ACHC
Acadia Healthcare Company, Inc.
ACHC has the edge over NVO overall, supported by stronger modeled upside.
NVO
Novo Nordisk A/S
NVO has lower modeled downside risk, despite its lower overall score.
ACHC Fundamentals
| Metric | Status |
|---|---|
| Stable | |
| Weak | |
| Under pressure | |
| Weak |
ACHC's revenue is currently stable, but its profitability, cash flow and balance sheet are under pressure.
NVO Fundamentals
| Metric | Status |
|---|---|
| Healthy | |
| Strong | |
| Stable | |
| Healthy |
NVO's revenue, profitability and balance sheet are currently healthy, and its cash flow is stable.
ACHC PE Valuation
ACHC has no meaningful PE right now: it lost money over the past year.
NVO PE Valuation
| Level | PE | Price | Vs current |
|---|---|---|---|
| Current | 10x | $40.65 | — |
| Cheap | 14x | $53.56 | +32% |
| Fair | 27x | $103 | +154% |
| Expensive | 39x | $152 | +273% |
Historical ranges are pointers, not guarantees.
NVO's PE is 10x, but its earnings don't support one, so it isn't a reliable read right now.
ACHC Forward outlook
| Metric | Outlook |
|---|---|
| -- | |
| Strong growth | |
| Growth | |
| Strongly improving | |
| Limited | |
| Low |
ACHC has the edge over NVO on the outlook, with more favorable earnings and profitability expectations.
NVO Forward outlook
| Metric | Outlook |
|---|---|
| -- | |
| Stable | |
| Growth | |
| Weakening | |
| Limited | |
| Low |
Analysts expect NVO's revenue to grow, but its profitability to weaken. However, they disagree widely on these estimates.
ACHC Earnings Per Share
| Quarter | TTM EPS | YoY |
|---|---|---|
| Forward | $2.02 | — |
| Q3 2026 | -$12.43 | -1153% |
| Q2 2026 | -$12.41 | -916% |
| Q1 2026 | -$12.20 | -698% |
| Q4 2025 | -$12.16 | -537% |
| Q3 2025 | $1.18 | -61% |
| Q2 2025 | $1.52 | +$1.59 |
| Q1 2025 | $2.04 | +$2.17 |
| Q4 2024 | $2.78 | +$3.02 |
ACHC has swung to a loss: it lost $12.43 per share over the past year, after a profit the year before.
NVO Earnings Per Share
| Quarter | TTM EPS | YoY |
|---|---|---|
| Q2 2026 | $3.89 | +4.9% |
| Q1 2026 | $4.07 | +17% |
| Q4 2025 | $3.42 | +1.8% |
| Q3 2025 | $3.47 | +10% |
| Q2 2025 | $3.71 | +24% |
| Q1 2025 | $3.49 | +18% |
| Q4 2024 | $3.36 | +21% |
| Q3 2024 | $3.15 | +27% |
NVO has the edge over ACHC on earnings quality, reporting a profit while its opponent remains loss making.
ACHC Quarterly Revenue
| Quarter | Revenue | YoY |
|---|---|---|
| Q3 2026 | $895.3M | +5.1% |
| Q2 2026 | $865.8M | -0.4% |
| Q1 2026 | $828.8M | +7.6% |
| Q4 2025 | $821.5M | +6.1% |
| Q3 2025 | $851.6M | +4.4% |
| Q2 2025 | $869.2M | +9.2% |
| Q1 2025 | $770.5M | +0.3% |
| Q4 2024 | $774.2M | +4.2% |
ACHC's revenue is growing: $895M last quarter, up 5.1% from the same quarter a year ago.
| Quarter | Margin | YoY |
|---|---|---|
| Q3 2026 | 6.3% | +1.6 points |
| Q2 2026 | 2.5% | -3.2 points |
| Q1 2026 | 1.3% | -0.4 points |
| Q4 2025 | -142% | -147 points |
| Q3 2025 | 4.7% | -7.4 points |
| Q2 2025 | 5.8% | -7.6 points |
| Q1 2025 | 1.8% | -11 points |
| Q4 2024 | 4.9% | -5.9 points |
ACHC's operating margin was 6.3% last quarter, up 1.6 points from the same quarter a year ago.
