XML 72 R118.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Statement of Comprehensive Income (Loss) (Detail) - USD ($)
$ 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
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts                 $ 3,107,462 $ 3,012,442 $ 2,877,234
Provision for doubtful accounts                     (40,918)
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
Salaries, wages and benefits                 1,717,180 1,659,348 1,536,160
Professional fees                 240,983 227,425 196,223
Supplies                 123,061 119,314 114,439
Rents and leases                 82,229 80,282 76,775
Other operating expenses                 375,433 354,498 331,827
Depreciation and amortization                 164,044 158,832 143,010
Interest expense, net                 187,094 185,410 176,007
Debt extinguishment costs                   1,815 810
Legal settlements expense         22,100         22,076  
Loss on impairment 54,400       337,900       54,386 337,889  
Transaction-related expenses                 27,064 34,507 24,267
Total expenses                 2,971,474 3,181,396 2,599,518
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
(Benefit from) provision for income taxes                 25,866 6,532 37,209
Net income (loss)                 110,122 (175,486) 199,589
Net income (loss) attributable to noncontrolling interests                 (1,199) (264) 246
Net income (loss) attributable to Acadia Healthcare Company, Inc. $ (11,254) $ 42,566 $ 48,140 $ 29,471 $ (331,637) $ 46,232 $ 58,836 $ 50,819 108,923 (175,750) 199,835
Other comprehensive income:                      
Foreign currency translation (loss) gain                 69,811 (127,521) 206,784
(Loss) gain on derivative instruments, net of tax of $(3.6) million, $12.7 million and $(22.9) million, respectively                 (19,008) 36,799 (33,431)
Pension liability adjustment, net                 (3,310) 2,463 2,099
Other comprehensive income (loss)                 47,493 (88,259) 175,452
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.                 156,416 (264,009) 375,287
Parent [Member]                      
Condensed Financial Statements, Captions [Line Items]                      
Salaries, wages and benefits                 17,307 22,001 23,467
Interest expense, net                 76,138 65,588 61,872
Debt extinguishment costs                   940 810
Total expenses                 93,445 88,529 86,149
Income (loss) before income taxes                 (93,445) (88,529) (86,149)
Equity in earnings of subsidiaries                 174,216 (98,669) 259,282
(Benefit from) provision for income taxes                 (29,351) (11,712) (26,456)
Net income (loss)                 110,122 (175,486) 199,589
Net income (loss) attributable to Acadia Healthcare Company, Inc.                 110,122 (175,486) 199,589
Other comprehensive income:                      
(Loss) gain on derivative instruments, net of tax of $(3.6) million, $12.7 million and $(22.9) million, respectively                 (19,008) 36,799 (33,431)
Other comprehensive income (loss)                 (19,008) 36,799 (33,431)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.                 91,114 (138,687) 166,158
Combined Subsidiary Guarantors [Member]                      
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts                     1,746,656
Provision for doubtful accounts                     (35,636)
Revenue                 1,882,518 1,788,757 1,711,020
Salaries, wages and benefits                 1,018,267 965,419 902,180
Professional fees                 107,115 98,441 93,991
Supplies                 80,137 76,526 75,248
Rents and leases                 34,443 33,101 33,365
Other operating expenses                 243,478 225,446 217,900
Depreciation and amortization                 81,105 74,341 66,482
Interest expense, net                 92,538 92,983 81,274
Legal settlements expense                   22,076  
Loss on impairment                 27,217    
Transaction-related expenses                 21,156 29,720 11,236
Total expenses                 1,705,456 1,618,053 1,481,676
Income (loss) before income taxes                 177,062 170,704 229,344
(Benefit from) provision for income taxes                 52,903 19,045 69,882
Net income (loss)                 124,159 151,659 159,462
Net income (loss) attributable to Acadia Healthcare Company, Inc.                 124,159 151,659 159,462
Other comprehensive income:                      
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.                 124,159 151,659 159,462
Combined Non-Guarantors [Member]                      
Condensed Financial Statements, Captions [Line Items]                      
Revenue before provision for doubtful accounts                     1,130,578
Provision for doubtful accounts                     (5,282)
Revenue                 1,224,944 1,223,685 1,125,296
Salaries, wages and benefits                 681,606 671,928 610,513
Professional fees                 133,868 128,984 102,232
Supplies                 42,924 42,788 39,191
Rents and leases                 47,786 47,181 43,410
Other operating expenses                 131,955 129,052 113,927
Depreciation and amortization                 82,939 84,491 76,528
Interest expense, net                 18,418 26,839 32,861
Debt extinguishment costs                   875  
Loss on impairment                 27,169 337,889  
Transaction-related expenses                 5,908 4,787 13,031
Total expenses                 1,172,573 1,474,814 1,031,693
Income (loss) before income taxes                 52,371 (251,129) 93,603
(Benefit from) provision for income taxes                 2,314 (801) (6,217)
Net income (loss)                 50,057 (250,328) 99,820
Net income (loss) attributable to noncontrolling interests                 (1,199) (264) 246
Net income (loss) attributable to Acadia Healthcare Company, Inc.                 48,858 (250,592) 100,066
Other comprehensive income:                      
Foreign currency translation (loss) gain                 69,811 (127,521) 206,784
Pension liability adjustment, net                 (3,310) 2,463 2,099
Other comprehensive income (loss)                 66,501 (125,058) 208,883
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.                 115,359 (375,650) 308,949
Consolidating Adjustments [Member]                      
Condensed Financial Statements, Captions [Line Items]                      
Equity in earnings of subsidiaries                 (174,216) 98,669 (259,282)
Net income (loss)                 (174,216) 98,669 (259,282)
Net income (loss) attributable to Acadia Healthcare Company, Inc.                 (174,216) 98,669 (259,282)
Other comprehensive income:                      
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.                 $ (174,216) $ 98,669 $ (259,282)