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Quarterly Information (Unaudited) - Schedule of Quarterly Financial Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Quarterly Financial Information Disclosure [Abstract]                      
Revenue $ 780,232 $ 777,251 $ 789,362 $ 760,617 $ 743,547 $ 760,916 $ 765,738 $ 742,241 $ 3,107,462 $ 3,012,442 $ 2,836,316
Income (loss) before income taxes (10,248) 49,560 59,805 36,871 (341,336) 55,036 69,258 48,088 135,988 (168,954) 236,798
Net income (loss) attributable to Acadia Healthcare Company, Inc. stockholders $ (11,254) $ 42,566 $ 48,140 $ 29,471 $ (331,637) $ 46,232 $ 58,836 $ 50,819 $ 108,923 $ (175,750) $ 199,835
Basic earnings per share attributable to Acadia Healthcare Company, Inc. stockholders $ (0.13) $ 0.49 $ 0.55 $ 0.34 $ (3.80) $ 0.53 $ 0.67 $ 0.58 $ 1.24 $ (2.01) $ 2.30
Diluted earnings per share attributable to Acadia Healthcare Company, Inc. stockholders $ (0.13) $ 0.48 $ 0.55 $ 0.34 $ (3.80) $ 0.53 $ 0.67 $ 0.58 $ 1.24 $ (2.01) $ 2.30