Property and Equipment, Net

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment [Abstract]

Property and Equipment, Net

Note 5—Property and Equipment, Net

Property and equipment, net, consists of the following:

December 31,	2023		2022
Land and land improvements	$	22,959	$	22,849
Buildings and leasehold improvements		201,939		197,228
Machinery and equipment		492,551		470,071
Patient service equipment		362,192		324,007
Construction in progress		10,728		14,400
Property and equipment, gross		1,090,369		1,028,555
Accumulated depreciation and amortization		(546,397)		(450,286)
Property and equipment, net	$	543,972	$	578,269

Depreciation and amortization expense for property and equipment and assets under finance leases was $188 million, $136 million, and $40.5 million for the years ended December 31, 2023, 2022, and 2021.