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PROPERTY AND EQUIPMENT (Details) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Property, Plant and Equipment [Line Items]    
Total property and equipment cost $ 1,026,564 $ 939,203
Accumulated depreciation (627,229) (571,408)
Total property and equipment 399,335 367,795
Land    
Property, Plant and Equipment [Line Items]    
Total property and equipment cost 250 250
Medical equipment    
Property, Plant and Equipment [Line Items]    
Total property and equipment cost 480,631 426,682
Computer and office equipment, furniture and fixtures    
Property, Plant and Equipment [Line Items]    
Total property and equipment cost 132,446 120,490
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Total property and equipment cost 399,253 377,676
Equipment under financing/capital lease    
Property, Plant and Equipment [Line Items]    
Total property and equipment cost $ 13,984 $ 14,105