Document and Entity Information - shares	9 Months Ended
Document and Entity Information - shares	Sep. 30, 2019	Nov. 06, 2019
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2019
Document Fiscal Year Focus	2019
Document Fiscal Period Focus	Q3
Trading Symbol	ACHC
Entity Registrant Name	Acadia Healthcare Company, Inc.
Entity Central Index Key	0001520697
Current Fiscal Year End Date	--12-31
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Title of 12(b) Security	Common Stock, $.01 par value
Security Exchange Name	NASDAQ
Entity File Number	001-35331
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	45-2492228
Entity Address, Address Line One	6100 Tower Circle
Entity Address, Address Line Two	Suite 1000
Entity Address, City or Town	Franklin
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37067
City Area Code	615
Local Phone Number	861-6000
Document Quarterly Report	true
Document Transition Report	false
Entity Common Stock, Shares Outstanding		88,569,587

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Current assets:
Cash and cash equivalents	$ 92,900	$ 50,510
Accounts receivable, net	350,225	318,087
Other current assets	93,788	81,820
Total current assets	536,913	450,417
Property and equipment, net	3,131,419	3,107,766
Goodwill	2,424,241	2,396,412
Intangible assets, net	89,028	88,990
Deferred tax assets	3,371	3,468
Derivative instrument assets		60,524
Operating lease right-of-use assets	479,881
Other assets	63,272	64,927
Total assets	6,728,125	6,172,504
Current liabilities:
Current portion of long-term debt	41,287	34,112
Accounts payable	131,472	117,740
Accrued salaries and benefits	117,683	113,299
Current portion of operating lease liabilities	28,010
Other accrued liabilities	139,754	151,226
Total current liabilities	458,206	416,377
Long-term debt	3,133,635	3,159,375
Deferred tax liabilities	63,154	80,372
Operating lease liabilities	478,894
Derivative instrument liabilites	15,896
Other liabilities	125,285	154,267
Total liabilities	4,275,070	3,810,391
Redeemable noncontrolling interests	32,364	28,806
Equity:
Preferred stock, $0.01 par value; 10,000,000 shares authorized, no shares issued
Common stock, $0.01 par value; 180,000,000 shares authorized; 87,655,556 and 87,444,473 issued and outstanding at September 30, 2019 and December 31, 2018, respectively	877	874
Additional paid-in capital	2,554,808	2,541,987
Accumulated other comprehensive loss	(507,994)	(462,377)
Retained earnings	373,000	252,823
Total equity	2,420,691	2,333,307
Total liabilities and equity	$ 6,728,125	$ 6,172,504

Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) - $ / shares	Sep. 30, 2019	Dec. 31, 2018
Statement Of Financial Position [Abstract]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, authorized	10,000,000	10,000,000
Preferred stock, issued	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	180,000,000	180,000,000
Common stock, shares issued	87,655,556	87,444,473
Common stock, shares outstanding	87,655,556	87,444,473

Condensed Consolidated Statements of Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018
Income Statement [Abstract]
Revenue	$ 777,251				$ 760,916			$ 2,327,230	$ 2,268,895
Salaries, wages and benefits (including equity-based compensation expense of $4,039, $5,225, $14,322 and $19,273, respectively)	428,601				417,917			1,288,399	1,246,186
Professional fees	62,152				59,509			177,588	166,988
Supplies	30,790				29,461			91,661	88,958
Rents and leases	20,134				19,866			60,860	60,390
Other operating expenses	92,975				90,464			281,517	265,977
Depreciation and amortization	40,620				39,659			122,277	119,360
Interest expense, net	46,644				46,651			143,384	137,706
Debt extinguishment costs									940
Transaction-related expenses	5,775				2,353			15,308	10,008
Total expenses	727,691				705,880			2,180,994	2,096,513
Income before income taxes	49,560				55,036			146,236	172,382
Provision for income taxes	6,837				8,757			25,801	16,339
Net income	42,723				46,279			120,435	156,043
Net income attributable to noncontrolling interests	(157)				(47)			(258)	(156)
Net income attributable to Acadia Healthcare Company, Inc.	$ 42,566	$ 48,140	$ 29,471	$ (331,637)	$ 46,232	$ 58,836	$ 50,819	$ 120,177	$ 155,887
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic	$ 0.49				$ 0.53			$ 1.37	$ 1.79
Diluted	$ 0.48				$ 0.53			$ 1.37	$ 1.78
Weighted-average shares outstanding:
Basic	87,649				87,344			87,591	87,233
Diluted	87,859				87,537			87,805	87,386

Condensed Consolidated Statements of Comprehensive (Loss) Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Statement Of Income And Comprehensive Income [Abstract]
Net income	$ 42,723	$ 46,279	$ 120,435	$ 156,043
Other comprehensive loss:
Foreign currency translation loss	(59,975)	(31,959)	(66,112)	(82,778)
Gain on derivative instruments, net of tax of $5.0 million, $2.4 million, $10.7 million and $5.6 million, respectively	11,598	7,380	20,495	16,434
Other comprehensive loss	(48,377)	(24,579)	(45,617)	(66,344)
Comprehensive (loss) income	(5,654)	21,700	74,818	89,699
Comprehensive income attributable to noncontrolling interests	(157)	(47)	(258)	(156)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	$ (5,811)	$ 21,653	$ 74,560	$ 89,543

- Definition

The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

+ References

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+ Details

Condensed Consolidated Statements of Equity (Unaudited) - USD ($) $ in Thousands	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Other Comprehensive Loss [Member]	Earnings (Accumulated Deficit) [Member]
Balance at Dec. 31, 2017	$ 2,572,871	$ 871	$ 2,517,545	$ (374,118)	$ 428,573
Balance, shares at Dec. 31, 2017		87,060,000
Common stock issued under stock incentive plans	96	$ 2	94
Common stock issued under stock incentive plans, shares		228,000
Common stock withheld for minimum statutory taxes	(2,126)		(2,126)
Equity-based compensation expense	6,919		6,919
Other comprehensive income (loss)	72,727			72,727
Other	313		313
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	50,819				50,819
Balance at Mar. 31, 2018	2,701,619	$ 873	2,522,745	(301,391)	479,392
Balance, shares at Mar. 31, 2018		87,288,000
Balance at Dec. 31, 2017	2,572,871	$ 871	2,517,545	(374,118)	428,573
Balance, shares at Dec. 31, 2017		87,060,000
Other comprehensive income (loss)	(66,344)
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	155,887
Balance at Sep. 30, 2018	2,680,249	$ 874	2,535,377	(440,462)	584,460
Balance, shares at Sep. 30, 2018		87,363,000
Balance at Dec. 31, 2017	$ 2,572,871	$ 871	2,517,545	(374,118)	428,573
Balance, shares at Dec. 31, 2017		87,060,000
Common stock issued under stock incentive plans, shares	20,989
Balance at Dec. 31, 2018	$ 2,333,307	$ 874	2,541,987	(462,377)	252,823
Balance, shares at Dec. 31, 2018	87,444,473	87,444,000
Balance at Mar. 31, 2018	$ 2,701,619	$ 873	2,522,745	(301,391)	479,392
Balance, shares at Mar. 31, 2018		87,288,000
Common stock issued under stock incentive plans	128		128
Common stock issued under stock incentive plans, shares		42,000
Common stock withheld for minimum statutory taxes	(232)		(232)
Equity-based compensation expense	7,129		7,129
Other comprehensive income (loss)	(114,492)			(114,492)
Other	313		313
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	58,836				58,836
Balance at Jun. 30, 2018	2,653,301	$ 873	2,530,083	(415,883)	538,228
Balance, shares at Jun. 30, 2018		87,330,000
Common stock issued under stock incentive plans	20	$ 1	19
Common stock issued under stock incentive plans, shares		33,000
Common stock withheld for minimum statutory taxes	(158)		(158)
Equity-based compensation expense	5,225		5,225
Other comprehensive income (loss)	(24,579)			(24,579)
Other	208		208
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	46,232				46,232
Balance at Sep. 30, 2018	2,680,249	$ 874	2,535,377	(440,462)	584,460
Balance, shares at Sep. 30, 2018		87,363,000
Common stock issued under stock incentive plans	130		130
Common stock issued under stock incentive plans, shares		81,000
Common stock withheld for minimum statutory taxes	(1,265)		(1,265)
Equity-based compensation expense	2,728		2,728
Other comprehensive income (loss)	(21,915)			(21,915)
Other	5,017		5,017
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	(331,637)				(331,637)
Balance at Dec. 31, 2018	$ 2,333,307	$ 874	2,541,987	(462,377)	252,823
Balance, shares at Dec. 31, 2018	87,444,473	87,444,000
Common stock issued under stock incentive plans	$ 293	$ 2	291
Common stock issued under stock incentive plans, shares		149,000
Common stock withheld for minimum statutory taxes	(1,620)		(1,620)
Equity-based compensation expense	6,101		6,101
Other comprehensive income (loss)	35,791			35,791
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	29,471				29,471
Balance at Mar. 31, 2019	2,403,343	$ 876	2,546,759	(426,586)	282,294
Balance, shares at Mar. 31, 2019		87,593
Balance at Dec. 31, 2018	$ 2,333,307	$ 874	2,541,987	(462,377)	252,823
Balance, shares at Dec. 31, 2018	87,444,473	87,444,000
Common stock issued under stock incentive plans, shares	48,621
Other comprehensive income (loss)	$ (45,617)
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	120,177
Balance at Sep. 30, 2019	$ 2,420,691	$ 877	2,554,808	(507,994)	373,000
Balance, shares at Sep. 30, 2019	87,655,556	87,655
Balance at Mar. 31, 2019	$ 2,403,343	$ 876	2,546,759	(426,586)	282,294
Balance, shares at Mar. 31, 2019		87,593
Common stock issued under stock incentive plans	68		68
Common stock issued under stock incentive plans, shares		52,000
Common stock withheld for minimum statutory taxes	(356)		(356)
Equity-based compensation expense	4,182		4,182
Other comprehensive income (loss)	(33,031)			(33,031)
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	48,140				48,140
Balance at Jun. 30, 2019	2,422,346	$ 876	2,550,653	(459,617)	330,434
Balance, shares at Jun. 30, 2019		87,645
Common stock issued under stock incentive plans	154	$ 1	153
Common stock issued under stock incentive plans, shares		10,000
Common stock withheld for minimum statutory taxes	(37)		(37)
Equity-based compensation expense	4,039		4,039
Other comprehensive income (loss)	(48,377)			(48,377)
Net income (Loss) attributable to Acadia Healthcare Company, Inc. stockholders	42,566				42,566
Balance at Sep. 30, 2019	$ 2,420,691	$ 877	$ 2,554,808	$ (507,994)	$ 373,000
Balance, shares at Sep. 30, 2019	87,655,556	87,655

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References + Details

Condensed Consolidated Statements of Cash Flows (Unaudited) $ in Thousands	9 Months Ended
	Sep. 30, 2019 USD ($)
Operating activities:
Net income	$ 120,435
Adjustments to reconcile net income to net cash provided by continuing operating activities:
Depreciation and amortization	122,277
Amortization of debt issuance costs	8,926
Equity-based compensation expense	14,322
Deferred income taxes	5,150
Other	4,444
Change in operating assets and liabilities:
Accounts receivable, net	(32,956)
Other current assets	(3,912)
Other assets	530
Accounts payable and other accrued liabilities	(35,610)
Accrued salaries and benefits	4,813
Other liabilities	5,110
Net cash provided by continuing operating activities	213,529
Net cash provided by operating activities	213,529
Investing activities:
Cash paid for acquisitions, net of cash acquired	(44,900)
Cash paid for capital expenditures	(202,722)
Cash paid for real estate acquisitions	(6,976)
Settlement of foreign currency derivatives	105,008
Other	12,398
Net cash used in investing activities	(137,192)
Financing activities:
Borrowings on revolving credit facility	76,573
Principal payments on revolving credit facility	(76,573)
Principal payments on long-term debt	(24,738)
Common stock withheld for minimum statutory taxes, net	(1,498)
Other	(5,923)
Net cash used in financing activities	(32,159)
Effect of exchange rate changes on cash	(1,788)
Net increase (decrease) in cash and cash equivalents	42,390
Cash and cash equivalents at beginning of the period	50,510
Cash and cash equivalents at end of the period	92,900
Effect of acquisitions:
Assets acquired, excluding cash	48,594
Liabilities assumed	(3,694)
Cash paid for acquisitions, net of cash acquired	$ 44,900

Description of Business and Basis of Presentation

9 Months Ended

Sep. 30, 2019

Accounting Policies [Abstract]

Description of Business and Basis of Presentation

1.	Description of Business and Basis of Presentation

Description of Business

Acadia Healthcare Company, Inc. (the “Company”) develops and operates inpatient psychiatric facilities, residential treatment centers, group homes, substance abuse facilities and facilities providing outpatient behavioral healthcare services to serve the behavioral health and recovery needs of communities throughout the United States (“U.S.”), the United Kingdom (“U.K.”) and Puerto Rico. At September 30, 2019, the Company operated 589 behavioral healthcare facilities with approximately 18,000 beds in 40 states, the U.K. and Puerto Rico.

During the nine months ended September 30, 2019, the Company commenced a review of strategic alternatives including those related to its U.K. operations and a potential sale of such operations. The likelihood and form of strategic alternative that the Company may pursue for its U.K. operations remains uncertain.

Basis of Presentation

The business of the Company is conducted through limited liability companies, partnerships and C-corporations. The Company’s consolidated financial statements include the accounts of the Company and all subsidiaries controlled by the Company through its direct or indirect ownership of majority interests and exclusive rights granted to the Company as the controlling member of an entity. All intercompany accounts and transactions have been eliminated in consolidation.

The accompanying consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for fair presentation of our financial position and results of operations have been included. The Company’s fiscal year ends on December 31 and interim results are not necessarily indicative of results for a full year or any other interim period. The condensed consolidated balance sheet at December 31, 2018 has been derived from the audited financial statements as of that date. The information contained in these condensed consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto for the fiscal year ended December 31, 2018 included in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”) on March 1, 2019. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Certain reclassifications have been made to prior years to conform to the current year presentation.

Recently Issued Accounting Standards

9 Months Ended

Sep. 30, 2019

Accounting Changes And Error Corrections [Abstract]

Recently Issued Accounting Standards

2.	Recently Issued Accounting Standards

In August 2018, the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update (“ASU”) ASU 2018-15, “Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract” (“ASU 2018-15”). ASU 2018-15 requires a customer in a cloud computing arrangement that is a service contract to follow the internal-use software guidance in ASC 350-402 to determine which implementation costs to capitalize as assets. ASU 2018-15 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019. Early adoption is permitted. Management is evaluating the impact of ASU 2018-15 on the Company’s consolidated financial statements.

In August 2017, FASB issued ASU 2017-12, “Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities” (“ASU 2017-12”). ASU 2017-12 amends the hedge accounting model to enable entities to better portray the economics of their risk management activities in the financial statements and simplifies the application of hedge accounting in certain situations. ASU 2017-12 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2018. Early adoption is permitted. The Company adopted ASU 2017-02 on January 1, 2019. There is no significant impact on the Company’s consolidated financial statements.

In March 2016, the FASB issued ASU 2016-02, “Leases” (“ASU 2016-02”). ASU 2016-02’s core principle is to increase transparency and comparability among organizations by recognizing lease assets and liabilities on the balance sheet and disclosing key information. ASU 2016-02 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2018. ASU 2016-02 requires application either retrospectively to each prior reporting period presented in the financial statements or retrospectively at the beginning of the period of adoption. The Company adopted ASU 2016-02 retrospectively at the beginning of the period of adoption. Prior periods have not been adjusted. On January 1, 2019, the Company recorded right-of-use assets and lease liabilities of $500.3 million and $526.6 million, respectively, as described in Note 8 – Leases.

Revenue

9 Months Ended

Sep. 30, 2019

Revenue From Contract With Customer [Abstract]

Revenue

Revenue is primarily derived from services rendered to patients for inpatient psychiatric and substance abuse care, outpatient psychiatric care and residential treatment. The services provided by the Company have no fixed duration and can be terminated by the patient or the facility at any time, and therefore, each treatment is its own stand-alone contract.

As our performance obligations relate to contracts with a duration of one year or less, the Company elected the optional exemption in Accounting Standards Codification (“ASC”) ASC 606-10-50-14(a). Therefore, the Company is not required to disclose the transaction price for the remaining performance obligations at the end of the reporting period or when the Company expects to recognize the revenue. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients typically are under no obligation to remain admitted in our facilities.

The Company disaggregates revenue from contracts with customers by service type and by payor within each of the Company’s segments.

U.S. Facilities

The Company’s facilities in the United States (the “U.S. Facilities”) and services provided by the U.S. Facilities can generally be classified into the following categories: acute inpatient psychiatric facilities; specialty treatment facilities; residential treatment centers; and outpatient community-based facilities.

Acute inpatient psychiatric facilities. Acute inpatient psychiatric facilities provide a high level of care in order to stabilize patients that are either a threat to themselves or to others. The acute setting provides 24-hour observation, daily intervention and monitoring by psychiatrists.

Specialty treatment facilities. Specialty treatment facilities include residential recovery facilities, eating disorder facilities and comprehensive treatment centers. The Company provides a comprehensive continuum of care for adults with addictive disorders and co-occurring mental disorders. Inpatient, including detoxification and rehabilitation, partial hospitalization and outpatient treatment programs give patients access to the least restrictive level of care.

Residential treatment centers. Residential treatment centers treat patients with behavioral disorders in a non-hospital setting, including outdoor programs. The facilities balance therapy activities with social, academic and other activities.

Outpatient community-based facilities. Outpatient community-based programs are designed to provide therapeutic treatment to children and adolescents who have a clinically-defined emotional, psychiatric or chemical dependency disorder while enabling the youth to remain at home and within their community.

The table below presents total U.S. revenue attributed to each category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Acute inpatient psychiatric facilities	$	233,141	$	208,885	$	678,866	$	608,311
Specialty treatment facilities		201,169		198,107		595,473		575,536
Residential treatment centers		69,681		72,351		216,989		218,041
Outpatient community-based facilities		5,392		9,283		15,828		30,613
Revenue	$	509,383	$	488,626	$	1,507,156	$	1,432,501

The Company receives payments from the following sources for services rendered in our U.S. Facilities: (i) state governments under their respective Medicaid and other programs; (ii) commercial insurers; (iii) the federal government under the Medicare program administered by the Centers for Medicare and Medicaid Services (“CMS”); and (iv) individual patients and clients.

The Company determines the transaction price based on established billing rates reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients and implicit price concessions. Contractual adjustments and discounts are based on contractual agreements, discount policies and historical experience. Implicit price concessions are based on historical collection experience. Most of our U.S. Facilities have contracts containing variable consideration. However, it is unlikely a significant reversal of revenue will occur when the uncertainty is resolved, and therefore, the Company has included the variable consideration in the estimated transaction price. Subsequent changes resulting from a patient’s ability to pay are recorded as bad debt expense, which is included as a component of other operating expenses in the condensed consolidating statements of income. Bad debt expense for the three and nine months ended September 30, 2019 and 2018 was not significant.

The following table presents revenue by payor type and as a percentage of revenue in our U.S. Facilities (in thousands):

	Three Months Ended September 30,										Nine Months Ended September 30,
	2019					2018					2019					2018
	Amount		%			Amount		%			Amount		%			Amount		%
Commercial	$	140,315		27.5	%	$	146,439		30.0	%	$	426,659		28.3	%	$	431,337		30.1	%
Medicare		76,906		15.1	%		73,528		15.0	%		223,027		14.8	%		210,307		14.7	%
Medicaid		256,370		50.3	%		229,390		46.9	%		750,631		49.8	%		668,236		46.6	%
Self-Pay		30,626		6.0	%		33,559		6.9	%		91,982		6.1	%		103,845		7.3	%
Other		5,166		1.1	%		5,710		1.2	%		14,857		1.0	%		18,776		1.3	%
Revenue	$	509,383		100.0	%	$	488,626		100.0	%	$	1,507,156		100.0	%	$	1,432,501		100.0	%

U.K. Facilities

The Company’s facilities located in the United Kingdom (the “U.K. Facilities”) and services provided by the U.K. Facilities can generally be classified into the following categories: healthcare facilities; education and children’s services; and adult care facilities.

Healthcare facilities. Healthcare facilities provide psychiatric treatment and nursing for sufferers of mental disorders, including for patients whose risk of harm to others and risk of escape from hospitals cannot be managed safely within other mental health settings. In order to manage the risks involved with treating patients, the facility is managed through the application of a range of security measures depending on the level of dependency and risk exhibited by the patient.

Education and children’s services. Education and children’s services provide specialist education for children and young people with special educational needs, including autism, Asperger’s Syndrome, social, emotional and mental health, and specific learning difficulties, such as dyslexia. The division also offers standalone children’s homes for children that require 52-week residential care to support complex and challenging behavior and fostering services.

