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Property and Equipment
9 Months Ended
Sep. 30, 2020
Property, Plant and Equipment [Abstract]  
Property and Equipment Property and Equipment
The Company’s fixed assets consist of its medical equipment held for rental, furniture and equipment, real property and related improvements, and vehicles and other various small equipment.

The following table details the Company’s fixed assets:
September 30, 2020December 31, 2019
Medical equipment$62,490 $56,202 
Furniture and equipment2,606 2,350 
Land2,138 2,138 
Buildings6,132 6,351 
Leasehold improvements290 301 
Vehicles922 1,110 
Less: Accumulated depreciation(18,261)(13,680)
Property and equipment, net of accumulated depreciation and amortization$56,317 $54,772 
Depreciation in the amount of $2,224,000 and $1,465,000 is included in cost of revenue for the three months ended September 30, 2020 and 2019, respectively, and in the amount of $6,133,000 and $3,937,000 for the nine months ended September 30, 2020 and 2019, respectively. Included in medical equipment above is equipment acquired under finance lease obligations whose cost and accumulated depreciation at September 30, 2020 total $8,087,000 and $801,000, respectively. At December 31, 2019, cost and accumulated depreciation on equipment acquired under finance lease obligations was $15,680,000 and $1,337,000, respectively. Medical equipment purchases with a cost of $2,931,000 and $2,817,000 were included in accounts payable at September 30, 2020 and December 31, 2019, respectively.