7Baggers

Acadia Healthcare Company, Inc
(NASDAQ:ACHC) 

ACHC stock logo

Acadia Healthcare Company, Inc. develops and operates inpatient psychiatric facilities, residential treatment centers, group homes, substance abuse facilities, and outpatient behavioral healthcare facilities to serve the behavioral health and recovery needs of communities in the United States and Pu...

Founded: 2005
Full Time Employees: 28,400
Sector: Healthcare
Industry: Medical Care Facilities

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Quarterly
Annual
    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 
                                                           
      revenue
    821,459,000 851,573,000 869,232,000 770,505,000 774,238,000 815,634,000 796,040,000 768,051,000 742,800,000 750,334,000 731,337,000 704,267,000 675,295,000 666,732,000 651,719,000 616,653,000 593,480,000 587,559,000 582,156,000 551,199,000 -276,496,000 833,304,000 750,311,000 782,810,000 780,232,000 777,251,000 789,362,000 760,617,000 743,547,000 760,916,000 765,738,000 742,241,000 724,512,000 716,714,000 715,896,000 679,194,000 702,888,000 734,665,000 756,548,000 616,813,000 495,319,000 479,730,000 453,660,000 365,783,000 294,901,000 294,479,000 213,803,000 201,418,000 189,999,000 184,702,000 177,494,000 161,213,000 114,252,000 103,116,000 100,530,000 
      yoy
    6.10% 4.41% 9.19% 0.32% 4.23% 8.70% 8.85% 9.06% 10.00% 12.54% 12.22% 14.21% 13.79% 13.47% 11.95% 11.87% -314.64% -29.49% -22.41% -29.59% -135.44% 7.21% -4.95% 2.92% 4.93% 2.15% 3.09% 2.48% 2.63% 6.17% 6.96% 9.28% 3.08% -2.44% -5.37% 10.11% 41.91% 53.14% 66.77% 68.63% 67.96% 62.91% 112.19% 81.60% 55.21% 59.43% 20.46% 24.94% 66.30% 79.12% 76.56%     
      qoq
    -3.54% -2.03% 12.81% -0.48% -5.08% 2.46% 3.64% 3.40% -1.00% 2.60% 3.84% 4.29% 1.28% 2.30% 5.69% 3.90% 1.01% 0.93% 5.62% -299.35% -133.18% 11.06% -4.15% 0.33% 0.38% -1.53% 3.78% 2.30% -2.28% -0.63% 3.17% 2.45% 1.09% 0.11% 5.40% -3.37% -4.33% -2.89% 22.65% 24.53% 3.25% 5.75% 24.02% 24.04% 0.14% 37.73% 6.15% 6.01% 2.87% 4.06% 10.10% 41.10% 10.80% 2.57%  
      salaries, wages and benefits
    460,846,000 462,169,000 452,417,000 445,271,000 425,597,000 428,147,000 419,757,000 417,523,000 400,370,000 394,150,000 386,633,000 391,177,000 365,702,000 352,582,000 339,388,000 335,762,000 321,120,000 309,118,000 309,233,000 304,333,000 -163,856,000 450,459,000 427,603,000 440,316,000 428,781,000 428,601,000 430,219,000 429,579,000 413,162,000 417,917,000 416,741,000 411,528,000 390,582,000 385,562,000 383,595,000 376,421,000 384,297,000 408,242,000 408,287,000 341,028,000 266,149,000 258,410,000 243,302,000 205,871,000 166,732,000 168,632,000 122,473,000 117,575,000 109,058,000 103,789,000 100,764,000 94,351,000 66,049,000 59,888,000 58,559,000 
      professional fees
    48,329,000 51,478,000 49,961,000 45,707,000 47,470,000 48,498,000 48,050,000 45,688,000 45,545,000 45,540,000 43,803,000 41,125,000 40,295,000 40,367,000 40,440,000 36,911,000 34,824,000 35,602,000 34,696,000 31,617,000 -62,784,000 61,359,000 58,614,000 63,300,000 63,395,000 62,152,000 58,429,000 57,007,000 60,437,000 59,509,000 53,461,000 54,018,000 53,451,000 53,042,000 46,321,000 43,409,000 47,516,000 47,687,000 50,292,000 39,991,000 33,248,000 30,759,000 30,029,000 22,427,000 16,331,000 14,878,000 10,891,000 10,382,000 9,877,000 8,956,000 9,324,000 9,014,000 5,498,000 4,690,000 4,658,000 
      supplies
    30,761,000 30,412,000 28,532,000 28,342,000 28,560,000 29,623,000 27,878,000 26,652,000 26,680,000 27,147,000 26,144,000 26,021,000 25,909,000 25,570,000 25,022,000 23,699,000 23,004,000 23,743,000 22,633,000 21,322,000 -6,061,000 31,207,000 30,124,000 31,971,000 31,400,000 30,790,000 30,914,000 29,957,000 30,356,000 29,461,000 30,133,000 29,364,000 29,439,000 28,652,000 28,639,000 27,709,000 28,976,000 30,555,000 31,209,000 26,685,000 22,233,000 21,634,000 20,542,000 16,254,000 13,700,000 14,062,000 10,596,000 10,064,000 9,552,000 9,806,000 9,613,000 8,598,000 5,348,000 4,831,000 4,872,000 
      rents and leases
    12,020,000 11,736,000 12,610,000 11,656,000 11,720,000 12,389,000 11,889,000 11,863,000 11,672,000 11,731,000 11,725,000 11,424,000 11,682,000 11,339,000 11,192,000 11,249,000 9,829,000 9,658,000 9,620,000 9,412,000 -25,471,000 21,182,000 20,827,000 20,824,000 21,369,000 20,134,000 20,419,000 20,307,000 19,892,000 19,866,000 20,236,000 20,288,000 19,320,000 19,049,000 19,435,000 18,971,000 18,335,000 19,740,000 20,467,000 14,806,000 9,889,000 8,542,000 8,211,000 5,886,000 3,329,000 3,214,000 2,889,000 2,769,000 2,672,000 2,656,000 2,394,000 2,327,000 1,594,000 1,775,000 2,227,000 
      other operating expenses
    176,105,000 128,787,000 134,414,000 114,002,000 117,888,000 112,137,000 109,690,000 101,073,000 98,108,000 104,048,000 95,912,000 90,838,000 93,922,000 88,993,000 84,937,000 81,425,000 79,076,000 76,502,000 73,751,000 72,010,000 -25,950,000 97,093,000 92,600,000 98,529,000 93,916,000 92,975,000 94,677,000 93,865,000 88,521,000 90,464,000 87,282,000 88,231,000 82,666,000 82,328,000 83,122,000 83,711,000 81,606,000 79,748,000 80,955,000 70,247,000 57,847,000 57,244,000 51,128,000 40,527,000 31,466,000 31,432,000 24,646,000 23,110,000 21,148,000 22,345,000 20,096,000 16,983,000 12,009,000 11,380,000 10,407,000 
      depreciation and amortization
    45,754,000 47,468,000 48,995,000 47,032,000 39,541,000 37,641,000 36,066,000 36,347,000 35,380,000 33,388,000 32,012,000 31,569,000 30,142,000 29,573,000 29,128,000 28,926,000 28,368,000 27,805,000 25,650,000 24,894,000 -30,781,000 42,912,000 41,445,000 41,680,000 41,767,000 40,620,000 41,077,000 40,580,000 39,472,000 39,659,000 39,928,000 39,773,000 37,754,000 36,442,000 35,201,000 33,613,000 33,958,000 36,418,000 36,752,000 27,975,000 18,630,000 16,890,000 14,926,000 13,104,000 10,971,000 10,325,000 5,935,000 5,436,000 4,842,000 4,414,000 4,212,000 3,622,000 2,650,000 2,076,000 1,646,000 
      interest expense
    37,925,000 36,619,000 35,138,000 29,182,000 30,071,000 29,924,000 29,159,000 27,214,000 20,474,000 20,742,000 20,910,000 19,999,000 19,405,000 18,003,000 16,565,000 15,787,000 15,573,000 15,706,000 16,687,000 29,027,000 39,041,000 37,553,000 38,726,000 42,785,000 43,710,000 46,644,000 48,610,000 48,130,000 47,704,000 46,651,000 45,812,000 45,243,000 45,230,000 44,515,000 43,505,000 42,757,000 46,010,000 48,843,000 48,758,000 37,714,000 28,810,000 27,737,000 28,049,000 22,146,000 14,716,000 14,068,000 9,730,000 9,707,000 9,578,000 9,465,000 9,445,000 8,762,000 7,583,000 7,433,000 7,471,000 
      debt extinguishment costs
       1,269,000                24,650,000 3,962,000  3,271,000      875,000   940,000   810,000  842,000 3,411,000   839,000 9,979,000          9,350,000    
      legal settlements expense
    147,462,000   3,504,000      394,181,000                                              
      loss on impairment
    1,006,440,000  1,452,000  5,817,000 10,459,000 1,000,000  1,096,000  8,694,000       1,079,000 23,214,000  -15,488,000 20,239,000                                  
      gain on sale of property
      -8,715,000                                                     
      transaction, legal and other costs
    25,214,000 42,919,000 64,425,000 31,072,000 29,566,000 8,249,000 6,091,000 2,847,000                                                
      total expenses
    1,990,856,000 811,588,000 819,229,000 757,037,000 736,230,000 717,067,000 689,580,000 669,207,000 662,835,000 1,037,732,000 634,907,000 618,624,000 587,223,000 569,630,000 542,062,000 537,341,000 497,352,000 502,248,000 517,159,000 521,875,000 -325,780,000 788,577,000 700,381,000 742,954,000 790,480,000 727,691,000 729,557,000 723,746,000 1,084,883,000 705,880,000 696,480,000 694,153,000 663,873,000 655,255,000 649,680,000 630,710,000 660,450,000 850,479,000 682,696,000 584,334,000 442,801,000 438,055,000 404,305,000 344,578,000 260,061,000 261,323,000 176,441,000 180,622,000 170,064,000 162,415,000 157,203,000 154,481,000 106,746,000 92,805,000 90,510,000 
      income before income taxes
    -1,169,397,000 39,985,000 50,003,000 13,468,000 38,008,000 98,567,000 106,460,000 98,844,000 -26,331,250 -287,398,000 96,430,000 85,643,000         33,628,250 44,727,000 49,930,000 39,856,000 -10,248,000 49,560,000 59,805,000 36,871,000 -341,336,000 55,036,000 69,258,000 48,088,000 44,039,750 61,459,000 66,216,000 48,484,000                    
      provision for income taxes
    7,843,000 1,668,000 12,067,000 4,404,000 4,479,000 27,199,000 25,643,000 20,074,000 20,208,000 -71,873,000 22,881,000 19,085,000 24,927,000 24,056,000 27,725,000 17,402,000 24,609,000 17,411,000 19,333,000 6,204,000   8,216,000 5,789,000        -2,786,000                        
      net income
    -1,177,240,000 38,317,000 37,936,000 9,064,000 33,529,000 71,368,000 80,817,000 78,770,000 59,757,000 -215,525,000 73,549,000 66,558,000 63,145,000 73,046,000 81,932,000 61,910,000 71,519,000 67,900,000 45,664,000 10,479,000 -782,541,000 37,561,000 41,714,000 34,067,000 -10,313,000 42,723,000 48,201,000 29,511,000 -331,529,000 46,279,000 58,890,000 50,874,000 69,689,000 45,489,000 49,638,000 34,773,000 41,426,000 -118,210,000 55,591,000 25,369,000 33,952,000 29,086,000 33,844,000 14,594,000 22,129,000 25,402,000 22,451,000 13,058,000 12,280,000 14,364,000 12,197,000 3,738,000 4,365,000 6,450,000 5,909,000 
      yoy
    -3611.11% -46.31% -53.06% -88.49% -43.89% -133.11% 9.88% 18.35% -5.37% -395.05% -10.23% 7.51% -11.71% 7.58% 79.42% 490.80% -109.14% 80.77% 9.47% -69.24% 7487.91% -12.08% -13.46% 15.44% -96.89% -7.68% -18.15% -41.99% -575.73% 1.74% 18.64% 46.30% 68.23% -138.48% -10.71% 37.07% 22.01% -506.42% 64.26% 73.83% 53.43% 14.50% 50.75% 11.76% 80.20% 76.84% 84.07% 249.33% 181.33% 122.70% 106.41%     
      qoq
    -3172.37% 1.00% 318.53% -72.97% -53.02% -11.69% 2.60% 31.82% -127.73% -393.04% 10.50% 5.41% -13.55% -10.85% 32.34% -13.44% 5.33% 48.69% 335.77% -101.34% -2183.39% -9.96% 22.45% -430.33% -124.14% -11.36% 63.33% -108.90% -816.37% -21.41% 15.76% -27.00% 53.20% -8.36% 42.75% -16.06% -135.04% -312.64% 119.13% -25.28% 16.73% -14.06% 131.90% -34.05% -12.88% 13.14% 71.93% 6.34% -14.51% 17.77% 226.30% -14.36% -32.33% 9.16%  
      net income margin %
    -143.31% 4.50% 4.36% 1.18% 4.33% 8.75% 10.15% 10.26% 8.04% -28.72% 10.06% 9.45% 9.35% 10.96% 12.57% 10.04% 12.05% 11.56% 7.84% 1.90% 283.02% 4.51% 5.56% 4.35% -1.32% 5.50% 6.11% 3.88% -44.59% 6.08% 7.69% 6.85% 9.62% 6.35% 6.93% 5.12% 5.89% -16.09% 7.35% 4.11% 6.85% 6.06% 7.46% 3.99% 7.50% 8.63% 10.50% 6.48% 6.46% 7.78% 6.87% 2.32% 3.82% 6.26% 5.88% 
      net income attributable to noncontrolling interests
    -279,000 -2,071,000 -7,809,000 -690,000 -914,000 -3,236,000 -2,335,000 -2,387,000 -2,028,000 -2,185,000 -1,250,000 -543,000 -2,021,000 -1,947,000 -1,853,000 -1,073,000 -1,241,000 -1,774,000 -1,150,000 -762,000 -1,131,000 -563,000 -635,000 -604,000 -64,500 -157,000 -61,000 -40,000     -60,000 129,000  185,000 392,000 402,000 854,000 319,000 614,000 464,000              
      net income attributable to acadia healthcare company, inc.
    -1,177,519,000 36,246,000 30,127,000 8,374,000 32,615,000 68,132,000 78,482,000 76,383,000 57,729,000 -217,710,000 72,299,000 66,015,000 61,124,000 71,099,000 80,079,000 60,837,000 70,278,000 66,126,000 44,514,000 9,717,000 -783,672,000 36,998,000 41,079,000 33,463,000 -11,254,000 42,566,000 48,140,000 29,471,000 -331,637,000 46,232,000 58,836,000 50,819,000 69,629,000 45,618,000 49,630,000 34,958,000 41,818,000 -117,808,000 56,445,000 25,688,000 34,566,000 29,550,000              
      earnings per share attributable to acadia healthcare company, inc. stockholders:
                                                           