Adult care facilities. Adult care focuses on care of individuals with a variety of learning difficulties, mental health illnesses and adult autism spectrum disorders. It also includes long-term, short-term and respite nursing care to high-dependency elderly individuals who are physically frail or suffering from dementia. Care is provided in a number of settings, including in residential care homes and through supported living.

The table below presents total U.K. revenue attributed to each category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Healthcare facilities	$	148,138	$	150,589	$	455,399	$	464,098
Education and Children’s Services		43,388		45,795		135,652		141,945
Adult Care facilities		76,342		75,906		229,023		230,351
Revenue	$	267,868	$	272,290	$	820,074	$	836,394

On an annual basis, the Company receives payments from approximately 500 public funded sources in the U.K. (including the National Health Service (“NHS”), Clinical Commissioning Groups (“CCGs”) and local authorities in England, Scotland and Wales) and individual patients and clients. The Company determines the transaction price based on established billing rates by payor reduced by implicit price concessions. Implicit price concessions are insignificant in the U.K. Facilities.

The following table presents revenue by payor type and as a percentage of revenue in our U.K. Facilities (in thousands):

	Three Months Ended September 30,										Nine Months Ended September 30,
	2019					2018					2019					2018
	Amount		%			Amount		%			Amount		%			Amount		%
U.K. public funded sources	$	242,747		90.6	%	$	245,919		90.3	%	$	740,492		90.3	%	$	756,094		90.4	%
Self-Pay		24,430		9.1	%		26,159		9.6	%		77,895		9.5	%		78,499		9.4	%
Other		691		0.3	%		212		0.1	%		1,687		0.2	%		1,801		0.2	%
Revenue	$	267,868		100.0	%	$	272,290		100.0	%	$	820,074		100.0	%	$	836,394		100.0	%

The Company’s contract liabilities primarily consist of unearned revenue in our U.K. Facilities due to the timing of payments received mainly in our education and children’s services and healthcare facilities. Contract liabilities are included in other accrued liabilities on the condensed consolidated balance sheets. A summary of the activity in unearned revenue in the U.K. Facilities is as follows (in thousands):

Balance at December 31, 2018	$	31,239
Payments received		128,866
Revenue recognized		(124,067	)
Foreign currency translation loss		(1,791	)
Balance at September 30, 2019	$	34,247

Earnings Per Share

9 Months Ended

Sep. 30, 2019

Earnings Per Share [Abstract]

Earnings Per Share

4.	Earnings Per Share

The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2019 and 2018 (in thousands, except per share amounts):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Numerator:
Net income attributable to Acadia Healthcare Company, Inc.	$	42,566	$	46,232	$	120,177	$	155,887
Denominator:
Weighted average shares outstanding for basic earnings per share		87,649		87,344		87,591		87,233
Effect of dilutive instruments		210		193		214		153
Shares used in computing diluted earnings per common share		87,859		87,537		87,805		87,386
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic	$	0.49	$	0.53	$	1.37	$	1.79
Diluted	$	0.48	$	0.53	$	1.37	$	1.78

Approximately 1.9 million and 1.6 million shares of common stock issuable upon exercise of outstanding stock option awards were excluded from the calculation of diluted earnings per share for the three months ended September 30, 2019 and 2018, respectively, because their effect would have been anti-dilutive. Approximately 2.4 million and 1.9 million shares of common stock issuable upon exercise of outstanding stock option awards were excluded from the calculation of diluted earnings per share for the nine months ended September 30, 2019 and 2018, respectively, because their effect would have been anti-dilutive.

Acquisitions

9 Months Ended

Sep. 30, 2019

Business Combinations [Abstract]

Acquisitions

5.	Acquisitions

The Company’s strategy is to acquire and develop behavioral healthcare facilities and improve operating results within its facilities and its other behavioral healthcare operations.

On April 1, 2019, the Company completed the acquisition of Bradford Recovery Center (“Bradford”), a specialty treatment facility with 46 beds located in Millerton, Pennsylvania for cash consideration of approximately $4.5 million.

On February 15, 2019, the Company completed the acquisition of Whittier Pavilion (“Whittier”), an inpatient psychiatric facility with 71 beds located in Haverhill, Massachusetts, for cash consideration of approximately $17.9 million. Also on February 15, 2019, the Company completed the acquisition of Mission Treatment (“Mission Treatment”) for cash consideration of approximately $22.5 million. Mission Treatment operates nine comprehensive treatment centers in California, Nevada, Arizona and Oklahoma.

Transaction-related expenses

Transaction-related expenses primarily relate to termination, restructuring, strategic review and other acquisition-related costs. Transaction-related expenses for the three and nine months ended September 30, 2019 and 2018 were as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Termination, restructuring and strategic review costs	$	5,541	$	1,443	$	13,858	$	6,844
Legal, accounting and other acquisition-related costs		234		910		1,450		3,164
	$	5,775	$	2,353	$	15,308	$	10,008

Property and Equipment

9 Months Ended

Sep. 30, 2019

Property Plant And Equipment [Abstract]

Property and Equipment

6.	Property and Equipment

Property and equipment consisted of the following at September 30, 2019 and December 31, 2018 (in thousands):

	September 30, 2019			December 31, 2018
Land	$	437,214		$	430,771
Building and improvements		2,555,105			2,423,594
Equipment		462,865			444,538
Construction in progress		231,581			294,848
		3,686,765			3,593,751
Less: accumulated depreciation		(555,346	)		(485,985	)
Property and equipment, net	$	3,131,419		$	3,107,766

During the first quarter of 2019, the Company closed a 168-bed residential treatment center in Albuquerque, New Mexico. The Company is currently evaluating options for the future use of this property. During the third quarter of 2019, the Company closed a 108-bed residential treatment center in Butte, Montana, which was recorded as assets held for sale within other assets on the condensed consolidated balance sheets at September 30, 2019. The Company has recorded assets held for sale of $22.9 million and $17.0 million at September 30, 2019 and December 31, 2018, respectively.

Other Intangible Assets

9 Months Ended

Sep. 30, 2019

Goodwill And Intangible Assets Disclosure [Abstract]

Other Intangible Assets

7.	Other Intangible Assets

Other identifiable intangible assets and related accumulated amortization consisted of the following at September 30, 2019 and December 31, 2018 (in thousands):

	Gross Carrying Amount				Accumulated Amortization
	September 30, 2019		December 31, 2018		September 30, 2019			December 31, 2018
Intangible assets subject to amortization:
Contract intangible assets	$	2,100	$	2,100	$	(2,100	)	$	(2,100	)
Non-compete agreements		1,131		1,147		(1,131	)		(1,147	)
		3,231		3,247		(3,231	)		(3,247	)
Intangible assets not subject to amortization:
Licenses and accreditations		12,586		12,343		—			—
Trade names		59,412		60,109		—			—
Certificates of need		17,030		16,538		—			—
		89,028		88,990		—			—
Total	$	92,259	$	92,237	$	(3,231	)	$	(3,247	)

All of the Company’s definite-lived intangible assets are fully amortized. The Company’s licenses and accreditations, trade names and certificate of need intangible assets have indefinite lives and are, therefore, not subject to amortization.

Leases

9 Months Ended

Sep. 30, 2019

Leases [Abstract]

Leases

The Company’s lease portfolio primarily consists of finance and operating real estate leases integral for facility operations. The original terms of the leases typically range from five to 30 years with optional renewal periods. A minimal portion of the Company’s lease portfolio consists of non-real estate leases, including copiers and equipment, which generally have lease terms of one to three years and have insignificant lease obligations.

In March 2016, the FASB issued ASU 2016-02. ASU 2016-02’s core principle is to increase transparency and comparability among organizations by recognizing lease assets and liabilities on the balance sheet and disclosing key information. The Company adopted ASU 2016-02 retrospectively at the beginning of the period of adoption. Prior periods have not been adjusted.

The Company has elected the package of practical expedients offered in the transition guidance which allows management not to reassess lease identification, lease classification and initial direct costs. The Company also elected the accounting policy practical expedients by class of underlying asset to: (i) combine associated lease and non-lease components into a single lease component; and (ii) exclude recording short-term leases as right-of-use assets and liabilities on the condensed consolidated balance sheets. Non-lease components, which are not significant overall, are combined with lease components.

On January 1, 2019, the Company recorded right-of-use assets and lease liabilities on the condensed consolidated balance sheet of $500.3 million and $526.6 million, respectively, for non-cancelable real estate operating leases with original lease terms in excess of one year. Finance leases remained on the condensed consolidated balance sheets as required by previous accounting guidance. The Company reviews service agreements for embedded leases and records right-of-use assets and liabilities as necessary.

Operating lease liabilities were recorded as the present value of remaining lease payments not yet paid for the lease term discounted using the incremental borrowing rate associated with each lease. Operating lease right-of-use assets represent operating lease liabilities adjusted for prepayments, accrued lease payments, lease incentives and initial direct costs. Certain of the Company’s leases include renewal or termination options. Calculation of operating lease right-of-use assets and liabilities include the initial lease term unless it is reasonably certain a renewal or termination option will be exercised. Variable components of lease payments fluctuating with a future index or rate, as well as those related to common area maintenance costs, are not included in determining lease payments and are expensed as incurred. Most of the Company’s leases do not contain implicit borrowing rates, and therefore, incremental borrowing rates were calculated based on information available at the later of the lease commencement date or January 1, 2019. Incremental borrowing rates reflect the Company’s estimated interest rates for collateralized borrowings over similar lease terms.

Lease Position

At September 30, 2019, the Company recorded the following on the condensed consolidated balance sheet (in thousands):

Right-of-Use Assets	Balance Sheet Classification	September 30, 2019
Finance lease right-of-use assets	Property and equipment, net	$	44,326
Operating lease right-of-use assets	Operating lease right-of-use assets		479,881
Total		$	524,207

Lease Liabilities	Balance Sheet Classification	September 30, 2019
Current:
Finance lease liabilities	Other accrued liabilities	$	6,684
Operating lease liabilities	Current portion of operating lease liabilities		28,010
Noncurrent:
Finance lease liabilities	Other liabilities		43,776
Operating lease liabilities	Operating lease liabilities		478,894
Total		$	557,364

Weighted-average remaining lease terms and discount rates at September 30, 2019 were as follows:


Weighted-average remaining lease term (in years):
Finance	7.1
Operating	19.4

Weighted-average discount rate:
Finance		6.4	%
Operating		6.3	%

Lease Costs

The Company recorded the following lease costs for the three and nine months ended September 30, 2019 (in thousands):

	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Finance lease costs:
Depreciation of leased assets		1,036		3,295
Interest of lease liabilities		977		2,973
Total finance lease costs	$	2,013	$	6,268

Operating lease costs		15,873		48,639
Variable lease costs		1,229		3,159
Short term lease costs		1,378		4,308
Other lease costs		1,654		4,754
Total rents and leases	$	20,134	$	60,860

Total lease costs	$	22,147	$	67,128

Other

Undiscounted cash flows for finance and operating leases recorded on the condensed consolidated balance sheet were as follows at September 30, 2019 (in thousands):

	Finance Leases		Operating Leases
For the three months ending December 31, 2019	$	1,926	$	15,052
2020		7,071		58,702
2021		35,262		55,092
2022		2,386		50,379
2023		1,194		46,893
Thereafter		26,094		691,763
Total minimum lease payments		73,933		917,881
Less: amount of lease payments representing interest		23,473		410,977
Present value of future minimum lease payments		50,460		506,904
Less: Current portion of lease liabilities		6,684		28,010
Noncurrent lease liabilities	$	43,776	$	478,894

Supplemental data for the nine months ended September 30, 2019 was as follows (in thousands):

Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases	$	45,576
Operating cash flows for finance leases	$	2,973
Financing cash flows for finance leases	$	2,701

Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$	15,623
Finance leases	$	2,457

Long-Term Debt

9 Months Ended

Sep. 30, 2019

Debt Disclosure [Abstract]

Long-Term Debt

9.Long-Term Debt

Long-term debt consisted of the following (in thousands):

	September 30, 2019			December 31, 2018
Amended and Restated Senior Credit Facility:
Senior Secured Term A Loans	$	351,500		$	365,750
Senior Secured Term B Loans		1,362,424			1,372,912
Senior Secured Revolving Line of Credit		—			—
6.125% Senior Notes due 2021		150,000			150,000
5.125% Senior Notes due 2022		300,000			300,000
5.625% Senior Notes due 2023		650,000			650,000
6.500% Senior Notes due 2024		390,000			390,000
Other long-term debt		5,110			5,953
Less: unamortized debt issuance costs, discount and premium		(34,112	)		(41,128	)
		3,174,922			3,193,487
Less: current portion		(41,287	)		(34,112	)
Long-term debt	$	3,133,635		$	3,159,375

Amended and Restated Senior Credit Facility

The Company entered into a senior secured credit facility (the “Senior Secured Credit Facility”) on April 1, 2011. On December 31, 2012, the Company entered into an Amended and Restated Credit Agreement (the “Amended and Restated Credit Agreement”) which amended and restated the Senior Secured Credit Facility (the “Amended and Restated Senior Credit Facility”).

The Company has amended the Amended and Restated Credit Agreement from time to time as described in the Company’s prior filings with the SEC.

On March 22, 2018, the Company entered into a Second Repricing Facilities Amendment (the “Second Repricing Facilities Amendment”) to the Amended and Restated Credit Agreement. The Second Repricing Facilities Amendment (i) replaced the Term Loan B Facility Tranche B-1 (the “Tranche B-1 Facility”) and the Term Loan B Facility Tranche B-2 (the “Tranche B-2 Facility”) with a new Term Loan B facility Tranche B-3 (the “Tranche B-3 Facility”) and a new Term Loan B facility Tranche B-4 (the “Tranche B-4 Facility”), respectively, and (ii) reduced the Applicable Rate from 2.75% to 2.50% in the case of Eurodollar Rate loans and reduced the Applicable Rate from 1.75% to 1.50% in the case of Base Rate Loans.

On March 29, 2018, the Company entered into a Third Repricing Facilities Amendment to the Amended and Restated Credit Agreement (the “Third Repricing Facilities Amendment”, and together with the Second Repricing Facilities Amendment, the “Repricing Facilities Amendments”). The Third Repricing Facilities Amendment replaced the existing revolving credit facility and Term Loan A facility (“TLA Facility”) with a new revolving credit facility and TLA Facility, respectively. The Company’s line of credit on its revolving credit facility remains at $500.0 million and the Third Repricing Facility Amendment reduced the size of the TLA Facility from $400.0 million to $380.0 million to reflect the then current outstanding principal. The Third Repricing Facilities Amendment reduced the Applicable Rate by 25 basis points for the revolving credit facility and the TLA Facility by amending the definition of “Applicable Rate.”

In connection with the Repricing Facilities Amendments, the Company recorded a debt extinguishment charge of $0.9 million, including the discount and write-off of deferred financing costs, which was recorded in debt extinguishment costs in the condensed consolidated statements of income.

On February 6, 2019, the Company entered into the Eleventh Amendment (the “Eleventh Amendment”) to the Amended and Restated Credit Agreement. The Eleventh Amendment, among other things, amended the definition of “Consolidated EBITDA” to remove the cap on non-cash charges, losses and expenses related to the impairment of goodwill, which in turn provided increased flexibility to the Company in terms of the Company’s financial covenants.

On February 27, 2019, the Company entered into the Twelfth Amendment (the “Twelfth Amendment”) to the Amended and Restated Credit Agreement. The Twelfth Amendment, among other things, modified certain definitions, including “Consolidated EBITDA”, and increased our permitted Maximum Consolidated Leverage Ratio, thereby providing increased flexibility to the Company in terms of the Company’s financial covenants.

The Company had $485.1 million of availability under the revolving line of credit and had standby letters of credit outstanding of $14.9 million related to security for the payment of claims required by its workers’ compensation insurance program at September 30, 2019. Borrowings under the revolving line of credit are subject to customary conditions precedent to borrowing. The Amended and Restated Credit Agreement requires quarterly term loan principal repayments of our TLA Facility of $4.8 million for December 31, 2019, $7.1 million for March 31, 2020 to December 31, 2020, and $9.5 million for March 31, 2021 to September 30, 2021, with the remaining principal balance of the TLA Facility due on the maturity date of November 30, 2021. The Company is required to repay the Tranche B-3 Facility in equal quarterly installments of $1.2 million on the last business day of each March, June, September and December, with the outstanding principal balance of the Tranche B-3 Facility due on February 11, 2022. The Company is required to repay the Tranche B-4 Facility in equal quarterly installments of approximately $2.3 million on the last business day of each March, June, September and December, with the outstanding principal balance of the Tranche B-4 Facility due on February 16, 2023. On April 17, 2018, the Company made an additional payment of $15.0 million, including $5.1 million on the Tranche B-3 Facility and $9.9 million on the Tranche B-4 Facility.

Borrowings under the Amended and Restated Senior Credit Facility are guaranteed by each of the Company’s wholly-owned domestic subsidiaries (other than certain excluded subsidiaries) and are secured by a lien on substantially all of the assets of the Company and such subsidiaries. Borrowings with respect to the TLA Facility and the Company’s revolving credit facility (collectively, “Pro Rata Facilities”) under the Amended and Restated Credit Agreement bear interest at a rate tied to Acadia’s Consolidated Leverage Ratio (defined as consolidated funded debt net of up to $50.0 million of unrestricted and unencumbered cash to consolidated EBITDA, in each case as defined in the Amended and Restated Credit Agreement). The Applicable Rate (as defined in the Amended and Restated Credit Agreement) for the Pro Rata Facilities was 2.50% for Eurodollar Rate Loans (as defined in the Amended and Restated Credit Agreement) and 1.50% for Base Rate Loans (as defined in the Amended and Restated Credit Agreement) at September 30, 2019. Eurodollar Rate Loans with respect to the Pro Rata Facilities bear interest at the Applicable Rate plus the Eurodollar Rate (as defined in the Amended and Restated Credit Agreement) (based upon the LIBOR Rate (as defined in the Amended and Restated Credit Agreement) prior to commencement of the interest rate period). Base Rate Loans with respect to the Pro Rata Facilities bear interest at the Applicable Rate plus the highest of (i) the federal funds rate plus 0.50%, (ii) the prime rate and

(iii) the Eurodollar Rate plus 1.00%. At September 30, 2019, the Pro Rata Facilities bore interest at a rate of LIBOR plus 2.50%. In addition, the Company is required to pay a commitment fee on undrawn amounts under the revolving line of credit.

The Amended and Restated Credit Agreement requires the Company and its subsidiaries to comply with customary affirmative, negative and financial covenants, including a fixed charge coverage ratio, consolidated leverage ratio and senior secured leverage ratio. The Company may be required to pay all of its indebtedness immediately if it defaults on any of the numerous financial or other restrictive covenants contained in any of its material debt agreements. At September 30, 2019, the Company was in compliance with such covenants.

Senior Notes

6.125% Senior Notes due 2021

On March 12, 2013, the Company issued $150.0 million of 6.125% Senior Notes due 2021 (the “6.125% Senior Notes”). The 6.125% Senior Notes mature on March 15, 2021 and bear interest at a rate of 6.125% per annum, payable semi-annually in arrears on March 15 and September 15 of each year.

5.125% Senior Notes due 2022

On July 1, 2014, the Company issued $300.0 million of 5.125% Senior Notes due 2022 (the “5.125% Senior Notes”). The 5.125% Senior Notes mature on July 1, 2022 and bear interest at a rate of 5.125% per annum, payable semi-annually in arrears on January 1 and July 1 of each year.

5.625% Senior Notes due 2023

On February 11, 2015, the Company issued $375.0 million of 5.625% Senior Notes due 2023 (the “5.625% Senior Notes”). On September 21, 2015, the Company issued $275.0 million of additional 5.625% Senior Notes. The additional notes formed a single class of debt securities with the 5.625% Senior Notes issued in February 2015. Giving effect to this issuance, the Company has outstanding an aggregate of $650.0 million of 5.625% Senior Notes. The 5.625% Senior Notes mature on February 15, 2023 and bear interest at a rate of 5.625% per annum, payable semi-annually in arrears on February 15 and August 15 of each year.

6.500% Senior Notes due 2024

On February 16, 2016, the Company issued $390.0 million of 6.500% Senior Notes due 2024 (the “6.500% Senior Notes”). The 6.500% Senior Notes mature on March 1, 2024 and bear interest at a rate of 6.500% per annum, payable semi-annually in arrears on March 1 and September 1 of each year, beginning on September 1, 2016.

The indentures governing the 6.125% Senior Notes, 5.125% Senior Notes, 5.625% Senior Notes and 6.500% Senior Notes (together, the “Senior Notes”) contain covenants that, among other things, limit the Company’s ability and the ability of its restricted subsidiaries to: (i) pay dividends, redeem stock or make other distributions or investments; (ii) incur additional debt or issue certain preferred stock; (iii) transfer or sell assets; (iv) engage in certain transactions with affiliates; (v) create restrictions on dividends or other payments by the restricted subsidiaries; (vi) merge, consolidate or sell substantially all of the Company’s assets; and (vii) create liens on assets.

