Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2021

Property, Plant and Equipment [Abstract]

Property and Equipment

Property and equipment were comprised of the following:

	December 31,
	2021		2020
Land	$	34,009	$	37,924
Buildings	496,455		400,616
Leasehold improvements	3,828,404		3,865,729
Equipment and information systems, including internally developed software	3,292,176		3,081,298
New center and capital asset projects in progress	592,063		616,686
	8,243,107		8,002,253
Less accumulated depreciation	(4,763,135)		(4,480,429)
	$	3,479,972	$	3,521,824