Property and Equipment

12 Months Ended

Dec. 31, 2019

Property, Plant and Equipment [Abstract]

Property and Equipment

Property and Equipment

Property and equipment consist of the following at December 31:

	2019			2018
Land	$	1,490		$	2,030
Buildings and improvements	10,246			8,197
Leasehold improvements	198,975			201,445
Equipment and information systems	151,375			162,750
Construction in progress	4,560			5,549
	366,646			379,971
Less accumulated depreciation	(215,471		)	(199,703		)
	$	151,175		$	180,268

Depreciation of property and equipment totaled $37,714 in 2019 and $39,004 in 2018, which excludes adjustments to the carrying value to fair value less costs to sell for assets classified as held for sale. Included in construction in progress are amounts expended for leasehold improvement costs incurred for new dialysis clinics and clinic expansions, in each case, that are not in service as of December 31 of the applicable year. The cost and accumulated amortization of assets under finance leases included in Buildings and improvements above at December 31, 2019 were $7,499 and $588, respectively, and under capital leases at December 31, 2018 were $6,381 and $213, respectively. The Company also had $11,245 of property and equipment, net classified as Current assets held for sale as of December 31, 2019 and $477 of property and equipment, net classified as Current assets held for sale as of December 31, 2018. Refer to “Note 2—Summary of Significant Accounting Policies” and “Note 9—Assets Held for Sale” for further discussion related to the accounting for assets held for sale.