CREDIT FACILITY AND NOTES PAYABLE (Details - Schedule of debt) - USD ($) $ in Thousands	3 Months Ended
Mar. 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	$ 199	$ 275
Total debt obligations	762,465	692,395
Less: current portion	(39,615)	(39,691)
Long term portion debt obligations	722,850	652,704
Term Loan \| First Lien Term Loan
Debt Instrument [Line Items]
Debt	640,125	649,824
Discounts on First Lien Term Loans	(12,609)	(13,579)
Term Loan \| Term Loan Agreement collateralized by NJIN's tangible and intangible assets
Debt Instrument [Line Items]
Debt	54,750	55,875
Line of Credit \| Revolving Credit Facility
Debt Instrument [Line Items]
Debt	$ 80,000	$ 0
Equipment Notes Payable
Debt Instrument [Line Items]
Maturity date	Dec. 31, 2020
Minimum \| Equipment Notes Payable
Debt Instrument [Line Items]
Interest rate, stated percentage	4.40%
Maximum \| Equipment Notes Payable
Debt Instrument [Line Items]
Interest rate, stated percentage	5.60%

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

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- Definition

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

+ References

No definition available.

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

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No definition available.

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- Definition

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

+ References

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-Publisher FASB
-Name Accounting Standards Codification
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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Date when the debt instrument is scheduled to be fully repaid, in CCYY-MM-DD format.

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- Definition

Amount, after accumulated amortization, of debt discount.

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- Definition

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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- Definition

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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