      basic
    -12.98 0.4 0.33 0.09 0.35 0.74 0.86 0.84 -0.218 -2.39 0.79 0.73         0.318 0.42 0.47 0.38 -0.13 0.49 0.55 0.34 -3.8 0.53 0.67 0.58    0.4                    
      diluted
    -12.98 0.4 0.33 0.09 0.36 0.74 0.85 0.83 -0.218 -2.39 0.79 0.72         0.315 0.42 0.46 0.38 -0.13 0.48 0.55 0.34 -3.79 0.53 0.67 0.58    0.4                    
      weighted-average shares outstanding:
                                                           
      basic
    90,705 90,414 90,328 91,654 91,621 91,720 91,628 91,363 90,949 91,168 91,044 90,101 89,680 89,833 89,724 89,258 88,769 88,962 88,842 88,242 87,875 87,911 87,872 87,765 87,612 87,649 87,618 87,505 87,288 87,344 87,303 87,121 86,948,000 87,017,000 86,954,000 86,762 85,701,000 86,618,000 86,553,000 82,943,000 68,085,000 70,664,000 68,296 62,530 55,063 59,175 51,616 50,120 50,004 50,040 50,009 49,911 38,477 41,757 36,507 
      diluted
    90,705 90,584 90,435 92,038 92,059 92,188 92,043 92,010 90,949 91,168 91,546 91,391 91,555 91,723 91,473 91,012 90,793 90,889 90,590 89,941 88,595 88,856 88,608 87,971 87,816 87,859 87,837 87,694 87,288 87,537 87,467 87,294 87,060,000 87,172,000 87,080,000 86,908 85,972,000 86,618,000 86,876,000 83,420,000 68,391,000 71,110,000 68,735 62,894 55,327 59,409 51,819 50,486 50,261 50,343 50,282 50,250 38,696 41,991 36,695 
      income from provider relief fund
            -1,977,000 -4,442,000   -5,245,000 -7,656,000 -8,550,000                                         
      transaction-related expenses
            6,698,000 11,247,000 9,074,000 6,471,000 5,411,000 10,859,000 3,940,000 3,582,000 3,458,000 3,035,000 1,675,000 4,610,000 -5,573,000 8,503,000 5,241,000 3,549,000 11,756,000 5,775,000 5,212,000 4,321,000 24,499,000 2,353,000 2,887,000 4,768,000 5,431,000 5,665,000 9,052,000 4,119,000 14,840,000 1,111,000 6,074,000 26,298,000 5,156,000 5,842,000 7,157,000 18,416,000 2,816,000 6,239,000 3,016,000 1,579,000 3,337,000 984,000 1,355,000 1,474,000 6,015,000 732,000 670,000 
      income from continuing operations before income taxes
                88,072,000 97,102,000 109,657,000 79,312,000 96,128,000 85,311,000 64,997,000 29,324,000                 42,438,000 -115,814,000 73,852,000 32,479,000 52,518,000 41,675,000 49,355,000 21,205,000 34,840,000 33,156,000 37,362,000 20,796,000 19,935,000 22,287,000 20,291,000 6,732,000 7,506,000 10,311,000 10,020,000 
      income from continuing operations
                63,145,000 73,046,000 81,932,000 61,910,000 71,519,000 67,900,000 45,664,000 23,120,000                 41,426,000 -118,210,000 55,591,000 25,369,000 33,924,000 29,006,000 33,843,000 14,592,000 22,301,000 25,453,000 22,457,000 13,021,000 12,399,000 14,546,000 12,271,000 4,054,000 4,488,000 6,588,000 6,101,000 
      loss from discontinued operations, net of taxes
                                                           
      basic earnings per share attributable to acadia healthcare company, inc. stockholders:
                                                           
      income from continuing operations attributable to acadia healthcare company, inc.
                0.68 0.79 0.89 0.68 0.79 0.74 0.5 0.25                                    
      loss from discontinued operations
                                                           
      diluted earnings per share attributable to acadia healthcare company, inc. stockholders:
                                                           
      other income
                         18,070,000 -18,070,000                                 
      income from discontinued operations, net of taxes
                       -12,641,000                                    
      income from discontinued operations
                       -0.14                             -0.01   -0.01  -0.01 -0.01 
      benefit from income taxes
                        5,292,750 7,166,000   65,000 6,837,000 11,604,000 7,360,000 -9,807,000 8,757,000 10,368,000  -9,050,000 15,970,000 16,578,000 13,711,000 1,012,000 2,396,000 18,261,000 7,110,000 18,594,000 12,669,000 15,512,000 6,613,000 12,539,000 7,703,000 14,905,000 7,775,000 7,536,000 7,741,000 8,020,000 2,678,000 3,018,000 3,723,000 3,919,000 
      revenue before benefit from doubtful accounts
                                743,547,000 760,916,000 765,738,000  733,538,000 728,712,000 725,643,000 689,341,000 713,784,000 744,802,000 767,054,000 627,183,000 504,917,000 488,746,000 461,798,000 374,158,000 301,000,000 303,001,000 220,664,000 206,119,000 195,879,000 190,574,000 182,951,000 165,705,000 115,212,000 104,618,000 102,752,000 
      benefit from doubtful accounts
                                    -9,026,000 -11,998,000 -9,747,000 -10,147,000 -10,896,000 -10,137,000 -10,506,000 -10,370,000 -9,598,000 -9,016,000 -8,138,000 -8,375,000 -6,099,000 -8,522,000 -6,861,000 -4,701,000 -5,880,000 -5,872,000 -5,457,000 -4,492,000 -960,000 -1,502,000 -2,222,000 
      net (income) loss attributable to noncontrolling interests
                                -108,000 -47,000 -54,000    -8,000                     
      revenue before provision for doubtful accounts
                                   742,241,000                        
      provision for doubtful accounts
                                                           
      net loss attributable to noncontrolling interests
                                   -55,000                        
      loss on divestiture
                                        4,070,000 174,739,000                  
      gain on foreign currency derivatives
                                           -410,000  1,018,000 961,000 -53,000  -1,527,000 -13,735,000         
      earnings attributable to acadia healthcare company, inc. stockholders:
                                                           
      basic
                                    375 520 570                     
      diluted
                                    375 520 570                     
      (gain) loss on foreign currency derivatives
                                         -15,000 -98,000                 
      income from discontinued operations, net of income taxes
                                            28,000 80,000 1,000 2,000 -172,000 -51,000 -6,000 37,000 -119,000 -182,000 -74,000 -316,000 -123,000 -138,000 -192,000 
      basic earnings attributable to acadia healthcare company, inc. stockholders:
                                                           
