Property and Equipment

3 Months Ended

Mar. 31, 2019

Property Plant And Equipment [Abstract]

NOTE 4 – PROPERTY AND EQUIPMENT

The following table provides a summary of the components of property and equipment (in thousands):

	March 31,			December 31,
	2019			2018

Property and equipment, at cost:
Land and improvements	$	48,721		$	49,637
Building and improvements		704,654			723,345
Equipment and fixtures		488,813			498,139
Construction in progress		8,101			16,208
Total property and equipment, at cost		1,250,289			1,287,329
Less: Accumulated depreciation and amortization		(712,865	)		(727,891	)
Total property and equipment, net	$	537,424		$	559,438

Depreciation expense was $10.7 million and $13.0 million for the three months ended March 31, 2019 and 2018, respectively. See Note 5 — Goodwill and Intangible Assets for information on amortization expense recorded for property and equipment held under finance lease obligations. The total amount of ROU assets held under finance lease obligations, at cost, was $29.4 million and $29.3 million at March 31, 2019 and December 31, 2018, respectively. The total amount of ROU assets held under finance lease obligations, net of accumulated amortization was $23.4 million and $23.8 million at March 31, 2019 and December 31, 2018, respectively.

Purchases of property and equipment accrued in accounts payable were $2.8 million and $4.9 million as of March 31, 2019 and December 31, 2018, respectively.