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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)