      diluted earnings attributable to acadia healthcare company, inc. stockholders:
                                                           
      basic earnings per share:
                                                           
      diluted earnings per share:
                                                           
      sponsor management fees
                                                           
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 
                                                              
        assets
                                                              
        current assets:
                                                              
        cash and cash equivalents
      118,693,000 131,421,000 91,236,000 76,305,000 82,145,000 77,167,000 77,303,000 100,073,000 99,591,000 112,173,000 63,829,000 97,649,000 93,419,000 128,368,000 140,367,000 133,813,000 196,313,000 185,546,000 178,915,000 378,697,000 338,702,000 211,939,000 81,004,000 124,192,000 92,900,000 43,541,000 43,684,000 50,510,000 48,928,000 79,463,000 57,808,000 67,290,000 75,661,000 79,434,000 43,087,000 57,063,000 27,751,000 30,716,000 36,582,000 11,215,000 50,762,000 34,572,000 38,032,000 42,179,000 277,744,000 7,243,000 4,569,000 4,034,000 7,399,000 99,775,000 49,399,000 11,719,000 120,176,000 840,000 61,118,000 1,254,000 
        accounts receivable
      430,838,000 408,540,000 396,632,000 365,339,000 383,945,000 389,374,000 386,191,000 361,451,000 362,666,000 345,836,000 346,407,000 322,439,000 315,999,000 300,313,000 299,022,000 281,332,000 282,161,000 286,522,000 276,041,000 273,551,000 333,231,000 325,507,000 339,505,000 339,775,000 350,225,000 346,489,000 331,851,000 318,087,000 345,659,000 329,256,000 325,148,000 296,925,000 295,756,000 288,106,000 276,089,000 263,327,000 277,568,000 285,132,000 276,880,000 216,626,000 214,883,000 182,315,000 172,938,000 130,253,000 110,904,000 104,585,000 95,885,000 93,311,000 85,872,000 78,780,000 63,870,000 54,777,000 45,658,000 43,802,000 35,127,000 25,469,000 
        other current assets
      198,425,000 151,599,000 151,082,000 135,848,000 185,972,000 178,673,000 147,312,000 134,476,000 241,218,000 120,748,000 127,554,000 86,037,000 112,238,000 89,351,000 90,710,000 79,886,000 88,685,000 103,558,000 73,269,000 61,332,000 84,477,000 73,495,000 82,443,000 78,244,000 93,788,000 81,464,000 76,979,000 81,820,000 96,146,000 80,503,000 120,937,000 107,335,000 92,407,000 91,972,000 104,837,000 107,537,000 87,628,000 76,519,000 79,803,000 66,895,000 75,335,000 70,325,000 77,596,000 37,626,000 48,192,000 28,180,000 28,969,000 32,516,000 19,988,000 21,164,000 16,332,000 15,305,000 12,882,000 11,897,000 10,121,000 9,634,000 
        total current assets
      747,956,000 691,560,000 638,950,000 577,492,000 652,062,000 645,214,000 610,806,000 596,000,000 703,475,000 578,757,000 537,790,000 506,125,000 521,656,000 518,032,000 530,099,000 495,031,000 567,159,000 575,626,000 528,225,000 2,523,395,000 756,410,000 610,941,000 502,952,000 542,211,000 536,913,000 471,494,000 452,514,000 450,417,000 490,733,000 489,222,000 503,893,000 471,550,000 463,824,000 459,512,000 424,013,000 427,927,000 392,947,000 392,367,000 393,265,000 294,736,000 378,271,000 325,905,000 325,378,000 229,840,000 449,596,000 157,037,000 145,126,000 142,880,000 127,089,000 212,292,000 140,981,000 87,031,000 184,132,000 62,222,000 112,605,000 36,357,000 
        property and equipment
      3,091,502,000 3,063,523,000 2,955,952,000 2,853,193,000 2,679,807,000 2,497,856,000 2,376,059,000 2,266,610,000 2,145,599,000 2,074,142,000 1,998,037,000 1,952,045,000 1,908,993,000 1,857,295,000 1,795,791,000 1,771,159,000 1,665,025,000 1,651,274,000 1,654,732,000 1,622,896,000 3,253,720,000 3,160,784,000 3,151,739,000 3,224,034,000 3,131,419,000 3,164,076,000 3,173,052,000 3,107,766,000 3,126,642,000 3,103,331,000 3,151,529,000 3,048,130,000 2,966,215,000 2,866,086,000 2,749,538,000 2,703,695,000 2,786,646,000 3,274,540,000 3,337,765,000 1,709,053,000 1,624,166,000 1,455,390,000 1,229,677,000 1,026,378,000 419,386,000 403,366,000 370,109,000 329,735,000 312,147,000 268,531,000 236,942,000 155,188,000 112,841,000 98,290,000 82,972,000 57,783,000 
        goodwill
      2,286,434,000 2,276,232,000 2,276,368,000 2,264,851,000 2,264,851,000 2,261,395,000 2,261,026,000 2,225,962,000 2,225,962,000 2,222,805,000 2,222,805,000 2,222,805,000 2,207,912,000 2,205,307,000 2,200,659,000 2,199,937,000 2,103,503,000 2,103,503,000 2,105,264,000 2,105,264,000 2,460,722,000 2,425,372,000 2,426,700,000 2,449,131,000 2,424,241,000 2,435,025,000 2,441,999,000 2,396,412,000 2,729,941,000 2,739,303,000 2,779,401,000 2,751,174,000 2,730,362,000 2,710,333,000 2,683,787,000 2,681,188,000 2,702,009,000 2,832,201,000 2,771,365,000 2,128,215,000 1,981,140,000 1,946,028,000 1,904,055,000 804,647,000 665,695,000 665,421,000 661,549,000 647,010,000 630,749,000 565,586,000 557,402,000 334,622,000 262,325,000 261,421,000 186,815,000 147,081,000 
        intangible assets
      85,176,000 79,468,000 78,825,000 70,003,000 73,139,000 73,348,000 73,352,000 73,278,000 73,811,000 71,607,000 76,247,000 76,041,000 75,920,000 70,214,000 70,319,000 70,145,000 69,366,000 68,463,000 68,627,000 68,535,000 90,023,000 89,047,000 89,052,000 90,357,000 89,028,000 89,613,000 89,796,000 88,990,000 91,259,000 91,566,000 91,036,000 87,348,000 86,951,000 84,982,000 83,718,000 83,310,000 84,385,000 84,996,000 102,593,000 59,575,000 58,976,000 58,514,000 58,508,000 21,621,000 20,852,000 20,730,000 20,568,000 19,183,000 18,838,000 16,247,000 15,988,000 12,534,000 9,186,000 9,381,000 8,232,000 18,887,000 
        deferred tax assets
      27,795,000 25,383,000 23,179,000 20,964,000 2,706,000 2,741,000 2,777,000 6,658,000 2,850,000 2,885,000 2,918,000 2,950,000 2,983,000 3,015,000 3,047,000 3,080,000 3,112,000 3,145,000 3,177,000 3,209,000 3,242,000 3,274,000 3,307,000 3,339,000 3,371,000 3,404,000 3,436,000 3,468,000 3,630,000 3,664,000 3,698,000          37,291,000 38,693,000 36,812,000 19,782,000 12,756,000 17,029,000 15,703,000 13,019,000 13,830,000 12,573,000 11,380,000 5,230,000     
        operating lease right-of-use assets
      114,248,000 112,743,000 120,701,000 118,369,000 122,771,000 123,273,000 121,346,000 117,780,000 122,090,000 127,515,000 133,278,000 135,238,000 135,627,000 137,495,000 139,264,000 133,761,000 103,162,000 101,691,000 96,205,000 96,937,000 464,596,000 475,262,000 476,028,000 501,837,000 479,881,000 491,551,000 506,787,000                              
        other assets
      59,630,000 59,450,000 53,623,000 52,043,000 75,121,000 74,225,000 71,881,000 72,553,000 72,431,000 72,497,000 73,181,000 92,697,000 90,014,000 91,281,000 95,460,000 94,965,000 83,400,000 60,299,000 70,685,000 79,126,000 76,432,000 68,548,000 68,217,000 68,233,000 63,272,000 62,290,000 71,629,000 64,927,000 54,295,000 51,072,000 55,172,000 49,572,000 65,369,000 59,637,000 61,727,000 51,317,000 40,814,000 42,007,000 49,618,000 38,515,000 69,408,000 106,582,000 69,033,000 42,049,000 32,796,000 32,066,000 27,307,000 24,178,000 25,349,000 22,521,000 32,100,000 14,383,000 15,994,000 16,922,000 16,366,000 9,501,000 
        total assets
      6,412,741,000 6,308,359,000 6,147,598,000 5,956,915,000 5,870,457,000 5,678,052,000 5,517,247,000 5,358,841,000 5,346,218,000 5,150,208,000 5,044,256,000 4,987,901,000 4,943,105,000 4,882,639,000 4,834,639,000 4,768,078,000 4,594,727,000 4,564,001,000 4,526,915,000 6,499,362,000 7,105,145,000 6,833,228,000 6,717,995,000 6,879,142,000 6,728,125,000 6,790,418,000 6,785,517,000 6,172,504,000 6,529,584,000 6,503,147,000 6,584,729,000 6,424,502,000 6,342,586,000 6,228,022,000 6,065,790,000 6,024,726,000 6,452,978,000 6,684,499,000 6,696,359,000 4,279,208,000 4,145,239,000 3,926,385,000 3,627,145,000 2,140,468,000 1,592,552,000 1,282,945,000 1,224,659,000 1,162,986,000 1,114,172,000 1,085,177,000 983,413,000 603,758,000 586,453,000 453,252,000 412,996,000 269,609,000 
        liabilities and equity
                                                              
        current liabilities:
                                                              
