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PROPERTY AND EQUIPMENT (Tables)
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment [Abstract]  
Property and equipment
Property and equipment consisted of the following (in thousands):
 
December 31,
 
2018
 
2017
Computer and office equipment
$
32,452

 
$
31,371

Software capitalized for internal use
17,625

 
17,470

Vehicles
2,287

 
2,379

Medical equipment
42,600

 
36,230

Work in progress
1,733

 
2,478

Furniture and fixtures
5,930

 
5,534

Leasehold improvements
27,012

 
19,809

Property and equipment, gross
129,639

 
115,271

Less: Accumulated depreciation
(100,851
)
 
(88,298
)
Property and equipment, net
$
28,788

 
$
26,973