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Property and Equipment
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment [Abstract]  
Property and Equipment

5.    Property and Equipment:

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

 

     December 31,  
     2018      2017  

Building

   $ 33,189      $ 33,024  

Land

     6,683        6,683  

Equipment and other

     300,981        253,453  
  

 

 

    

 

 

 
     340,853        293,160  

Accumulated depreciation

     (207,816      (169,624
  

 

 

    

 

 

 
   $ 133,037      $ 123,536  
  

 

 

    

 

 

 

At December 31, 2018 and 2017, property and equipment includes medical and other equipment held under capital leases of $4.8 million and $6.1 million, and related accumulated depreciation of $4.0 million and $4.6 million, respectively. The Company recorded depreciation expense of $38.5 million, $33.9 million and $29.0 million for the years ended December 31, 2018, 2017 and 2016, respectively.