Leases
Lease Cost
Lease cost included in our consolidated statements of operations for the years ended December 31, 2025, 2024 and 2023 consisted of the following:
Year Ended December 31,
202520242023
Classification in Consolidated
Statements of Operations
Lease cost:
Operating lease cost
$311,887 $282,271 $261,144 Rent
Short-term lease cost
2,611 4,328 4,105 Rent
Variable lease cost
24,672 18,346 9,873 Rent
Variable lease cost
84,224 72,763 66,007 
Center operations
Finance lease and financing obligations cost:
Amortization of right-of-use assets
2,517 905 1,024 Depreciation and amortization
Interest on lease liabilities
983 160 98 Interest expense, net of interest income
Interest on financing obligations
3,784 2,818 2,401 
Interest expense, net of interest income
Total lease cost
$430,678 $381,591 $344,652 
Sale-Leaseback Transactions
Sale-Leaseback Transactions with Unrelated Third Parties
During the year ended December 31, 2025, we entered into and consummated sale-leaseback transactions with three unrelated third parties. Under these transactions, we sold seven properties with a combined net book value of $239.5 million for an aggregate gross sales price of $249.9 million, of which $239.0 million was received in cash and $10.9 million was received in the form of non-cash consideration. The non-cash consideration represented property conveyed to us by a buyer in lieu of cash, measured at $11.8 million fair value, net of $0.9 million of cash paid back to the buyer. The aggregate gross sales price of $249.9 million was reduced by transaction costs of $1.3 million, resulting in a net aggregate sales price of $248.6 million. The estimated fair value of the property sold was $253.6 million. Of the $237.7 million net cash we received in connection with these sale-leaseback transactions, $227.4 million and $10.3 million is reported within investing activities and financing activities, respectively, on our consolidated statement of cash flows for the year ended December 31, 2025. We recognized a net gain of $12.8 million on these sale-leaseback transactions during the year ended December 31, 2025, which is included in Other operating expense in our consolidated statement of operations.
During the year ended December 31, 2024, we entered into and consummated sale-leaseback transactions with three unrelated third parties. Under these transactions, we sold five properties for gross proceeds of $173.2 million, which was reduced by transaction costs of $1.2 million, for net cash proceeds of $172.0 million. The estimated fair value of the property sold was $182.2 million. Of the $172.0 million net cash we received in connection with these sale-leaseback transactions, $167.7 million and $4.3 million is reported within investing activities and financing activities, respectively, on our consolidated statement of cash flows for the year ended December 31, 2024. During the year ended December 31, 2024, we recognized a net gain of $19.8 million on sale-leaseback transactions, which is included in Other operating expense in our consolidated statement of operations.
During the year ended December 31, 2023, we entered into and consummated sale-leaseback transactions with unrelated third parties. Under these transactions, we sold three properties for gross proceeds of $124.0 million, which was reduced by transaction costs of $0.7 million, for net cash proceeds of $123.3 million. The estimated fair value of the property sold was $128.4 million. Of the $123.3 million net cash we received in connection with these sale-leaseback transactions, $121.8 million and $1.5 million is reported within investing activities and financing activities, respectively, on our consolidated statement of cash flows for the year ended December 31, 2023. During the year ended December 31, 2023, we recognized a loss of $13.6 million on sale-leaseback transactions, which is included in Other operating expense in our consolidated statement of operations.
Related Party Sale-Leaseback Transactions and Leases
For information on sale-leaseback transactions with related parties, as well as other related party leases not associated with sale-leaseback transactions, see Note 14, Related Party Transactions.
Operating and Finance Lease Right-of-Use Assets and Lease-Related Liabilities
Operating and finance lease right-of-use assets and lease-related liabilities were as follows:
December 31,
Classification on Consolidated
Balance Sheets
20252024
Lease right-of-use assets:
Operating leases
$2,479,804 $2,313,311 Operating lease right-of-use assets
Finance leases (1)
12,283 2,406 Other assets
Total lease right-of-use assets
$2,492,087 $2,315,717 
Lease-related liabilities:
Current
Operating leases
$79,208 $70,462 Current maturities of operating lease liabilities
Finance leases
12,099 1,108 Accrued expenses and other current liabilities
Financing obligations
15 10 Accrued expenses and other current liabilities
Non-current
Operating leases
2,555,513 2,381,094 Operating lease liabilities, net of current portion
Finance leases
1,253 1,324 Other liabilities
Financing obligations
37,973 27,539 
Other liabilities
Total lease-related liabilities
$2,686,061 $2,481,537 
(1)Finance lease right-of-use assets were reported net of accumulated amortization of $3.3 million and $1.2 million at December 31, 2025 and 2024, respectively.
Remaining Lease Terms and Discount Rates
The weighted-average remaining lease terms and discount rates associated with our lease-related liabilities at December 31, 2025 were as follows:
December 31, 2025
Weighted-average remaining lease term (1)
Operating leases
16.5 years
Finance leases
1.0 years
Financing obligations22.5 years
Weighted-average discount rate
Operating leases
9.28 %
Finance leases
7.34 %
Financing obligations11.63 %
(1)    The weighted-average remaining lease term associated with our operating and finance lease liabilities does not include all of the optional renewal periods available to us under our current lease arrangements. Rather, the weighted-average remaining lease term only includes periods covered by an option to extend a lease if we are reasonably certain to exercise that option.
Supplemental Cash Flow Information
Supplemental cash flow information associated with our leases is as follows:
Year Ended December 31,
202520242023
Cash paid for amounts included in the measurement of lease-related liabilities:
Operating cash flows from operating leases
$282,263 $254,128 $226,896 
Operating cash flows from finance leases
253 160 98 
Financing cash flows from finance leases
2,006 926 1,031 
Operating cash flows from financing obligations
3,635 2,716 2,307 
Financing cash flows from financing obligations10 — 
Non-cash information:
Right-of-use assets obtained in exchange for initial lease liabilities:
Operating leases
222,856 172,106 140,614 
Finance leases
12,200 1,942 1,347 
Right-of-use asset adjustments recognized as a result of the remeasurement of existing lease liabilities:
Operating leases
20,003 7,241 17,364 
Non-cash increase in operating lease right-of-use assets associated with below-market sale-leaseback transactions
14,000 13,350 5,900 
Fair value of non-cash consideration received in connection with a sale-leaseback transaction10,900 — — 
Non-cash increase in financing obligations as a result of interest accretion
149 102 94 
Maturities of Operating Lease Liabilities, Finance Lease Liabilities and Financing Obligations
The maturities associated with our lease-related liabilities at December 31, 2025 are as follows:
Operating
Leases
Finance
Leases
Financing
Obligations
Total
2026$23,168 $13,078 $4,279 $40,525 
2027309,416 1,103 4,338 314,857 
2028312,727 208 4,398 317,333 
2029306,732 — 4,461 311,193 
2030309,483 — 4,527 314,010 
Thereafter
3,860,439 — 91,301 3,951,740 
Total lease payments
5,121,965 14,389 113,304 5,249,658 
Less: Imputed interest
2,487,244 1,037 75,316 2,563,597 
Present value of lease-related liabilities
$2,634,721 $13,352 $37,988 $2,686,061 
Leases Not Yet Commenced
As of December 31, 2025, we had entered into several leases associated with future centers that were executed, but for which we did not yet have control of the underlying assets. Accordingly, as of December 31, 2025, we did not recognize any right-of-use assets or lease liabilities associated with these leased locations on our consolidated balance sheet. These arrangements contain undiscounted lease payments that are payable during the initial lease terms, which range from seven to 20 years, totaling approximately $545.8 million.

Historical Timeline

Fiscal YearFiled
2025Feb 24, 2026Showing above
2024Feb 27, 2025
2023Feb 28, 2024
2022Mar 8, 2023
2021Mar 10, 2022

About Leases Disclosures

Lease disclosures under ASC 842 provide a comprehensive view of a company's leased asset portfolio, including the split between operating and finance leases, discount rates used to present-value future payments, and the maturity schedule of lease obligations. This section reveals a significant source of off-balance-sheet commitments that were largely hidden before the current standard.

Key signals: the weighted-average discount rate affects the size of recorded lease liabilities — a higher rate reduces the reported obligation, so compare the chosen rate against the company's incremental borrowing rate. The operating versus finance lease mix affects both EBITDA and operating income presentation. Watch the maturity table for concentration risk: large payment cliffs in specific years may create cash flow pressure. Variable lease payments excluded from the liability measurement represent real obligations that do not appear on the balance sheet. Compare total lease costs against prior-year operating lease expense to assess the true economic burden.