$ACHC
Acadia Healthcare Company, Inc.

2024 Q1 Form 10-K Financial Statement

#000095017024022057 Filed on February 28, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $768.1M $742.8M $2.929B
YoY Change 9.06% 10.0% 12.2%
Cost Of Revenue
YoY Change
Gross Profit
YoY Change
Gross Profit Margin
Selling, General & Admin $501.7M $484.3M $1.901B
YoY Change 6.81% 9.17% 12.01%
% of Gross Profit
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $36.35M $35.38M $132.3M
YoY Change 15.14% 17.38% 12.31%
% of Gross Profit
Operating Expenses $639.1M $617.8M $2.422B
YoY Change 7.94% 8.83% 11.92%
Operating Profit
YoY Change
Interest Expense -$27.21M -$20.47M -$82.13M
YoY Change 36.08% 5.51% 17.73%
% of Operating Profit
Other Income/Expense, Net
YoY Change
Pretax Income $98.84M $79.97M -$25.36M
YoY Change 15.41% -9.2% -106.78%
Income Tax $20.07M $20.21M -$9.700M
% Of Pretax Income 20.31% 25.27%
Net Earnings $76.38M $57.73M -$21.67M
YoY Change 15.71% -5.55% -107.93%
Net Earnings / Revenue 9.95% 7.77% -0.74%
Basic Earnings Per Share $0.84 -$0.24
Diluted Earnings Per Share $0.83 $0.63 -$0.24
COMMON SHARES
Basic Shares Outstanding 92.29M 92.22M 90.95M
Diluted Shares Outstanding 92.01M 90.95M

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $77.30M $100.1M $100.1M
YoY Change 21.11% 2.48% 2.48%
Cash & Equivalents $77.30M $100.1M $100.1M
Short-Term Investments
Other Short-Term Assets $147.3M $134.5M $61.10M
YoY Change 15.49% 56.3% 2.15%
Inventory $5.745M $5.300M $5.300M
Prepaid Expenses $30.19M $36.09M
Receivables $386.2M $361.5M $361.5M
Other Receivables $0.00 $22.08M $68.08M
Total Short-Term Assets $610.8M $596.0M $596.0M
YoY Change 13.58% 17.76% 17.76%
LONG-TERM ASSETS
Property, Plant & Equipment $2.497B $2.267B $2.384B
YoY Change 24.99% 16.11% 14.23%
Goodwill $2.261B $2.226B
YoY Change 1.72% 0.14%
Intangibles $73.35M $73.28M
YoY Change -3.8% -3.63%
Long-Term Investments
YoY Change
Other Assets $74.66M $72.55M $79.21M
YoY Change 2.02% -21.73% -17.18%
Total Long-Term Assets $4.906B $4.763B $4.763B
YoY Change 8.88% 6.27% 6.27%
TOTAL ASSETS
Total Short-Term Assets $610.8M $596.0M $596.0M
Total Long-Term Assets $4.906B $4.763B $4.763B
Total Assets $5.517B $5.359B $5.359B
YoY Change 9.38% 7.44% 7.44%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $156.1M $156.1M $156.1M
YoY Change 24.18% 49.09% 49.09%
Accrued Expenses $264.7M $675.5M $675.5M
YoY Change 43.02% 209.12% 209.12%
Deferred Revenue $2.154M $2.165M
YoY Change -57.74% -67.46%
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $61.45M $29.22M $30.21M
YoY Change 189.19% 37.5% 35.83%
Total Short-Term Liabilities $482.3M $885.8M $885.8M
YoY Change 27.55% 128.1% 128.1%
LONG-TERM LIABILITIES
Long-Term Debt $1.794B $1.343B $1.353B
YoY Change 28.18% -1.61% -1.6%
Other Long-Term Liabilities $249.8M $140.1M $230.0M
YoY Change 93.71% 12.06% -0.25%
Total Long-Term Liabilities $2.044B $1.483B $1.583B
YoY Change 33.71% -0.46% -1.4%
TOTAL LIABILITIES
Total Short-Term Liabilities $482.3M $885.8M $885.8M
Total Long-Term Liabilities $2.044B $1.483B $1.583B
Total Liabilities $2.651B $2.471B $2.577B
YoY Change 25.4% 18.41% 18.47%
SHAREHOLDERS EQUITY
Retained Earnings $208.1M $131.7M
YoY Change -5.15% -14.13%
Common Stock $2.658B $2.650B
YoY Change 1.44% -0.34%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $2.866B $2.782B $2.782B
YoY Change
Total Liabilities & Shareholders Equity $5.517B $5.359B $5.359B
YoY Change 9.38% 7.44% 7.44%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income $76.38M $57.73M -$21.67M
YoY Change 15.71% -5.55% -107.93%
Depreciation, Depletion And Amortization $36.35M $35.38M $132.3M
YoY Change 15.14% 17.38% 12.31%
Cash From Operating Activities -$321.3M $116.3M $462.3M
YoY Change -823.48% 2.43% 21.49%
INVESTING ACTIVITIES
Capital Expenditures $142.4M $138.7M $424.1M
YoY Change 114.07% 58.8% 43.22%
Acquisitions $50.35M $349.0K
YoY Change -96.33%
Other Investing Activities -$42.20M $28.56M $2.159M
YoY Change -5415.37% -712.37% -70.21%
Cash From Investing Activities -$184.6M -$110.2M -$397.2M
YoY Change 175.91% 19.72% 29.88%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 483.1M -5.654M -62.70M
YoY Change -4368.68% -67.31% -43.47%
NET CHANGE
Cash From Operating Activities -321.3M 116.3M 462.3M
Cash From Investing Activities -184.6M -110.2M -397.2M
Cash From Financing Activities 483.1M -5.654M -62.70M
Net Change In Cash -22.77M 482.0K 2.424M
YoY Change -32.67% -88.61% -106.7%
FREE CASH FLOW
Cash From Operating Activities -$321.3M $116.3M $462.3M
Capital Expenditures $142.4M $138.7M $424.1M
Free Cash Flow -$463.7M -$22.42M $38.21M
YoY Change 1996.55% -185.61% -54.74%

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CY2022Q4 us-gaap Insurance Receivable For Malpractice Noncurrent
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27600000
CY2023 achc Workers Compensation Insurance Deductible
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500000
CY2023 achc Workers Compensation Liability
WorkersCompensationLiability
26800000
CY2023Q4 us-gaap Workers Compensation Liability Current
WorkersCompensationLiabilityCurrent
12000000
CY2023Q4 us-gaap Workers Compensation Liability Noncurrent
WorkersCompensationLiabilityNoncurrent
14800000
CY2022 achc Workers Compensation Liability
WorkersCompensationLiability
24200000
CY2022Q4 us-gaap Workers Compensation Liability Current
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12000000.0
CY2022Q4 us-gaap Workers Compensation Liability Noncurrent
