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Property and Equipment
12 Months Ended
Dec. 31, 2017
Property, Plant and Equipment [Abstract]  
Property and Equipment

5.    Property and Equipment:

Property and equipment consists of the following (in thousands):

 

     December 31,  
     2017      2016  

Building

   $ 33,024      $ 26,572  

Land

     6,683        6,683  

Equipment and other

     253,453        213,521  
  

 

 

    

 

 

 
     293,160        246,776  

Accumulated depreciation

     (169,624      (143,708
  

 

 

    

 

 

 
   $ 123,536      $ 103,068  
  

 

 

    

 

 

 

At December 31, 2017 and 2016, property and equipment includes medical and other equipment held under capital leases of $6.1 million and $6.2 million, and related accumulated depreciation of $4.6 million and $4.0 million, respectively. The Company recorded depreciation expense of $33.9 million, $29.0 million and $22.2 million for the years ended December 31, 2017, 2016 and 2015, respectively.