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LEASES
 12 Months Ended
Dec. 31, 2025
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)202520242023
Operating lease cost(1)
$122,721 $111,966 $106,954 
Finance lease cost:
     Depreciation of leased equipment$87 $109 $1,204 
     Interest on lease liabilities— — — 
Total finance lease cost$87 $109 $1,204 

(1) Operating lease cost above for the year ended December 31, 2025, 2024, and 2023 included $6.7 million, $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)202520242023
Cash paid for amounts included in the measurement of lease liabilities:
     Operating cash flows from operating leases$105,312 $103,215 $101,516 
Right-of-use & Equipment assets obtained in exchange for lease obligations:
     Operating leases113,796 109,446 55,852 
Supplemental balance sheet information related to leases was as follows:
(In thousands, except lease term and discount rates)December 31,
20252024
Operating Leases
Operating lease right-of-use assets$690,250 $639,740 
Current portion of operating lease liability61,934 56,618 
Long-term operating lease liability707,001 655,979 
     Total operating lease liabilities$768,935 $712,597 
Finance Leases
Equipment at cost$11,557 $13,235 
Accumulated depreciation(11,156)(12,747)
Equipment, net$401 $488 
Weighted Average Remaining Lease Term
Operating leases - years10.610.6
Weighted Average Discount Rate
Operating leases7.2 %6.9 %


Maturities of lease liabilities were as follows:
(In thousands)
Operating Leases
Year Ending December 31,
2026$113,443 
2027112,258 
2028110,435 
2029100,428 
203097,619 
Thereafter582,128 
Total Lease Payments1,116,310 
Less imputed interest(347,375)
Total$768,935 

As of December 31, 2025, we have additional operating leases for facilities and medical equipment that have not yet commenced of approximately $12.2 million. These operating leases will commence in 2026 with lease terms of 1 to 15 years.