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Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ 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
Numerator:                  
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
Denominator:                  
Weighted average shares outstanding for basic earnings per share 87,649       87,344     87,591 87,233
Effect of dilutive instruments 210       193     214 153
Shares used in computing diluted earnings per common share 87,859       87,537     87,805 87,386
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:                  
Basic $ 0.49       $ 0.53     $ 1.37 $ 1.79
Diluted $ 0.48       $ 0.53     $ 1.37 $ 1.78