PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2018

Property, Plant and Equipment [Abstract]

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



	December 31,
	2018			2017
Land	$	250		$	250
Medical equipment	449,776			380,439
Computer and office equipment, furniture and fixtures	102,798			96,382
Software development costs	6,391			6,391
Leasehold improvements	337,878			273,436
Equipment under capital lease	12,119			17,180
Total property and equipment cost	909,212			774,078
Accumulated depreciation	(563,483		)	(529,511		)
Total net property and equipment	345,729			244,567
Equipment transferred to other assets	—			(266		)
Total property and equipment	$	345,729		$	244,301

Depreciation and amortization expense of property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2018, 2017 and 2016 was $70.2 million, $64.2 million, and $64.0 million, respectively.