5. REVOLVING CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASES (Tables)

9 Months Ended

Sep. 30, 2017

Debt Disclosure [Abstract]

Schedule of notes payable, line of credit and capital lease obligations

	September 30,			December 31,
	2017			2016
First Lien Term Loans		628,542			478,938
Second Lien Term Loans		–			168,000
Discounts on term loans		(19,309	)		(16,783	)
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019		690			980
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment		233			341
Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment		7,790			7,256
Total debt obligations		617,946			638,732
Less: current portion		(34,852	)		(26,557	)
Long term portion debt obligations	$	583,094		$	612,175

Term loans and financing activity

	Face Value		Discount			Total Carrying Value
Total First Lien Term Loans	$	628,542	$	(19,309	)	$	609,233