What Is Acadia Healthcare? A Complete Guide to America’s Largest, Stand-Alone Behavioral Health Network

Acadia Healthcare operates a network of affiliated behavioral health facilities in the United States, with approximately 270 treatment centers serving approximately over 80,000 patients across nearly 40 states and Puerto Rico.

The Franklin, Tennessee-based company helps address the mental health and addiction treatment needs in the United States through a network of affiliated facilities. 

Network Scale and Geographic Coverage

According to its Q2 earnings report, Acadia Healthcare’s network of affiliates encompasses health facilities with approximately 12,100 beds as of August 5, 2025. The network grew from 262 facilities at the end of 2024, adding new locations in Q1 2025 including:

  • A Henry Ford Health joint venture hospital in West Bloomfield, Michigan (192 beds)
  • A De novo facility in North Port, Florida
  • Seven new Comprehensive Treatment Centers (three opened, four acquired)

Key network statistics include:

  • 82,000+ patients served across all facilities
  • Approximately 25,500 employees providing care
  • 39 states and Puerto Rico covered by the network
  • 12,100 beds available for patient care

Top states served:

  • Pennsylvania
  • California
  • Tennessee
  • Massachusetts
  • Arizona

Each affiliated facility maintains its own operational structure while benefiting from shared resources and standardized quality protocols. Local facilities can respond to community needs while accessing more centralized support for services such as training and clinical best practices.

What Types of Treatment Can Acadia Healthcare’s Network Provide?

Acute Inpatient Psychiatric Care

The network includes over 50 acute facilities that can provide short-term treatment for psychiatric symptoms. These facilities may serve patients with conditions such as:

  • Bipolar disorder
  • Schizophrenia
  • Depression
  • Psychosis

Acute facilities aim to stabilize patients experiencing psychiatric emergencies before transitioning them to lower levels of care.

Residential Treatment Programs

Acadia’s network of affiliated facilities operates over 30 specialty facilities focused primarily on residential addiction treatment. Some locations also treat eating disorders.

Residential programs can allow extended stays. Programs serve both adults and adolescents in separate facilities or units based on age and treatment needs.

Comprehensive Treatment Centers (CTCs)

Acadia’s network of affiliated  Comprehensive Treatment Centers (CTCs) operate in over 170 clinical facilities across over 30 states. CTCs are designed to address opioid use disorder through medication-assisted treatment.

CTC medications may include:

  • Methadone
  • Buprenorphine (Suboxone)
  • Naltrexone (Vivitrol)

Acadia’s network CTCs treat over 74,000 patients daily as of Q1 2025. 

Outpatient Services

Partial hospitalization programs (PHP) and intensive outpatient programs (IOP) operate throughout the network:

  • PHP: May include several hours of daily programming
  • IOP: Can include several hours of programming multiple days per week
  • Services offered: Group therapy, individual counseling, medication management, skills training

These programs can serve as step-down options from inpatient care or alternatives for patients not requiring round-the-clock supervision.

Residential Treatment Centers

Nine specialized residential treatment centers aim to provide behavioral health care for children and adolescents. Facilities may combine therapeutic intervention with educational services, with the goal of supporting academic progress during treatment.

How Can Patients Access Care Through Acadia’s Network?

What Insurance Can Acadia Healthcare’s Affiliated Facilities Accept?

According to Q1 2025 financial data, insurance coverage across the network breaks down as follows (by revenue):

  • Medicaid: 55.9%
  • Commercial Insurance: 25.0%
  • Medicare: 14.9%
  • Self-pay: 2.4%
  • Other Payors: 1.8%

The network’s Medicaid participation reflects its role serving populations who often lack commercial coverage. Many affiliated facilities participate in state-specific Medicaid programs and supplemental payment initiatives.

Support That May Be Available for Children and Adolescents

Children’s Behavioral Solutions aims to provide assistance connecting families with treatment for youth. In conjunction with clinical teams,  resource coordinators may help families as they:

  • Navigate insurance verification
  • Understand coverage options
  • Identify financial assistance programs
  • Coordinate admission processes

Coverage varies by location and service type. The network’s geographic distribution can enable participation in diverse state Medicaid programs.

