CREDIT FACILITY AND NOTES PAYABLE (Details - Schedule of debt) - USD ($) $ in Thousands	Sep. 30, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Equipment note payable at 4.6%, due through 2020, collateralized by medical equipment	$ 47	$ 275
Total debt obligations	666,642	692,395
Less: current portion	(39,463)	(39,691)
Long term portion debt obligations	$ 627,179	652,704
Paycheck Protection Program loans at 1% due April 2022
Debt Instrument [Line Items]
Interest rate, stated percentage	1.00%
Term Loan \| First Lien Term Loan
Debt Instrument [Line Items]
Debt	$ 620,727	649,824
Discounts on First Lien Term Loans	(10,669)	(13,579)
Term Loan \| SunTrust Term Loan Agreement collateralized by NJIN's tangible and intangible assets
Debt Instrument [Line Items]
Debt	52,500	$ 55,875
Term Loan \| Paycheck Protection Program loans at 1% due April 2022
Debt Instrument [Line Items]
Debt	$ 4,037
Equipment Notes Payable
Debt Instrument [Line Items]
Interest rate, stated percentage	4.60%

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Long-term Debt, Short-term Debt and Capital Lease Obligations, Excluding Current Maturities

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Long-term Debt, Short-term Debt and Capital Lease Obligations, Including Current Maturities

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Contractual interest rate for funds borrowed, under the debt agreement.

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Amount, after accumulated amortization, of debt discount.

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Amount, after unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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Carrying value as of the balance sheet date of loans payable (with maturities initially due after one year or beyond the operating cycle if longer), excluding current portion.

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