Entity Central Index Key
Contingent consideration paid on business acquisition.
Change in funds held on acquisition.
Cash paid to acquire business.
Buyer common stock received (issued).
Cash paid (received) to acquire business.
Accrued liabilities and other current liabilities.
Accrued litigation settlement.
Sale leaseback financing obligation, noncurrent.
Increase decrease in accrued litigation.
Increase decrease in change in funds held on acquisition.
Change in funds held on acquisition financing activities.
Subordinated debt from nonrelated party.
Deferred tax assets business interest limitation.
Deferred tax assets acquisition related costs.
Deferred tax liabilities accounts receivable.
Document and entity information.
Document And Entity Information [Abstract]
Document Type
Document Type
Amendment Flag
Amendment Flag
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Trading Symbol
Trading Symbol
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Well-known Seasoned Issuer
Entity Well Known Seasoned Issuer
Entity Current Reporting Status
Entity Current Reporting Status
Entity Voluntary Filers
Entity Voluntary Filers
Entity Filer Category
Entity Filer Category
Entity Small Business
Entity Small Business
Entity Emerging Growth Company
Entity Emerging Growth Company
Entity Ex Transition Period
Entity Ex Transition Period
Entity Shell Company
Entity Shell Company
Entity Common Stock, Shares Outstanding
Entity Common Stock Shares Outstanding
Entity Public Float
Entity Public Float
Income Statement [Abstract]
Statement [Table]
Statement [Table]
Product and Service
Product Or Service [Axis]
Product and Service
Products And Services [Domain]
Client Related Revenue
Health Care Patient Service [Member]
Non-Client Related Revenue
Health Care Other [Member]
Statement [Line Items]
Statement [Line Items]
Revenues
Revenues [Abstract]
Total revenues
Revenue From Contract With Customer Excluding Assessed Tax
Operating expenses
Operating Expenses [Abstract]
Salaries, wages and benefits
Labor And Related Expense
Client related services
Selling Expense
Provision for doubtful accounts
Provision For Doubtful Accounts
Advertising and marketing
Marketing And Advertising Expense
Professional fees
Professional Fees
Other operating expenses
Other Cost And Expense Operating
Rentals and leases
Operating Leases Rent Expense Net
Litigation settlement
Litigation Settlement Expense
Depreciation and amortization
Depreciation And Amortization
Acquisition-related expenses
Business Combination Acquisition Related Costs
Total operating expenses
Operating Expenses
(Loss) income from operations
Operating Income Loss
Interest expense, net (including change in fair value of interest rate swaps of $0, ($108), and ($180), respectively)
Interest Expense
Loss on extinguishment of debt
Gains Losses On Extinguishment Of Debt
Gain on contingent consideration
Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
Other (income) expense, net
Other Nonoperating Income Expense
Loss before income tax expense
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
Income tax (benefit) expense
Income Tax Expense Benefit
Net loss
Profit Loss
Less: net loss attributable to noncontrolling interest
Net Income Loss Attributable To Noncontrolling Interest
Net loss attributable to AAC Holdings, Inc. common stockholders
Net Income Loss
Basic loss per common share
Earnings Per Share Basic
Diluted loss per common share
Earnings Per Share Diluted
Weighted-average common shares outstanding:
Weighted Average Number Of Shares Outstanding Diluted Disclosure Items [Abstract]
Basic
Weighted Average Number Of Shares Outstanding Basic
Diluted
Weighted Average Number Of Diluted Shares Outstanding
Financial Instrument
Financial Instrument [Axis]
Financial Instruments
Transfers And Servicing Of Financial Instruments Types Of Financial Instruments [Domain]
Swap
Swap [Member]
Change in fair value of interest rate swaps
Increase Decrease In Fair Value Of Interest Rate Fair Value Hedging Instruments1
Statement Of Financial Position [Abstract]
Assets
Assets [Abstract]
Current assets
Assets Current [Abstract]
Cash and cash equivalents
Cash And Cash Equivalents At Carrying Value
Accounts receivable, net of allowances
Accounts Receivable Net Current
Prepaid expenses and other current assets
Prepaid Expense And Other Assets Current
Total current assets
Assets Current
Property and equipment, net
Property Plant And Equipment Net
Goodwill
Goodwill
Intangible assets, net
Intangible Assets Net Excluding Goodwill
Deferred tax assets, net
Deferred Tax Assets Net Noncurrent
Other assets
Other Assets Noncurrent
Total assets
Assets
Liabilities and Stockholders’ Equity
Liabilities And Stockholders Equity [Abstract]
Current liabilities
Liabilities Current [Abstract]
Accounts payable
Accounts Payable Current
Accrued and other current liabilities
Accrued Liabilities And Other Current Liabilities
Accrued litigation
Accrued Litigation Settlement
Current portion of long-term debt
Long Term Debt Current
Total current liabilities
Liabilities Current
Deferred tax liabilities
Deferred Tax Liabilities Noncurrent
Long-term debt, net of current portion and debt issuance costs
Long Term Debt Noncurrent
Financing lease obligation, net of current portion
Sale Leaseback Financing Obligation Noncurrent
Other long-term liabilities
Other Liabilities Noncurrent
Total liabilities
Liabilities
Stockholders’ equity
Stockholders Equity [Abstract]
Common stock, $0.001 par value: 70,000,000 shares authorized, 24,573,679 and 23,872,436 shares issued and outstanding at December 31, 2018 and 2017, respectively
Common Stock Value
Additional paid-in capital
Additional Paid In Capital Common Stock
Retained deficit
Retained Earnings Accumulated Deficit
Total stockholders’ equity
Stockholders Equity
Noncontrolling interest
Minority Interest
Total stockholders’ equity including noncontrolling interest
Stockholders Equity Including Portion Attributable To Noncontrolling Interest
Total liabilities and stockholders’ equity
Liabilities And Stockholders Equity
Common stock, par value
Common Stock Par Or Stated Value Per Share
Common stock, shares authorized
Common Stock Shares Authorized
Common stock, shares issued
Common Stock Shares Issued
Common stock, shares outstanding
Common Stock Shares Outstanding
Common stock recouped from escrow for contingent consideration on acquisition shares.
Common stock recouped from escrow for contingent consideration on acquisition.
Profit loss shares.
Statement Of Stockholders Equity [Abstract]
Equity Components
Statement Equity Components [Axis]
Equity Component
Equity Component [Domain]
Common Stock
Common Stock [Member]
Additional Paid-in Capital
Additional Paid In Capital [Member]
Retained (Deficit) Earnings
Retained Earnings [Member]
Total Stockholders' Equity of AAC Holdings, Inc.
Parent [Member]
Non-Controlling Interests
Noncontrolling Interest [Member]
Business Acquisition
Business Acquisition [Axis]
Business Acquisition, Acquiree
Business Acquisition Acquiree [Domain]
Townsend acquisition.
Townsend Acquisition
Townsend Acquisition [Member]
Solutions acquisition.
