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8. NOTES PAYABLE, LINE OF CREDIT AND CAPITAL LEASES (Tables)

12 Months Ended

Dec. 31, 2013

Debt Disclosure [Abstract]

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

		December 31,
		2013				2012
Revolving lines of credit		$	–			$	33,000
Senior secured term loan			385,325				349,125
Senior unsecured notes			200,000				200,000
Discounts on term loan and notes			(12,109	)			(9,510	)
Promissory notes payable to the former shareholders of businesses acquired at interest rates ranging from 4.0% to 6.0%, due through 2014			492				1,057
Equipment notes payable at interest rates ranging from 7.1% to 11.7%, due through 2016, collateralized by medical equipment			2,064				1,040
Obligations under capital leases at interest rates ranging from 10.0% to 11.7%, due through 2017, collateralized by medical and office equipment			5,854				7,695
			581,626				582,407
Less: current portion			(6,178	)			(8,645	)
		$	575,448			$	573,762

Annual principal maturities of notes payable

2014		$	5,361
2015			4,576
2016			4,319
2017			3,900
2018			569,725
		$	587,881

Schedule of capital lease minimum payments

2014		$	3,365
2015			1,564
2016			1,224
2017			187
Total minimum payments			6,340
Amount representing interest			(486	)
Present value of net minimum lease payments			5,854
Less current portion			(3,075	)
Long-term portion		$	2,779

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Tabular disclosure of information pertaining to short-term and long-debt instruments or arrangements, including but not limited to identification of terms, features, collateral requirements and other information necessary to a fair presentation.

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- Definition

Tabular disclosure of future minimum lease payments as of the date of the latest balance sheet presented, in aggregate and for each of the five years succeeding fiscal years, with separate deductions from the total for the amount representing executor costs, including any profit thereon, included in the minimum lease payments and for the amount of the imputed interest necessary to reduce the net minimum lease payments to present value.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 840

-SubTopic 30

-Section 50

-Paragraph 1

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=6455398&loc=d3e45280-112737

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Tabular disclosure of the combined aggregate amount of maturities and sinking fund requirements for all long-term borrowings for each of the five years following the date of the latest balance sheet date presented.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 470

-SubTopic 10

-Section 50

-Paragraph 1

-URI http://asc.fasb.org/extlink&oid=6802200&loc=d3e1835-112601

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