Addressing the National Behavioral Health Crisis

Working to Address Bed Availability

Across the U.S., hospitals provide roughly 28 psychiatric beds per 100,000 people. That’s more than 30 beds short of the ideal level of 60 per 100,000, according to a cross-sectional national study published in PLOS Medicine in July 2025. 

Acadia’s network of affiliated facilities is working to address this gap in accessing behavioral health services. 

In 2024, Acadia’s affiliated network added approximately 1,300 newly constructed beds to underserved areas. By year-end, 776 beds were licensed with additional licenses pending. In its Q2 2025 earnings report, Acadia reported that it has added 479 new beds, 191 through facility expansions and 288 via new construction since the start of 2025, keeping it on track with its goal of expanding access to behavioral health care.  

Bed addition plans announced at the BofA Securities 2025 Healthcare Conference include:

  • 2025: 800-1,000 new beds
  • 2026-2028: 600-800 beds annually

Quality Metrics and Recognition

The Commission on Accreditation of Rehabilitation Facilities (CARF) awarded the network’s CTCs a 99% quality score across evaluated measures. 

Other recent recognitions include:

  • Seven facilities on Newsweek’s 2024 Best Addiction Treatment Centers list:
    • Sierra Tucson (AZ): #1 on Newsweek’s Arizona ranking. 
    • Bayside Marin Treatment Center (CA): #6 on Newsweek’s California ranking.
    • Azure Acres Recovery Center (CA): #15 on Newsweek’s California ranking.
    • Wilmington Treatment Center (NC): #2 on Newsweek’s North Carolina ranking.
      Pocono Mountain Recovery Center (PA): Listed #3 on Newsweek’s Pennsylvania ranking.
    • Bradford Recovery Center (PA): #8 on Newsweek’s Pennsylvania ranking. 
    • Mirror Lake Recovery Center (TN): #8 on Newsweek’s Tennessee ranking. 
  • 2024 Tennessee ORBIE Award (given to leading technology executives) for Acadia CIO Laura Groschen

Health System Partnerships

Through 21 joint venture partnerships covering 22 hospitals, the network aims to expand access to care through partnerships with premier health systems. Recent partnerships include:

  • Henry Ford Health (Michigan): 192-bed facility opened Q1 2025
  • Intermountain Health (Colorado): 144-bed facility opened Q4 2024
  • Tufts Medicine (Massachusetts): 144-bed facility planned for fall 2025

Thirteen joint venture hospitals currently operate, with nine additional facilities in development. Partnerships are designed to combine behavioral health expertise with health systems’ existing infrastructure and community relationships.

Working to Address Critical Public Health Needs

The Opioid Crisis Response

According to the National Institute on Drug Abuse, the U.S. recorded 81,806 opioid-related overdose deaths in 2022. That number eased slightly in 2023 to 79,358. But 2024 brought an unprecedented shift: preliminary data from the CDC suggest opioid overdose fatalities dropped to about 54,743, a 34% decline, while total drug overdose deaths fell nearly 27% to approximately 80,391, the lowest level since before the pandemic.

This sharp turnaround coincides with broader deployment of proven interventions: medication-assisted treatment (such as buprenorphine and methadone), naloxone distribution programs, telehealth access, and harm reduction initiatives are likely key contributors. Treatment centers at the core of these responses—offering medication, counseling, and wraparound support—are positioned to multiply their impact by integrating these strategies at scale.

Youth Mental Health Initiatives

According to the CDC’s 2023 Youth Risk Behavior Survey, 40% of high school students report persistent feelings of sadness or hopelessness, and 20% report seriously considering attempting suicide. Through a partnership with The Jason Foundation, Acadia Healthcare’s network of affiliates is working to strengthen youth suicide prevention efforts by establishing resource centers across its facilities. These centers are designed to provide education for healthcare staff, patients, families, and communities, with the goal of recognizing warning signs and encouraging timely, professional intervention.

The Takeaway 

Despite the remaining troubling rates of opioid overdose and youth mental health crises, the recent decline in fatalities combined with the sustained reach of treatment networks like those of Acadia’s affiliated facilities signal that expanding access to care is important to help those seeking behavioral health support.