The Senior Notes issued by the Company are guaranteed by each of the Company’s subsidiaries that guarantee the Company’s obligations under the Amended and Restated Senior Credit Facility. The guarantees are full and unconditional and joint and several.

The Company may redeem the Senior Notes at its option, in whole or part, at the dates and amounts set forth in the indentures.

Equity-Based Compensation

9 Months Ended

Sep. 30, 2019

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Equity-Based Compensation

10.	Equity-Based Compensation

Equity Incentive Plans

The Company issues stock-based awards, including stock options, restricted stock and restricted stock units, to certain officers, employees and non-employee directors under the Acadia Healthcare Company, Inc. Incentive Compensation Plan (the “Equity Incentive Plan”). At September 30, 2019, a maximum of 8,200,000 shares of the Company’s common stock were authorized for issuance as stock options, restricted stock and restricted stock units or other share-based compensation under the Equity Incentive Plan, of which 2,784,810 were available for future grant. Stock options may be granted for terms of up to ten years. The Company recognizes expense on all share-based awards on a straight-line basis over the requisite service period of the entire award. Grants to

employees generally vest in annual increments of 25% each year, commencing one year after the date of grant. The exercise prices of stock options are equal to the most recent closing price of the Company’s common stock on the most recent trading date prior to the date of grant.

The Company recognized $4.0 million and $5.2 million in equity-based compensation expense for the three months ended September 30, 2019 and 2018, respectively, and $14.3 million and $19.3 million for the nine months ended September 30, 2019 and 2018, respectively. At September 30, 2019, there was $41.1 million of unrecognized compensation expense related to unvested options, restricted stock and restricted stock units, which is expected to be recognized over the remaining weighted average vesting period of 1.3 years.

At September 30, 2019, there were no warrants outstanding and exercisable. The Company recognized a deferred income tax benefit of $1.3 million and $1.4 million for the three months ended September 30, 2019 and 2018, respectively, related to equity-based compensation expense. The Company recognized a deferred income tax benefit of $4.1 million and $5.2 million for the nine months ended September 30, 2019 and 2018, respectively, related to equity-based compensation expense.

Stock Options

Stock option activity during 2018 and 2019 was as follows (aggregate intrinsic value in thousands):

	Number of Options			Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (in years)		Aggregate Intrinsic Value
Options outstanding at January 1, 2018		974,566		$	47.89		7.46	$	3,802
Options granted		374,700			37.54		9.21		246
Options exercised		(20,989	)		17.83	N/A			383
Options cancelled		(128,737	)		50.83	N/A		N/A
Options outstanding at December 31, 2018		1,199,540			44.64		7.26		2,717
Options granted		605,200			28.50		9.47		1,213
Options exercised		(48,621	)		21.14	N/A			496
Options cancelled		(322,589	)		41.29	N/A		N/A
Options outstanding at September 30, 2019		1,433,530		$	39.35		7.81	$	1,731
Options exercisable at December 31, 2018		534,164		$	44.98		5.73	$	2,386
Options exercisable at September 30, 2019		529,639		$	47.97		6.02	$	658

Fair values are estimated using the Black-Scholes option pricing model. The following table summarizes the grant-date fair value of options and the assumptions used to develop the fair value estimates for options granted during the nine months ended September 30, 2019 and year ended December 31, 2018:

	September 30, 2019			December 31, 2018
Weighted average grant-date fair value of options	$	17.59		$	13.67
Risk-free interest rate		2.4	%		2.2	%
Expected volatility		38	%		37	%
Expected life (in years)		5.0			5.1

The Company’s estimate of expected volatility for stock options is based upon the volatility of our stock price over the expected life of the award. The risk-free interest rate is the approximate yield on U.S. Treasury Strips having a life equal to the expected option life on the date of grant. The expected life is an estimate of the number of years an option will be held before it is exercised.

Other Stock-Based Awards

Restricted stock activity during 2018 and 2019 was as follows:

	Number of Shares			Weighted Average Grant-Date Fair Value
Unvested at January 1, 2018		809,868		$	50.19
Granted		480,137			36.84
Cancelled		(88,989	)		47.57
Vested		(395,959	)		50.41
Unvested at December 31, 2018		805,057		$	42.40
Granted		700,937			28.77
Cancelled		(353,646	)		33.32
Vested		(250,392	)		47.16
Unvested at September 30, 2019		901,956		$	34.05

Restricted stock unit activity during 2018 and 2019 was as follows:

	Number of Units			Weighted Average Grant-Date Fair Value
Unvested at January 1, 2018		360,909		$	50.04
Granted		285,358			42.26
Cancelled		(89,173	)		55.44
Vested		(72,983	)		49.64
Unvested at December 31, 2018		484,111		$	44.52
Granted		234,408			34.54
Cancelled		(267,161	)		45.20
Vested		—			—
Unvested at September 30, 2019		451,358		$	38.94

Restricted stock awards are time-based vesting awards that vest over a period of three or four years and are subject to continuing service of the employee or non-employee director over the ratable vesting periods. The fair values of the restricted stock awards were determined based on the closing price of the Company’s common stock on the trading date immediately prior to the grant date.

Restricted stock units are granted to employees and are subject to Company performance compared to pre-established targets and Company performance compared to peers. In addition to Company performance, these performance-based restricted stock units are subject to the continuing service of the employee during the two- or three-year period covered by the awards. The performance condition for the restricted stock units is based on the Company’s achievement of annually established targets for diluted earnings per share. Additionally, the number of shares issuable pursuant to restricted stock units granted during 2019 and 2018 are subject to adjustment based on the Company’s three-year annualized total stockholder return relative to a peer group consisting of S&P 1500 companies within the Healthcare Providers & Services 6 digit GICS industry group and selected other companies deemed to be peers. The number of shares issuable at the end of the applicable vesting period of restricted stock units ranges from 0% to 200% of the targeted units based on the Company’s actual performance compared to the targets and, for 2019 and 2018 awards, performance compared to peers.

The fair values of restricted stock units were determined based on the closing price of the Company’s common stock on the trading date immediately prior to the grant date for units subject to performance conditions, or at its Monte-Carlo simulation value for units subject to market conditions.

Derivatives

9 Months Ended

Sep. 30, 2019

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Derivatives

12.	Derivatives

The Company entered into foreign currency forward contracts during the three and nine months ended September 30, 2019 and 2018 in connection with certain transfers of cash between the U.S. and U.K. under the Company’s cash management and foreign currency risk management programs. Foreign currency forward contracts limit the economic risk of changes in the exchange rate between U.S. Dollars (“USD”) and British Pounds (“GBP”) associated with cash transfers.

In May 2016, the Company entered into multiple cross currency swap agreements with an aggregate notional amounts of $650.0 million to manage foreign currency risk by effectively converting a portion of its fixed-rate USD-denominated senior notes, including the semi-annual interest payments thereafter, to fixed-rate GBP-denominated debt of £449.3 million. In August 2019, the Company terminated its existing net investment cross currency swap derivatives of $105.0 million. Cash received from the termination of the cross currency swap derivatives is included in investing activities in the condensed consolidated statement of cash flows. The related gain from this termination is included in accumulated other comprehensive loss in accordance with ASC 815-30-40-1.

In August 2019, the Company also entered into multiple cross currency swap agreements with an aggregate notional amount of $650.0 million to manage foreign currency risk by effectively converting a portion of its fixed-rate USD-denominated senior notes, including the semi-annual interest payments thereunder, to fixed-rate GBP-denominated debt of £538.1 million. During the term of the swap agreements, the Company will receive semi-annual interest payments in USD from the counterparties at fixed interest rates, and the Company will make semi-annual interest payments in GBP to the counterparties at fixed interest rates. The interest payments under the cross-currency swap agreements result in £25.4 million of annual cash flows from the Company’s U.K. business being converted to $35.8 million.

The Company has designated the cross currency swap agreements and forward contracts entered into during 2018 and the nine months ended September 30, 2019 as qualifying hedging instruments and is accounting for these derivatives as net investment hedges. The fair values of these derivatives at September 30, 2019 and December 31, 2018 of $(15.9) million and $60.5 million, respectively, are recorded as derivative instrument liabilities and assets, respectively, on the condensed consolidated balance sheets. During the three months ended September 30, 2019, the Company elected the spot method for recording its net investment hedges. Gains and losses resulting from the settlement of the excluded components are recorded in interest expense on the condensed consolidated statements of income. Gains and losses resulting from fair value adjustments to the cross currency swap agreements are recorded in accumulated other comprehensive loss as the swaps are effective in hedging the designated risk. Cash flows related to the cross currency swap derivatives are included in operating activities in the condensed consolidated statements of cash flows.

Fair Value Measurements

9 Months Ended

Sep. 30, 2019

Fair Value Disclosures [Abstract]

Fair Value Measurements

13.	Fair Value Measurements

The carrying amounts reported for cash and cash equivalents, accounts receivable, other current assets, accounts payable and other current liabilities approximate fair value because of the short-term maturity of these instruments.

The carrying amounts and fair values of the Company’s Amended and Restated Senior Credit Facility, 6.125% Senior Notes, 5.125% Senior Notes, 5.625% Senior Notes, 6.500% Senior Notes, other long-term debt and derivative instruments at September 30, 2019 and December 31, 2018 were as follows (in thousands):

	Carrying Amount					Fair Value
	September 30, 2019			December 31, 2018		September 30, 2019			December 31, 2018
Amended and Restated Senior Credit Facility	$	1,694,623		$	1,715,338	$	1,694,623		$	1,715,338
6.125% Senior Notes due 2021	$	149,101		$	148,657	$	149,287		$	147,542
5.125% Senior Notes due 2022	$	297,554		$	296,946	$	299,786		$	283,583
5.625% Senior Notes due 2023	$	644,393		$	643,289	$	656,475		$	609,516
6.500% Senior Notes due 2024	$	384,141		$	383,304	$	399,507		$	369,888
Other long-term debt	$	5,110		$	5,953	$	5,110		$	5,953
Derivative instrument (liabilities) assets	$	(15,896	)	$	60,524	$	(15,896	)	$	60,524

The Company’s Amended and Restated Senior Credit Facility, 6.125% Senior Notes, 5.125% Senior Notes, 5.625% Senior Notes, 6.500% Senior Notes and other long-term debt were categorized as Level 2 in the GAAP fair value hierarchy. Fair values were based on trading activity among the Company’s lenders and the average bid and ask price as determined using published rates.

The fair values of the derivative instruments were categorized as Level 2 in the GAAP fair value hierarchy and were based on observable market inputs including applicable exchange rates and interest rates.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Commitments and Contingencies

9 Months Ended

Sep. 30, 2019

Commitments And Contingencies Disclosure [Abstract]

Commitments and Contingencies

14.	Commitments and Contingencies

Professional and General Liability

A portion of the Company’s professional liability risks are insured through a wholly-owned insurance subsidiary. The Company is self-insured for professional liability claims up to $3.0 million per claim and has obtained reinsurance coverage from a third party to cover claims in excess of the retention limit. The reinsurance policy has a coverage limit of $75.0 million in the aggregate. The Company’s reinsurance receivables are recognized consistent with the related liabilities and include known claims and any incurred but not reported claims that are covered by current insurance policies in place.

Legal Proceedings

The Company is, from time to time, subject to various claims, lawsuits, governmental investigations and regulatory actions, including claims for damages for personal injuries, medical malpractice, overpayments, breach of contract, securities law violations, tort and employment related claims. In these actions, plaintiffs request a variety of damages, including, in some instances, punitive and other types of damages that may not be covered by insurance. In addition, healthcare companies are subject to numerous investigations by various governmental agencies. Certain of the Company’s individual facilities have received, and from time to time, other facilities may receive, subpoenas, civil investigative demands, audit requests and other inquiries from, and may be subject to investigation by, federal and state agencies. These investigations can result in repayment obligations, and violations of the False Claims Act can result in substantial monetary penalties and fines, the imposition of a corporate integrity agreement and exclusion from participation in governmental health programs. In addition, the federal False Claims Act permits private parties to bring qui tam, or “whistleblower,” suits against companies that submit false claims for payments to, or improperly retain overpayments from, the government. Some states have adopted similar state whistleblower and false claims provisions.

On April 1, 2019, a consolidated complaint was filed against the Company and certain former and current officers in the lawsuit styled St. Clair County Employees’ Retirement System v. Acadia Healthcare Company, Inc., et al., Case No. 3:19-cv-00988, which is pending in the United States District Court for the Middle District of Tennessee. The complaint purports to be brought on behalf of a class consisting of all persons (other than defendants) who purchased securities of the Company between April 30, 2014 and November 15, 2018, and alleges that defendants violated Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) and Rule 10b-5 promulgated thereunder. At this time, we are not able to quantify any potential liability in connection with this litigation because the case is in its early stages.

On February 21, 2019, a purported stockholder filed a related derivative action on behalf of the Company against certain former and current officers and directors in the lawsuit styled Davydov v. Joey A. Jacobs, et al., Case No. 3:19-cv-00167, which is pending in the United States District Court for the Middle District of Tennessee. The complaint alleges claims for violations of Section 10(b) and 14(a) of the Exchange Act, breach of fiduciary duty, waste of corporate assets, and unjust enrichment. On May 23, 2019, a purported stockholder filed a second related derivative action on behalf of the Company against certain former and current officers and directors in the lawsuit styled Beard v. Jacobs, et al., Case No. 3:19-cv-0441, which is pending the United States District Court for the Middle District of Tennessee. The complaint alleges claims for violations of Sections 10(b), 14(a), and 21D of the Exchange Act, breach of fiduciary duty, waste of corporate assets, unjust enrichment, and insider selling. On June 11, 2019, the Davydov and Beard actions were consolidated and ordered stayed pending a ruling on the motion to dismiss that was filed in the St. Clair County v. Acadia Healthcare case described above. At this time, we are not able to quantify any potential liability in connection with this litigation because the cases are in their early stages.

During the second quarter of 2019, the Company reached a settlement with the U.S. Attorney’s Office for the Southern District of West Virginia relating to the manner in which seven of our comprehensive treatment centers in West Virginia had historically billed lab claims to the West Virginia Medicaid Program. The Company paid the government $17.0 million during the three months ended June 30, 2019 and entered into a corporate integrity agreement with the Office of Inspector General imposing customary compliance obligations on our subsidiary, CRC Health.

In the fall of 2017, the Office of Inspector General issued subpoenas to three of the Company’s facilities requesting certain documents from January 2013 to the date of the subpoenas. The U.S. Attorney’s Office for the Middle District of Florida issued a civil investigative demand to one of the Company’s facilities in December 2017 requesting certain documents from November 2012 to the date of the demand. In April 2019, the Office of Inspector General issued subpoenas relating to six additional facilities requesting certain documents and information from January 2013 to the date of the subpoenas. The government’s investigation of each of these facilities is focused on claims not eligible for payment because of alleged violations of certain regulatory requirements relating to, among other things, medical necessity, admission eligibility, discharge decisions, length of stay and patient care issues. The Company is cooperating with the government’s investigation but is not able to quantify any potential liability in connection with these investigations.

Noncontrolling Interests

9 Months Ended

Sep. 30, 2019

Noncontrolling Interest [Abstract]

Noncontrolling Interests

15.	Noncontrolling Interests

Noncontrolling interests in the consolidated financial statements represents the portion of equity held by noncontrolling partners in the Company’s non-wholly owned subsidiaries. At September 30, 2019, the Company operated five facilities through non-wholly owned subsidiaries and owns between 60% and 85% of the equity interests, and noncontrolling partners own the remaining equity interests. The initial value of the noncontrolling interests is based on the fair value of contributions, and the Company consolidates the operations of each facility based on its equity ownership and its control of the entity. The noncontrolling interests are reflected as redeemable noncontrolling interests on the condensed consolidated balance sheets based on put rights that could require the Company to purchase the noncontrolling interests upon the occurrence of a change in control.

The components of redeemable noncontrolling interests are as follows (in thousands):

Balance at December 31, 2018	$	28,806
Acquisition of redeemable noncontrolling interests		3,300
Net income attributable to noncontrolling interests		258
Balance at September 30, 2019	$	32,364

Other Current Assets

9 Months Ended

Sep. 30, 2019

Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]

Other Current Assets

16.	Other Current Assets

Other current assets consisted of the following (in thousands):

	September 30, 2019		December 31, 2018
Prepaid expenses	$	28,495	$	30,802
Other receivables		17,485		19,205
Cost report receivable		12,485		10,340
Notes receivable		11,875		—
Workers’ compensation deposits – current portion		10,000		10,000
Income taxes receivable		5,001		2,380
Inventory		4,337		5,055
Insurance receivable – current portion		2,049		2,049
Other		2,061		1,989
Other current assets	$	93,788	$	81,820

Other Accrued Liabilities

9 Months Ended

Sep. 30, 2019

Other Liabilities Disclosure [Abstract]

Other Accrued Liabilities

17.	Other Accrued Liabilities

Other accrued liabilities consisted of the following (in thousands):

	September 30, 2019		December 31, 2018
Accrued expenses	$	47,067	$	44,938
Unearned income		35,278		32,154
Income taxes payable		25,318		3,041
Accrued interest		11,134		32,838
Finance lease liabilities		6,684		445
Accrued property taxes		6,537		4,136
Insurance liability – current portion		4,956		4,956
Accrued legal settlements		—		22,076
Other		2,780		6,642
Other accrued liabilities	$	139,754	$	151,226

Segment Information

9 Months Ended

Sep. 30, 2019

Segment Reporting [Abstract]

Segment Information

18.	Segment Information

The Company operates in one line of business, which is operating acute inpatient psychiatric facilities, specialty treatment facilities, residential treatment centers and facilities providing outpatient behavioral healthcare services. As management reviews the operating results of its U.S. Facilities and its U.K. Facilities separately to assess performance and make decisions, the Company’s operating segments include our U.S. Facilities and U.K. Facilities. At September 30, 2019, the U.S. Facilities segment included 224 behavioral healthcare facilities with approximately 9,300 beds in 40 states and Puerto Rico, and the U.K. Facilities segment included 365 behavioral healthcare facilities with approximately 8,700 beds in the U.K.

The following tables set forth the financial information by operating segment, including a reconciliation of Segment EBITDA to income before income taxes (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Revenue:
U.S. Facilities	$	509,383		$	488,626		$	1,507,156		$	1,432,501
U.K. Facilities		267,868			272,290			820,074			836,394
Corporate and Other		—			—			—			—
	$	777,251		$	760,916		$	2,327,230		$	2,268,895
Segment EBITDA (1):
U.S. Facilities	$	127,087		$	128,537		$	381,491		$	375,663
U.K. Facilities		40,726			40,735			126,617			146,081
Corporate and Other		(21,175	)		(20,348	)		(66,581	)		(62,075	)
	$	146,638		$	148,924		$	441,527		$	459,669

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Segment EBITDA (1)	$	146,638		$	148,924		$	441,527		$	459,669
Less:
Equity-based compensation expense		(4,039	)		(5,225	)		(14,322	)		(19,273	)
Transaction-related expenses		(5,775	)		(2,353	)		(15,308	)		(10,008	)
Debt extinguishment costs		—			—			—			(940	)
Interest expense, net		(46,644	)		(46,651	)		(143,384	)		(137,706	)
Depreciation and amortization		(40,620	)		(39,659	)		(122,277	)		(119,360	)
Income before income taxes	$	49,560		$	55,036		$	146,236		$	172,382

	U.S. Facilities		U.K. Facilities			Corporate and Other		Consolidated
Goodwill:
Balance at January 1, 2019	$	2,044,837	$	351,575		$	—	$	2,396,412
Increase from 2019 acquisitions		36,567		—			—		36,567
Increase from contribution of redeemable noncontrolling interests		3,300		—			—		3,300
Foreign currency translation loss		—		(12,038	)		—		(12,038	)
Balance at September 30, 2019	$	2,084,704	$	339,537		$	—	$	2,424,241

	September 30, 2019		December 31, 2018
Assets (2):
U.S. Facilities	$	4,032,623	$	3,779,040
U.K. Facilities		2,472,274		2,175,809
Corporate and Other		223,228		217,655
	$	6,728,125	$	6,172,504

(1)

Segment EBITDA is defined as income before provision for income taxes, equity-based compensation expense, transaction-related expenses, debt extinguishment costs, interest expense and depreciation and amortization. The Company uses Segment EBITDA as an analytical indicator to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA is commonly used as an analytical indicator within the health care industry, and also serves as a measure of leverage capacity and debt service ability. Segment EBITDA should not be considered as a measure of financial performance under GAAP, and the items excluded from Segment EBITDA are significant components in understanding and assessing financial performance. Because Segment EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Segment EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.

