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5. REVOLVING CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASES (Tables)
6 Months Ended
Jun. 30, 2017
Debt Disclosure [Abstract]  
Schedule of notes payable, line of credit and capital lease obligations
    June 30,     December 31,  
    2017     2016  
             
First Lien Term Loans     466,813       478,938  
                 
Second Lien Term Loans     168,000       168,000  
                 
Discounts on term loans     (15,915 )     (16,783 )
                 
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019     787       980  
                 
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment     269       341  
                 
Obligations under capital leases at interest rates ranging from 2.5% to 10.8%, due through 2022, collateralized by medical and office equipment     9,015       7,256  
Total debt obligations     628,969       638,732  
Less: current portion     (27,317 )     (26,557 )
Long term portion debt obligations   $ 601,652     $ 612,175  
Term loans and financing activity
    Face Value     Discount     Total Carrying
Value
 
First Lien Term Loans   $ 466,813     $ (14,089 )   $ 452,724  
Second Lien Term Loans   $ 168,000     $ (1,826 )   $ 166,174  
Total   $ 634,813     $ (15,915 )   $ 618,898