        current portion of long-term debt
      24,375,000 20,313,000 16,250,000 76,816,000 71,694,000 66,574,000 61,452,000 29,219,000 26,563,000 23,906,000 21,250,000 21,250,000 21,250,000 21,250,000 21,250,000 18,594,000 15,938,000 13,281,000 11,911,000 153,478,000 50,858,000 48,465,000 196,072,000 43,679,000 41,287,000 38,895,000 36,503,000 34,112,000 33,264,000 33,264,000 33,830,000 34,830,000 34,805,000 34,805,000 34,805,000 34,805,000 77,598,000 73,410,000 69,223,000 45,360,000 41,996,000 38,652,000 35,309,000 13,320,000 11,445,000 9,570,000 15,195,000 13,305,000 13,305,000 9,555,000 7,680,000 12,000,000 10,000,000 8,000,000 6,750,000 6,750,000 
        accounts payable
      179,939,000 219,824,000 204,012,000 232,704,000 201,379,000 159,520,000 156,130,000 156,132,000 149,874,000 148,896,000 125,729,000 104,723,000 116,045,000 111,479,000 104,209,000 98,575,000 85,924,000 87,223,000 91,505,000 87,815,000 130,395,000 118,799,000 134,693,000 127,045,000 131,472,000 115,651,000 116,666,000 117,740,000 133,914,000 130,228,000 122,430,000 102,299,000 95,105,000 81,399,000 92,673,000 80,034,000 92,819,000 108,211,000 118,210,000 91,341,000 78,384,000 58,714,000 64,918,000 43,260,000 31,515,000 28,405,000 36,026,000 26,449,000 28,072,000 20,116,000 19,081,000 13,323,000 7,870,000 8,074,000 8,642,000 10,984,000 
        accrued salaries and benefits
      166,417,000 155,720,000 140,125,000 155,426,000 141,470,000 134,503,000 118,005,000 141,901,000 122,264,000 111,409,000 94,912,000 125,298,000 109,654,000 140,528,000 138,092,000 137,845,000 124,164,000 133,590,000 127,827,000 124,912,000 138,476,000 119,939,000 114,790,000 122,552,000 117,683,000 110,445,000 108,546,000 113,299,000 109,151,000 102,840,000 104,908,000 99,047,000 99,893,000 97,819,000 102,333,000 105,068,000 105,308,000 113,392,000 112,714,000 80,696,000 87,110,000 77,545,000 68,711,000 56,213,000 39,445,000 32,257,000 37,721,000 32,284,000 28,131,000 23,647,000 28,749,000 19,125,000 18,051,000 16,542,000 16,195,000 12,276,000 
        current portion of operating lease liabilities
      21,479,000 22,591,000 24,816,000 25,462,000 27,175,000 27,010,000 26,815,000 26,268,000 26,242,000 26,422,000 26,415,000 26,463,000 25,770,000 25,178,000 25,170,000 23,348,000 20,062,000 19,254,000 18,696,000 18,916,000 30,433,000 30,038,000 29,671,000 29,140,000 28,010,000 27,578,000 27,984,000                              
        other accrued liabilities
      125,713,000 105,264,000 88,148,000 87,511,000 167,782,000 158,915,000 119,911,000 532,261,000 539,947,000 121,849,000 109,823,000 110,592,000 128,294,000 143,218,000 122,030,000 126,499,000 157,204,000 171,867,000 161,040,000 178,453,000 251,177,000 210,123,000 104,358,000 141,160,000 139,754,000 138,119,000 134,972,000 151,226,000 114,414,000 127,786,000 128,473,000 141,213,000 111,403,000 132,944,000 106,046,000 122,958,000 104,513,000 124,788,000 108,663,000 72,806,000 56,962,000 68,197,000 61,722,000 29,747,000 20,260,000 27,673,000 25,748,000 29,235,000 17,171,000 17,452,000 16,341,000 13,374,000 8,384,000 14,110,000 9,081,000 6,394,000 
        total current liabilities
      517,923,000 523,712,000 473,351,000 577,919,000 609,500,000 546,522,000 482,313,000 885,781,000 864,890,000 432,482,000 378,129,000 388,326,000 401,013,000 441,653,000 410,751,000 404,861,000 403,292,000 425,215,000 410,979,000 1,308,185,000 601,339,000 527,364,000 579,584,000 463,576,000 458,206,000 430,688,000 424,671,000 416,377,000 390,743,000 394,118,000 389,641,000 377,389,000 341,206,000 346,967,000 335,857,000 342,865,000 380,238,000 419,801,000 408,810,000 290,203,000 264,452,000 243,108,000 230,660,000 142,540,000 102,665,000 97,905,000 114,690,000 101,273,000 86,679,000 70,770,000 71,851,000 57,822,000 44,305,000 46,726,000 40,668,000 36,404,000 
        long-term debt
      2,284,773,000 2,247,027,000 2,184,293,000 1,880,093,000 1,804,825,000 1,774,556,000 1,794,296,000 1,342,548,000 1,349,954,000 1,372,362,000 1,399,778,000 1,364,541,000 1,379,306,000 1,384,073,000 1,463,848,000 1,478,626,000 1,413,407,000 1,443,192,000 1,484,212,000 2,968,948,000 3,067,243,000 3,078,445,000 2,944,820,000 3,105,420,000 3,133,635,000 3,206,868,000 3,221,709,000 3,159,375,000 3,181,962,000 3,187,788,000 3,208,088,000 3,205,058,000 3,234,146,000 3,240,473,000 3,246,577,000 3,253,004,000 3,583,879,000 3,578,383,000 3,497,569,000 2,195,384,000 2,092,317,000 1,914,555,000 2,018,681,000 1,016,002,000 555,812,000 653,626,000 601,941,000 571,955,000 556,276,000 560,098,000 465,638,000 284,632,000 288,573,000 299,514,000 270,709,000 131,375,000 
        deferred tax liabilities
      94,086,000 79,612,000 80,540,000 83,946,000 54,112,000 37,031,000 15,527,000 1,931,000 70,450,000 92,870,000 92,767,000 92,588,000 94,446,000 82,278,000 77,604,000 74,368,000 73,673,000 73,144,000 68,678,000 50,017,000 104,351,000 90,688,000 85,405,000 71,860,000 63,154,000 83,096,000 76,922,000 80,372,000 82,269,000 78,340,000 76,930,000                          
        operating lease liabilities
      95,464,000 94,687,000 101,314,000 101,828,000 105,437,000 104,706,000 103,352,000 100,808,000 104,873,000 110,869,000 114,592,000 116,429,000 117,473,000 119,183,000 120,560,000 116,841,000 89,952,000 89,107,000 83,731,000 84,029,000 477,355,000 474,218,000 474,746,000 502,252,000 478,894,000 490,903,000 504,753,000                              
        other liabilities
      130,565,000 139,792,000 134,122,000 122,298,000 150,544,000 150,641,000 146,404,000 140,113,000 145,907,000 130,026,000 128,933,000 125,033,000 118,923,000 116,935,000 117,062,000 110,505,000 117,883,000 118,363,000 124,616,000 133,412,000 153,812,000 116,553,000 126,767,000 128,587,000 125,285,000 124,310,000 122,188,000 154,267,000 165,663,000 160,809,000 168,633,000 166,434,000 179,329,000 171,678,000 165,995,000 164,859,000 147,150,000 151,628,000 124,492,000 78,602,000 87,008,000 82,218,000 81,382,000 30,579,000 20,959,000 19,865,000 19,347,000 18,246,000 18,110,000 13,628,000 12,376,000 6,574,000 7,231,000 6,332,000 5,254,000 24,844,000 
        total liabilities
      3,122,811,000 3,084,830,000 2,973,620,000 2,766,084,000 2,724,418,000 2,613,456,000 2,541,892,000 2,471,181,000 2,536,074,000 2,138,609,000 2,114,199,000 2,086,917,000 2,111,161,000 2,144,122,000 2,189,825,000 2,185,201,000 2,098,207,000 2,149,021,000 2,172,216,000 4,544,591,000 4,443,959,000 4,295,951,000 4,220,337,000 4,340,610,000 4,275,070,000 4,335,865,000 4,350,243,000 3,810,391,000 3,820,637,000 3,821,055,000 3,858,452,000 3,829,214,000 3,836,353,000 3,833,585,000 3,812,287,000 3,839,248,000 4,192,710,000 4,235,338,000 4,125,753,000 2,588,125,000 2,465,987,000 2,260,081,000 2,377,358,000 1,253,892,000 697,330,000 786,795,000 743,949,000 696,453,000 663,332,000 648,318,000 550,863,000 350,195,000 340,109,000 352,572,000 316,631,000 192,623,000 
        redeemable noncontrolling interests
      169,633,000 145,543,000 132,420,000 117,116,000 114,521,000 111,878,000 109,333,000 105,686,000 97,582,000 90,583,000 90,455,000 88,257,000 88,236,000 75,475,000 70,304,000 65,388,000 62,074,000 58,394,000 56,700,000 55,315,000 54,547,000 33,939,000 33,491,000 33,151,000 32,364,000 32,207,000 31,931,000 28,806,000 28,698,000 28,791,000 24,658,000 22,417,000 18,648,000 17,577,000 17,570,000 17,754,000 18,147,000 12,881,000 7,736,000 8,055,000 8,700,000                
        equity:
                                                              
        preferred stock, 0.01 par value...
                                                              
        common stock, 0.01 par value...
      904,000 904,000 904,000 918,000 918,000 917,000 916,000 913,000 912,000 911,000 910,000 899,000 899,000 898,000 897,000 890,000 890,000 889,000 887,000 880,000 879,000 879,000 878,000 877,000 877,000 876,000 876,000 874,000 874,000 873,000 873,000 871,000 870,000 870,000 869,000 867,000 866,000 865,000 865,000 707,000 707,000 706,000 654,000 592,000 592,000 502,000 501,000 500,000 500,000 500,000 499,000 418,000 417,000 321,000 321,000 176,000 
        additional paid-in capital
      2,707,719,000 2,701,663,000 2,692,203,000 2,685,464,000 2,675,882,000 2,665,215,000 2,657,002,000 2,649,340,000 2,637,658,000 2,628,403,000 2,619,289,000 2,658,440,000 2,650,545,000 2,640,979,000 2,632,527,000 2,636,350,000 2,623,585,000 2,611,852,000 2,597,781,000 2,580,327,000 2,572,587,000 2,567,050,000 2,561,218,000 2,557,642,000 2,554,808,000 2,550,653,000 2,546,759,000 2,541,987,000 2,535,377,000 2,530,083,000 2,522,745,000 2,517,545,000 2,512,951,000 2,508,064,000 2,499,760,000 2,496,288,000 2,488,803,000 2,481,897,000 2,475,383,000 1,572,972,000 1,574,708,000 1,567,304,000 1,230,856,000 843,528,000 840,719,000 464,188,000 461,807,000 459,911,000 458,582,000 456,798,000 456,228,000 281,687,000 280,919,000 141,260,000 140,624,000 105,481,000 
        retained earnings
      411,674,000 375,419,000 348,451,000 387,333,000 354,718,000 286,586,000 208,104,000 131,721,000 73,992,000 291,702,000 219,403,000 153,388,000 92,264,000 21,165,000       473,286,000 436,288,000 395,209,000 361,746,000 373,000,000 330,434,000 282,294,000 252,823,000 584,460,000 538,228,000 479,392,000 428,573,000 358,944,000 313,326,000 263,696,000 220,139,000 178,321,000 296,129,000 239,684,000 213,996,000 179,430,000 149,880,000 116,036,000 79,313,000 53,911,000 31,460,000 18,402,000 6,122,000         
        total equity
      3,120,297,000 3,077,986,000 3,041,558,000 3,073,715,000 3,031,518,000 2,952,718,000 2,866,022,000 2,781,974,000 2,712,562,000 2,921,016,000 2,839,602,000 2,812,727,000 2,743,708,000 2,663,042,000 2,574,510,000 2,517,489,000 2,434,446,000 2,356,586,000 2,297,999,000 1,899,456,000 2,606,639,000 2,503,338,000 2,464,167,000 2,505,381,000 2,420,691,000 2,422,346,000 2,403,343,000 2,333,307,000 2,680,249,000 2,653,301,000 2,701,619,000 2,572,871,000 2,487,585,000 2,376,860,000 2,235,933,000 2,167,724,000 2,242,121,000 2,436,280,000 2,562,870,000 1,683,028,000 1,670,552,000 1,666,304,000 1,249,787,000 886,576,000 895,222,000 496,150,000 480,710,000 466,533,000 450,840,000 436,859,000 432,550,000 253,563,000 246,344,000 100,680,000 96,365,000 76,986,000 
        total liabilities and equity
      6,412,741,000 6,308,359,000 6,147,598,000 5,956,915,000 5,870,457,000 5,678,052,000 5,517,247,000 5,358,841,000 5,346,218,000 5,150,208,000 5,044,256,000 4,987,901,000 4,943,105,000 4,882,639,000 4,834,639,000 4,768,078,000 4,594,727,000 4,564,001,000 4,526,915,000 6,499,362,000 7,105,145,000 6,833,228,000 6,717,995,000 6,879,142,000 6,728,125,000 6,790,418,000 6,785,517,000 6,172,504,000 6,529,584,000 6,503,147,000 6,584,729,000 6,424,502,000 6,342,586,000 6,228,022,000 6,065,790,000 6,024,726,000 6,452,978,000 6,684,499,000 6,696,359,000 4,279,208,000 4,145,239,000 3,926,385,000 3,627,145,000 2,140,468,000 1,592,552,000 1,282,945,000 1,224,659,000 1,162,986,000 1,114,172,000 1,085,177,000 983,413,000 603,758,000 586,453,000 453,252,000 412,996,000 269,609,000 
        accumulated deficit
                    -58,914,000 -119,751,000 -190,029,000 -256,155,000 -300,669,000                              -8,242,000 -20,439,000 -24,177,000 -28,542,000 -34,992,000 -40,901,000 -44,580,000 -28,671,000 
        current assets held for sale
                         1,809,815,000                                     
        derivative instrument liabilities
                         84,584,000 39,859,000 8,683,000 9,015,000 68,915,000       15,160,000                          
        current liabilities held for sale
                         660,027,000                                     
        accumulated other comprehensive loss
                         -371,365,000 -440,113,000 -500,879,000 -493,138,000 -414,884,000 -507,994,000 -459,617,000 -426,586,000 -462,377,000 -440,462,000 -415,883,000 -301,391,000 -374,118,000 -385,180,000 -445,400,000 -528,392,000 -549,570,000 -425,869,000 -342,611,000 -153,062,000 -104,647,000 -84,293,000 -51,586,000 -97,759,000 -36,857,000             
        noncurrent assets held for sale
                                                              
        noncurrent derivative instrument liabilities
                                                              
        noncurrent liabilities held for sale
                                                              
        (accumulated deficit) retained earnings
                         -310,386,000                                     
        derivative instrument assets
                               72,965,000 46,304,000 60,524,000 33,084,000 24,989,000                           
        derivative instrument liabilites
                              15,896,000                                
        property and equipment:
                                                              
        land
                                 430,771,000    450,342,000    411,331,000    214,138,000       58,947,000    39,130,000    14,115,000  
        building and improvements
                                 2,423,594,000    2,370,918,000    2,031,819,000    1,277,800,000       259,523,000    171,769,000    53,514,000  
        equipment
                                 444,538,000    400,596,000    318,020,000    141,543,000       36,742,000    19,773,000    8,222,000  
        construction in progress
                                 294,848,000    173,693,000    157,114,000    195,042,000       44,186,000    19,300,000    12,945,000  
        less accumulated depreciation
                                 -485,985,000    -347,419,000    -214,589,000    -119,470,000       -29,289,000    -13,030,000    -5,824,000  
        revenue before benefit from doubtful accounts
                                   765,738,000  2,877,234,000 728,712,000 725,643,000 689,341,000 2,852,823,000 744,802,000 767,054,000 627,183,000 1,829,619,000 488,746,000 461,798,000 374,158,000 303,001,000 220,664,000 206,119,000 735,109,000 190,574,000 182,951,000 165,705,000 413,850,000 104,618,000 102,752,000 93,021,000 224,599,000  
        benefit from doubtful accounts
                                     -40,918,000 -11,998,000 -9,747,000 -10,147,000 -41,909,000 -10,137,000 -10,506,000 -10,370,000 -35,127,000 -9,016,000 -8,138,000 -8,375,000 -8,522,000 -6,861,000 -4,701,000 -21,701,000 -5,872,000 -5,457,000 -4,492,000 -6,389,000 -1,502,000 -2,222,000 -1,723,000 -3,226,000 662,000 
        revenue
                                   765,738,000  2,836,316,000 716,714,000 715,896,000 679,194,000 2,810,914,000 734,665,000 756,548,000 616,813,000 1,794,492,000 479,730,000 453,660,000 365,783,000 294,479,000 213,803,000 201,418,000 713,408,000 184,702,000 177,494,000 161,213,000 407,461,000 103,116,000 100,530,000 91,298,000 221,373,000 63,058,000 
        salaries, wages and benefits
                                   416,741,000  1,536,160,000 385,562,000 383,595,000 376,421,000 1,541,854,000 408,242,000 408,287,000 341,028,000 973,732,000 258,410,000 243,302,000 205,871,000 168,632,000 122,473,000 117,575,000 407,962,000 103,789,000 100,764,000 94,351,000 239,639,000 59,888,000 58,559,000 56,540,000 156,561,000 39,752,000 
        professional fees
                                   53,461,000  196,223,000 53,042,000 46,321,000 43,409,000 185,486,000 47,687,000 50,292,000 39,991,000 116,463,000 30,759,000 30,029,000 22,427,000 14,878,000 10,891,000 10,382,000 37,171,000 8,956,000 9,324,000 9,014,000 19,019,000 4,690,000 4,658,000 4,216,000 9,044,000 2,352,000 
        supplies
                                   30,133,000  114,439,000 28,652,000 28,639,000 27,709,000 117,425,000 30,555,000 31,209,000 26,685,000 80,663,000 21,634,000 20,542,000 16,254,000 14,062,000 10,596,000 10,064,000 37,569,000 9,806,000 9,613,000 8,598,000 19,496,000 4,831,000 4,872,000 4,457,000 11,377,000 3,406,000 
        rents and leases
                                   20,236,000  76,775,000 19,049,000 19,435,000 18,971,000 73,348,000 19,740,000 20,467,000 14,806,000 32,528,000 8,542,000 8,211,000 5,886,000 3,214,000 2,889,000 2,769,000 10,049,000 2,656,000 2,394,000 2,327,000 7,838,000 1,775,000 2,227,000 2,320,000 5,802,000 1,663,000 
        other operating expenses
                                   87,282,000  331,827,000 82,328,000 83,122,000 83,711,000 312,556,000 79,748,000 80,955,000 70,247,000 206,746,000 57,244,000 51,128,000 40,527,000 31,432,000 24,646,000 23,110,000 80,572,000 22,345,000 20,096,000 16,983,000 42,777,000 11,380,000 10,407,000 9,140,000 20,472,000 5,018,000 
        depreciation and amortization
                                   39,928,000  143,010,000 36,442,000 35,201,000 33,613,000 135,103,000 36,418,000 36,752,000 27,975,000 63,550,000 16,890,000 14,926,000 13,104,000 10,325,000 5,935,000 5,436,000 17,090,000 4,414,000 4,212,000 3,622,000 7,982,000 2,076,000 1,646,000 1,615,000 4,288,000 913,000 
        interest expense
                                   45,812,000  176,007,000 44,515,000 43,505,000 42,757,000 181,325,000 48,843,000 48,758,000 37,714,000 106,742,000 27,737,000 28,049,000 22,146,000 14,068,000 9,730,000 9,707,000 37,250,000 9,465,000 9,445,000 8,762,000 29,769,000 7,433,000 7,471,000 7,282,000 9,191,000 1,928,000 
        debt extinguishment costs
                                     810,000  810,000  4,253,000 3,411,000   10,818,000 9,979,000      9,350,000   9,350,000       
        transaction-related expenses
                                   2,887,000  24,267,000 5,665,000 9,052,000 4,119,000 48,323,000 1,111,000 6,074,000 26,298,000 36,571,000 5,842,000 7,157,000 18,416,000 6,239,000 3,016,000 1,579,000 7,150,000 984,000 1,355,000 1,474,000 8,112,000 732,000 670,000 695,000 41,547,000 2,233,000 
        total expenses
                                   696,480,000  2,599,518,000 655,255,000 649,680,000 630,710,000 2,777,959,000 850,479,000 682,696,000 584,334,000 1,629,739,000 438,055,000 404,305,000 344,578,000 261,323,000 176,441,000 180,622,000 644,163,000 162,415,000 157,203,000 154,481,000 374,632,000 92,805,000 90,510,000 86,265,000 259,629,000 58,472,000 
        income before income taxes
                                   69,258,000   61,459,000 66,216,000 48,484,000                      
        benefit from income taxes
                                   10,368,000  37,209,000 15,970,000 16,578,000 13,711,000 28,779,000 2,396,000 18,261,000 7,110,000 53,388,000 12,669,000 15,512,000 6,613,000 7,703,000 14,905,000 7,775,000 25,975,000 7,741,000 8,020,000 2,678,000 12,325,000 3,723,000 3,919,000   864,000 
        net income
                                   58,890,000  199,589,000 45,489,000 49,638,000 34,773,000 4,176,000 -118,210,000 55,591,000 25,369,000 111,476,000 29,086,000 33,844,000 14,594,000 25,402,000 22,451,000 13,058,000 42,579,000 14,364,000 12,197,000 3,738,000 20,403,000 6,450,000 5,909,000 3,679,000 -34,892,000 3,123,000 
        net (income) loss attributable to noncontrolling interests
                                   -54,000    -8,000                       
        net income attributable to acadia healthcare company, inc.
                                   58,836,000  199,835,000 45,618,000 49,630,000 34,958,000 6,143,000 -117,808,000 56,445,000 25,688,000 112,554,000 29,550,000                
        earnings per share attributable to acadia healthcare company, inc. stockholders:
                                                              
