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PROPERTY AND EQUIPMENT (Details - Narrative) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Property, Plant and Equipment [Line Items] |  |  |
Depreciation and amortization expense | $ 105,600 | $ 92,300 | $ 83,100
Construction in Progress |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Property and equipment, gross | 73,400 | 18,100 |
Medical Equipment |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Construction in progress, gross | 26,600 | 2,600 |
Computer and Office Equipment |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Construction in progress, gross | 5,300 | 6,100 |
Software development costs |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Property and equipment, gross | 36,015 | 0 |
Construction in progress, gross | 400 |  |
Leasehold improvements |  |  |
Property, Plant and Equipment [Line Items] |  |  |
Property and equipment, gross | 501,963 | 441,921 |
Construction in progress, gross | $ 41,100 | $ 9,300 |

X
- Definition Amount of structure or a modification to a structure under construction. Includes recently completed structures or modifications to structures that have not been placed into service. + 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 https://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 + Details
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X
- Definition The current period expense charged against earnings on long-lived, physical assets not used in production, and which are not intended for resale, to allocate or recognize the cost of such assets over their useful lives; or to record the reduction in book value of an intangible asset over the benefit period of such asset; or to reflect consumption during the period of an asset that is not used in production. + 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 https://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126954810&loc=d3e3602-108585 + Details
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- Definition Amount before accumulated depreciation, depletion and amortization of physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, and furniture and fixtures. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(13)) -URI https://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 Reference 2: 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 https://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 + Details
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