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NOTE 7 - PROPERTY AND EQUIPMENT
12 Months Ended
Dec. 31, 2011
Property, Plant and Equipment Disclosure [Text Block]
NOTE 7 - PROPERTY AND EQUIPMENT

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

   
December 31,
 
   
2011
   
2010
 
Land
  $ 250     $ 250  
Medical equipment
    278,345       226,315  
Office equipment, furniture and fixtures
    67,906       57,292  
Leasehold improvements
    155,003       131,411  
Equipment under capital lease
    28,926       43,735  
      530,430       459,003  
Accumulated depreciation and amortization
    (314,903 )     (264,773 )
    $ 215,527     $ 194,230  

Depreciation and amortization expense on property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2011, 2010 and 2009 was $57.5 million, $54.0 million and $53.8 million, respectively.