acadia healthcare scandal acadia healthcare scandal

A month-long news investigation by WXYZ of Detroit, MI, found: a pattern of assaults on staff dating back years, repeated allegations of physical and sexual abuse involving patients. The company rampantly and openly commits insurance fraud. The Beginning: A Legislative Triple-Threat. The problem is that Medicaid paid the facilities a much higher amount for the tests than the lab had charged for the analysis. Ever, and presently chairs the Illinois State Police Merit Board, Patient was a minor at the time of the intimacies, Patient had experienced incest or other child sex abuse, Patient had experienced rape prior to intimacies with therapist, Patient required hospitalization considered to be at least partially a result of the intimacies, Patient achieved complete recovery from any harmful effects of intimacies, Patient filed formal (e.g., licensing, malpractice) complaint. The dual understanding of finance and behavioral health led to the notable Acadia Healthcare series of articles in 2018/2019.He began working for a behavioral healthcare provider, Prescott House, Inc. in 2011. Take these seven facilities as a representative example of allegations consistent with declining quality of care: West Memphis, AR: Ascent Treatment & Outpatient Clinic. CRC allegedly billed Acadia, and Acadia paid the San Diego lab, while at the same time billing West Virginia's Medicaid program, with the latter company receiving more than $8 million from Medicaid. Investigators spent hours going through evidence today at two Lakeview Behavioral Health buildings in Gwinnett County. In 2015, American Addiction Centers ((AAC)) was charged with murder in California the first-ever corporation to be charged with second-degree murder. Acadia Settlement Agreement Click here to find out more , Insider Trading Volume Since 2015. Revenue totaled $675.3 million, an increase of 13.8% over the fourth . I am proud of the work of my office and that of our partners to ensure the end of this multi-million dollar scheme. In Gwinnett County, police confirm they're focusing on 51 former patients. The various questions for Acadia surrounded the accounting discrepancies, the insider stock sell-off, and the widespread alleged misconduct. The West Virginia Centers provide outpatient drug treatment, including the administration of Methadone and the prescribing of Suboxone and Subutex. Presently, over 70% of the companys top-line is paid to Acadia by the British and American taxpayers, he reported. I have served in many aspects of the oft-misunderstood, exploited, but also necessary field for over seven years. Last year, the location's top physician since 2012 resigned, citing the decline of the facility under Acadia. Huntington, WV 25701, Charleston: (304) 345-2200 Compare. "Defendants are liable for: (1) making false statements; or (II) failing to disclose adverse facts known to them about Psychiatric Solutions. 20,000 Employees We employ professionals who are dedicated to developing innovative ways to deliver individualized behavioral health treatment. They care only about profit. Operating cash flows for 2023 are expected to be $450-$500 million , suggesting a rise . Staff were hurting children. 32, 4 Feb., 2019; https://www.jointcommission.org/assets/1/6/Accr-Tips-Email-Feb-2014.pdf. In the last two years, the number of nurse vacancies has risen by 17%. While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Acadia's books do not look good. The company's Atmosphere is good, the employers care about thier employee's wellbeing, and hours are flexible. Ratings by category. We collaborate and research together, as many readers know, however, are expressing our own unique investment viewpoints. On February 4, 2019, The Capitol Forum reported it had obtained 373 pages of Arizona Department of Health Services (ADHS) documents regarding investigations into Acadias Oasis Behavioral Health near Phoenix, which accepts children, adolescents, and adults. Our human resources department helps ensure that our teams consist of the very finest candidates, and they assist our employees in making the most of their Acadia experience. The company was founded in January 2005, and is headquartered in Franklin, Tennessee. In effect, the three combined laws were a mandate for the $3 trillion insurance industry to pay out unlimited reimbursements for a lifetime disease with no cost-effective solution. If you have information that would assist KSF in its investigation, or have been a long-term holder of Acadia shares and would like to discuss your legal rights, you may, without obligation or. Bei der Nutzung unserer Websites und Apps verwenden wir, unsere Websites und Apps fr Sie bereitzustellen, Nutzer zu authentifizieren, Sicherheitsmanahmen anzuwenden und Spam und Missbrauch zu