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8. NOTES PAYABLE, LINE OF CREDIT AND CAPITAL LEASES (Tables) | 12 Months Ended
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Dec. 31, 2015
Debt Disclosure [Abstract] |
Schedule of notes payable, line of credit and capital lease obligations |
|  | December 31, |
|  | 2015 |  |  | 2014 |
Revolving lines of credit |  | $ | – |  |  | $ | 15,300 |
First Lien Term Loans |  |  | 451,023 |  |  |  | 399,750 |
Second Lien Term Loans |  |  | 180,000 |  |  |  | 180,000 |
Discounts on term loans |  |  | (9,542 | ) |  |  | (11,966 | )
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 |  |  | 1,361 |  |  |  | – |
Promissory note payable to Healthcare Partners for imaging equipment acquired through acquisition at an interest rate of 5.25% |  |  | 431 |  |  |  | 1,590 |
Equipment notes payable at interest rates ranging from 3.3% to 10.2%, due through 2020, collateralized by medical equipment |  |  | 1,032 |  |  |  | 1,153 |
Obligations under capital leases at interest rates ranging from 2.5% to 10.8%, due through 2022, collateralized by medical and office equipment |  |  | 16,423 |  |  |  | 11,780 |
Total debt obligations |  |  | 640,728 |  |  |  | 597,607 |
Less: current portion |  |  | (33,114 | ) |  |  | (25,105 | )
Long term portion debt obligations |  | $ | 607,614 |  |  | $ | 572,502 |
Annual principal maturities of notes payable |
2016 |  | $ | 26,217 |
2017 |  |  | 25,247 |
2018 |  |  | 402,097 |
2019 |  |  | 276 |
2020 |  |  | 11 |
Thereafter |  |  | 180,000 |
Total notes payable obligations |  | $ | 633,848 |
Schedule of capital lease minimum payments |
2016 |  | $ | 10,660 |
2017 |  |  | 4,325 |
2018 |  |  | 1,713 |
2019 |  |  | 246 |
2020 |  |  | 201 |
Thereafter |  |  | 98 |
Total minimum payments |  |  | 17,243 |
Amount representing interest |  |  | (820 | )
Present value of net minimum lease payments |  |  | 16,423 |
Less current portion |  |  | (10,038 | )
Long-term portion lease obligations |  | $ | 6,385 |
Term loans and financing activity |
|  | As of December 31, 2015 |
|  | Face Value |  |  | Discount |  |  | Total Carrying Value |
First Lien Term Loans |  | $ | 451,023 |  |  | $ | (7,305 | ) |  | $ | 443,718 |
Second Lien Term Loans |  | $ | 180,000 |  |  | $ | (2,237 | ) |  | $ | 177,763 |
Total |  | $ | 631,023 |  |  | $ | (9,542 | ) |  | $ | 621,481 |

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- Definition Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21475-112644 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6479336&loc=d3e64711-112823 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(e),(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 55 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=34725769&loc=d3e28878-108400 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21538-112644 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21506-112644 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 1A -URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28541-108399 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28551-108399 Reference 10: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21521-112644 + Details
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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 + Details
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