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PROPERTY AND EQUIPMENT
9 Months Ended
Sep. 30, 2022
PROPERTY AND EQUIPMENT [Abstract]  
Property And Equipment NOTE 8. PROPERTY AND EQUIPMENT

Property and equipment included the following:

Useful

September 30,

December 31,

(In thousands)

Life

2022

2021

Land

$

8,248

$

8,296

Buildings and improvements

31.5

47,233

44,672

Equipment

5-15

136,717

113,301

Instruments

5

303,656

285,762

Modules and cases

5

46,869

44,185

Other property and equipment

3-5

26,536

30,435

569,259

526,651

Less: accumulated depreciation

(332,917)

(305,575)

Total

$

236,342

$

221,076

Instruments are hand-held devices used by surgeons to install implants during surgery. Modules and cases are used to store and transport the instruments and implants.

Depreciation expense related to property and equipment was as follows:

Three Months Ended

Nine Months Ended

September 30,

September 30,

(In thousands)

2022

2021

2022

2021

Depreciation

$

13,254

$

12,178

$

38,113

$

39,068