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Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2024
Property, Plant and Equipment [Abstract]  
Property and Equipment
Property and equipment comprised the following:
 December 31,
 20242023
Land$50,172 $35,216 
Buildings428,994 436,460 
Leasehold improvements4,180,747 4,058,987 
Equipment and information systems, including internally developed software4,410,395 4,125,235 
New center and capital asset projects in progress133,311 177,149 
 9,203,619 8,833,047 
Less accumulated depreciation(6,262,703)(5,759,514)
 $2,940,916 $3,073,533