(2)

Assets include property and equipment for the U.S. Facilities of $1.4 billion, U.K. Facilities of $1.6 billion and corporate and other of $57.2 million at September 30, 2019. Assets include property and equipment for the U.S. Facilities of $1.4 billion, U.K. Facilities of $1.7 billion and corporate and other of $44.9 million at December 31, 2018.

Accumulated Other Comprehensive Loss

9 Months Ended

Sep. 30, 2019

Equity [Abstract]

Accumulated Other Comprehensive Loss

19.	Accumulated Other Comprehensive Loss

The components of accumulated other comprehensive loss are as follows (in thousands):

	Foreign Currency Translation Adjustments			Change in Fair Value of Derivative Instruments		Pension Plan			Total
Balance at December 31, 2018	$	(504,528	)	$	43,966	$	(1,815	)	$	(462,377	)
Foreign currency translation (loss) gain		(66,174	)		—		62			(66,112	)
Gain on derivative instruments, net of tax of $10.7 million		—			20,495		—			20,495
Balance at September 30, 2019	$	(570,702	)	$	64,461	$	(1,753	)	$	(507,994	)

Financial Information for the Company and Its Subsidiaries

9 Months Ended

Sep. 30, 2019

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Financial Information for the Company and Its Subsidiaries

20.	Financial Information for the Company and Its Subsidiaries

The Company conducts substantially all of its business through its subsidiaries. The 6.125% Senior Notes, 5.125% Senior Notes, 5.625% Senior Notes and 6.500% Senior Notes are jointly and severally guaranteed on an unsecured senior basis by all of the Company’s subsidiaries that guarantee the Company’s obligations under the Amended and Restated Senior Credit Facility. Presented below is condensed consolidating financial information for the Company and its subsidiaries at September 30, 2019 and December 31, 2018, and for the three and nine months ended September 30, 2019 and 2018. The information segregates the parent company (Acadia Healthcare Company, Inc.), the combined wholly-owned subsidiary guarantors, the combined non-guarantor subsidiaries and eliminations.

Acadia Healthcare Company, Inc.

Condensed Consolidating Balance Sheets

September 30, 2019

(In thousands)

	Parent		Combined Subsidiary Guarantors		Combined Non- Guarantors		Consolidating Adjustments			Total Consolidated Amounts
Current assets:
Cash and cash equivalents	$	—	$	63,066	$	29,834	$	—		$	92,900
Accounts receivable, net		—		282,407		67,818		—			350,225
Other current assets		—		78,992		14,796		—			93,788
Total current assets		—		424,465		112,448		—			536,913
Property and equipment, net		—		1,313,560		1,817,859		—			3,131,419
Goodwill		—		1,991,944		432,297		—			2,424,241
Intangible assets, net		—		58,410		30,618		—			89,028
Deferred tax assets		1,999		—		3,371		(1,999	)		3,371
Investment in subsidiaries		5,369,355		—		—		(5,369,355	)		—
Operating lease right-of-use assets		—		99,517		380,364		—			479,881
Other assets		251,289		55,571		4,681		(248,269	)		63,272
Total assets	$	5,622,643	$	3,943,467	$	2,781,638	$	(5,619,623	)	$	6,728,125

Current liabilities:
Current portion of long-term debt	$	41,287	$	—	$	—	$	—		$	41,287
Accounts payable		—		93,817		37,655		—			131,472
Accrued salaries and benefits		—		87,206		30,477		—			117,683
Current portion of operating lease liabilities		—		17,595		10,415		—			28,010
Other accrued liabilities		11,134		48,150		80,470		—			139,754
Total current liabilities		52,421		246,768		159,017		—			458,206
Long-term debt		3,133,635		—		248,269		(248,269	)		3,133,635
Deferred tax liabilities		—		17,419		47,734		(1,999	)		63,154
Operating lease liabilities		—		87,700		391,194		—			478,894
Derivative instrument liabilities		15,896		—		—		—			15,896
Other liabilities		—		110,037		15,248		—			125,285
Total liabilities		3,201,952		461,924		861,462		(250,268	)		4,275,070
Redeemable noncontrolling interests		—		—		32,364		—			32,364
Total equity		2,420,691		3,481,543		1,887,812		(5,369,355	)		2,420,691
Total liabilities and equity	$	5,622,643	$	3,943,467	$	2,781,638	$	(5,619,623	)	$	6,728,125

Acadia Healthcare Company, Inc.

Condensed Consolidating Balance Sheets

December 31, 2018

(In thousands)

	Parent		Combined Subsidiary Guarantors		Combined Non- Guarantors		Consolidating Adjustments			Total Consolidated Amounts
Current assets:
Cash and cash equivalents	$	—	$	32,471	$	18,039	$	—		$	50,510
Accounts receivable, net		—		248,218		69,869		—			318,087
Other current assets		—		60,160		21,660		—			81,820
Total current assets		—		340,849		109,568		—			450,417
Property and equipment, net		—		1,219,803		1,887,963		—			3,107,766
Goodwill		—		1,936,057		460,355		—			2,396,412
Intangible assets, net		—		56,611		32,379		—			88,990
Deferred tax assets – noncurrent		1,841		—		3,468		(1,841	)		3,468
Derivative instruments		60,524		—		—		—			60,524
Investment in subsidiaries		5,190,771		—		—		(5,190,771	)		—
Other assets		306,495		52,824		9,548		(303,940	)		64,927
Total assets	$	5,559,631	$	3,606,144	$	2,503,281	$	(5,496,552	)	$	6,172,504
Current liabilities:
Current portion of long-term debt	$	34,112	$	—	$	—	$	—		$	34,112
Accounts payable		—		79,463		38,277		—			117,740
Accrued salaries and benefits		—		84,150		29,149		—			113,299
Other accrued liabilities		32,837		42,062		76,327		—			151,226
Total current liabilities		66,949		205,675		143,753		—			416,377
Long-term debt		3,159,375		—		303,940		(303,940	)		3,159,375
Deferred tax liabilities – noncurrent		—		31,874		50,339		(1,841	)		80,372
Other liabilities		—		107,866		46,401		—			154,267
Total liabilities		3,226,324		345,415		544,433		(305,781	)		3,810,391
Redeemable noncontrolling interests		—		—		28,806		—			28,806
Total equity		2,333,307		3,260,729		1,930,042		(5,190,771	)		2,333,307
Total liabilities and equity	$	5,559,631	$	3,606,144	$	2,503,281	$	(5,496,552	)	$	6,172,504

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Three Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	476,722	$	300,529		$	—		$	777,251
Salaries, wages and benefits		4,039			258,166		166,396			—			428,601
Professional fees		—			27,955		34,197			—			62,152
Supplies		—			20,291		10,499			—			30,790
Rents and leases		—			8,771		11,363			—			20,134
Other operating expenses		—			60,730		32,245			—			92,975
Depreciation and amortization		—			20,588		20,032			—			40,620
Interest expense, net		19,109			22,876		4,659			—			46,644
Transaction-related expenses		—			4,326		1,449			—			5,775
Total expenses		23,148			423,703		280,840			—			727,691
(Loss) income before income taxes		(23,148	)		53,019		19,689			—			49,560
Equity in earnings of subsidiaries		60,296			—		—			(60,296	)		—
(Benefit from) provision for income taxes		(5,575	)		15,273		(2,861	)		—			6,837
Net income (loss)		42,723			37,746		22,550			(60,296	)		42,723
Net income attributable to noncontrolling interests		—			—		(157	)		—			(157	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	42,723		$	37,746	$	22,393		$	(60,296	)	$	42,566
Other comprehensive income:
Foreign currency translation loss		—			—		(59,975	)		—			(59,975	)
Gain on derivative instruments		11,598			—		—			—			11,598
Other comprehensive income (loss)		11,598			—		(59,975	)		—			(48,377	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	54,321		$	37,746	$	(37,582	)	$	(60,296	)	$	(5,811	)

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Three Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	458,061	$	302,855		$	—		$	760,916
Salaries, wages and benefits		5,225			245,599		167,093			—			417,917
Professional fees		—			24,152		35,357			—			59,509
Supplies		—			19,139		10,322			—			29,461
Rents and leases		—			8,294		11,572			—			19,866
Other operating expenses		—			57,495		32,969			—			90,464
Depreciation and amortization		—			18,857		20,802			—			39,659
Interest expense, net		17,225			22,768		6,658			—			46,651
Transaction-related expenses		—			702		1,651			—			2,353
Total expenses		22,450			397,006		286,424			—			705,880
(Loss) income before income taxes		(22,450	)		61,055		16,431			—			55,036
Equity in earnings of subsidiaries		62,854			—		—			(62,854	)		—
(Benefit from) provision for income taxes		(5,875	)		11,666		2,966			—			8,757
Net income (loss)		46,279			49,389		13,465			(62,854	)		46,279
Net income attributable to noncontrolling interests		—			—		(47	)		—			(47	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	46,279		$	49,389	$	13,418		$	(62,854	)	$	46,232
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(31,959	)		—			(31,959	)
Gain on derivative instruments		7,380			—		—			—			7,380
Other comprehensive income (loss)		7,380			—		(31,959	)		—			(24,579	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	53,659		$	49,389	$	(18,541	)	$	(62,854	)	$	21,653

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Nine Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	1,416,790	$	910,440		$	—		$	2,327,230
Salaries, wages and benefits		14,322			767,764		506,313			—			1,288,399
Professional fees		—			79,663		97,925			—			177,588
Supplies		—			59,753		31,908			—			91,661
Rents and leases		—			25,890		34,970			—			60,860
Other operating expenses		—			181,639		99,878			—			281,517
Depreciation and amortization		—			60,210		62,067			—			122,277
Interest expense, net		58,825			69,380		15,179			—			143,384
Transaction-related expenses		—			12,122		3,186			—			15,308
Total expenses		73,147			1,256,421		851,426			—			2,180,994
(Loss) income before income taxes		(73,147	)		160,369		59,014			—			146,236
Equity in earnings of subsidiaries		174,337			—		—			(174,337	)		—
(Benefit from) provision for income taxes		(19,245	)		57,636		(12,590	)		—			25,801
Net income (loss)		120,435			102,733		71,604			(174,337	)		120,435
Net gain attributable to noncontrolling interests		—			—		(258	)		—			(258	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	120,435		$	102,733	$	71,346		$	(174,337	)	$	120,177
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(66,112	)		—			(66,112	)
Gain on derivative instruments		20,495			—		—			—			20,495
Other comprehensive income (loss)		20,495			—		(66,112	)		—			(45,617	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	140,930		$	102,733	$	5,234		$	(174,337	)	$	74,560

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Nine Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	1,347,468	$	921,427		$	—			2,268,895
Salaries, wages and benefits		19,273			724,650		502,263			—			1,246,186
Professional fees		—			73,100		93,888			—			166,988
Supplies		—			57,143		31,815			—			88,958
Rents and leases		—			24,844		35,546			—			60,390
Other operating expenses		—			168,923		97,054			—			265,977
Depreciation and amortization		—			55,640		63,720			—			119,360
Interest expense, net		47,307			69,954		20,445			—			137,706
Debt extinguishment costs		940			—		—			—			940
Transaction-related expenses		—			7,382		2,626			—			10,008
Total expenses		67,520			1,181,636		847,357			—			2,096,513
(Loss) income before income taxes		(67,520	)		165,832		74,070			—			172,382
Equity in earnings of subsidiaries		206,204			—		—			(206,204	)		—
(Benefit from) provision for income taxes		(17,359	)		22,985		10,713			—			16,339
Net income (loss)		156,043			142,847		63,357			(206,204	)		156,043
Net income attributable to noncontrolling interests		—			—		(156	)		—			(156	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	156,043		$	142,847	$	63,201		$	(206,204	)	$	155,887
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(82,778	)		—			(82,778	)
Gain on derivative instruments		16,434			—		—			—			16,434
Other comprehensive income (loss)		16,434			—		(82,778	)		—			(66,344	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	172,477		$	142,847	$	(19,577	)	$	(206,204	)	$	89,543

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Cash Flows

Nine Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors			Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Operating activities:
Net income (loss)	$	120,435		$	102,733		$	71,604		$	(174,337	)	$	120,435
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries		(174,337	)		—			—			174,337			—
Depreciation and amortization		—			60,210			62,067			—			122,277
Amortization of debt issuance costs		8,926			—			—			—			8,926
Equity-based compensation expense		14,322			—			—			—			14,322
Deferred income taxes		(158	)		4,517			791			—			5,150
Other		2,606			1,643			195			—			4,444
Change in operating assets and liabilities:
Accounts receivable, net		—			(28,918	)		(4,038	)		—			(32,956	)
Other current assets		—			(2,845	)		(1,067	)		—			(3,912	)
Other assets		3,847			(1,136	)		1,666			(3,847	)		530
Accounts payable and other accrued liabilities		—			(29,543	)		(6,067	)		—			(35,610	)
Accrued salaries and benefits		—			2,008			2,805			—			4,813
Other liabilities		—			16,058			(10,948	)		—			5,110
Net cash (used in) provided by operating activities		(24,359	)		124,727			117,008			(3,847	)		213,529
Investing activities:
Cash paid for acquisitions, net of cash acquired		—			(44,900	)		—			—			(44,900	)
Cash paid for capital expenditures		—			(135,242	)		(67,480	)		—			(202,722	)
Cash paid for real estate acquisitions		—			(6,976	)		—			—			(6,976	)
Settlement of foreign currency derivatives		105,008			—			—			—			105,008
Other		—			7,615			4,783			—			12,398
Net cash provided by (used in) investing activities		105,008			(179,503	)		(62,697	)		—			(137,192	)
Financing activities:
Borrowings on revolving credit facility		76,573			—			—			—			76,573
Principal payments on revolving credit facility		(76,573	)		—			—			—			(76,573	)
Principal payments on long-term debt		(24,738	)		—			(3,847	)		3,847			(24,738	)
Common stock withheld for minimum statutory taxes, net		(1,498	)		—			—			—			(1,498	)
Other		(2,375	)		(1,580	)		(1,968	)		—			(5,923	)
Cash (used in) provided by intercompany activity		(52,038	)		86,951			(34,913	)		—			—
Net cash (used in) provided by in financing activities		(80,649	)		85,371			(40,728	)		3,847			(32,159	)
Effect of exchange rate changes on cash		—			—			(1,788	)		—			(1,788	)
Net increase in cash and cash equivalents		—			30,595			11,795			—			42,390
Cash and cash equivalents at beginning of the period		—			32,471			18,039			—			50,510
Cash and cash equivalents at end of the period	$	—		$	63,066		$	29,834		$	—		$	92,900

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Cash Flows

Nine Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors			Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Operating activities:
Net income (loss)	$	156,043		$	142,847		$	63,357		$	(206,204	)	$	156,043
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries		(206,204	)		—			—			206,204			—
Depreciation and amortization		—			55,640			63,720			—			119,360
Amortization of debt issuance costs		8,065			—			(302	)		—			7,763
Equity-based compensation expense		19,273			—			—			—			19,273
Deferred income taxes		74			(2,398	)		586			—			(1,738	)
Debt extinguishment costs		940			—			—			—			940
Other		1,948			1,219			(142	)		—			3,025
Change in operating assets and liabilities:
Accounts receivable, net		—			(39,644	)		(3,608	)		—			(43,252	)
Other current assets		—			7,898			(4,877	)		—			3,021
Other assets		4,596			3,763			105			(4,596	)		3,868
Accounts payable and other accrued liabilities		—			7,835			1,395			—			9,230
Accrued salaries and benefits		—			11,100			(51	)		—			11,049
Other liabilities		—			4,548			(4,399	)		—			149
Net cash (used in) provided by continuing operating activities		(15,265	)		192,808			115,784			(4,596	)		288,731
Net cash used in discontinued operating activities		—			(2,548	)		—			—			(2,548	)
Net cash (used in) provided by operating activities		(15,265	)		190,260			115,784			(4,596	)		286,183
Investing activities:
Cash paid for capital expenditures		—			(149,402	)		(100,587	)		—			(249,989	)
Cash paid for real estate acquisitions		—			(9,391	)		—			—			(9,391	)
Other		—			(5,718	)		2,604			—			(3,114	)
Net cash used in investing activities		—			(164,511	)		(97,983	)		—			(262,494	)
Financing activities:
Principal payments on long-term debt		(31,492	)		(169	)		(4,427	)		4,596			(31,492	)
Common stock withheld for minimum statutory taxes, net		(2,272	)		—			—			—			(2,272	)
Other		(1,742	)		(2,885	)		(2,346	)		—			(6,973	)
Cash provided by (used in) intercompany activity		50,771			(37,257	)		(13,514	)		—			—
Net cash provided by (used in) in financing activities		15,265			(40,311	)		(20,287	)		4,596			(40,737	)
Effect of exchange rate changes on cash		—			—			(1,314	)		—			(1,314	)
Net decrease in cash and cash equivalents		—			(14,562	)		(3,800	)		—			(18,362	)
Cash and cash equivalents at beginning of the period		—			46,860			20,430			—			67,290
Cash and cash equivalents at end of the period	$	—		$	32,298		$	16,630		$	—		$	48,928

Revenue (Tables)

9 Months Ended

Sep. 30, 2019

Summary of the Activity in Unearned Revenue in the U.K. Facilities

A summary of the activity in unearned revenue in the U.K. Facilities is as follows (in thousands):

Balance at December 31, 2018	$	31,239
Payments received		128,866
Revenue recognized		(124,067	)
Foreign currency translation loss		(1,791	)
Balance at September 30, 2019	$	34,247

U.S. Facilities [Member]

Schedule of Revenue Attributed to Each Category

The table below presents total U.S. revenue attributed to each category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Acute inpatient psychiatric facilities	$	233,141	$	208,885	$	678,866	$	608,311
Specialty treatment facilities		201,169		198,107		595,473		575,536
Residential treatment centers		69,681		72,351		216,989		218,041
Outpatient community-based facilities		5,392		9,283		15,828		30,613
Revenue	$	509,383	$	488,626	$	1,507,156	$	1,432,501

Schedule of Revenue and Percentage Generated by Each Payor Type

The following table presents revenue by payor type and as a percentage of revenue in our U.S. Facilities (in thousands):

	Three Months Ended September 30,										Nine Months Ended September 30,
	2019					2018					2019					2018
	Amount		%			Amount		%			Amount		%			Amount		%
Commercial	$	140,315		27.5	%	$	146,439		30.0	%	$	426,659		28.3	%	$	431,337		30.1	%
Medicare		76,906		15.1	%		73,528		15.0	%		223,027		14.8	%		210,307		14.7	%
Medicaid		256,370		50.3	%		229,390		46.9	%		750,631		49.8	%		668,236		46.6	%
Self-Pay		30,626		6.0	%		33,559		6.9	%		91,982		6.1	%		103,845		7.3	%
Other		5,166		1.1	%		5,710		1.2	%		14,857		1.0	%		18,776		1.3	%
Revenue	$	509,383		100.0	%	$	488,626		100.0	%	$	1,507,156		100.0	%	$	1,432,501		100.0	%

U.K. Facilities [Member]

Schedule of Revenue Attributed to Each Category

The table below presents total U.K. revenue attributed to each category (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Healthcare facilities	$	148,138	$	150,589	$	455,399	$	464,098
Education and Children’s Services		43,388		45,795		135,652		141,945
Adult Care facilities		76,342		75,906		229,023		230,351
Revenue	$	267,868	$	272,290	$	820,074	$	836,394

Schedule of Revenue and Percentage Generated by Each Payor Type

The following table presents revenue by payor type and as a percentage of revenue in our U.K. Facilities (in thousands):

	Three Months Ended September 30,										Nine Months Ended September 30,
	2019					2018					2019					2018
	Amount		%			Amount		%			Amount		%			Amount		%
U.K. public funded sources	$	242,747		90.6	%	$	245,919		90.3	%	$	740,492		90.3	%	$	756,094		90.4	%
Self-Pay		24,430		9.1	%		26,159		9.6	%		77,895		9.5	%		78,499		9.4	%
Other		691		0.3	%		212		0.1	%		1,687		0.2	%		1,801		0.2	%
Revenue	$	267,868		100.0	%	$	272,290		100.0	%	$	820,074		100.0	%	$	836,394		100.0	%

Earnings Per Share (Tables)

9 Months Ended

Sep. 30, 2019

Earnings Per Share [Abstract]

Computation of Basic and Diluted Earnings Per Share

The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2019 and 2018 (in thousands, except per share amounts):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Numerator:
Net income attributable to Acadia Healthcare Company, Inc.	$	42,566	$	46,232	$	120,177	$	155,887
Denominator:
Weighted average shares outstanding for basic earnings per share		87,649		87,344		87,591		87,233
Effect of dilutive instruments		210		193		214		153
Shares used in computing diluted earnings per common share		87,859		87,537		87,805		87,386
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic	$	0.49	$	0.53	$	1.37	$	1.79
Diluted	$	0.48	$	0.53	$	1.37	$	1.78

Acquisitions (Tables)