Solutions Acquisition
Solutions Acquisition [Member]
Finite-Lived Intangible Assets by Major Class
Finite Lived Intangible Assets By Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name
Finite Lived Intangible Assets Major Class Name [Domain]
Marketing Intangibles
Marketing Related Intangible Assets [Member]
Restatement
Restatement [Axis]
Restatement
Restatement [Domain]
Previously Reported
Scenario Previously Reported [Member]
Balance
Balance, shares
Shares Outstanding
Cumulative effect of restatement on prior years (see Note 2A)
Impact Of Restatement On Opening Retained Earnings Net Of Tax
Common stock granted and issued under stock incentive plan, net of forfeitures, amount
Stock Issued During Period Value Share Based Compensation
Common stock granted and issued under stock incentive plan, net of forfeitures, share
Stock Issued During Period Shares Share Based Compensation
Common stock withheld for minimum statutory taxes
Adjustments Related To Tax Withholding For Share Based Compensation
Common stock withheld for minimum statutory taxes, shares
Shares Paid For Tax Withholding For Share Based Compensation
Effect of employee stock purchase plan
Stock Issued During Period Value Employee Stock Purchase Plan
Effect of employee stock purchase plan, shares
Stock Issued During Period Shares Employee Stock Purchase Plans
Common stock recouped from escrow for contingent consideration on acquisition
Common Stock Recouped From Escrow For Contingent Consideration On Acquisition
Common stock recouped from escrow for contingent consideration on acquisition, shares
Common Stock Recouped From Escrow For Contingent Consideration On Acquisition Shares
Acquisition of certain assets
Stock Issued During Period Value Acquisitions
Acquisition of certain assets, shares
Stock Issued During Period Shares Acquisitions
Net loss, restated
Balance
Balance, shares
Net (loss) income, shares
Profit Loss Shares
Business combination consideration transferred including contingent consideration.
Statement Of Cash Flows [Abstract]
AdCare, Inc.
AdCare, Inc
Ad Care Incorporation [Member]
Credit Facility
Credit Facility [Axis]
Credit Facility
Credit Facility [Domain]
2017 Credit Facility
Revolving Credit Facility [Member]
2018 Acquisitions.
2018 Acquisition
Two Thousand Eighteen Acquisitions [Member]
2016 acquisitions.
2016 Acquisitions
Two Thousand Sixteen Acquisitions [Member]
Cash flows from operating activities:
Net Cash Provided By Used In Operating Activities [Abstract]
Net loss
Adjustments to reconcile net loss to net cash provided by operating activities:
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities [Abstract]
Equity compensation
Share Based Compensation
Loss on disposal of property and equipment
Gain Loss On Sale Of Property Plant Equipment
Amortization of debt issuance costs
Amortization Of Financing Costs
Deferred income taxes
Increase Decrease In Deferred Income Taxes
Changes in operating assets and liabilities:
Increase Decrease In Operating Capital [Abstract]
Accounts receivable
Increase Decrease In Accounts Receivable
Prepaid expenses and other assets
Increase Decrease In Prepaid Expense
Accounts payable
Increase Decrease In Accounts Payable
Accrued and other current liabilities
Increase Decrease In Accrued Liabilities And Other Operating Liabilities
Accrued litigation
Increase Decrease In Accrued Litigation
Other long-term liabilities
Increase Decrease In Other Noncurrent Liabilities
Net cash (used in) provided by operating activities
Net Cash Provided By Used In Operating Activities
Cash flows from investing activities:
Net Cash Provided By Used In Investing Activities [Abstract]
Purchase of property and equipment
Payments To Acquire Property Plant And Equipment
Acquisition of subsidiaries
Payments To Acquire Businesses Gross
Change in funds held on acquisition
Increase Decrease In Change In Funds Held On Acquisition
Net cash used in investing activities
Net Cash Provided By Used In Investing Activities
Cash flows from financing activities:
Net Cash Provided By Used In Financing Activities [Abstract]
Payments on 2015 Credit Facility and Deerfield Facility
Repayments Of Lines Of Credit
Proceeds from 2015 Credit Facility and Deerfield Facility, net of deferred financing costs
Proceeds From Lines Of Credit
Payments on 2017 Credit Facility
Repayments Of Debt
Proceeds from 2017 Credit Facility, net of deferred financing costs
Proceeds From Debt Net Of Issuance Costs
Proceeds from financing lease obligation, net of deferred financing costs
Sale Leaseback Transaction Net Proceeds Financing Activities
Payments on capital leases and other
Repayments Of Long Term Capital Lease Obligations
Payments on AdCare Note
Repayments Of Notes Payable
Repayment of long-term debt — related party
Proceeds From Repayments Of Related Party Debt
Change in funds held on acquisition
Change In Funds Held On Acquisition Financing Activities
Payment of employee taxes for net share settlement
Payments Related To Tax Withholding For Share Based Compensation
Net cash provided by financing activities
Net Cash Provided By Used In Financing Activities
Net change in cash and cash equivalents
Cash And Cash Equivalents Period Increase Decrease
Cash and cash equivalents, beginning of period
Cash and cash equivalents, end of period
Accrued employee taxes for net share settlement.
Cash and cash equivalents paid.
Supplemental disclosures of cash flow information:
Supplemental Cash Flow Information [Abstract]
Cash and cash equivalents paid for:
Cash And Cash Equivalents Paid For [Abstract]
Interest, net of capitalized interest
Interest Paid Net
Income taxes, net of refunds
Income Taxes Paid Net
Supplemental information on non-cash investing and financing transactions:
Cash Flow Noncash Investing And Financing Activities Disclosure [Abstract]
Purchase price, including contingent consideration
Business Combination Consideration Transferred Including Contingent Consideration
Buyer common stock issued
Stock Issued1
Contingent consideration
Business Acquisition Contingent Consideration
Promissory note issued
Notes Issued1
Cash acquired
Cash Acquired From Acquisition
Change in funds held on acquisition
Change In Funds Held On Acquisition
Cash paid for acquisition
Cash Paid To Acquire Business
Buyer common stock received (issued)
Buyer Common Stock Received Issued
Cash (received) paid for acquisition
Cash Paid Received To Acquire Business
Acquisition of equipment through capital lease
Capital Lease Obligations Incurred
Accrued purchase of property and equipment
Capital Expenditures Incurred But Not Yet Paid
Accrued employee taxes for net share settlement
Accrued Employee Taxes For Net Share Settlement
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Description of Business
Business Description And Accounting Policies [Text Block]
Accounting Policies [Abstract]
Basis of Presentation
Basis Of Presentation And Significant Accounting Policies [Text Block]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Earnings Per Share [Abstract]
Earnings Per Share
Earnings Per Share [Text Block]
Property Plant And Equipment [Abstract]
Property and Equipment, net
Property Plant And Equipment Disclosure [Text Block]
Business Combinations [Abstract]
Acquisitions
Business Combination Disclosure [Text Block]
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets
Goodwill And Intangible Assets Disclosure [Text Block]
Debt Disclosure [Abstract]
Long-Term Debt
Debt And Capital Leases Disclosures [Text Block]
Leases [Abstract]
Financing Lease Obligation
Sale Leaseback Transaction Disclosure [Text Block]
Equity [Abstract]
Stockholders' Equity
Stockholders Equity Note Disclosure [Text Block]
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Stock Based Compensation
Disclosure Of Compensation Related Costs Share Based Payments [Text Block]
Compensation And Retirement Disclosure [Abstract]
Qualified 401(k) Savings Plan
Pension And Other Postretirement Benefits Disclosure [Text Block]
Income Tax Disclosure [Abstract]
Income Taxes
Income Tax Disclosure [Text Block]
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments
Fair Value Disclosures [Text Block]
Commitments And Contingencies Disclosure [Abstract]
Commitments and Contingencies
Commitments And Contingencies Disclosure [Text Block]
Related Party Transactions [Abstract]
Related Parties
Related Party Transactions Disclosure [Text Block]
Quarterly Financial Information Disclosure [Abstract]
Unaudited Quarterly Information (Restated)
Quarterly Financial Information [Text Block]
Change in accounting estimate.
Change in Accounting Estimate
Change In Accounting Estimate Policy [Text Block]
Going concern.
Going Concern
Going Concern Policy [Text Block]
Reclassifications
Prior Period Reclassification Adjustment Description
Use of Estimates
Use Of Estimates
General and Administrative Costs
Selling General And Administrative Expenses Policy [Text Block]
Client Related Revenue
Revenue Recognition Policy [Text Block]
Non-client related revenue.
