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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, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Condensed Financial Statements, Captions [Line Items]          
Revenue $ 760,617       $ 742,241
Salaries, wages and benefits 429,579       411,528
Professional fees 57,007       54,018
Supplies 29,957       29,364
Rents and leases 20,307       20,288
Other operating expenses 93,865       88,231
Depreciation and amortization 40,580       39,773
Interest expense, net 48,130       45,243
Debt extinguishment costs         940
Transaction-related expenses 4,321       4,768
Total expenses 723,746       694,153
(Loss) income before income taxes 36,871       48,088
(Benefit from) provision for income taxes 7,360       (2,786)
Net income 29,511       50,874
Net income (loss) attributable to noncontrolling interests (40)       (55)
Net income attributable to Acadia Healthcare Company, Inc. 29,471 $ (331,637) $ 46,232 $ 58,836 50,819
Other comprehensive income:          
Foreign currency translation gain 44,481       92,780
Loss on derivative instruments (8,690)       (20,053)
Other comprehensive income 35,791 $ (21,915) $ (24,579) $ (114,492) 72,727
Comprehensive income attributable to Acadia Healthcare Company, Inc. 65,262       123,546
Consolidating Adjustments [Member]          
Condensed Financial Statements, Captions [Line Items]          
Equity in earnings of subsidiaries (48,157)       (67,598)
Net income (48,157)       (67,598)
Net income attributable to Acadia Healthcare Company, Inc. (48,157)       (67,598)
Other comprehensive income:          
Comprehensive income attributable to Acadia Healthcare Company, Inc. (48,157)       (67,598)
Parent [Member]          
Condensed Financial Statements, Captions [Line Items]          
Salaries, wages and benefits 6,101       6,919
Interest expense, net 19,578       14,617
Debt extinguishment costs         940
Total expenses 25,679       22,476
(Loss) income before income taxes (25,679)       (22,476)
Equity in earnings of subsidiaries 48,157       67,598
(Benefit from) provision for income taxes (7,033)       (5,752)
Net income 29,511       50,874
Net income attributable to Acadia Healthcare Company, Inc. 29,511       50,874
Other comprehensive income:          
Loss on derivative instruments (8,690)       (20,053)
Other comprehensive income (8,690)       (20,053)
Comprehensive income attributable to Acadia Healthcare Company, Inc. 20,821       30,821
Combined Subsidiary Guarantors [Member]          
Condensed Financial Statements, Captions [Line Items]          
Revenue 459,818       435,625
Salaries, wages and benefits 254,942       239,052
Professional fees 25,368       24,271
Supplies 19,384       18,712
Rents and leases 8,403       8,239
Other operating expenses 59,390       56,170
Depreciation and amortization 19,605       18,172
Interest expense, net 23,018       23,584
Transaction-related expenses 3,218       4,009
Total expenses 413,328       392,209
(Loss) income before income taxes 46,490       43,416
(Benefit from) provision for income taxes 17,065       (123)
Net income 29,425       43,539
Net income attributable to Acadia Healthcare Company, Inc. 29,425       43,539
Other comprehensive income:          
Comprehensive income attributable to Acadia Healthcare Company, Inc. 29,425       43,539
Combined Non-Guarantors [Member]          
Condensed Financial Statements, Captions [Line Items]          
Revenue 300,799       306,616
Salaries, wages and benefits 168,536       165,557
Professional fees 31,639       29,747
Supplies 10,573       10,652
Rents and leases 11,904       12,049
Other operating expenses 34,475       32,061
Depreciation and amortization 20,975       21,601
Interest expense, net 5,534       7,042
Transaction-related expenses 1,103       759
Total expenses 284,739       279,468
(Loss) income before income taxes 16,060       27,148
(Benefit from) provision for income taxes (2,672)       3,089
Net income 18,732       24,059
Net income (loss) attributable to noncontrolling interests (40)       (55)
Net income attributable to Acadia Healthcare Company, Inc. 18,692       24,004
Other comprehensive income:          
Foreign currency translation gain 44,481       92,780
Other comprehensive income 44,481       92,780
Comprehensive income attributable to Acadia Healthcare Company, Inc. $ 63,173       $ 116,784