First Form 4 purchase or sale (code P or S) here by this insider on our record.
The trade is 4.8% of the 46,074 shares held after it.
1 other insider sold within 30 days.
169 funds added in the 13F quarter to Jun 30, 2026.
Insider activity: Director Miquelon Wade D sold about $188.1K of ACHC on Mar 5, 2024; 1 other insider sold within 30 days and 169 funds added in the latest 13F quarter.
First Form 4 purchase or sale (code P or S) here by this insider on our record.
The trade is 9.3% of the 26,851 shares held after it.
1 other insider sold within 30 days.
169 funds added in the 13F quarter to Jun 30, 2026.
Insider activity: Director Gregg Vicky B sold about $213.9K of ACHC on Mar 4, 2024; 1 other insider sold within 30 days and 169 funds added in the latest 13F quarter.
2 earlier Form 4 trades (code P or S) here by this insider (2 sales), the last on Dec 12, 2023.
The trade is 5.2% of the 675,833 shares held after it.
1 other insider sold within 30 days.
169 funds added in the 13F quarter to Jun 30, 2026.
Insider activity: Director OSTEEN DEBRA K sold about $2.7M of ACHC on Dec 13, 2023, the largest insider sale at the company on our record; 1 other insider sold within 30 days and 169 funds added in the latest 13F quarter.
1 earlier Form 4 trade (code P or S) here by this insider (1 sale), the last on Nov 8, 2023.
The trade is 1.1% of the 710,833 shares held after it.
1 other insider sold within 30 days.
169 funds added in the 13F quarter to Jun 30, 2026.
Insider activity: Director OSTEEN DEBRA K sold about $609.8K of ACHC on Dec 12, 2023; 1 other insider sold within 30 days and 169 funds added in the latest 13F quarter.
3 earlier Form 4 trades (code P or S) here by this insider (3 sales), the last on Nov 10, 2023.
The trade is 32.5% of the 84,630 shares held after it.
1 other insider sold within 30 days.
169 funds added in the 13F quarter to Jun 30, 2026.
Insider activity: EVP of Operations Hollinsworth John S. sold about $2.0M of ACHC on Nov 14, 2023, the largest insider sale at the company since 2022; 1 other insider sold within 30 days and 169 funds added in the latest 13F quarter.
19 transactions on record
Since filing: total return from the first close after the filing to the latest close, dividend-adjusted. Not a forecast.
Context lines are counts over the filings above and returns from our own price history, never a price level. Not investment advice.
Ratios from the company's XBRL filings, latest filings
Revenue, TTM
$3.4B
four quarters, 2025-04-01 to 2026-03-31
Revenue, TTM ACHC
FY Dec 2025
$3.3B
FY Dec 2024
$3.2B
FY Dec 2023
$2.9B
FY Dec 2022
$2.6B
FY Dec 2021
$2.3B
Mar 2026
$828.8M
Dec 2025
$821.5M
Sep 2025
$851.6M
Jun 2025
$869.2M
Mar 2025
$770.5M
Dec 2024
$774.2M
Sep 2024
$815.6M
Jun 2024
$796.0M
At each fiscal year end
Single quarter
Net margin, TTM
-32.8%
net income over revenue, 2025-04-01 to 2026-03-31
Net margin, TTM ACHC
FY Dec 2025
-33.3%
FY Dec 2024
+8.1%
FY Dec 2023
-0.7%
FY Dec 2022
+10.5%
FY Dec 2021
+8.2%
Mar 2026
+0.5%
Dec 2025
-143.3%
Sep 2025
+4.3%
Jun 2025
+3.5%
Mar 2025
+1.1%
Dec 2024
+4.2%
Sep 2024
+8.4%
Jun 2024
+9.9%
At each fiscal year end
Single quarter
Free cash flow, TTM
-$291.8M