9 Months Ended

Sep. 30, 2019

Business Combinations [Abstract]

	Three Months Ended September 30,				Nine Months Ended September 30,
	2019		2018		2019		2018
Termination, restructuring and strategic review costs	$	5,541	$	1,443	$	13,858	$	6,844
Legal, accounting and other acquisition-related costs		234		910		1,450		3,164
	$	5,775	$	2,353	$	15,308	$	10,008

Property and Equipment (Tables)

9 Months Ended

Sep. 30, 2019

Property Plant And Equipment [Abstract]

Summary of Property and Equipment

Property and equipment consisted of the following at September 30, 2019 and December 31, 2018 (in thousands):

	September 30, 2019			December 31, 2018
Land	$	437,214		$	430,771
Building and improvements		2,555,105			2,423,594
Equipment		462,865			444,538
Construction in progress		231,581			294,848
		3,686,765			3,593,751
Less: accumulated depreciation		(555,346	)		(485,985	)
Property and equipment, net	$	3,131,419		$	3,107,766

Other Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2019

Goodwill And Intangible Assets Disclosure [Abstract]

Other Identifiable Intangible Assets and Related Accumulated Amortization

Other identifiable intangible assets and related accumulated amortization consisted of the following at September 30, 2019 and December 31, 2018 (in thousands):

	Gross Carrying Amount				Accumulated Amortization
	September 30, 2019		December 31, 2018		September 30, 2019			December 31, 2018
Intangible assets subject to amortization:
Contract intangible assets	$	2,100	$	2,100	$	(2,100	)	$	(2,100	)
Non-compete agreements		1,131		1,147		(1,131	)		(1,147	)
		3,231		3,247		(3,231	)		(3,247	)
Intangible assets not subject to amortization:
Licenses and accreditations		12,586		12,343		—			—
Trade names		59,412		60,109		—			—
Certificates of need		17,030		16,538		—			—
		89,028		88,990		—			—
Total	$	92,259	$	92,237	$	(3,231	)	$	(3,247	)

Leases (Tables)

9 Months Ended

Sep. 30, 2019

Leases [Abstract]

Schedule Of Leases On Condensed Consolidated Balance Sheet

At September 30, 2019, the Company recorded the following on the condensed consolidated balance sheet (in thousands):

Right-of-Use Assets	Balance Sheet Classification	September 30, 2019
Finance lease right-of-use assets	Property and equipment, net	$	44,326
Operating lease right-of-use assets	Operating lease right-of-use assets		479,881
Total		$	524,207

Lease Liabilities	Balance Sheet Classification	September 30, 2019
Current:
Finance lease liabilities	Other accrued liabilities	$	6,684
Operating lease liabilities	Current portion of operating lease liabilities		28,010
Noncurrent:
Finance lease liabilities	Other liabilities		43,776
Operating lease liabilities	Operating lease liabilities		478,894
Total		$	557,364

Schedule of Weighted-average Remaining Lease Terms and Discount Rates

Weighted-average remaining lease terms and discount rates at September 30, 2019 were as follows:


Weighted-average remaining lease term (in years):
Finance	7.1
Operating	19.4

Weighted-average discount rate:
Finance		6.4	%
Operating		6.3	%

Schedule of Lease Cost

The Company recorded the following lease costs for the three and nine months ended September 30, 2019 (in thousands):

	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Finance lease costs:
Depreciation of leased assets		1,036		3,295
Interest of lease liabilities		977		2,973
Total finance lease costs	$	2,013	$	6,268

Operating lease costs		15,873		48,639
Variable lease costs		1,229		3,159
Short term lease costs		1,378		4,308
Other lease costs		1,654		4,754
Total rents and leases	$	20,134	$	60,860

Total lease costs	$	22,147	$	67,128

Schedule of Undiscounted Cash Flows for Finance and Operating Leases

Undiscounted cash flows for finance and operating leases recorded on the condensed consolidated balance sheet were as follows at September 30, 2019 (in thousands):

	Finance Leases		Operating Leases
For the three months ending December 31, 2019	$	1,926	$	15,052
2020		7,071		58,702
2021		35,262		55,092
2022		2,386		50,379
2023		1,194		46,893
Thereafter		26,094		691,763
Total minimum lease payments		73,933		917,881
Less: amount of lease payments representing interest		23,473		410,977
Present value of future minimum lease payments		50,460		506,904
Less: Current portion of lease liabilities		6,684		28,010
Noncurrent lease liabilities	$	43,776	$	478,894

Schedule of Supplemental Data

Supplemental data for the nine months ended September 30, 2019 was as follows (in thousands):

Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases	$	45,576
Operating cash flows for finance leases	$	2,973
Financing cash flows for finance leases	$	2,701

Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$	15,623
Finance leases	$	2,457

Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2019

Debt Disclosure [Abstract]

Components of Long-Term Debt

Long-term debt consisted of the following (in thousands):

	September 30, 2019			December 31, 2018
Amended and Restated Senior Credit Facility:
Senior Secured Term A Loans	$	351,500		$	365,750
Senior Secured Term B Loans		1,362,424			1,372,912
Senior Secured Revolving Line of Credit		—			—
6.125% Senior Notes due 2021		150,000			150,000
5.125% Senior Notes due 2022		300,000			300,000
5.625% Senior Notes due 2023		650,000			650,000
6.500% Senior Notes due 2024		390,000			390,000
Other long-term debt		5,110			5,953
Less: unamortized debt issuance costs, discount and premium		(34,112	)		(41,128	)
		3,174,922			3,193,487
Less: current portion		(41,287	)		(34,112	)
Long-term debt	$	3,133,635		$	3,159,375

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28541-108399

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21506-112644

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28551-108399

Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21521-112644

Reference 7: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21538-112644

Reference 8: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 470
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823

Reference 9: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=114775985&loc=d3e28878-108400

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21475-112644

+ Details

Equity-Based Compensation (Tables)

9 Months Ended

Sep. 30, 2019

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Stock Option Activity

Stock option activity during 2018 and 2019 was as follows (aggregate intrinsic value in thousands):

	Number of Options			Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (in years)		Aggregate Intrinsic Value
Options outstanding at January 1, 2018		974,566		$	47.89		7.46	$	3,802
Options granted		374,700			37.54		9.21		246
Options exercised		(20,989	)		17.83	N/A			383
Options cancelled		(128,737	)		50.83	N/A		N/A
Options outstanding at December 31, 2018		1,199,540			44.64		7.26		2,717
Options granted		605,200			28.50		9.47		1,213
Options exercised		(48,621	)		21.14	N/A			496
Options cancelled		(322,589	)		41.29	N/A		N/A
Options outstanding at September 30, 2019		1,433,530		$	39.35		7.81	$	1,731
Options exercisable at December 31, 2018		534,164		$	44.98		5.73	$	2,386
Options exercisable at September 30, 2019		529,639		$	47.97		6.02	$	658

Schedule of Stock Options Valuation Assumptions

The following table summarizes the grant-date fair value of options and the assumptions used to develop the fair value estimates for options granted during the nine months ended September 30, 2019 and year ended December 31, 2018:

	September 30, 2019			December 31, 2018
Weighted average grant-date fair value of options	$	17.59		$	13.67
Risk-free interest rate		2.4	%		2.2	%
Expected volatility		38	%		37	%
Expected life (in years)		5.0			5.1

Restricted Stock Activity

Restricted stock activity during 2018 and 2019 was as follows:

	Number of Shares			Weighted Average Grant-Date Fair Value
Unvested at January 1, 2018		809,868		$	50.19
Granted		480,137			36.84
Cancelled		(88,989	)		47.57
Vested		(395,959	)		50.41
Unvested at December 31, 2018		805,057		$	42.40
Granted		700,937			28.77
Cancelled		(353,646	)		33.32
Vested		(250,392	)		47.16
Unvested at September 30, 2019		901,956		$	34.05

Restricted Stock Unit Activity

Restricted stock unit activity during 2018 and 2019 was as follows:

	Number of Units			Weighted Average Grant-Date Fair Value
Unvested at January 1, 2018		360,909		$	50.04
Granted		285,358			42.26
Cancelled		(89,173	)		55.44
Vested		(72,983	)		49.64
Unvested at December 31, 2018		484,111		$	44.52
Granted		234,408			34.54
Cancelled		(267,161	)		45.20
Vested		—			—
Unvested at September 30, 2019		451,358		$	38.94

Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2019

Fair Value Disclosures [Abstract]

Carrying Amounts and Fair Values of Company's Amended and Restated Senior Credit Facilities and Contingent Consideration Liabilities

	Carrying Amount					Fair Value
	September 30, 2019			December 31, 2018		September 30, 2019			December 31, 2018
Amended and Restated Senior Credit Facility	$	1,694,623		$	1,715,338	$	1,694,623		$	1,715,338
6.125% Senior Notes due 2021	$	149,101		$	148,657	$	149,287		$	147,542
5.125% Senior Notes due 2022	$	297,554		$	296,946	$	299,786		$	283,583
5.625% Senior Notes due 2023	$	644,393		$	643,289	$	656,475		$	609,516
6.500% Senior Notes due 2024	$	384,141		$	383,304	$	399,507		$	369,888
Other long-term debt	$	5,110		$	5,953	$	5,110		$	5,953
Derivative instrument (liabilities) assets	$	(15,896	)	$	60,524	$	(15,896	)	$	60,524

Other Current Assets (Tables)

9 Months Ended

Sep. 30, 2019

Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]

Other Current Assets

Other current assets consisted of the following (in thousands):

	September 30, 2019		December 31, 2018
Prepaid expenses	$	28,495	$	30,802
Other receivables		17,485		19,205
Cost report receivable		12,485		10,340
Notes receivable		11,875		—
Workers’ compensation deposits – current portion		10,000		10,000
Income taxes receivable		5,001		2,380
Inventory		4,337		5,055
Insurance receivable – current portion		2,049		2,049
Other		2,061		1,989
Other current assets	$	93,788	$	81,820

Other Accrued Liabilities (Tables)

9 Months Ended

Sep. 30, 2019

Other Liabilities Disclosure [Abstract]

Summary of Other Accrued Liabilities

Other accrued liabilities consisted of the following (in thousands):

	September 30, 2019		December 31, 2018
Accrued expenses	$	47,067	$	44,938
Unearned income		35,278		32,154
Income taxes payable		25,318		3,041
Accrued interest		11,134		32,838
Finance lease liabilities		6,684		445
Accrued property taxes		6,537		4,136
Insurance liability – current portion		4,956		4,956
Accrued legal settlements		—		22,076
Other		2,780		6,642
Other accrued liabilities	$	139,754	$	151,226

Segment Information (Tables)

9 Months Ended

Sep. 30, 2019

Summary of Reconciliation of Segment EBITDA to Income before Income Taxes

The following tables set forth the financial information by operating segment, including a reconciliation of Segment EBITDA to income before income taxes (in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Revenue:
U.S. Facilities	$	509,383		$	488,626		$	1,507,156		$	1,432,501
U.K. Facilities		267,868			272,290			820,074			836,394
Corporate and Other		—			—			—			—
	$	777,251		$	760,916		$	2,327,230		$	2,268,895
Segment EBITDA (1):
U.S. Facilities	$	127,087		$	128,537		$	381,491		$	375,663
U.K. Facilities		40,726			40,735			126,617			146,081
Corporate and Other		(21,175	)		(20,348	)		(66,581	)		(62,075	)
	$	146,638		$	148,924		$	441,527		$	459,669

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Segment EBITDA (1)	$	146,638		$	148,924		$	441,527		$	459,669
Less:
Equity-based compensation expense		(4,039	)		(5,225	)		(14,322	)		(19,273	)
Transaction-related expenses		(5,775	)		(2,353	)		(15,308	)		(10,008	)
Debt extinguishment costs		—			—			—			(940	)
Interest expense, net		(46,644	)		(46,651	)		(143,384	)		(137,706	)
Depreciation and amortization		(40,620	)		(39,659	)		(122,277	)		(119,360	)
Income before income taxes	$	49,560		$	55,036		$	146,236		$	172,382

Summary of Assets by Operating Segment

	September 30, 2019		December 31, 2018
Assets (2):
U.S. Facilities	$	4,032,623	$	3,779,040
U.K. Facilities		2,472,274		2,175,809
Corporate and Other		223,228		217,655
	$	6,728,125	$	6,172,504

(1)

(2)

Goodwill [Member]

Summary of Assets by Operating Segment

	U.S. Facilities		U.K. Facilities			Corporate and Other		Consolidated
Goodwill:
Balance at January 1, 2019	$	2,044,837	$	351,575		$	—	$	2,396,412
Increase from 2019 acquisitions		36,567		—			—		36,567
Increase from contribution of redeemable noncontrolling interests		3,300		—			—		3,300
Foreign currency translation loss		—		(12,038	)		—		(12,038	)
Balance at September 30, 2019	$	2,084,704	$	339,537		$	—	$	2,424,241

Accumulated Other Comprehensive Loss (Tables)

9 Months Ended

Sep. 30, 2019

Equity [Abstract]

Components Of Accumulated Other Comprehensive Loss

The components of accumulated other comprehensive loss are as follows (in thousands):

	Foreign Currency Translation Adjustments			Change in Fair Value of Derivative Instruments		Pension Plan			Total
Balance at December 31, 2018	$	(504,528	)	$	43,966	$	(1,815	)	$	(462,377	)
Foreign currency translation (loss) gain		(66,174	)		—		62			(66,112	)
Gain on derivative instruments, net of tax of $10.7 million		—			20,495		—			20,495
Balance at September 30, 2019	$	(570,702	)	$	64,461	$	(1,753	)	$	(507,994	)

Financial Information for the Company and Its Subsidiaries (Tables)

9 Months Ended

Sep. 30, 2019

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Summary of Condensed Consolidating Balance Sheets

Acadia Healthcare Company, Inc.

Condensed Consolidating Balance Sheets

September 30, 2019

(In thousands)

	Parent		Combined Subsidiary Guarantors		Combined Non- Guarantors		Consolidating Adjustments			Total Consolidated Amounts
Current assets:
Cash and cash equivalents	$	—	$	63,066	$	29,834	$	—		$	92,900
Accounts receivable, net		—		282,407		67,818		—			350,225
Other current assets		—		78,992		14,796		—			93,788
Total current assets		—		424,465		112,448		—			536,913
Property and equipment, net		—		1,313,560		1,817,859		—			3,131,419
Goodwill		—		1,991,944		432,297		—			2,424,241
Intangible assets, net		—		58,410		30,618		—			89,028
Deferred tax assets		1,999		—		3,371		(1,999	)		3,371
Investment in subsidiaries		5,369,355		—		—		(5,369,355	)		—
Operating lease right-of-use assets		—		99,517		380,364		—			479,881
Other assets		251,289		55,571		4,681		(248,269	)		63,272
Total assets	$	5,622,643	$	3,943,467	$	2,781,638	$	(5,619,623	)	$	6,728,125

Current liabilities:
Current portion of long-term debt	$	41,287	$	—	$	—	$	—		$	41,287
Accounts payable		—		93,817		37,655		—			131,472
Accrued salaries and benefits		—		87,206		30,477		—			117,683
Current portion of operating lease liabilities		—		17,595		10,415		—			28,010
Other accrued liabilities		11,134		48,150		80,470		—			139,754
Total current liabilities		52,421		246,768		159,017		—			458,206
Long-term debt		3,133,635		—		248,269		(248,269	)		3,133,635
Deferred tax liabilities		—		17,419		47,734		(1,999	)		63,154
Operating lease liabilities		—		87,700		391,194		—			478,894
Derivative instrument liabilities		15,896		—		—		—			15,896
Other liabilities		—		110,037		15,248		—			125,285
Total liabilities		3,201,952		461,924		861,462		(250,268	)		4,275,070
Redeemable noncontrolling interests		—		—		32,364		—			32,364
Total equity		2,420,691		3,481,543		1,887,812		(5,369,355	)		2,420,691
Total liabilities and equity	$	5,622,643	$	3,943,467	$	2,781,638	$	(5,619,623	)	$	6,728,125

Acadia Healthcare Company, Inc.

Condensed Consolidating Balance Sheets

December 31, 2018

(In thousands)

	Parent		Combined Subsidiary Guarantors		Combined Non- Guarantors		Consolidating Adjustments			Total Consolidated Amounts
Current assets:
Cash and cash equivalents	$	—	$	32,471	$	18,039	$	—		$	50,510
Accounts receivable, net		—		248,218		69,869		—			318,087
Other current assets		—		60,160		21,660		—			81,820
Total current assets		—		340,849		109,568		—			450,417
Property and equipment, net		—		1,219,803		1,887,963		—			3,107,766
Goodwill		—		1,936,057		460,355		—			2,396,412
Intangible assets, net		—		56,611		32,379		—			88,990
Deferred tax assets – noncurrent		1,841		—		3,468		(1,841	)		3,468
Derivative instruments		60,524		—		—		—			60,524
Investment in subsidiaries		5,190,771		—		—		(5,190,771	)		—
Other assets		306,495		52,824		9,548		(303,940	)		64,927
Total assets	$	5,559,631	$	3,606,144	$	2,503,281	$	(5,496,552	)	$	6,172,504
Current liabilities:
Current portion of long-term debt	$	34,112	$	—	$	—	$	—		$	34,112
Accounts payable		—		79,463		38,277		—			117,740
Accrued salaries and benefits		—		84,150		29,149		—			113,299
Other accrued liabilities		32,837		42,062		76,327		—			151,226
Total current liabilities		66,949		205,675		143,753		—			416,377
Long-term debt		3,159,375		—		303,940		(303,940	)		3,159,375
Deferred tax liabilities – noncurrent		—		31,874		50,339		(1,841	)		80,372
Other liabilities		—		107,866		46,401		—			154,267
Total liabilities		3,226,324		345,415		544,433		(305,781	)		3,810,391
Redeemable noncontrolling interests		—		—		28,806		—			28,806
Total equity		2,333,307		3,260,729		1,930,042		(5,190,771	)		2,333,307
Total liabilities and equity	$	5,559,631	$	3,606,144	$	2,503,281	$	(5,496,552	)	$	6,172,504

Summary of Condensed Consolidating Statement of Comprehensive Income (Loss)

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Three Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	476,722	$	300,529		$	—		$	777,251
Salaries, wages and benefits		4,039			258,166		166,396			—			428,601
Professional fees		—			27,955		34,197			—			62,152
Supplies		—			20,291		10,499			—			30,790
Rents and leases		—			8,771		11,363			—			20,134
Other operating expenses		—			60,730		32,245			—			92,975
Depreciation and amortization		—			20,588		20,032			—			40,620
Interest expense, net		19,109			22,876		4,659			—			46,644
Transaction-related expenses		—			4,326		1,449			—			5,775
Total expenses		23,148			423,703		280,840			—			727,691
(Loss) income before income taxes		(23,148	)		53,019		19,689			—			49,560
Equity in earnings of subsidiaries		60,296			—		—			(60,296	)		—
(Benefit from) provision for income taxes		(5,575	)		15,273		(2,861	)		—			6,837
Net income (loss)		42,723			37,746		22,550			(60,296	)		42,723
Net income attributable to noncontrolling interests		—			—		(157	)		—			(157	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	42,723		$	37,746	$	22,393		$	(60,296	)	$	42,566
Other comprehensive income:
Foreign currency translation loss		—			—		(59,975	)		—			(59,975	)
Gain on derivative instruments		11,598			—		—			—			11,598
Other comprehensive income (loss)		11,598			—		(59,975	)		—			(48,377	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	54,321		$	37,746	$	(37,582	)	$	(60,296	)	$	(5,811	)

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Three Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	458,061	$	302,855		$	—		$	760,916
Salaries, wages and benefits		5,225			245,599		167,093			—			417,917
Professional fees		—			24,152		35,357			—			59,509
Supplies		—			19,139		10,322			—			29,461
Rents and leases		—			8,294		11,572			—			19,866
Other operating expenses		—			57,495		32,969			—			90,464
Depreciation and amortization		—			18,857		20,802			—			39,659
Interest expense, net		17,225			22,768		6,658			—			46,651
Transaction-related expenses		—			702		1,651			—			2,353
Total expenses		22,450			397,006		286,424			—			705,880
(Loss) income before income taxes		(22,450	)		61,055		16,431			—			55,036
Equity in earnings of subsidiaries		62,854			—		—			(62,854	)		—
(Benefit from) provision for income taxes		(5,875	)		11,666		2,966			—			8,757
Net income (loss)		46,279			49,389		13,465			(62,854	)		46,279
Net income attributable to noncontrolling interests		—			—		(47	)		—			(47	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	46,279		$	49,389	$	13,418		$	(62,854	)	$	46,232
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(31,959	)		—			(31,959	)
Gain on derivative instruments		7,380			—		—			—			7,380
Other comprehensive income (loss)		7,380			—		(31,959	)		—			(24,579	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	53,659		$	49,389	$	(18,541	)	$	(62,854	)	$	21,653

