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LEASES (Tables)
 12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
Schedule of Operating Lease Expenses The components of operating lease expense are as follows:
Year Ended December 31,
202420232022
Rent - cost of services(1)
$216,016 $197,358 $153,049 
Cost of services(2)
24,297 20,454 16,938 
General and administrative expense700 498 125 
Depreciation and amortization(3)
1,212 1,202 1,160 
$242,225 $219,512 $171,272 
(1)Rent- cost of services includes accrued rent expense adjustments of $808, $870 and $493 for the years ended December 31, 2024, 2023 and 2022, respectively. Additionally, rent- cost of services includes other variable lease costs such as consumer price index increases and short-term leases of $14,013, $10,259, $5,878 for the years ended December 31, 2024, 2023, and 2022 respectively.
(2)Cost of services includes variable lease costs, which consists of property taxes and insurance.
(3)Depreciation and amortization is related to the amortization of favorable and direct lease costs.
Schedule of Future Minimum Lease Payments
Future minimum lease payments for all third-party leases as of December 31, 2024 are as follows:
YearAmount
2025$204,909 
2026204,696 
2027204,002 
2028202,994 
2029199,144 
Thereafter1,776,571 
TOTAL LEASE PAYMENTS$2,792,316 
Less: present value adjustment (963,516)
PRESENT VALUE OF TOTAL LEASE LIABILITIES$1,828,800 
Less: current lease liabilities(93,475)
LONG-TERM OPERATING LEASE LIABILITIES$1,735,325 
Schedule of Rental Income from Third-Party Sources
Total rental income from all third-party sources for the years ended December 31, 2024, 2023 and 2022 is as follows:

Year Ended December 31,
202420232022
Pennant(1)
$15,480 $15,048 $14,915 
Other third-party(2)
7,480 6,236 1,842 
TOTAL$22,960 $21,284 $16,757 
(1) Pennant rental income includes variable rent such as property taxes of $1,235, $1,296, and $1,318 during the year ended December 31, 2024, 2023, and 2022.
(2) Other third-party includes rental revenue associated with the Company's subleases to third parties of $4,347 and $3,897 for the years ended December 31, 2024 and 2023. There was no sublease rental revenue for the year ended December 31, 2022.
Schedule of Annual Rental Income
Future annual rental income for all third-party leases as of December 31, 2024 were as follows:
Year
Amount(1)
2025$23,664 
202623,179 
202722,736 
202822,535 
202922,511 
Thereafter119,811 
TOTAL$234,436 
(1) Annual rental income includes base rents and variable rental income pursuant to existing leases as of December 31, 2024.