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6. PROPERTY AND EQUIPMENT | 12 Months Ended
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Dec. 31, 2014
Property, Plant and Equipment [Abstract] |
PROPERTY AND EQUIPMENT | Property and equipment and accumulated depreciation and amortization are as follows (in thousands):
| December 31, |
| 2014 |  | 2013 |
Land | $ | 250 |  | $ | 250 |
Medical equipment |  | 334,893 |  |  | 304,592 |
Computer and office equipment, furniture and fixtures |  | 90,031 |  |  | 88,946 |
Software development costs |  | 6,391 |  |  | 5,108 |
Leasehold improvements |  | 206,224 |  |  | 186,561 |
Equipment under capital lease |  | 22,753 |  |  | 34,407 |
|  | 660,542 |  |  | 619,864 |
Accumulated depreciation and amortization |  | (437,415 | ) |  | (401,317 | )
| $ | 223,127 |  | $ | 218,547 |
Depreciation and amortization expense on property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2014, 2013 and 2012 was $56.2 million, $55.8 million, and $54.2 million, respectively.

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- Definition The entire disclosure for long-lived, physical assets used in the normal conduct of business and not intended for resale. Includes, but is not limited to, accounting policies and methodology, roll forwards, depreciation, depletion and amortization expense, including composite depreciation, accumulated depreciation, depletion and amortization expense, useful lives and method used, income statement disclosures, assets held for sale and public utility disclosures. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6391110&loc=d3e2921-110230 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1361-107760 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.13-14) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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