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+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
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-Section 45
-Paragraph 28
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3602-108585

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+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229

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-Publisher FASB
-Name Accounting Standards Codification
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-Section S99
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-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

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PROPERTY AND EQUIPMENT (Details - Narrative) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 938,154	$ 909,212
Depreciation and amortization expense	77,500	70,200	$ 64,200
Construction in Progress
Property, Plant and Equipment [Line Items]
Property and equipment, gross	42,400
Medical Equipment
Property, Plant and Equipment [Line Items]
Construction in progress, gross	15,900
Computer and Office Equipment
Property, Plant and Equipment [Line Items]
Construction in progress, gross	2,300
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	377,417	$ 337,878
Construction in progress, gross	$ 24,200