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Consolidated Statements of Comprehensive Income (Loss) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Statement Of Income And Comprehensive Income [Abstract]      
Net (loss) income $ (669,199) $ 110,122 $ (175,486)
Other comprehensive income (loss):      
Foreign currency translation gain (loss) 61,247 69,811 (127,521)
(Loss) gain on derivative instruments, net of tax of $(3.9) million, $(3.6) million and $12.7 million, respectively (11,272) (19,008) 36,799
Pension liability adjustment, net of tax of $(0.8) million, $(0.6) million and $0.3 million, respectively (6,456) (3,310) 2,463
Other comprehensive income (loss) 43,519 47,493 (88,259)
Comprehensive (loss) income (625,680) 157,615 (263,745)
Comprehensive (income) loss attributable to noncontrolling interests (2,933) (1,199) (264)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc. $ (628,613) $ 156,416 $ (264,009)