        basic
                                   670  86,948,000 520 570 400 85,701,000 86,618,000 86,553,000 82,943,000 68,085,000 70,664,000 68,296,000 62,530,000 59,175,000 51,616,000 50,120,000 50,004,000 50,040,000 50,009,000 49,911,000 38,477,000 41,757,000 36,507,000 32,120,000 18,757,000 17,633,116,000 
        diluted
                                   670  87,060,000 520 570 400 85,972,000 86,618,000 86,876,000 83,420,000 68,391,000 71,110,000 68,735,000 62,894,000 59,409,000 51,819,000 50,486,000 50,261,000 50,343,000 50,282,000 50,250,000 38,696,000 41,991,000 36,695,000 32,333,000 18,757,000 17,633,116,000 
        weighted-average shares outstanding:
                                                              
        deferred tax assets – noncurrent
                                     3,731,000 3,689,000 3,719,000 3,750,000 3,780,000 3,791,000 17,929,000 41,753,000 49,114,000 33,278,000 33,966,000 40,494,000 15,933,000 4,227,000 4,325,000           
        derivative instruments
                                     12,997,000 26,176,000 43,753,000 59,257,000 73,509,000 49,903,000 40,459,000                   
        deferred tax liabilities – noncurrent
                                     80,333,000 81,672,000 74,467,000 63,858,000 78,520,000 81,443,000 85,526,000 94,882,000 23,936,000 22,210,000 20,200,000 46,635,000 64,771,000 17,894,000 15,399,000 7,971,000 4,979,000 2,267,000 3,822,000 998,000 1,167,000     
        loss on divestiture
                                         178,809,000 174,739,000                    
        (gain) loss on foreign currency derivatives
                                         -523,000 -15,000 -98,000                   
        income from continuing operations before income taxes
                                     236,798,000    32,955,000 -115,814,000 73,852,000 32,479,000 164,753,000 41,675,000 49,355,000 21,205,000 33,156,000 37,362,000 20,796,000 69,245,000 22,287,000 20,291,000 6,732,000 32,829,000 10,311,000 10,020,000 5,033,000 -38,256,000 4,586,000 
        income from continuing operations
                                     199,589,000    4,176,000 -118,210,000 55,591,000 25,369,000 111,365,000 29,006,000 33,843,000 14,592,000 25,453,000 22,457,000 13,021,000 43,270,000 14,546,000 12,271,000 4,054,000 20,504,000 6,588,000 6,101,000 3,368,000 -32,873,000 3,722,000 
        income from discontinued operations, net of income taxes
                                             111,000 80,000 1,000 2,000 -51,000 -6,000 37,000 -691,000 -182,000 -74,000 -316,000 -101,000 -138,000 -192,000 311,000 -2,019,000 -599,000 
        net income attributable to noncontrolling interests
                                     246,000 129,000  185,000 1,967,000 402,000 854,000 319,000 1,078,000 464,000                
        basic earnings attributable to acadia healthcare company, inc. stockholders:
                                                              
        income from discontinued operations
                                                    -20   -10  -10 -10 10 -110 -30 
        diluted earnings attributable to acadia healthcare company, inc. stockholders:
                                                              
        gain on foreign currency derivatives
                                            -410,000 1,926,000 1,018,000 961,000 -53,000 -1,527,000 -13,735,000            
        earnings attributable to acadia healthcare company, inc. stockholders:
                                                              
        assets held for sale
                                          392,483,000                    
        basic earnings per share:
                                                              
        diluted earnings per share:
                                                              
        sponsor management fees
                                                            1,347,000 545,000 
        deferred tax asset
                                                          5,416,000 5,683,000 6,239,000  
        deferred tax asset – long-term
                                                          1,975,000 5,016,000 6,006,000  
        benefit for income taxes
                                                           1,665,000   
        shares outstanding:
                                                              
        deferred tax liability
                                                              
        member’s equity
                                                              
        (benefit from) benefit from income taxes
                                                            -5,383,000  
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 
                                                                
          operating activities:
                                                                
          net income
        38,317,000 37,936,000 9,064,000 33,529,000 71,368,000 80,817,000 78,770,000 59,757,000 -215,525,000 73,549,000 66,558,000 63,145,000 73,046,000 81,932,000 61,910,000 71,519,000 67,900,000 45,664,000 10,479,000 -782,541,000 37,561,000 41,714,000 34,067,000 -10,313,000 42,723,000 48,201,000 29,511,000 -331,529,000 46,279,000 58,890,000 50,874,000 69,689,000 45,489,000 49,638,000 34,773,000 41,426,000 -118,210,000 55,591,000 25,369,000 33,952,000 29,086,000 33,844,000 14,594,000 22,129,000 25,402,000 22,451,000 13,058,000 12,280,000 14,364,000 12,197,000 3,738,000 4,365,000 6,450,000 5,909,000 3,679,000 -15,909,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                
          depreciation and amortization
        47,468,000 48,995,000 47,032,000 39,541,000 37,641,000 36,066,000 36,347,000 35,380,000 33,388,000 32,012,000 31,569,000 30,142,000 29,573,000 29,128,000 28,926,000 28,368,000 27,805,000 25,650,000 24,894,000 -30,781,000 42,912,000 41,445,000 41,680,000 41,767,000 40,620,000 41,077,000 40,580,000 39,472,000 39,659,000 39,928,000 39,773,000 37,754,000 36,442,000 35,201,000 33,613,000 33,958,000 36,418,000 36,752,000 27,975,000 18,630,000 16,890,000 14,926,000 13,104,000 10,971,000 10,325,000 5,935,000 5,436,000 4,842,000 4,414,000 4,212,000 3,622,000 2,650,000 2,076,000 1,641,000 1,615,000 1,174,000 
          amortization of debt issuance costs
        1,235,000 1,222,000 1,056,000 1,027,000 1,027,000 1,018,000 1,016,000 837,000 834,000 827,000 824,000 821,000 820,000 812,000 808,000 806,000 802,000 817,000 1,646,000 2,940,000 3,314,000 3,332,000 3,050,000 3,061,000 3,039,000 2,999,000 2,888,000 2,693,000 2,639,000 2,599,000 2,525,000 2,515,000 2,495,000 2,449,000 2,396,000 2,610,000 2,758,000 2,809,000 2,147,000 1,692,000 1,799,000 1,750,000 1,468,000 969,000 895,000 690,000 644,000 578,000 576,000 570,000 540,000 638,000 645,000 637,000 587,000 587,000 
          equity-based compensation expense
        6,031,000 10,549,000 8,677,000 10,099,000 9,467,000 8,869,000 8,678,000 9,149,000 8,163,000 7,348,000 7,629,000 7,890,000 7,240,000 6,580,000 7,925,000 12,542,000 8,923,000 9,031,000 7,034,000 6,246,000 5,471,000 5,808,000 4,979,000 2,985,000 4,039,000 4,182,000 6,101,000 2,728,000 5,225,000 7,129,000 6,919,000 4,460,000 4,175,000 7,436,000 7,396,000 7,356,000 7,145,000 6,888,000 6,956,000 5,896,000 5,327,000 5,355,000 3,894,000 3,083,000 2,805,000 2,406,000 1,764,000 1,505,000 1,331,000 1,812,000 601,000 576,000 521,000 592,000 578,000 -2,523,000 
          deferred income taxes
        12,062,000 -3,132,000 -5,621,000 11,575,000 17,116,000 21,541,000 17,476,000 -72,329,000 -22,002,000 135,000 212,000 -3,631,000 12,201,000 4,706,000 3,269,000 2,777,000 538,000 4,495,000 3,962,000 11,305,000 19,758,000 10,759,000 11,286,000 -3,370,000 5,355,000 461,000 -666,000 -7,976,000 2,240,000                            
          debt extinguishment costs
        1,269,000             24,650,000 3,962,000       875,000 940,000   842,000    839,000        9,350,000      
          legal settlements expense
                                                              
          loss on impairment
          5,817,000 10,459,000   1,096,000       1,079,000   -15,488,000                                     
          gain on sale of property
                                                               
          other
        779,000 1,055,000 73,000 -698,000 -46,000 152,000 -4,094,000 1,745,000 337,000 -3,000 1,089,000 258,000 2,026,000 874,000 -478,000 -390,000 53,000 -909,000 1,737,000 231,000 1,962,000 -1,045,000 -107,000 -409,000 2,049,000 208,000 2,187,000 9,346,000 1,985,000 -3,000 1,043,000 740,000 4,114,000 2,733,000 3,825,000 3,984,000 27,000 -178,000 882,000 493,000 430,000 314,000 378,000 325,000 138,000 12,000 13,000 5,000 2,000 -1,000 15,000 6,000 -30,000 2,000 19,000 2,000 
          change in operating assets and liabilities, net of effect of acquisitions:
                                                                
