Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2019

Property, Plant and Equipment [Abstract]

Property and Equipment

Property and equipment were comprised of the following:

	December 31,
	2019			2018
Land	$	36,480		$	37,384
Buildings	392,256			467,181
Leasehold improvements	3,545,224			3,164,943
Equipment and information systems, including internally developed software	2,880,645			2,586,564
New center and capital asset projects in progress	588,345			661,695
	7,442,950			6,917,767
Less accumulated depreciation	(3,969,566		)	(3,524,098		)
	$	3,473,384		$	3,393,669