Entity Central Index Key Subordinated debt from nonrelated party. Cover [Abstract] Document Type Document Type Amendment Flag Amendment Flag Document Period End Date Document Period End Date Document Fiscal Year Focus Document Fiscal Year Focus Document Fiscal Period Focus Document Fiscal Period Focus Trading Symbol Trading Symbol Title of 12(b) Security Security12b Title Entity Registrant Name Entity Registrant Name Entity Central Index Key Entity Current Reporting Status Entity Current Reporting Status Current Fiscal Year End Date Current Fiscal Year End Date Entity Filer Category Entity Filer Category Entity Shell Company Entity Shell Company Entity Emerging Growth Company Entity Emerging Growth Company Entity Ex Transition Period Entity Ex Transition Period Entity Small Business Entity Small Business Entity File Number Entity File Number Entity Tax Identification Number Entity Tax Identification Number Entity Address, Address Line One Entity Address Address Line1 Entity Address, City or Town Entity Address City Or Town Entity Address, State or Province Entity Address State Or Province Entity Address, Postal Zip Code Entity Address Postal Zip Code City Area Code City Area Code Local Phone Number Local Phone Number Entity Interactive Data Current Entity Interactive Data Current Document Quarterly Report Document Quarterly Report Document Transition Report Document Transition Report Entity Incorporation, State or Country Code Entity Incorporation State Country Code Entity Common Stock, Shares Outstanding Entity Common Stock Shares Outstanding Income Statement [Abstract] Statement [Table] Statement [Table] Product and Service Product Or Service [Axis] Product and Service Products And Services [Domain] Client Related Revenue Health Care Patient Service [Member] Non-Client Related Revenue Health Care Other [Member] Statement [Line Items] Statement [Line Items] Revenues Revenues [Abstract] Total revenues Revenue From Contract With Customer Excluding Assessed Tax Operating expenses Operating Expenses [Abstract] Salaries, wages and benefits Labor And Related Expense Client related services Selling Expense Provision for doubtful accounts Provision For Doubtful Accounts Advertising and marketing Marketing And Advertising Expense Professional fees Professional Fees Other operating expenses Other Cost And Expense Operating Rentals and leases Operating Leases Rent Expense Net Litigation settlement Litigation Settlement Expense Depreciation and amortization Depreciation And Amortization Gain on sale Gain Loss On Disposition Of Assets1 Acquisition-related expenses Business Combination Acquisition Related Costs Total operating expenses Operating Expenses Loss from operations Operating Income Loss Interest expense, net Interest Expense Loss on contingent consideration Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1 Other (income) expense, net Other Nonoperating Income Expense Loss before income tax expense (benefit) Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest Income tax expense (benefit) Income Tax Expense Benefit Net loss Profit Loss Less: net loss attributable to noncontrolling interest Net Income Loss Attributable To Noncontrolling Interest Net loss attributable to AAC Holdings, Inc. common stockholders Net Income Loss Basic loss per common share Earnings Per Share Basic Diluted loss per common share Earnings Per Share Diluted Weighted-average common shares outstanding: Weighted Average Number Of Shares Outstanding Diluted Disclosure Items [Abstract] Basic Weighted Average Number Of Shares Outstanding Basic Diluted Weighted Average Number Of Diluted Shares Outstanding Accrued liabilities and other current liabilities. Accrued litigation settlement. Sale leaseback financing obligation current. Sale leaseback financing obligation, noncurrent. Statement Of Financial Position [Abstract] Assets Assets [Abstract] Current assets Assets Current [Abstract] Cash and cash equivalents Cash And Cash Equivalents At Carrying Value Accounts receivable, net of allowances Accounts Receivable Net Current Prepaid expenses and other current assets Prepaid Expense And Other Assets Current Total current assets Assets Current Property and equipment, net Property Plant And Equipment Net Right-of-use assets - operating, net Operating Lease Right Of Use Asset Goodwill Goodwill Intangible assets, net Intangible Assets Net Excluding Goodwill Other assets Other Assets Noncurrent Total assets Assets Liabilities and Stockholders’ Equity Liabilities And Stockholders Equity [Abstract] Current liabilities Liabilities Current [Abstract] Accounts payable Accounts Payable Current Accrued and other current liabilities Accrued Liabilities And Other Current Liabilities Accrued litigation Accrued Litigation Settlement Current portion of long-term debt Long Term Debt Current Current portion of lease liability - operating Operating Lease Liability Current Current portion of financing lease obligation Sale Leaseback Financing Obligation Current Total current liabilities Liabilities Current Deferred tax liabilities Deferred Tax Liabilities Noncurrent Long-term debt, net of current portion and deferred financing costs Long Term Debt Noncurrent Lease liability - operating, net of current portion Operating Lease Liability Noncurrent Financing lease obligation, net of current portion Sale Leaseback Financing Obligation Noncurrent Other long-term liabilities Other Liabilities Noncurrent Total liabilities Liabilities Stockholders’ (Deficit) equity Stockholders Equity [Abstract] Common stock, $0.001 par value: 70,000,000 shares authorized, 25,157,712 and 24,573,679 shares issued and outstanding at September 30, 2019 and December 31, 2018, respectively Common Stock Value Additional paid-in capital Additional