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Property and Equipment
12 Months Ended
Dec. 31, 2024
Property, Plant and Equipment [Abstract]  
Property and Equipment Property and Equipment
Property and equipment consisted of the following as of December 31, 2024 and 2023:
 December 31,
2024
December 31,
2023
Computers and equipment$12,569 $11,447 
Office equipment and furniture4,341 4,396 
Software179,336 148,864 
Leasehold improvements6,231 6,347 
Construction in progress14,049 4,532 
Subtotal216,526 175,586 
Less accumulated depreciation(149,387)(123,685)
Property and equipment-net$67,139 $51,901 
Depreciation expense for the year ended December 31, 2024 was $26,360 of which $190 was included in medical expenses. Depreciation expense for the years ended December 31, 2023 and 2022 was $21,442 and $17,100, respectively, of which $254 and $213, respectively, was included in medical expenses.