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8. NOTES PAYABLE, LINE OF CREDIT AND CAPITAL LEASES (Tables)
 12 Months Ended
Dec. 31, 2014
Debt Disclosure [Abstract]  
Schedule of notes payable, line of credit and capital lease obligations

   December 31, 
   2014   2013 
Revolving lines of credit  $15,300   $– 
           
Senior Secured Term Loan   –    385,325 
           
First Lien Term Loans   399,750    – 
           
Second Lien Term Loans   180,000    – 
           
Senior Unsecured Notes   –    200,000 
           
Discounts on term loans and notes   (11,966)   (12,109)
           
Promissory notes payable to the former shareholders of businesses acquired at interest rates ranging from 4.0% to 6.0%, due through 2014   –    492 
           
Promissory notes payable to Healthcare Partners for imaging equipment acquired through acquisition at 5.25%   1,590    – 
           
Equipment notes payable at interest rates ranging from 4% to 11.1%, due through 2017, collateralized by medical equipment   1,153    2,064 
           
Obligations under capital leases at interest rates ranging from 3.8% to 9.4%, due through 2017, collateralized by medical and office equipment   11,780    5,854 
Total debt obligations   597,607    581,626 
Less: current portion   (25,105)   (6,178)
Long term portion debt obligations  $572,502   $575,448 

 
Annual principal maturities of notes payable

2015 $22,435 
2016  21,840 
2017  20,766 
2018  337,452 
2019  – 
Thereafter  180,000 
Total notes payable obligations $582,493 

 
Schedule of capital lease minimum payments

2015 $6,066 
2016  5,740 
2017  573 
2018  – 
2019  – 
Thereafter  – 
Total minimum payments  12,379 
Amount representing interest  (599)
Present value of net minimum lease payments  11,780 
Less current portion  (5,637)
Long-term portion lease obligations $6,143 

 
Term loans and financing activity
  As of December 31, 2014 
  Face Value  Discount  Total Carrying Value 
First Lien Term Loans $399,750  $(9,301) $390,449 
Second Lien Term Loans $180,000  $(2,665) $177,335 
Total $579,750  $(11,966) $567,784