WorkersCompensationLiabilityNoncurrent
12200000
CY2023 us-gaap Depreciation
Depreciation
132300000
CY2022 us-gaap Depreciation
Depreciation
117800000
CY2021 us-gaap Depreciation
Depreciation
106700000
CY2021Q2 achc Number Of Beds Replacement Facility
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260
CY2021Q2 us-gaap Impairment Of Long Lived Assets To Be Disposed Of
ImpairmentOfLongLivedAssetsToBeDisposedOf
23200000
CY2021Q3 us-gaap Impairment Of Long Lived Assets To Be Disposed Of
ImpairmentOfLongLivedAssetsToBeDisposedOf
1100000
CY2022Q4 us-gaap Number Of Reporting Units
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1
CY2021Q4 us-gaap Number Of Reporting Units
NumberOfReportingUnits
1
CY2023Q4 us-gaap Number Of Reporting Units
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1
CY2022Q4 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2021Q4 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2023Q4 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2023 us-gaap Impairment Of Intangible Assets Indefinitelived Excluding Goodwill
ImpairmentOfIntangibleAssetsIndefinitelivedExcludingGoodwill
5400000
CY2021Q2 achc Number Of Outpatient Facility
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1
CY2021Q2 us-gaap Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
4300000
CY2021Q2 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
1800000
CY2021Q2 us-gaap Gain Loss On Disposition Of Intangible Assets
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200000
CY2021Q4 achc Number Of Outpatient Facility
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1
CY2021Q4 us-gaap Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
1500000
CY2021Q4 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
700000
CY2021Q4 us-gaap Gain Loss On Disposition Of Intangible Assets
GainLossOnDispositionOfIntangibleAssets
100000
CY2023Q4 achc Cost Report Settlement Due To
CostReportSettlementDueTo
9300000
CY2022Q4 achc Cost Report Settlement Due To
CostReportSettlementDueTo
13700000
CY2023 achc Increase Decrease In Net Income Due To Estimated Cost Report Settlements
IncreaseDecreaseInNetIncomeDueToEstimatedCostReportSettlements
1800000
CY2022 achc Increase Decrease In Net Income Due To Estimated Cost Report Settlements
IncreaseDecreaseInNetIncomeDueToEstimatedCostReportSettlements
100000
CY2021 achc Increase Decrease In Net Income Due To Estimated Cost Report Settlements
IncreaseDecreaseInNetIncomeDueToEstimatedCostReportSettlements
-5400000
CY2023 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
8200000
CY2022 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
6400000
CY2021 us-gaap Charity Care Direct And Indirect Cost Basis Amount
CharityCareDirectAndIndirectCostBasisAmount
3800000
CY2023 us-gaap Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
-21667000
CY2022 us-gaap Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
273139000
CY2021 us-gaap Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
203276000
CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Reporting Entity
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
-12641000
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-21667000
CY2022 us-gaap Net Income Loss
NetIncomeLoss
273139000
CY2021 us-gaap Net Income Loss
NetIncomeLoss
190635000
CY2023 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
90949000
CY2022 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
89680000
CY2021 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
88769000
CY2022 us-gaap Weighted Average Number Diluted Shares Outstanding Adjustment
WeightedAverageNumberDilutedSharesOutstandingAdjustment
1875000
CY2021 us-gaap Weighted Average Number Diluted Shares Outstanding Adjustment
WeightedAverageNumberDilutedSharesOutstandingAdjustment
2024000
CY2023 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
90949000
CY2022 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
91555000
CY2021 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
90793000
CY2023 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
-0.24
CY2022 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
3.05
CY2021 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
2.29
CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
-0.14
CY2023 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-0.24
CY2022 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
3.05
CY2021 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
2.15
CY2023 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
-0.24
CY2022 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
2.98
CY2021 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
2.24
CY2021 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.14
CY2023 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-0.24
CY2022 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
2.98
CY2021 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
2.10
CY2023 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
300000
CY2022 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
100000
CY2021 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
300000
CY2021Q4 us-gaap Goodwill
Goodwill
2199937000
CY2022 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
9488000
CY2022 us-gaap Goodwill Translation And Purchase Accounting Adjustments
GoodwillTranslationAndPurchaseAccountingAdjustments
8761000
CY2022 achc Increase In Goodwill From Contribution Of Redeemable Non Controlling Interests