Non-Client Related Revenue
Non Client Related Revenue Policy [Text Block]
Allowance for Contractual and Other Discounts
Contractual Adjustments And Third Party Settlements Policy Policy [Text Block]
Accounts receivable and allowance for doubtful accounts.
Accounts Receivable and Allowance for Doubtful Accounts
Accounts Receivable And Allowance For Doubtful Accounts Policy [Text Block]
Cash and Cash Equivalents
Cash And Cash Equivalents Policy [Text Block]
Property, Plant and Equipment
Property Plant And Equipment Policy [Text Block]
Assets and liabilities held for sale.
Assets and Liabilities Held for Sale
Assets And Liabilities Held For Sale Policy [Text Block]
Goodwill and Other Intangible Assets
Goodwill And Intangible Assets Intangible Assets Policy
Long-Lived Asset Impairment
Impairment Or Disposal Of Long Lived Assets Including Intangible Assets Policy Policy [Text Block]
Accrued and other current liabilities.
Accrued and Other Current Liabilities
Accrued And Other Current Liabilities Policy [Text Block]
Segment
Segment Reporting Policy Policy [Text Block]
Advertising Expenses
Advertising Costs Policy [Text Block]
Stock-Based Compensation
Share Based Compensation Option And Incentive Plans Policy
Earnings Per Share
Earnings Per Share Policy [Text Block]
Income Taxes
Income Tax Policy [Text Block]
Fair Value Measurements
Fair Value Measurement Policy Policy [Text Block]
Comprehensive Income
Stockholders Equity Policy [Text Block]
Recent Pronouncements
New Accounting Pronouncements Policy Policy [Text Block]
Summary of Restated Adjustment of Financial Statements
Schedule Of Error Corrections And Prior Period Adjustments [Text Block]
Adjustments for New Accounting Pronouncements
Adjustments For New Accounting Pronouncements [Axis]
Type of Adoption
Type Of Adoption [Member]
Accounting Standards Update 2014-09
Accounting Standards Update201409 [Member]
Summary of Composition of Client Related Revenue
Disaggregation Of Revenue Table [Text Block]
Summary of Aging of Accounts Receivable Net of Allowance for Doubtful Accounts
Past Due Financing Receivables Table [Text Block]
Summary of Allowance for Doubtful Accounts
Allowance For Credit Losses On Financing Receivables Table [Text Block]
Schedule of useful life of property plant and equipment.
Schedule of Useful Life of Property Plant and Equipment
Schedule Of Useful Life Of Property Plant And Equipment Table [Text Block]
Schedule of Accrued Liabilities Reflected as a Current Liability in the Accompanying Consolidated Balance Sheet
Schedule Of Accrued Liabilities Table [Text Block]
Schedule of Impact on Condensed Consolidated Statements of Operations
New Accounting Pronouncement Early Adoption Table [Text Block]
Schedule of Components of Numerator and Denominator Used in Calculation of Basic and Diluted Earnings Per Share
Schedule Of Earnings Per Share Basic And Diluted Table [Text Block]
Components of Property and Equipment
Property Plant And Equipment [Text Block]
Schedule of Allocation of Assets Acquired and Liabilities Assumed
Schedule Of Recognized Identified Assets Acquired And Liabilities Assumed Table [Text Block]
Schedule of Unaudited Proforma Results
Business Acquisition Pro Forma Information [Text Block]
Schedule of Goodwill
Schedule Of Goodwill [Text Block]
Trademarks, non-compete agreements, marketing intangibles, leasehold interests are amortized over their useful life. Amortization is deducted from gross carrying value for a total net value.
Components of Other Intangible Assets
Schedule Of Finite And Indefinite Lived Intangible Assets Table [Text Block]
Summary of Changes to Net Carrying Value of Intangible Assets
Schedule Of Finite Lived Intangible Assets Table [Text Block]
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense
Scheduleof Finite Lived Intangible Assets Future Amortization Expense Table [Text Block]
Summary of Debt Obligations
Schedule Of Debt Table [Text Block]
Summary of Future Contractual Maturities of Long-term Debt
Schedule Of Maturities Of Long Term Debt Table [Text Block]
Summary of Financing Lease Obligation
Schedule Of Sale Leaseback Transactions [Text Block]
Schedule of future minimum lease payments for sales-leaseback.
Schedule of Future Minimum Lease Payments to Sales-Leaseback
Schedule Of Future Minimum Lease Payments For Sales Leaseback Table [Text Block]
Summary of Share Activity Under 2014 Equity Incentive Plan
Schedule Of Nonvested Share Activity Table [Text Block]
Schedule of Components of Income Tax Expense (Benefit)
Schedule Of Components Of Income Tax Expense Benefit Table [Text Block]
Schedule of Effective Income Tax Rate
Schedule Of Effective Income Tax Rate Reconciliation Table [Text Block]
Schedule of Deferred Tax Assets (Liabilities)
Schedule Of Deferred Tax Assets And Liabilities Table [Text Block]
Schedule of Future Minimum Lease Payments Under Non-Cancelable Operating Leases
Schedule Of Future Minimum Rental Payments For Operating Leases Table [Text Block]
Summary of Unaudited Quarterly Information (Restated)
Schedule Of Quarterly Financial Information Table [Text Block]
Number of professional groups.
Business and basis of presentation.
Business and basis of presentation.
Business And Basis Of Presentation [Table]
Business And Basis Of Presentation [Table]
Variable Interest Entities
Variable Interest Entities By Classification Of Entity [Axis]
Variable Interest Entity, Classification
Classification Of Variable Interest Entity [Domain]
VIEs
Variable Interest Entity Primary Beneficiary [Member]
Change in Accounting Estimate by Type
Change In Accounting Estimate By Type [Axis]
Change in Accounting Estimate, Type
Change In Accounting Estimate Type [Domain]
Change in Accounting Estimate
Change In Accounting Method Accounted For As Change In Estimate [Member]
Adjustments for Error Corrections
Error Corrections And Prior Period Adjustments Restatement By Restatement Period And Amount [Axis]
Adjustments for Error Correction
Adjustments For Error Correction [Domain]
Collectability from third party vendor.
Collectability from Third Party Vendor
Collectability From Third Party Vendor [Member]
Debt Instrument
Debt Instrument [Axis]
Debt Instrument, Name
Debt Instrument Name [Domain]
Two thousand nineteen senior credit facility.
2019 Senior Credit Facility
Two Thousand Nineteen Senior Credit Facility [Member]
Subsequent Event Type
Subsequent Event Type [Axis]
Subsequent Event Type
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
Business And Basis Of Presentation [Line Items]
Business And Basis Of Presentation [Line Items]
Number of professional groups
Number Of Professional Groups
Assets
Liabilities
Net loss attributable to noncontrolling interest
Revenue
Loss per basic and diluted share
Earnings Per Share Basic And Diluted
Credit facility borrowing capacity
Line Of Credit Facility Maximum Borrowing Capacity
Senior credit facility maturity date
Line Of Credit Facility Expiration Date1
As Previously Reported
Adjustments
Restatement Adjustment [Member]
Interest expense, net (including change in fair value of interest rate swaps of ($108), and ($180), respectively)
Summary of significant accounting policies.
Summary of significant accounting policies.
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Concentration Risk Benchmark
Concentration Risk By Benchmark [Axis]
Concentration Risk Benchmark
Concentration Risk Benchmark [Domain]
Revenues
Sales Revenue Net [Member]
Customer
Major Customers [Axis]
Customer
Name Of Major Customer [Domain]
Blue Cross Blue Shield.
