XML 63 R12.htm IDEA: XBRL DOCUMENT
v3.20.1

LEASES | 3 Months Ended
--- | ---
Mar. 31, 2020
Leases [Abstract] |
LEASES | LEASES Lease Liability We have operating leases for medical facilities, administrative offices, warehouse space and major medical equipment. We lease the premises at which these facilities are located and do not have options to purchase the facilities we rent. Our most common initial term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at the facilities we lease. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Additionally, we have operating and finance leases for certain medical and office equipment, with lease terms generally lasting from 5 to 8 years. The components of lease expense were as follows:
| Three Months Ended March 31,
(In thousands) | 2020 | 2019
Operating lease cost | $ | 25,040 |  | $ | 22,792 |
Finance lease cost: |  |
Depreciation of leased equipment | $ | 780 |  | $ | 783 |
Interest on lease liabilities | 66 |  | 123 |
Total finance lease cost | $ | 846 |  | $ | 905 |
Supplemental cash flow information related to leases was as follows:
| Three Months Ended March 31,
(In thousands) | 2020 | 2019
Cash paid for amounts included in the measurement of lease liabilities: |  |
Operating cash flows from operating leases | $ | 24,660 |  | $ | 22,921 |
Operating cash flows from financing leases | 66 |  | 123 |
Financing cash flows from financing leases | 839 |  | 1,522 |
Right-of-use & Equipment assets obtained in exchange for lease obligations: |  |
Operating leases(1) | 10,050 |  | 412,695 |
Financing leases | 4 |  | 14,056 |
(1) Amounts for the three months ended March 31, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information. Supplemental balance sheet information related to leases was as follows:
(In thousands, except lease term and discount rates) |  |
| March 31, 2020 |  | December 31, 2019 |
Operating Leases |  |
Operating lease right-of-use assets | $ | 435,382 |  | $ | 445,477 |
Current portion of operating lease liability | $ | 68,054 |  | $ | 61,206 |
Operating lease liabilities | 403,893 |  | 420,922 |
Total operating lease liabilities | $ | 471,947 |  | $ | 482,128 |
Finance Leases |  |
Property and Equipment, at cost | $ | 13,963 |  | $ | 14,105 |
Accumulated depreciation | (3,877 | ) | (3,135 | )
Equipment, net | $ | 10,086 |  | $ | 10,970 |
Current portion of finance lease | $ | 3,292 |  | $ | 3,283 |
Finance lease liabilities | 2,475 |  | 3,264 |
Total finance lease liabilities | $ | 5,767 |  | $ | 6,547 |
Weighted Average Remaining Lease Term |  |
Operating leases - years | 8.7 |  | 8.8 |
Finance leases - years | 3.1 |  | 3.3 |
Weighted Average Discount Rate |  |
Operating leases | 6.4 | % | 6.4 | %
Finance leases | 4.4 | % | 4.4 | %
Maturities of lease liabilities were as follows:
(In thousands) |  |
| Operating |  | Financing |
Year Ending December 31, | Leases |  | Leases |
2020 (excluding the three months ended March 31, 2020) | $ | 66,261 |  | $ | 2,609 |
2021 | 90,140 |  | 2,650 |
2022 | 81,744 |  | 715 |
2023 | 70,759 |  | 11 |
2024 | 55,366 |  | 11 |
Thereafter | 265,744 |  | — |
Total Lease Payments | 630,014 |  | 5,996 |
Less imputed interest | (158,067 | ) | (229 | )
Total | $ | 471,947 |  | $ | 5,767 |
As of March 31, 2020, we have an additional operating lease for a medical facility that has not yet commenced of approximately $2.0 million, which will commence in 2025 with a lease term of 5 years.
