8. NOTES PAYABLE, LINE OF CREDIT AND CAPITAL LEASES (Details - Schedule of debt) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Revolving lines of credit	$ 0	$ 15,300
Discounts on term loan and notes	(9,542)	(11,966)
Equipment notes payable	1,032	1,153
Obligations under capital leases	16,423	11,780
Total notes payable, line of credit and capital lease obligations	640,728	597,607
Less: current portion	(33,114)	(25,105)
Total notes payable, line of credit and capital lease obligations, long-term	607,614	572,502
Former owner of an acquired practice [Member]
Promissory notes payable	1,361	0
Healthcare Partners [Member]
Promissory notes payable	431	1,590
First Lien Term Loan [Member]
Term loans	451,023	399,750
Second Lien Term Loans [Member]
Term loans	$ 180,000	$ 180,000

Amount equal to the present value (the principal) at the beginning of the lease term of minimum lease payments during the lease term (excluding that portion of the payments representing executory costs such as insurance, maintenance, and taxes to be paid by the lessor, together with any profit thereon) net of payments or other amounts applied to the principal through the balance sheet date.

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Amount of short-term debt and current maturity of long-term debt and capital lease obligations due within one year or the normal operating cycle, if longer.

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The amount of debt discount that was originally recognized at the issuance of the instrument that has yet to be amortized.

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The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement.

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Carrying amount of long-term debt, net of unamortized discount or premium, including current and noncurrent amounts. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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Amount of long-term debt and capital lease obligations including current maturities.

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Carrying value as of the balance sheet date of loans payable (with maturities initially due after one year or beyond the operating cycle if longer), excluding current portion.

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Reflects the total carrying amount as of the balance sheet date of debt having initial terms less than one year or the normal operating cycle, if longer.

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Definite liabilities to third parties under a termination loan agreement, whether or not guaranteed in whole or in part by the government.

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