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6. PROPERTY AND EQUIPMENT (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Property and equipment, gross	$ 774,078	$ 778,429
Accumulated depreciation	(529,511)	(529,648)
Property and equipment, net	244,567	248,781
Equipment transferred to other assets	(266)	(1,056)
Property and equipment, net	244,301	247,725
Land [Member]
Property and equipment, gross	250	250
Medical equipment [Member]
Property and equipment, gross	380,439	393,001
Computer and office equipment, furniture and fixtures [Member]
Property and equipment, gross	96,382	99,434
Software development costs [Member]
Property and equipment, gross	6,391	6,391
Leasehold improvements [Member]
Property and equipment, gross	273,436	252,595
Equipment under capital lease [Member]
Property and equipment, gross	$ 17,180	$ 26,758

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- Definition

Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services.

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