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PROPERTY AND EQUIPMENT
12 Months Ended
Dec. 31, 2025
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,
 20252024
Land$250 $250 
Medical equipment872,464 807,624 
Computer and office equipment, furniture and fixtures100,604 134,355 
Software costs63,373 56,261 
Leasehold improvements711,368 618,725 
Equipment originally acquired under finance/capital lease11,557 13,235 
Total property and equipment cost1,759,616 1,630,450 
Accumulated depreciation(951,914)(935,659)
Total property and equipment$807,702 $694,791 
 
Included in our property and equipment at December 31, 2025 is approximately $48.0 million total of construction in process amounts consisting of $28.8 million in medical equipment, $3.2 million in computer and office equipment, and $15.8 million in leasehold improvements.

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, and $24.4 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, 2025, 2024 and 2023 was $136.1 million ($131.4 million in Imaging Center segment and $4.7 million in Digital Health segment), $125.3 million ($122.5 million in Imaging Center segment and $2.9 million in Digital Health segment) and $116.2 million ($115.0 million in Imaging Center segment and $1.2 million in Digital Health segment), respectively.