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LEASES (Tables)
 9 Months Ended
Sep. 30, 2025
Leases [Abstract]  
Schedule of Operating Lease Expenses
The components of operating lease expense are as follows:
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Rent - cost of services(1)
$61,528 $54,792 $175,799 $159,940 
Cost of services(2)
6,787 6,344 19,827 17,763 
General and administrative expense195 179 608 513 
Depreciation and amortization(3)
273 303 687 909 
$68,783 $61,618 $196,921 $179,125 
(1)Rent - cost of services includes deferred rent expense adjustments of $225 and $632 for the three and nine months ended September 30, 2025, respectively, and $205 and $590 for the three and nine months ended September 30, 2024, respectively. Additionally, rent - cost of services includes other variable lease costs such as CPI increases and short-term leases of $4,922 and $13,560 for the three and nine months ended September 30, 2025, respectively, and $3,668 and $10,025 for the three and nine months ended September 30, 2024, respectively.
(2)Cost of services includes variable lease costs consisting 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 September 30, 2025 are as follows:
YearAmount
2025 (remainder)$58,013 
2026232,010 
2027231,598 
2028230,640 
2029225,219 
2030220,897 
Thereafter1,818,251 
TOTAL LEASE PAYMENTS$3,016,628 
Less: present value adjustment (1,002,865)
PRESENT VALUE OF TOTAL LEASE LIABILITIES$2,013,763 
Less: current lease liabilities(110,817)
LONG-TERM OPERATING LEASE LIABILITIES$1,902,946 
Schedule of Rental Income from Third-Party Sources
Total rental income from all third-party sources for the three and nine months ended September 30, 2025 and 2024 is as follows:

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Pennant(1)
$4,084 $3,821 $12,288 $11,465 
Other third-party(2)
2,542 1,863 6,694 5,617 
TOTAL$6,626 $5,684 $18,982 $17,082 
(1) Pennant rental income includes variable rent such as property taxes of $274 and $854 during the three and nine months ended September 30, 2025 and $308 and $940 for the three and nine months ended September 30, 2024.
(2) Other third-party includes rental revenue associated with the Company's subleases to third parties of $1,116 and $3,339 for the three and nine months ended September 30, 2025, respectively, and $1,089 and $3,258 for the three and nine months ended September 30, 2024, respectively.
Schedule of Annual Rental Income
Future annual rental income for all third-party leases as of September 30, 2025 were as follows:
Year
Amount(1)
2025 (remainder)$6,871 
202626,977 
202726,399 
202826,071 
202925,960 
203024,907 
Thereafter122,114 
TOTAL$259,299 
(1) Annual rental income includes base rents and variable rental income pursuant to existing leases as of September 30, 2025.