Property and equipment consisted of the following at December 31, 2024 and 2023:

 

   2024   2023 
   December 31, 
   2024   2023 
Leasehold improvements  $127,489   $132,027 
Furniture   70,070    89,579 
Computer software and equipment   94,966    167,284 
Medical equipment   10,976    10,413 
Total property and equipment   303,531    399,303 
Less accumulated depreciation   (180,576)   (164,011)
Total property and equipment, net  $122,955   $235,292 

About PP&E Disclosures

The PP&E disclosure details a company's physical asset base — land, buildings, machinery, and equipment — along with the depreciation methods and useful life assumptions that determine how these costs flow through the income statement. Capitalization policy thresholds reveal management's judgment on the boundary between expense and asset, directly affecting both reported earnings and asset values.

Key signals: changes in estimated useful lives or depreciation methods can materially shift reported earnings without any operational change. Compare capital expenditures against depreciation expense — when capex consistently trails depreciation, the asset base may be aging and underinvested. Watch for large asset impairments or write-downs that signal overvalued carrying amounts. Asset retirement obligations reveal future environmental or decommissioning costs that are often underappreciated. Compare PP&E intensity (PP&E-to-revenue) against industry peers to assess capital efficiency and competitive positioning.