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Equity-Based Compensation - Additional Information (Detail) (USD $)
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]    
Authorized common stock 4,700,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized  
Equity incentive plan available for future grant 1,841,011us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant  
Annual increments in employee grants 25.00%achc_ShareBasedCompensationArrangementByShareBasedPaymentAward  
Stock options, contractual term 10 years  
Equity-based compensation expense $ 3,894,000us-gaap_ShareBasedCompensation $ 1,764,000us-gaap_ShareBasedCompensation
Unrecognized compensation expense related to unvested options 60,800,000us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesExpense  
Vesting period 1 year 7 months 6 days  
Warrants outstanding 0us-gaap_ClassOfWarrantOrRightOutstanding  
Tax realized from stock options exercised 4,300,000us-gaap_DeferredTaxExpenseFromStockOptionsExercised 2,700,000us-gaap_DeferredTaxExpenseFromStockOptionsExercised
Stock Compensation Plan [Member]    
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]    
Deferred income tax benefit $ 1,600,000us-gaap_DeferredIncomeTaxExpenseBenefit
/ us-gaap_AwardTypeAxis
= us-gaap_StockCompensationPlanMember
$ 700,000us-gaap_DeferredIncomeTaxExpenseBenefit
/ us-gaap_AwardTypeAxis
= us-gaap_StockCompensationPlanMember