IncreaseInGoodwillFromContributionOfRedeemableNonControllingInterests
4619000
CY2022Q4 us-gaap Goodwill
Goodwill
2222805000
CY2023 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
337000
CY2023 achc Increase In Goodwill From Contribution Of Redeemable Non Controlling Interests
IncreaseInGoodwillFromContributionOfRedeemableNonControllingInterests
2820000
CY2023Q4 us-gaap Goodwill
Goodwill
2225962000
CY2023 achc Goodwill Acquired During Period Tax Deductible
GoodwillAcquiredDuringPeriodTaxDeductible
300000
CY2022 achc Goodwill Acquired During Period Tax Deductible
GoodwillAcquiredDuringPeriodTaxDeductible
9500000
CY2023Q4 us-gaap Prepaid Expense Current
PrepaidExpenseCurrent
36085000
CY2022Q4 us-gaap Prepaid Expense Current
PrepaidExpenseCurrent
27052000
CY2023Q4 us-gaap Insurance Receivable For Malpractice Current
InsuranceReceivableForMalpracticeCurrent
33579000
CY2022Q4 us-gaap Insurance Receivable For Malpractice Current
InsuranceReceivableForMalpracticeCurrent
10158000
CY2023Q4 us-gaap Other Receivables Net Current
OtherReceivablesNetCurrent
22084000
CY2022Q4 us-gaap Other Receivables Net Current
OtherReceivablesNetCurrent
15371000
CY2023Q4 us-gaap Income Taxes Receivable
IncomeTaxesReceivable
12416000
CY2022Q4 us-gaap Income Taxes Receivable
IncomeTaxesReceivable
5767000
CY2023Q4 achc Workers Compensation Deposits
WorkersCompensationDeposits
12000000
CY2022Q4 achc Workers Compensation Deposits
WorkersCompensationDeposits
12000000
CY2023Q4 us-gaap Assets Held For Sale Not Part Of Disposal Group Current
AssetsHeldForSaleNotPartOfDisposalGroupCurrent
11496000
CY2022Q4 us-gaap Assets Held For Sale Not Part Of Disposal Group Current
AssetsHeldForSaleNotPartOfDisposalGroupCurrent
8347000
CY2023Q4 us-gaap Inventory Net
InventoryNet
5300000
CY2022Q4 us-gaap Inventory Net
InventoryNet
5087000
CY2023Q4 us-gaap Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
1516000
CY2022Q4 us-gaap Other Assets Miscellaneous Current
OtherAssetsMiscellaneousCurrent
2255000
CY2023Q4 us-gaap Other Assets Current
OtherAssetsCurrent
134476000
CY2022Q4 us-gaap Other Assets Current
OtherAssetsCurrent
86037000
CY2023Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
3033956000
CY2022Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
2608619000
CY2023Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
767346000
CY2022Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
656574000
CY2023Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
2266610000
CY2022Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
1952045000
CY2023Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
73278000
CY2022Q4 us-gaap Indefinite Lived Intangible Assets Excluding Goodwill
IndefiniteLivedIntangibleAssetsExcludingGoodwill
76041000
CY2023Q4 us-gaap Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
74409000
CY2022Q4 us-gaap Intangible Assets Gross Excluding Goodwill
IntangibleAssetsGrossExcludingGoodwill
77172000
CY2023Q4 achc Intangible Assets Accumulated Amortization Carrying Amount
IntangibleAssetsAccumulatedAmortizationCarryingAmount
1131000
CY2022Q4 achc Intangible Assets Accumulated Amortization Carrying Amount
IntangibleAssetsAccumulatedAmortizationCarryingAmount
1131000
CY2023 us-gaap Impairment Of Intangible Assets Indefinitelived Excluding Goodwill
ImpairmentOfIntangibleAssetsIndefinitelivedExcludingGoodwill
5400000
CY2023Q4 us-gaap Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
7872000
CY2022Q4 us-gaap Finance Lease Right Of Use Asset
FinanceLeaseRightOfUseAsset
8250000
CY2023Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
117780000
CY2022Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
135238000
CY2023Q4 achc Lease Right Of Use Asset
LeaseRightOfUseAsset
125652000
CY2022Q4 achc Lease Right Of Use Asset
LeaseRightOfUseAsset
143488000
CY2023Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
990000
CY2022Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
990000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
26268000
CY2022Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
26463000
CY2023Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
10896000
CY2022Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
10858000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
100808000
CY2022Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
116429000
CY2023Q4 achc Lease Liability
LeaseLiability
138962000
CY2022Q4 achc Lease Liability
LeaseLiability
154740000
CY2023Q4 us-gaap Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
P20Y10M24D
CY2022Q4 us-gaap Finance Lease Weighted Average Remaining Lease Term1
FinanceLeaseWeightedAverageRemainingLeaseTerm1
P21Y10M24D
CY2023Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
P8Y1M6D
CY2022Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
P8Y4M24D
CY2023Q4 us-gaap Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
0.051
CY2022Q4 us-gaap Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
0.051
CY2023Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.057
CY2022Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.050
CY2023 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
378000
CY2022 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
378000
CY2021 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
378000
CY2023 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
1028000
CY2022 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
1041000
CY2021 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
2174000