Paid In Capital Common Stock Accumulated deficit Retained Earnings Accumulated Deficit Total stockholders’ equity Stockholders Equity Noncontrolling interest Minority Interest Total stockholders’ (deficit) equity including noncontrolling interest Stockholders Equity Including Portion Attributable To Noncontrolling Interest Total liabilities and stockholders’ (deficit) equity Liabilities And Stockholders Equity Common stock, par value Common Stock Par Or Stated Value Per Share Common stock, shares authorized Common Stock Shares Authorized Common stock, shares issued Common Stock Shares Issued Common stock, shares outstanding Common Stock Shares Outstanding Statement Of Stockholders Equity [Abstract] Total Stockholders' Equity of AAC Holdings, Inc. Statement Equity Components [Axis] Equity Component Equity Component [Domain] Common Stock Common Stock [Member] Additional Paid-in Capital Additional Paid In Capital [Member] Accumulated Deficit Retained Earnings [Member] Total Stockholders' Equity of AAC Holdings, Inc. Parent [Member] Non-Controlling Interest Noncontrolling Interest [Member] Balance Balance, shares Shares Outstanding Common stock granted and issued under stock incentive plan, net of forfeitures, amount Stock Issued During Period Value Share Based Compensation Common stock granted and issued under stock incentive plan, net of forfeitures, share Stock Issued During Period Shares Share Based Compensation Effect of employee stock purchase plan Stock Issued During Period Value Employee Stock Purchase Plan Effect of employee stock purchase plan, shares Stock Issued During Period Shares Employee Stock Purchase Plans Net loss Balance Balance, shares Increase decrease in accrued litigation. Payments on finance leases and other. Accrued employee taxes for net share settlement. Business combination consideration transferred including contingent consideration. Contingent consideration paid on business acquisition. Cash paid to acquire business. Cash and cash equivalents paid. Statement Of Cash Flows [Abstract] Business Acquisition Business Acquisition [Axis] Business Acquisition, Acquiree Business Acquisition Acquiree [Domain] AdCare, Inc. AdCare, Inc Ad Care Incorporation [Member] 2018 Acquisitions. 2018 Acquisition Two Thousand Eighteen Acquisitions [Member] Credit Facility Credit Facility [Axis] Credit Facility Credit Facility [Domain] 2017 Credit Facility Revolving Credit Facility [Member] Cash flows used in operating activities: Net Cash Provided By Used In Operating Activities [Abstract] Adjustments to reconcile net loss to net cash used in operating activities: Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities [Abstract] Equity compensation Share Based Compensation Loss on disposal of property and equipment Gain Loss On Sale Of Property Plant Equipment Amortization of deferred financing costs Amortization Of Financing Costs Deferred income taxes Increase Decrease In Deferred Income Taxes Non-cash interest expense Paid In Kind Interest Changes in operating assets and liabilities: Increase Decrease In Operating Capital [Abstract] Accounts receivable Increase Decrease In Accounts Receivable Prepaid expenses and other assets Increase Decrease In Prepaid Expense Accounts payable Increase Decrease In Accounts Payable Accrued and other current liabilities Increase Decrease In Accrued Liabilities And Other Operating Liabilities Accrued litigation Increase Decrease In Accrued Litigation Other liabilities Increase Decrease In Other Operating Liabilities Net cash used in operating activities Net Cash Provided By Used In Operating Activities Cash flows used in investing activities: Net Cash Provided By Used In Investing Activities [Abstract] Purchase of property and equipment Payments To Acquire Property Plant And Equipment Acquisition of subsidiaries Payments For Proceeds From Businesses And Interest In Affiliates Sale of subsidiary Proceeds From Divestiture Of Businesses And Interests In Affiliates Net cash used in investing activities Net Cash Provided By Used In Investing Activities Cash flows provided by financing activities: Net Cash Provided By Used In Financing Activities [Abstract] Payments on 2017 Credit Facility Repayments Of Debt Proceeds from 2019 Senior Credit Facility, net of deferred financing costs Proceeds From Lines Of Credit Proceeds from 2017 Credit Facility, net of deferred financing costs Proceeds From Debt Net Of Issuance Costs Payments on finance leases and other Payments On Finance Leases And Other Payments on AdCare Note Repayments Of Notes Payable Payment of employee taxes for net share settlement Payments Related To Tax Withholding For Share Based Compensation Net cash provided by financing activities Net Cash Provided By Used In Financing Activities Net change in cash and cash equivalents Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect Cash and cash equivalents, beginning of period Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations Cash and cash equivalents, end of period Supplemental information on non-cash investing and financing transactions: Cash Flow Noncash Investing And Financing Activities Disclosure [Abstract] Cash and cash equivalents paid for: Cash And Cash Equivalents Paid For [Abstract] Interest, net of capitalized interest Interest Paid Net Acquisition of equipment through leases Capital Lease Obligations Incurred Accrued purchase of property and equipment Capital Expenditures Incurred But Not Yet Paid Accrued employee taxes for net share settlement Accrued Employee Taxes For Net Share Settlement Purchase price, including contingent consideration Business Combination Consideration Transferred Including Contingent Consideration Buyer common stock issued Stock Issued1 Contingent consideration