Blue Cross Blue Shield
Blue Cross Blue Shield [Member]
Geographical
Statement Geographical [Axis]
Geographical
Segment Geographical [Domain]
NEVADA
NEVADA
TEXAS
TEXAS
FLORIDA
FLORIDA
Anthem Blue Cross Blue Shield.
Anthem Blue Cross Blue Shield
Anthem Blue Cross Blue Shield [Member]
Aetna.
Aetna
Aetna [Member]
Counterparty Name
Counterparty Name [Axis]
Counterparty Name
Repurchase Agreement Counterparty Name [Domain]
Commercial insurance company.
Commercial Insurance Company
Commercial Insurance Company [Member]
Accounts Receivable
Accounts Receivable [Member]
COLORADO
COLORADO
CALIFORNIA
CALIFORNIA
Disposal Group Name
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Axis]
Disposal Group Name
Disposal Groups Including Discontinued Operations Name [Domain]
Townsend facilities and operations.
Townsend Facilities and Operations
Townsend Facilities And Operations [Member]
Trademarks, marketing intangibles and service contracts.
Trademarks, Marketing Intangibles and Service Contracts
Trademarks Marketing Intangibles And Service Contracts [Member]
ASU 2016-02
Accounting Standards Update201602 [Member]
Range
Range [Axis]
Range
Range [Member]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Digital outreach platform customers.
Digital Outreach Platform Customers
Digital Outreach Platform Customers [Member]
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
General and administrative expense
General And Administrative Expense
Concentration percentage
Concentration Risk Percentage1
Percentage of health care organization patient service revenue.
Increase (decrease) in health care organization patient service revenue.
Percentage of health care organization patient service revenue increase (decrease).
Inpatient treatment facility services in client related revenue.
Inpatient Treatment Facility Services
Inpatient Treatment Facility Services In Client Related Revenue [Member]
Outpatient facility and sober living services in client related revenue.
Outpatient Facility and Sober Living Services
Outpatient Facility And Sober Living Services In Client Related Revenue [Member]
Client related diagnostic services in client related revenue.
Client Related Diagnostic Services
Client Related Diagnostic Services In Client Related Revenue [Member]
Initial Application Period Cumulative Effect Transition
Initial Application Period Cumulative Effect Transition [Axis]
Initial Application Period Cumulative Effect Transition
Initial Application Period Cumulative Effect Transition [Domain]
Previous Accounting Guidance
Calculated Under Revenue Guidance In Effect Before Topic606 [Member]
Client Related Revenue, Amount
Client Related Revenue, Percentage
Percentage Of Health Care Organization Patient Service Revenue
Client Related Revenue, Increase (Decrease), Amount
Increase Decrease In Health Care Organization Patient Service Revenue
Client Related Revenue, Increase (Decrease) , Percentage
Percentage Of Health Care Organization Patient Service Revenue Increase Decrease
Accounts receivable, net of allowance for doubtful accounts
Allowance For Doubtful Accounts Receivable Current
Financing receivable percent current.
Schedule Of Accounts Notes Loans And Financing Receivable [Table]
Schedule Of Accounts Notes Loans And Financing Receivable [Table]
Asset Class
Fair Value By Asset Class [Axis]
Asset Class
Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation By Asset Class [Domain]
Financing Receivables, Period Past Due
Financing Receivables Period Past Due [Axis]
Financing Receivables, Period Past Due
Financing Receivables Period Past Due [Domain]
Financing receivables thirty one to eighty days past due.
31-180 Days
Financing Receivables31 To80 Days Past Due [Member]
Financing receivables over one eighty days past due.
Over 180 Days
Financing Receivables Over180 Days Past Due [Member]
Accounts Notes And Loans Receivable [Line Items]
Accounts Notes And Loans Receivable [Line Items]
Aging of accounts receivable, net of allowance for doubtful accounts, current
Financing Receivable Percent Current
Aging of accounts receivable, net of allowance for doubtful accounts
Financing Receivable Percent Past Due1
Allowance for doubtful accounts receivable write offs net of recoveries.
Balance at beginning of year
Allowance For Doubtful Accounts Receivable
Additions charged to provision for doubtful accounts
Accounts written off, net of recoveries
Allowance For Doubtful Accounts Receivable Write Offs Net Of Recoveries
Balance at end of year
Allowance for doubtful accounts receivable
Cash and cash equivalents highly liquid investments maximum maturity period.
Cash And Cash Equivalents Highly Liquid Investments Maximum Maturity Period
Cash And Cash Equivalents Highly Liquid Investments Maximum Maturity Period
Capitalized interest recognized
Interest Costs Capitalized
Schedule Of Property Plant And Equipment [Table]
Schedule Of Property Plant And Equipment [Table]
Property, Plant and Equipment, Type
Property Plant And Equipment By Type [Axis]
Property, Plant and Equipment, Type
Property Plant And Equipment Type [Domain]
Computer software and equipment
Computer Equipment [Member]
Building
Building [Member]
Furniture, fixtures and equipment
Furniture And Fixtures [Member]
Vehicles
Vehicles [Member]
Equipment under capital lease
Equipment [Member]
Leasehold improvements
Leasehold Improvements [Member]
Property Plant And Equipment [Line Items]
Property Plant And Equipment [Line Items]
Useful life of property and equipment
Property Plant And Equipment Useful Life
Useful life of property and equipment
Property Plant And Equipment Depreciation Methods
Proceeds from sale of assets
Proceeds From Divestiture Of Businesses
Property, plant and equipment, net
Disposal Group Including Discontinued Operation Property Plant And Equipment
Intangible assets, net
Disposal Group Including Discontinued Operation Intangible Assets
Other long-term assets
Disposal Group Including Discontinued Operation Other Assets
current liabilities
Liabilities Of Disposal Group Including Discontinued Operation Current
Gain on sale of assets
Gain Loss On Disposition Of Assets1
Number of operating segments
Number Of Operating Segments
Number of reportable segments
Number Of Reportable Segments
Intangible assets with indefinite useful lives other than goodwill
Indefinite Lived Intangible Assets Excluding Goodwill
Percentage of discount rate assumption based on assessment of risk inherent in future cash flows.
Percentage of discount rate assumption based on assessment of risk inherent in future cash flows
Percentage Of Discount Rate Assumption Based On Assessment Of Risk Inherent In Future Cash Flows
Amortization period
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
Impairment of long-lived assets
Impairment Of Long Lived Assets Held For Use
Accrued payroll liabilities
Accrued Salaries Current
Accrued interest
Interest Payable Current
Other
Other Liabilities
Total accrued liabilities
Settlement amount related to shareholder lawsuits
Litigation Settlement Amount Awarded To Other Party
Operating Lease Right Of Use Asset
Operating lease obligations
Operating Lease Liability
Operating Lease, right-of-use assets
Bad debt expense
Previous Accounting Guidance
Impact of Adopting Topic 606
Difference Between Revenue Guidance In Effect Before And After Topic606 [Member]
Revenues
Numerator
Net Income Loss [Abstract]
Net loss attributable to AAC Holdings, Inc. common stockholders
Denominator
Weighted Average Number Of Shares Outstanding [Abstract]
Weighted-average shares outstanding – basic
Dilutive securities
Weighted Average Number Diluted Shares Outstanding Adjustment
Weighted-average shares outstanding – diluted
Basic loss per share
Diluted loss per share
Anti-dilutive shares excluded from calculation of earnings per share
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
Property plant and equipment useful life and values.
Property Plant And Equipment Useful Life And Values [Abstract]
Land
Land [Member]
Buildings and Improvements
Building And Building Improvements [Member]
Equipment and Software.