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Nine Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	1,416,790	$	910,440		$	—		$	2,327,230
Salaries, wages and benefits		14,322			767,764		506,313			—			1,288,399
Professional fees		—			79,663		97,925			—			177,588
Supplies		—			59,753		31,908			—			91,661
Rents and leases		—			25,890		34,970			—			60,860
Other operating expenses		—			181,639		99,878			—			281,517
Depreciation and amortization		—			60,210		62,067			—			122,277
Interest expense, net		58,825			69,380		15,179			—			143,384
Transaction-related expenses		—			12,122		3,186			—			15,308
Total expenses		73,147			1,256,421		851,426			—			2,180,994
(Loss) income before income taxes		(73,147	)		160,369		59,014			—			146,236
Equity in earnings of subsidiaries		174,337			—		—			(174,337	)		—
(Benefit from) provision for income taxes		(19,245	)		57,636		(12,590	)		—			25,801
Net income (loss)		120,435			102,733		71,604			(174,337	)		120,435
Net gain attributable to noncontrolling interests		—			—		(258	)		—			(258	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	120,435		$	102,733	$	71,346		$	(174,337	)	$	120,177
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(66,112	)		—			(66,112	)
Gain on derivative instruments		20,495			—		—			—			20,495
Other comprehensive income (loss)		20,495			—		(66,112	)		—			(45,617	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	140,930		$	102,733	$	5,234		$	(174,337	)	$	74,560

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Comprehensive Income (Loss)

Nine Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors		Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Revenue	$	—		$	1,347,468	$	921,427		$	—			2,268,895
Salaries, wages and benefits		19,273			724,650		502,263			—			1,246,186
Professional fees		—			73,100		93,888			—			166,988
Supplies		—			57,143		31,815			—			88,958
Rents and leases		—			24,844		35,546			—			60,390
Other operating expenses		—			168,923		97,054			—			265,977
Depreciation and amortization		—			55,640		63,720			—			119,360
Interest expense, net		47,307			69,954		20,445			—			137,706
Debt extinguishment costs		940			—		—			—			940
Transaction-related expenses		—			7,382		2,626			—			10,008
Total expenses		67,520			1,181,636		847,357			—			2,096,513
(Loss) income before income taxes		(67,520	)		165,832		74,070			—			172,382
Equity in earnings of subsidiaries		206,204			—		—			(206,204	)		—
(Benefit from) provision for income taxes		(17,359	)		22,985		10,713			—			16,339
Net income (loss)		156,043			142,847		63,357			(206,204	)		156,043
Net income attributable to noncontrolling interests		—			—		(156	)		—			(156	)
Net income (loss) attributable to Acadia Healthcare Company, Inc.	$	156,043		$	142,847	$	63,201		$	(206,204	)	$	155,887
Other comprehensive (loss) income:
Foreign currency translation loss		—			—		(82,778	)		—			(82,778	)
Gain on derivative instruments		16,434			—		—			—			16,434
Other comprehensive income (loss)		16,434			—		(82,778	)		—			(66,344	)
Comprehensive income (loss) attributable to Acadia Healthcare Company, Inc.	$	172,477		$	142,847	$	(19,577	)	$	(206,204	)	$	89,543

Summary of Condensed Consolidating Statement of Cash Flows

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Cash Flows

Nine Months Ended September 30, 2019

(In thousands)

	Parent			Combined Subsidiary Guarantors			Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Operating activities:
Net income (loss)	$	120,435		$	102,733		$	71,604		$	(174,337	)	$	120,435
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries		(174,337	)		—			—			174,337			—
Depreciation and amortization		—			60,210			62,067			—			122,277
Amortization of debt issuance costs		8,926			—			—			—			8,926
Equity-based compensation expense		14,322			—			—			—			14,322
Deferred income taxes		(158	)		4,517			791			—			5,150
Other		2,606			1,643			195			—			4,444
Change in operating assets and liabilities:
Accounts receivable, net		—			(28,918	)		(4,038	)		—			(32,956	)
Other current assets		—			(2,845	)		(1,067	)		—			(3,912	)
Other assets		3,847			(1,136	)		1,666			(3,847	)		530
Accounts payable and other accrued liabilities		—			(29,543	)		(6,067	)		—			(35,610	)
Accrued salaries and benefits		—			2,008			2,805			—			4,813
Other liabilities		—			16,058			(10,948	)		—			5,110
Net cash (used in) provided by operating activities		(24,359	)		124,727			117,008			(3,847	)		213,529
Investing activities:
Cash paid for acquisitions, net of cash acquired		—			(44,900	)		—			—			(44,900	)
Cash paid for capital expenditures		—			(135,242	)		(67,480	)		—			(202,722	)
Cash paid for real estate acquisitions		—			(6,976	)		—			—			(6,976	)
Settlement of foreign currency derivatives		105,008			—			—			—			105,008
Other		—			7,615			4,783			—			12,398
Net cash provided by (used in) investing activities		105,008			(179,503	)		(62,697	)		—			(137,192	)
Financing activities:
Borrowings on revolving credit facility		76,573			—			—			—			76,573
Principal payments on revolving credit facility		(76,573	)		—			—			—			(76,573	)
Principal payments on long-term debt		(24,738	)		—			(3,847	)		3,847			(24,738	)
Common stock withheld for minimum statutory taxes, net		(1,498	)		—			—			—			(1,498	)
Other		(2,375	)		(1,580	)		(1,968	)		—			(5,923	)
Cash (used in) provided by intercompany activity		(52,038	)		86,951			(34,913	)		—			—
Net cash (used in) provided by in financing activities		(80,649	)		85,371			(40,728	)		3,847			(32,159	)
Effect of exchange rate changes on cash		—			—			(1,788	)		—			(1,788	)
Net increase in cash and cash equivalents		—			30,595			11,795			—			42,390
Cash and cash equivalents at beginning of the period		—			32,471			18,039			—			50,510
Cash and cash equivalents at end of the period	$	—		$	63,066		$	29,834		$	—		$	92,900

Acadia Healthcare Company, Inc.

Condensed Consolidating Statement of Cash Flows

Nine Months Ended September 30, 2018

(In thousands)

	Parent			Combined Subsidiary Guarantors			Combined Non- Guarantors			Consolidating Adjustments			Total Consolidated Amounts
Operating activities:
Net income (loss)	$	156,043		$	142,847		$	63,357		$	(206,204	)	$	156,043
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries		(206,204	)		—			—			206,204			—
Depreciation and amortization		—			55,640			63,720			—			119,360
Amortization of debt issuance costs		8,065			—			(302	)		—			7,763
Equity-based compensation expense		19,273			—			—			—			19,273
Deferred income taxes		74			(2,398	)		586			—			(1,738	)
Debt extinguishment costs		940			—			—			—			940
Other		1,948			1,219			(142	)		—			3,025
Change in operating assets and liabilities:
Accounts receivable, net		—			(39,644	)		(3,608	)		—			(43,252	)
Other current assets		—			7,898			(4,877	)		—			3,021
Other assets		4,596			3,763			105			(4,596	)		3,868
Accounts payable and other accrued liabilities		—			7,835			1,395			—			9,230
Accrued salaries and benefits		—			11,100			(51	)		—			11,049
Other liabilities		—			4,548			(4,399	)		—			149
Net cash (used in) provided by continuing operating activities		(15,265	)		192,808			115,784			(4,596	)		288,731
Net cash used in discontinued operating activities		—			(2,548	)		—			—			(2,548	)
Net cash (used in) provided by operating activities		(15,265	)		190,260			115,784			(4,596	)		286,183
Investing activities:
Cash paid for capital expenditures		—			(149,402	)		(100,587	)		—			(249,989	)
Cash paid for real estate acquisitions		—			(9,391	)		—			—			(9,391	)
Other		—			(5,718	)		2,604			—			(3,114	)
Net cash used in investing activities		—			(164,511	)		(97,983	)		—			(262,494	)
Financing activities:
Principal payments on long-term debt		(31,492	)		(169	)		(4,427	)		4,596			(31,492	)
Common stock withheld for minimum statutory taxes, net		(2,272	)		—			—			—			(2,272	)
Other		(1,742	)		(2,885	)		(2,346	)		—			(6,973	)
Cash provided by (used in) intercompany activity		50,771			(37,257	)		(13,514	)		—			—
Net cash provided by (used in) in financing activities		15,265			(40,311	)		(20,287	)		4,596			(40,737	)
Effect of exchange rate changes on cash		—			—			(1,314	)		—			(1,314	)
Net decrease in cash and cash equivalents		—			(14,562	)		(3,800	)		—			(18,362	)
Cash and cash equivalents at beginning of the period		—			46,860			20,430			—			67,290
Cash and cash equivalents at end of the period	$	—		$	32,298		$	16,630		$	—		$	48,928

Revenue - Schedule of U.S. Revenue Attributed to Each Category (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Disaggregation of Revenue [Line Items]
Revenue	$ 777,251	$ 760,916	$ 2,327,230	$ 2,268,895
U.S. Facilities [Member]
Disaggregation of Revenue [Line Items]
Revenue	509,383	488,626	1,507,156	1,432,501
U.S. Facilities [Member] \| Acute Inpatient Psychiatric Facilities [Member]
Disaggregation of Revenue [Line Items]
Revenue	233,141	208,885	678,866	608,311
U.S. Facilities [Member] \| Specialty Treatment Facilities [Member]
Disaggregation of Revenue [Line Items]
Revenue	201,169	198,107	595,473	575,536
U.S. Facilities [Member] \| Residential Treatment Centers [Member]
Disaggregation of Revenue [Line Items]
Revenue	69,681	72,351	216,989	218,041
U.S. Facilities [Member] \| Outpatient Community-Based Facilities [Member]
Disaggregation of Revenue [Line Items]
Revenue	$ 5,392	$ 9,283	$ 15,828	$ 30,613

Revenue - Schedule of U.S. Revenue and Percentage Generated by Each Payor Type (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 777,251	$ 760,916	$ 2,327,230	$ 2,268,895
U.S. Facilities [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 509,383	$ 488,626	$ 1,507,156	$ 1,432,501
Revenue, Percentage	100.00%	100.00%	100.00%	100.00%
U.S. Facilities [Member] \| Commercial [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 140,315	$ 146,439	$ 426,659	$ 431,337
Revenue, Percentage	27.50%	30.00%	28.30%	30.10%
U.S. Facilities [Member] \| Medicare [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 76,906	$ 73,528	$ 223,027	$ 210,307
Revenue, Percentage	15.10%	15.00%	14.80%	14.70%
U.S. Facilities [Member] \| Medicaid [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 256,370	$ 229,390	$ 750,631	$ 668,236
Revenue, Percentage	50.30%	46.90%	49.80%	46.60%
U.S. Facilities [Member] \| Self-Pay [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 30,626	$ 33,559	$ 91,982	$ 103,845
Revenue, Percentage	6.00%	6.90%	6.10%	7.30%
U.S. Facilities [Member] \| Other [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 5,166	$ 5,710	$ 14,857	$ 18,776
Revenue, Percentage	1.10%	1.20%	1.00%	1.30%

Revenue - Schedule of U.K. Revenue and Percentage Generated by Each Payor Type (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 777,251	$ 760,916	$ 2,327,230	$ 2,268,895
U.K. Facilities [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 267,868	$ 272,290	$ 820,074	$ 836,394
Revenue, Percentage	100.00%	100.00%	100.00%	100.00%
U.K. Facilities [Member] \| U.K. Public Funded Sources [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 242,747	$ 245,919	$ 740,492	$ 756,094
Revenue, Percentage	90.60%	90.30%	90.30%	90.40%
U.K. Facilities [Member] \| Self-Pay [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 24,430	$ 26,159	$ 77,895	$ 78,499
Revenue, Percentage	9.10%	9.60%	9.50%	9.40%
U.K. Facilities [Member] \| Other [Member]
Health Care Organization, Receivable and Revenue Disclosures [Line Items]
Revenue	$ 691	$ 212	$ 1,687	$ 1,801
Revenue, Percentage	0.30%	0.10%	0.20%	0.20%

Revenue - Summary of the Activity in Unearned Revenue (Detail) - U.K. Facilities [Member] - Unearned Revenue [Member] $ in Thousands	9 Months Ended
	Sep. 30, 2019 USD ($)
Disaggregation of Revenue [Line Items]
Beginning Balance	$ 31,239
Payments received	128,866
Revenue recognized	(124,067)
Foreign currency translation loss	(1,791)
Ending Balance	$ 34,247

Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018
Numerator:
Net income attributable to Acadia Healthcare Company, Inc.	$ 42,566	$ 48,140	$ 29,471	$ (331,637)	$ 46,232	$ 58,836	$ 50,819	$ 120,177	$ 155,887
Denominator:
Weighted average shares outstanding for basic earnings per share	87,649				87,344			87,591	87,233
Effect of dilutive instruments	210				193			214	153
Shares used in computing diluted earnings per common share	87,859				87,537			87,805	87,386
Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic	$ 0.49				$ 0.53			$ 1.37	$ 1.79
Diluted	$ 0.48				$ 0.53			$ 1.37	$ 1.78

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

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+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

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+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References + Details

Acquisitions - Additional Information (Detail) $ in Millions	Apr. 01, 2019 USD ($) Bed	Feb. 15, 2019 USD ($) Bed Center	Sep. 30, 2019 Bed
Business Acquisition [Line Items]
Number of beds \| Bed			18,000
Bradford [Member]
Business Acquisition [Line Items]
Number of beds \| Bed	46
Business acquisition cash consideration \| $	$ 4.5
Whittier Pavilion [Member] \| Massachusetts [Member]
Business Acquisition [Line Items]
Number of beds \| Bed		71
Business acquisition cash consideration \| $		$ 17.9
Mission Treatment [Member] \| California, Nevada, Arizona and Oklahoma [Member]
Business Acquisition [Line Items]
Business acquisition cash consideration \| $		$ 22.5
Number of comprehensive treatment centers operates \| Center		9

Acquisitions - Transaction Related Expenses as Incurred (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Business Combinations [Abstract]
Termination, restructuring and strategic review costs	$ 5,541	$ 1,443	$ 13,858	$ 6,844
Legal, accounting and other acquisition-related costs	234	910	1,450	3,164
Transaction-related expenses	$ 5,775	$ 2,353	$ 15,308	$ 10,008

Property and Equipment - Summary of Property and Equipment (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 3,686,765	$ 3,593,751
Less: accumulated depreciation	(555,346)	(485,985)
Property and equipment, net	3,131,419	3,107,766
Land [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	437,214	430,771
Building and Improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	2,555,105	2,423,594
Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	462,865	444,538
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 231,581	$ 294,848

Other Intangible Assets - Other Identifiable Intangible Assets and Related Accumulated Amortization (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets subject to amortization, Gross Carrying Amount	$ 3,231	$ 3,247
Intangible assets not subject to amortization, Gross Carrying Amount	89,028	88,990
Total	92,259	92,237
Intangible assets subject to amortization, Accumulated Amortization	(3,231)	(3,247)
Intangible assets not subject to amortization, Accumulated Amortization	0	0
Total	(3,231)	(3,247)
Licenses and Accreditations [Member]
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets not subject to amortization, Gross Carrying Amount	12,586	12,343
Intangible assets not subject to amortization, Accumulated Amortization	0	0
Trade Names [Member]
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets not subject to amortization, Gross Carrying Amount	59,412	60,109
Intangible assets not subject to amortization, Accumulated Amortization	0	0
Certificates of Need [Member]
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets not subject to amortization, Gross Carrying Amount	17,030	16,538
Intangible assets not subject to amortization, Accumulated Amortization	0	0
Contract Intangible Assets [Member]
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets subject to amortization, Gross Carrying Amount	2,100	2,100
Intangible assets subject to amortization, Accumulated Amortization	(2,100)	(2,100)
Non-Compete Agreements [Member]
Schedule Of Finite and Indefinite Lived Other Intangible Assets [Line Items]
Intangible assets subject to amortization, Gross Carrying Amount	1,131	1,147
Intangible assets subject to amortization, Accumulated Amortization	$ (1,131)	$ (1,147)

Leases - Additional Information (Detail) - USD ($) $ in Thousands		9 Months Ended
	Jan. 01, 2019	Sep. 30, 2019
Lessee Lease Description [Line Items]
Right-of-use assets		$ 524,207
Lease liabilities		$ 557,364
Operating leases remaining lease term	1 year
ASU 2016-02 [Member]
Lessee Lease Description [Line Items]
Right-of-use assets	$ 500,300
Lease liabilities	$ 526,600
Minimum [Member]
Lessee Lease Description [Line Items]
Lessee operating and finance lease term of contract		5 years
Minimum [Member] \| Copiers and Equipment [Member]
Lessee Lease Description [Line Items]
Lessee operating and finance lease term of contract		1 year
Maximum [Member]
Lessee Lease Description [Line Items]
Lessee operating and finance lease term of contract		30 years
Maximum [Member] \| Copiers and Equipment [Member]
Lessee Lease Description [Line Items]
Lessee operating and finance lease term of contract		3 years

Leases - Schedule Of Leases On Condensed Consolidated Balance Sheet (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Lessee Lease Description [Line Items]
Operating lease right-of-use assets	$ 479,881
Total	524,207
Finance lease liabilities	6,684	$ 445
Operating lease liabilities	28,010
Finance lease liabilities	43,776
Operating lease liabilities	478,894
Total	557,364
Property and Equipment, Net [Member]
Lessee Lease Description [Line Items]
Finance lease right-of-use assets	44,326
Operating Lease Right-of-use Assets [Member]
Lessee Lease Description [Line Items]
Operating lease right-of-use assets	479,881
Other Accrued Liabilities [Member]
Lessee Lease Description [Line Items]
Finance lease liabilities	6,684
Current Portion of Operating Lease Liabilities [Member]
Lessee Lease Description [Line Items]
Operating lease liabilities	28,010
Other Liabilities [Member]
Lessee Lease Description [Line Items]
Finance lease liabilities	43,776
Operating Lease Liabilities [Member]
Lessee Lease Description [Line Items]
Operating lease liabilities	$ 478,894

Leases - Schedule of Weighted-average Remaining Lease Terms and Discount Rates (Detail)	Sep. 30, 2019
Leases [Abstract]
Finance lease, weighted average remaining lease term (years)	7 years 1 month 6 days
Operating lease, weighted average remaining term (years)	19 years 4 months 24 days
Finance lease, weighted average discount rate percent	6.40%
Operating lease, weighted average discount rate percent	6.30%

Leases - Schedule of Lease Cost (Detail) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2019
Finance lease costs:
Depreciation of leased assets	$ 1,036	$ 3,295
Interest of lease liabilities	977	2,973
Total finance lease costs	2,013	6,268
Operating lease costs	15,873	48,639
Variable lease costs	1,229	3,159
Short term lease costs	1,378	4,308
Other lease costs	1,654	4,754
Total rents and leases	20,134	60,860
Total lease costs	$ 22,147	$ 67,128

Leases - Schedule of Undiscounted Cash Flows for Finance and Operating Leases (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Finance Leases
For the three months ending December 31, 2019	$ 1,926
2020	7,071
2021	35,262
2022	2,386
2023	1,194
Thereafter	26,094
Total minimum lease payments	73,933
Less: amount of lease payments representing interest	23,473
Present value of future minimum lease payments	50,460
Less: Current portion of lease liabilities	6,684	$ 445
Noncurrent lease liabilities	43,776
Operating Leases
For the three months ending December 31, 2019	15,052
2020	58,702
2021	55,092
2022	50,379
2023	46,893
Thereafter	691,763
Total minimum lease payments	917,881
Less: amount of lease payments representing interest	410,977
Present value of future minimum lease payments	506,904
Current portion of operating lease liabilities	28,010
Operating lease liabilities	$ 478,894

Leases - Schedule of Supplemental Data (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2019 USD ($)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases	$ 45,576
Operating cash flows for finance leases	2,973
Financing cash flows for finance leases	2,701
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	15,623
Finance leases	$ 2,457

Long-Term Debt - Components of Long-Term Debt (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018	Sep. 21, 2015
Debt Instrument [Line Items]
Other long-term debt	$ 5,110	$ 5,953
Less: unamortized debt issuance costs, discount and premium	(34,112)	(41,128)
Long-term debt	3,174,922	3,193,487
Less: current portion	(41,287)	(34,112)
Long-term debt	3,133,635	3,159,375
Amended and Restated Senior Credit Facility [Member] \| Senior Secured Term A Loans [Member]
Debt Instrument [Line Items]
Senior Secured	351,500	365,750
Amended and Restated Senior Credit Facility [Member] \| Senior Secured Term B Loans [Member]
Debt Instrument [Line Items]
Senior Secured	1,362,424	1,372,912
6.125% Senior Notes Due 2021 [Member]
Debt Instrument [Line Items]
Senior Notes	150,000	150,000
5.125% Senior Notes Due 2022 [Member]
Debt Instrument [Line Items]
Senior Notes	300,000	300,000
5.625% Senior Notes Due 2023 [Member]
Debt Instrument [Line Items]
Senior Notes	650,000	650,000	$ 650,000
6.500% Senior Notes Due 2024 [Member]
Debt Instrument [Line Items]
Senior Notes	$ 390,000	$ 390,000