Business Acquisition Contingent Consideration Promissory note issued Notes Issued1 Cash acquired Cash Acquired From Acquisition Cash paid for acquisition Cash Paid To Acquire Business Organization Consolidation And Presentation Of Financial Statements [Abstract] Description of Business Business Description And Accounting Policies [Text Block] Accounting Policies [Abstract] Basis of Presentation Basis Of Presentation And Significant Accounting Policies [Text Block] Revenue From Contract With Customer [Abstract] Client Related Revenue and Non-Client Related Revenue Revenue From Contract With Customer [Text Block] General and administrative costs. General And Administrative Costs [Abstract] General and Administrative Costs Additional Financial Information Disclosure [Text Block] Earnings Per Share [Abstract] Earnings (Loss) Per Share Earnings Per Share [Text Block] Business Combinations [Abstract] Acquisition Business Combination Disclosure [Text Block] Receivables [Abstract] Accounts Receivable Financing Receivables [Text Block] Property Plant And Equipment [Abstract] Property and Equipment, Net Property Plant And Equipment Disclosure [Text Block] Lessee operating leases and finance lease disclosure. Leases [Abstract] Leases Lessee Operating Leases And Finance Lease Disclosure [Text Block] Goodwill And Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Goodwill And Intangible Assets Disclosure [Text Block] Debt Disclosure [Abstract] Debt Debt And Capital Leases Disclosures [Text Block] Financing Lease Obligation Sale Leaseback Transaction Disclosure [Text Block] Disclosure Of Compensation Related Costs Sharebased Payments [Abstract] Stockholders' (Deficit) Equity and Stock Based Compensation Shareholders Equity And Share Based Payments [Text Block] Income Tax Disclosure [Abstract] Income Taxes Income Tax Disclosure [Text Block] Fair Value Disclosures [Abstract] Fair Value of Financial Instruments Fair Value Disclosures [Text Block] Commitments And Contingencies Disclosure [Abstract] Commitments and Contingencies Commitments And Contingencies Disclosure [Text Block] Reclassifications Prior Period Reclassification Adjustment Description Going concern. Going Concern Going Concern Policy [Text Block] Client Related Revenue Revenue Recognition Policy [Text Block] Non-client related revenue. Non-Client Related Revenue Non Client Related Revenue Policy [Text Block] Adjustments for New Accounting Pronouncements Adjustments For New Accounting Pronouncements [Axis] Type of Adoption Type Of Adoption [Member] Accounting Standards Update 2014-09 Accounting Standards Update201409 [Member] Summary of Composition of Client Related Revenue Disaggregation Of Revenue Table [Text Block] Schedule of Components of Numerator and Denominator Used in Calculation of Basic and Diluted Earnings Per Share Schedule Of Earnings Per Share Basic And Diluted Table [Text Block] Schedule of Preliminary Allocation of Assets Acquired and Liabilities Assumed Schedule Of Recognized Identified Assets Acquired And Liabilities Assumed Table [Text Block] Components of Property and Equipment, Net Property Plant And Equipment [Text Block] Components of Lease Expense Lease Cost Table [Text Block] Supplemental balance sheet information related to leases. Supplemental Balance Sheet Information Related to Leases Supplemental Balance Sheet Information Related To Leases Table [Text Block] Supplemental cash flow information related to leases. Supplemental Cash Flow Information Related to Leases Supplemental Cash Flow Information Related To Leases Table [Text Block] Lessee, operating and finance lease liability maturity. Schedule of Maturities of Lease Liabilities Lessee Operating And Finance Lease Liability Maturity Table [Text Block] Schedule of future minimum lease payments for capital and operating leases. Schedule of Future Minimum Lease Commitments Schedule Of Future Minimum Lease Payments For Capital And Operating Leases Table [Text Block] Schedule of Goodwill Schedule Of Goodwill [Text Block] Trademarks, non-compete agreements, marketing intangibles, leasehold interests are amortized over their useful life. Amortization is deducted from gross carrying value for a total net value. Components of Other Identifiable Intangible Assets Schedule Of Finite And Indefinite Lived Intangible Assets Table [Text Block] Schedule of Finite-Lived Intangible Assets, Future Amortization Expense Scheduleof Finite Lived Intangible Assets Future Amortization Expense Table [Text Block] Summary of Debt Obligations Schedule Of Debt Table [Text Block] Summary of Financing Lease Obligation Schedule Of Sale Leaseback Transactions [Text Block] Statements of Stockholder's Equity Schedule Of Stockholders Equity Table [Text Block] Summary of Share Activity Under 2014 Equity Incentive Plan Schedule Of Nonvested Share Activity Table [Text Block] Number of professional groups. Business and basis of presentation. Business and basis of presentation. Business And Basis Of Presentation [Table] Business And Basis Of Presentation [Table] Variable Interest Entities Variable Interest Entities By Classification Of Entity [Axis] Variable Interest Entity, Classification Classification Of Variable Interest Entity [Domain] VIEs Variable Interest Entity Primary Beneficiary [Member] Debt Instrument Debt Instrument [Axis] Debt Instrument, Name Debt Instrument Name [Domain] Two thousand nineteen senior credit facility. 