Equipment and Software
Equipment And Software [Member]
Construction in progress
Construction In Progress [Member]
Total property and equipment
Property Plant And Equipment Gross
Less accumulated depreciation
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
Property and equipment, net
Depreciation expense
Depreciation
Number of bed capacity in acquired hospital.
Number of outpatient centers acquired.
Number of bed capacity in acquired residential inpatient treatment center.
Business acquisition cash return period.
Schedule Of Business Acquisitions By Acquisition [Table]
Schedule Of Business Acquisitions By Acquisition [Table]
AdCare Incorporation and AdCare Holding Trust.
AdCare, Inc. and AdCare Holding Trust
Ad Care Incorporation And Ad Care Holding Trust [Member]
Massachusetts
MASSACHUSETTS
Rhode Island
RHODE ISLAND
Equity Interest Type
Equity Interest Issued Or Issuable By Type [Axis]
Equity Interest Issued or Issuable, Type
Equity Interest Issued Or Issuable Type [Domain]
Long-term Debt, Type
Longterm Debt Type [Axis]
Long-term Debt, Type
Longterm Debt Type [Domain]
AdCare Note
Notes Payable Other Payables [Member]
Balance Sheet Location
Balance Sheet Location [Axis]
Balance Sheet Location
Balance Sheet Location [Domain]
Accrued and other current liabilities.
Accrued and Other Current Liabilities
Accrued And Other Current Liabilities [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Date of acquisition
Business Acquisition Effective Date Of Acquisition1
Number of bed capacity in acquired hospital
Number Of Bed Capacity In Acquired Hospital
Number of outpatient centers acquired
Number Of Outpatient Centers Acquired
Number of bed capacity in acquired residential inpatient treatment center
Number Of Bed Capacity In Acquired Residential Inpatient Treatment Center
Consideration paid
Business Combination Consideration Transferred1
Consideration paid in cash, excluding expenses and other adjustments
Consideration paid in shares, amount
Business Acquisition Equity Interest Issued Or Issuable Value Assigned
Consideration paid in shares
Business Acquisition Equity Interests Issued Or Issuable Number Of Shares Issued
Average closing stock price
Business Acquisition Share Price
Aggregate principal amount of promissory note
Debt Instrument Face Amount
Contingent consideration
Business Combination Contingent Consideration Liability
Cash acquired
Period of return to seller
Business Acquisition Cash Return Period
Contingent consideration, description
Business Combination Contingent Consideration Arrangements Basis For Amount
Change in fair value of contingent consideration liability resulted in reduction of gain on contingent consideration and reduction to acquisition related expense
Business combination recognized identifiable assets acquired and liabilities assumed accrued and other current liabilities.
Cash and cash equivalents
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Cash And Equivalents
Accounts receivable
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Receivables
Prepaid expenses and other assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Prepaid Expense And Other Assets
Property and equipment
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment
Intangible assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangible Assets Other Than Goodwill
Total assets acquired
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets
Accrued and other current liabilities
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued And Other Current Liabilities
Long-term liabilities
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Noncurrent Liabilities Long Term Debt
Net assets acquired
Business Combination Recognized Identifiable Assets Acquired Goodwill And Liabilities Assumed Net
Revenues
Business Combination Pro Forma Information Revenue Of Acquiree Since Acquisition Date Actual
Income before income tax expense
Business Combination Pro Forma Information Earnings Or Loss Of Acquiree Since Acquisition Date Actual
Business acquisition proforma nonrecurring acquisition cost.
Business acquisitions proForma depreciation and amortization.
Business acquisitions proforma addtional interest expense.
Nonrecurring acquisition cost
Business Acquisition Proforma Nonrecurring Acquisition Cost
Depreciation and amortization expense
Business Acquisitions Pro Forma Depreciation And Amortization
Addtional interest expense
Business Acquisitions Pro Forma Addtional Interest Expense
Business acquisitions pro forma income loss before tax expense benefit.
Total revenues
Business Acquisitions Pro Forma Revenue
(Loss) income before income tax (benefit) expense
Business Acquisitions Pro Forma Income Loss Before Tax Expense Benefit
Maximum valuation term for average stock price.
Maximum valuation period for average stock price
Maximum Valuation Term For Average Stock Price
Goodwill impairment
Goodwill Impairment Loss
Beginning balance
AdCare Acquisition
Goodwill Acquired During Period
Ending balance
Schedule Of Finite Lived Intangible Assets [Table]
Schedule Of Finite Lived Intangible Assets [Table]
Trademarks and trade names
Trademarks [Member]
Non-compete agreements
Noncompete Agreements [Member]
Leasehold interests.
Leasehold interests
Leasehold Interests [Member]
Service contracts.
Service contracts
Service Contracts [Member]
Other
Other Intangible Assets [Member]
Finite Lived Intangible Assets [Line Items]
Finite Lived Intangible Assets [Line Items]
Gross Carrying Value
Finite Lived Intangible Assets Gross
Accumulated Amortization
Finite Lived Intangible Assets Accumulated Amortization
Amortization expense
Amortization Of Intangible Assets
Beginning balance
Amortization expense
AdCare Acquisition
Finitelived Intangible Assets Acquired1
Ending balance
2019
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
2020
Finite Lived Intangible Assets Amortization Expense Year Two
2021
Finite Lived Intangible Assets Amortization Expense Year Three
2022
Finite Lived Intangible Assets Amortization Expense Year Four
2023
Finite Lived Intangible Assets Amortization Expense Year Five
Thereafter
Finite Lived Intangible Assets Amortization Expense After Year Five
Total
Finite Lived Intangible Assets Net
Line Of Credit Facility [Table]
Line Of Credit Facility [Table]
Senior secured term loan.
Senior Secured Term Loan
Senior Secured Term Loan [Member]
Subordinated Debt
Subordinated Debt [Member]
Line Of Credit Facility [Line Items]
Line Of Credit Facility [Line Items]
Unamoritzed debt issuance costs
Unamortized Debt Issuance Expense
Long term debt
Long Term Debt
Subordinated debt
Subordinated Debt From Nonrelated Party
Capital lease obligations
Capital Lease Obligations
Total debt
Debt And Capital Lease Obligations
Less current portion
Total long-term debt
Long Term Debt And Capital Lease Obligations
Total related party debt
Due To Related Parties Current And Noncurrent
Variable Rate
Variable Rate [Axis]
Variable Rate
Variable Rate [Domain]
London Interbank Offered Rate (LIBOR)
London Interbank Offered Rate L I B O R [Member]
Scenario
Statement Scenario [Axis]
Scenario, Unspecified
Scenario Unspecified [Domain]
Last day of fiscal quarter ending June thirty two thousand nineteen.
Last Day of Fiscal Quarter Ending June 30, 2019
Last Day Of Fiscal Quarter Ending June Thirty Two Thousand Nineteen [Member]
Last day of fiscal quarter ending September thirty two thousand nineteen.
Last Day of Fiscal Quarter Ending September 30, 2019
Last Day Of Fiscal Quarter Ending September Thirty Two Thousand Nineteen [Member]
Last day of fiscal quarter ending December thirty one two thousand nineteen.
Last Day of Fiscal Quarter Ending December 31, 2019
Last Day Of Fiscal Quarter Ending December Thirty One Two Thousand Nineteen [Member]
Last day of fiscal quarter ending March thirty one two thousand twenty.
Last Day of Fiscal Quarter Ending March 31, 2020
Last Day Of Fiscal Quarter Ending March Thirty One Two Thousand Twenty [Member]
Last day of fiscal quarter ending June thirty two thousand twenty.
Last Day of Fiscal Quarter Ending June 30, 2020
Last Day Of Fiscal Quarter Ending June Thirty Two Thousand Twenty [Member]
Upper limit of the provided range.
