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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 | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |
Revenue | $ 777,251 |  |  |  | $ 760,916 |  |  | $ 2,327,230 | $ 2,268,895
Salaries, wages and benefits | 428,601 |  |  |  | 417,917 |  |  | 1,288,399 | 1,246,186
Professional fees | 62,152 |  |  |  | 59,509 |  |  | 177,588 | 166,988
Supplies | 30,790 |  |  |  | 29,461 |  |  | 91,661 | 88,958
Rents and leases | 20,134 |  |  |  | 19,866 |  |  | 60,860 | 60,390
Other operating expenses | 92,975 |  |  |  | 90,464 |  |  | 281,517 | 265,977
Depreciation and amortization | 40,620 |  |  |  | 39,659 |  |  | 122,277 | 119,360
Interest expense, net | 46,644 |  |  |  | 46,651 |  |  | 143,384 | 137,706
Debt extinguishment costs |  |  |  |  |  |  |  |  | 940
Transaction-related expenses | 5,775 |  |  |  | 2,353 |  |  | 15,308 | 10,008
Total expenses | 727,691 |  |  |  | 705,880 |  |  | 2,180,994 | 2,096,513
(Loss) income before income taxes | 49,560 |  |  |  | 55,036 |  |  | 146,236 | 172,382
(Benefit from) provision for income taxes | 6,837 |  |  |  | 8,757 |  |  | 25,801 | 16,339
Net income | 42,723 |  |  |  | 46,279 |  |  | 120,435 | 156,043
Net income attributable to noncontrolling interests | (157) |  |  |  | (47) |  |  | (258) | (156)
Net income attributable to Acadia Healthcare Company, Inc. | 42,566 | $ 48,140 | $ 29,471 | $ (331,637) | 46,232 | $ 58,836 | $ 50,819 | 120,177 | 155,887
Other comprehensive income: |  |  |  |  |  |  |  |  |
Foreign currency translation loss | (59,975) |  |  |  | (31,959) |  |  | (66,112) | (82,778)
Gain on derivative instruments | 11,598 |  |  |  | 7,380 |  |  | 20,495 | 16,434
Other comprehensive loss | (48,377) | $ (33,031) | $ 35,791 | $ (21,915) | (24,579) | $ (114,492) | $ 72,727 | (45,617) | (66,344)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. | (5,811) |  |  |  | 21,653 |  |  | 74,560 | 89,543
Consolidating Adjustments [Member] |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |
Equity in earnings of subsidiaries | (60,296) |  |  |  | (62,854) |  |  | (174,337) | (206,204)
Net income | (60,296) |  |  |  | (62,854) |  |  | (174,337) | (206,204)
Net income attributable to Acadia Healthcare Company, Inc. | (60,296) |  |  |  | (62,854) |  |  | (174,337) | (206,204)
Other comprehensive income: |  |  |  |  |  |  |  |  |
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. | (60,296) |  |  |  | (62,854) |  |  | (174,337) | (206,204)
Parent [Member] |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |
Salaries, wages and benefits | 4,039 |  |  |  | 5,225 |  |  | 14,322 | 19,273
Interest expense, net | 19,109 |  |  |  | 17,225 |  |  | 58,825 | 47,307
Debt extinguishment costs |  |  |  |  |  |  |  |  | 940
Total expenses | 23,148 |  |  |  | 22,450 |  |  | 73,147 | 67,520
(Loss) income before income taxes | (23,148) |  |  |  | (22,450) |  |  | (73,147) | (67,520)
Equity in earnings of subsidiaries | 60,296 |  |  |  | 62,854 |  |  | 174,337 | 206,204
(Benefit from) provision for income taxes | (5,575) |  |  |  | (5,875) |  |  | (19,245) | (17,359)
Net income | 42,723 |  |  |  | 46,279 |  |  | 120,435 | 156,043
Net income attributable to Acadia Healthcare Company, Inc. | 42,723 |  |  |  | 46,279 |  |  | 120,435 | 156,043
