PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2024

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,
	2024		2023
Land	$	250	$	250
Medical equipment	807,624		714,400
Computer and office equipment, furniture and fixtures	134,355		127,540
Software costs	56,261		47,286
Leasehold improvements	618,725		537,853
Equipment originally acquired under finance/capital lease	13,235		13,971
Total property and equipment cost	1,630,450		1,441,300
Accumulated depreciation	(935,659)		(836,899)
Total property and equipment	$	694,791	$	604,401

Included in our property and equipment at December 31, 2024 is approximately $56.6 million total of construction in process amounts consisting of $31.3 million in medical equipment, $0.9 million in computer and office equipment, none in software costs and $24.4 million in leasehold improvements.

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.

Depreciation and amortization expense of property and equipment, including amortization of equipment under finance leases, for the years ended December 31, 2024, 2023 and 2022 was $125.3 million ($122.5 million in Imaging Center segment and $2.9 million in Digital Health segment), $116.2 million ($115.0 million in Imaging Center segment and $1.2 million in Digital Health segment) and $105.6 million ($104.9 million in Imaging Center segment and $0.7 million in Digital Health segment), respectively.