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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 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
Numerator:                      
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
Denominator:                      
Weighted average shares outstanding for basic earnings per share                 87,612 87,288 86,948
Effects of dilutive instruments                 204   112
Shares used in computing diluted earnings per common share                 87,816 87,288 87,060
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:                      
Basic $ (0.13) $ 0.49 $ 0.55 $ 0.34 $ (3.80) $ 0.53 $ 0.67 $ 0.58 $ 1.24 $ (2.01) $ 2.30
Diluted $ (0.13) $ 0.48 $ 0.55 $ 0.34 $ (3.80) $ 0.53 $ 0.67 $ 0.58 $ 1.24 $ (2.01) $ 2.30