PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2021

Property, Plant and Equipment [Abstract]

Property and equipment and accumulated depreciation and amortization are as follows (in thousands):


	December 31,
	2021		2020
Land	$	250	$	250
Medical equipment	560,301		480,631
Computer and office equipment, furniture and fixtures	144,766		132,446

Leasehold improvements	441,921		399,253
Equipment under financing/capital lease	13,984		13,984
Total property and equipment cost	1,161,222		1,026,564
Accumulated depreciation	(676,975)		(627,229)


Total property and equipment	$	484,247	$	399,335

Included in our property and equipment at December 31, 2021 is approximately $18.1 million total of construction in process amounts consisting of $2.6 million in medical equipment, $6.1 million in computer and office equipment, and $9.3 million in leasehold improvements.

Depreciation and amortization expense of property and equipment, including amortization of equipment under finance/capital leases, for the years ended December 31, 2021, 2020 and 2019 was $92.3 million, $83.1 million, and $77.5 million, respectively.