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v3.25.4

Income Taxes - Schedule of Deferred Tax Assets and Liabilities (Details) - USD ($) | Dec. 31, 2025 | Dec. 31, 2024
--- | --- | ---
Deferred tax assets: |  |
Accrued expenses | $ 53,538 | $ 44,957
Allowance for credit losses and contractual allowances | 36,980 | 22,546
Net operating losses | 13,389 | 18,796
Share-based compensation | 22,361 | 15,799
IRC 163(j) interest | 67,438 | 96,961
Operating lease liability | 65,906 | 62,587
Interest rate swaps | 93 | 0
Other | 29,870 | 21,325
Deferred tax assets | 289,575 | 282,971
Valuation allowances | (7,128) | (8,968)
Deferred tax assets, net | 282,447 | 274,003
Deferred tax liabilities: |  |
Operating lease right-of-use asset | (74,027) | (60,587)
Property and equipment | (11,789) | (6,575)
Goodwill and other intangible assets | (198,377) | (190,272)
Insurance recovery | (4,432) | (8,677)
Interest rate swaps | 0 | (2,604)
Deferred tax liabilities | (288,625) | (268,715)
Deferred income taxes, net |  | $ 5,288
Deferred tax liabilities | $ (6,178) |

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