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Leases - Schedule of Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024
Operating Leases (in thousands) |  |  |  |
Facility operating expense | $ 1,971 | $ 1,999 | $ 6,105 | $ 6,095
Facility lease expense | 51,993 | 51,937 | 157,520 | 154,397
Operating lease expense | 53,964 | 53,936 | 163,625 | 160,492
Operating lease expense adjustment | 4,685 | 12,489 | 13,384 | 39,061
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (8,706) | (6,432) | (20,038) | (7,732)
Operating net cash outflows from operating leases | 49,943 | 59,993 | 156,971 | 191,821
Financing Leases (in thousands) |  |  |  |
Depreciation and amortization | 715 | 2,651 | 3,949 | 8,421
Interest expense: financing lease obligations | 1,764 | 5,062 | 9,114 | 15,233
Financing lease expense | 2,479 | 7,713 | 13,063 | 23,654
Operating cash outflows from financing leases | 1,764 | 5,062 | 9,114 | 15,233
Financing cash outflows from financing leases | 304 | 273 | 890 | 800
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement | (35) | 0 | (40) | 0
Total net cash outflows from financing leases | $ 2,033 | $ 5,335 | $ 9,964 | $ 16,033

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