Long-Term Debt (Amended and Restated Senior Credit Facility) - Additional Information (Detail) - USD ($) $ in Thousands										3 Months Ended				9 Months Ended		12 Months Ended
	Feb. 27, 2019	Feb. 06, 2019	Apr. 17, 2018	Mar. 29, 2018	Mar. 22, 2018	Mar. 21, 2018	Dec. 15, 2015	Dec. 31, 2012	Apr. 01, 2011	Dec. 31, 2016	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2017	Dec. 15, 2014
Debt Instrument [Line Items]
Debt extinguishment costs															$ (940)
Term loan repayments			$ 15,000
Consolidated funded debt, unrestricted and unencumbered cash to consolidated EBITDA																	$ 50,000
Term Loan A- Facility [Member]
Debt Instrument [Line Items]
Line of credit				$ 400,000
Tranche B-3 Facility [Member]
Debt Instrument [Line Items]
Term loan repayments			5,100
Tranche B-4 Facilities [Member]
Debt Instrument [Line Items]
Term loan repayments			$ 9,900
Eurodollar [Member]
Debt Instrument [Line Items]
Interest on borrowings														2.50%
Base Rate Loans [Member]
Debt Instrument [Line Items]
Interest on borrowings														1.50%
Amended and Restated Senior Credit Facility [Member]
Debt Instrument [Line Items]
Date entered into an agreement								Dec. 31, 2012	Apr. 01, 2011
Amount available under revolving line of credit														$ 485,100
Debt instrument maturity date							Nov. 30, 2021									Feb. 11, 2022
Term loan repayments													$ 1,200
Amended and Restated Senior Credit Facility [Member] \| June 30, 2019 to December 31, 2019 [Member]
Debt Instrument [Line Items]
Term loan principal repayments							$ 4,800
Term loan repayments												$ 1,200
Amended and Restated Senior Credit Facility [Member] \| March 31, 2020 to December 31, 2020 [Member]
Debt Instrument [Line Items]
Term loan principal repayments							7,100
Term loan repayments										$ 1,200
Amended and Restated Senior Credit Facility [Member] \| March 31, 2021 to September 30, 2021 [Member]
Debt Instrument [Line Items]
Term loan principal repayments							$ 9,500
Amended and Restated Senior Credit Facility [Member] \| September 30, 2015 to December 31, 2015 [Member]
Debt Instrument [Line Items]
Term loan repayments											$ 1,200
Amended and Restated Senior Credit Facility [Member] \| Standby Letters Of Credit [Member]
Debt Instrument [Line Items]
Standby letters of credit outstanding														$ 14,900
Amended and Restated Senior Credit Facility [Member] \| TLB Facility Due on February 16, 2023 [Member]
Debt Instrument [Line Items]
Term loan repayments													$ 2,300
Amended and Restated Senior Credit Facility [Member] \| TLB Facility Due on February 16, 2023 [Member] \| June 30, 2019 to December 31, 2019 [Member]
Debt Instrument [Line Items]
Term loan repayments												$ 2,300
Amended and Restated Senior Credit Facility [Member] \| TLB Facility Due on February 16, 2023 [Member] \| March 31, 2020 to December 31, 2020 [Member]
Debt Instrument [Line Items]
Term loan repayments										$ 2,300
Amended and Restated Senior Credit Facility [Member] \| TLB Facility Due on February 16, 2023 [Member] \| September 30, 2015 to December 31, 2015 [Member]
Debt Instrument [Line Items]
Term loan repayments											$ 2,300
Amended and Restated Senior Credit Facility [Member] \| Repricing Facilities Amendments [Member]
Debt Instrument [Line Items]
Revolving credit facility applicable rate				0.25%
Debt extinguishment costs					$ 900
Amended and Restated Senior Credit Facility [Member] \| Repricing Facilities Amendments [Member] \| Senior Secured Revolving Line of Credit [Member]
Debt Instrument [Line Items]
Line of credit				$ 500,000
Amended and Restated Senior Credit Facility [Member] \| Repricing Facilities Amendments [Member] \| Term Loan A- Facility [Member]
Debt Instrument [Line Items]
Line of credit				$ 380,000
Amended and Restated Senior Credit Facility [Member] \| Eurodollar [Member]
Debt Instrument [Line Items]
Basis spread on variable rate														1.00%
Amended and Restated Senior Credit Facility [Member] \| Eurodollar [Member] \| Repricing Facilities Amendments [Member]
Debt Instrument [Line Items]
Interest on borrowings					2.50%	2.75%
Amended and Restated Senior Credit Facility [Member] \| Base Rate Loans [Member]
Debt Instrument [Line Items]
Basis spread on variable rate														0.50%
Amended and Restated Senior Credit Facility [Member] \| Base Rate Loans [Member] \| Repricing Facilities Amendments [Member]
Debt Instrument [Line Items]
Interest on borrowings					1.50%	1.75%
Amended and Restated Senior Credit Facility [Member] \| London Interbank Offered Rate (LIBOR) [Member]
Debt Instrument [Line Items]
Interest on borrowings														2.50%
Eleventh Amendment [Member]
Debt Instrument [Line Items]
Date entered into an agreement		Feb. 06, 2019
Twelfth Amendment [Member]
Debt Instrument [Line Items]
Date entered into an agreement	Feb. 27, 2019

Long-Term Debt (6.125% Senior Notes due 2021) - Additional Information (Detail) - 6.125% Senior Notes Due 2021 [Member] - USD ($)		9 Months Ended
	Mar. 12, 2013	Sep. 30, 2019	Dec. 31, 2018
Debt Instrument [Line Items]
Issued Senior Notes	$ 150,000,000.0
Debt instrument interest rate	6.125%	6.125%	6.125%
Debt instrument maturity date	Mar. 15, 2021
Interest on the notes		payable semi-annually in arrears on March 15 and September 15 of each year

Long-Term Debt (5.125% Senior Notes due 2022) - Additional Information (Detail) - 5.125% Senior Notes Due 2022 [Member] - USD ($)		9 Months Ended
	Jul. 01, 2014	Sep. 30, 2019	Dec. 31, 2018
Debt Instrument [Line Items]
Issued Senior Notes	$ 300,000,000.0
Debt instrument interest rate	5.125%	5.125%	5.125%
Debt instrument maturity date	Jul. 01, 2022
Interest on the notes		payable semi-annually in arrears on January 1 and July 1 of each year

Long-Term Debt (5.625% Senior Notes due 2023) - Additional Information (Detail) - 5.625% Senior Notes Due 2023 [Member] - USD ($)	9 Months Ended
	Sep. 30, 2019	Dec. 31, 2018	Sep. 21, 2015	Feb. 11, 2015
Debt Instrument [Line Items]
Issued Senior Notes			$ 275,000,000.0	$ 375,000,000.0
Debt instrument interest rate	5.625%	5.625%	5.625%	5.625%
Senior Notes	$ 650,000,000	$ 650,000,000	$ 650,000,000.0
Debt instrument maturity date	Feb. 15, 2023
Interest on the notes	payable semi-annually in arrears on February 15 and August 15 of each year

Long-Term Debt (6.500% Senior Notes due 2024) - Additional Information (Detail) - 6.500% Senior Notes Due 2024 [Member] - USD ($)		9 Months Ended
	Feb. 16, 2016	Sep. 30, 2019	Dec. 31, 2018
Debt Instrument [Line Items]
Issued Senior Notes	$ 390,000,000.0
Debt instrument interest rate	6.50%	6.50%	6.50%
Debt instrument maturity date	Mar. 01, 2024
Interest on the notes		payable semi-annually in arrears on March 1 and September 1 of each year, beginning on September 1, 2016

Equity-Based Compensation - Additional Information (Detail) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Authorized common stock	8,200,000		8,200,000
Annual increments in employee grants			25.00%
Equity incentive plan available for future grant	2,784,810		2,784,810
Stock options, contractual term			10 years
Equity-based compensation expense	$ 4,039,000	$ 5,225,000	$ 14,322,000	$ 19,273,000
Unrecognized compensation expense related to unvested options			$ 41,100,000
Vesting period			1 year 3 months 18 days
Warrant outstanding	0		$ 0
Deferred income tax benefit			5,150,000	(1,738,000)
Stock Compensation Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Deferred income tax benefit	$ 1,300,000	$ 1,400,000	$ 4,100,000	$ 5,200,000
Restricted Stock Award [Member] \| Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			3 years
Restricted Stock Award [Member] \| Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			4 years
Restricted Stock Units [Member] \| Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			2 years
Number of shares issuable at the end of the vesting period, percentage			0.00%
Restricted Stock Units [Member] \| Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period			3 years
Number of shares issuable at the end of the vesting period, percentage			200.00%

Equity-Based Compensation - Stock Option Activity (Detail) $ / shares in Units, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2019 USD ($) $ / shares shares	Dec. 31, 2018 USD ($) $ / shares shares	Dec. 31, 2017 USD ($) $ / shares shares
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Options outstanding, Beginning balance \| shares	1,199,540	974,566
Options granted \| shares	605,200	374,700
Options exercised \| shares	(48,621)	(20,989)
Options cancelled \| shares	(322,589)	(128,737)
Options outstanding, Ending balance \| shares	1,433,530	1,199,540	974,566
Options exercisable, Ending balance \| shares	529,639	534,164
Options outstanding, Weighted Average Exercise Price, Beginning balance \| $ / shares	$ 44.64	$ 47.89
Options granted, Weighted Average Exercise Price \| $ / shares	28.50	37.54
Options exercised, Weighted Average Exercise Price \| $ / shares	21.14	17.83
Options cancelled, Weighted Average Exercise Price \| $ / shares	41.29	50.83
Options outstanding, Weighted Average Exercise Price, Ending balance \| $ / shares	39.35	44.64	$ 47.89
Options exercisable, Weighted Average Exercise Price, Ending balance \| $ / shares	$ 47.97	$ 44.98
Options outstanding, Weighted Average Remaining Contractual Term	7 years 9 months 21 days	7 years 3 months 3 days	7 years 5 months 15 days
Options granted, Weighted Average Remaining Contractual Term	9 years 5 months 19 days	9 years 2 months 15 days
Options exercisable, Weighted Average Remaining Contractual Term, Ending balance	6 years 7 days	5 years 8 months 23 days
Options outstanding, Aggregate Intrinsic Value \| $	$ 1,731	$ 2,717	$ 3,802
Options granted, Aggregate Intrinsic Value \| $	1,213	246
Options exercised, Aggregate Intrinsic Value \| $	496	383
Options cancelled, Aggregate Intrinsic Value \| $	0	0
Options exercisable, Aggregate Intrinsic Value, Ending balance \| $	$ 658	$ 2,386

Equity-Based Compensation - Schedule of Stock Options Valuation Assumptions (Detail) - $ / shares	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Weighted average grant-date fair value of options	$ 17.59	$ 13.67
Risk-free interest rate	2.40%	2.20%
Expected volatility	38.00%	37.00%
Expected life (in years)	5 years	5 years 1 month 6 days

Equity-Based Compensation - Restricted Stock Activity (Detail) - Restricted Stock Award [Member] - $ / shares	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unvested, Number of Shares/Units, Beginning balance	805,057	809,868
Granted, Number of Shares	700,937	480,137
Cancelled, Number of Shares	(353,646)	(88,989)
Vested, Number of Shares	(250,392)	(395,959)
Unvested, Number of Shares/Units, Ending balance	901,956	805,057
Unvested, Weighted Average Grant-Date Fair Value, Beginning balance	$ 42.40	$ 50.19
Granted, Weighted Average Grant-Date Fair Value	28.77	36.84
Cancelled, Weighted Average Grant-Date Fair Value	33.32	47.57
Vested, Weighted Average Grant-Date Fair Value	47.16	50.41
Unvested, Weighted Average Grant-Date Fair Value, Ending balance	$ 34.05	$ 42.40

Equity-Based Compensation - Restricted Stock Unit Activity (Detail) - Restricted Stock Units [Member] - $ / shares	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unvested, Number of Shares/Units, Beginning balance	484,111	360,909
Granted, Number of Units	234,408	285,358
Cancelled, Number of Units	(267,161)	(89,173)
Vested, Number of Units		(72,983)
Unvested, Number of Shares/Units, Ending balance	451,358	484,111
Unvested, Weighted Average Grant-Date Fair Value, Beginning balance	$ 44.52	$ 50.04
Granted, Weighted Average Grant-Date Fair Value	34.54	42.26
Cancelled, Weighted Average Grant-Date Fair Value	45.20	55.44
Vested, Weighted Average Grant-Date Fair Value		49.64
Unvested, Weighted Average Grant-Date Fair Value, Ending balance	$ 38.94	$ 44.52

Income Taxes - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Income Tax Examination [Line Items]
Effective tax rates	13.80%	15.90%	17.60%	9.50%
Discrete tax benefit recorded	$ (6,837)	$ (8,757)	$ (25,801)	$ (16,339)
Change in Accounting Method Accounted for as Change in Estimate [Member]
Income Tax Examination [Line Items]
Discrete tax benefit recorded				$ 10,500

Derivatives - Additional Information (Detail)	1 Months Ended
Derivatives - Additional Information (Detail)	Aug. 31, 2019 USD ($)	Aug. 31, 2019 GBP (£)	Sep. 30, 2019 USD ($)	Aug. 31, 2019 GBP (£)	Dec. 31, 2018 USD ($)	May 31, 2016 USD ($)	May 31, 2016 GBP (£)
Derivative [Line Items]
Cross currency swap liabilities			$ (15,900,000)
Cross currency swap assets					$ 60,500,000
Cross Currency Swap Assets [Member]
Derivative [Line Items]
Notional amount	$ 650,000,000.0			£ 538,100,000		$ 650,000,000.0	£ 449,300,000
Terminated cross currency swap derivatives	105,000,000.0
Cross currency swap agreement cash flow due to interest payment	$ 35,800,000	£ 25,400,000

Fair Value Measurements - Carrying Amounts and Fair Values of Company's Amended and Restated Senior Credit Facilities and Contingent Consideration Liabilities (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Other long-term debt	$ 5,110	$ 5,953
Carrying Amount [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Other long-term debt	5,110	5,953
Derivative instrument (liabilities) assets	(15,896)	60,524
Carrying Amount [Member] \| Amended and Restated Senior Credit Facility [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Secured	1,694,623	1,715,338
Carrying Amount [Member] \| 6.125% Senior Notes Due 2021 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	149,101	148,657
Carrying Amount [Member] \| 5.125% Senior Notes Due 2022 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	297,554	296,946
Carrying Amount [Member] \| 5.625% Senior Notes Due 2023 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	644,393	643,289
Carrying Amount [Member] \| 6.500% Senior Notes due 2024 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	384,141	383,304
Fair Value [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Other long-term debt	5,110	5,953
Derivative instrument (liabilities) assets	(15,896)	60,524
Fair Value [Member] \| Amended and Restated Senior Credit Facility [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Amended and Restated Senior Credit Facility	1,694,623	1,715,338
Fair Value [Member] \| 6.125% Senior Notes Due 2021 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	149,287	147,542
Fair Value [Member] \| 5.125% Senior Notes Due 2022 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	299,786	283,583
Fair Value [Member] \| 5.625% Senior Notes Due 2023 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	656,475	609,516
Fair Value [Member] \| 6.500% Senior Notes due 2024 [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Senior Notes	$ 399,507	$ 369,888

Commitments and Contingencies - Additional Information (Detail)	3 Months Ended		9 Months Ended
	Jun. 30, 2019 USD ($)	Sep. 30, 2018 Facility	Sep. 30, 2019 USD ($)
Loss Contingencies [Line Items]
Maximum professional liability aggregate policy limit			$ 75,000,000.0
West Virginia [Member]
Loss Contingencies [Line Items]
Number of comprehensive treatment centers operate \| Facility		7
Amount paid to government	$ 17,000,000.0
Maximum [Member]
Loss Contingencies [Line Items]
Maximum self insured professional liability limit per claim			3,000,000.0
Minimum [Member]
Loss Contingencies [Line Items]
Maximum professional liability retention limit			$ 3,000,000.0

Noncontrolling Interests - Summary of Redeemable Noncontrolling Interests (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2019 USD ($)
Noncontrolling Interest [Abstract]
Beginning Balance	$ 28,806
Acquisition of redeemable noncontrolling interests	3,300
Net income attributable to noncontrolling interests	258
Ending Balance	$ 32,364

Other Current Assets - Other Current Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Deferred Costs Capitalized Prepaid And Other Assets Disclosure [Abstract]
Prepaid expenses	$ 28,495	$ 30,802
Other receivables	17,485	19,205
Cost report receivable	12,485	10,340
Notes receivable	11,875
Workers’ compensation deposits – current portion	10,000	10,000
Income taxes receivable	5,001	2,380
Inventory	4,337	5,055
Insurance receivable – current portion	2,049	2,049
Other	2,061	1,989
Other current assets	$ 93,788	$ 81,820

Other Accrued Liabilities - Summary of Other Accrued Liabilities (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Accounts Payable And Accrued Liabilities Current [Abstract]
Accrued expenses	$ 47,067	$ 44,938
Unearned income	35,278	32,154
Income taxes payable	25,318	3,041
Accrued interest	11,134	32,838
Finance lease liabilities	6,684	445
Accrued property taxes	6,537	4,136
Insurance liability – current portion	4,956	4,956
Accrued legal settlements		22,076
Other	2,780	6,642
Other accrued liabilities	$ 139,754	$ 151,226

Segment Information - Summary of Reconciliation of Segment EBITDA to Income before Income Taxes (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Segment Reporting Information [Line Items]
Revenue	$ 777,251	$ 760,916	$ 2,327,230	$ 2,268,895
Segment EBITDA	146,638	148,924	441,527	459,669
Equity-based compensation expense	(4,039)	(5,225)	(14,322)	(19,273)
Transaction-related expenses	(5,775)	(2,353)	(15,308)	(10,008)
Debt extinguishment costs				(940)
Interest expense, net	(46,644)	(46,651)	(143,384)	(137,706)
Depreciation and amortization	(40,620)	(39,659)	(122,277)	(119,360)
Income before income taxes	49,560	55,036	146,236	172,382
U.S. Facilities [Member]
Segment Reporting Information [Line Items]
Revenue	509,383	488,626	1,507,156	1,432,501
U.S. Facilities [Member] \| Operating Segment [Member]
Segment Reporting Information [Line Items]
Revenue	509,383	488,626	1,507,156	1,432,501
Segment EBITDA	127,087	128,537	381,491	375,663
U.K. Facilities [Member]
Segment Reporting Information [Line Items]
Revenue	267,868	272,290	820,074	836,394
U.K. Facilities [Member] \| Operating Segment [Member]
Segment Reporting Information [Line Items]
Revenue	267,868	272,290	820,074	836,394
Segment EBITDA	40,726	40,735	126,617	146,081
Corporate and Other [Member] \| Corporate Reconciling Items and Eliminations [Member]
Segment Reporting Information [Line Items]
Segment EBITDA	$ (21,175)	$ (20,348)	$ (66,581)	$ (62,075)

Segment Information - Summary of Financial Information by Operating Segment, Goodwill (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2019 USD ($)
Goodwill:
Beginning balance	$ 2,396,412
Increase from 2019 acquisitions	36,567
Increase from contribution of redeemable noncontrolling interests	3,300
Foreign currency translation loss	(12,038)
Ending balance	2,424,241
U.S. Facilities [Member] \| Operating Segment [Member]
Goodwill:
Beginning balance	2,044,837
Increase from 2019 acquisitions	36,567
Increase from contribution of redeemable noncontrolling interests	3,300
Ending balance	2,084,704
U.K. Facilities [Member] \| Operating Segment [Member]
Goodwill:
Beginning balance	351,575
Foreign currency translation loss	(12,038)
Ending balance	$ 339,537

Segment Information - Summary of Financial Information by Operating Segment, Assets (Parenthetical) (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Segment Reporting Asset Reconciling Item [Line Items]
Property and equipment, net	$ 3,131,419	$ 3,107,766
Operating Segment [Member] \| U.S. Facilities [Member]
Segment Reporting Asset Reconciling Item [Line Items]
Property and equipment, net	1,400,000	1,400,000
Operating Segment [Member] \| U.K. Facilities [Member]
Segment Reporting Asset Reconciling Item [Line Items]
Property and equipment, net	1,600,000	1,700,000
Corporate Reconciling Items and Eliminations [Member] \| Corporate and Other [Member]
Segment Reporting Asset Reconciling Item [Line Items]
Property and equipment, net	$ 57,200	$ 44,900

