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5. REVOLVING CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASES (Tables)
 3 Months Ended
Mar. 31, 2017
Debt Disclosure [Abstract]  
Schedule of notes payable, line of credit and capital lease obligations
    March 31,     December 31,  
    2017     2016  
             
First Lien Term Loans     472,875       478,938  
                 
Second Lien Term Loans     168,000       168,000  
                 
Discounts on term loans     (16,624 )     (16,783 )
                 
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019     883       980  
                 
Equipment notes payable at interest rates ranging from 3.3% to 10.2%, due through 2021, collateralized by medical equipment     641       341  
                 
Obligations under capital leases at interest rates ranging from 2.5% to 10.8%, due through 2022, collateralized by medical and office equipment     11,650       7,256  
Debt held for contribution to joint venture     (1,573 )     –  
Total debt obligations     635,852       638,732  
Less: current portion     (27,842 )     (26,557 )
Long term portion debt obligations   $ 608,010     $ 612,175  
Term loans and financing activity
    As of March 31, 2017  
    Face Value     Discount     Total Carrying Value  
First Lien Term Loans   $ 472,875     $ (14,676 )   $ 458,199  
Second Lien Term Loans   $ 168,000     $ (1,948 )   $ 166,052  
Total   $ 640,875     $ (16,624 )   $ 624,251