PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2020

Property, Plant and Equipment [Abstract]

Property and equipment and accumulated depreciation and amortization are as follows (in thousands):


	December 31,
	2020		2019
Land	$	250	$	250
Medical equipment	480,631		426,682
Computer and office equipment, furniture and fixtures	132,446		120,490

Leasehold improvements	399,253		377,676
Equipment under financing/capital lease	13,984		14,105
Total property and equipment cost	1,026,564		939,203
Accumulated depreciation	(627,229)		(571,408)


Total property and equipment	$	399,335	$	367,795

Included in our property and equipment at December 31, 2020 is approximately $57.5 million total of construction in process amounts consisting of $26.0 million in medical equipment, $7.7 million in computer and office equipment, and $23.8 million in leasehold improvements.

Depreciation and amortization expense of property and equipment, including amortization of equipment under finance/capital leases, for the years ended December 31, 2020, 2019 and 2018 was $83.1 million, $77.5 million, and $70.2 million, respectively.