Last Day of Fiscal Quarters Ending September 30, 2020 and December 31, 2020
Last Day Of Fiscal Year Ending September Thirty And December Thirty One Two Thousand Twenty [Member]
Last day of fiscal quarters ending March thirty one and June thirty two thousand twenty one.
Last Day of Fiscal Quarters Ending March 31 and June 30, 2021
Last Day Of Fiscal Quarters Ending March Thirty One And June Thirty Two Thousand Twenty One [Member]
Last day of each fiscal quarter ending on and after December thirty one two thousand twenty.
Last Day of each Fiscal Quarter Ending on and After December 31, 2020
Last Day Of Each Fiscal Quarter Ending On And After December Thirty One Two Thousand Twenty [Member]
Revolving loans under two thousands seventeen credit facility.
Revolving Loans under 2017 Credit Facility
Revolving Loans Under Two Thousands Seventeen Credit Facility [Member]
Available liquidity.
Available Liquidity
Available Liquidity [Member]
Proceeds from senior credit facility
Debt instrument floor interest rate.
Percentage of exit payment for outstanding principal amount.
Percentage of addtional exit payment for outstanding principal amount.
Interest rate
Debt Instrument Floor Interest Rate
Interest rate
Debt Instrument Basis Spread On Variable Rate1
Percentage of exit payment for outstanding principal amount
Percentage Of Exit Payment For Outstanding Principal Amount
Percentage of additional exit payment for end of each 30-day period after the nine-month anniversary
Percentage Of Additional Exit Payment For Outstanding Principal Amount
Senior secured leverage ratio.
Senior secured leverage ratio
Senior Secured Leverage Ratio
Credit facility borrowing capacity
Line Of Credit Facility Current Borrowing Capacity
Debt Instrument interest payable in cash.
Senior secured leverage ratio condition satisfied.
Debt instrument interest payable-in-kind.
Line of credit facility unused capacity quarterly commitment fee percentage.
Amendments to two thousand seventeen credit facility.
Amendments to the 2017 Credit Facility
Amendments To Two Thousand Seventeen Credit Facility [Member]
2017 Revolver
Debt Instrument, Redemption, Period
Debt Instrument Redemption Period [Axis]
Debt Instrument, Redemption, Period
Debt Instrument Redemption Period [Domain]
Paid on or prior to first anniversary of closing of amendment.
Paid on or Prior to First Anniversary of Closing of Amendment
Paid On Or Prior To First Anniversary Of Closing Of Amendment [Member]
Paid after first anniversary but before second anniversary of closing of Amendment.
Paid After First Anniversary but Before Second Anniversary of Closing of Amendment
Paid After First Anniversary But Before Second Anniversary Of Closing Of Amendment [Member]
Incremental term loan.
Incremental Term Loan
Incremental Term Loan [Member]
Payable in cash
Debt Instrument Interest Payable In Cash
Senior secured leverage ratio condition is satisfied
Senior Secured Leverage Ratio Condition Satisfied
Payable-in-kind
Debt Instrument Interest Payable In Kind
Quarterly commitment fee on undrawn amounts, percentage
Line Of Credit Facility Unused Capacity Quarterly Commitment Fee Percentage
Percentage of premium for prepayment of outstanding loan.
Premium percentage for repayment of outstanding loan
Percentage Of Premium For Prepayment Of Outstanding Loan
Deferred financing costs
Deferred Finance Costs Net
Debt instrument, face amount
Maturity Date
Debt Instrument Maturity Date
Interest rate
Debt Instrument Interest Rate Stated Percentage
Two thousand seventeen credit facility.
2017 Credit Facility
Two Thousand Seventeen Credit Facility [Member]
Loss Contingency Nature
Loss Contingencies By Nature Of Contingency [Axis]
Loss Contingency, Nature
Loss Contingency Nature [Domain]
Standby Letters of Credit
Standby Letters Of Credit [Member]
Two thousand seventeen term loan.
2017 Term Loan
Two Thousand Seventeen Term Loan [Member]
Information pertaining to period five.
September 30, 2017 through June 30, 2019
Period Five [Member]
Period six.
September 30, 2019 through March 31, 2023
Period Six [Member]
Incremental revolver.
Incremental Revolver
Incremental Revolver [Member]
Base Rate
Base Rate [Member]
First anniversary of closing but before second anniversary of closing.
First Anniversary of Closing But Before Second Anniversary of Closing
First Anniversary Of Closing But Before Second Anniversary Of Closing [Member]
Second anniversary of closing but before third anniversary of closing.
Second Anniversary of Closing But Before Third Anniversary of Closing
Second Anniversary Of Closing But Before Third Anniversary Of Closing [Member]
Two thousand fifteen credit facility.
2015 Credit Facility
Two Thousand Fifteen Credit Facility [Member]
Term loan.
Term Loan
Term Loan [Member]
Pricing tier one.
Pricing Tier 1
Pricing Tier One [Member]
Eurodollar rate loans.
Eurodollar Rate Loans
Eurodollar Rate Loans [Member]
Base rate loans.
Base Rate Loans
Base Rate Loans [Member]
Period two.
March 31, 2017 to December 31, 2017
Period Two [Member]
Period three.
March 31, 2018 to December 31, 2018
Period Three [Member]
Period four.
March 31, 2019 to December 31, 2019
Period Four [Member]
Federal Funds Rate
Federal Funds Effective Swap Rate [Member]
Eurodollar Rate
Eurodollar [Member]
Revolving line of credit maturity date
Monthly principal payments
Debt Instrument Periodic Payment Principal
Revolver outstanding loans
Line Of Credit
Line of credit facility additional maximum borrowing capacity under satisfaction of certain conditions.
Additional maximum borrowing amount under satisfaction of certain conditions
Line Of Credit Facility Additional Maximum Borrowing Capacity Under Satisfaction Of Certain Conditions
Commitment fee on undrawn amounts, percentage
Line Of Credit Facility Unused Capacity Commitment Fee Percentage
Yield maintenance premium period.
Yield maintenance premium period
Yield Maintenance Premium Period
Debt issuance costs
Payments Of Debt Issuance Costs
Business acquisition secured financing commitment subject to customary closing costs and regulatory provisions.
Accrued expense related to ticking fee.
Business acquisition secured financing commitment subject to customary closing costs and regulatory provisions
Business Acquisition Secured Financing Commitment Subject To Customary Closing Costs And Regulatory Provisions
Accrued expense related to ticking fee
Accrued Expense Related To Ticking Fee
Letters of credit outstanding
Letters Of Credit Outstanding Amount
Debt instrument, term
Debt Instrument Term
Line of credit facility maturity month and year.
Revolving line of credit maturity month
Line Of Credit Facility Maturity Month And Year
Total Debt to Adjusted EBITDA as defined in the 2015 credit facility agreement.
Leverage Ratio
Leverage Ratio
Description of payment of principal installments
Debt Instrument Frequency Of Periodic Payment
Description of interest rate
Line Of Credit Facility Interest Rate Description
Interest rate at the end of period
Line Of Credit Facility Interest Rate At Period End
Deferred debt issuance costs
Debt Issuance Costs Line Of Credit Arrangements Gross
Credit facility remaining borrowing capacity
Line Of Credit Facility Remaining Borrowing Capacity
Two point five zero subordinated convertible debt maturing September thirty two thousand twenty one.
2.50% Subordinated Convertible Debt Maturing September 30, 2021
Two Point Five Zero Subordinated Convertible Debt Maturing September Thirty Two Thousand Twenty One [Member]
Twelve point zero unsecured subordinated convertible debt maturing October two thousand twenty.
12.0% Unsecured Subordinated Convertible Debt Maturing October 02, 2020
Twelve Point Zero Unsecured Subordinated Convertible Debt Maturing October Two Thousand Twenty [Member]
2015 subordinated debt issuance.