CY2023 achc Finance Lease Cost
FinanceLeaseCost
1406000
CY2022 achc Finance Lease Cost
FinanceLeaseCost
1419000
CY2021 achc Finance Lease Cost
FinanceLeaseCost
2552000
CY2023 us-gaap Operating Lease Cost
OperatingLeaseCost
34400000
CY2022 us-gaap Operating Lease Cost
OperatingLeaseCost
34349000
CY2021 us-gaap Operating Lease Cost
OperatingLeaseCost
28233000
CY2023 us-gaap Variable Lease Cost
VariableLeaseCost
3319000
CY2022 us-gaap Variable Lease Cost
VariableLeaseCost
3129000
CY2021 us-gaap Variable Lease Cost
VariableLeaseCost
2488000
CY2023 us-gaap Short Term Lease Cost
ShortTermLeaseCost
3237000
CY2022 us-gaap Short Term Lease Cost
ShortTermLeaseCost
2605000
CY2021 us-gaap Short Term Lease Cost
ShortTermLeaseCost
3257000
CY2023 achc Other Lease Cost
OtherLeaseCost
5596000
CY2022 achc Other Lease Cost
OtherLeaseCost
5379000
CY2021 achc Other Lease Cost
OtherLeaseCost
4541000
CY2023 achc Lease And Rent Expense
LeaseAndRentExpense
46552000
CY2022 achc Lease And Rent Expense
LeaseAndRentExpense
45462000
CY2021 achc Lease And Rent Expense
LeaseAndRentExpense
38519000
CY2023 us-gaap Lease Cost
LeaseCost
47958000
CY2022 us-gaap Lease Cost
LeaseCost
46881000
CY2021 us-gaap Lease Cost
LeaseCost
41071000
CY2023 us-gaap Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
1028000
CY2022 us-gaap Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
1041000
CY2021 us-gaap Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
2174000
CY2023 achc Finance Lease Principal Payments Receipts
FinanceLeasePrincipalPaymentsReceipts
-38000
CY2023Q4 us-gaap Finance Lease Liability Payments Due Next Twelve Months
FinanceLeaseLiabilityPaymentsDueNextTwelveMonths
1006000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
32767000
CY2023Q4 us-gaap Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
1089000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
28062000
CY2023Q4 us-gaap Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
1089000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
21578000
CY2023Q4 us-gaap Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
1089000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
14670000
CY2023Q4 us-gaap Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
1089000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
11348000
CY2023Q4 us-gaap Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
20733000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
57375000
CY2023Q4 us-gaap Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
26095000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
165800000
CY2023Q4 us-gaap Finance Lease Liability Undiscounted Excess Amount
FinanceLeaseLiabilityUndiscountedExcessAmount
14209000
CY2023Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
38724000
CY2023Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
11886000
CY2023Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
127076000
CY2023Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
990000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
26268000
CY2023Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
10896000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
100808000
CY2023 us-gaap Operating Lease Payments
OperatingLeasePayments
34940000
CY2022 us-gaap Operating Lease Payments
OperatingLeasePayments
33836000
CY2021 us-gaap Operating Lease Payments
OperatingLeasePayments
27508000
CY2022 achc Finance Lease Principal Payments Receipts
FinanceLeasePrincipalPaymentsReceipts
-51000
CY2021 achc Finance Lease Principal Payments Receipts
FinanceLeasePrincipalPaymentsReceipts
31136000
CY2023 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
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14714000
CY2022 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
31294000
CY2021 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
63279000
CY2020Q4 achc Income From Provider Relief Fund
IncomeFromProviderReliefFund
32800000
CY2021Q3 achc Expected Repay Of Payroll Tax Deferrals
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39300000
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19900000
CY2023Q4 achc Accrued Desert Hills Settlement Current
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393696000
CY2023Q4 achc Accrued Expense Current
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80733000
CY2022Q4 achc Accrued Expense Current
AccruedExpenseCurrent
26699000
CY2023Q4 us-gaap Interest Payable Current
InterestPayableCurrent
18046000
CY2022Q4 us-gaap Interest Payable Current
InterestPayableCurrent
17596000
CY2023Q4 us-gaap Accrued Insurance Current
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12486000
CY2022Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
12128000
CY2023Q4 achc Cost Report Payable Current
CostReportPayableCurrent
9265000
CY2022Q4 achc Cost Report Payable Current
CostReportPayableCurrent
13738000
CY2023Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
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7097000
CY2022Q4 us-gaap Accrual For Taxes Other Than Income Taxes Current
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9009000
CY2023Q4 us-gaap Contract With Customer Liability Current
ContractWithCustomerLiabilityCurrent
2165000
CY2022Q4 us-gaap Contract With Customer Liability Current
ContractWithCustomerLiabilityCurrent
6653000
CY2023Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
990000
CY2022Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
990000