NVO Quarterly Revenue
| Quarter | Revenue | YoY |
|---|---|---|
| Q2 2026 | $11.7B | +2.1% |
| Q1 2026 | $14.4B | +24% |
| Q4 2025 | $11.8B | -7.6% |
| Q3 2025 | $11.1B | +5.1% |
| Q2 2025 | $11.4B | +13% |
| Q1 2025 | $11.6B | +19% |
| Q4 2024 | $12.7B | +30% |
| Q3 2024 | $10.6B | +21% |
NVO has the edge over ACHC on sales, with stronger typical year-over-year growth.
| Quarter | Margin | YoY |
|---|---|---|
| Q2 2026 | 34% | -9 points |
| Q1 2026 | 62% | +12 points |
| Q4 2025 | 40% | -2.8 points |
| Q3 2025 | 32% | -16 points |
| Q2 2025 | 44% | +5.4 points |
| Q1 2025 | 50% | +1 points |
| Q4 2024 | 43% | +2.2 points |
| Q3 2024 | 47% | +1.6 points |
NVO has the edge over ACHC on profitability, with a higher operating margin.
ACHC Free Cash Flow
| Quarter | Free cash flow | YoY |
|---|---|---|
| Q3 2026 | $47.1M | +$110.2M |
| Q2 2026 | $123.5M | +$157.8M |
| Q1 2026 | -$15M | +$148.1M |
| Q4 2025 | -$179.5M | -$92.7M |
| Q3 2025 | -$63M | -$35.9M |
| Q2 2025 | -$34.2M | -303% |
| Q1 2025 | -$163.2M | +$300.5M |
| Q4 2024 | -$86.8M | -$64.4M |
ACHC has burned cash in six of the last eight quarters: −$24M over the past year, against −$347M the year before.
NVO Free Cash Flow
| Quarter | Free cash flow | YoY |
|---|---|---|
| Q2 2026 | $6.3B | +73% |
| Q1 2026 | $1.8B | +20% |
| Q4 2025 | -$5.4B | -$4.7B |
| Q3 2025 | $4.6B | -2.1% |
| Q2 2025 | $3.6B | -34% |
| Q1 2025 | $1.5B | +89% |
| Q4 2024 | -$632.6M | +$390.5M |
| Q3 2024 | $4.7B | +3.3% |
NVO has the edge over ACHC on cash generation, producing positive trailing cash flow while its opponent burns cash.
ACHC Total Shares
| Period | Change % | Net change |
|---|---|---|
| Quarterly | +0.4% | +372K shares |
| 1 year | +1.3% | +1.2M shares |
| 3 years | +0.6% | +578K shares |
| 5 years | +0.9% | +857K shares |
| Available history | +4.5% | +3.9M shares |
ACHC has 92M diluted shares, up 1.3% from a year ago.
| Quarter | Spent |
|---|---|
| Q4 2025 | — |
| Q3 2025 | — |
| Q2 2025 | $3.2M |
| Q1 2025 | $46.9M |
NVO Total Shares
| Period | Change % | Net change |
|---|---|---|
| Quarterly | -0.3% | -12.9M shares |
| 1 year | -0.2% | -11M shares |
| 3 years | -1.5% | -66.8M shares |
| 5 years | -3.8% | -177M shares |
| Available history | -6.5% | -311M shares |
NVO has the edge over ACHC on shareholder dilution, with a more favorable share count trend.
| Quarter | Spent |
|---|---|
| Q2 2026 | $520M |
| Q1 2026 | $356.7M |
| Q4 2025 | — |
| Q3 2025 | — |
| Q2 2025 | — |
| Q1 2025 | $206.3M |
| Q4 2024 | $1.1B |
| Q3 2024 | $357.4M |
NVO spent $877M buying back its own shares over the past year, down 48% from the year before.
