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 

Historical Timeline

Fiscal YearFiled
2025Mar 2, 2026Showing above
2024Mar 3, 2025
2023Feb 29, 2024
2022Mar 1, 2023
2021Mar 1, 2022
2020Mar 16, 2021
2019Mar 16, 2020
2018Mar 18, 2019
2017Mar 19, 2018
2016Mar 17, 2017
2015Mar 15, 2016

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.