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Leases
 12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
Leases Leases
The Company has operating and finance leases for its facilities. The Company’s occupational health centers generally have lease terms of 5 to 10 years with two, five year renewal options.
The Company’s total lease cost is as follows:
For the Year Ended December 31,
202420232022
(in thousands)
Operating lease cost$101,665 $97,640 $91,632 
Finance lease cost:
Amortization of right-of-use assets499 1,000 916 
Interest on lease liabilities262 392 426 
Variable lease cost20,638 19,834 18,376 
Total lease cost$123,064 $118,866 $111,350 
Supplemental cash flow information related to leases is as follows:
For the Year Ended December 31,
202420232022
(in thousands)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases$100,340 $96,854 $93,361 
Operating cash flows for finance leases$308 $358 $393 
Financing cash flows for finance leases$619 $917 $827 
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases$114,785 $98,584 $106,229 
Finance leases$101 $— $494 

Supplemental balance sheet information related to the Company’s leases is as follows:

December 31,
20242023
Operating Leases(in thousands)
Operating lease right-of-use assets$435,595 $397,852 
Current operating lease liabilities$75,442 $72,946 
Non-current operating lease liabilities396,914 357,310 
Total operating lease liabilities$472,356 $430,256 
December 31,
20242023
Finance Leases(in thousands)
Property and equipment, net$1,730 $2,112 
Current portion of long-term debt and notes payable$427 $620 
Long-term debt, net of current portion2,967 3,291 
Total finance lease liabilities$3,394 $3,911 
The weighted average remaining lease terms and discount rates are as follows:
December 31,
20242023
Weighted average remaining lease term (in years):
Operating leases7.06.6
Finance leases7.57.9
Weighted average discount rate:
Operating leases6.5 %6.1 %
Finance leases8.9 %8.6 %
As of December 31, 2024, maturities of lease liabilities are as follows:
Operating LeasesFinance Leases
(in thousands)
2025$103,297 $705 
202695,751 621 
202784,008 633 
202872,120 646 
202963,389 629 
Thereafter
178,792 1,482 
Total undiscounted cash flows597,357 4,716 
Less: Imputed interest125,001 1,322 
Total discounted lease liabilities$472,356 $3,394 
Leases Leases
The Company has operating and finance leases for its facilities. The Company’s occupational health centers generally have lease terms of 5 to 10 years with two, five year renewal options.
The Company’s total lease cost is as follows:
For the Year Ended December 31,
202420232022
(in thousands)
Operating lease cost$101,665 $97,640 $91,632 
Finance lease cost:
Amortization of right-of-use assets499 1,000 916 
Interest on lease liabilities262 392 426 
Variable lease cost20,638 19,834 18,376 
Total lease cost$123,064 $118,866 $111,350 
Supplemental cash flow information related to leases is as follows:
For the Year Ended December 31,
202420232022
(in thousands)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases$100,340 $96,854 $93,361 
Operating cash flows for finance leases$308 $358 $393 
Financing cash flows for finance leases$619 $917 $827 
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases$114,785 $98,584 $106,229 
Finance leases$101 $— $494 

Supplemental balance sheet information related to the Company’s leases is as follows:

December 31,
20242023
Operating Leases(in thousands)
Operating lease right-of-use assets$435,595 $397,852 
Current operating lease liabilities$75,442 $72,946 
Non-current operating lease liabilities396,914 357,310 
Total operating lease liabilities$472,356 $430,256 
December 31,
20242023
Finance Leases(in thousands)
Property and equipment, net$1,730 $2,112 
Current portion of long-term debt and notes payable$427 $620 
Long-term debt, net of current portion2,967 3,291 
Total finance lease liabilities$3,394 $3,911 
The weighted average remaining lease terms and discount rates are as follows:
December 31,
20242023
Weighted average remaining lease term (in years):
Operating leases7.06.6
Finance leases7.57.9
Weighted average discount rate:
Operating leases6.5 %6.1 %
Finance leases8.9 %8.6 %
As of December 31, 2024, maturities of lease liabilities are as follows:
Operating LeasesFinance Leases
(in thousands)
2025$103,297 $705 
202695,751 621 
202784,008 633 
202872,120 646 
202963,389 629 
Thereafter
178,792 1,482 
Total undiscounted cash flows597,357 4,716 
Less: Imputed interest125,001 1,322 
Total discounted lease liabilities$472,356 $3,394