5. Property, Plant and Equipment

As of December 31, 2010 and 2009, property, plant and equipment consisted of the following:

Acquisition or Manufacturing Costs


in $ THOUS
 
               
 
Jan. 1, 2010
Currency change
Changes in consolida-
tion group
Additions
Reclassifi-
cations
Disposals
Dec. 31,
2010
Land and improvements 44,837 1,838 949 2,826 55 50,505
Buildings and improvements 1,727,681 (9,561) 20,514 42,519 113,435 (37,620) 1,856,968
Machinery and equipment 2,630,925 (42,755) 54,254 313,883 68,969 (131,633) 2,893,643
Machinery, equipment and rental equipment under capitalized leases 29,557 250 55 1,774 (1,081) (2,149) 28,406
Construction in progress 259,711 (5,144) 16,019 154,586 (183,913) (2,447) 238,812

Property, plant and equipment

4,692,711 (55,372) 91,791 515,588 (2,535) (173,849) 5,068,334

Depreciation


in $ THOUS
 
               
 
Jan. 1, 2010
Currency change
Changes in consolida-
tion group
Additions
Reclassifi-
cations
Disposals
Dec. 31, 2010
Land and improvements
Buildings and improvements 768,458 (4,615) 521 141,275 (1,056) (31,443) 873,140
Machinery and equipment 1,490,673 (33,021) 21,057 288,158 700 (114,631) 1,652,936
Machinery, equipment and rental equipment under capitalized leases 14,010 182 3,497 (977) (1,746) 14,966
Construction in progress

Property, plant and equipment

2,273,141 (37,454) 21,578 432,930 (1,333) (147,820) 2,541,042

Net Book Value


in $ THOUS,
December 31
 
       
   
2010
2009
Land and improvements 50,505 44,837
Buildings and improvements 983,828 959,223
Machinery and equipment 1,240,707 1,140,252
Machinery, equipment and rental equipment under capitalized leases 13,440 15,547
Construction in progress 238,812 259,711

Property, plant and equipment

2,527,292 2,419,570

Depreciation expense for property, plant and equipment amounted to $432,930 and $396,860 for the years ended December 31, 2010 and 2009, respectively.

Included in property, plant and equipment as of December 31, 2010 and 2009 were $416,392 and $364,118, respectively, of peritoneal dialysis cycler machines which the Company leases to customers with end-stage renal disease on a month-to-month basis and hemodialysis machines which the Company leases to physicians under operating leases.

Accumulated depreciation related to machinery, equipment and rental equipment under capital leases was $14,966 and $14,010 at December 31, 2010 and 2009, respectively.

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