v3.26.1
Leases
 6 Months Ended
Jun. 30, 2026
Leases [Abstract]  
Leases Leases
The Company leases clinics, office buildings, and certain equipment under noncancellable financing and operating lease agreements that expire at various dates through June 2033.
The initial terms of operating leases range from 1 to 10 years and certain leases provide for free rent periods, periodic rent increases, and renewal options. Monthly payments for these leases range from $2 to $64. All lease agreements generally require the Company to pay maintenance, repairs, property taxes, and insurance costs, which are generally variable amounts based on actual costs incurred during each applicable period.
The Company has determined that periods covered by options to extend the Company's leases are excluded from the lease terms as it is not reasonably certain the Company will exercise such options.
Lease Expense
The components of lease expense were as follows for the three and six months ended June 30, 2026 and 2025:
Three Months Ended June 30,Six Months Ended June 30,
(in thousands)2026202520262025
Operating lease costs:$2,020 $2,172 $4,059 $4,440 
Finance lease costs:
Amortization of ROU asset$9 $9 $17 $19 
Interest expense$1 $1 $2 $3 
Other lease costs:
Short-term lease costs$— $3 $2 $6 
Variable lease costs$648 $532 $1,157 $1,014 
Operating and other lease costs are presented as part of selling, general, and administrative expenses. The components of finance lease costs appear in depreciation and amortization and interest expense.
Maturity of Lease Liabilities
The aggregate future lease payments for the Company's leases in years subsequent to June 30, 2026 are as follows:
(in thousands)Operating LeasesFinance Leases
2026 (remaining six months)$4,445 $19 
20277,954 29 
20286,232 — 
20294,734 — 
20302,891 — 
Thereafter 1,987 — 
Total future lease payment$28,243 $48 
Less: amount representing interest (3,634)(1)
Present value of future lease payment (lease liabilities)$24,609 $47 
Reported as:
Lease liabilities, current$7,225 $37 
Lease liabilities, noncurrent17,384 10 
Total lease liabilities $24,609 $47 
Lease Term and Discount Rate
The following table provides the weighted average remaining lease terms and weighted average discount rates for the Company's leases as of June 30, 2026 and 2025:
June 30, 2026June 30, 2025
Weighted-average remaining lease term (in years)
Operating 3.874.35
Finance 1.212.21
Weighted-average discount rate
Operating6.90%6.70%
Finance6.73%6.71%
Supplemental Cash Flow Information
The following table provides certain cash flow and supplemental noncash information related to the Company's lease liabilities for the three months ended June 30, 2026 and 2025.
(in thousands)Six Months Ended June 30, 2026Six Months Ended June 30, 2025
Supplemental cash flow information
Cash paid for amounts included in the measurement of lease liabilities:
  Operating cash payment for operating leases$4,448 $4,419 
  Financing cash payments for finance leases20 22 
Lease liabilities arising from obtaining right-of-use assets:
  Operating leases$2,090 $1,253 
Lease Modifications
During the six months ended June 30, 2026, the Company extended its lease terms for four clinics in Florida and two clinic in California. These extensions constitute lease modifications that qualify as a change of accounting for the original leases and not separate contracts. Accordingly, for the six months ended June 30, 2026, the Company recognized the difference of $1,342 as an increase to the operating lease liability and to the operating lease right-of-use asset.
Leases Leases
The Company leases clinics, office buildings, and certain equipment under noncancellable financing and operating lease agreements that expire at various dates through June 2033.
The initial terms of operating leases range from 1 to 10 years and certain leases provide for free rent periods, periodic rent increases, and renewal options. Monthly payments for these leases range from $2 to $64. All lease agreements generally require the Company to pay maintenance, repairs, property taxes, and insurance costs, which are generally variable amounts based on actual costs incurred during each applicable period.
The Company has determined that periods covered by options to extend the Company's leases are excluded from the lease terms as it is not reasonably certain the Company will exercise such options.
Lease Expense
The components of lease expense were as follows for the three and six months ended June 30, 2026 and 2025:
Three Months Ended June 30,Six Months Ended June 30,
(in thousands)2026202520262025
Operating lease costs:$2,020 $2,172 $4,059 $4,440 
Finance lease costs:
Amortization of ROU asset$9 $9 $17 $19 
Interest expense$1 $1 $2 $3 
Other lease costs:
Short-term lease costs$— $3 $2 $6 
Variable lease costs$648 $532 $1,157 $1,014 
Operating and other lease costs are presented as part of selling, general, and administrative expenses. The components of finance lease costs appear in depreciation and amortization and interest expense.
Maturity of Lease Liabilities
The aggregate future lease payments for the Company's leases in years subsequent to June 30, 2026 are as follows:
(in thousands)Operating LeasesFinance Leases
2026 (remaining six months)$4,445 $19 
20277,954 29 
20286,232 — 
20294,734 — 
20302,891 — 
Thereafter 1,987 — 
Total future lease payment$28,243 $48 
Less: amount representing interest (3,634)(1)
Present value of future lease payment (lease liabilities)$24,609 $47 
Reported as:
Lease liabilities, current$7,225 $37 
Lease liabilities, noncurrent17,384 10 
Total lease liabilities $24,609 $47 
Lease Term and Discount Rate
The following table provides the weighted average remaining lease terms and weighted average discount rates for the Company's leases as of June 30, 2026 and 2025:
June 30, 2026June 30, 2025
Weighted-average remaining lease term (in years)
Operating 3.874.35
Finance 1.212.21
Weighted-average discount rate
Operating6.90%6.70%
Finance6.73%6.71%
Supplemental Cash Flow Information
The following table provides certain cash flow and supplemental noncash information related to the Company's lease liabilities for the three months ended June 30, 2026 and 2025.
(in thousands)Six Months Ended June 30, 2026Six Months Ended June 30, 2025
Supplemental cash flow information
Cash paid for amounts included in the measurement of lease liabilities:
  Operating cash payment for operating leases$4,448 $4,419 
  Financing cash payments for finance leases20 22 
Lease liabilities arising from obtaining right-of-use assets:
  Operating leases$2,090 $1,253 
Lease Modifications
During the six months ended June 30, 2026, the Company extended its lease terms for four clinics in Florida and two clinic in California. These extensions constitute lease modifications that qualify as a change of accounting for the original leases and not separate contracts. Accordingly, for the six months ended June 30, 2026, the Company recognized the difference of $1,342 as an increase to the operating lease liability and to the operating lease right-of-use asset.