Leases

12 Months Ended

Dec. 31, 2024

Leases [Abstract]

Leases

19.Leases

The Company has operating and finance leases for corporate offices, physicians’ offices, and certain equipment. These leases have remaining lease terms ranging from 1 month to 21 years, some of which may include options to extend the leases for up to ten years, and some of which may include options to terminate the leases within one year. These leases consist of payments that are fixed or variable. Variable lease payments are based on an index or a rate such as the Consumer Price Index. As of December 31, 2024 and 2023, assets recorded under finance leases were $1.3 million and $1.7 million, respectively, and accumulated depreciation associated with finance leases was $2.2 million and $1.6 million, respectively.

Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheets.

The components of lease expense were as follows (in thousands):

	Years Ended December 31,
	2024			2023			2022
Operating lease cost	$	12,594		$	7,771		$	6,622
Finance lease cost
Amortization of lease expense		670			675			564
Interest on lease liabilities		83			103			70
Sublease income		(248	)		(1,025	)		(649	)
Total lease cost	$	13,099		$	7,524		$	6,607

Other information related to leases was as follows (dollars in thousands):

	Years Ended December 31 ,
	2024		2023		2022
Supplemental Cash Flows Information
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$	11,574	$	7,783	$	6,781
Operating cash flows from finance leases		83		103		70
Financing cash flows from finance leases		670		675		564
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases		14,117		25,124		—
Finance leases		152		486		971

	December 31, 2024			December 31, 2023
Weighted-Average Remaining Lease Term
Operating leases	7.07 years			8.73 years
Finance leases	2.50 years			3.00 years
Weighted-Average Discount Rate
Operating leases		6.71	%		6.02	%
Finance leases		5.73	%		5.24	%

Future minimum lease payments under non-cancellable leases as of December 31, 2024 were as follows (in thousands):

Years ending December 31,	Operating Leases		Finance Leases
2025	$	7,611	$	607
2026		7,302		345
2027		6,797		267
2028		6,543		27
2029		5,412		8
Thereafter		12,832		—
Total future minimum lease payments		46,497		1,254
Less: imputed interest		10,493		93
Total lease obligations		36,004		1,161
Less: current portion		5,350		554
Long-term lease obligations	$	30,654	$	607