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 

Historical Timeline

Fiscal YearFiled
2025Feb 11, 2026Showing above
2024Feb 13, 2025
2023Feb 14, 2024
2022Feb 22, 2023
2021Feb 11, 2022
2020Feb 12, 2021
2019Feb 21, 2020
2018Feb 22, 2019
2017Feb 23, 2018
2016Feb 24, 2017
2015Feb 26, 2016

About PP&E Disclosures

The PP&E disclosure details a company's physical asset base — land, buildings, machinery, and equipment — along with the depreciation methods and useful life assumptions that determine how these costs flow through the income statement. Capitalization policy thresholds reveal management's judgment on the boundary between expense and asset, directly affecting both reported earnings and asset values.

Key signals: changes in estimated useful lives or depreciation methods can materially shift reported earnings without any operational change. Compare capital expenditures against depreciation expense — when capex consistently trails depreciation, the asset base may be aging and underinvested. Watch for large asset impairments or write-downs that signal overvalued carrying amounts. Asset retirement obligations reveal future environmental or decommissioning costs that are often underappreciated. Compare PP&E intensity (PP&E-to-revenue) against industry peers to assess capital efficiency and competitive positioning.