verhindern, und, Ihre Nutzung unserer Websites und Apps zu messen, personalisierte Werbung und Inhalte auf der Grundlage von Interessenprofilen anzuzeigen, die Effektivitt von personalisierten Anzeigen und Inhalten zu messen, sowie, unsere Produkte und Dienstleistungen zu entwickeln und zu verbessern. Then three more in 2019. By 2010, they had opened or acquired a total of six facilities. WEST BLOOMFIELD, Mich., September 27, 2022 -- ( BUSINESS WIRE )--Henry Ford Health, one of the nation's premier academic and integrated health systems, and Acadia Healthcare, the nation's. The heavy leverage lining the industry artificially inflated valuations beyond 30X EBITDA, spurring many clinicians with a plethora of "modalities" to set up their own shops. I/we have no positions in any stocks mentioned, but may initiate a short position in ACHC, UHS, AAC over the next 72 hours. Acadia Healthcare 31,705 followers 1w Acadia's Comprehensive Treatment Centers, or CTCs, provide vital care for adults who are suffering from opioid addictions. The other alleges sexual assault by Michael Jacksa, 40, a former counselor at the facility. Source: Marketwatch. Pursuant to the settlement agreement, Acadia will pay $17 million to resolve allegations of a billing scheme that defrauded Medicaid of $8.5 million. In a June 20, 2018, Glassdoor online review entitled "Used to Be Better, Now It's Just About Acquiring as Much as Possible," one employee in the corporate office wrote the following: People you work with; Corporate office is in a nice area. But after the act, insurers became required to treat MH/SUD services with parity, meaning they have to provide the exact same coverage for MH/SUD services as they do for medical and surgical benefits. Too few staff members to treat patients appropriately. Acadia is a leading provider of behavioral healthcare services across the United States. Source: Y Charts, Cap Table: 2016 ACHC Proxy Statement (pp. Huntington Comprehensive Treatment Center in West Virginia. 7, No. Fort Myers, FL, Park Royal Hospital. Courtesy Acadia Healthcare, Cap Table: 2015 ACHC Proxy Statement (pp. Insurers instantly discovered ways to circumvent it. Dec. 18, 2020 at 6:46 a.m. Deal is largest for health care fraud in West Virginia history, Shugga Hi owner sues for right to buy property eyed for ER, Grading the Predators major trades so far. *Some* good colleagues. Attorneys Alan McGonigal and Jennifer Mankins represented the federal government in the settlement. 32, 4 Feb., 2019, [2] Is the Integrity Gap Widening in Behavioral Health?, Brown Consulting Behavioral Services, 21 July 2017, http://www.danbrownconsulting.com/2017/07/21/integrity-gap-widening-behavioral-health/. In just under two weeks after Acadia's stock reached the highest peak it would ever achieve, a few insiders unloaded $1 billion worth of stock onto the market. [4]Acadia Healthcare: ADHS Documents Reveal Violence and Understaffing at Oasis Behavioral Health, Capitol Forum, Vol. I directly observed a staff member screaming at a kid with severe trauma.[7], Acadia Healthcare came under further scrutiny in Oklahoma where it owns Rolling Hills Hospital. He stated in a June 11, 2018 response email, "I have been looking for the appropriate office to look into the allegations you have made regarding the healthcare industry. By CCHR International As a subject matter expert, these are my observations surrounding Acadia Healthcare. Neither party has chosen to respond or provide any comment to the substance brought forth herein. Authorities said they are looking into complaints of abuse, over-druggingand fraud at the facility owned by Acadia Healthcare. https://www.acadiahealthcare.com. 6100 Tower . Not only government and Joint Commission oversight but also criminal prosecutions over patient restraint and other deaths and sexual abuse of patients are seriously lacking. In some cases, the Department may take additional action such as requiring immediate correction by the facility and may exercise other authority including license suspension, the issuance of civil money penalties, or license revocation.. GWINNETT COUNTY, Ga. More than 50 local police officers raided a local mental health hospital. 