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8. NOTES PAYABLE, LINE OF CREDIT AND CAPITAL LEASES (Tables)
 12 Months Ended
Dec. 31, 2016
Debt Disclosure [Abstract]  
Schedule of notes payable, line of credit and capital lease obligations
   December 31, 
   2016   2015 
Revolving lines of credit  $–   $– 
           
First Lien Term Loans   478,938    451,023 
           
Second Lien Term Loans   168,000    180,000 
           
Discounts on term loans   (16,783)   (9,542)
           
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019   980    1,361 
           
Promissory note payable to Healthcare Partners for imaging equipment acquired through acquisition at an interest rate of 5.25%   –    431 
           
Equipment notes payable at interest rates ranging from 3.3% to 10.2%, due through 2020, collateralized by medical equipment   341    1,032 
           
Obligations under capital leases at interest rates ranging from 2.5% to 10.8%, due through 2022, collateralized by medical and office equipment   7,256    16,423 
Total debt obligations   638,732    640,728 
Less: current portion   (26,557)   (33,114)
Long term portion debt obligations  $612,175   $607,614 
Annual principal maturities of notes payable
2017  $24,784 
2018   24,751 
2019   24,526 
2020   24,261 
2021   192,250 
Thereafter   357,687 
Total notes payable obligations  $648,259 
Schedule of capital lease minimum payments
2017  $4,764 
2018   2,163 
2019   359 
2020   201 
2021   81 
Thereafter   15 
Total minimum payments   7,583 
Amount representing interest   (327)
Present value of net minimum lease payments   7,256 
Less current portion   (4,526)
Long-term portion lease obligations  $2,730 
Term loans and financing activity
   As of December 31, 2016 
   Face Value   Discount   Total Carrying Value 
First Lien Term Loans  $478,938   $(14,712)  $464,226 
Second Lien Term Loans  $168,000   $(2,071)  $165,929 
Total  $646,938   $(16,783)  $630,155