CY2022Q4 achc Government Relief Funds Liability Current
GovernmentReliefFundsLiabilityCurrent
8975000
CY2022Q4 us-gaap Taxes Payable Current
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1338000
CY2023Q4 us-gaap Other Liabilities Current
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7783000
CY2022Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
13466000
CY2023Q4 us-gaap Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
532261000
CY2022Q4 us-gaap Other Accrued Liabilities Current
OtherAccruedLiabilitiesCurrent
110592000
CY2023Q4 achc Debt Instrument Unamortized Issuance Costs Discount Premium Net
DebtInstrumentUnamortizedIssuanceCostsDiscountPremiumNet
10421000
CY2022Q4 achc Debt Instrument Unamortized Issuance Costs Discount Premium Net
DebtInstrumentUnamortizedIssuanceCostsDiscountPremiumNet
12647000
CY2023Q4 us-gaap Long Term Debt
LongTermDebt
1371767000
CY2022Q4 us-gaap Long Term Debt
LongTermDebt
1385791000
CY2023Q4 us-gaap Long Term Debt Current
LongTermDebtCurrent
29219000
CY2022Q4 us-gaap Long Term Debt Current
LongTermDebtCurrent
21250000
CY2023Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
1342548000
CY2022Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
1364541000
CY2021 us-gaap Repayments Of Other Long Term Debt
RepaymentsOfOtherLongTermDebt
3300000
CY2023Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
10400000
CY2023Q4 us-gaap Accumulated Amortization Deferred Finance Costs
AccumulatedAmortizationDeferredFinanceCosts
6800000
CY2022Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
12600000
CY2022Q4 us-gaap Accumulated Amortization Deferred Finance Costs
AccumulatedAmortizationDeferredFinanceCosts
4600000
CY2023 achc Amortization Of Debt Issuance Costs
AmortizationOfDebtIssuanceCosts
2200000
CY2022 achc Amortization Of Debt Issuance Costs
AmortizationOfDebtIssuanceCosts
2200000
CY2021 achc Amortization Of Debt Issuance Costs
AmortizationOfDebtIssuanceCosts
2800000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
29219000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
39844000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
388125000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
450000000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal After Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalAfterYearFive
475000000
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1382188000
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10
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65388000
CY2023 us-gaap Proceeds From Dividends Received
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21162000
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6894000
CY2023 us-gaap Proceeds From Minority Shareholders
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4183000
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1004000
CY2022Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
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88257000
CY2022 us-gaap Proceeds From Dividends Received
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16530000
CY2022 us-gaap Net Income Loss Attributable To Redeemable Noncontrolling Interest
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6006000
CY2022 us-gaap Payments Of Dividends Minority Interest
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5107000
CY2023Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
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105686000
CY2023 us-gaap Common Stock Voting Rights
CommonStockVotingRights
one vote for each share
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Authorized
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12700000
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant
ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
2634774
CY2023 achc Share Based Compensation Arrangement By Share Based Payment Stock Options Granted Term
ShareBasedCompensationArrangementByShareBasedPaymentStockOptionsGrantedTerm
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CY2023 achc Share Based Compensation Arrangement By Share Based Payment Award
ShareBasedCompensationArrangementByShareBasedPaymentAward
0.25
CY2023 us-gaap Share Based Compensation
ShareBasedCompensation
32300000
CY2022 us-gaap Share Based Compensation
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29600000
CY2021 us-gaap Share Based Compensation
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37500000
CY2023 us-gaap Unrecognized Tax Benefits Income Tax Penalties Expense
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74000000
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1
ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1
P1Y4M24D
CY2020Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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1510306
CY2020Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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37.56
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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324320
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
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57.53
CY2021 us-gaap Stock Issued During Period Shares Stock Options Exercised
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558322
CY2021 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
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39.45
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period