ACHC Net Leverage
| Quarter | Net Leverage | Status |
|---|---|---|
| Q3 2025 | 6.8x | High |
| Q2 2025 | 5.7x | High |
| Q1 2025 | 5.1x | High |
| Q4 2024 | 3.8x | Elevated |
| Q3 2024 | 3.4x | Elevated |
| Q2 2024 | 12.7x | High |
| Q1 2024 | 14.2x | High |
| Q4 2023 | 11.9x | High |
ACHC's net debt is about 6.8 years of its operating earnings (EBITDA), up from 3.4 years a year ago.
NVO Net Leverage
| Quarter | Net Leverage | Status |
|---|---|---|
| Q2 2026 | 0.5x | Very low |
| Q1 2026 | 0.7x | Very low |
| Q4 2025 | 0.6x | Very low |
| Q3 2025 | 0.4x | Very low |
| Q2 2025 | 0.5x | Very low |
| Q1 2025 | 0.5x | Very low |
| Q4 2024 | 0.6x | Very low |
| Q3 2024 | -0.0x | Very low |
NVO's net debt is less than a year of its operating earnings (EBITDA).
ACHC Weekly Momentum
| Metric | Value | Status |
|---|---|---|
| RSI | 70.3 | Overbought |
| Stochastic | 70.2 | Neutral |
ACHC's weekly RSI is 70 (overbought) and its Stochastic is 70 (neutral).
NVO Weekly Momentum
| Metric | Value | Status |
|---|---|---|
| RSI | 43.0 | Neutral |
| Stochastic | 27.0 | Neutral |
NVO's weekly RSI is 43 (neutral) and its Stochastic is 27 (neutral).
ACHC PE vs Healthcare Sector
| Metric | ACHC | Sector median | Relative |
|---|---|---|---|
| PE | N/A | 26x | — |
ACHC has no meaningful PE right now: it lost money over the past year.
NVO PE vs Healthcare Sector
| Metric | NVO | Sector median | Relative |
|---|---|---|---|
| PE | 10x | 26x | 60% below |
| PE % | 6 | 29 | 23 pts below |
NVO is trading at 10x earnings, a 60% discount to the Healthcare sector's median of 26x, though its earnings don't support one.
ACHC Weekly Moving Averages
| Moving average | MA price | Relative |
|---|---|---|
| 8 week MA | $31.5 | 20% above |
| 20 week MA | $30.9 | 23% above |
| 50 week MA | $24.8 | 52% above |
| 100 week MA | $25.9 | 46% above |
| 200 week MA | $48.6 | 22% below |
ACHC has the edge over NVO on trend strength, trading above more of its moving averages.
NVO Weekly Moving Averages
| Moving average | MA price | Relative |
|---|---|---|
| 8 week MA | $39.2 | 3.7% above |
| 20 week MA | $43.9 | 7.4% below |
| 50 week MA | $45.3 | 10% below |
| 100 week MA | $56.3 | 28% below |
| 200 week MA | $80.7 | 50% below |
NVO has bounced recently, but its long-term trend is still down: it's above its 8-week average, but 50% below its 200-week average.
ACHC Yearly ROI
| Year | Start price | End price | ROI |
|---|---|---|---|
| 2020 | $33.0 | $49.3 | +49% |
| 2021 | $49.3 | $59.1 | +20% |
| 2022 | $59.1 | $83.0 | +40% |
| 2023 | $83.0 | $77.8 | -6.3% |
| 2024 | $77.8 | $38.0 | -51% |
| 2025 | $38.0 | $14.7 | -61% |
| 2026 YTD | $14.7 | $37.8 | +157% |
ACHC has the edge over NVO on returns for 2026, with the stronger performance.
NVO Yearly ROI
| Year | Start price | End price | ROI |
|---|---|---|---|
| 2020 | $29.1 | $34.7 | +19% |
| 2021 | $34.7 | $54.2 | +56% |
| 2022 | $54.2 | $67.0 | +24% |
| 2023 | $67.0 | $103.5 | +54% |
| 2024 | $103.5 | $87.4 | -16% |
| 2025 | $87.4 | $52.4 | -40% |
| 2026 YTD | $52.4 | $40.7 | -22% |
NVO has finished higher in four of the last six years, two of them by more than 50%. It's down 22% so far in 2026.