XML 35 R17.htm IDEA: XBRL DOCUMENT v3.25.4
Leases
 12 Months Ended
Dec. 31, 2025
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,
202520242023
(in thousands)
Operating lease cost$114,898 $101,665 $97,640 
Finance lease cost:
Amortization of right-of-use assets185 499 1,000 
Interest on lease liabilities127 262 392 
Variable lease cost24,146 20,638 19,834 
Total lease cost$139,356 $123,064 $118,866 
Supplemental cash flow information related to leases is as follows:
For the Year Ended December 31,
202520242023
(in thousands)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases$111,822 $100,340 $96,854 
Operating cash flows for finance leases$175 $308 $358 
Financing cash flows for finance leases$158 $619 $917 
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases$135,250 $114,785 $98,584 
Finance leases$153 $101 $— 
Supplemental balance sheet information related to the Company’s leases is as follows:
December 31,
20252024
Operating Leases(in thousands)
Operating lease right-of-use assets$483,652 $435,595 
Current operating lease liabilities$84,582 $75,442 
Non-current operating lease liabilities443,642 396,914 
Total operating lease liabilities$528,224 $472,356 
December 31,
20252024
Finance Leases(in thousands)
Property and equipment, net$1,201 $1,730 
Current portion of long-term debt and notes payable$167 $427 
Long-term debt, net of current portion1,624 2,967 
Total finance lease liabilities$1,791 $3,394 
The weighted average remaining lease terms and discount rates are as follows:
December 31,
20252024
Weighted average remaining lease term (in years):
Operating leases6.97.0
Finance leases8.47.5
Weighted average discount rate:
Operating leases6.5 %6.5 %
Finance leases8.7 %8.9 %
As of December 31, 2025, maturities of lease liabilities are as follows:
Operating LeasesFinance Leases
(in thousands)
2026$116,013 $314 
2027105,257 317 
202893,194 320 
202982,965 273 
203066,504 249 
Thereafter
205,540 1,105 
Total undiscounted cash flows669,473 2,578 
Less: imputed interest
141,249 787 
Total discounted lease liabilities$528,224 $1,791 
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,
202520242023
(in thousands)
Operating lease cost$114,898 $101,665 $97,640 
Finance lease cost:
Amortization of right-of-use assets185 499 1,000 
Interest on lease liabilities127 262 392 
Variable lease cost24,146 20,638 19,834 
Total lease cost$139,356 $123,064 $118,866 
Supplemental cash flow information related to leases is as follows:
For the Year Ended December 31,
202520242023
(in thousands)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows for operating leases$111,822 $100,340 $96,854 
Operating cash flows for finance leases$175 $308 $358 
Financing cash flows for finance leases$158 $619 $917 
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases$135,250 $114,785 $98,584 
Finance leases$153 $101 $— 
Supplemental balance sheet information related to the Company’s leases is as follows:
December 31,
20252024
Operating Leases(in thousands)
Operating lease right-of-use assets$483,652 $435,595 
Current operating lease liabilities$84,582 $75,442 
Non-current operating lease liabilities443,642 396,914 
Total operating lease liabilities$528,224 $472,356 
December 31,
20252024
Finance Leases(in thousands)
Property and equipment, net$1,201 $1,730 
Current portion of long-term debt and notes payable$167 $427 
Long-term debt, net of current portion1,624 2,967 
Total finance lease liabilities$1,791 $3,394 
The weighted average remaining lease terms and discount rates are as follows:
December 31,
20252024
Weighted average remaining lease term (in years):
Operating leases6.97.0
Finance leases8.47.5
Weighted average discount rate:
Operating leases6.5 %6.5 %
Finance leases8.7 %8.9 %
As of December 31, 2025, maturities of lease liabilities are as follows:
Operating LeasesFinance Leases
(in thousands)
2026$116,013 $314 
2027105,257 317 
202893,194 320 
202982,965 273 
203066,504 249 
Thereafter
205,540 1,105 
Total undiscounted cash flows669,473 2,578 
Less: imputed interest
141,249 787 
Total discounted lease liabilities$528,224 $1,791