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170235
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice
40.08
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1106069
CY2021Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
42.07
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
334260
CY2022 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
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55.73
CY2022 us-gaap Stock Issued During Period Shares Stock Options Exercised
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285577
CY2022 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
40.66
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod
175475
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice
46.98
CY2022Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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979277
CY2022Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
46.27
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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296340
CY2023 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
78.94
CY2023 us-gaap Stock Issued During Period Shares Stock Options Exercised
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198527
CY2023 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
41.29
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod
140545
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice
55.95
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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936545
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
56.21
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
P7Y3M3D
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
18640000
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
349080
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
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42.85
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
P5Y6M3D
CY2023Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
11155000
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
30.99
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
20.72
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
20.64
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.042
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.020
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
0.009
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.37
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.39
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
0.40
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P5Y
CY2022 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P5Y
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1
P5Y
CY2023 achc Legal Accounting And Other Acquisition Related Costs
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31335000
CY2022 achc Legal Accounting And Other Acquisition Related Costs
LegalAccountingAndOtherAcquisitionRelatedCosts
5741000
CY2021 achc Legal Accounting And Other Acquisition Related Costs
LegalAccountingAndOtherAcquisitionRelatedCosts
7435000
CY2023 achc Management Transition Costs
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23283000
CY2022 achc Management Transition Costs
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11575000
CY2023 us-gaap Business Exit Costs1
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7408000
CY2022 us-gaap Business Exit Costs1
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6476000
CY2021 us-gaap Business Exit Costs1
BusinessExitCosts1
5343000
CY2023 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
62026000
CY2022 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
23792000
CY2021 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
12778000
CY2023 us-gaap Current Federal Tax Expense Benefit
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CY2022 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
63041000
CY2021 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
48292000
CY2023 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
14413000
CY2022 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
13769000
CY2021 us-gaap Current State And Local Tax Expense Benefit
CurrentStateAndLocalTaxExpenseBenefit
6715000
CY2023 us-gaap Current Foreign Tax Expense Benefit
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933000
CY2022 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
755000
CY2021 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
778000
CY2023 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
84285000
CY2022 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
77565000
CY2021 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
55785000
CY2023 us-gaap Deferred Federal Income Tax Expense Benefit
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CY2022 us-gaap Deferred Federal Income Tax Expense Benefit
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CY2021 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
13339000
CY2023 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
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CY2022 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
6377000
CY2021 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
-1892000
CY2023 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
557000
CY2022 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
360000
