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Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2022
Property, Plant and Equipment [Abstract]  
Property and Equipment
Property and equipment were comprised of the following:
 December 31,
 20222021
Land$32,656 $34,009 
Buildings427,962 496,455 
Leasehold improvements3,925,244 3,828,404 
Equipment and information systems, including internally developed software3,759,274 3,292,176 
New center and capital asset projects in progress376,633 592,063 
 8,521,769 8,243,107 
Less accumulated depreciation(5,265,372)(4,763,135)
 $3,256,397 $3,479,972