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Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Statement of Comprehensive Income (Loss) (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Condensed Financial Statements, Captions [Line Items]          
Revenue $ 782,810       $ 760,617
Salaries, wages and benefits 440,316       429,579
Professional fees 63,300       57,007
Supplies 31,971       29,957
Rents and leases 20,824       20,307
Other operating expenses 98,529       93,865
Depreciation and amortization 41,680       40,580
Interest expense, net 42,785       48,130
Transaction-related expenses 3,549       4,321
Total expenses 742,954       723,746
(Loss) income before income taxes 39,856       36,871
(Benefit from) provision for income taxes 5,789       7,360
Net income 34,067       29,511
Net income attributable to noncontrolling interests (604)       (40)
Net income attributable to Acadia Healthcare Company, Inc. 33,463 $ (11,254) $ 42,566 $ 48,140 29,471
Other comprehensive income:          
Foreign currency translation (loss) gain (122,000)       44,481
Loss on derivative instruments 43,746       (8,690)
Other comprehensive (loss) income (78,254) $ 93,110 $ (48,377) $ (33,031) 35,791
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. (44,791)       65,262
Parent [Member]          
Condensed Financial Statements, Captions [Line Items]          
Salaries, wages and benefits 4,979       6,101
Interest expense, net 14,460       19,578
Total expenses 19,439       25,679
(Loss) income before income taxes (19,439)       (25,679)
Equity in earnings of subsidiaries 48,353       48,157
(Benefit from) provision for income taxes (5,153)       (7,033)
Net income 34,067       29,511
Net income attributable to Acadia Healthcare Company, Inc. 34,067       29,511
Other comprehensive income:          
Loss on derivative instruments 43,746       (8,690)
Other comprehensive (loss) income 43,746       (8,690)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. 77,813       20,821
Combined Subsidiary Guarantors [Member]          
Condensed Financial Statements, Captions [Line Items]          
Revenue 474,612       459,818
Salaries, wages and benefits 261,603       254,942
Professional fees 28,558       25,368
Supplies 20,859       19,384
Rents and leases 8,883       8,403
Other operating expenses 63,819       59,390
Depreciation and amortization 21,046       19,605
Interest expense, net 24,159       23,018
Transaction-related expenses 1,525       3,218
Total expenses 430,452       413,328
(Loss) income before income taxes 44,160       46,490
(Benefit from) provision for income taxes 11,712       17,065
Net income 32,448       29,425
Net income attributable to Acadia Healthcare Company, Inc. 32,448       29,425
Other comprehensive income:          
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. 32,448       29,425
Combined Non-Guarantors [Member]          
Condensed Financial Statements, Captions [Line Items]          
Revenue 308,198       300,799
Salaries, wages and benefits 173,734       168,536
Professional fees 34,742       31,639
Supplies 11,112       10,573
Rents and leases 11,941       11,904
Other operating expenses 34,710       34,475
Depreciation and amortization 20,634       20,975
Interest expense, net 4,166       5,534
Transaction-related expenses 2,024       1,103
Total expenses 293,063       284,739
(Loss) income before income taxes 15,135       16,060
(Benefit from) provision for income taxes (770)       (2,672)
Net income 15,905       18,732
Net income attributable to noncontrolling interests (604)       (40)
Net income attributable to Acadia Healthcare Company, Inc. 15,301       18,692
Other comprehensive income:          
Foreign currency translation (loss) gain (122,000)       44,481
Other comprehensive (loss) income (122,000)       44,481
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. (106,699)       63,173
Consolidating Adjustments [Member]          
Condensed Financial Statements, Captions [Line Items]          
Equity in earnings of subsidiaries (48,353)       (48,157)
Net income (48,353)       (48,157)
Net income attributable to Acadia Healthcare Company, Inc. (48,353)       (48,157)
Other comprehensive income:          
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. $ (48,353)       $ (48,157)