2019 Senior Credit Facility Two Thousand Nineteen Senior Credit Facility [Member] Subsequent Event Type Subsequent Event Type [Axis] Subsequent Event Type Subsequent Event Type [Domain] Subsequent Event Subsequent Event [Member] Business And Basis Of Presentation [Line Items] Business And Basis Of Presentation [Line Items] Number of professional groups Number Of Professional Groups Assets Liabilities Net loss attributable to noncontrolling interest Credit facility borrowing capacity Line Of Credit Facility Maximum Borrowing Capacity Senior credit facility maturity date Line Of Credit Facility Expiration Date1 Credit facility additional liquidity Line Of Credit Facility Increase Decrease For Period Net Percentage of health care organization patient service revenue. Increase (decrease) in health care organization patient service revenue. Percentage of health care organization patient service revenue increase (decrease). Schedule Of Revenue Sources Health Care Organization [Table] Schedule Of Revenue Sources Health Care Organization [Table] Health Care Organization, Revenue Sources Health Care Organization Revenue Sources [Axis] Health Care Organization, Revenue Sources Health Care Organization Revenue Sources [Domain] Inpatient treatment facility services. Inpatient Treatment Facility Services Inpatient Treatment Facility Services [Member] Outpatient facility and sober living services. Outpatient Facility and Sober Living Services Outpatient Facility And Sober Living Services [Member] Client related diagnostic services. Client Related Diagnostic Services Client Related Diagnostic Services [Member] Health Care Organization Receivable And Revenue Disclosures [Line Items] Health Care Organization Receivable And Revenue Disclosures [Line Items] Client Related Revenue, Amount Client Related Revenue, Percentage Percentage Of Health Care Organization Patient Service Revenue Client Related Revenue, Increase (Decrease), Amount Increase Decrease In Health Care Organization Patient Service Revenue Client Related Revenue, Increase (Decrease) , Percentage Percentage Of Health Care Organization Patient Service Revenue Increase Decrease General and administrative expense General And Administrative Expense Numerator Net Income Loss [Abstract] Net loss attributable to AAC Holdings, Inc. common stockholders Denominator Weighted Average Number Of Shares Outstanding [Abstract] Weighted-average common shares outstanding – basic Dilutive securities Weighted Average Number Diluted Shares Outstanding Adjustment Weighted-average common shares outstanding – diluted Basic loss per common share Diluted loss per common share Potentially anti-dilutive shares excluded from calculation of earnings per share Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount Number of bed capacity in acquired hospital. Number of outpatient centers acquired. Number of bed capacity in acquired residential inpatient treatment center. Schedule Of Business Acquisitions By Acquisition [Table] Schedule Of Business Acquisitions By Acquisition [Table] AdCare Incorporation and AdCare Holding Trust. AdCare, Inc. and AdCare Holding Trust Ad Care Incorporation And Ad Care Holding Trust [Member] Geographical Statement Geographical [Axis] Geographical Segment Geographical [Domain] AAC holdings. Massachusetts A A C Holdings [Member] Rhode Island RHODE ISLAND Equity Interest Type Equity Interest Issued Or Issuable By Type [Axis] Equity Interest Issued or Issuable, Type Equity Interest Issued Or Issuable Type [Domain] Long-term Debt, Type Longterm Debt Type [Axis] Long-term Debt, Type Longterm Debt Type [Domain] AdCare Note Notes Payable Other Payables [Member] Statistical Measurement Range [Axis] Statistical Measurement Range [Member] Minimum Minimum [Member] Maximum Maximum [Member] Balance Sheet Location Balance Sheet Location [Axis] Balance Sheet Location Balance Sheet Location [Domain] Accrued and other current liabilities. Accrued and Other Current Liabilities Accrued And Other Current Liabilities [Member] Business Acquisition [Line Items] Business Acquisition [Line Items] Date of acquisition Business Acquisition Effective Date Of Acquisition1 Number of bed capacity in acquired hospital Number Of Bed Capacity In Acquired Hospital Number of outpatient centers acquired Number Of Outpatient Centers Acquired Number of bed capacity in acquired residential inpatient treatment center Number Of Bed Capacity In Acquired Residential Inpatient Treatment Center Consideration paid Business Combination Consideration Transferred1 Consideration paid in cash, excluding expenses and other adjustments Payments To Acquire Businesses Gross Consideration paid in shares, amount Business Acquisition Equity Interest Issued Or Issuable Value Assigned Consideration paid in shares Business Acquisition Equity Interests Issued Or Issuable Number Of Shares Issued Average closing stock price Business Acquisition Share Price Aggregate principal amount of promissory note Debt Instrument Face Amount Contingent consideration Business Combination Contingent Consideration Liability Business combination recognized identifiable assets acquired and liabilities assumed accrued and other current liabilities. Cash and cash equivalents Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Cash And Equivalents Accounts receivable Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Receivables Prepaid expenses and other assets Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Prepaid Expense And Other Assets Property and equipment Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment Intangible assets Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangible Assets Other Than Goodwill Total assets acquired Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets Accrued and other current liabilities Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued And Other Current Liabilities Long-term liabilities Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Noncurrent Liabilities Long Term Debt Net assets acquired Business Combination Recognized Identifiable Assets Acquired Goodwill And Liabilities