7, No. (Page 6, Paragraph 1 of the complaint. Assistant U.S. Acadia offers an unhealthy work environment, terrible management that is rarely on site, and unreasonable expectations. Acadia Healthcare shares fall on mixed-bag results, forecasts. It appears all the employees are cooperative, they all understand why we are here, Pihera said. 27). As a result of the $17 million settlement, which represents twice the actual loss suffered by Medicaid, both the state and federal programs will be made whole. Yet cost-cutting has persisted. This settlement is just one example of the great results from our collaboration and hopefully it will have a positive effect on the people of West Virginia, Schoeman added. I found sobriety just over a decade ago, after further treatment at the Hazelden Foundation and Prescott House. Cash from operations growth has dried up. No time off; Little regard for employees happiness/overall mental health (ironic); No flexibility; Extreme lack of communication company-wide; Unless promoted, raise is 2% max; Lack of ethics. Their employee turnover is very high. A lawsuit charges that the facility lacks sufficient and appropriately trained staff. He said: Ultimately, it became a matter of principle over passion, and the former was non-negotiable for me. Huntington:(304) 529-5799. According to The Capitol Forum, All Joint Commission reports on Oasis that were included in the documents found the facility to be in compliance with state regulations. Yet each Joint Commission report stated that no onsite survey was conducted.[4], In 2017, Senator Charles Grassley criticized the Joint Commission over it designating a Universal Health Services (UHS) behavioral facility, Shadow Mountain in Oklahoma, with a Gold Seal of Approval when there were serious allegations of patient abuse and sexual misconduct against it. The Capitol Forum found that between January 2014 and September 2018, the facility had been investigated dozens of times after reports of poor care and dangerous conditions. Acadia is 98% owned by institutions. provider visits or the number of days they would cover for mental health patients. From the Q2 ACHC shareholder call. SLOW DOWN. Patient acceptance restrictions. Lemont, IL, Timberline Knolls. Philadelphia, PA, Belmont Hospital. It operates a network of over 225 facilities across the United States and Puerto Rico. On January 20, 2021, the Honorable William L. Campbell, Jr. of the United States District Court for the Middle District of Tennessee denied defendants' motion to dismiss in St. Clair County Employees' Retirement System v. Acadia Healthcare Company, Inc., a case alleging Acadia and certain of its officers violated 10(b) and 20(a) of the Securities Exchange Act of 1934. As a result, reputable clinicians are willing to refer to Acadia less and less. The 2009 suit alleged: (PSI) suffered from systematic quality of care and patient safety problems. On February 28, 2018, The Attorney General's office was notified upon first discovery of potentially harmful misconduct at Acadia. West Virginia-based Acadia Healthcare, along with subsidiary CRC Health, has agreed to dole out $17 million to settle accusations of fraud, representing the largest fraud-related settlement in the history of the state, according to a settlement agreement released this week. To ensure this doesnt happen in the future, please enable Javascript and cookies in your browser. The company, which runs mental-health and addiction-treatment facilities, reported fourth-quarter net income of $63.1 million, or 67 cents a share, compared with $71.5 million, or . An alleged cover-up attempt at the hospital by not reporting the deaths of patients to the facility's governing body. Even this year, surfacing rape allegations at Houstons Kingwood Pines Hospital (previously a Psychiatric Solutions facility managed by Jacobs and this same management team) points to the sparse revenue potential for providers across the spectrum. sued Jacobs and the PSI Management in Federal District Court, Complaint in US District Court (Rocinek et al v. PSI, Filed 7/20/2010), (Garden City Employees Ret. As of June 30, 2021, Acadia operated a network of 229 behavioral healthcare facilities with approximately 10,100 beds in 40 states and Puerto Rico. Additionally, the provisions it did have were woefully ineffective. Allegations of potential fraudulent billing and abuse are not limited to Acadia and UHS. U.K. and U.S. government health contracts make up the bulk of the money paid to Acadia Healthcare. Nearly 600,000 West Virginians rely on Medicaid for the payment of critical services. 2.5. The Medicaid program is primarily administered by the states, but jointly financed by federal and state funds funds ultimately originating from taxpayers. Oversight. Included within the purview of the team are the Opioid Fraud and Abuse Detection Unit, Affirmative Civil Enforcement Unit, Appalachian Regional Prescription Opioid Task Force, Medicare and Medicaid Fraud, and Asset Forfeiture efforts related to all healthcare matters. I am proud of DHHRs Medicaid Fraud Control Unit under the leadership of Director Michael Malone and its work with the United States Attorneys Office Southern District in combatting healthcare fraud and the opioid crisis and as a member of the innovative ARREST Task Force.. 