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PROPERTY AND EQUIPMENT
 12 Months Ended
Dec. 31, 2023
Property, Plant and Equipment [Abstract]  
PROPERTY AND EQUIPMENT PROPERTY AND EQUIPMENT
 
Property and equipment and accumulated depreciation and amortization are as follows (in thousands):
 December 31,
 20232022
Land$250 $250 
Medical equipment714,400 649,034 
Computer and office equipment, furniture and fixtures127,540 119,467 
Software costs47,286 36,015 
Leasehold improvements537,853 501,963 
Equipment originally acquired under finance/capital lease13,971 13,971 
Total property and equipment cost1,441,300 1,320,700 
Accumulated depreciation(836,899)(754,739)
Total property and equipment$604,401 $565,961 
 
Included in our property and equipment at December 31, 2023 is approximately $42.7 million total of construction in process amounts consisting of $12.2 million in medical equipment, $1.9 million in computer and office equipment, $6.0 million in software costs and $22.6 million in leasehold improvements.

Included in our property and equipment at December 31, 2022 is approximately $73.4 million total of construction in process amounts consisting of $26.6 million in medical equipment, $5.3 million in computer and office equipment, $0.4 million in software costs and $41.1 million in leasehold improvements.
Depreciation and amortization expense of property and equipment, including amortization of equipment under finance leases, for the years ended December 31, 2023, 2022 and 2021 was $116.2 million, $105.6 million, and $92.3 million, respectively.