          accounts receivable
        -22,298,000 -11,667,000 -30,993,000 18,607,000 5,178,000 -3,184,000 -22,930,000 1,215,000 -16,830,000 571,000 -23,968,000 -6,440,000 -15,775,000 -1,541,000 -18,222,000 11,058,000 4,362,000 -10,482,000 -2,490,000 9,948,000 -5,674,000 13,894,000 -2,828,000 13,896,000 -5,287,000 -15,689,000 -11,980,000 26,431,000 -17,148,000 -7,311,000 -18,793,000 111,000 -6,277,000 -9,945,000 -12,459,000 -3,139,000 6,403,000 -15,233,000 -3,749,000 3,951,000 -18,463,000 -3,485,000 -6,957,000 10,285,000 -10,092,000 -6,609,000 -8,694,000 -2,864,000 -7,821,000 -1,035,000 -9,522,000 2,293,000 -8,407,000 -4,265,000 -6,354,000 -900,000 
          other current assets
        -13,793,000 5,222,000 -9,019,000 -4,128,000 10,848,000 1,447,000 -15,629,000 86,045,000 -68,422,000 14,687,000 -23,430,000 11,066,000 -10,586,000 -1,468,000 -16,638,000 4,726,000 29,298,000 -32,131,000 75,000 13,484,000 4,429,000 10,893,000 -19,131,000 2,568,000 6,679,000 -4,716,000 -5,875,000 10,843,000 -6,932,000 23,169,000 -13,216,000 -5,291,000 5,642,000 14,571,000 5,886,000 -7,675,000 -5,717,000 819,000 -8,075,000 9,484,000 847,000 10,710,000 -23,758,000 -3,333,000 6,114,000 -5,744,000 952,000 2,005,000 -5,764,000 1,179,000 -1,072,000 5,260,000 -1,463,000 -1,570,000 -644,000 -1,003,000 
          other assets
        -3,181,000 -6,470,000 -1,214,000 -155,000 -166,000 146,000 696,000 680,000 631,000 1,114,000 -1,436,000 -1,121,000 823,000 2,752,000 -202,000 5,076,000 -23,122,000 10,846,000 -3,570,000 1,203,000 -2,507,000 3,919,000 -1,096,000 -603,000 -131,000 366,000 295,000 -1,106,000 1,107,000 4,029,000 -1,268,000 -2,610,000 -2,375,000 3,519,000 -1,710,000 -3,220,000 -2,716,000 3,984,000 -2,402,000 -3,142,000 -3,661,000 -582,000 -636,000 -4,427,000 -1,508,000 998,000 -1,576,000 -563,000 -869,000 43,000 -850,000 -392,000 716,000 353,000 -40,000  
          accounts payable and other accrued liabilities
        5,900,000 36,926,000 -9,242,000 -15,951,000 -5,323,000 3,721,000 -403,340,000 -5,653,000 1,539,000 7,885,000 13,633,000 -2,555,000 -17,789,000 15,017,000 10,501,000 -194,000 -4,948,000 15,285,000 -3,979,000 -12,759,000 49,829,000 62,678,000 -21,755,000 14,256,000 -24,550,000 4,641,000 -15,701,000 16,824,000 -11,836,000 24,434,000 -3,368,000 16,268,000 -21,488,000 12,100,000 -16,993,000 20,626,000 -27,034,000 21,603,000 7,498,000 15,184,000 -4,003,000 -5,587,000 1,274,000 1,715,000 2,378,000 539,000 -1,839,000 -3,444,000 1,558,000 2,035,000 -997,000 -4,332,000 7,622,000 -6,296,000 3,491,000  
          accrued salaries and benefits
        9,098,000 15,861,000 -19,801,000 13,956,000 6,684,000 16,499,000 -25,024,000 19,570,000 10,851,000 16,497,000 -30,386,000 15,635,000 -11,513,000 2,436,000 246,000 -9,065,000 9,997,000 5,908,000 2,915,000 -6,845,000 17,271,000 5,236,000 -6,030,000 3,007,000 8,045,000 2,617,000 -5,849,000 4,699,000 6,685,000 -438,000 4,802,000 -1,051,000 1,220,000 -5,720,000 -3,437,000 2,187,000 -6,913,000 2,501,000 -6,347,000 -7,230,000 9,113,000 4,797,000 -5,022,000 3,008,000 7,190,000 7,189,000 -5,407,000 6,270,000 902,000 3,122,000 -7,491,000 4,615,000 200,000 1,639,000 -1,312,000 -1,802,000 
          other liabilities
        -8,408,000 4,270,000 16,692,000 3,482,000 -1,124,000 3,056,000 6,749,000 -6,908,000 15,155,000 454,000 2,114,000 4,787,000 2,375,000 1,630,000 6,298,000 -3,307,000 -512,000 -6,911,000 -4,210,000 17,309,000 12,731,000 17,494,000 1,431,000 -1,856,000 2,262,000 666,000 2,182,000 -5,368,000 942,000 -1,302,000 509,000 4,117,000 2,420,000 3,115,000 2,142,000 738,000 18,000 3,374,000 354,000 4,165,000 452,000 4,039,000 580,000 -1,056,000 2,104,000 931,000 770,000 -357,000 3,080,000 729,000 -271,000 -825,000 -333,000 986,000 874,000 518,000 
          net cash from operating activities
        73,210,000 133,504,000 11,477,000 116,701,000 163,129,000 171,148,000 -321,285,000 116,304,000 137,858,000 163,770,000 44,408,000 113,544,000 41,036,000 149,202,000 76,787,000 97,846,000 110,117,000 90,477,000 76,037,000 186,567,000 207,296,000 219,398,000 45,546,000 119,375,000 84,843,000 85,013,000 43,673,000 127,897,000 68,869,000 144,964,000 72,350,000 128,226,000 83,745,000 130,592,000 57,014,000 101,821,000 76,799,000 124,194,000 58,664,000 98,318,000 50,944,000 72,919,000 18,222,000 46,240,000 39,807,000 21,893,000 7,346,000 20,687,000 16,925,000 27,783,000 167,000 10,563,000 12,789,000 5,611,000 4,935,000 -28,235,000 
          capital expenditures
          free cash flows
        73,210,000 133,504,000 11,477,000 116,701,000 163,129,000 171,148,000 -321,285,000 116,304,000 137,858,000 163,770,000 44,408,000 113,544,000 41,036,000 149,202,000 76,787,000 97,846,000 110,117,000 90,477,000 76,037,000 186,567,000 207,296,000 219,398,000 45,546,000 119,375,000 84,843,000 85,013,000 43,673,000 127,897,000 68,869,000 144,964,000 72,350,000 128,226,000 83,745,000 130,592,000 57,014,000 101,821,000 76,799,000 124,194,000 58,664,000 98,318,000 50,944,000 72,919,000 18,222,000 46,240,000 39,807,000 21,893,000 7,346,000 20,687,000 16,925,000 27,783,000 167,000 10,563,000 12,789,000 5,611,000 4,935,000 -28,235,000 
          investing activities:
                                                                
          cash paid for acquisitions, net of cash acquired
        429,000 -8,594,000 -2,828,000 -369,000 -50,353,000                -777,000 -4,500,000 -40,400,000         -170,000 -103,189,000 -580,096,000 -183,561,000 -104,482,000 -237,116,000 -49,618,000 -15,905,000 -712,797,000 -10,000,000 -28,414,000 -13,874,000 -99,356,000 -22,375,000 -277,492,000 -75,515,000 -66,000 -90,400,000 -28,365,000 
          cash paid for capital expenditures
        -136,239,000 -167,747,000 -174,631,000 -203,494,000 -190,239,000 -154,242,000 -142,410,000 -138,723,000 -128,051,000 -90,834,000 -66,525,000 -87,357,000 -76,348,000 -81,917,000 -50,527,000 -88,187,000 -43,671,000 -54,271,000 -58,682,000 -20,781,000 -63,754,000 -62,533,000 -69,547,000 -81,960,000 -63,594,000 -69,880,000 -69,248,000 -91,473,000 -88,434,000 -91,228,000 -70,327,000 -80,360,000 -76,296,000 -66,972,000 -50,549,000 -57,511,000 -72,243,000 -87,629,000 -90,089,000 -75,206,000 -78,806,000 -69,156,000 -52,879,000 -42,564,000 -27,357,000 -21,674,000 -21,649,000 -18,263,000 -20,969,000 -16,945,000 -12,764,000 -13,084,000 -6,892,000 -3,708,000 -3,911,000 -2,781,000 
          proceeds from sale of property and equipment
        6,528,000 16,580,000 43,000 208,000 18,000 1,153,000 9,056,000 28,789,000 12,000 212,000 409,000 5,290,000 110,000 380,000 1,294,000 1,701,000 893,000 765,000 134,000 -2,417,000 1,097,000 1,205,000 207,000                                  
          net cash from investing activities
        -129,755,000 -150,783,000 -183,238,000 -203,330,000 -193,051,000 -155,484,000 -184,614,000 -110,168,000 -129,373,000 -90,768,000 -66,910,000 -92,020,000 -78,024,000 -86,093,000 -49,693,000 -227,265,000 -74,226,000 -49,479,000 1,368,603,000 -72,185,000 -69,722,000 -65,771,000 -74,161,000 -63,949,000 40,790,000 -67,881,000 -110,101,000 -98,470,000 -88,745,000 -95,063,000 -78,686,000 -103,350,000 -86,867,000 -88,214,000 -58,095,000 311,440,000 -81,787,000 -204,571,000 -685,447,000 -267,625,000 -203,260,000 -308,984,000 -104,602,000 -59,579,000 -729,107,000 -24,164,000 -47,924,000 -50,931,000 -36,094,000 -120,681,000 -35,272,000 -294,638,000 -119,435,000 -16,348,000 -94,223,000 -37,753,000 
          financing activities:
                                                                
