v3.25.4
Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2025
Property, Plant and Equipment [Abstract]  
Property and Equipment
Property and equipment comprised the following:
 December 31,
 20252024
Land$40,495 $50,172 
Buildings402,622 428,994 
Leasehold improvements4,312,646 4,180,747 
Equipment and information systems, including internally developed software4,536,973 4,410,395 
New center and capital asset projects in progress122,364 133,311 
9,415,100 9,203,619 
Less accumulated depreciation(6,602,134)(6,262,703)
 $2,812,966 $2,940,916