Assumed Net Schedule Of Accounts Notes Loans And Financing Receivable [Table] Schedule Of Accounts Notes Loans And Financing Receivable [Table] Concentration Risk Benchmark Concentration Risk By Benchmark [Axis] Concentration Risk Benchmark Concentration Risk Benchmark [Domain] Accounts Receivable Accounts Receivable [Member] Customer Major Customers [Axis] Customer Name Of Major Customer [Domain] TriWest Healthcare Alliance. TriWest Healthcare Alliance Tri West Healthcare Alliance [Member] Counterparty Name Counterparty Name [Axis] Counterparty Name Repurchase Agreement Counterparty Name [Domain] Commercial insurance company. Commercial Insurance Company Commercial Insurance Company [Member] Accounts Notes And Loans Receivable [Line Items] Accounts Notes And Loans Receivable [Line Items] Percentage of accounts receivable Concentration Risk Percentage1 Accounts receivable, net of allowance for doubtful accounts Allowance For Doubtful Accounts Receivable Current Property plant and equipment useful life and values. Property Plant And Equipment Useful Life And Values [Abstract] Schedule Of Property Plant And Equipment [Table] Schedule Of Property Plant And Equipment [Table] Property, Plant and Equipment, Type Property Plant And Equipment By Type [Axis] Property, Plant and Equipment, Type Property Plant And Equipment Type [Domain] Land Land [Member] Buildings and Improvements Building And Building Improvements [Member] Equipment and Software. Equipment and Software Equipment And Software [Member] Construction in progress Construction In Progress [Member] Property Plant And Equipment [Line Items] Property Plant And Equipment [Line Items] Total property and equipment Property Plant And Equipment Gross Less accumulated depreciation Accumulated Depreciation Depletion And Amortization Property Plant And Equipment Property and equipment, net Depreciation expense Depreciation Lessee Lease Description [Table] Lessee Lease Description [Table] Property and equipment. Property And Equipment Property And Equipment [Member] Equipment and vehicles. Equipment And Vehicles Equipment And Vehicles [Member] Lessee Lease Description [Line Items] Lessee Lease Description [Line Items] Operating lease liabilities Operating Lease Liability Operating lease remaining life Lessee Operating Lease Term Of Contract Finance lease remaining life Lessee Finance Lease Term Of Contract1 Operating lease existence of option to extend lease term Lessee Operating Lease Existence Of Option To Extend Finance lease existence of option to extend lease term Lessee Finance Lease Existence Of Option To Extend Finance lease cost. Finance lease liabilities. Operating lease cost Operating Lease Cost Finance lease cost Finance Lease Liabilities [Abstract] Amortization of ROU assets Finance Lease Right Of Use Asset Amortization Interest on lease liabilities Finance Lease Interest Expense Total finance lease cost Finance Lease Cost Total lease cost Lease Cost Lease right of use asset. Lease liability. Assets lessee. Liabilities lessee. Operating lease liabilities. Weighted-average remaining lease term. Weighted-average discount rate. Assets: Assets Lessee [Abstract] Operating lease assets Finance lease assets Finance Lease Right Of Use Asset Finance lease, right-of-use asset, statement of financial position [Extensible List] Finance Lease Right Of Use Asset Statement Of Financial Position Extensible List Accumulated Amortization ROU asset Total leased assets Lease Right Of Use Asset Liabilities: Liabilities Lessee [Abstract] Operating lease liabilities: Operating Lease Liabilities [Abstract] Total Operating lease liabilities Finance lease liabilities: current portion Finance Lease Liability Current Finance lease, liability, current, statement of financial position [Extensible List] Finance Lease Liability Current Statement Of Financial Position Extensible List long-term portion Finance Lease Liability Noncurrent Finance lease, liability, noncurrent, statement of financial position [Extensible List] Finance Lease Liability Noncurrent Statement Of Financial Position Extensible List Total Finance lease liabilities Finance Lease Liability Total lease liabilities Lease Liability Weighted average remaining lease term Weighted Average Remaining Lease Term [Abstract] Operating leases Operating Lease Weighted Average Remaining Lease Term1 Finance leases Finance Lease Weighted Average Remaining Lease Term1 Weighted average discount rate Weighted Average Discount Rate [Abstract] Operating leases Operating Lease Weighted Average Discount Rate Percent Finance leases Finance Lease Weighted Average Discount Rate Percent Right-of-use assets recognized in exchange for new lease obligations. Cash used in operating activities Cash Flow Operating Activities Lessee [Abstract] Operating leases Operating Lease Payments Finance leases Finance Lease Interest Payment On Liability Cash used in financing activities Cash Flow Financing Activities Lessee [Abstract] Finance leases Finance Lease Principal Payments Right-of-use assets recognized in exchange for new lease obligations Right Of Use Assets Recognized In Exchange For New Lease Obligations [Abstract] Operating leases Right Of Use Asset Obtained In Exchange For Operating Lease Liability Finance leases Right Of Use Asset Obtained In Exchange For Finance Lease Liability Finance Lease Liabilities, Payments, Due [Abstract] Finance Lease Liabilities Payments Due [Abstract] 2019 Finance Lease Liability Payments Remainder Of Fiscal Year 2020 Finance Lease Liability Payments Due Year Two 2021 Finance Lease Liability Payments Due Year Three 2022 Finance Lease Liability Payments Due Year Four 2023 Finance Lease Liability Payments Due Year Five Thereafter Finance Lease Liability Payments Due After