operating cash flow minus capex, 2025-04-01 to 2026-03-31
Free cash flow, TTM ACHC
FY Dec 2025
-$439.9M
FY Dec 2024
-$560.7M
FY Dec 2023
$38.2M
FY Dec 2022
$84.4M
FY Dec 2021
$129.7M
Mar 2026
-$15.0M
Dec 2025
-$179.5M
Sep 2025
-$63.0M
Jun 2025
-$34.2M
Mar 2025
-$163.2M
Dec 2024
-$86.8M
Sep 2024
-$27.1M
Jun 2024
$16.9M
At each fiscal year end
Single quarter
Debt to equity
1.29x
long-term 2026-03-31 plus current 2026-03-31; equity 2026-03-31
Debt to equity ACHC
FY Dec 2025
1.28x
FY Dec 2024
0.64x
FY Dec 2023
0.49x
FY Dec 2022
0.49x
FY Dec 2021
0.59x
Mar 2026
1.29x
Dec 2025
1.28x
Sep 2025
0.74x
Jun 2025
0.74x
Mar 2025
0.72x
Dec 2024
0.64x
Sep 2024
0.62x
Jun 2024
0.62x
At each fiscal year end
Trailing four quarters at each quarter end
Cash flow to debt
0.07x
TTM operating cash flow over long-term 2026-03-31 plus current 2026-03-31
Cash flow to debt ACHC
FY Dec 2025
0.05x
FY Dec 2024
0.07x
FY Dec 2023
0.34x
FY Dec 2022
0.27x
FY Dec 2021
0.25x
Mar 2026
0.07x
Dec 2025
0.05x
Sep 2025
0.15x
Jun 2025
0.19x
Mar 2025
0.21x
Dec 2024
0.07x
Sep 2024
0.07x
Jun 2024
0.06x
At each fiscal year end
Trailing four quarters at each quarter end
Return on equity
-44.3%
TTM net income over average of 2025-03-31 and 2026-03-31
Return on equity ACHC
FY Dec 2025
-43.9%
FY Dec 2024
+8.7%
FY Dec 2023
-0.8%
FY Dec 2022
+10.2%
FY Dec 2021
+8.6%
Mar 2026
-44.3%
Dec 2025
-43.9%
Sep 2025
+3.5%
Jun 2025
+4.6%
Mar 2025
+6.4%
Dec 2024
+8.7%
Sep 2024
+9.8%
Jun 2024
-0.2%
At each fiscal year end
Trailing four quarters at each quarter end
Return on assets
-18.9%
TTM net income over average of 2025-03-31 and 2026-03-31
Return on assets ACHC
FY Dec 2025
-19.2%
FY Dec 2024
+4.5%
FY Dec 2023
-0.4%
FY Dec 2022
+5.6%
FY Dec 2021
+3.4%
Mar 2026
-18.9%
Dec 2025
-19.2%
Sep 2025
+1.7%
Jun 2025
+2.3%
Mar 2025
+3.2%
Dec 2024
+4.5%
Sep 2024
+5.0%
Jun 2024
-0.1%
At each fiscal year end
Trailing four quarters at each quarter end
Return on invested capital
n/a
pre-tax loss, no effective tax rate to apply
Return on invested capital ACHC
FY Dec 2025
n/a
FY Dec 2024
+9.4%
FY Dec 2023
n/a
FY Dec 2022
+11.1%
FY Dec 2021
+12.8%
Mar 2026
n/a
Dec 2025
n/a
Sep 2025
+9.3%
Jun 2025
+8.5%
Mar 2025
+8.7%
Dec 2024
+9.4%
Sep 2024
+9.5%
Jun 2024
n/a
At each fiscal year end
Trailing four quarters at each quarter end
Return on capital employed
+10.9%
operating income (EBIT proxy) over average of 2025-03-31 and 2026-03-31 minus current liabilities
Return on capital employed ACHC
FY Dec 2025
+11.2%
FY Dec 2024
+11.8%
FY Dec 2023
+12.8%
FY Dec 2022
+13.0%
FY Dec 2021
+12.2%
Mar 2026
+10.9%
Dec 2025
+11.2%
Sep 2025
+10.4%
Jun 2025
+10.7%
Mar 2025
+10.9%
Dec 2024
+11.8%
Sep 2024
+12.0%
Jun 2024
+11.8%
At each fiscal year end
Trailing four quarters at each quarter end
P/E, trailing
n/a
trailing loss, a multiple of a loss is not meaningful
P/E, trailing ACHC
FY Dec 2025
n/a
FY Dec 2024
14.26x
FY Dec 2023
n/a
FY Dec 2022
27.44x
FY Dec 2021
28.90x
Mar 2026
n/a
Dec 2025
n/a
Sep 2025
20.98x
Jun 2025
14.93x
Mar 2025
14.86x
Dec 2024
14.26x
Sep 2024
20.79x
Jun 2024
n/a
At each fiscal year end
Trailing four quarters at each quarter end
Enterprise value
$5.3B
market value at close 2026-10-26 on 2026-02-25 shares, plus long-term 2026-03-31 plus current 2026-03-31, minus cash 2026-03-31
