Supplemental Balance Sheet and Cash Flow Information (Tables)
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9 Months Ended |
Sep. 30, 2025 |
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| Organization, Consolidation and Presentation of Financial Statements [Abstract] |
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| Schedule of Prepaid Expenses and Other Current Assets |
Prepaid expenses and other current assets consisted of the following: | | | | | | | | | | | | | September 30,
2025 | | December 31,
2024 | | Property held for sale | $ | 2,471 | | | $ | 1,866 | | | Construction contract receivables | 12,550 | | | 8,513 | | | Interest rate swap assets | 2,562 | | | — | | | Prepaid insurance | 3,124 | | | 2,351 | | | Prepaid commissions | 7,428 | | | 6,476 | | | Prepaid rent | 2,264 | | | 3,927 | | | | | | | | | | | Prepaid software licenses and maintenance | 9,947 | | | 5,199 | | | Prepaid payroll | — | | | 11,883 | | | Other | 13,284 | | | 12,611 | | | Prepaid expenses and other current assets | $ | 53,630 | | | $ | 52,826 | |
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| Schedule of Accrued Expenses |
Accrued expenses and other current liabilities consisted of the following: | | | | | | | | | | | | | September 30,
2025 | | December 31,
2024 | | Real estate taxes | $ | 45,289 | | | $ | 34,779 | | | Accrued interest | 15,813 | | | 10,170 | | | Payroll liabilities | 51,390 | | | 44,347 | | | | | | | Self-insurance accruals | 33,341 | | | 29,437 | | | Corporate accruals | 42,975 | | | 35,653 | | | | | | | Other | 40,345 | | | 25,058 | | | Accrued expenses and other current liabilities | $ | 229,153 | | | $ | 179,444 | |
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| Schedule of Other Current Liabilities |
Accrued expenses and other current liabilities consisted of the following: | | | | | | | | | | | | | September 30,
2025 | | December 31,
2024 | | Real estate taxes | $ | 45,289 | | | $ | 34,779 | | | Accrued interest | 15,813 | | | 10,170 | | | Payroll liabilities | 51,390 | | | 44,347 | | | | | | | Self-insurance accruals | 33,341 | | | 29,437 | | | Corporate accruals | 42,975 | | | 35,653 | | | | | | | Other | 40,345 | | | 25,058 | | | Accrued expenses and other current liabilities | $ | 229,153 | | | $ | 179,444 | |
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| Schedule of Supplemental Cash Flow Information |
(Increases) decreases in operating assets and increases (decreases) in operating liabilities are as follows: | | | | | | | | | | | | | Nine Months Ended
September 30, | | 2025 | | 2024 | | Accounts receivable | $ | 549 | | | $ | (3,175) | | | Center operating supplies and inventories | (10,377) | | | (6,448) | | | Prepaid expenses and other current assets | (11,370) | | | (5,361) | | | Income tax receivable | (15,244) | | | 4,802 | | | Other assets | (200) | | | (284) | | | Accounts payable | 5,236 | | | (10,532) | | | Accrued expenses and other current liabilities | 52,608 | | | 22,258 | | | Deferred revenue | (2,563) | | | (867) | | | Other liabilities | (63) | | | 1,401 | | | Changes in operating assets and liabilities | $ | 18,576 | | $ | 1,794 |
Additional supplemental cash flow information is as follows: | | | | | | | | | | | | | Nine Months Ended
September 30, | | 2025 | | 2024 | | Net cash paid for income taxes, net of refunds received | $ | 25,090 | | | $ | 13,413 | | | Net cash paid for interest (including cash settlements associated with interest rate swaps), net of capitalized interest | 59,712 | | | 110,084 | | | Capitalized interest | 11,467 | | | 4,664 | | | Non-cash activities: | | | | | Common stock issuance in connection with an asset acquisition | 39,730 | | | — | | | Right-of-use assets obtained in exchange for initial lease liabilities: | | | | | Operating leases | 188,637 | | 172,106 | | Finance leases | 11,893 | | 969 | | Right-of-use asset adjustments recognized as a result of the remeasurement of existing operating lease liabilities | 9,395 | | 5,069 | | Non-cash increase in operating lease right-of-use assets associated with below-market sale-leaseback transactions | 900 | | 13,350 | | Non-cash increase in financing obligations as a result of interest accretion | 127 | | 89 |
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