          borrowings on long-term debt
        1,200,000,000 350,000,000         425,000,000 475,000,000               1,480,000,000 275,000,000 875,000,000 235,000,000 300,000,000 7,500,000 150,000,000 151,063,000 25,000,000 147,485,000 
          borrowings on revolving credit facility
        45,000,000 70,000,000 760,000,000 95,000,000 50,000,000 160,000,000 40,000,000     70,000,000 430,000,000   5,000,000 71,573,000         21,000,000 100,000,000 58,000,000 158,000,000 130,000,000 87,000,000 93,000,000 171,000,000 19,000,000 40,500,000          
          principal payments on revolving credit facility
        -1,035,000,000 -15,000,000 -15,000,000   -10,000,000 -75,000,000 -10,000,000 -25,000,000 -35,000,000 -270,000,000   -65,000,000           -171,000,000        -164,000,000 -7,000,000            
          principal payments on long-term debt
        -4,062,000   -15,363,000 -15,363,000 -15,363,000 -10,242,000 -5,312,000 -5,313,000 -5,312,000 -5,313,000 -5,313,000 -5,312,000 -5,313,000 -2,656,000 -2,656,000 -2,657,000   -9,428,000 -10,621,000 -10,621,000 -10,621,000 -28,246,000 -8,246,000 -8,246,000 -8,246,000 -8,246,000 -8,246,000   -8,892,000 -8,638,000 -8,637,000 -8,638,000 -3,872,000 -16,200,000 -16,200,000 -13,669,000 -8,152,000 -7,938,000 -7,937,000 -7,938,000 -2,070,000 -1,875,000 -1,875,000 -1,875,000 -2,055,000 -3,750,000 -1,875,000 -2,000,000 -2,000,000 -2,000,000 -1,688,000 
          repayment of long-term debt
        -670,856,000             -3,332,000 -2,224,603,000 -459,785,000                           -52,500,000     
          payment of debt issuance costs
        -18,615,000 -1,518,000         1,971,000 -9,935,000 -7,075,000 -625,000               -901,000 -237,000 -1,344,000 -34,167,000 -837,000 -2,809,000 -584,000 -22,191,000 -2,084,000 -5,099,000 -2,319,000 -3,491,000 -154,000 -4,153,000 -3,354,000 -59,000 -90,000 -1,048,000 -6,204,000 
          repurchase of shares for payroll tax withholding, net of proceeds from stock option exercises
        -237,000 -1,780,000 -1,936,000  844,000 -655,000 -1,013,000  711,000 1,767,000 -47,671,000  2,327,000 1,873,000 -11,741,000                                          
          repurchase of common stock
        -3,154,000 -46,880,000                                                      
          contributions from noncontrolling partners in joint ventures
           1,680,000 530,000 690,000 2,280,000 420,000 22,000 861,000 1,655,000 2,184,000 5,170,000 3,718,000 4,290,000                                          
          distributions to noncontrolling partners in joint ventures
        -1,887,000   -1,472,000 -480,000 -1,020,000 -1,627,000 -1,497,000   -157,000 -400,000 -447,000                                          
          cash paid for contingent consideration
                                                  -1,750,000            
          net cash from financing activities
        43,817,000 57,464,000 186,692,000 80,789,000 34,900,000 -15,800,000 483,129,000 -5,654,000 -21,067,000 -24,658,000 -11,318,000 -17,294,000 2,039,000 -75,108,000 -20,540,000 66,919,000 -25,124,000 -34,367,000 -1,648,489,000 -2,935,000 -12,555,000 -22,579,000 -13,430,000 -29,468,000 -74,707,000 -15,955,000 58,503,000 -26,593,000 -10,185,000 -25,818,000 -4,734,000 -32,532,000 -4,319,000 -9,486,000 -13,737,000 -379,312,000 3,013,000 81,171,000 653,969,000 131,263,000 170,575,000 229,160,000 32,604,000 66,773,000 455,175,000 272,772,000 43,252,000 30,779,000 15,804,000 522,000 85,481,000 321,755,000 -1,811,000 130,073,000 29,010,000 125,852,000 
          net increase in cash and cash equivalents
        -12,728,000 40,185,000 14,931,000 -5,840,000 4,978,000   482,000 -12,582,000 48,344,000 -33,820,000    6,554,000 -62,500,000 10,767,000   39,995,000 126,763,000   31,292,000 49,359,000   1,582,000 -30,535,000   -8,371,000 -3,773,000 36,347,000 -13,976,000 29,312,000 -2,965,000 -5,866,000 25,367,000  16,190,000 -3,460,000 -56,008,000  -235,565,000 270,501,000 2,674,000   -92,376,000 50,376,000     59,864,000 
          cash and cash equivalents at beginning of the period
        76,305,000 100,073,000 97,649,000 133,813,000 378,697,000 124,192,000 50,510,000 67,290,000 57,063,000 11,215,000 94,040,000 4,569,000 49,399,000 61,118,000 
          cash and cash equivalents at end of the period
        -12,728,000 40,185,000 91,236,000 -5,840,000 4,978,000 -136,000 77,303,000 482,000 -12,582,000 48,344,000 63,829,000 4,230,000 -34,949,000 -11,999,000 140,367,000 -62,500,000 10,767,000 6,631,000 178,915,000 39,995,000 126,763,000 130,935,000 81,004,000 31,292,000 49,359,000 -143,000 43,684,000 1,582,000 -30,535,000 21,655,000 57,808,000 -8,371,000 -3,773,000 36,347,000 43,087,000 29,312,000 -2,965,000 -5,866,000 36,582,000 -39,547,000 16,190,000 -3,460,000 38,032,000 51,861,000 -235,565,000 270,501,000 7,243,000 535,000 -3,365,000 -92,376,000 99,775,000 37,680,000 -108,457,000 119,336,000 840,000 59,864,000 
          effect of acquisitions:
                                                                
          assets acquired, excluding cash
        16,834,000 113,000 19,768,000 3,557,000 369,000 55,309,000            -100,000    1,121,000 39,000 4,527,000 44,028,000               207,598,000 1,428,566,000   10,500,000  17,644,000 102,732,000 43,330,000  78,968,000 168,000 93,131,000  
          liabilities assumed
        -351,000 -542,000 -300,000 -729,000 -3,456,000               -344,000 -39,000 -27,000 -3,628,000               -11,206,000 -998,738,000      -3,770,000 -3,376,000 -9,271,000  -3,453,000 -102,000 -2,731,000  
          contingent consideration issued in connection with an acquisition
           -1,500,000                                                  
          redeemable noncontrolling interest resulting from an acquisition
        -16,483,000 -10,874,000                100,000                                     
          legal settlements
          3,504,000                                                      
          government relief funds
               -4,533,000    -6,453,000 -31,405,000 6,344,000 -7,556,000 -26,070,000                                         
          repurchase of shares for payroll tax withholdings, net of proceeds from stock option exercises
                                                                
          acquisition of ownership interests from noncontrolling partners
                                                                
          supplemental cash flow information:
                                                                
          cash paid for interest
                                                                
          cash paid for income taxes
                                                                
          redeemable noncontrolling interest resulting from acquisition
                                                                
          net decrease in cash and cash equivalents
              -22,770,000      -34,949,000      -199,782,000    -43,188,000    -6,826,000    -9,482,000                        -60,278,000  
          adjustments to reconcile net income to net cash from continuing operating activities:
                                                                
          loss from discontinued operations, net of taxes
                                                              
          net cash from continuing operating activities
                   113,544,000 41,036,000 149,202,000 76,787,000 97,846,000 110,117,000 90,477,000 75,784,000     119,375,000 84,843,000 85,013,000 43,673,000 127,897,000 70,845,000 145,249,000 72,637,000 128,658,000 84,177,000 130,996,000 57,439,000 106,553,000 79,350,000 126,548,000 59,283,000 98,574,000 52,977,000 72,499,000 18,088,000 46,411,000 39,823,000 21,935,000 7,315,000 19,914,000 17,108,000 27,874,000 434,000 10,646,000 12,921,000 5,291,000 5,451,000 -27,229,000 
          net cash from discontinued operating activities
                       253,000         -1,976,000 -285,000 -287,000 -432,000 -432,000 -404,000 -425,000 -4,732,000 -2,551,000 -2,354,000 -619,000 -256,000 -2,033,000 420,000 134,000 -171,000 -16,000 -42,000 31,000 773,000 -183,000 -91,000 -267,000 -83,000 -132,000 320,000 -516,000 -1,006,000 
          proceeds from u.k. sale
                       1,511,020,000                                      
          settlement of foreign currency derivatives
                       -84,795,000                15,000 -237,000 745,000 -1,018,000               
          cash paid for purchase of finance lease
                                                               
          effect of exchange rate changes on cash
                       4,067,000 3,599,000 1,744,000 -113,000 -1,143,000 5,334,000 -1,567,000 -1,320,000 1,099,000 -1,252,000 -474,000 -2,428,000 1,588,000 -715,000 3,668,000 3,455,000 842,000 -4,637,000 -990,000 -6,660,000 -1,819,000 -1,503,000 -2,069,000 3,445,000 -2,232,000 -1,573,000             
          net cash from continuing investing activities
                       -227,265,000 -74,226,000 -49,479,000 1,368,603,000                                 -294,638,000    -37,745,000 
          net cash from discontinued investing activities
                                                               -8,000 
          repurchase of shares for payroll tax witholdings, net of proceeds from stock option exercises
                                                                
          net cash from continuing financing activities
                       66,919,000 -25,124,000 -34,367,000 -1,648,489,000                                      
          net cash from discontinued financing activities
                                                                
          net increase in cash and cash equivalents, including cash classified within current assets held for sale
                       -62,500,000 10,767,000                                        
          less: cash classified within current assets held for sale
                                                                
          common stock withheld for minimum statutory taxes
                       223,000 2,811,000 5,042,000 8,219,000 1,495,000 66,000 25,000 -1,402,000 -151,000 117,000 -288,000 -1,327,000 -1,135,000 -138,000 -104,000 -2,030,000 -177,000 400,000 556,000 -4,234,000 -929,000 -552,000 -686,000 -6,679,000 -180,000 244,000 -2,716,000 -5,110,000 -622,000 -496,000 -869,000 -2,112,000          
          distributions to noncontrolling interests
                       -662,000 -293,000 -256,000 -377,000 -263,000 -202,000 -187,000 -264,000                                  
          change in operating assets and liabilities:
                                                                
          loss (income) from discontinued operations, net of taxes
                          12,641,000                              182,000 74,000 316,000     1,254,000 
          net decrease in cash and cash equivalents, including cash classified within current assets held for sale
                          -199,782,000                                      
          cash paid for real estate acquisitions
                           -2,754,000 -1,180,000 -1,266,000 -3,149,000 -642,000 -2,528,000 -3,382,000 -1,066,000 -8,992,000 -534,000 -4,564,000 -4,293,000 -7,760,000 -10,447,000 -20,355,000 -2,495,000 -2,810,000 -9,508,000 -13,640,000 -14,799,000 -4,646,000 -18,548,000 -1,706,000 -1,722,000 -930,000 -3,921,000 -2,229,000 -16,097,000 -3,416,000 -717,000   -2,414,000 -36,859,000    
          loss on divestiture
                                           4,070,000                     
          gain on foreign currency derivatives
                                              -410,000 1,018,000 961,000 -53,000 -1,527,000            
          cash received on divestitures
                                                                
          repayment of assumed debt
                                           -1,348,389,000                  
          issuances of common stock
                                                                
          issuance of common stock in connection with acquisition
                                                 -380,210,000              
          deferred income tax expense
                                      1,897,000 1,956,000 12,320,000 15,089,000 2,007,000 2,790,000 9,036,000 7,736,000 9,085,000 14,688,000 4,243,000 5,458,000 19,224,000 2,570,000 -4,452,000 6,866,000 2,231,000 -462,000 5,153,000 2,937,000 2,455,000 -5,291,000 3,284,000 3,308,000 1,546,000 -6,333,000 
          (income) income from discontinued operations, net of taxes
                                               -28,000      6,000 -37,000      138,000    
          (gain) loss on foreign currency derivatives
                                           -15,000                    
          payment of premium on senior notes
                                               -590,000                 
          excess tax benefit from equity awards
                                               -7,711,000 1,693,000 2,017,000 4,310,000 838,000 300,000 749,000 2,730,000 514,000 54,000 576,000 635,000      
          issuance of common stock
                                            685,097,000  -170,000    95,000        -80,000    
          principal payments revolving credit facility
                                             -166,000,000  -130,000,000                
          income from discontinued operations, net of taxes
                                                 -1,000 -2,000 172,000           -311,000  
          repayment of senior notes
                                               -9,169,000                 
          deposits paid for acquisitions
                                                                
          repayment of assumed crc debt
                                               -904,467,000              
          net increase(decrease) in cash and cash equivalents
                                                                
          prior year deposits paid for acquisitions
                                                     -500,000  -11,684,000      
          payment of premium on note redemption
                                                       -6,759,000      
          cash distribution paid to equity holders
                                                                
          contribution from holdings
                                                               
          distributions to equity holders
                                                               
          net increase in revolving credit facility
                                                              7,000,000  
          proceeds from stock option exercises
                                                        100,000 133,000 445,000 328,000 129,000 58,000  
          benefit from doubtful accounts
                                                           960,000 1,502,000    
          benefit from bad debts
                                                              1,723,000 1,562,000 
          proceeds from issuance of common stock
                                                                
          payment of equity issuance costs
                                                                
          accounts payable
                                                                
          other accrued expenses
                                                                
          cash paid for real estate acquisition