PROPERTY AND EQUIPMENT

6 Months Ended

Jun. 30, 2024

NOTE 8. PROPERTY AND EQUIPMENT

Property and equipment included the following:



	Useful	June 30,		December 31,
(In thousands)	Life	2024		2023
Land	—	$	9,739	$	9,748
Buildings and improvements	31.5		103,873		102,449
Equipment	5-15		214,422		206,392
Instruments, modules, and cases	5		698,794		672,018
Other property and equipment	3-5		25,238		22,020
			1,052,066		1,012,627
Less: accumulated depreciation and amortization			(480,290)		(425,695)
Total		$	571,776	$	586,932

Instruments are hand-held devices used by surgeons to install implants during surgery. Modules and cases are used to store and transport the instruments and implants.

Depreciation expense related to property and equipment was as follows:



	Three Months Ended				Six Months Ended
	June 30,				June 30,
(In thousands)	2024			2023	2024		2023
Depreciation	$	33,880	$	13,528	$	59,464	$	27,035