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Variable Interest Entities
12 Months Ended
Dec. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Variable Interest Entities

15. Variable Interest Entities

For legal entities where the Company has a financial relationship, the Company evaluates whether it has a variable interest and determines if the entity is considered a variable interest entity (“VIE”). If the Company concludes an entity is a VIE and the Company is the primary beneficiary, the entity is consolidated. The primary beneficiary analysis is a qualitative analysis based on power and benefits. A reporting entity has a controlling financial interest in a VIE and must consolidate the VIE if it has both power and benefits. It must have the power to direct the activities that most significantly impact the VIE’s economic performance and the obligation to absorb losses of the VIE that potentially could be significant to the VIE or the right to receive benefits from the VIE that potentially could be significant to the VIE.

At December 31, 2025, the Company operated 16 facilities through non-wholly owned subsidiaries. The Company owns between approximately 65% and 88% of the equity interests of these entities, and noncontrolling partners own the remaining equity interests. The Company manages each of these facilities, is responsible for the day to day operations and, therefore, has the power to direct the activities that most significantly impact the VIE’s economic performance and the obligation to absorb losses or receive benefits from the VIE that could potentially be significant to the VIE. These activities include, but are not limited to, behavioral healthcare services, human resource and employment-related decisions, marketing and finance. The terms of the agreements

governing each of the Company’s VIEs prohibit the Company from using the assets of each VIE to satisfy the obligations of other entities. Consolidated assets at December 31, 2025 and 2024 include total assets of variable interest entities of $1,344.8 million and $930.9 million, respectively, which cannot be used to settle the obligations of other entities. Consolidated liabilities at December 31, 2025 and 2024 include total liabilities of variable interest entities of $49.6 million and $36.8 million, respectively.

The consolidated VIEs assets and liabilities in the Company’s consolidated balance sheets are shown below (in thousands):

 

 

 

December 31,

 

 

 

2025

 

 

2024

 

Cash and cash equivalents

 

$

134,789

 

 

$

97,901

 

Accounts receivable, net

 

 

54,810

 

 

 

39,050

 

Other current assets

 

 

25,106

 

 

 

5,388

 

Total current assets

 

 

214,705

 

 

142,339

 

Property and equipment, net

 

 

1,011,578

 

 

 

718,084

 

Goodwill

 

 

61,267

 

 

 

42,384

 

Intangible assets, net

 

 

45,318

 

 

 

18,394

 

Operating lease right-of-use assets

 

 

11,934

 

 

 

9,724

 

Total assets

 

$

1,344,802

 

$

930,925

 

 

 

 

 

 

 

 

Accounts payable

 

$

11,798

 

 

$

9,756

 

Accrued salaries and benefits

 

 

17,562

 

 

 

12,608

 

Current portion of operating lease liabilities

 

 

696

 

 

 

613

 

Other accrued liabilities

 

 

10,541

 

 

 

4,054

 

Total current liabilities

 

 

40,597

 

 

27,031

 

Operating lease liabilities

 

 

9,044

 

 

 

9,740

 

Total liabilities

 

$

49,641

 

$

36,771