15). This is reminiscent of Q2 2018 earnings, when just days before a shy miss of analyst estimates, Waud dumped stock as well. The issues at Oasis mirror conditions that The Capitol Forum said it has uncovered at other Acadia facilities: harm to patients caused by poor oversight and understaffing.[1]. Today, the company appears to be owned by (predominantly) passive dollars. (CRC), operates seven drug treatment centers in West Virginia. The CIA requires CRC and Acadia to maintain a compliance program, implement a risk assessment program, and hire an Independent Review Organization to review Medicaid claims. In many cases, the documents provided by ADHS show that when Oasis provided an acceptable plan of correction, the department did not conduct an on-site follow up survey, according to The Capitol Forum. Today, regulations have finally set in in some states; costs are cut so far that treatment centers often have misleading or dangerous living conditions, and fail to provide individuals with the treatment they desperately need. Old men to stumble into Moncton. With $3.7 billion in debt, Acadia is poorly positioned in a rising interest rate climate. WSB-TV Channel 2 - Atlanta facebook feed(Opens a new window), WSB-TV Channel 2 - Atlanta twitter feed(Opens a new window), WSB-TV Channel 2 - Atlanta instagram feed(Opens a new window), WSB-TV Channel 2 - Atlanta youtube feed(Opens a new window), Patient found in freezer, child loses toe: 46 claims of abuse investigated at mental health facility, Police confirm death at behavioral health facility already under investigation, Behavioral health facility under investigation after accusations of theft, sexual abuse, Reality star Honey Boo Boo was inside speeding Dodge Charger involved in chase with Ga. deputies, Missing Pennsylvania woman found alive after more than 30 years, Police searching for man who disappeared with 9-month-old baby in Clayton County, Friends, families desperate for answers after pair of best friends disappear in metro Atlanta, A 17-year-old Gwinnett County girl thought she was taking Percocet; now shes dead. Medicaid fraud cost states billions of dollars every year, diverting funds that could otherwise be used for legitimate health care services. on Monday offered up sales results and forecasts that beat estimates, but a weaker showing for profits. Acadia Healthcare Engaged Employer Overview 648 Reviews 79 Jobs 657 Salaries 49 Interviews 309 Benefits 1 Photos + Add a Review Acadia Healthcare Employee Reviews about "patient care" Updated 11 Mar 2021 Find Reviews Clear All Full-time, Part-time English Filter Found 18 of over 648 reviews Sort Popular Popular Highest Rating Lowest Rating The investigation was conducted by HHS-OIG, the Drug Enforcement Administration, West Virginia Medicaid Fraud Control Unite and members of the U.S. Attorneys Healthcare Fraud Abuse, Recovery and Response Team. 4. Officials brought their own truck and van for all the evidence they expected to find. Myron Ballou, 70, was hospitalized at Rolling Hills in December 2017 after staff at the Oklahoma Veterans Center observed changes in his behavior, his wife, Marsha, said. Please disable your ad-blocker and refresh. It has been saddled with $3.7 billion in debt, unable to pay. As of March 31, 2021, Acadia operated a network of 228 behavioral healthcare facilities with. She had bruising all over, Tipton told Thomas. Source: YCharts. Questions about Arcadia Health Care. The low-interest rate environment made borrowing extremely cheap. The investigation was conducted by HHS-OIG, DEA and MFCU, members of the United States Attorneys Healthcare Fraud Abuse, Recovery and Response Team (ARREST), an innovative approach linking civil and criminal enforcement efforts together in a comprehensive attack on the opioid epidemic and healthcare fraud. At Acadia Healthcare, our commitment to integrity and compassionate care is realized each day by our highly qualified staff. In August 2018, the Department of Justice announced the creation of a new regional Medicare fraud strike force covering Newark, New Jersey and Philadelphia, Pennsylvania, adding to similar such strike forces in Miami, Los Angeles, Detroit, Chicago and other major metropolitan areas. Acadia is a leading provider of behavioral healthcare services. Acadia has been unable to raise any additional funds, either through financing or through additional stock placement, since Q2 2016. When a behavioral healthcare company stops growing its business, but revenue and profit margins continue to grow, that's a problem. Chris Hunter. I wrote this article myself, and it expresses my own opinions. [5]The Senator wrote the Joint Commission, saying it appears to be unable to aggressively enforce the necessary standards on all facilities. He also cited a Wall Street Journal story about Cooley Dickinson Hospital in Northamption, Massachusetts, which was given the Gold Seal of Approval by the Joint Commission even after CMS threatened to cut it off over safety problems which led to preventable patient deaths. System et al v. PSI, Filed 9/21/2009). A damaged reputation. When state inspectors visited in November of 2017, they declared a state of imminent danger. Joey Jacobs stated: The company remains actively engaged with its acquisition pipeline and expects its 2018 acquisitionactivity to be heavily skewed toward acute facilities in the United States. Sie knnen Ihre Einstellungen jederzeit ndern, indem Sie auf unseren Websites und Apps auf den Link Datenschutz-Dashboard klicken. The American Addiction Centers incident led to increased oversight into the industry and increasing regulation. ET by Tomi Kilgore. 1. 19,200. Prosecutors say that treatment centers frequently illegally waive co-pays and deductibles, telling patients and parents that insurance will cover everything. Combined, the two laws were meant to guarantee that all people suffering from addiction and mental health disorders could get access to the care they needed. A member of the direct care team at Acadia's flagship facility, Sierra Tucson (located in Oro Valley, AZ), mentioned the following in another Glassdoor employment review entitled "Short staffed to the point that patients are put in danger,". Acadia was involved in approximately zero of those transactions. Astonishingly, in their time since becoming publicly traded, ACHC press release on Q2 earnings from 2018, ACHC presentation Wells Fargo Healthcare Conference 9/2018. This corporation is taking. At March 31, 2020, Acadia operated a network of 588 behavioral healthcare facilities with approximately 18,200 beds in 40. Wenn Sie Ihre Auswahl anpassen mchten, klicken Sie auf Datenschutzeinstellungen verwalten. A partial reason is that poor people are inclined to seek free shelter in a behavioral healthcare center when it is warm outside. Non-waived laboratory testing, in contrast, consists of moderate and high complexity testing. You must be a. Two years ago, Brown Consulting Behavioral Services warned that with increased attention of the Department of Health and Human Services (DHS) and the Office of Inspector General (OIG), Behavioral Healthcare leaders, like other healthcare leaders, must re-examine their internal operations and practices to protect their organizations from fraud and abuse. The July 21, 2017 article spoke of an Integrity Gap, referring to the distance between day-to-day conduct and the ethical standards of the organization. M&A activity in the sector leveled off and has declined from 60 deals in 2016 to 47 deals in 2017, according to The Braff Group. If any of the above happens, it will likely cause Mizuho (which currently has a $60 price target) and Wells Fargo to downgrade the stock as they have in the past, causing a further sell-off. Acadia Healthcare came under further scrutiny in Oklahoma where it owns Rolling Hills Hospital. So, it was not surprising when a research site named 'Aurelius Research' launched a site called 'Acadia Exposed' that has compiled relatively voluminous copies of pending litigation aimed at facilities Acadia owns, as well as the parent company itself. $6,908. In 2017, the majority of Acadia's US revenue came from Medicaid and Medicare contracts. Medicaid fraud is not a victimless crime. for violations of Sections 14 and 20 of the Securities Exchange Act of 1934 (Exchange Act), and as a class action for breaches of fiduciary duties, unjust enrichment and rescission in connection with the proposed sale of PSI to Universal Health Services, Inc. Lastly, contact was made with Acadia Healthcare and Waud Capital Partners via telephone and email. On average, how many hours do you work a day at . Allowed young people to stay on their parents' insurance until the age of 26. MH/SUD Peers vs. S&P 500 (Normalized). Apr 30 2018. However, when they outperformed at Q4 2017, Waud dumped stock after the release of earnings in February. The strike force works with law enforcement agencies including State Medicaid Fraud Control Units. Acadia is nearing a high-risk of default, and logically, would soon be unable to continue to borrow for growth. Acadia Healthcare Engaged Employer Overview 649 Reviews 76 Jobs 657 Salaries 49 Interviews 310 Benefits 1 Photos 229 Diversity + Add a Review Acadia Healthcare Reviews Updated Feb 27, 2023 Find Reviews Clear All Full-time, Part-time English Filter Found 636 of over 649 Sort Popular Popular COVID-19 Related Highest Rating Lowest Rating Most Recent Most importantly, the "private equity offer" publicized in early October by Reuters was for $38 a share but the company was trading as high as $45 a share last week. An analyst asked Joey about that at the end of Q2: Are you comfortable with your assumptions going into the summer months?. It closed all of the loopholes insurers used to circumvent the prior Mental Health Parity Act of 1997 (MHPA). I have no business relationship with any company whose stock is mentioned in this article. According to a national survey, abuse in this industry by staff is much more common than many would think; some of the data from 958 respondents in California is below: Source: https://kspope.com/sexiss/sex2.php. 1. labor relations violation. ; https://www.jointcommission.org/about/jointcommissionfaqs.aspx#2323. The hospital didnt investigate to determine if the reports were legitimate, according to inspection reports. A press release on that date, issued by the plaintiff('s) counsel, Robbins, Geller, Rudman, & Dowd LLP, stated that Jacobs and the PSI leadership ended the dispute. According to a DOJ press release, Medicaid subsequently paid the facilities a substantially higher amount for these tests than what had actually been charged by the laboratory. CONTACT: Shareholders Foundation, Inc. Michael Daniels +1 (858) 779-1554. Mental Health Parity and Addiction Equity Act of 2008, rider to the Troubled Asset Relief Program (TARP), resorted to extreme exploitation of minimal regulation via patient brokering, massive gold rush, according to Bloomberg News, misleading or dangerous living conditions. Acadia is a leading provider of behavioral healthcare services. As part of the settlement, Acadia and its chain of clinics have entered into a five-year corporate integrity agreement with the U.S. Department of Health and Human Services that requires the company to maintain a compliance program, implement a risk assessment program and hire an outside organization to review Medicaid claims. They are up more than 20 percent so far this year. Net cash provided by operating activities for the first half of 2018 was $217 million. In the two previous years, it has experienced a 20%+ drop after its Q3 earnings announcement. Acadia Healthcare Company, Inc. ( NASDAQ:ACHC ), might not be a large cap stock, but it saw significant share price movement during recent months on the NASDAQGS, rising to highs of US$89.06 and . 6. workplace safety or health violation. Los Angeles, CA 90028 800-869-2247 323-467-4242 323-467-3720 Fax. Here is the full statement from Lakeview Behavioral and Acadia Healthcare on todays search warrant by @GwinnettPd @wsbtv pic.twitter.com/0QdlzDYH6i. Unscrupulous actors have taken advantage of well-intended federal law, and a lack of any good law at the state level, to profit off people at the lowest stages of their lives. Interest rates. Another suit, from 2015, alleges child neglect. Henderson, NV, Seven Hills Hospital. We will continue working with the U.S. Attorney and other law enforcement partners to protect government health programs, taxpayers, and importantly people who depend on these funds for vitally needed treatment.. Acadia would suffer greatly from any changes in the regulatory environment. A lawsuit from one of the victims, Shannon Archer, highlights the conditions of neglect. Another law, passed in 1997, had tried to achieve something similar. Our community is ready to answer. 4. The company has seen a mass exodus of value, about a third of its market cap, since Littles first report on the behavioral healthcare company. West Virginia-based Acadia Healthcare, along with subsidiary CRC Health, has agreed to dole out $17 million to settle accusations of fraud, representing the largest fraud-related settlement in the history of the state, according to a settlement agreement released this week. Following allegations of fraudulent Medicaid claims, Acadia Healthcare has agreed to pay a $17 million settlement, according to a recent press release by the Department of Justice. All Rights Reserved, 6616 Sunset Blvd., Los Angeles, CA 90028323-467-4242 / 800-869-2247, Psychiatrists/Physicians admitDisorders are not a Disease, Alternatives to Psychiatric Drugs for Children. Those who purchased Acadia Healthcare Company Inc (NASDAQ: ACHC) shares should contact the Shareholders Foundation, Inc. Acadia does not care about the well-being of their patients or their employees. This is a message of deterrence to other would-be fraudsters.. Ask a question about working or interviewing at Arcadia Health Care. The following month, the child's family filed a wrongful death suit against Ascent (owned by Acadia), the employees, and its corporate entities for $135 million. Moncton has out-world-classed Halifax by paying a secret amount of money to have AC/DC perform at Magnetic Hill this summer ("summer" means "September" in New Brunswick). KARK reported that: Ascent Children's Health Services CEO Dan Sullivan admits some employees didn't follow correct protocol and were fired. Yet Acadia has not made any purchases in the last two years, and they have begun to champion joint venture de novo projects like the one with St. Thomas Hospital in Nashville, for example.