Other comprehensive income: |  |  |  |  |  |  |  |  |
Gain on derivative instruments | 11,598 |  |  |  | 7,380 |  |  | 20,495 | 16,434
Other comprehensive loss | 11,598 |  |  |  | 7,380 |  |  | 20,495 | 16,434
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. | 54,321 |  |  |  | 53,659 |  |  | 140,930 | 172,477
Combined Subsidiary Guarantors [Member] |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |
Revenue | 476,722 |  |  |  | 458,061 |  |  | 1,416,790 | 1,347,468
Salaries, wages and benefits | 258,166 |  |  |  | 245,599 |  |  | 767,764 | 724,650
Professional fees | 27,955 |  |  |  | 24,152 |  |  | 79,663 | 73,100
Supplies | 20,291 |  |  |  | 19,139 |  |  | 59,753 | 57,143
Rents and leases | 8,771 |  |  |  | 8,294 |  |  | 25,890 | 24,844
Other operating expenses | 60,730 |  |  |  | 57,495 |  |  | 181,639 | 168,923
Depreciation and amortization | 20,588 |  |  |  | 18,857 |  |  | 60,210 | 55,640
Interest expense, net | 22,876 |  |  |  | 22,768 |  |  | 69,380 | 69,954
Transaction-related expenses | 4,326 |  |  |  | 702 |  |  | 12,122 | 7,382
Total expenses | 423,703 |  |  |  | 397,006 |  |  | 1,256,421 | 1,181,636
(Loss) income before income taxes | 53,019 |  |  |  | 61,055 |  |  | 160,369 | 165,832
(Benefit from) provision for income taxes | 15,273 |  |  |  | 11,666 |  |  | 57,636 | 22,985
Net income | 37,746 |  |  |  | 49,389 |  |  | 102,733 | 142,847
Net income attributable to Acadia Healthcare Company, Inc. | 37,746 |  |  |  | 49,389 |  |  | 102,733 | 142,847
Other comprehensive income: |  |  |  |  |  |  |  |  |
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. | 37,746 |  |  |  | 49,389 |  |  | 102,733 | 142,847
Combined Non-Guarantors [Member] |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |
Revenue | 300,529 |  |  |  | 302,855 |  |  | 910,440 | 921,427
Salaries, wages and benefits | 166,396 |  |  |  | 167,093 |  |  | 506,313 | 502,263
Professional fees | 34,197 |  |  |  | 35,357 |  |  | 97,925 | 93,888
Supplies | 10,499 |  |  |  | 10,322 |  |  | 31,908 | 31,815
Rents and leases | 11,363 |  |  |  | 11,572 |  |  | 34,970 | 35,546
Other operating expenses | 32,245 |  |  |  | 32,969 |  |  | 99,878 | 97,054
Depreciation and amortization | 20,032 |  |  |  | 20,802 |  |  | 62,067 | 63,720
Interest expense, net | 4,659 |  |  |  | 6,658 |  |  | 15,179 | 20,445
Transaction-related expenses | 1,449 |  |  |  | 1,651 |  |  | 3,186 | 2,626
Total expenses | 280,840 |  |  |  | 286,424 |  |  | 851,426 | 847,357
(Loss) income before income taxes | 19,689 |  |  |  | 16,431 |  |  | 59,014 | 74,070
(Benefit from) provision for income taxes | (2,861) |  |  |  | 2,966 |  |  | (12,590) | 10,713
Net income | 22,550 |  |  |  | 13,465 |  |  | 71,604 | 63,357
Net income attributable to noncontrolling interests | (157) |  |  |  | (47) |  |  | (258) | (156)
Net income attributable to Acadia Healthcare Company, Inc. | 22,393 |  |  |  | 13,418 |  |  | 71,346 | 63,201
Other comprehensive income: |  |  |  |  |  |  |  |  |
Foreign currency translation loss | (59,975) |  |  |  | (31,959) |  |  | (66,112) | (82,778)
Other comprehensive loss | (59,975) |  |  |  | (31,959) |  |  | (66,112) | (82,778)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. | $ (37,582) |  |  |  | $ (18,541) |  |  | $ 5,234 | $ (19,577)

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