Enterprise value ACHC
FY Dec 2025
$3.7B
FY Dec 2024
$5.6B
FY Dec 2023
$8.4B
FY Dec 2022
$8.8B
FY Dec 2021
$6.8B
Mar 2026
$4.5B
Dec 2025
$3.7B
Sep 2025
$4.5B
Jun 2025
$4.2B
Mar 2025
$4.9B
Dec 2024
$5.6B
Sep 2024
$7.7B
Jun 2024
$8.0B
At each fiscal year end
Trailing four quarters at each quarter end
FCF yield
-10.1%
TTM free cash flow over market value at close 2026-10-26
FCF yield ACHC
FY Dec 2025
-33.6%
FY Dec 2024
-15.2%
FY Dec 2023
+0.5%
FY Dec 2022
+1.1%
FY Dec 2021
+2.4%
Mar 2026
-13.5%
Dec 2025
-33.6%
Sep 2025
-15.2%
Jun 2025
-14.9%
Mar 2025
-9.2%
Dec 2024
-15.2%
Sep 2024
-8.4%
Jun 2024
-7.3%
At each fiscal year end
Trailing four quarters at each quarter end
PEG, trailing
n/a
trailing loss, a multiple of a loss is not meaningful
PEG, trailing ACHC
FY Dec 2025
n/a
FY Dec 2024
n/a
FY Dec 2023
n/a
FY Dec 2022
0.64x
FY Dec 2021
n/a
Mar 2026
n/a
Dec 2025
n/a
Sep 2025
n/a
Jun 2025
n/a
Mar 2025
n/a
Dec 2024
n/a
Sep 2024
n/a
Jun 2024
n/a
At each fiscal year end
Trailing four quarters at each quarter end
Price as of 2026-10-26. Hover or tap a tile for its yearly and quarterly history.Method
TTM is four consecutive fiscal quarters; Q4 is the year minus nine months when not filed. Returns use the average of opening and closing balances. EBIT is approximated by operating income. PEG uses trailing EPS growth.
Fundamentals
Annual figures from XBRL filings. Pick a past date to see them as known then.
ACHC ranks highest on institutional and government (61st percentile) and profitability (44th), and lowest on risk and compliance (31st), among Healthcare Services peers.
Profitability
44
Inputs
Return on equity-44.3% · 26 pct, sector of 70
Return on assets-18.9% · 33 pct, sector of 88
Return on invested capitalpre-tax loss, no effective tax rate to apply
Return on capital employed+10.9% · 73 pct, sector of 68
Financial health
35
Inputs
Debt to equity1.29x · 27 pct, sector of 61
Cash flow to debt0.07x · 43 pct, sector of 66
Growth
31
Inputs
Revenue growth, YoY+5.0% · 31 pct, sector of 87
Backlog growth, YoYno backlog line filed, or no year-earlier backlog
Institutional and government
61
Inputs
Funds adding, latest quarter169 · 72 pct, sector of 73
Congress net buyers, 365dno Congress trades in 365 days
Federal contracts, 180dno federal contracts in 180 days
Lobbying spend, 4 quarters$360K · 51 pct, universe of 1,063
Risk and compliance
31
Inputs
Short interest, % of float+24.9% · 4 pct, sector of 95
Recalls per $1B revenue, 3ynot measured for this sector, almost no peer has an event
EPA cases per $1B revenue, 5ynot measured for this sector, almost no peer has an event
New text in Risk Factors, latest 10-K+8.9% · 58 pct, sector of 72
2 not measured: Insider conviction, US patents
Insider conviction needs 1 of 2 inputs, 0 present: no Form 4 purchase or sale (code P or S) in 180 days; no insider trades in 180 days
US patents needs 1 of 2 inputs, 0 present: patent data not loaded yet
5 of 7 axes scored. Each is a percentile against sector peers (all companies when the sector is thin); higher is better. An unscored axis is unmeasured, not low. How it is scored
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