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Acquisitions - Summary of Acquisitions (Detail) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Business Acquisition [Line Items]    
Goodwill $ 2,128,215 $ 802,986
2014 Acquisitions [Member]    
Business Acquisition [Line Items]    
Cash   11,674
Accounts receivable   9,533
Prepaid expenses and other current assets   8,997
Property and equipment   637,680
Goodwill   125,191
Intangible assets   855
Other assets   10,137
Total assets acquired   804,067
Accounts payable   4,051
Accrued salaries and benefits   10,422
Other accrued expenses   8,180
Deferred tax liabilities - noncurrent   21,369
Other liabilities   7,704
Total liabilities assumed   51,726
Net assets acquired   752,341
2015 Acquisitions [Member]    
Business Acquisition [Line Items]    
Cash 25,016  
Accounts receivable 74,209  
Prepaid expenses and other current assets 14,936  
Property and equipment 410,698  
Goodwill 1,356,201  
Intangible assets 37,204  
Deferred tax asset-noncurrent 88,857  
Other assets 6,529  
Total assets acquired 2,013,650  
Accounts payable 9,217  
Accrued salaries and benefits 18,514  
Other accrued expenses 43,968  
Deferred tax liabilities - noncurrent 13,619  
Debt 904,467  
Other liabilities 34,730  
Total liabilities assumed 1,024,515  
Redeemable noncontrolling interests 9,132  
Net assets acquired 980,003  
Partnerships In Care [Member] | 2014 Acquisitions [Member]    
Business Acquisition [Line Items]    
Cash   11,674
Accounts receivable   7,684
Prepaid expenses and other current assets   8,828
Property and equipment   610,477
Goodwill   92,959
Intangible assets   651
Other assets   6,897
Total assets acquired   739,170
Accounts payable   3,958
Accrued salaries and benefits   10,422
Other accrued expenses   7,166
Deferred tax liabilities - noncurrent   21,369
Other liabilities   7,704
Total liabilities assumed   50,619
Net assets acquired   688,551
Other [Member] | 2014 Acquisitions [Member]    
Business Acquisition [Line Items]    
Accounts receivable   1,849
Prepaid expenses and other current assets   169
Property and equipment   27,203
Goodwill   32,232
Intangible assets   204
Other assets   3,240
Total assets acquired   64,897
Accounts payable   93
Other accrued expenses   1,014
Total liabilities assumed   1,107
Net assets acquired   $ 63,790
Other [Member] | 2015 Acquisitions [Member]    
Business Acquisition [Line Items]    
Cash 5,417  
Accounts receivable 27,191  
Prepaid expenses and other current assets 2,957  
Property and equipment 273,143  
Goodwill 313,680  
Intangible assets 204  
Other assets 51  
Total assets acquired 622,643  
Accounts payable 4,477  
Accrued salaries and benefits 3,687  
Other accrued expenses 5,291  
Deferred tax liabilities - noncurrent 13,619  
Other liabilities 10  
Total liabilities assumed 27,084  
Redeemable noncontrolling interests 9,132  
Net assets acquired 586,427  
CRC Health Group, Inc [Member] | 2015 Acquisitions [Member]    
Business Acquisition [Line Items]    
Cash 19,599  
Accounts receivable 47,018  
Prepaid expenses and other current assets 11,979  
Property and equipment 137,555  
Goodwill 1,042,521  
Intangible assets 37,000  
Deferred tax asset-noncurrent 88,857  
Other assets 6,478  
Total assets acquired 1,391,007  
Accounts payable 4,740  
Accrued salaries and benefits 14,827  
Other accrued expenses 38,677  
Debt 904,467  
Other liabilities 34,720  
Total liabilities assumed 997,431  
Net assets acquired $ 393,576