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CREDIT FACILITIES AND NOTES PAYABLE (Details - Schedule of Debt) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Debt Instrument [Line Items]    
Equipment notes payable at interest rates ranging from 4.4% to 5.6%, due through 2020, collateralized by medical equipment $ 0 $ 275
Total debt obligations 652,704 692,395
Less current portion (39,791) (39,691)
Long-term portion debt obligations 612,913 652,704
Term Loan | First Lien Term Loans    
Debt Instrument [Line Items]    
Debt 611,028 649,824
Discount on First Lien Term Loans (9,699) (13,579)
Term Loan | SunTrust Term Loan Agreement collateralized by NJIN's tangible and intangible assets    
Debt Instrument [Line Items]    
Debt $ 51,375 $ 55,875
Minimum | Notes Payable, Other Payables    
Debt Instrument [Line Items]    
Debt instrument, interest rate 4.40%  
Maximum | Notes Payable, Other Payables    
Debt Instrument [Line Items]    
Debt instrument, interest rate 5.60%