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Leases (Tables) | 12 Months Ended
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Dec. 31, 2025
Leases [Abstract] |
Schedule of lease cost | The Company’s total lease cost from continuing operations is as follows:
| For the Year Ended December 31,
| 2023 |  | 2024 |  | 2025
| Unrelated Parties |  | Related Parties |  | Total |  | Unrelated Parties |  | Related Parties |  | Total |  | Unrelated Parties |  | Related Parties |  | Total
| (in thousands)
Operating lease cost | $ | 212,360 |  |  | $ | 7,335 |  |  | $ | 219,695 |  |  | $ | 226,866 |  |  | $ | 7,335 |  |  | $ | 234,201 |  |  | $ | 237,045 |  |  | $ | 7,335 |  |  | $ | 244,380 |
Finance lease cost: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amortization of right-of-use assets | 572 |  |  | — |  |  | 572 |  |  | 572 |  |  | — |  |  | 572 |  |  | 686 |  |  | — |  |  | 686 |
Interest on lease liabilities | 1,013 |  |  | — |  |  | 1,013 |  |  | 984 |  |  | — |  |  | 984 |  |  | 1,268 |  |  | — |  |  | 1,268 |
Variable lease cost | 45,086 |  |  | 84 |  |  | 45,170 |  |  | 47,678 |  |  | 16 |  |  | 47,694 |  |  | 51,123 |  |  | — |  |  | 51,123 |
Sublease income | (6,725) |  |  | — |  |  | (6,725) |  |  | (6,875) |  |  | — |  |  | (6,875) |  |  | (7,369) |  |  | — |  |  | (7,369) |
Total lease cost from continuing operations | $ | 252,306 |  |  | $ | 7,419 |  |  | $ | 259,725 |  |  | $ | 269,225 |  |  | $ | 7,351 |  |  | $ | 276,576 |  |  | $ | 282,753 |  |  | $ | 7,335 |  |  | $ | 290,088 |
The weighted average remaining lease terms and discount rates are as follows:
| December 31,
| 2024 |  | 2025
Weighted average remaining lease term (in years): |  |  |
Operating leases | 9.2 |  | 9.9
Finance leases | 32.8 |  | 22.1
Weighted average discount rate: |  |  |
Operating leases | 6.6 | % |  | 6.6 | %
Finance leases | 7.1 | % |  | 7.0 | %
Supplemental cash flow information | The following is selected financial information included on the Consolidated Statements of Cash Flows for Concentra:
| For the Year Ended December 31,
| 2023 |  | 2024 |  |
Depreciation and amortization | 73,051 |  |  | 61,028 |  |  |
Cash flows from investing activities: |  |  |  |  |
Purchases of property, equipment, and other assets | $ | 69,340 |  |  | $ | 63,269 |  |  |
Supplemental cash flow information related to leases is as follows:
| For the Year Ended December 31,
| 2023 |  | 2024 |  | 2025
| (in thousands)
Cash paid for amounts included in the measurement of lease liabilities (1): |  |  |  |  |
Operating cash flows for operating leases | $ | 317,256 |  |  | $ | 321,271 |  |  | $ | 244,623 |
Operating cash flows for finance leases | 1,239 |  |  | 1,104 |  |  | 1,081 |
Financing cash flows for finance leases | 1,617 |  |  | 1,347 |  |  | 652 |
Right-of-use assets obtained in exchange for lease liabilities: |  |  |  |  |
Operating leases | 171,569 |  |  | 299,111 |  |  | 238,495 |
Finance leases | — |  |  | — |  |  | 56,676 |
_______________________________________________________________________________ (1) Cash flows include cash paid for operating and finance leases of discontinued operations for the years ended December 31, 2023 and 2024. The Company’s net cash paid for income taxes consisted of the following:
|  |  |  |  | For the Year Ended December 31, 2025
