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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
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Numerator:      
Income from continuing operations attributable to Acadia Healthcare Company, Inc. $ 273,139 $ 203,276 $ 140,258
Loss from discontinued operations   (12,641) (812,390)
Net income (loss) attributable to Acadia Healthcare Company, Inc. $ 273,139 $ 190,635 $ (672,132)
Denominator:      
Weighted average shares outstanding for basic earnings per share 89,680 88,769 87,875
Effects of dilutive instruments 1,875 2,024 720
Shares used in computing diluted earnings per common share 91,555 90,793 88,595
Basic earnings (loss) per share attributable to Acadia Healthcare Company, Inc. stockholders:      
Income from continuing operations attributable to Acadia Healthcare Company, Inc. $ 3.05 $ 2.29 $ 1.60
Loss from discontinued operations   (0.14) (9.25)
Net income (loss) attributable to Acadia Healthcare Company, Inc. 3.05 2.15 (7.65)
Diluted earnings (loss) per share attributable to Acadia Healthcare Company, Inc. stockholders:      
Income from continuing operations attributable to Acadia Healthcare Company, Inc. 2.98 2.24 1.58
Loss from discontinued operations   (0.14) (9.17)
Net income (loss) attributable to Acadia Healthcare Company, Inc. $ 2.98 $ 2.10 $ (7.59)