COMMITMENTS AND CONTINGENCIES (Details - Operating leases) $ in Thousands	Dec. 31, 2018 USD ($)
2019	$ 90,512
2020	80,501
2021	70,792
2022	58,806
2023	45,895
Thereafter	165,471
Total operating lease payments	511,977
Medical equipment
2019	14,924
2020	14,385
2021	12,966
2022	10,264
2023	7,095
Thereafter	5,144
Total operating lease payments	64,778
Facilities
2019	75,588
2020	66,116
2021	57,826
2022	48,542
2023	38,800
Thereafter	160,327
Total operating lease payments	$ 447,199

Amount of required minimum rental payments for leases having an initial or remaining non-cancelable letter-terms in excess of one year.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
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Amount of required minimum rental payments for operating leases having an initial or remaining non-cancelable lease term in excess of one year due in the next fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of required minimum rental payments for operating leases having an initial or remaining non-cancelable lease term in excess of one year due in the fifth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of required minimum rental payments for operating leases having an initial or remaining non-cancelable lease term in excess of one year due in the fourth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of required minimum rental payments for operating leases having an initial or remaining non-cancelable lease term in excess of one year due after the fifth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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