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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 6 Months Ended
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Jun. 30, 2019
Jun. 30, 2018
Condensed Financial Statements, Captions [Line Items]                
Revenue $ 789,362       $ 765,738   $ 1,549,979 $ 1,507,979
Salaries, wages and benefits 430,219       416,741   859,798 828,269
Professional fees 58,429       53,461   115,436 107,479
Supplies 30,914       30,133   60,871 59,497
Rents and leases 20,419       20,236   40,726 40,524
Other operating expenses 94,677       87,282   188,542 175,513
Depreciation and amortization 41,077       39,928   81,657 79,701
Interest expense, net 48,610       45,812   96,740 91,055
Debt extinguishment costs               940
Transaction-related expenses 5,212       2,887   9,533 7,655
Total expenses 729,557       696,480   1,453,303 1,390,633
(Loss) income before income taxes 59,805       69,258   96,676 117,346
(Benefit from) provision for income taxes 11,604       10,368   18,964 7,582
Net income 48,201       58,890   77,712 109,764
Net income (loss) attributable to noncontrolling interests (61)       (54)   (101) (109)
Net income attributable to Acadia Healthcare Company, Inc. 48,140 $ 29,471 $ (331,637) $ 46,232 58,836 $ 50,819 77,611 109,655
Other comprehensive income:                
Foreign currency translation loss (50,618)       (143,599)   (6,137) (50,819)
Gain on derivative instruments 17,587       29,107   8,897 9,054
Other comprehensive (loss) income (33,031) $ 35,791 $ (21,915) $ (24,579) (114,492) $ 72,727 2,760 (41,765)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc. 15,109       (55,656)   80,371 67,890
Consolidating Adjustments [Member]                
Condensed Financial Statements, Captions [Line Items]                
Equity in earnings of subsidiaries (65,884)       (75,752)   (114,041) (143,350)
Net income (65,884)       (75,752)   (114,041) (143,350)
Net income attributable to Acadia Healthcare Company, Inc. (65,884)       (75,752)   (114,041) (143,350)
Other comprehensive income:                
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc. (65,884)       (75,752)   (114,041) (143,350)
Parent [Member]                
Condensed Financial Statements, Captions [Line Items]                
Salaries, wages and benefits 4,182       7,129   10,283 14,048
Interest expense, net 20,138       15,465   39,716 30,082
Debt extinguishment costs               940
Total expenses 24,320       22,594   49,999 45,070
(Loss) income before income taxes (24,320)       (22,594)   (49,999) (45,070)
Equity in earnings of subsidiaries 65,884       75,752   114,041 143,350
(Benefit from) provision for income taxes (6,637)       (5,732)   (13,670) (11,484)
Net income 48,201       58,890   77,712 109,764
Net income attributable to Acadia Healthcare Company, Inc. 48,201       58,890   77,712 109,764
Other comprehensive income:                
Gain on derivative instruments 17,587       29,107   8,897 9,054
Other comprehensive (loss) income 17,587       29,107   8,897 9,054
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc. 65,788       87,997   86,609 118,818
Combined Subsidiary Guarantors [Member]                
Condensed Financial Statements, Captions [Line Items]                
Revenue 480,250       453,782   940,068 889,407
Salaries, wages and benefits 254,656       239,999   509,598 479,051
Professional fees 26,340       24,677   51,708 48,948
Supplies 20,078       19,292   39,462 38,004
Rents and leases 8,716       8,311   17,119 16,550
Other operating expenses 61,519       55,258   120,909 111,428
Depreciation and amortization 20,017       18,611   39,622 36,783
Interest expense, net 23,486       23,602   46,504 47,186
Transaction-related expenses 4,578       2,671   7,796 6,680
Total expenses 419,390       392,421   832,718 784,630
(Loss) income before income taxes 60,860       61,361   107,350 104,777
(Benefit from) provision for income taxes 25,298       11,442   42,363 11,319
Net income 35,562       49,919   64,987 93,458
Net income attributable to Acadia Healthcare Company, Inc. 35,562       49,919   64,987 93,458
Other comprehensive income:                
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc. 35,562       49,919   64,987 93,458
Combined Non-Guarantors [Member]                
Condensed Financial Statements, Captions [Line Items]                
Revenue 309,112       311,956   609,911 618,572
Salaries, wages and benefits 171,381       169,613   339,917 335,170
Professional fees 32,089       28,784   63,728 58,531
Supplies 10,836       10,841   21,409 21,493
Rents and leases 11,703       11,925   23,607 23,974
Other operating expenses 33,158       32,024   67,633 64,085
Depreciation and amortization 21,060       21,317   42,035 42,918
Interest expense, net 4,986       6,745   10,520 13,787
Transaction-related expenses 634       216   1,737 975
Total expenses 285,847       281,465   570,586 560,933
(Loss) income before income taxes 23,265       30,491   39,325 57,639
(Benefit from) provision for income taxes (7,057)       4,658   (9,729) 7,747
Net income 30,322       25,833   49,054 49,892
Net income (loss) attributable to noncontrolling interests (61)       (54)   (101) (109)
Net income attributable to Acadia Healthcare Company, Inc. 30,261       25,779   48,953 49,783
Other comprehensive income:                
Foreign currency translation loss (50,618)       (143,599)   (6,137) (50,819)
Other comprehensive (loss) income (50,618)       (143,599)   (6,137) (50,819)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc. $ (20,357)       $ (117,820)   $ 42,816 $ (1,036)