2015 Subordinated Debt Issuance [Member]
Subordinated Debt Issuance2015 [Member]
Debt instrument, unused capacity
Debt Instrument Unused Borrowing Capacity Amount
Proceeds from long-term debt
Proceeds From Issuance Of Long Term Debt
Conversion price per share
Debt Instrument Convertible Conversion Price1
Deferred debt issuance costs
Long term debt
Debt Instrument Carrying Amount
Debt instrument, interest rate
Debt Instrument Interest Rate Effective Percentage
Number of agreement.
Derivative Instruments And Hedging Activities Disclosure [Abstract]
Derivative Instrument
Derivative Instrument Risk [Axis]
Derivative Contract
Derivative Contract Type [Domain]
Agreement two.
Agreement Two
Agreement Two [Member]
Agreement one.
Agreement One
Agreement One [Member]
Number of interest rate swap agreement
Number Of Agreement
Fair value of interest rate swaps, liability
Derivative Fair Value Of Derivative Liability
Effect of swap interest rate agreement.
Interest rate swap agreement initial notional amount
Derivative Notional Amount
Interest rate swap agreement percentage
Effect Of Swap Interest Rate Agreement
Debt instrument carrying amount excluding interest.
Debt instrument interest on outstanding amount.
Disclosure - Notes Payable and Revolving Line of Credit - Summary of Future Maturities of Long-term Debt (Details) [Line Items]
Disclosure notes payable and revolving line of credit summary of future maturities of long term debt details.
Disclosure Notes Payable And Revolving Line Of Credit Summary Of Future Maturities Of Long Term Debt Details [Table]
Disclosure Notes Payable And Revolving Line Of Credit Summary Of Future Maturities Of Long Term Debt Details [Table]
Notes Payable
Capital Lease Obligations
Capital Lease Obligations [Member]
Disclosure Notes Payable And Revolving Line Of Credit Summary Of Future Maturities Of Long Term Debt Details [Line Items]
Disclosure Notes Payable And Revolving Line Of Credit Summary Of Future Maturities Of Long Term Debt Details [Line Items]
2019
Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
2020
Long Term Debt Maturities Repayments Of Principal In Year Two
2021
Long Term Debt Maturities Repayments Of Principal In Year Three
2022
Long Term Debt Maturities Repayments Of Principal In Year Four
2023
Long Term Debt Maturities Repayments Of Principal In Year Five
Thereafter
Long Term Debt Maturities Repayments Of Principal After Year Five
Total
Less interest portion
Debt Instrument Interest On Outstanding Amount
Total, excluding interest
Debt Instrument Carrying Amount Excluding Interest
Number of drug and alcohol rehabilitation outpatient facilities sold.
Number of sober living facilities sold.
Sale Leaseback Transaction [Table]
Sale Leaseback Transaction [Table]
MedEquities Realty Operating Partnership Limited Partnership.
MedEquities Realty Operating Partnership, LP
Med Equities Realty Operating Partnership Limited Partnership [Member]
MedEquities Realty Trust, Incorporation.
MedEquities Realty Trust, Inc.
Med Equities Realty Trust Incorporation [Member]
Sale Leaseback Transaction [Line Items]
Sale Leaseback Transaction [Line Items]
Sale-leaseback transaction, date
Sale Leaseback Transaction Date
Sale-leaseback transaction, value
Sale Leaseback Transaction Net Book Value
Sale-leaseback transaction, assets description
Sale Leaseback Transaction Description Of Asset S
Number of drug and alcohol rehabilitation outpatient facilities sold
Number Of Drug And Alcohol Rehabilitation Outpatient Facilities Sold
Number of sober living facilities sold
Number Of Sober Living Facilities Sold
Sale leaseback transaction each renewal term.
Sale leaseback transaction, number of separate renewals.
Sale-leaseback transaction, operating lease term
Sale Leaseback Transaction Lease Terms
Sale-leaseback transaction, number of separate renewals
Sale Leaseback Transaction Number Of Separate Renewals
Sale-leaseback transaction, each renewal term
Sale Leaseback Transaction Each Renewal Term
Sale leaseback transaction, percentage of rent increase annually in years one to three.
Sale leaseback transaction percentage of rent increase annually in years four and thereafter.
Sale-leaseback transaction, initial annual minimum rent payable
Sale Leaseback Transaction Annual Rental Payments
Sale-leaseback transaction, equal monthly installments
Sale Leaseback Transaction Monthly Rental Payments
Sale-leaseback transaction, percentage of rent increase annually in years one to three
Sale Leaseback Transaction Percentage Of Rent Increase Annually In Years One To Three
Sale-leaseback transaction, percentage of rent increase annually in years four and thereafter
Sale Leaseback Transaction Percentage Of Rent Increase Annually In Years Four And Thereafter
Sale leaseback financing obligation current.
Sale-leaseback financing obligation, proceeds
Sale Leaseback Transaction Gross Proceeds Financing Activities
Sale-leaseback financing obligation, transaction costs
Sale Leaseback Transaction Transaction Costs Financing Activities
Sale-leaseback financing obligation, short term liability
Sale Leaseback Financing Obligation Current
Sale leaseback financing obligation.
Financing lease obligation: Sale-Leaseback Facilities
Sale Leaseback Financing Obligation
Less current portion (included in accrued and other current liabilities)
Total financing lease obligation, net of current portion
2019
Minimum Lease Payments Sale Leaseback Transactions Within One Year
2020
Minimum Lease Payments Sale Leaseback Transactions Within Two Years
2021
Minimum Lease Payments Sale Leaseback Transactions Within Three Years
2022
Minimum Lease Payments Sale Leaseback Transactions Within Four Years
2023
Minimum Lease Payments Sale Leaseback Transactions Within Five Years
Thereafter
Minimum Lease Payments Sale Leaseback Transactions Thereafter
Total
Minimum Lease Payments Sale Leaseback Transactions
Aggregate number of shares authorized to issue.
Aggregate number of shares authorized to issue
Aggregate Number Of Shares Authorized To Issue
Preferred stock, shares, authorized
Preferred Stock Shares Authorized
Preferred stock, par value
Preferred Stock Par Or Stated Value Per Share
Preferred stock, shares issued
Preferred Stock Shares Issued
Preferred stock, shares outstanding
Preferred Stock Shares Outstanding
Holders of the Company's common stock, voting rights
Common Stock Voting Rights
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Plan Name
Plan Name [Axis]
Plan Name
Plan Name [Domain]
Two thousand fourteen equity incentive plan.
2014 Equity Incentive Plan
Two Thousand Fourteen Equity Incentive Plan [Member]
Title of Individual
Title Of Individual [Axis]
Relationship to Entity
Title Of Individual With Relationship To Entity [Domain]
Five non-employee directors.
Five Non Employee Directors
Five Non Employee Directors [Member]
Award Type
Award Type [Axis]
Equity Award
Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain]
Restricted Common Stock
Restricted Stock [Member]
Sale of Stock
Subsidiary Sale Of Stock [Axis]
Sale of Stock
Sale Of Stock Name Of Transaction [Domain]
Employee Stock Purchase Plan
Employee Stock [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Common stock reserved for issuance
Common Stock Capital Shares Reserved For Future Issuance
Common stock available for issuance
Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
Fully vested common stock granted
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Number Of Shares
Share-based compensation, award vesting period
Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1
Stock options, granted
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period
Common shares withheld for minimum statutory tax purposes
Compensation expense
Allocated Share Based Compensation Expense
Unrecognized compensation expenses
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options
Weighted average life of remaining vesting period
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
Nonvested, Number of Shares [Roll Forward]
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares Roll Forward
Beginning Balance, Shares
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
Granted, Shares
Vested, Shares
Forfeitures, Shares
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Number Of Shares
Ending Balance, Shares
Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value [Abstract]
Beginning Balance, Weighted-Average Grant Date Fair Value
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value
Granted, Weighted-Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
Vested, Weighted-Average Grant Date Fair Value
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Weighted Average Grant Date Fair Value
Forfeitures, Weighted-Average Grant Date Fair Value
Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Weighted Average Grant Date Fair Value
Ending Balance, Weighted-Average Grant Date Fair Value
Grant date fair value of common stock vested
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
Payroll deduction percentage of closing market price of common stock.
