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Property and Equipment - Additional information (Detail)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2019
USD ($)
Sep. 30, 2019
Bed
Mar. 31, 2019
Bed
Dec. 31, 2018
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Property Plant And Equipment [Line Items]            
Loss on impairment $ 54,400     $ 337,900 $ 54,386 $ 337,889
Assets held for sale 31,100     $ 17,000 $ 31,100 $ 17,000
U.S. Facilities [Member]            
Property Plant And Equipment [Line Items]            
Loss on impairment 27,200          
U.K. Facilities [Member]            
Property Plant And Equipment [Line Items]            
Loss on impairment $ 27,200          
Residential Treatment Centers [Member] | Albuquerque, New Mexico [Member]            
Property Plant And Equipment [Line Items]            
Number of beds in facilities closed | Bed     168      
Residential Treatment Centers [Member] | Butte, Montana [Member]            
Property Plant And Equipment [Line Items]            
Number of beds in facilities closed | Bed   108