Accumulated Other Comprehensive Loss - Components Of Accumulated Other Comprehensive Loss (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Accumulated Other Comprehensive Income (Loss) [Line Items]
Balance	$ 2,422,346	$ 2,653,301	$ 2,333,307	$ 2,572,871
Foreign currency translation (loss) gain	(59,975)	(31,959)	(66,112)	(82,778)
Gain on derivative instruments, net of tax of $10.7 million	11,598	7,380	20,495	16,434
Balance	2,420,691	2,680,249	2,420,691	2,680,249
Foreign Currency Translation Adjustments [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Balance			(504,528)
Foreign currency translation (loss) gain			(66,174)
Balance	(570,702)		(570,702)
Change in Fair Value of Derivative Instruments [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Balance			43,966
Gain on derivative instruments, net of tax of $10.7 million			20,495
Balance	64,461		64,461
Pension Plan [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Balance			(1,815)
Foreign currency translation (loss) gain			62
Balance	(1,753)		(1,753)
Other Comprehensive Loss [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Balance	(459,617)	(415,883)	(462,377)	(374,118)
Balance	$ (507,994)	$ (440,462)	$ (507,994)	$ (440,462)

Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Balance Sheets (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017
Current assets:
Cash and cash equivalents	$ 92,900			$ 50,510
Accounts receivable, net	350,225			318,087
Other current assets	93,788			81,820
Total current assets	536,913			450,417
Property and equipment, net	3,131,419			3,107,766
Goodwill	2,424,241			2,396,412
Intangible assets, net	89,028			88,990
Deferred tax assets	3,371			3,468
Derivative instrument assets				60,524
Operating lease right-of-use assets	479,881
Other assets	63,272			64,927
Total assets	6,728,125			6,172,504
Current liabilities:
Current portion of long-term debt	41,287			34,112
Accounts payable	131,472			117,740
Accrued salaries and benefits	117,683			113,299
Current portion of operating lease liabilities	28,010
Other accrued liabilities	139,754			151,226
Total current liabilities	458,206			416,377
Long-term debt	3,133,635			3,159,375
Deferred tax liabilities	63,154			80,372
Operating lease liabilities	478,894
Derivative instrument liabilities	15,896
Other liabilities	125,285			154,267
Total liabilities	4,275,070			3,810,391
Redeemable noncontrolling interests	32,364			28,806
Total equity	2,420,691	$ 2,422,346	$ 2,403,343	2,333,307	$ 2,680,249	$ 2,653,301	$ 2,701,619	$ 2,572,871
Total liabilities and equity	6,728,125			6,172,504
Consolidating Adjustments [Member]
Current assets:
Deferred tax assets	(1,999)			(1,841)
Investment in subsidiaries	(5,369,355)			(5,190,771)
Other assets	(248,269)			(303,940)
Total assets	(5,619,623)			(5,496,552)
Current liabilities:
Long-term debt	(248,269)			(303,940)
Deferred tax liabilities	(1,999)			(1,841)
Total liabilities	(250,268)			(305,781)
Total equity	(5,369,355)			(5,190,771)
Total liabilities and equity	(5,619,623)			(5,496,552)
Parent [Member]
Current assets:
Deferred tax assets	1,999			1,841
Derivative instrument assets				60,524
Investment in subsidiaries	5,369,355			5,190,771
Other assets	251,289			306,495
Total assets	5,622,643			5,559,631
Current liabilities:
Current portion of long-term debt	41,287			34,112
Other accrued liabilities	11,134			32,837
Total current liabilities	52,421			66,949
Long-term debt	3,133,635			3,159,375
Derivative instrument liabilities	15,896
Total liabilities	3,201,952			3,226,324
Total equity	2,420,691			2,333,307
Total liabilities and equity	5,622,643			5,559,631
Combined Subsidiary Guarantors [Member]
Current assets:
Cash and cash equivalents	63,066			32,471
Accounts receivable, net	282,407			248,218
Other current assets	78,992			60,160
Total current assets	424,465			340,849
Property and equipment, net	1,313,560			1,219,803
Goodwill	1,991,944			1,936,057
Intangible assets, net	58,410			56,611
Operating lease right-of-use assets	99,517
Other assets	55,571			52,824
Total assets	3,943,467			3,606,144
Current liabilities:
Accounts payable	93,817			79,463
Accrued salaries and benefits	87,206			84,150
Current portion of operating lease liabilities	17,595
Other accrued liabilities	48,150			42,062
Total current liabilities	246,768			205,675
Deferred tax liabilities	17,419			31,874
Operating lease liabilities	87,700
Other liabilities	110,037			107,866
Total liabilities	461,924			345,415
Total equity	3,481,543			3,260,729
Total liabilities and equity	3,943,467			3,606,144
Combined Non-Guarantors [Member]
Current assets:
Cash and cash equivalents	29,834			18,039
Accounts receivable, net	67,818			69,869
Other current assets	14,796			21,660
Total current assets	112,448			109,568
Property and equipment, net	1,817,859			1,887,963
Goodwill	432,297			460,355
Intangible assets, net	30,618			32,379
Deferred tax assets	3,371			3,468
Operating lease right-of-use assets	380,364
Other assets	4,681			9,548
Total assets	2,781,638			2,503,281
Current liabilities:
Accounts payable	37,655			38,277
Accrued salaries and benefits	30,477			29,149
Current portion of operating lease liabilities	10,415
Other accrued liabilities	80,470			76,327
Total current liabilities	159,017			143,753
Long-term debt	248,269			303,940
Deferred tax liabilities	47,734			50,339
Operating lease liabilities	391,194
Other liabilities	15,248			46,401
Total liabilities	861,462			544,433
Redeemable noncontrolling interests	32,364			28,806
Total equity	1,887,812			1,930,042
Total liabilities and equity	$ 2,781,638			$ 2,503,281

Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Statement of Comprehensive Income (Loss) (Detail) - USD ($) $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018
Condensed Financial Statements, Captions [Line Items]
Revenue	$ 777,251				$ 760,916			$ 2,327,230	$ 2,268,895
Salaries, wages and benefits	428,601				417,917			1,288,399	1,246,186
Professional fees	62,152				59,509			177,588	166,988
Supplies	30,790				29,461			91,661	88,958
Rents and leases	20,134				19,866			60,860	60,390
Other operating expenses	92,975				90,464			281,517	265,977
Depreciation and amortization	40,620				39,659			122,277	119,360
Interest expense, net	46,644				46,651			143,384	137,706
Debt extinguishment costs									940
Transaction-related expenses	5,775				2,353			15,308	10,008
Total expenses	727,691				705,880			2,180,994	2,096,513
(Loss) income before income taxes	49,560				55,036			146,236	172,382
(Benefit from) provision for income taxes	6,837				8,757			25,801	16,339
Net income	42,723				46,279			120,435	156,043
Net income attributable to noncontrolling interests	(157)				(47)			(258)	(156)
Net income attributable to Acadia Healthcare Company, Inc.	42,566	$ 48,140	$ 29,471	$ (331,637)	46,232	$ 58,836	$ 50,819	120,177	155,887
Other comprehensive income:
Foreign currency translation loss	(59,975)				(31,959)			(66,112)	(82,778)
Gain on derivative instruments	11,598				7,380			20,495	16,434
Other comprehensive loss	(48,377)	$ (33,031)	$ 35,791	$ (21,915)	(24,579)	$ (114,492)	$ 72,727	(45,617)	(66,344)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	(5,811)				21,653			74,560	89,543
Consolidating Adjustments [Member]
Condensed Financial Statements, Captions [Line Items]
Equity in earnings of subsidiaries	(60,296)				(62,854)			(174,337)	(206,204)
Net income	(60,296)				(62,854)			(174,337)	(206,204)
Net income attributable to Acadia Healthcare Company, Inc.	(60,296)				(62,854)			(174,337)	(206,204)
Other comprehensive income:
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	(60,296)				(62,854)			(174,337)	(206,204)
Parent [Member]
Condensed Financial Statements, Captions [Line Items]
Salaries, wages and benefits	4,039				5,225			14,322	19,273
Interest expense, net	19,109				17,225			58,825	47,307
Debt extinguishment costs									940
Total expenses	23,148				22,450			73,147	67,520
(Loss) income before income taxes	(23,148)				(22,450)			(73,147)	(67,520)
Equity in earnings of subsidiaries	60,296				62,854			174,337	206,204
(Benefit from) provision for income taxes	(5,575)				(5,875)			(19,245)	(17,359)
Net income	42,723				46,279			120,435	156,043
Net income attributable to Acadia Healthcare Company, Inc.	42,723				46,279			120,435	156,043
Other comprehensive income:
Gain on derivative instruments	11,598				7,380			20,495	16,434
Other comprehensive loss	11,598				7,380			20,495	16,434
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	54,321				53,659			140,930	172,477
Combined Subsidiary Guarantors [Member]
Condensed Financial Statements, Captions [Line Items]
Revenue	476,722				458,061			1,416,790	1,347,468
Salaries, wages and benefits	258,166				245,599			767,764	724,650
Professional fees	27,955				24,152			79,663	73,100
Supplies	20,291				19,139			59,753	57,143
Rents and leases	8,771				8,294			25,890	24,844
Other operating expenses	60,730				57,495			181,639	168,923
Depreciation and amortization	20,588				18,857			60,210	55,640
Interest expense, net	22,876				22,768			69,380	69,954
Transaction-related expenses	4,326				702			12,122	7,382
Total expenses	423,703				397,006			1,256,421	1,181,636
(Loss) income before income taxes	53,019				61,055			160,369	165,832
(Benefit from) provision for income taxes	15,273				11,666			57,636	22,985
Net income	37,746				49,389			102,733	142,847
Net income attributable to Acadia Healthcare Company, Inc.	37,746				49,389			102,733	142,847
Other comprehensive income:
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	37,746				49,389			102,733	142,847
Combined Non-Guarantors [Member]
Condensed Financial Statements, Captions [Line Items]
Revenue	300,529				302,855			910,440	921,427
Salaries, wages and benefits	166,396				167,093			506,313	502,263
Professional fees	34,197				35,357			97,925	93,888
Supplies	10,499				10,322			31,908	31,815
Rents and leases	11,363				11,572			34,970	35,546
Other operating expenses	32,245				32,969			99,878	97,054
Depreciation and amortization	20,032				20,802			62,067	63,720
Interest expense, net	4,659				6,658			15,179	20,445
Transaction-related expenses	1,449				1,651			3,186	2,626
Total expenses	280,840				286,424			851,426	847,357
(Loss) income before income taxes	19,689				16,431			59,014	74,070
(Benefit from) provision for income taxes	(2,861)				2,966			(12,590)	10,713
Net income	22,550				13,465			71,604	63,357
Net income attributable to noncontrolling interests	(157)				(47)			(258)	(156)
Net income attributable to Acadia Healthcare Company, Inc.	22,393				13,418			71,346	63,201
Other comprehensive income:
Foreign currency translation loss	(59,975)				(31,959)			(66,112)	(82,778)
Other comprehensive loss	(59,975)				(31,959)			(66,112)	(82,778)
Comprehensive (loss) income attributable to Acadia Healthcare Company, Inc.	$ (37,582)				$ (18,541)			$ 5,234	$ (19,577)

Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Statement of Cash Flows (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Operating activities:
Net income (loss)	$ 42,723	$ 46,279	$ 120,435	$ 156,043
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Depreciation and amortization	40,620	39,659	122,277	119,360
Amortization of debt issuance costs			8,926	7,763
Equity-based compensation expense	4,039	5,225	14,322	19,273
Deferred income taxes			5,150	(1,738)
Debt extinguishment costs				940
Other			4,444	3,025
Change in operating assets and liabilities:
Accounts receivable, net			(32,956)	(43,252)
Other current assets			(3,912)	3,021
Other assets			530	3,868
Accounts payable and other accrued liabilities			(35,610)	9,230
Accrued salaries and benefits			4,813	11,049
Other liabilities			5,110	149
Net cash provided by continuing operating activities			213,529	288,731
Net cash used in discontinued operating activities				(2,548)
Net cash provided by operating activities			213,529	286,183
Investing activities:
Cash paid for acquisitions, net of cash acquired			(44,900)
Cash paid for capital expenditures			(202,722)	(249,989)
Cash paid for real estate acquisitions			(6,976)	(9,391)
Settlement of foreign currency derivatives			105,008
Other			12,398	(3,114)
Net cash used in investing activities			(137,192)	(262,494)
Financing activities:
Borrowings on revolving credit facility			76,573
Principal payments on revolving credit facility			(76,573)
Principal payments on long-term debt			(24,738)	(31,492)
Common stock withheld for minimum statutory taxes, net			(1,498)	(2,272)
Other			(5,923)	(6,973)
Net cash used in financing activities			(32,159)	(40,737)
Effect of exchange rate changes on cash			(1,788)	(1,314)
Net increase (decrease) in cash and cash equivalents			42,390	(18,362)
Cash and cash equivalents at beginning of the period			50,510	67,290
Cash and cash equivalents at end of the period	92,900	48,928	92,900	48,928
Consolidating Adjustments [Member]
Operating activities:
Net income (loss)	(60,296)	(62,854)	(174,337)	(206,204)
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries	60,296	62,854	174,337	206,204
Change in operating assets and liabilities:
Other assets			(3,847)	(4,596)
Net cash provided by continuing operating activities				(4,596)
Net cash provided by operating activities			(3,847)	(4,596)
Financing activities:
Principal payments on long-term debt			3,847	4,596
Net cash used in financing activities			3,847	4,596
Parent [Member]
Operating activities:
Net income (loss)	42,723	46,279	120,435	156,043
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Equity in earnings of subsidiaries	(60,296)	(62,854)	(174,337)	(206,204)
Amortization of debt issuance costs			8,926	8,065
Equity-based compensation expense			14,322	19,273
Deferred income taxes			(158)	74
Debt extinguishment costs				940
Other			2,606	1,948
Change in operating assets and liabilities:
Other assets			3,847	4,596
Net cash provided by continuing operating activities				(15,265)
Net cash provided by operating activities			(24,359)	(15,265)
Investing activities:
Settlement of foreign currency derivatives			105,008
Net cash used in investing activities			105,008
Financing activities:
Borrowings on revolving credit facility			76,573
Principal payments on revolving credit facility			(76,573)
Principal payments on long-term debt			(24,738)	(31,492)
Common stock withheld for minimum statutory taxes, net			(1,498)	(2,272)
Other			(2,375)	(1,742)
Cash (used in) provided by intercompany activity			(52,038)	50,771
Net cash used in financing activities			(80,649)	15,265
Combined Subsidiary Guarantors [Member]
Operating activities:
Net income (loss)	37,746	49,389	102,733	142,847
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Depreciation and amortization	20,588	18,857	60,210	55,640
Deferred income taxes			4,517	(2,398)
Other			1,643	1,219
Change in operating assets and liabilities:
Accounts receivable, net			(28,918)	(39,644)
Other current assets			(2,845)	7,898
Other assets			(1,136)	3,763
Accounts payable and other accrued liabilities			(29,543)	7,835
Accrued salaries and benefits			2,008	11,100
Other liabilities			16,058	4,548
Net cash provided by continuing operating activities				192,808
Net cash used in discontinued operating activities				(2,548)
Net cash provided by operating activities			124,727	190,260
Investing activities:
Cash paid for acquisitions, net of cash acquired			(44,900)
Cash paid for capital expenditures			(135,242)	(149,402)
Cash paid for real estate acquisitions			(6,976)	(9,391)
Other			7,615	(5,718)
Net cash used in investing activities			(179,503)	(164,511)
Financing activities:
Principal payments on long-term debt				(169)
Other			(1,580)	(2,885)
Cash (used in) provided by intercompany activity			86,951	(37,257)
Net cash used in financing activities			85,371	(40,311)
Net increase (decrease) in cash and cash equivalents			30,595	(14,562)
Cash and cash equivalents at beginning of the period			32,471	46,860
Cash and cash equivalents at end of the period	63,066	32,298	63,066	32,298
Combined Non-Guarantors [Member]
Operating activities:
Net income (loss)	22,550	13,465	71,604	63,357
Adjustments to reconcile net income (loss) to net cash (used in) provided by continuing operating activities:
Depreciation and amortization	20,032	20,802	62,067	63,720
Amortization of debt issuance costs				(302)
Deferred income taxes			791	586
Other			195	(142)
Change in operating assets and liabilities:
Accounts receivable, net			(4,038)	(3,608)
Other current assets			(1,067)	(4,877)
Other assets			1,666	105
Accounts payable and other accrued liabilities			(6,067)	1,395
Accrued salaries and benefits			2,805	(51)
Other liabilities			(10,948)	(4,399)
Net cash provided by continuing operating activities				115,784
Net cash provided by operating activities			117,008	115,784
Investing activities:
Cash paid for capital expenditures			(67,480)	(100,587)
Other			4,783	2,604
Net cash used in investing activities			(62,697)	(97,983)
Financing activities:
Principal payments on long-term debt			(3,847)	(4,427)
Other			(1,968)	(2,346)
Cash (used in) provided by intercompany activity			(34,913)	(13,514)
Net cash used in financing activities			(40,728)	(20,287)
Effect of exchange rate changes on cash			(1,788)	(1,314)
Net increase (decrease) in cash and cash equivalents			11,795	(3,800)
Cash and cash equivalents at beginning of the period			18,039	20,430
Cash and cash equivalents at end of the period	$ 29,834	$ 16,630	$ 29,834	$ 16,630

Property and Equipment - Additional information (Detail) $ in Millions	3 Months Ended
	Sep. 30, 2019 USD ($) Bed	Mar. 31, 2019 Bed	Dec. 31, 2018 USD ($)
Property, Plant and Equipment [Line Items]
Assets held for sale \| $	$ 22.9		$ 17.0
Residential Treatment Centers [Member] \| Albuquerque, New Mexico [Member]
Property, Plant and Equipment [Line Items]
Number of beds in facilities closed		168
Residential Treatment Centers [Member] \| Butte, Montana [Member]
Property, Plant and Equipment [Line Items]
Number of beds in facilities closed	108

Noncontrolling Interests - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2019 Facility
Noncontrolling Interest [Line Items]
Number of facilities operated by non-wholly owned subsidiaries	5
Non-Wholly Owned Subsidiaries [Member] \| Minimum [Member]
Noncontrolling Interest [Line Items]
Equity ownership interests percentage in the facility	60.00%
Non-Wholly Owned Subsidiaries [Member] \| Maximum [Member]
Noncontrolling Interest [Line Items]
Equity ownership interests percentage in the facility	85.00%

Description of Business and Basis of Presentation - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2019 Facility Bed State
Accounting Policies [Abstract]
Number of facilities \| Facility	589
Number of beds \| Bed	18,000
Number of operating states \| State	40

Recently Issued Accounting Standards - Additional Information (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Jan. 01, 2019
Change In Accounting Estimate [Line Items]
Right-of-use assets	$ 524,207
Lease liabilities	$ 557,364
ASU 2016-02 [Member]
Change In Accounting Estimate [Line Items]
Right-of-use assets		$ 500,300
Lease liabilities		$ 526,600

Segment Information - Additional Information (Detail)	9 Months Ended
Segment Information - Additional Information (Detail)	Sep. 30, 2019 Facility Bed State
Segment Reporting Information [Line Items]
Number of facilities \| Facility	589
Number of beds \| Bed	18,000
Number of operating states \| State	40
U.S. Facilities [Member]
Segment Reporting Information [Line Items]
Number of facilities \| Facility	224
Number of beds \| Bed	9,300
Number of operating states \| State	40
U.K. Facilities [Member]
Segment Reporting Information [Line Items]
Number of facilities \| Facility	365
Number of beds \| Bed	8,700

Segment Information - Summary of Financial Information by Operating Segment, Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Assets:
Assets	$ 6,728,125	$ 6,172,504
U.S. Facilities [Member] \| Operating Segment [Member]
Assets:
Assets	4,032,623	3,779,040
U.K. Facilities [Member] \| Operating Segment [Member]
Assets:
Assets	2,472,274	2,175,809
Corporate and Other [Member] \| Corporate Reconciling Items and Eliminations [Member]
Assets:
Assets	$ 223,228	$ 217,655

Financial Information for the Company and Its Subsidiaries - Additional Information (Detail)	Sep. 30, 2019	Dec. 31, 2018	Feb. 16, 2016	Sep. 21, 2015	Feb. 11, 2015	Jul. 01, 2014	Mar. 12, 2013
6.125% Senior Notes Due 2021 [Member]
Line of Credit Facility [Line Items]
Debt instrument interest rate	6.125%	6.125%					6.125%
5.125% Senior Notes Due 2022 [Member]
Line of Credit Facility [Line Items]
Debt instrument interest rate	5.125%	5.125%				5.125%
5.625% Senior Notes Due 2023 [Member]
Line of Credit Facility [Line Items]
Debt instrument interest rate	5.625%	5.625%		5.625%	5.625%
6.500% Senior Notes Due 2024 [Member]
Line of Credit Facility [Line Items]
Debt instrument interest rate	6.50%	6.50%	6.50%