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v3.25.4

Income Taxes - Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Thousands | Dec. 31, 2025 | Dec. 31, 2024
--- | --- | ---
Deferred tax assets |  |
Implicit discounts and adjustments | $ 4,166 | $ 6,169
Compensation and benefit-related accruals | 46,459 | 44,651
Professional malpractice liability insurance | 14,724 | 14,081
Federal and state net operating loss and state tax credit carryforwards | 26,506 | 22,611
Interest limitation carryforward | 46,187 | 47,905
Stock awards | 995 | 2,314
Equity investments | 1,442 | 1,235
Operating lease liabilities | 192,152 | 174,165
Derivatives | 1,548 | 0
Research and experimental expenditures | 9,914 | 20,478
Excess capital loss | 1,131 | 4,941
Other | 399 | 384
Deferred tax assets | 345,623 | 338,934
Valuation allowance | (16,644) | (15,230)
Deferred tax assets, net of valuation allowance | 328,979 | 323,704
Deferred tax liabilities |  |
Investment in unconsolidated affiliates | (22,502) | (20,228)
Investment in consolidated affiliates | (3,613) | (3,511)
Depreciation and amortization | (205,334) | (190,355)
Deferred financing costs | (420) | (494)
Operating lease right-of-use assets | (178,359) | (162,171)
Other | (1,813) | (1,378)
Deferred tax liabilities | (412,041) | (378,137)
Deferred tax liabilities, net of deferred tax assets | $ (83,062) | $ (54,433)

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