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PROPERTY AND EQUIPMENT (Tables)
12 Months Ended
Dec. 31, 2018
Property, Plant and Equipment [Abstract]  
Schedule of property and equipment
Property and equipment and accumulated depreciation and amortization are as follows (in thousands):
 
 
 
December 31,
 
2018
 
2017
Land
$
250

 
$
250

Medical equipment
449,776

 
380,439

Computer and office equipment, furniture and fixtures
102,798

 
96,382

Software development costs
6,391

 
6,391

Leasehold improvements
337,878

 
273,436

Equipment under capital lease
12,119

 
17,180

Total property and equipment cost
909,212

 
774,078

Accumulated depreciation
(563,483
)
 
(529,511
)
Total net property and equipment
345,729

 
244,567

Equipment transferred to other assets

 
(266
)
Total property and equipment
$
345,729

 
$
244,301