Year Five Total Finance Lease Liability Payments Due Operating Lease Liabilities, Payments Due [Abstract] Operating Lease Liabilities Payments Due [Abstract] 2019 Lessee Operating Lease Liability Payments Remainder Of Fiscal Year 2020 Lessee Operating Lease Liability Payments Due Year Two 2021 Lessee Operating Lease Liability Payments Due Year Three 2022 Lessee Operating Lease Liability Payments Due Year Four 2023 Lessee Operating Lease Liability Payments Due Year Five Thereafter Lessee Operating Lease Liability Payments Due After Year Five Total Lessee Operating Lease Liability Payments Due Capital Leases, Future Minimum Payments Due, Fiscal Year Maturity [Abstract] Capital Leases Future Minimum Payments Due [Abstract] 2019 Capital Leases Future Minimum Payments Due Current 2020 Capital Leases Future Minimum Payments Due In Two Years 2021 Capital Leases Future Minimum Payments Due In Three Years 2022 Capital Leases Future Minimum Payments Due In Four Years 2023 Capital Leases Future Minimum Payments Due In Five Years Thereafter Capital Leases Future Minimum Payments Due Thereafter Total Capital Leases Future Minimum Payments Due Operating Leases, Future Minimum Payments Due, Fiscal Year Maturity [Abstract] Operating Leases Future Minimum Payments Due [Abstract] 2019 Operating Leases Future Minimum Payments Due Current 2020 Operating Leases Future Minimum Payments Due In Two Years 2021 Operating Leases Future Minimum Payments Due In Three Years 2022 Operating Leases Future Minimum Payments Due In Four Years 2023 Operating Leases Future Minimum Payments Due In Five Years Thereafter Operating Leases Future Minimum Payments Due Thereafter Total Operating Leases Future Minimum Payments Due Intangible assets Goodwill And Intangible Asset Impairment Number of operating segments Number Of Operating Segments Number of reportable segments Number Of Reportable Segments Maximum valuation term for average stock price. Percentage of discount rate assumption based on assessment of risk inherent in future cash flows. Maximum valuation period for average stock price Maximum Valuation Term For Average Stock Price Percentage of discount rate assumption based on assessment of risk inherent in future cash flows Percentage Of Discount Rate Assumption Based On Assessment Of Risk Inherent In Future Cash Flows Goodwill impairment Goodwill Impairment Loss Beginning balance 2019 Activity Goodwill Period Increase Decrease Ending balance Schedule Of Finite Lived Intangible Assets [Table] Schedule Of Finite Lived Intangible Assets [Table] Finite-Lived Intangible Assets by Major Class Finite Lived Intangible Assets By Major Class [Axis] Finite-Lived Intangible Assets, Major Class Name Finite Lived Intangible Assets Major Class Name [Domain] Trademarks and trade names Trademarks And Trade Names [Member] Non-compete agreements Noncompete Agreements [Member] Marketing Intangibles Marketing Related Intangible Assets [Member] Leasehold interests. Leasehold interests Leasehold Interests [Member] Service contracts. Service contracts Service Contracts [Member] Other Other Intangible Assets [Member] Finite Lived Intangible Assets [Line Items] Finite Lived Intangible Assets [Line Items] Gross Carrying Value Finite Lived Intangible Assets Gross Accumulated Amortization Finite Lived Intangible Assets Accumulated Amortization Amortization expense Amortization Of Intangible Assets 2019 Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year 2020 Finite Lived Intangible Assets Amortization Expense Year Two 2021 Finite Lived Intangible Assets Amortization Expense Year Three 2022 Finite Lived Intangible Assets Amortization Expense Year Four 2023 Finite Lived Intangible Assets Amortization Expense Year Five Thereafter Finite Lived Intangible Assets Amortization Expense After Year Five Total Finite Lived Intangible Assets Net Line Of Credit Facility [Table] Line Of Credit Facility [Table] Subordinated Debt Subordinated Debt [Member] Two thousand seventeen credit facility. 2017 Credit Facility Two Thousand Seventeen Credit Facility [Member] Line Of Credit Facility [Line Items] Line Of Credit Facility [Line Items] Unamortized deferred financing costs Unamortized Debt Issuance Expense Senior secured loans Long Term Debt Subordinated debt Subordinated Debt From Nonrelated Party Capital lease obligations Capital Lease Obligations Total debt Debt And Capital Lease Obligations Less current portion of long-term debt Long-term debt, net of current portion and deferred financing costs Long Term Debt And Capital Lease Obligations Total related party debt Due To Related Parties Current And Noncurrent Credit facility additional term loans Variable Rate Variable Rate [Axis] Variable Rate Variable Rate [Domain] London Interbank Offered Rate (LIBOR) London Interbank Offered Rate L I B O R [Member] Revolving loans under two thousands seventeen credit facility. Revolving Loans under 2017 Credit Facility Revolving Loans Under Two Thousands Seventeen Credit Facility [Member] Available liquidity. Available Liquidity Available Liquidity [Member] Scenario Statement Scenario [Axis] Scenario Scenario Unspecified [Domain] Last day of fiscal quarter ending June thirty two thousand nineteen. Last Day of Fiscal Quarter Ended June 30, 2019 Last Day Of Fiscal Quarter Ending June Thirty Two Thousand Nineteen [Member] Last day of fiscal quarter ending September thirty two thousand nineteen. Last Day of Fiscal Quarter Ending September 30, 2019 Last Day Of Fiscal Quarter Ending September Thirty Two Thousand Nineteen [Member] Last day of fiscal quarter ending December thirty one two thousand nineteen. Last Day of Fiscal Quarter Ended December 31, 2019 Last Day Of Fiscal Quarter Ending December Thirty One Two Thousand Nineteen [Member] Last day of fiscal quarter ending March thirty one two thousand twenty. Last Day of Fiscal Quarter Ending March 31, 2020 Last Day Of Fiscal Quarter Ending March Thirty One Two Thousand Twenty [Member] Last day of fiscal quarter ending June thirty two thousand twenty. Last Day of Fiscal Quarter Ending June 30, 2020 Last Day Of Fiscal Quarter Ending June Thirty Two Thousand Twenty [Member] Upper limit of the provided range. Last Day of Fiscal Quarters Ending September 30, 2020 and December 31, 2020 Last Day Of Fiscal Year Ending September Thirty And December Thirty One Two Thousand Twenty [Member] Last day of fiscal quarters ending March thirty one and June thirty two thousand twenty one. Last Day of Fiscal Quarters Ending March 31 and June 30, 2021 Last Day Of Fiscal Quarters Ending March Thirty One And June Thirty Two Thousand Twenty One [Member] Last day of each fiscal quarter ending on and after December thirty one two thousand twenty. Last Day of each Fiscal Quarter Ending on and After December 31, 2020 Last Day Of Each Fiscal Quarter Ending On And After December Thirty One Two Thousand Twenty [Member] Proceeds from senior credit facility Debt instrument floor interest rate. Percentage of exit payment for outstanding principal amount. Percentage of addtional exit payment for outstanding principal amount. Interest rate Debt Instrument Floor Interest Rate Interest rate Debt Instrument Basis Spread On Variable Rate1 Percentage of exit payment for outstanding principal amount Percentage Of Exit Payment For Outstanding Principal Amount Percentage of additional exit payment for end of each 30-day period after the nine-month anniversary Percentage Of Additional Exit Payment For Outstanding Principal Amount Senior secured leverage ratio. Senior Secured Leverage Ratio Senior Secured Leverage Ratio Credit facility borrowing capacity Line Of Credit Facility Current Borrowing Capacity 2017 Revolver Amendments to two thousand seventeen credit facility. Amendments to the 2017 Credit Facility Amendments To Two Thousand Seventeen Credit Facility [Member] Debt Instrument, Redemption, Period Debt Instrument Redemption Period [Axis] Debt Instrument, Redemption, Period Debt Instrument Redemption Period [Domain] Paid on or prior to first anniversary of closing of amendment. Paid on or Prior to First Anniversary of Closing of Amendment Paid On Or Prior To First Anniversary Of Closing Of Amendment [Member] Paid after first anniversary but before second anniversary of closing of Amendment. Paid After First Anniversary but Before Second Anniversary of Closing of Amendment Paid After First Anniversary But Before Second Anniversary Of Closing Of Amendment [Member] Incremental term loan. Incremental Term Loan Incremental Term Loan [Member] Line of credit facility unused capacity quarterly commitment fee percentage. Debt Instrument interest payable in cash. Senior secured leverage ratio condition satisfied. Debt instrument interest payable-in-kind. Payable in cash Debt Instrument Interest Payable In Cash Senior secured leverage ratio condition is satisfied Senior Secured Leverage Ratio Condition Satisfied Payable-in-kind Debt Instrument Interest Payable In Kind Quarterly commitment fee on undrawn amounts, percentage Line Of Credit Facility Unused Capacity Quarterly Commitment Fee Percentage Percentage of premium for prepayment of outstanding loan. Premium percentage for repayment of outstanding loan Percentage Of Premium For Prepayment Of Outstanding Loan Deferred financing costs Deferred Finance Costs Net Loss Contingency Nature Loss Contingencies By Nature Of Contingency [Axis] Loss Contingency, Nature Loss Contingency Nature [Domain] Standby Letters of Credit Standby Letters Of Credit [Member] Two thousand seventeen term loan. 2017 Term Loan Two Thousand Seventeen Term Loan [Member] Information pertaining to period five. September 30, 2017 through June 30, 2019 Period Five [Member] Period six. September 30, 2019 through March 31, 2023 Period Six [Member] Incremental revolver. Incremental Revolver Incremental Revolver [Member] Base Rate Base Rate [Member] First anniversary of closing but before second anniversary of closing. First Anniversary of Closing But Before Second Anniversary of Closing First Anniversary Of Closing But Before Second Anniversary Of Closing [Member] Second anniversary of closing but before third anniversary of closing. Second Anniversary of Closing But Before Third Anniversary of Closing Second Anniversary Of Closing But Before Third Anniversary Of Closing [Member] Revolving line of credit maturity date Monthly principal payments Debt Instrument Periodic Payment Principal Revolver outstanding loans Line Of Credit Availability to draw on Revolver facility Line Of Credit Facility Remaining Borrowing Capacity Letters of credit outstanding Letters Of Credit Outstanding Amount Line of credit facility additional maximum borrowing capacity under satisfaction of certain conditions. Additional maximum borrowing amount under satisfaction of certain conditions Line Of Credit Facility Additional Maximum Borrowing Capacity Under Satisfaction Of Certain Conditions Senior secured leverage ratio Commitment fee on undrawn amounts, percentage Yield maintenance premium period. Yield maintenance premium period Yield Maintenance Premium Period AdCare Note Debt instrument, face amount Maturity Date Debt Instrument Maturity Date Interest rate Debt Instrument Interest Rate Stated Percentage Number of drug and alcohol rehabilitation outpatient facilities sold. Number of sober living facilities sold. Sale Leaseback Transaction [Table] Sale Leaseback Transaction [Table] Maximum Sale Leaseback Transaction [Line Items] Sale Leaseback Transaction [Line Items] Sale-leaseback transaction, date Sale Leaseback Transaction Date Sale-leaseback transaction, value Sale Leaseback Transaction Net Book Value Sale-leaseback transaction, assets description Sale Leaseback Transaction Description Of Asset S Number of drug and alcohol rehabilitation outpatient facilities sold Number Of Drug And Alcohol Rehabilitation Outpatient Facilities Sold Number of sober living facilities sold Number Of Sober Living Facilities Sold Sale leaseback transaction, number of separate renewals. Sale leaseback transaction each renewal term. Sale-leaseback transaction, operating lease term Sale Leaseback Transaction Lease Terms Sale-leaseback transaction, number of separate renewals Sale Leaseback Transaction Number Of Separate Renewals Sale-leaseback transaction, each renewal term Sale Leaseback Transaction Each Renewal Term Sale leaseback transaction, percentage of rent increase annually in years one to three. Sale leaseback transaction percentage of rent increase annually in years four and thereafter. Sale-leaseback transaction, initial annual minimum rent payable Sale Leaseback Transaction Annual Rental Payments Sale-leaseback transaction, equal monthly installments Sale Leaseback Transaction Monthly Rental Payments Sale-leaseback transaction, percentage of rent increase annually in years one to three Sale Leaseback Transaction Percentage Of Rent Increase Annually In Years One To Three Sale-leaseback transaction, percentage of rent increase annually in years four and thereafter Sale Leaseback Transaction Percentage Of Rent Increase Annually In Years Four And Thereafter Sale-leaseback financing obligation, proceeds Sale Leaseback Transaction Gross Proceeds Financing Activities Sale-leaseback financing obligation, transaction costs Sale Leaseback Transaction Transaction Costs Financing Activities Sale-leaseback financing obligation, short term liability Sale leaseback financing obligation. Financing lease obligation: Sale-Leaseback facilities Sale Leaseback Financing Obligation Less current portion Total Financing lease obligation, net of current portion Common stock withheld for minimum statutory taxes Adjustments Related To Tax Withholding For Share Based Compensation Common stock withheld for minimum statutory taxes, shares Shares Paid For Tax Withholding For Share Based Compensation Common stock issued upon acquisition of AdCare, Inc. Stock Issued During Period Value Acquisitions Common stock issued upon acquisition of AdCare, Inc. shares Stock Issued During Period Shares Acquisitions Net income (loss) Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table] Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table] Plan Name Plan Name [Axis] Plan Name Plan Name [Domain] Two thousand fourteen equity incentive plan. 2014 Equity Incentive Plan Two Thousand Fourteen Equity Incentive Plan [Member] Award Type Award Type [Axis] Award Type Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain] Restricted Common Stock Restricted Stock [Member] Title of Individual Title Of Individual [Axis] Title of Individual Title Of Individual With Relationship To Entity [Domain] Non-employee directors. Non Employee Directors Non Employee Directors [Member] Sale of Stock Subsidiary Sale Of Stock [Axis] Sale of Stock Sale Of Stock Name Of Transaction [Domain] Employee Stock Purchase Plan Employee Stock [Member] Share Based Compensation Arrangement By Share Based Payment Award [Line Items] Share Based Compensation Arrangement By Share Based Payment Award [Line Items] Stock options, granted Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Fully vested common stock granted Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Number Of Shares Share-based compensation, award vesting period Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1 Compensation expense Allocated Share Based Compensation Expense Unrecognized compensation expenses Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Share Based Awards Other Than Options Weighted average life of remaining vesting period Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1 Nonvested, Number of Shares [Roll Forward] Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares Roll Forward Beginning Balance, Shares Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares Granted, Shares Vested, Shares Forfeitures, Shares Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Number Of Shares Ending Balance, Shares Nonvested, Weighted Average Grant Date Fair Value [Abstract] Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value [Abstract] Beginning Balance, Weighted-Average Grant Date Fair Value Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Weighted Average Grant Date Fair Value Granted, Weighted-Average Grant Date Fair Value Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value Vested, Weighted-Average Grant Date Fair Value Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Weighted Average Grant Date Fair Value Forfeitures, Weighted-Average Grant Date Fair Value Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Options Forfeited Weighted Average Grant Date Fair Value Ending Balance, Weighted-Average Grant Date Fair Value Employee stock purchase plan, shares issued Effective tax rates on provision for income taxes Effective Income Tax Rate Continuing Operations Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table] Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table] Fair Value Hierarchy and NAV Fair Value By Fair Value Hierarchy Level [Axis] Fair Value Hierarchy and NAV Fair Value Measurements Fair Value Hierarchy [Domain] Level 2 Fair Value Inputs Level2 [Member] Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] Debt, fair value Long Term Debt Fair Value Settlement amount Litigation Settlement Amount Awarded From Other Party