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Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2019
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment
Property and equipment consists of the following:
 
Estimated
Useful Life
(Years)
 
December 31,
(in thousands, except years)
 
2019
 
2018
Cardiac monitoring devices, device parts and components
3 - 5
 
$
87,431

 
$
76,088

Computers and purchased software
3 - 5
 
18,756

 
16,800

Equipment, tools and molds
3 - 5
 
6,492

 
6,441

Furniture, fixtures and other
5 - 7
 
4,582

 
3,805

Leasehold improvements
*
 
7,714

 
5,877

Equipment under finance leases
*
 
7,500

 
6,568

Total property and equipment, at cost
 
 
132,475

 
115,579

Less accumulated depreciation
 
 
(76,095
)
 
(67,202
)
Total property and equipment, net
 
 
$
56,380

 
$
48,377

* shorter of useful life or term of lease