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PROPERTY AND EQUIPMENT | 12 Months Ended
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Dec. 31, 2018
Property, Plant and Equipment [Abstract] |
PROPERTY AND EQUIPMENT | PROPERTY AND EQUIPMENT 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.

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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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -URI http://asc.fasb.org/topic&trid=2155823 + Details
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