Acadia Healthcare (ACHC) vs Trupanion (TRUP)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Acadia Healthcare (ACHC) has outperformed Trupanion (TRUP) over the past year, gaining 11.2% versus a loss of 39.0%. Over five years, ACHC leads with a -49.9% price change compared with -71.7% for TRUP. Acadia Healthcare is the larger company by market cap ($2.65 billion vs $1.13 billion), about 2.4 times the size.
On valuation, Trupanion trades at a lower forward P/E (6.1x vs 15.4x for Acadia Healthcare).
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ACHC | TRUP |
|---|---|---|
| Share price | $28.48 | $25.82 |
| Market cap | $2.65B | $1.13B |
| 1-day change | -2.57% | +4.83% |
| YTD return | +100.70% | -30.91% |
| 1-year return | +11.25% | -38.99% |
| 5-year return | -49.94% | -71.68% |
| P/E ratio (TTM) | — | 48.72 |
| Forward P/E | 15.42 | 6.06 |
| EPS (TTM) | $-12.42 | $0.53 |
| Dividend yield | 0.00% | 0.00% |
| Annual dividend | $0.00 | $0.00 |
| Revenue (latest FY) | $3.31B | — |
| Revenue growth (YoY) | +5.04% | — |
| Net income (latest FY) | $-1.10B | — |
| Net margin | -33.29% | — |
| 52-week high | $35.83 | $46.98 |
| 52-week low | $11.43 | $21.16 |
| Distance from 52-week high | -20.51% | -45.04% |
| Analyst consensus | buy | buy |
| Avg. price target upside | +18.64% | +32.65% |
| Average volume | 2.01M | 473.25K |
| Shares outstanding | 93.10M | 43.62M |
| Employees | 25,000 | 1,121 |
| Sector | Health Care | Health Care |
| Industry | Medical Specialities | Medical Specialities |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- Acadia Healthcare is about 2.4 times larger than Trupanion by market value ($2.65B vs $1.13B).
- ACHC has outperformed TRUP by 50.2 percentage points over the past year.
About Acadia Healthcare
ACHC stock →Acadia Healthcare Company, Inc. provides behavioral healthcare services in the United States and Puerto Rico.
Health Care · Medical Specialities · 25,000 employees
About Trupanion
TRUP stock →Trupanion, Inc., together with its subsidiaries, provides medical insurance for cats and dogs on subscription basis in the United States, Canada, and Continental Europe. The company operates in two segments, Subscription Business and Other Business.
Health Care · Medical Specialities · 1,121 employees
ACHC vs TRUP FAQ
Which is bigger, Acadia Healthcare or Trupanion?
Acadia Healthcare (ACHC) is larger, with a market capitalization of $2.65B compared with $1.13B for Trupanion (TRUP).
Which stock has performed better over the past year, ACHC or TRUP?
ACHC returned +11.25% over the past 12 months, compared with -38.99% for TRUP (price return, excluding dividends). Past performance does not predict future results.
Are Acadia Healthcare and Trupanion in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.