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LEASES
 12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
LEASES LEASES
Our material lease contracts are for facilities and advanced radiology equipment. In regards to our imaging, administrative and warehouse facilities, the most common initial lease term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at these locations, and we do not enter into purchase options on the underlying property. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Leases for advanced radiology and office equipment have terms generally lasting from 5 to 8 years. All leases are classified as operating or finance for accounting purposes, depending on the terms of the agreement. Our incremental borrowing rate used to discount the stream of lease payments is closely related to the interest rates charged on our
collateralized debt obligations and our incremental borrowing rate is adjusted when those rates experience a substantial change. Operating lease costs are recognized as cost of operation in the Consolidated Statement of Operations.

The components of lease expense were as follows:
Years ended December 31,
(In thousands)202420232022
Operating lease cost(1)
$111,966 $106,954 $107,475 
Finance lease cost:
     Depreciation of leased equipment$109 $1,204 $2,896 
     Interest on lease liabilities— — — 
Total finance lease cost$109 $1,204 $2,896 

(1) Operating lease cost above for the year ended December 31, 2024 and 2023 included $1.8 million and $2.7 million, respectively in lease abandonment charges. Please see our discussion in the Leases section of Note 2, Summary of Significant Accounting Policies.

Supplemental cash flow information related to leases was as follows:
Years ended December 31,
(In thousands)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
     Operating cash flows from operating leases$103,215 $101,516 $108,004 
Right-of-use & Equipment assets obtained in exchange for lease obligations:
     Operating leases109,446 55,852 88,080 
Supplemental balance sheet information related to leases was as follows:
(In thousands, except lease term and discount rates)December 31,
20242023
Operating Leases
Operating lease right-of-use assets$639,740 $596,032 
Current portion of operating lease liability56,618 55,981 
Long-term operating lease liability655,979 605,097 
     Total operating lease liabilities$712,597 $661,078 
Finance Leases
Equipment at cost$13,235 $13,971 
Accumulated depreciation(12,747)(13,374)
Equipment, net$488 $597 
Weighted Average Remaining Lease Term
Operating leases - years10.610.6
Weighted Average Discount Rate
Operating leases6.9 %6.7 %


Maturities of lease liabilities were as follows:
(In thousands)
Operating Leases
Year Ending December 31,
2025$102,111 
202698,773 
202799,572 
202896,436 
202986,789 
Thereafter536,087 
Total Lease Payments1,019,768 
Less imputed interest(307,171)
Total$712,597 

As of December 31, 2024, we have additional operating leases for facilities and medical equipment that have not yet commenced of approximately $54.2 million. These operating leases will commence in 2025 with lease terms of 1 to 15 years.