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6. PROPERTY AND EQUIPMENT
12 Months Ended
Dec. 31, 2016
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT

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

 

   December 31, 
   2016   2015 
Land  $250   $250 
Medical equipment   393,001    352,005 
Computer and office equipment, furniture and fixtures   99,434    107,014 
Software development costs   6,391    6,391 
Leasehold improvements   252,595    232,550 
Equipment under capital lease   26,758    29,796 
Total property and equipment cost   778,429    728,006 
Accumulated depreciation and amortization   (529,648)   (471,284)
Total net property and equipment   248,781    256,722 
Equipment held for sale   (1,056)    
Total property and equipment  $247,725   $256,722 

 

Depreciation and amortization expense of property and equipment, including amortization of equipment under capital leases, for the years ended December 31, 2016, 2015 and 2014 was $64.0 million, $57.6 million, and $56.2 million, respectively.