LEASES | LEASES Lease Liability We have operating leases for medical facilities, administrative offices, warehouse space and major medical equipment. We lease the premises at which these facilities are located and do not have options to purchase the facilities we rent. Our most common initial term varies in length from 5 to 15 years. Including renewal options negotiated with the landlord, we can have a total span of 10 to 35 years at the facilities we lease. We also lease smaller satellite X-Ray locations on mutually renewable terms, usually lasting one year. Additionally, we have operating and finance leases for certain medical and office equipment, with lease terms generally lasting from 5 to 8 years. The components of lease expense were as follows:
| Three Months Ended March 31,
(In thousands) | 2020 | 2019
Operating lease cost | $ | 25,040 |  | $ | 22,792 |
Finance lease cost: |  |
Depreciation of leased equipment | $ | 780 |  | $ | 783 |
Interest on lease liabilities | 66 |  | 123 |
Total finance lease cost | $ | 846 |  | $ | 905 |
Supplemental cash flow information related to leases was as follows:
| Three Months Ended March 31,
(In thousands) | 2020 | 2019
Cash paid for amounts included in the measurement of lease liabilities: |  |
Operating cash flows from operating leases | $ | 24,660 |  | $ | 22,921 |
Operating cash flows from financing leases | 66 |  | 123 |
Financing cash flows from financing leases | 839 |  | 1,522 |
Right-of-use & Equipment assets obtained in exchange for lease obligations: |  |
Operating leases(1) | 10,050 |  | 412,695 |
Financing leases | 4 |  | 14,056 |
(1) Amounts for the three months ended March 31, 2019 include the transition adjustment for the adoption of Topic 842 discussed in Note 2, Significant Accounting Policies for further information. Supplemental balance sheet information related to leases was as follows:
(In thousands, except lease term and discount rates) |  |
| March 31, 2020 |  | December 31, 2019 |
Operating Leases |  |
Operating lease right-of-use assets | $ | 435,382 |  | $ | 445,477 |
Current portion of operating lease liability | $ | 68,054 |  | $ | 61,206 |
Operating lease liabilities | 403,893 |  | 420,922 |
Total operating lease liabilities | $ | 471,947 |  | $ | 482,128 |
Finance Leases |  |
Property and Equipment, at cost | $ | 13,963 |  | $ | 14,105 |
Accumulated depreciation | (3,877 | ) | (3,135 | )
Equipment, net | $ | 10,086 |  | $ | 10,970 |
Current portion of finance lease | $ | 3,292 |  | $ | 3,283 |
Finance lease liabilities | 2,475 |  | 3,264 |
Total finance lease liabilities | $ | 5,767 |  | $ | 6,547 |
Weighted Average Remaining Lease Term |  |
Operating leases - years | 8.7 |  | 8.8 |
Finance leases - years | 3.1 |  | 3.3 |
Weighted Average Discount Rate |  |
Operating leases | 6.4 | % | 6.4 | %
Finance leases | 4.4 | % | 4.4 | %
Maturities of lease liabilities were as follows:
(In thousands) |  |
| Operating |  | Financing |
Year Ending December 31, | Leases |  | Leases |
2020 (excluding the three months ended March 31, 2020) | $ | 66,261 |  | $ | 2,609 |
2021 | 90,140 |  | 2,650 |
2022 | 81,744 |  | 715 |
2023 | 70,759 |  | 11 |
2024 | 55,366 |  | 11 |
Thereafter | 265,744 |  | — |
Total Lease Payments | 630,014 |  | 5,996 |
Less imputed interest | (158,067 | ) | (229 | )
Total | $ | 471,947 |  | $ | 5,767 |
As of March 31, 2020, we have an additional operating lease for a medical facility that has not yet commenced of approximately $2.0 million, which will commence in 2025 with a lease term of 5 years.

X
- References No definition available. + Details
Name: | us-gaap_LeasesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for finance leases of lessee. Includes, but is not limited to, description of lessee's finance lease and maturity analysis of finance lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -URI http://asc.fasb.org/subtopic&trid=77888251 + Details
Name: | us-gaap_LesseeFinanceLeasesTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for operating leases of lessee. Includes, but is not limited to, description of operating lease and maturity analysis of operating lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -URI http://asc.fasb.org/subtopic&trid=77888251 + Details
Name: | us-gaap_LesseeOperatingLeasesTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration