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PROPERTY AND EQUIPMENT (Tables)
12 Months Ended
Dec. 31, 2017
Property, Plant and Equipment [Abstract]  
Property and equipment
Property and equipment consists of the following (in thousands):
 
December 31,
 
2017
 
2016
Computer and office equipment
$
31,371

 
$
30,060

Software capitalized for internal use
17,470

 
16,481

Vehicles
2,379

 
2,552

Medical equipment
36,230

 
32,086

Work in progress
2,478

 
4,370

Furniture and fixtures
5,534

 
5,319

Leasehold improvements
19,809

 
17,496

Property and equipment, gross
115,271

 
108,364

Less: Accumulated depreciation
(88,298
)
 
(75,686
)
Property and equipment, net
$
26,973

 
$
32,678