Employee stock purchase plan, purchase price, Description
Employee Stock Ownership Plan E S O P Plan Description
Payroll deduction percentage of closing market price of common stock
Payroll Deduction Percentage Of Closing Market Price Of Common Stock
Employee stock purchase plan, shares issued
Company contributions under the 401(k) plan
Defined Contribution Plan Employer Discretionary Contribution Amount
401(k) Defined Contribution Plan, Sponsor Location [Extensible List]
Defined Contribution Plan Sponsor Location Extensible List
401(k) Defined Contribution Plan, Tax Status [Extensible List]
Defined Contribution Plan Tax Status Extensible List
Current
Current Income Tax Expense Benefit Continuing Operations [Abstract]
Federal
Current Federal Tax Expense Benefit
State
Current State And Local Tax Expense Benefit
Total current tax expense
Current Income Tax Expense Benefit
Deferred:
Deferred Income Tax Expense Benefit Continuing Operations [Abstract]
Federal
Deferred Federal Income Tax Expense Benefit
State
Deferred State And Local Income Tax Expense Benefit
Total deferred tax (benefit) expense
Deferred Income Tax Expense Benefit
Total income tax (benefit) expense
Tax cuts and jobs act of 2017, incomplete accounting, change in effect of tax rate.
Effective income tax rate reconciliation return to provision adjustments.
Effective income tax rate on income before taxes.
Federal statutory rate
Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
State income taxes, net of federal tax benefit
Effective Income Tax Rate Reconciliation State And Local Income Taxes
Effect of Tax Cuts and Jobs Act
Tax Cuts And Jobs Act Of2017 Incomplete Accounting Change In Effect Of Tax Rate
Non-deductible expenses
Effective Income Tax Rate Reconciliation Nondeductible Expense
Stock compensation adjustment
Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
Return to provision adjustment
Effective Income Tax Rate Reconciliation Return To Provision Adjustments
Change in valuation allowance
Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
Other differences
Effective Income Tax Rate Reconciliation Change In Enacted Tax Rate
Effective income tax rate on income before taxes
Effective Income Tax Rate On Income Before Taxes
Effective income tax rate reconciliation difference between effective tax rate and federal statutory rate.
Income tax.
Income tax.
Income Tax [Table]
Income Tax [Table]
Income Tax Authority
Income Tax Authority [Axis]
Income Tax Authority
Income Tax Authority [Domain]
Federal
Domestic Country [Member]
State
State And Local Jurisdiction [Member]
Valuation Allowance by Deferred Tax Asset
Valuation Allowance By Deferred Tax Asset [Axis]
Deferred Tax Asset
Deferred Tax Asset [Domain]
Deferred tax assets Evaluation.
Deferred Tax Assets Evaluation
Deferred Tax Assets Evaluation [Member]
Income Tax Authority, Name
Income Tax Authority Name [Axis]
Income Tax Authority, Name
Income Tax Authority Name [Domain]
Internal Revenue Service (IRS)
Internal Revenue Service I R S [Member]
Income Tax [Line Items]
Income Tax [Line Items]
Difference between effective tax rate and federal statutory rate
Effective Income Tax Rate Reconciliation Difference Between Effective Tax Rate And Federal Statutory Rate
Employee compensation
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Employee Benefits
Operating loss carryforwards
Deferred Tax Assets Operating Loss Carryforwards
Business interest limitation
Deferred Tax Assets Business Interest Limitation
Accrued litigation
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other
Accounts receivable
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
Tax credits
Deferred Tax Assets Tax Credit Carryforwards
Acquisition related costs
Deferred Tax Assets Acquisition Related Costs
Property, equipment and amortization
Deferred Tax Assets Property Plant And Equipment
Other
Deferred Tax Assets Other
Valuation allowance
Deferred Tax Assets Valuation Allowance
Total deferred tax assets
Deferred Tax Assets Net
Goodwill and other intangible property
Deferred Tax Liabilities Goodwill And Intangible Assets
Other
Deferred Tax Liabilities Other
Accounts receivable
Deferred Tax Liabilities Accounts Receivable
Total deferred tax liabilities
Deferred Income Tax Liabilities
Net deferred tax (liabilities) assets
Deferred Tax Liabilities
Net deferred tax (liabilities) assets
Deferred Tax Assets Liabilities Net
Operating loss carryforwards not subject to expiration.
Operating loss carryforwards subject to expiration.
Net operating loss
Operating Loss Carryforwards
Net operating loss carryforwards expire between 2027 and 2038
Operating Loss Carryforwards Subject To Expiration
Remaining operating loss carryforwards
Operating Loss Carryforwards Not Subject To Expiration
Period of cumulative loss incurred.
Period of cumulative loss incurred
Period Of Cumulative Loss Incurred
Valuation allowance
Increase in valuation allowance
Valuation Allowance Deferred Tax Asset Change In Amount
Uncertain tax position
Unrecognized Tax Benefits
Open tax year
Open Tax Year
Tax year under examination
Income Tax Examination Year Under Examination
Tax cuts and jobs act of 2017 change in tax rate income tax expense benefit.
U.S. corporate tax rate
Income tax expense in continuing operations
Tax Cuts And Jobs Act Of2017 Change In Tax Rate Income Tax Expense Benefit
Interest rate swap agreements termination date.
Interest rate swap agreements termination date
Interest Rate Swap Agreements Termination Date
Long lived assets impairment charges
Operating lease expiration period.
Operating lease expiration period
Operating Lease Expiration Period
Rent expense
Future minimum rental payments, by year and in the aggregate, under operating leases
Operating Leases Future Minimum Payments Due [Abstract]
2019
Operating Leases Future Minimum Payments Due Current
2020
Operating Leases Future Minimum Payments Due In Two Years
2021
Operating Leases Future Minimum Payments Due In Three Years
2022
Operating Leases Future Minimum Payments Due In Four Years
2023
Operating Leases Future Minimum Payments Due In Five Years
Thereafter
Operating Leases Future Minimum Payments Due Thereafter
Total
Operating Leases Future Minimum Payments Due
Settlement payment
Litigation settlement description
Loss Contingency Settlement Agreement Terms
Number of shares contributed to settlement
Shares Issued
Schedule Of Related Party Transactions By Related Party [Table]
Schedule Of Related Party Transactions By Related Party [Table]
Related Party
Related Party Transactions By Related Party [Axis]
Related Party
Related Party [Domain]
Chief Executive Officer
Chief Executive Officer [Member]
Related Party Transaction [Line Items]
Related Party Transaction [Line Items]
Expenses related to agreement
Related Party Transaction Expenses From Transactions With Related Party
Revenue
Net (loss) income
Net income (loss) available to AAC Holdings, Inc. common stockholders
Net Income Loss Available To Common Stockholders Basic
Basic net (loss) income per share
Diluted net (loss) income per share
Effective tax rates on provision for income taxes
Effective Income Tax Rate Continuing Operations
(Gain) loss on contingent consideration
Other (income) expense, net
Retained earnings (deficit)
Proceeds from revolving line of credit, net
Proceeds From Repayments Of Lines Of Credit