|  |  |  |  | (in thousands)
Federal |  |  |  |  | $ | 10,745 |
Aggregated state and local jurisdictions |  |  |  |  | 5,731 |
Disaggregated state and local jurisdictions |  |  |  |  |
Florida |  |  |  |  | 1,284 |
New Jersey |  |  |  |  | 1,474 |
Ohio |  |  |  |  | 1,171 |
Pennsylvania |  |  |  |  | 5,617 |
Net cash paid for income taxes |  |  |  |  | $ | 26,022 |
Supplemental balance sheet information | Supplemental balance sheet information related to leases is as follows:
| December 31,
| 2024 |  | 2025
| Unrelated Parties |  | Related Parties |  | Total |  | Unrelated Parties |  | Related Parties |  | Total
Operating Leases | (in thousands)
Operating lease right-of-use assets | $ | 885,457 |  |  | $ | 22,638 |  |  | $ | 908,095 |  |  | $ | 941,332 |  |  | $ | 16,572 |  |  | $ | 957,904 |
Current operating lease liabilities | $ | 173,189 |  |  | $ | 6,412 |  |  | $ | 179,601 |  |  | $ | 181,276 |  |  | $ | 7,129 |  |  | $ | 188,405 |
Non-current operating lease liabilities | 768,546 |  |  | 18,578 |  |  | 787,124 |  |  | 823,913 |  |  | 11,449 |  |  | 835,362 |
Total operating lease liabilities | $ | 941,735 |  |  | $ | 24,990 |  |  | $ | 966,725 |  |  | $ | 1,005,189 |  |  | $ | 18,578 |  |  | $ | 1,023,767 |
| December 31,
| 2024 |  | 2025
| Unrelated Parties |  | Related Parties |  | Total |  | Unrelated Parties |  | Related Parties |  | Total
Finance Leases | (in thousands)
Property and equipment, net | $ | 3,350 |  |  | $ | — |  |  | $ | 3,350 |  |  | $ | 59,340 |  |  | $ | — |  |  | $ | 59,340 |
Current portion of long-term debt and notes payable | $ | 798 |  |  | $ | — |  |  | $ | 798 |  |  | $ | 1,488 |  |  | $ | — |  |  | $ | 1,488 |
Long-term debt, net of current portion | 10,014 |  |  | — |  |  | 10,014 |  |  | 65,348 |  |  | — |  |  | 65,348 |
Total finance lease liabilities | $ | 10,812 |  |  | $ | — |  |  | $ | 10,812 |  |  | $ | 66,836 |  |  | $ | — |  |  | $ | 66,836 |
Maturities of operating lease liabilities | As of December 31, 2025, maturities of lease liabilities are approximately as follows:
| Operating Leases |  | Finance Leases |  |
| (in thousands) |  |
2026 | $ | 244,555 |  |  | $ | 6,075 |  |  |
2027 | 210,418 |  |  | 5,637 |  |  |
2028 | 160,303 |  |  | 5,348 |  |  |
2029 | 127,836 |  |  | 5,442 |  |  |
2030 | 102,364 |  |  | 5,538 |  |  |
Thereafter | 659,753 |  |  | 108,085 |  |  |
Total undiscounted cash flows | 1,505,229 |  |  | 136,125 |  |  |
Less: Imputed interest | 481,462 |  |  | 69,289 |  |  |
Total discounted lease liabilities | $ | 1,023,767 |  |  | $ | 66,836 |  |  |
Maturities of finance lease liabilities | As of December 31, 2025, maturities of lease liabilities are approximately as follows:
| Operating Leases |  | Finance Leases |  |
| (in thousands) |  |
2026 | $ | 244,555 |  |  | $ | 6,075 |  |  |
2027 | 210,418 |  |  | 5,637 |  |  |
2028 | 160,303 |  |  | 5,348 |  |  |
2029 | 127,836 |  |  | 5,442 |  |  |
2030 | 102,364 |  |  | 5,538 |  |  |
Thereafter | 659,753 |  |  | 108,085 |  |  |
Total undiscounted cash flows | 1,505,229 |  |  | 136,125 |  |  |
Less: Imputed interest | 481,462 |  |  | 69,289 |  |  |
Total discounted lease liabilities | $ | 1,023,767 |  |  | $ | 66,836 |  |  |

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