CY2021 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
325000
CY2023 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-93984000
CY2022 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
16545000
CY2021 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
11772000
CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-9699000
CY2022 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
94110000
CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
67557000
CY2023 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2022 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2023 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
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-0.022
CY2022 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
-0.001
CY2021 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
0.017
CY2023 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.456
CY2022 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.047
CY2021 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.039
CY2023 achc Effective Income Tax Reconciliation Nondeductible Expenses And Permanent Differences
EffectiveIncomeTaxReconciliationNondeductibleExpensesAndPermanentDifferences
-0.307
CY2022 achc Effective Income Tax Reconciliation Nondeductible Expenses And Permanent Differences
EffectiveIncomeTaxReconciliationNondeductibleExpensesAndPermanentDifferences
0.004
CY2021 achc Effective Income Tax Reconciliation Nondeductible Expenses And Permanent Differences
EffectiveIncomeTaxReconciliationNondeductibleExpensesAndPermanentDifferences
0.021
CY2023 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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-0.001
CY2022 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
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0.002
CY2021 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.028
CY2023 achc Effective Income Tax Rate Reconciliation Unrecognized Tax Benefits
EffectiveIncomeTaxRateReconciliationUnrecognizedTaxBenefits
-0.148
CY2021 achc Effective Income Tax Rate Reconciliation Unrecognized Tax Benefits
EffectiveIncomeTaxRateReconciliationUnrecognizedTaxBenefits
-0.009
CY2023 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
-0.098
CY2022 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
0.006
CY2021 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
0.008
CY2023 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
0.074
CY2022 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
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-0.004
CY2021 us-gaap Effective Income Tax Rate Reconciliation Minority Interest Income Expense
EffectiveIncomeTaxRateReconciliationMinorityInterestIncomeExpense
-0.004
CY2023 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.022
CY2021 us-gaap Effective Income Tax Rate Reconciliation Other Adjustments
EffectiveIncomeTaxRateReconciliationOtherAdjustments
0.007
CY2023 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.382
CY2022 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.252
CY2021 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.245
CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-9700000
CY2023 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
0.382
CY2022 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
94100000
CY2022 us-gaap Effective Income Tax Rate Continuing Operations
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0.252
CY2023 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
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-25360000
CY2022 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
374143000
CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
275760000
CY2023Q4 achc Deferred Tax Assets Net Operating Loss And Tax Credit Carryforwards
DeferredTaxAssetsNetOperatingLossAndTaxCreditCarryforwards
5729000
CY2022Q4 achc Deferred Tax Assets Net Operating Loss And Tax Credit Carryforwards
DeferredTaxAssetsNetOperatingLossAndTaxCreditCarryforwards
7333000
CY2023Q4 us-gaap Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
215175000
CY2022Q4 us-gaap Deferred Tax Assets Capital Loss Carryforwards
DeferredTaxAssetsCapitalLossCarryforwards
215745000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
1780000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
1148000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
18250000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
18784000
CY2023Q4 achc Deferred Tax Assets Tax Deferred Insurance Reserves
DeferredTaxAssetsTaxDeferredInsuranceReserves
17343000
CY2022Q4 achc Deferred Tax Assets Tax Deferred Insurance Reserves
DeferredTaxAssetsTaxDeferredInsuranceReserves
20924000
CY2023Q4 achc Deferred Tax Assets Leases
DeferredTaxAssetsLeases
948000
CY2022Q4 achc Deferred Tax Assets Leases
DeferredTaxAssetsLeases
862000
CY2023Q4 achc Deferred Tax Assets Tax Deferred Accrued Expense
DeferredTaxAssetsTaxDeferredAccruedExpense
1091000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Legal Settlements
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsLegalSettlements
104636000
CY2023Q4 achc Deferred Tax Assets Interest Carryforward
DeferredTaxAssetsInterestCarryforward
2430000
CY2022Q4 achc Deferred Tax Assets Interest Carryforward
DeferredTaxAssetsInterestCarryforward
2639000
CY2023Q4 achc Deferred Tax Assets Lease Right Of Use Liabilities
DeferredTaxAssetsLeaseRightOfUseLiabilities
29781000
CY2022Q4 achc Deferred Tax Assets Lease Right Of Use Liabilities
