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LEASES
 12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
LEASES LEASES
The Company has operating and finance leases for patient service centers, laboratories and testing facilities, clinical facilities, general office spaces, vehicles, and office and laboratory equipment. Leases have remaining lease terms of less than a year to 20 years, some of which include options to extend the leases for up to 20 years.
The components of lease expense were as follows:
Year Ended December 31,
 202420232022
Operating lease cost$220.9 $202.6 $198.1 
  
Finance lease cost: 
Amortization of right-of-use assets$7.5 $7.1 $8.0 
Interest on lease liabilities4.4 4.8 5.2 
Total finance lease cost$11.9 $11.9 $13.2 
Supplemental cash flow information related to leases was as follows:
Year Ended December 31,
 202420232022
Cash paid for amounts included in the measurement of lease liabilities: 
Operating cash flows used from operating leases$(229.7)$(209.7)$(200.2)
Operating cash flows used from finance leases$(4.4)$(4.8)$(5.2)
Financing cash flows used from finance leases$(11.9)$(12.6)$(12.3)
  
ROU assets obtained in exchange for lease obligations: 
Operating leases$226.8 $106.4 $159.2 
Finance leases$23.9 $2.3 $— 
Supplemental balance sheet information related to leases was as follows:
December 31,
20242023
Operating Leases:
Operating lease ROU assets (included in Property, plant and equipment, net)$784.5 $737.1 
Short-term operating lease liabilities$184.6 $165.8 
Operating lease liabilities676.3 648.9 
Total operating lease liabilities$860.9 $814.7 
Finance Leases: 
Finance lease ROU assets (included in Other assets)$64.1 $69.5 
  
Short-term finance lease liabilities$6.1 $6.4 
Financing lease liabilities74.3 78.6 
Total finance lease liabilities$80.4 $85.0 
Weighted-average Remaining Lease Term (in Years):
Operating leases8.28.4
Finance leases14.114.7
Weighted-average Discount Rate:
Operating leases4.4 %4.1 %
Finance leases5.2 %5.3 %
Maturities of lease liabilities are as follows:
December 31, 2024
Operating LeasesFinance Leases
2025$216.5 $9.9 
2026167.7 8.9 
2027124.0 8.6 
202894.1 8.0 
202973.0 7.6 
Thereafter351.4 70.6 
Total lease payments1,026.7 113.6 
Less imputed interest(165.8)(33.2)
Less current portion(184.6)(6.1)
Total maturities, due beyond one year$676.3 $74.3 
The Company elected, for all classes of underlying assets, to account for lease components and non-lease components as a single lease component.
Rent expense for short term leases with a term less than one year for the years ended December 31, 2024, 2023, and 2022 amounted to $31.1, $31.9, $22.2, respectively. The Company has variable lease payments that do not depend on a rate index, primarily for purchase volume commitments, which are recorded as variable cost when incurred. Total variable payments for the year ended December 31, 2024, 2023, and 2022 were $32.4, $32.7, and $27.9, respectively.