a vaccines make we we varies vaccine, them of our come where avail continuing have to many areas our employees, our we to that we're education, provided have about our

our So out. and again the I services we're a they're country that's and need just pleased now I for before, continuing to services seek all but increase vaccinated think that be us, for of think it's that that across comfortable that feel is going positive those also will certainly didn't something just our to

Operator

Capital to Markets. next BMO We'll Matt with go Borsch

MattBorsch

think to unquote, of this once sustained you my thinking will health Hi. given demand, instances back I quote I issues during extent Could about talk those increase the the mental entirely, pandemics? Yes. normal? things you're you really is pandemic you guess question can't extent sort get staging know, but to be about what do what just how to of predict post in versus

DebbieOsteen

to parts condition. this. diagnosed mental the pandemic; five two Americans already one And there's in before had health think I one a Well, is

are before accepting the I is part was but have seeking And more not other health the during crisis, which one the think that just the positives the pandemic. mental of the It's you've treatment. occurred mentioned, just of focus So crisis, that on health I public pandemics. think but that people

mental pandemic, it's that from have of and about individuals I this lot certainly people think term there reduce seen PTSD, the I a is this health think that just I not stigma reduced, pandemics over but there's going levels worsened. the lot starting my we think I being think impact was We're shown stress effect. those children it is do adolescents totally to that seek not I that -- for that going increase have research the lasting a ready issue. from certainly a help. also, has believe, more before of I the is to can to short services on to So And that And care just career. might need is and their offer from that health of I've the and we're willing think continue adolescence, some to think I unfortunately, have our research see of it's workers. with been There but really isolation, other long a

I think more demand it, So demand, but if about pandemic now we this have were with strong trends in out increased, had think to the it's I effects. we as general, long going lasting acceptance started and also is

Operator

this further to to no Osteen turn at remarks. or I'd Debbie the As for any back like there are time, closing call additional questions

Debbie Osteen

opportunities for grateful being with field to their Thank to Well, today corporate our the growth commitment in to moving look to very time keeping for we forward same unprecedented interest want Acadia. Acadia key ahead leaders the and I crisis. initiatives responding and Healthcare. to everyone I and Together, thank you. am for this operational our us and at their also forward resiliency, and for your

today, do hesitate have If us a you directly contact to please day. not and have questions additional good

Operator

For for today's thank participation. you call, your

disconnect. You may now

Gretchen Hommrich	Director, Investor Relations
Debbie Osteen	Chief Executive Officer
David Duckworth	Chief Financial Officer
Frank Morgan	RBC Capital Markets
Kevin Fischbeck	Bank of America
Ralph Giacobbe	Citigroup
AJ Rice	Credit Suisse
Brian Tanquilut	Jefferies
Pito Chickering	Deutsche Bank
John Ransom	Raymond James
Matt Borsch	BMO Capital Markets

Acadia Healthcare (ACHC) 30 Apr 212021 Q1 Earnings call transcript