DeferredTaxAssetsLeaseRightOfUseLiabilities
26277000
CY2023Q4 us-gaap Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
2914000
CY2022Q4 us-gaap Deferred Tax Assets Property Plant And Equipment
DeferredTaxAssetsPropertyPlantAndEquipment
2128000
CY2023Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
9130000
CY2022Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
8987000
CY2023Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
409207000
CY2022Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
304827000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
217137000
CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
217705000
CY2023Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
192070000
CY2022Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
87122000
CY2023Q4 us-gaap Deferred Tax Liabilities Prepaid Expenses
DeferredTaxLiabilitiesPrepaidExpenses
4609000
CY2022Q4 us-gaap Deferred Tax Liabilities Prepaid Expenses
DeferredTaxLiabilitiesPrepaidExpenses
3714000
CY2022Q4 achc Deferred Tax Liabilities Tax Deferred Accrued Expense
DeferredTaxLiabilitiesTaxDeferredAccruedExpense
5713000
CY2023Q4 us-gaap Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
152284000
CY2022Q4 us-gaap Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
139843000
CY2023Q4 achc Deferred Tax Liabilities Lease Right Of Use Assets
DeferredTaxLiabilitiesLeaseRightOfUseAssets
27800000
CY2022Q4 achc Deferred Tax Liabilities Lease Right Of Use Assets
DeferredTaxLiabilitiesLeaseRightOfUseAssets
24960000
CY2023Q4 achc Deferred Tax Liabilities Investment In Foreign Subsidiary
DeferredTaxLiabilitiesInvestmentInForeignSubsidiary
2650000
CY2022Q4 achc Deferred Tax Liabilities Investment In Foreign Subsidiary
DeferredTaxLiabilitiesInvestmentInForeignSubsidiary
2530000
CY2023Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
187343000
CY2022Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
176760000
CY2023Q4 us-gaap Deferred Tax Assets Liabilities Net
DeferredTaxAssetsLiabilitiesNet
4727000
CY2022Q4 us-gaap Deferred Tax Liabilities
DeferredTaxLiabilities
89638000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
217100000
CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
217700000
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Domestic
DeferredTaxAssetsOperatingLossCarryforwardsDomestic
0
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Domestic
DeferredTaxAssetsOperatingLossCarryforwardsDomestic
0
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Foreign
DeferredTaxAssetsOperatingLossCarryforwardsForeign
100000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Foreign
DeferredTaxAssetsOperatingLossCarryforwardsForeign
100000
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards State And Local
DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal
175900000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards State And Local
DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal
191500000
CY2023 achc Net Operating Loss Carry Forward Expiration Year Begin
NetOperatingLossCarryForwardExpirationYearBegin
2024
CY2023 achc Net Operating Loss Carryforwards Expiration Ending Year
NetOperatingLossCarryforwardsExpirationEndingYear
2036
CY2023Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards
DeferredTaxAssetsTaxCreditCarryforwards
200000
CY2023 achc Tax Credit Carry Forward Expiration Year
TaxCreditCarryForwardExpirationYear
2030
CY2023Q4 us-gaap Income Tax Receivable
IncomeTaxReceivable
12400000
CY2022Q4 us-gaap Income Tax Receivable
IncomeTaxReceivable
28900000
CY2023Q4 us-gaap Taxes Payable Current
TaxesPayableCurrent
0
CY2022Q4 us-gaap Taxes Payable Current
TaxesPayableCurrent
1300000
CY2023Q4 achc Unrecognized Tax Benefits Including Interest And Penalties
UnrecognizedTaxBenefitsIncludingInterestAndPenalties
4000000
CY2022Q4 achc Unrecognized Tax Benefits Including Interest And Penalties
UnrecognizedTaxBenefitsIncludingInterestAndPenalties
0
CY2023Q4 us-gaap Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
3800000
CY2022Q4 us-gaap Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
0
CY2021 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Net Of Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
-4260000
CY2021 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Before Reclassification Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationTax
100000
CY2021 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss Before Reclassification After Tax
OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAfterTax
19000
CY2021 achc Other Comprehensive Income Loss Discontinued Operation Gain Loss From Disposal Of Discontinued Operation Net Of Tax
OtherComprehensiveIncomeLossDiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationNetOfTax
375606000
CY2020Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
2060000
CY2023 us-gaap Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
3089000
CY2021 us-gaap Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
2060000
CY2023Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
3089000
CY2020 us-gaap Discontinued Operation Gain Loss On Disposal Of Discontinued Operation Net Of Tax
DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax
-867300000
CY2021Q1 us-gaap Discontinued Operation Gain Loss On Disposal Of Discontinued Operation Net Of Tax
DiscontinuedOperationGainLossOnDisposalOfDiscontinuedOperationNetOfTax
-14300000

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